Amalunga aseMelika angamatshumi amabili lamane angaba ne-papillomavirus yabantu (HPV), kodwa amaphesenti angaphezu kwamaphesenti angu-76 ase-United States angakaze azwe ngaleli gciwane lesandulela ngculazi elidala cishe amaphesenti angu-100 azo zonke izinhlobo zomdlavuza wesibeletho.
Ososayensi bathole izinhlobo ezingaphezu kuka-60 zegciwane le-papillomavirus yomuntu. Izimpi ezibonakalayo zobulili zitholakala kuphela ngamaphesenti ayisishiyagalombili abantu abadala abenza ucansi abanegciwane le-HPV, kuyilapho ezinye izinhlobo ze-HPV zingukutheleleka kwezicansi.
Izinhlobo ze-HPV ezibangelwa izimpungushe zobulili azihlotshaniswa nezingozi zomdlavuza okwenyuka futhi zibangelwa yi-HPV izinhlobo 6 no 11. Izinhlobo ze-HPV 16, 18, 31, 33, no-35 zixhunyaniswa nomdlavuza wesibeletho. Lezi HPV ezinengozini enkulu zingase zixhunywe nengozi eyengeziwe yamanomdla we-vulva, anus, nesinye.
Yiziphi Izimpawu ze-HPV ne-Genital Warts?
Ngokuvamile, ngaphandle kokuthi izilwanyana zomzimba zitholakale endaweni lapho ungabona khona noma uzizwe, ungazi ukuthi unesifo. Ngezinye izikhathi ama-warital genital ayenakutholakali ngoba angaphakathi kwesifazane, emgodini wesibeletho, noma ku-anus.
I-HPV ivame ukulukhuni ukuthola ngoba imilenze yesisu ijwayele ukugqoka isikhumba futhi ingenabuhlungu, futhi ivele ingabonakali izimpawu. Kumele uthintane nodokotela wakho noma kunini lapho ubona ukukhula okungavamile, ukuqhuma, noma ezinye izinkinga zekhanda, futhi uma uzwa ukushaywa, ubuhlungu noma ukuphuma okungavamile.
Ukuthola i-HPV
Amagciwane we-genital noma ama-HPV atholakala ngezinye izikhathi ngesikhathi sokuhlolwa kwakho kwe-GYN yonyaka; Kodwa-ke, i-Pap smear ayiyona ithuluzi lokuhlola i-HPV noma enye i-STD noma ukutheleleka.
Nakuba iningi le-HPV lingaphumeleli emdlalweni, kubaluleke kakhulu ukuthi abesifazane bahlolwe ukuthi banama-HPV ukuze babe nama- Pap smears avamile.
Nakuba i-Pap smear engenzelwe ukuthola i-HPV (izinguquko ezingavamile zesibeletho ezingavamile) izinguquko ezingavamile zingabonisa ukutheleleka kwe-HPV noma esinye isifo sofuba. Udokotela wakho uzoyilandela inqubo yokuhlola yokulandelela efana ne-colposcope noma ikulandele eduze ukubona noma yimuphi ushintsho lomlomo wesibeletho uma kutholakala imiphumela engavamile ye-Pap .
Uma imiphumela yakho ye-Pap smear ibonisa i-dysplasia, kubalulekile ukuqaphela ukuthi i-dysplasia yomlomo wesibeletho ayisho umdlavuza wesibeletho. Kodwa-ke, i- dysplasia yomlomo wesibeletho ibhekwa njengesibikezelo se-carcinoma in situ (i-CIS) nomdlavuza ongenawo umlomo wesibeletho. Amacala amaningi e-dysplasia agxila ngokuhamba kwesikhathi futhi izici eziholela ekuthuthukeni komdlavuza womlomo wesibeletho ezingabonakali zihlala zingacacile.
E-CIS, ungqimba lwangaphandle lwamaseli avamile lushintshwa ngamaseli omdlavuza. I-CIS ingamaphesenti angama-95 aphulukiswa futhi aphiliswe. Umdlavuza omangalisayo womlomo wesibeletho kwenzeka lapho amangqamuzana omdlavuza ehlasela izicubu ezingaphansi kwe-cervix. I-CIS ngokuvamile ivela kwabesifazane abaphakathi kuka-25 no-34, kanti umdlavuza wesibeletho womlomo wesibeletho ubonakala ikakhulukazi kwabesifazane abangaphezu kweminyaka engamashumi amahlanu.
Isibikezelo somdlavuza womlomo wesibeletho esihlaselwa ikakhulukazi sincike ekutheni isifo sinikwe ngesikhathi sokuxilongwa kokuqala. Isilinganiso sokufa samanje somdlavuza womlomo wesibeletho sihlala sikhulu kunokuba kufanele sibe yingxenye eyodwa kwezintathu kwabesifazane abangenayo i-Pap smears yonyaka ejwayelekile. Amaphesenti angama-90 omdlavuza wesibeletho womlomo wesibeletho angasuswa ngokutholakala kwangaphambili nePap smear.
I-HPV iphathwe kanjani?
Ukwelapha i-HPV kuvamise kunzima futhi kuphazamise kokubili isiguli nodokotela.
Ukwelashwa kwemigqomo ebonakalayo yobulili ngesiguli esiphezulu ngokuvamile kudinga ukwelapha eziningana ngaphambi kokuba izimpawu zingene. Lezi zokwelapha azikona ukwelashwa. Ngemuva kokwelashwa, igciwane lingase lihlale esikhunjeni esiseduze futhi lilale isikhathi eside izinyanga noma ngisho neminyaka ngaphambi kokuba liphinde libonakale futhi, kwezinye izimo, ama-warts ebonakalayo awaphindeli.
I-CDC incoma ukwelashwa kwezingqungquthela ezibonakalayo ze-HPV zobulili zomzimba ezihluka emithini yokwelashwa okusetshenziselwa isiguli ezifana ne-podofilox kanye ne-miquimod emithonjeni ehlinzekwa ngabahlinzeki njenge cryotherapy, i-podophyllin resin, i-trichloroacetic acid (i-TCA), i-bicholoracetic acid (i-BCA), i-interferon, kanye nokuhlinzwa.
Ukuvimbela i-HPV, Ukuvimbela Umdlavuza wesibeletho
Ngenxa yokuthi siyazi ukuthi uhlobo lwegciwane lesandulela ngculazi ngaphandle kwemilenze yomzimba yimbangela yomshukela wesibeletho, futhi akukho ukwelashwa kwalolu hlobo lwe-HPV, ukuvimbela i-HPV kuyisici esibalulekile ekuvikeleni umdlavuza wesibeletho. Ukuvimbela i-HPV kuhlanganisa izincomo ezifanayo njengokuvimbela ezinye izifo ezithathelwana ngocansi (STDs), ukusetshenziswa ngokukhethekile kwekhondomu ngabantu bonke abasebenza ngokobulili abangekho ebuhlotsheni obude bomshado.
Ukunciphisa inani labalingani bocansi ophila nabo ngesikhathi sakho sokuphila kungase kube yingxenye ebalulekile ekuvimbeleni i-HPV kanye nomngcipheko we-cancer womlomo wesibeletho ohlotshaniswayo (ubufakazi bubonisa ukuthi abantu abanezakhamuzi eziningi zobulili banomthelela omkhulu kakhulu we-HPV nomdlavuza wesibeletho ).
Akudingeki ukuthi, uma umlingani wakho wezocansi etshela ukuthi unayo i-HPV, ama-warts omzimba, noma enye enye i-STD, bheka udokotela wakho ngokushesha.