Kune vanhu vanopfuura 150 mapiromavirus (HPV) mavhesi, mamwe acho akawanda kupfuura mamwe. Chii chinokonzera HPV, pasinei nokuti yakadini, yakangofanana: zvepabonde, ganda-ganda kuonana nomumwe munhu ane utachiona. HPV inogona kukonzera marital or anal warts uye, pane dzimwe nguva, kenza (zvichienderana nematambudziko). Asi, havasi vose vanoita zviratidzo zvehutachiona hweHIV-kana pakarepo kana zvachose.
Izvi zvinoita kuti kupararira kwehutachiona kuve kwakakurumbira.
Zvinowanzokonzera
Vaginal uye inorara zvepabonde ndiyo nzira inowanikwa yakawanda yekutapurira kweHIVV, kunyange zvazvo inogona kupedzisira isingapfuuri nemuromo wepabonde . Kunyange kuberekwa-ku-ku-genital rubbing kunogona kukwana kuparadzira utachiona. Zvakakosha kuti vechidiki vanoziviswa pamusoro peizvi, sezvo vangave vasina kunyanya kuziva kuti zvirwere zvepabonde zvinogona kupedzwa pasina kupindira.
Ngozi yako yeHIVV inonyanya kuwedzera nehuwandu hwevanhu vanoita zvepabonde, kunyange kutaurirana nemukomana mumwe chete ane utachiona kunogona kukonzera HPV. Apo makondomu anopa nzira dzakanakisisa dzekudzivirira kupfupika kwekusadya, vanogona kungozviita chete kana iwe uchizvishandisa nguva dzose uye zvakarurama .
Kana uine HPV, utachiona huchawanzozvigadzirisa pachahwo usina kurapwa mukati memwedzi 18 kusvika ku24. Ndiyo panguva ino kuti iwe unogona kuisa hutachiona kune vamwe. Nemhaka yokuti HPV inowanzo "isingaoneki" isina zviratidzo zvekunze, vanhu havawanzozivi kuti vakatapukirwa.
Izvi zvinowedzerazve kudikanwa kwemakondomu kana iwe uchiita zvepabonde uye hausi muzviito, hukama hwemumwechete.
Vanachiremba vanoshandisa mazita ekunyora mazita emhando dzakasiyana dzeHIVV. Sezvo izvo zvinyorwa zvisinganzwisisiki kune vasina vashandi vezvokurapa, vanachiremba vanowanzoreva kunetseka sekuve kuve pangozi yepamusoro kana yeHIV.
Sezvaunenge uchiverenga, iwe unogona kunzwa wakurudzirwa kudzidza kuti matambudziko ari pasi pengozi ane ngozi shoma. Asi yeuka: Mhando dzose dze HPV dzinoparadzirwa nenzira imwecheteyo.
Lifestyle uye Health Health Risk Factors
Kunyange zvazvo HPV inogona kukanganisa chero ani zvake, iwe uri pangozi yakawanda kana chero ipi zvayo inotevera inoshanda kwauri:
- Iwe unopinda mune / wakaita zvepabonde nevakasiyana nevamwe
- Iwe unobata pabonde risina kudzivirirwa kana kubata zvepabonde
- Iwe uri murume anorara nevarume (MSM)
- Iwe uri kudarika
- Iwe une HIV kana chimwe chirwere kana chimiro chinowedzera simba rako rekudzivirira muviri
Mukuwedzera pakuita maitiro ezuva nezuva ekudzivirira HPV , unogona kutarisa kutaura nemutarisiri wako wehutano pamusoro pemishonga yeHIVV Cervarix , Gardasil , uye Gardasil 9, kunyanya kana chimwe chezvataurwa pamusoro apa chinoshanda kwauri.
Dambudziko rePasi- uye Rakanyanya-Nengozi
Kunyange zvazvo mapoka akawanda eVVV ane simba rekukonzera zvipembenene zvepabonde, zvinenge makumi matatu chete zvinosangana nekenza (kunyanya chirwere chekondical , anal , penile , uye kenza yehuro ). Nemhaka yeizvi, masayendisiti akave akaisa mararamiro ematambudziko acho nekukwanisa kwavo kukonzera chirwere nenzira inotevera:
- Dambudziko rekudzivirira-panjodzi ndevaya vanogona kukonzera zvipembenene zvebonde asi hazvina maturo. HPV 6 uye 11 ndiwo maitiro maviri ari pasi pengozi anotarisirwa kumapfumbamwe makumi mapfumbamwe ematatu emarudzi ose emagetsi. Kurwisana kwechirwere kunokonzerwa nematambudziko aya haachiri kufambira mberi kune kenza.
- Dambudziko repamusoro-dambudziko ndiyo iyo inogona kukonzera kuchinja kusina kuchena mumasero ( dysplasia ) ayo anogona kutungamirira kune kenza. Zvichienderana nehutano hweHIVV iwe unoratidzwa, dysplasia inogona kuva yanyoro kana yakaoma. Pakati pematambudziko akawanda, HPV 16 ne18 inosanganiswa ne70 muzana yekenza yekervical, nepo HPV 16 inokwana 90 muzana yekenza yakaneta. Zvimwe zvinotyisa zvinosanganisira HPV 31, 33, 35, 45, 52, 58, uye 59.
Hapana nzira yekuudza kana chigamba chepabonde "chiri pangozi" kana "pangozi yakanyanya" nekuonekwa sega. Uyezve, kuva nechigamba nenzira ipi zvayo inoratidza kuti une kana kuti uchawana kenza. Kuongororwa kwese kunogona kusimbisa utachiona hwako uye njodzi dzakabatana.
Dambudziko rekukudzivirira kenza
Kunyange zvazvo dzimwe hutachiona hweHIVV dzakasangana nemamwe makondombera, masayendisiti haasati aziva kuti nei kenza ichatanga kune vamwe vanhu vane HPV uye kwete vamwe.
Zvinotendwa kuti genetics uye nhoroondo yemhuri inobatanidzwa mukugadza uyo anowana chirwere uye ndiani asingaiti. Panguva imwe chete, mamiriro evanhu, mararamiro, uye hutano huzhinji (kusanganisira zvirwere zvakapfuura) zvinogona kupawo.
Kunze kwekushungurudzwa kweHIVV uye nzvimbo yehutachiona, pane zvimwe zviitiko zvinogona kuwedzera mungozi yemunhu wekuva nekenza. Pakati pavo:
- Kushivirira HPV chirwere (chinogara kwenguva refu kupfuura mwedzi 24)
- HIV ine hutachiwana hwehutachiona (uye mamwe maitiro ekudzivirira muviri)
- Chlamydia uye zvichida herpes simplex virus infection
- Muchiedza chemuviri (kuwedzera kenza yemukenza wechiropa)
- Kuva nemakore anopfuura matatu ekuberekwa kwenguva refu (kuwedzera kenza yemukenza wechirwere)
- Anal fistula (inowedzera chirwere chekenza yakawedzera)
- Kuva murume anoita zvepabonde nevarume (kuwedzera kenza yemukana wechirwere)
- Sodya fodya (inokonzera mhando dzose dzekenza)
Pamusoro pezvinhu zvose zviripo-zvinovapo, kusavapo kwekenza kuongorora kune imwe yenjodzi huru. Izvi hazvirevi chete vakadzi vanozvidzivirira purogiramu yePep nguva dzose asi varume vasingawanzoongororwa nezvematanho kana matambudziko edzimba.
Sources:
> Bzhalava, D .; Eklund, C .; uye Dillner, J. "Maitiro emarudzi ose uye maitiro evanhu mapillomavirus." Virology. 2015 Nyaya 8; 476C: 341-344. DOI: 10.1016 / j.virol.2014.12.028.
> Centres for Disease Control and Prevention. "HPV Zvirwere: Kuvhara Zvokutanga Zvako kana Kuti Zvichiri." Atlanta, Georgia; yakarongedzwa naAugust 24, 2017.
> Struyf, F .; Colau, B ;; Wheeler, C. et al. "Kubudirira kwevanhu papillomavirus (HPV) -16/18 AS04-adjuvanted vaccine pamusoro pechiitiko uye kuenderera mberi kwehutachiona husina kuvhara oncogenic HPV maitiro uchishandisa imwe multiplex yechiratidzo-PCR assay ye HPV DNA: kuongorora kwekutsvaga kubva kuPATRICIA kuedzwa kwese. " Clinic Vaccine Immunol. " 2014: 22 (2): 235-244.IYO: 10.1128 / CVI.00457-14.