Ukwelashwa Kugxila Ezibonisweni Nokugwema Izinkinga
Ezimweni eziningi, amasosha omzimba azokwazi ukususa i- papillomavirus yomuntu (HPV) yedwa ezinyangeni ezingu-18 kuya kwezi-24, ngokuvamile engenazo imiphumela yesikhathi eside, nakuba lokho akusiyo njalo. Ngenxa yokuthi azikho izidakamizwa ezitholakalayo zokwelapha ukutheleleka kwe-HPV esebenzayo, ukwelashwa kwe-HPV kuhilela ukuxazulula izimpawu ze-HPV nokuqapha kwanoma yiziphi izinguquko esikhunjeni noma kumaseli e-mucosal; ngaphezu kokubangela ama-warts angama-genital, ama-virus angaphezu kwangu-30 angama-150 ayenayo i-HPV axhunyiwe kumdlavuza wesibeletho, wesilwane, kanye nezinye.
Izinketho zokwelapha ze-HPV zisekelwe ngokuyinhloko ukuthi umuntu unalo noma ngaphezulu kwezici ezilandelayo:
- Ukutheleleka okungenasifo
- Ama-warts omzimba
- Izinguquko ezingavamile kumaseli ( dysplasia ) omlomo wesibeletho, isisu, i-vulva, i-anus, i-penis, umlomo, noma umphimbo
Ake sibheke ngayinye yalezi ngabanye.
Ukwelapha Ukutheleleka Okungenasifo
Uma ukutheleleka kwe-HPV kungabonakali (ngaphandle kwempawu), akukho ukwelashwa okuqondile okunconywayo. Lezi zifo zivame ukubonakala uma umlingani womuntu ocansi ehlakulele ama-warts omzimba.
Uma ukuhlolwa kwesifazane kunomthelela wokutheleleka kwe-HPV yomlomo wesibeletho kodwa kuneP Pap smear evamile, udokotela angenza enye yezinto ezimbili:
- Hlela olunye uvivinyo lwezivivinyo ezinyangeni ezingu-12. Uma imiphumela ijwayelekile, ungabuyela ekuhlolweni okujwayelekile. Uma kungenjalo, ukuhlolwa okwengeziwe kuyodingeka.
- Yenza ukuhlolwa kwe-HPV ukuhlonza izinkinga ezimbili eziphezulu ze-HPV (i-HPV 16 ne-HPV 18) eyenzeka ngamaphesenti angu-70 azo zonke izinhlobo zomdlavuza wesibeletho. Uma imiphumela engalungile (okusho ukuthi awusenwe yizifo ezithile), ungabuyekezwa ezinyangeni ezingu-12 njengomlondolozi. Uma imiphumela ihle, ukuhlolwa okwengeziwe kuyodingeka.
Ngenkathi kungekho ziphakamiso eziqondile noma i-HPV yokuhlola etholakalayo kumadoda, labo ababhekwa njengengozini enkulu-okungukuthi, amadoda abesilisa nabesilisa (MSM) abenza ubulili obuyitholayo-bangathola iP smear esilungele ukuhlola i-dysplasia. Lokhu kuyiqiniso ikakhulukazi ku-MSM one-HIV.
Uma uqinisekisiwe ukuthi unayo i-HPV kodwa ungenayo izimpawu, ungase ululekwe ukuthi uthole ukugoma kwe-HPV ukukuvikela emithonjeni evame kakhulu engozini ye-HPV.
Ukugonywa kunconywa kuze kufike eminyakeni engama-26 yabesifazane nabangu-21 kumadoda.
Abantu abasengozini enkulu bangathola igciwane nganoma yisiphi isikhathi. Abalingani bezocansi kumele bacabange nokuthola igciwane.
Ukwelashwa kwe-Genital Warts
Yize kungabonakali futhi kungakhululekile, ama-warts omzimba ngokuvamile awasho neze engozini enkulu engozini. Iningi libangelwa yizinkinga ezimbili ezinobungozi obuphansi, ezibizwa nge-HPV 6 ne-HPV 11, okuyi-akhawunti engamaphesenti angaba ngu-90 azo zonke iziqhumane ze-wart.
Amanye ama-warts angama-genital angase ahambe yedwa, ngokuvamile phakathi nonyaka. Abanye bangadinga ukwelashwa ekhaya ngezikhwama zokwakheka ezichazwe udokotela.
Ezinye izindlela zokwelashwa kwegciwane lesandulela ngculazi zihlanganisa:
- I-Cryotherapy (iphoyinti idabula nge-nitrogen ene-liquid)
- I-electrocautery (usebenzisa ugesi ukushisa ama-warts away)
- Ukuhlinzwa
- Ukwelashwa kwe-Laser
- I-trichloracetic acid (isetshenziswe phezulu ukuze isuse kancane kancane i-wart)
Ama-warts omzimba akufanele abhekwe njengokujwayelekile, futhi akufanele uwaphathe ekhaya ngaphandle kokubona udokotela kuqala. Nakuba izimpi eziningi zizobe zinezinkinga, abanye bangadinga ukuphenywa okuqhubekayo, ikakhulukazi uma bephuma, bevutha, besakazeka, banamathele ekwelapheni, noma banokubonakala okubonakalayo.
Ukwelashwa kweDysplasia
Ukutheleleka ngezinye izinkinga ze-HPV ezinobungozi obukhulu kungabangela ushintsho olungavamile emaqenjini ama-genitals noma i-anus.
Eyaziwa ngokuthi i-dysplasia, lezi zinguquko zingashintsha ngokukhululeka kusuka komnene ( ebangeni eliphansi ) ukuya ezingathí sina (izinga eliphezulu). Nakuba i-dysplasia enomusa ngokuvamile ixazululwa yodwa, i-dysplasia ephakeme ingase iqhubekele phambili emdlalweni obizwa ngokuthi i- carcinoma in situ (CIS) .
Ukuxilongwa kungenziwa ngokwenza i-biopsy nokuhlaziya izicubu ebhodini.
- Kubantu abane-dysplasia ephansi, odokotela bayothatha indlela yokulinda nokulinda.
- Kubantu abaphethe i-dysplasia ephakeme-kuya ephezulu, ukwelashwa kwakuyobandakanya ukususwa kwezicubu ezithintekayo kusetshenziswa inqubo ye-excel electrosurgical excision (LEEP) , i- cone biopsy , cryotherapy, noma ezinye izindlela zokuhlinza.
Kubalulekile ukukhumbula ukuthi i-dysplasia ayiyona umdlavuza. Ukususwa kwezicubu kumane ukunciphisa ingozi yamangqamuzana e-dysplastic abe yi- neoplastic (umdlavuza).
Ukwelapha i-dysplasia (kungakhathaliseki ukuthi i-cervix, i-anus, i-penis, noma i-larynx) ithinta kuphela izimpawu zokutheleleka, hhayi ukutheleleka ngokwayo. Abantu abaye babonwa ukuthi bane-dysplasia kuzodingeka baqashwe ngokucophelela ngokuphindaphindiwe. Lokhu kuyiqiniso ikakhulu uma ukutheleleka kwe-HPV kuqhubeka iminyaka engaphezu kwengu-2.
Ukucatshangelwa Ukwelashwa
Ngenkathi ukutheleleka kwe-HPV kungabangela ukucindezeleka, kukunikeza ithuba lokubamba inkinga ngaphambi kokuba ibe yingozi noma ngisho nokusongela impilo.
Ngokuvamile, ukwelashwa kwe-HPV kunenkinga embalwa. Eziningi zokwelapha zihlanganiswa, okungenani ingxenye, ngumshuwalense wezempilo. Usizo lwezokwelapha kanye nezinhlelo zokukhokhela ama-co-pay ziyatholakala ukusiza ngezindleko zokugoma .
Abesifazane abadinga ukwelashwa okuvamile kanye nama-biopsies bangase babe engozini enkulu yokwenza umsebenzi wangaphambi kwesikhathi noma izingane ezincane zokuzala. Kodwa, ngokwabo, ukwelashwa kwe-HPV ngeke kuthinte ngqo ithuba lomfazi lokukhulelwa. Ngaphezu kwalokho, i-HPV ayidluli isidluliselwa kumama ukuya emntwaneni wakhe ngesikhathi sokukhulelwa.
Esikhathini esingalindelekile ukuthi umdlavuza utholakala, khumbula ukuthi ukuthola ukwelashwa okusheshayo kukunika ithuba elikhulu kunomphumela omuhle kakhulu. Njengoba ukhuluma nge-HPV yakho yokuxilongwa, qiniseka ukuthi utshela labo obathandayo ngamasu okuvikela angabasiza bahlale kahle.
> Imithombo:
> I-American Cancer Society. "Ukuhlolwa kwe-HPV ne-HPV." I-Atlanta, Georgia; ibuyekeziwe ngo-Okthoba 9, 2017.
> UKhan, M. kanye noSmith-McCune, K. "Ukwelashwa kwabaqaphi beCervical: Buyela ezisekelweni." I-Obstet Gynecol. 2014; 123 (6): 1339-43. I-DOI: 10.1097 / AOG.0000000000000287.
> Lopaschuk, C. "Indlela entsha yokulawula izimpi zobulili." Ingabe Udokotela Wezinkinga. 2013; 59 (7): 731-36.