Ukuqapha okukhulu kunesidingo ku-MSM njengama-Anal Cancer Rates
Eminyakeni eyishumi, abesifazane baye bazuza ukuhlolwa okusiza ukuthola umdlavuza womlomo wesibeletho ezinyathelweni zokuqala zokutheleleka. Ubuchwepheshe, owaziwa ngokuthi i- Pap smear , bugcine izimpilo ezingenakubalwa ngokuqinisekisa ukutholakala kokuqala nokungenelela, ngokunciphisa ngokuphawulekayo ukubulawa kwabantu besifazane.
Namuhla, ubuchwepheshe kuye kwandiswa ukuze kutholakale ukuhlolwa komdlavuza wesibeletho kumadoda angama-gay nabesilisa nabesifazane, kanye nabesifazane abasengozini.
Iyini i-Anal Pap Smear?
I-Pap smear yesilwane iyisivivinyo esifana ne-Pap smear yesisu nangasese isampula encane yamaseli eqoqwe kusuka ku-anus ne-rectum. Bese bahlolwa ngaphansi kwe-microscope ukukhomba noma yiziphi izinguquko zesakhiwo kumaseli. Lezi zinguquko zivame ukukhonjwa njengezikhumbuli zomdlavuza wesilwane, uhlobo lomdlavuza oluphazamisa kakhulu abantu abesilisa nabesifazane abesilisa nabesifazane.
I-Link Between HPV ne Cancer
Umdlavuza we-analysis kanye nomdlavuza womlomo wesibeletho bobabili bahlotshaniswa ne- papillomavirus yabantu (i-HPV) , igciwane layo lingabangela imilenze yezocansi eyosakazeka kalula kusuka komuntu kuya komuntu ngokusebenzisa ubulili.
Abesilisa abesilisa nabesilisa nabesifazane abesandulela ngculaza basengozini ikakhulukazi ngoba basengozini ephezulu yokutheleleka kwe-HPV okuqhubekayo, okungabonakala ngokunyuka kwama-40 emngciphekweni womdlavuza wesifo uma kuqhathaniswa nomphakathi jikelele wase-US. Futhi ngokungafani nezinye izifo ezithathelwana ngocansi, amakhondomu awasebenzi ngokuphelele ekuvimbeleni ukusakazwa kwegciwane.
Ucwaningo lubonisa ukuthi izifo zomdlavuza wesibeletho ziphakeme nakakhulu emadodeni alala nobulili namadoda (i-MSM) abanegciwane lesandulela ngculaza, kanye nobufakazi bamanje obonisa ukuthi
- 35 kuzo zonke i-MSM eziyi-100,000 izokwakhiwa nomdlavuza omdala.
- Abangu-8 ku-100,000 abesifazane bayothola umdlavuza wesibeletho,
Ngokuvamile, ukutheleleka nge-HIV ngokwayo kuhlotshaniswa nenengozi enkulu yokuthuthukiswa kwezinhlobo eziningi zomdlavuza , kokubili okuhlobene ne-HIV kanye nokungenayo i-HIV.
Uhlelo lwe-Anal Pap
I-Pap smear yesilwane ishesha kakhulu, ayibuhlungu futhi ilula. Ngokusebenzisa i-Dacron swab, umtholampilo uqoqa amasampula eseli kusuka emgodini owenziwe ngokususa yonke indawo ye-anus ne-rectum. Lezi sampuli zamaseli ziyathunyelwa ebhokisini lapho ochwepheshe bewafaka khona amasampula futhi bahlole ngaphansi kwesikhampasi ukuze babone noma yiziphi izinguquko zeselula ezingabonisa umdlavuza. Ngokujwayelekile ezinsukwini ezimbalwa, udokotela uzoba nemiphumela futhi akwazi ukuxoxa nabo nawe.
Ukuze uqinisekise ukuhlolwa okunembile, imihlahlandlela isikisela ukuthi iziguli zihambelane ukuthi izinyathelo ezithile zokuqapha zithathwe amahora angu-24 ngaphambi kokuba i-pap smear engalindelekile:
- Ungabi nobulili obuningi bokutholwa
- Ungabeki noma yikuphi ama-creams, amafutha noma imithi ku-anus yakho
- Ungafaki amathoyizi wezocansi noma ezinye izinto ku-anus yakho
- Ungadabuki noma uthathe isisindo
Uvame ukuthi udinga i-Anal Pap?
U-Sue Goldie, MD, MPH, umbhali we-anal anal PAP ocwaningweni eHarvard School of Public Health wathola ukuthi ukuhlolisisa amadoda abesilisa nabesilisa abesilisa nabesilisa ocansini njalo eminyakeni emithathu kuzobona amacala amaningi omdlavuza wesifo ekuqaleni-lapho bengakwazi ukuphathwa ngempumelelo njalo.
Nokho, abanye odokotela, batusa ama-smears ama-Pap anonyaka ngonyaka we-MSM, ikakhulukazi labo abane-HIV. Ngokwengxenye yabo, amaCenters for Disease Control and Prevention (CDC) noma i-US Preventive Services Task Force (USPSTF) okwamanje anikeza noma yiziphi izincomo eziphathelene nokuhlolwa kwesilwane se-Pap esilula kumadoda noma abesifazane.
Ngaphezu kwe-MSM, noma yimuphi umuntu onomlando we-anogenital and vulvovaginal condylomas (warts) kufanele ahlolwe njalo. Bona ukuthi i-wart yobulili ibukeka kanjani .
Uma i-Pap smear engavamile, amangqamuzana emgodini omdala azokuthuthukisa izinguquko ezingavamile, zangaphambi kokulimaza okuthiwa i- intraepithelial neoplasms . Lezi zinguquko zihamba kancane kancane futhi, uma zingashiywanga, zingaba umdlavuza ongenayo.
Uma izinguquko ezingavamile ziphawulwa, kwenziwa uphenyo olwengeziwe futhi, uma kuboniswe, ukukhishwa kwelaser yokuhlinzwa kungasetshenziswa ukususa izicubu ezithintekayo.
Umthombo:
Umnyango we-US of Veteran Affairs. "I-Dyplasia ye-Analysis ne-HIV: Ukunakekelwa Okuyisisekelo Kwezilwane Ze-HIV." Okthoba 8, 2011; Washington, DC; kufinyelelwe ngoFebhuwari 9, 2016.