Kuedzwa Kunogona Kutambudza neGender, Age, uye kunyange zvekuita zvepabonde
Kuongororwa kweHIVV kunosanganisa kwete kungoona hutachiona chete, asi kuziva kuti ndeapi mapiritsi anopfuura 150 anokonzera HPV aripo. Kunyange zvazvo vazhinji vasingakanganise, zvakakosha kuziva kuti kana utachiona hunosanganisira imwe yevanopfuura 30 mungozi yakanyanya-yakanyanyobatanidzwa nekenza. Vanachiremba vachashandisa Pap smear, kuongororwa kweVHV, kana biopsy-pamwe chete nekliniki yavo kutonga-kuumba kuongororwa uye vane tariro yekubata chero zviitiko zvakanyanya kutyisa vasati vava dambudziko.
Kuti mumwe munhu anoongororwa uye anoedzwa anosiyana sei maererano nehutano hwavo, makore, uye kunyange zvepabonde.
Dambudziko rekuongororwa, zvisinei, ndeyekuti HPV kazhinji haiiti zviratidzo zvakajeka zvehutachiona, izvo zvinogona kuita kuti vanhu vanonoke kuedza. Mune zvimwe zviitiko, vanhu vangave vatanga kuonekwa neHIVV apo vanoonekwa kuti vane kenza yakabatana.
Miedzo yevakadzi
Imwe yenzira dzakanakisisa dzekuona hutachiwana hweHIVV kune vakadzi dzine Pap smear . Izvi zvinogona kuitwa panguva yekuongorora gynecological examination kana zvakananga nokuti HPV inofungidzirwa. Munguva yePear smear, masero anonyatsoputirwa kubva mumuviri wechivi uye anoongororwa pasi microscope kuti aongorore zviratidzo zveDysplasia. Kuongororwa kunoonekwa kuchaitwawo kuti uone zvirwere zvepabonde (izvo zvinowanzova nehuriflower-yakaita sechitarisiko, asi inogonawo kunge yakagadzikana uye yakagadzirwa nemunhu). Yeuka, zvisinei, kuti kusavapo kwemawarts hakureve kuti iwe uri pachena neHIVV.
Chimwe chiedzo, chinonzi kuongorora kweHIVV , kuongororwa kwehutachiona chaihwo panzvimbo yekuchinja mumasero emumuromo.
Inoshandiswa muvakadzi makumi matatu nepamusoro, kana pakupindura kune Pap smear isina kufanira kana sechikamu chekuongorora nguva dzose. Inogona kuitwa panguva imwechete-uye kunyange ne swab imwechete-sePap smear (chiito chinonzi sangano rekuenzanisa).
Mazano
HPV zvirongwa zvekuongorora zvinogona kusiyanisa nezera remukadzi nezvimwe zvinhu:
- Kune vakadzi vanopfuura makumi matatu , Pap smear inokurudzirwa makore ose matatu. Zvisinei, kuongororwa kweHIVV hakurudzirwi, sezvo hutachiona hweHIVV hunojairika mune vakadzi mumakore avo makumi maviri uye hahuna kutungamirira kukenza. Munguva ino, mavhirwere akawanda eVHV achave kwenguva pfupi uye achisarudza ivo pachavo pasina migumisiro yenguva refu.
- Kune vakadzi 30 kusvika ku65 , kana Pap smear inogona kuitwa makore matatu oga kana kuenzanisa pamwe nePear smear uye kuongorora kweHIVV inogona kuitwa makore ose mashanu.
- Vakadzi vane HIV vane pasi pe30 vanofanirwa kuva nePap smear mwedzi gumi nemaviri kana vaongororwa. Pashure pemitatu mitatu inowanzoitika, kuedza kunogona kuwedzerwa kune imwe Pep test makore ose matatu, chero bedzi mitsva inowanzoitika.
Ipap neHVV zvinongotora nguva shomanana kuti dziite. Ipap dzinowanzodzoka mumavhiki maviri; Mhinduro dze HPV dzinogona kutora nguva yakareba. Zvose izvi zvinowanzofukidzwa nenishuwarenzi.
Chimwe chezvinhu zvakanyanya kuisa mungozi yekenza yemukomana ndeyokusavapo kwekuongorora nguva dzose. Kuti urege kunetseka kweHIVV, vakadzi vanofanira kutevera purogiramu yakarongwa pamusoro apa uye vaudza vanachiremba vavo chero zvipi zvaro zvehondo, zvipembenene, kana zvimwe zvinokanganisa zvakagadzirwa mumakumbo emunhu kana anus.
Miedzo Yevarume
Kuwanda kweHIVV zvirwere mumarume zvinoratidzwa nekuonekwa kwemweya kana kuti mamwe mavhinga pamapenis, mazamu, mahudyu, kupera, kana anus.
Zvisinei, kana bhodhi iri kupinda mukati, rinogona kuonekwa chete nekuongorora mvura yakakura ine anccope uye / kana kushandisa Papan smear .
Iyo mhembwa Pap Pap smear inoshandisa teknolojia yakafanana seCervic Pap smear uye inoshandiswa kuzivisa dysplasia mumasero akatorwa kubva kune anus. Chiyero chinogona kuva chinhu chakakosha kune varume vanoita zvepabonde zvakagamuchirwa zvepabonde , sezvo internalized warts kazhinji hainzwi.
Mazano
Pasinei neizvi, Chirongwa cheDaase Control and Prevention (CDC) ikozvino inopa zano pamusoro pekugadzirisa zvirwere zvepap Pap kuonekwa nevarume sezvo zvisingazivikanwe kana kubata chirwere chepamusoro dysplasia chinodzivirira kenza yemunhu.
Uyezve, kusiyana nekuedza kweHVV kunoshandiswa kuvakadzi, hapana kuedza kwakadaro ikozvino kunowanikwa kusimbisa kana chirwere chemuviri kana muromo.
Nokuda kweizvi, CDC yakapa zano rokuti anal Pap smear inogona kuitwa nevarume vanoita zvepabonde nevarume (MSM) vanoita zvepabonde rekunakidza, kunyange zvazvo pasina mirayiridzo yekuongorora yakaiswa. Iboka iri rine mungozi makumi mana yakawanda yemukenza wakafanana nekuenzaniswa nehuwandu hwevanhu. MSM vane HIV-HIV ndivo vari pangozi. Mukusavapo kwekuongorora mazano, iwe unofanirwa kuva mutevereri wako uye, kana zvichidiwa, tsvaka rubatsiro kubva kune chiremba kana kliniki inonyanya kuonekwa nehutano hwevarume kana kuchengetwa kwaSMS-zvakananga.
Kazhinji, miedzo iyi haina kuvharwa neinishuwarenzi.
Biopsy yeGenital Warts
Kana dhizha rinotarisa uye rinenge rakaoma kuziva, chiremba anogona kuita bhizinesi kuti abvise shanduko yezvisikwa kuti aongorore mubasa. Kunyange zvazvo chirwere chinonzi anesthetic chinoshandiswa kupedza ganda rinogona kurwadzisa, nzira yacho pachayo haisi.
Rimwechete rabviswa, mhuka yacho inogona kuongororwa pasi pe microscope. Bhuku racho rinogona kukuudza kuti hakuna masero asina kukwana (zvinoreva kuti zvinhu zvose zvakanaka) kana kuti kune masero asina kukwana anonzi koilocytes. Koilocytes ichaonekwa yakadzika kana kuti inogadziriswa pasi pe microscope uye inofanana nehutachiona hweHIVV.
A genital wart chido chinogona kuratidzwa kana:
- Iyo HPV kuongororwa haina chokwadi
- Ivhara rinopa ropa, rinopisa, kana rine chimiro chechimiro
- Munhu wacho ane HIV kana kuti haana kudzivirirwa
- Pakave nekuwedzerwa kwechiitiko kubva pakubvunzurudzwa kwekare
Kana chirwere che HPV Chine Mamiriro Akanaka
Nenzira imwechete iyo kusavapo kwemawarts hakurevi kuti iwe uri pachena yeHIVV, kuvapo kwechigamba chepabonde hakureve kuti uchawana kenza.
Kunze kwekunge kune uchapupu hwokuti neoplasia (iyo isingadzorwiki, kukura kwemasero asina kukwana), chiremba aizotora mhinduro yakanaka yeHVV chinyorwa kuti ave "mutsvuku" uye ramba uchicherechedza mamiriro acho.
Kunyange zvazvo dysplasia inogona kufambira mberi kune kenza pane nguva, njodzi inowanzosiyana. Low-grade dysplasia inowanzoenda yoga isina kurapwa. Kusiyana neizvi, high-grade dysplasia inogona kuve yomuitiro wekutanga wekenza inozivikanwa secarcinoma in situ (CIS) .
Muchiitiko chisingambofungidziri kuti kenza kana chirwere chepachimbuzi chinowanikwa, iwe unogona kutumirwa kune oncologist kuti uite chirwere ichi uye usarudze pane nzira yakakodzera yekurapa. Nenzira inofadza, kutaridzika kwepakutanga nguva dzose nguva dzose kunopa hukuru hwekurapa.
> Sources:
> Centers for Disease Control and Prevention (CDC). "HPV Cancer Screening." Atlanta, Georgia; yakagadziridzwa musi waDecember 20, 2016.
> CDC. "Kuongorora | Mibvunzo & Mhinduro | 2015 STD Treatment Guidelines." Yakaperedzwa February 10, 2016.
> Leeds, I. uye Fang, S. "Kenza yakakosha uye intraepithelial neoplasia screening: Kuongorora." World J Gastrointest Surg. 2016; 8 (1): 41-51. DOI: 10.4240 / wjgs.v8.i1.41.