Ngaphandle komuthi wokuvimbela ukutheleleka, ucansi oluvikelekile luhlala luyindlela engcono kakhulu yokugwema ukuthola isifo sofuba. Lokhu kuyiqiniso ikakhulu uma ukhona noma uhlose ukukhulelwa. Ngenkathi i-syphilis yokubeletha (i-syphilis idlulile kusuka kumama kuya komntwana ngesikhathi ukhulelwe) isengavamile e-United States, izinga lokutheleleka lenyuka ngamaphesenti angaba ngu-800 phakathi kuka-2015 no-2016 yedwa, ngokusho kwezibalo ezivela kwi-Centers for Disease Control and Prevention (CDC ).
Sex Evikelekile
Ubulili obuvikelekile kanye nabalingani abaningi bezocansi yizici ezimbili eziyinhloko ezingozini zokuthola i-syphilis nezinye izifo / izifo ezithathelwana ngocansi (STIs / STDs). Ngakho-ke, ucansi oluvikelekile luhilela izinto ezimbili ezilula: ukusetshenziswa kwamakhondomu njalo nokunciphisa ngokulinganayo inani lakho labalingani bobulili.
Amakhondomu
Amakhondomu abhekwa njengesivikelo sokuqala sokulwa nazo zonke izifo ezithathelwana ngocansi. Ngenkathi zihluleka-ikakhulukazi uma ungazisebenzisi kahle- zihlala zindlela ezithembekile kakhulu zokuvimbela ukuziyeka. Gwema amakhondomu amasha noma amasha , angenzelwe ukuvimbela ama-STD, futhi ufunde ukuthi ungakhulisa kanjani ikhondomu ngokufanele ukuyivimbela ekuphukeni noma ekujuleni. Sebenzisa kuphela izigulisi ezisekelwe emanzini; abanye banganciphisa ikhondomu.
Amaminithi amazinyo kufanele aphinde acatshangelwe ubulili bomlomo-ubulili (cunnilingus) noma ubulili bomlomo (analingus, noma "rimming"). Amakhondomu amakhosikazi , okungaxhunywanga ikakhulukazi e-United States, nawo anendawo yawo.
Njengokuvikeleka okungeziwe, sebenzisa ikhondomu kumathoyizi wezobulili okwabiwe futhi qinisekisa ukuthi uchithekisa amagciwane amathoyizi phakathi kokusetshenziswa.
Abalingani bocansi
Okubaluleke kakhulu ukunciphisa inani lakho labalingani bobulili, ikakhulukazi labo abangaziwa noma ohlangana nabo ku-intanethi. Ekugcineni, abantu abaningi oya ocansini nabo, baningi amathuba okuthola i-syphilis kuphela kodwa amanye ama-STD amakhondomu angasebenzi kahle, njenge- papillomavirus yabantu (HPV) .
Uma uhlangana nomuntu omusha, kuyisithakazelo sakho ukuxoxisana nemithetho yezocansi eziphephile ngaphambi kokuba uhlasele. Kungakhathaliseki ukuthi kungenzeka kanjani, zama ukushiya izinto ezingenayo i-unspoken noma uzibuze ukuthi ubani okufanele athole amakhondomu. Uma umlingani wakho engathandi noma engafuni ukusebenzisa amakhondomu, uzothola okungenani ulwazi oludingekayo ukuze wenze ukhetho olufanele.
Kufanele wenze iphuzu lokubuza ngomlando womlingani womlingani wakho nokuthi ngabe uke wahlolelwa yini ama-STD. Ungavame ukuvula ingxoxo ngokudalula isimo sakho kuqala. Ukwenza kanjalo kungakhuthaza umlingani wakho ukuthi alandele ukuhola kwakho futhi ahlolwe, futhi.
Okokugcina, uma ulala ocansini, gwema ukusebenzisa izidakamizwa noma utshwala, okungawuthinteki isahlulelo sakho futhi kuholele ekuvimbeleni ucansi .
Izincomo zokuhlola
Indlela engcono yokuguqula ukuhamba kwezifo ezintsha ukuqinisekisa ukuthi noma ubani osemngciphekweni we-syphilis nezinye izifo ezibhekene nezifo ezibucayi kufanele ahlolwe kahle. Izivivinyo ziyashesha futhi zenzeke kalula, futhi zingenziwa ngokuyimfihlo emtholampilo, lab, kanye nama-pharmacy amaningi okudayisa. Ukuhlola ekhaya noma ukuhlolwa kwamakholi nakho kuyatholakala.
Izingosi zokuhlola (kufaka phakathi imitholampilo yomphakathi engabizi futhi engabizi) zingatholakala nge-locator ye-intanethi ye-intanethi.
Ngo-2016, i-US Preventive Services Task Force (USPSTF) ikhishwe imihlahlandlela ebuyekeziwe ekuhlolweni kwe-STD kula maqembu alandelayo:
- Isikrini se- chlamydia ne- gonorrhea kwabesifazane abesilisa ocansini abaneminyaka engu-24 nangaphansi, kanye nabesifazane asebekhulile engozini enkulu yokutheleleka
- Isikrini se-syphilis, i- hepatitis B , ne- HIV kubo bonke abesifazane abakhulelwe (ngaphezulu ngalokhu ngezansi)
- Isikrini se-HIV kubo bonke abantu abangaba ngu-15 kuya ku-65 njengengxenye yokuvakashelwa odokotela njalo
- Isikrini se-syphilis, i-HIV, ne-hepatitis B kunoma yimuphi umuntu engozini enkulu
Ngokusho kwe-USPSTF, abantu abasengozini enkulu bayabandakanya labo abanomlingani ocansini abangaphezu koyedwa, umlingani omusha ocansini, noma obambisene naye ocansini nabalingani abakanye naye, noma labo abangekho ubuhlobo bomuntu oyedwa kanye nokusebenzisa ikhondomu ngokungavumelani.
Abasebenzisi abasebenzisa izidakamizwa kanye nabesilisa abenza ucansi abalala nobulili namadoda (MSM) abanamazwi angaziwa noma abalingani abaningi bangadingeka bahlolwe njalo ngonyaka.
Abesifazane abakhulelwe
I-syphilis ekhulile ingavinjelwa ngokuphelele uma ihlolwe kuqala. I-CDC incoma ukuthi bonke abesifazane abakhulelwe bahlolwe i-syphilis ekuvakasheni kwabo kokuqala kokubeletha. Labo abasengozini enkulu noma eqhubekayo yokuchayeka kufanele bahlolwe futhi emavikini angu-28. Noma yimuphi umphumela omuhle uzophathwa ngokushesha nge- penicillin , i-antibiotic kuphela eyaziwa ukuvimbela ukudluliselwa kwe-syphilis kwengane.
Umlingani wakho kufanele ahlolwe futhi, ikakhulu uma engakaze enze kanjalo. Ngale ndlela, uma kukhona isifo se-STD, angatholakala futhi aphathwe kusenesikhathi. Isivikelo kufanele sisetshenziswe ngaso sonke isikhathi uma kukhona ithuba lokutheleleka.
> Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo (CDC). "Ukuhlolwa Kwesifo Sokudluliswa Ngocansi Ngo-2016: I-Syphilis." Atlanta, Georgia; ibuyekezwe ngo-September 26, 2017.
> CDC. "Imihlahlandlela Yokugula Ngezifo Zobulili Zika-2015: Ukuphikisana Ngamahhala." Ikhishwe ngo-June 4, 2015.
> Lee, K .; I-Nyo-Metzger, Q .; U-Wolff, u-T. et al. "Izifo Ezithathelwana Ngocansi: Izincomo ezivela e-US Preventive Services Task Force." I- American Family Physician. 2016; 94 (11): 907-915.