Ukuhlola ubukhona be-HIV ku-Fluid Pre-Seminal
Ukuqaphela ingozi yakho yokuthola i-HIV ekuziphatheni okuhlukile kobulili kuyisifundo esiyinkimbinkimbi njalo. Ekuhloliseni ingozi yakho, uvame ukukala futhi uhloniphe ukuthi yiziphi izinto ezingase zivikeleke kunabanye. Ngezinye izikhathi, lokhu kungakubeka ekukhuleni kunokuba kube yingozi engezansi ngenxa yokuthi ukucabanga okuvamile "akuvamile ukuthi kulungile."
Esinye sokucabanga ukuthi umuntu angakwazi kakhulu i-HIV uma umlingani wakhe engacacisi.
Futhi nakuba kungase kubonakale kunengqondo ukuthi insizwa encane = igciwane elingaphansi, ingabe le mbono iyabambelela ngempela?
Ukuqeda Amaqiniso I-HIV Emzimbeni We-Pre-Seminal Fluid
Iqiniso liwukuthi i-HIV ikhona emzimbeni wesilisa kanye nomswakama ongaphambi komzimba (owaziwa nangokuthi u-prejaculatory fluid noma "pre-cum"). Ngenkathi ivolumu ye-HIV emithonjeni yangaphambi kokugulisa imvelo ingaphansi, leyo nombolo ingashintsha kakhulu uma umuntu engaphathwa. Ngokuvamile, umuntu onesandulela ngculazi angenalo i-HIV uyoba negciwane elisebenzayo elihamba phambili elijikeleza igazi nezinye izifo zomzimba (njengoba kulinganiswa umthamo wegciwane lesandulela ngculazi .)
Okufanayo kusebenza kumuntu ongase angathathi imithi yakhe ngegciwane lesandulela ngculazi ngendlela efanele futhi akakwazi ukufeza umthamo wegciwane elingenakutholakali. Ngaphezu kwalokho, ukutholakala kwegciwane lesandulela ngculaza elihlala njalo (i-STI) kanye nokunye ukutheleleka kwamagciwane kungakhuphula inqubo ebizwa ngokuthi i- HIV echitha lapho ukutheleleka kudonsa i-HIV eningi kumuntu wesilisa ngokobulili futhi, ngokuzenzakalelayo, kumama wesilisa.
Ngokufanayo, inani le-pre-seminal fluid lihlukahluka komunye nomuntu. Ukukhipha umfutho we-pre-seminal ukhululiwe kusuka ku-urethra yesilisa (ukuvulwa kwendoda yesilisa) ngenkathi kuvuvuka ngocansi nangaphambi kokuba u- ejaculation . Indoda ingakwazi ukukhulula kuze kufike ku-4mL yalesi sitshalo sangaphambi komzimba (okungaphansi kwesipuni esisodwa). Uma isikhathi eside umsebenzi wezocansi, kungenzeka ukuthi ngaphambi kokuba u-ejaculate umuntu abe nayo.
Uphi i-HIV Okwamanje: Esikhathini Sezinambuzane Noma Esikhathini Sokuhlushwa?
Ukucabangela ukuthi uketshezi olungaphambi komzimba akukona okwehlukile njengoba i-ejaculate yesisindo kuncike kokucabanga okuningi okukhulu:
- ukuthi igciwane lesandulela ngculaza likhulu kakhulu emdodeni hhayi kakhulu emzimbeni wamanzi
- ukuthi kukhona umthamo othize we-seminal fluid lapho ukutheleleka nge-HIV okungenakwenzeka
Ukubheka ngokucophelela ukucabangela kokuqala, kuye kwaba neziqu ezimbalwa zezifundo ezihlose ukusungula lapho kunesidoda sangempela ku - fluid pre-seminal . Iningi lalezi zifundo liye lincane futhi libonisa imiphumela ehlanganisiwe
Ucwaningo olwenziwe ngo-2010 ku- Human Fertility lubonise ukuthi, kwabangu-27 abathintekayo abesilisa abafakwe emzimbeni, 11 bakhiqiza uketshezi olungaphambi komzimba oluqukethe isisu. Kulezi, ezingu-10 zazingcolisa isidoda emasampuli abo.
Umbuzo omkhulu uma lokhu kubalulekile ngempela. Ngenkathi isazi siyaziwa ukuthi singumphathiswa omkhulu we-HIV, sekukhona isikhathi eside siphikisana ngokuthi i-sperm "ithatha" i-HIV noma ngabe igciwane lihamba mahhala emzimbeni wamanzi.
Iningi ucwaningo namuhla lisikisela ukuthi kokubili futhi kokunye. Ngaphandle kwegciwane lesandulela-ngculaza, isidoda sithinta izakhi kwigobolondo langaphandle le-HIV, elibizwa nge-heparan sulfate kanye ne-mannose receptors, ngokunamathela izintambo ezimbili ndawonye njenge-velcro.
Kulesi sikhundla, i-sperm njenge-carrier ye-viral futhi ikwazi kalula ukudlulisa igciwane kumaseli amhlophe egazini asemasimini (okuthiwa amangqamuzana e-dendritic) atholakale azungeze ama-microabrasions emgodini wesifazane noma wesilwane ovame ukwenza ngesikhathi sokulala.
Ngaphezu kwalokho, umphathiswa uzoba ne-pH efana neyomzimba wesifazane, ephakamisa ukuthi ingase ibe nethuba elikhulu lokungena emgqeni we-mucosal wesifazane.
Nakuba lokhu kungase kusiphakamise ukuthi isidoda sinomthelela omkhulu ekutheleleni kwegciwane lesandulela ngculazi ukuthi umthamo ngokwayo, kukhona umsizi oyedwa: amadoda ane-vasectomies angadlulisela i-HIV kubalingani bawo .
Uma kunjalo, kushiya umbuzo wokuthi ngabe umthamo we-seminal fluid uyinhloko ekutheleleni.
Futhi ngenkathi kubonakala sengathi iphikisana kahle, kunendlela ephumelelayo ngempela yokwazi ukuthi "kuphephile" kangakanani nokuthi kungakanani "kungaphephile."
Izwi elivela
Uma ukhathazekile ukuthi ngabe usulelekile nge-HIV, bheka udokotela ukuze uhlolwe i-HIV. Uma ungenalo igciwane, zivikele ngokuqonda amathuluzi okuvimbela, kufaka phakathi ubulili obuphephile, amakhondomu, noku-pre-exposure prophylaxis (i-PrEP) .
> Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo. "I-HIV / AIDS: Ukudluliswa kwe-HIV." I-Atlanta, Georgia; ibuyekezwe ngo-Okthoba 1, 2015.
> Killick. I-S .; U-Leary, C .; I-Trussell, J .; kanye no-Guthrie, K ". Isiqu se-sperm se-pre-ejaculatory fluid." U-Hum Fertil (u-Camb). 2011; 14 (1): 48-52.
> Tortortec, A. no Dejucq, R. "Ukutheleleka ngegciwane lesandulela ngculaza - imiphumela yokudluliselwa ngokocansi nokukhiqiza." Int J Androl. 2010; 33 (1): e98-e108.
> Maxmen, A. "I-HIV inamathela kumuntu." I-Journal Yezokwelapha Ezihlolwayo . 2009; 206 (12): 2578.2.