Ama-warts womzimba, owaziwa nangokuthi i- condylomata acuminata , ingenye yezifo ezivame ukwedlulisa ngokocansi . Kulinganiselwa ukuthi abantu abangu-340,00 kuya ku-360,000 bathinteka yizintambo zomzimba zobulili minyaka yonke e-United States, nakuba ukutheleleka okuningi kungabangeli izimpawu.
Izimbangela
Amagciwane omzimba abangelwa yi- papillomavirus yabantu (i-HPV) . Kunezinhlobo ezingaba ngu-100 ezihlukene zokutheleleka kwe-HPV ezinama-30 zazo ezidluliselwa njengezocansi.
Uma ufunde ngezimpi zomzimba zobulili ungase ube nomuzwa odidekile futhi ukhathazekile kancane. Lokhu kungenxa yokuthi kunokungaqondani okuningi ngegciwane le-HPV kanye nezinkinga zezinhlobo ezahlukene zegciwane. Ngenkathi i-HPV iyimbangela yezingxabano zobulili, izinkinga ezibangelwa izidakamizwa zobulili akuzona izinkinga ezibangelwa umdlavuza.
Emaphesenti angama-90 ama-warts angama-genital abangelwa i-HPV 6 ne-HPV 11. Ngokuphambene, cishe amaphesenti angu-70 emdlavuza wesibeletho abangwa yi-HPV 16 ne-HPV 18 kanye nemishuwalense eminingi yomlomo eyenziwa yi-HPV ingenxa ye-HPV 16. Eminye amaphesenti angu-20 omlomo wesibeletho ukwelashwa kubangelwa izinhlobo ze-HPV 31, 33, 34, 45, 52, no-58.
Ngamanye amazwi, izingcindezi ze-HPV ezibangela izilonda zobulili zihlukile kunezinkinga ezibangelwa umdlavuza wesibeletho kanye nokunye. Ngakolunye uhlangothi, izici eziyingozi zokuthuthukisa i-HPV-kokubili izinkinga zokuhlukunyezwa ngokocansi-nemithwalo yemiphumela yomlomo wesibeletho-ziyafana.
I-HPV Infections
Abantu abaningi banegciwane lesandulela ngculaza, kodwa isikhathi esiningi, ngisho nezinkinga ezibangelwa umdlavuza, igciwane lisuswa emzimbeni ngaphambi kokuba kube khona izimpawu. Uma unesifo sengculaza, ungase ungabi nazo izimpawu, ungase uhlakulele ama-warts omzimba, noma ungaba ne- pap smear engavamile ekhombisa ukushintsha kwe-dysplasia noma izinguquko zangempela zomlomo wesibeletho.
Izimpawu
Izigulane zomzimba zithinta izicubu ezinomswakama endaweni yesisu. Kungase kubonakale njengamahlumela amancane, enemibala noma njengeqembu lezinyosi endaweni yesisu. Zingahluka ngosayizi futhi ngezinye izikhathi zibonakala zifane ne-cauliflower. Ezimweni eziningi, ama-warts amancane kakhulu angabonakali. Ingxenye kuphela yabesifazane, kanye namaphesenti amancane amadoda, ahlakulele ama-warts omzimba uma ehlaselwe yizinkinga ze-HPV ezibangela izilonda zomzimba.
Kulaba besifazane, ama-warts womzimba ngokuvamile ayenzeka emabhokisini naseduze kokuvulwa kwesifazane. Emadodeni, ajwayelekile kakhulu ekugcineni kwepenisi, kodwa angase aqhubekele eceleni kwe-shaft. Bobabili abesilisa nabesifazane bangase bahlakulele ama-warts ezungeze ukuvulwa kwe-anus. Ukudlwengula akudingekile ukuba lezi zenzeke. Amadoda nabesifazane bangase bahlakulele imilenze yomzimba emlonyeni noma emphinjeni ohlobene nobulili ngomlomo.
Ukuxilongwa
Ukuhlolwa njalo kwe-HPV kunconywa ukuze kuhlolwe umdlavuza womlomo wesibeletho nezinye izinkinga ze-HPV. Akukho ukuhlolwa okujwayelekile ukuxilongwa kwe-HPV. Kubalulekile ukuthi abesifazane bahlole ukuhlolwa kwe-pap ukuze bathole ukungajwayelekile okungase kubonise ukutheleleka kwe-HPV.
Uma kukhona okungavamile, ukuhlolwa kwe-DNA, okungavivinya izinkinga eziphezulu ze-HPV, kungenziwa. Uma i-warts noma izilonda zivela endaweni yesisu, kufanele ufune usizo lwezokwelapha nokuhlolwa kwe-HPV.
Kubalulekile ukuthi uqaphele ukuthi izivivinyo ze-HPV ze-HPV okungenzeka ukwenzile azihlolisi izinkinga zesifo sofuba-obangela igciwane.
Izingozi Zezingozi
I-HPV ingenziwa inkontileka yimuphi umuntu owenza ucansi. Izinto ezandisa ingozi yokuthuthukisa ama-warts womzimba zihlanganisa:
- Ubulili obungavimbelwe ubulili
- Sex sex
- Ucansi olwenziwa ngomlomo
- Oxhumana naye ngokobulili-kuya-ngokocansi
- Ukubeletha
- Izifo ezandulele ngokocansi zangaphambili
- Abalingani abaningi bezocansi
- Ukubhema akukwenyusa ingozi yokuthola i-HPV kodwa kungabambezela ikhono lomzimba lokususa igciwane.
Nakuba amacala athile we-HPV angase axazulule eyedwa, izinhlobo ezithile ze-HPV zingaholela ekuthuthukisweni kwamangqamuzana omlomo wesibeletho, ama-penile, nama-anal, phakathi kwabanye.
Kulezi zimo, igciwane alibangeli ngokuqondile amagciwane, kepha kunalokho kuholela ekuvuvukala okungaholela ekubulaweni komdlavuza. Ezinye izinto, njengokubhema, okunciphisa ukususwa kwegciwane emzimbeni, kungabangela ekuthuthukiseni umdlavuza.
Ukwelapha
Ayikho ikhambi ye-HPV. Ukwelashwa kutholakala izimpawu, njengezimpi zomzimba, umdlavuza wesibeletho, nezinguquko zomlomo wesibeletho. Kodwa, ukwelashwa kuzoxhomeke ekuxilongweni nasekuqineni kokutheleleka.
Ama-warts omzimba angaphathwa nge:
- Imithi - Kunezidakamizwa ezingaphezu kwe-the-counter nemithi esetshenziswa udokotela okhona. Izindlela zokwelapha zihlanganisa i-Podofilox, i-Imiquimod, ne-Sinecatechins. Izindlela zokwelashwa ezisetshenziswayo zifaka i-podophylline, i-trichloroacetic acid, ne-bichloroacetic acid. Lezi zindlela zokwelashwa zivame ukusetshenziswa kanye ngesonto udokotela.
- I-Cryotherapy (iqhwa)
- I-electrocautery (ukushisa)
- Ukungena kwe-interferon ku-warts
- Ukwelashwa kwe-Laser
- Ukuhlinzwa ukukhipha ama-warts
Ukwelashwa kuzosusa ama-warts kodwa hhayi ukutheleleka. Ngakho-ke, ngisho noma uphathwa, ungase ukwazi ukudlulisela isifo kumlingani wakho.
Ukuvimbela
Ukugwema izici eziyingozi, njengabahlanganyeli abaningi bezocansi, kunganciphisa ingozi yokuthola i-HPV futhi ngaleyo ndlela i-warital warts. Amakhondomu anganciphisa ingozi kodwa angavimbeli ukusabalala kwe-HPV, njengoba nje kuxhumana kuphela isikhumba kwesikhumba kuphela. Uma uneminyaka ephakathi kuka-9 no-26, ukugoma kungasiza ekuvimbeleni ukutheleleka.
Ukugonywa
Ukugoma kuyatholakala okungakusivikela ekunqumeni igciwane le-HPV. Kukhona izinhlobo ezintathu zamapulangwe ezitholakalayo, kepha ezimbili kuphela zenzelwe ukuvikela ngokumelene nesigqunu sofuzo kanye nomdlavuza wesifo somlomo wesibeletho somlomo wesibeletho.
Ukugoma okwamanje kuyatholakala futhi izinkinga ze-HPV ezenzelwe ukuzivimbela zifaka:
- I-Gardasil (evunyelwe ngo-2006) ivikela nge-HPV 6, 11, 16, ne-18
- I-Cervarix (evunyelwe ngo-2009) ivikela nge-HPV 16 no-18
- I-Gardasil 9 (evunyelwe ngo-2014) ivikela nge-HPV 6, 11, 16, 18, 31, 33, 45, 52, no-58
> Imithombo:
> Carusi, D. Imfundo yesineke: Impi yama-genital kwabesifazane (Ngaphandle kwezinto eziyisisekelo). Kusesikhathini. 6/22/15.
> Amasevisi Okulawula Nokuvimbela Izifo. I-Genital HPV Infection-Fact Sheet. 1/03/2017.