I-Recillrent Respiratory Papillomatosis

Umphumela Ongenzeka Ngayo we-HPV no-Sex Oral

I-papillomatosis yokuphefumula evamile, noma i-RRP, uhlobo lwe- HPV ukutheleleka lapho i-warts ikhula ngaphakathi komuntu. Nakuba isimo esingavamile, i-RRP ingabangela izinkinga zempilo ezibalulekile kwabagulayo. Kungase kube yingozi uma ama-warts ekhula kakhulu kangangokuthi avimbela umoya. Kubuye kuyingozi kakhulu uma ukutheleleka kwe-HPV enobuthi kuba umdlavuza.

I-RRP ayifani nomdlavuza womphimbo owabangelwa yi-HPV . Kodwa-ke, i-RRP ingaholela emdlavuza we-throat . Umehluko omkhulu ukutholakala kwengozi encane esikhundleni segciwane lesandulela ngculazi . Amanqamu amaningi e-HPV ahlobene ne-HPV-6 noma i-HPV-11 ayabangelwa yizinhlobonhlobo zegciwane, kodwa i-RRP ivame ukubangelwa i-HPV-6 noma i-HPV-11. Lezi zinhlobo ezimbili ze-HPV ngokuvamile zibangelwa izidakamizwa nezinye izifo ezinobungozi kuwo wonke umzimba, kuhlanganise nezitho zangasese .

Izimpawu

I-RRP ingabangela ukukhula noma kuphi ngaphakathi komoya womuntu, kusukela emakhaleni kuya emaphashini. Izikhukhula zivame kakhulu kwi-larynx, ikakhulukazi ezungeze izingoma zomculo. Ngenxa yalokhu, izibonakaliso zokuqala ze-RRP zivame ukungaboni kahle nezinye izinguquko zezwi. Kukhona futhi amathuba okuphefumula nezinye izimpawu zomoya. Izimpawu ezithile zixhomeke lapho izicubu zikhona khona.

Ukuphindaphindiwe

Inkathi yezinambuzane ezihlotshaniswa ne-RRP ihlukahluka komunye nomuntu.

Kwabanye, ukukhula kuzokwenyuka ngomuthi owodwa. Kwabanye, bazobuya izikhathi eziningi. Ukuphindaphinda okunjalo kungenzeka ngaphezu kwamasonto, izinyanga noma iminyaka.

Izinhlobo

Kunezinhlobo ezimbili ze-RRP - i-juvenile qala (JO-RRP) nokuqala kwabantu abadala (AO-RRP). I-RRP ibhekwa njengabantwana abaqala uma izimpawu ziqala ukuvela ngaphambi kokukhulelwa.

Kodwa-ke, izifo eziningi ze-JO-RRP zifunyanwa ezinganeni ezineminyaka emihlanu nangaphansi.

Izingozi Zezingozi

Izimo ezingozini ze-AO-RRP zihlukile kunezo ze-JO-RRP. Iningi lezifo ze-JO-RRP kucatshangwa ukuthi zitholakala ngokuzenzakalelayo. Ngokuphambene nalokho, izici ezingozini ze-AO-RRP zihlala zingakaziwa, nakuba kunobunye ubufakazi bokuhlangana nocansi ngomlomo . Nakuba kukhona ucwaningo oluthile olwenziwe nge-AO-RRP, ngeke kusimangaze uma leyo nhlangano ibizwa ngezifundo zesikhathi esizayo. Lokhu kuyiqiniso ikakhulukazi kunikezwa ubufakazi obukhulayo bokuhlangana phakathi kwe-HPV, ubulili bomlomo, nomdlavuza womlomo nomlomo .

Uhulumeni wase-US ulinganisela ukuthi i-RRP ivela ku-1.8 kwabangu-100 000 abadala nabangu-4.3 kuzo zonke izingane eziyi-100,000.

Imiphumela Yesikhathi Eside

Ubukhulu be-RRP buhluka. Kwamanye abantu, i-RRP izoxazululwa ngezokwelapha eyodwa noma ezimbili ukukhipha izicubu ezinobangela. Kwabanye abantu, kuzodingeka ukwelashwa okuphindaphindiwe ukuze ususe ama-warts njengoba ebuyela emuva. Kuze kube manje, alukho ukwelashwa okwamukelwe kwe-RRP, ngamanye amazwi ukwelashwa okungabandakanyi ukuhlinzwa. Kodwa-ke, kusetshenzwa izidakamizwa eziningana ezingase zikwazi ukukhawulela ukuqhubeka kwesifo ngokuhambisana nokuhlinzwa.

Kubantu lapho i-RRP ihlala ingakutholakali noma ingaphathwa ngendlela efanele, kungenzeka ukuthi kungenzeka ukuvinjelwa noma ukufa kwe-airway okugcwele noma okuphelele. Ezimweni ezingavamile, izilonda ezibangelwa i-RRP nazo zingaba nomdlavuza. Lokhu kubonakala kuvame kakhulu uma i-RRP ibangelwa ukuhlukahluka kwe-HPV ngaphandle kwe-HPV-11 noma 6.

Ukuqomisana nokuqapha

Kube nokucwaninga okumbalwa kakhulu ukuhlola ukuthi ngabe i-RRP ibeka othandana naye ocansini noma othandana naye engozini yesifo. Kunobunye ubufakazi bokuthi izingane nabalingani babantu abane-RRP abanalo ingozi eyengeziwe yokuthuthukisa i-RRP ngokwazo. Kodwa-ke, idatha eyengeziwe iyadingeka ngaphambi kokuba iziphetho eziqinile zingathathwa ngengozi yomuntu one-RRP ehambisa i-HPV.

Lokhu kuyiqiniso ikakhulukazi ngoba ucwaningo olukhona luvele lubheke ukubonakaliswa kwemitholampilo ye-RRP kubalingani, kunezinye izimpawu zokutheleleka kwe-HPV.

Ukuvimbela Nomgomo we-HPV

Ngenxa yokuthi i-RRP ivame ukubangelwa i-HPV-6 ne-HPV-11, ama- virts amabili e-viral virus ezivimbela i- Gardasil ne- Gardasil 9 , kuye kwaba nokusikisela ukuthi ukusetshenziswa okubanzi komshini we-HPV kungasiza ekuvimbeleni i-RRP. Ngaphezu kwalokho, ukugoma neGadasil kungase kunganikezeli ngokuvikeleka okuqondile ngokubambisana kwe-AO-RRP ngokusebenzisa ucansi lomlomo noma ezinye izinto ezivezwayo. Kungase futhi kuhlinzeke ngokuvikelwa kwesikhathi esizayo ngokumelene ne-JO-RRP esizukulwaneni esilandelayo ngokunciphisa ingozi yezingxabano zobulili ngesikhathi sokukhulelwa.

Qaphela: I- Cervarix ngeke isetshenziswe ekuvimbeleni i-RRP, ngoba ihloselwe izinhlobo ezimbili kuphela ezibangelwa umdlavuza we-HPV hhayi izinhlobo ezibangelwa i-RRP namagciwane omzimba.

Imithombo:

Chesson HW et al. Izinzuzo zezempilo kanye nezomnotho zokuvimbela ukuphindaphindiwe kwe-papillomatosis yokuphefumula ngokusebenzisa ukugoma komuntu we-papillomavirus. Umgomo. 2008 Aug 18; 26 (35): 4513-8.

Derkay CS & Wiatrak B. Ukuphindaphindiwe kwe-respillatory papillomatosis: ukubuyekezwa. I-Laryngoscope. 2008 Jul; 118 (7): 1236-47.

Gerein V et al. Izingane kanye nabalingani beziguli ezine-papillomatosis yokuphefumula azikho ubufakazi besifo ngesikhathi sokubheka isikhathi eside. Int J Pediatr Otorhinolaryngol. 2006 Dec; 70 (12): 2061-6.

Kashima HK et al. Ukuqhathaniswa kwezinto ezibangelwa ingozi ekukhuleni kwentsha kanye nokukhuphuka komuntu omdala okuphefumula. I-Laryngoscope. 1992 Jan; 102 (1): 9-13.

Kashima HK et al. I-papillomatosis yokuphefumula evamile. I-Obstet Gynecol Clin North Am. 1996 Sep; 23 (3): 699-706.

I-Kimberlin DW & Malis DJ. Ukuqala kwezingane zokuphefumula kwe-respillatory papillomatosis: amathuba okwelashwa okulwa namagciwane okuphumelelayo. I-Antiviral Res. 2000 Feb; 45 (2): 83-93.