Futhi ungakhetha ukuthi utholaphi?
Uma wena noma ingane yakho kufanele uthole umgomo we-HPV, ukudubula okusiza ukuvikela ezihlukahlukene ezinhlobonhlobo zemvelo ebizwa ngokuthi i- papillomavirus yabantu , kungenzeka ukuthi uke wazi ukuthi kunezinhlobo ezimbili zomuthi wokugoma: i-Gardasil ne- Cervarix . Ingabe zihluke kakhulu? Futhi ungakhetha ukuthi yini oyitholayo?
Yebo hhayi kanye ncamashi. Imishanguzo emibili ivikela emithonjeni ehlukene ye-HPV (kunezinkulungwane), igciwane elidluliselwa kusuka kumuntu kuya komuntu phakathi kwazo zonke izinhlobo zokuxhumana kocansi, kubandakanya ubulili, ubulili bomlomo, ubulili obufanayo, futhi kuxhunyaniswa nezinhlobo eziningana zomdlavuza .
Akuwona wonke amagciwane we-HPV ahlotshaniswa nalezi zifo, kodwa-ke, yingakho imishanguzo ye-HPV yenzelwe ukungena kulowo ohlukumezayo-i-HPV 16 no-18, ngokusho kwe-American Cancer Society.
Ingabe Unenketho?
Ngokuphathelene nombuzo wokukhetha ukuthi utholaphi, lokho kuxhomeke. Kwaphela iminyaka embalwa kokubili i-Gardasil, eyenziwa yinkampani yemithi iMerck, neCervarix, eyenziwe nguGlaxoSmithKline (GSK), yanikelwa e-United States. Kodwa-ke, uCervarix akakwazanga ukuhambisana neGadasil ngokuthengiswa, ngakho ngasekupheleni kuka-2016 GSK ukuyeka ukuyenza e-US It isatholakala kwamanye amazwe, kuhlanganise nalabo abakha iYurophu, noma kunjalo. I-Cervarix nayo iyigciwane lokuqala le-HPV kuphela elizovunyelwa eChina.
Ngesikhathi esifanayo, kubalulekile ukuthi uqaphele ukuthi uma uzwa igama elithi Gardasil, umgomo okhulunywe ngawo awusiwo owokuqala owawenza ekuqaleni kwawo ngo-2007.
I-Gardasil yasekuqaleni yasungulwa ukuze ivikele emiphakathini emine ye-HPV (kungani ibizwa ngokuthi umuthi wokugoma). Ngenyanga kaDisemba 2014, i-US Food and Drug Administration (FDA) ivume inguqulo entsha yeGarasil evikela izinhlobo ezingu-9 ze-HPV. Kubizwa ngokusemthethweni ngokuthi i-Gardasail-9, kodwa kungenzeka ukuthi udokotela wakho uzomane ethi uzokunika umthamo we-Gardasil uma ungena ekudutsheni kwakho.
Njengoba ifomu elimisiwe le-Gardasil alitholakali, ukufaniswa okulandelayo ku-Gardasil-9 no-Cervarix.
I-Gardasil-9
I-HPV iyancipha ivikela ngokumelene ne- HPV 6, 11, 16, 19, 31, 33, 45, 52, no-58. I-original isingeniswe ku-HPV 6, 11, 16, no-18; I-HPV 16 ne-HPV 18 yizona ezimbili ezihlukumezayo kakhulu, futhi izinkinga kuphela uCervarix ezigxila kuzo (bheka ngezansi).
Into eyodwa okumele uyiqaphele: Kukhona idatha yokuphakamisa ukuthi i-Gardasil-9 ne-Cervarix inganikeza ukuvikeleka okuphambene nezinye izinhlobo ze-HPV; Kodwa-ke, azivikeli ngokumelene nanoma yikuphi okungenzeka ukuthi usulelekile.
Uhlelo lokudosa: I- Gardasil-9 inikezwa ngamanani amathathu ahlukene phakathi nezinyanga eziyisithupha. Ukudubula kwesibili kunikezwa izinyanga ezimbili ngemuva kokuqala, kanti umthamo wokugcina unikezwa izinyanga ezine emva kwalokho. Kubalulekile ukuthola zonke izibhamu ezintathu zomuthi wokugoma ukuze ube nokusebenza okuphezulu.
Ubani okumele: Ku-website yayo, i-FDA ithi Gardasil-9 iboniswe amantombazane nabesifazane abaneminyaka eminingi ukuvimbela umdlavuza wesibeletho, u-vulvar, wesifazane wesifazane, nesifo somzimba; kanye nezimpi zokuhlukunyezwa ezibangelwa yi-HPV izinhlobo 6 no-11, kanye nezilonda ezinqamulelayo . Kubuye kuboniswe kubafana nabesilisa abaneminyaka eyi-9 kuya ku-26 yokuvimbela umdlavuza wesibeletho obangelwa yi-HPV izinhlobo ezingu-16, 18, 31, 33, 45, 52, no-58, kanye nezilwanyana zangasese kanye nezilonda zesilwane sangaphambili.
I-Cervarix
I-HPV ihlupha ivikela ngokumelene ne- HPV 16 no-18
Uhlelo lokudosa: NjengaJardasil-9, i-Cervarix inikezwa ngamanani amathathu-ngenyanga yesibili ngemva kwezinyanga eziyisihlanu nezinyanga ezintathu emva kwalokho. Wonke amahlumela amathathu adingekayo ukuze athole isivikelo esiphezulu.
Ubani: I- Cervarix i-FDA-evunyelwe amantombazane nabesifazane abaneminyaka engama-9 kuya ku-25 ukuvimbela umdlavuza wesibeletho.
Izinkinga Zokuphepha kanye / noma Imiphumela Yecala
Enye yezimpikiswano ezivame ukuvela ezingxoxweni zezinyathelo ze-HPV zokugoma ukuthi ngabe ziphephile yini noma cha. Yonke imithi emithathu ingaba nemiphumela emibi engalinganisanga njengobunzima nokubomvu endaweni yokujova, kanye nezinsizwa, izihlungu zesisu, nezinye izimpawu zomzimba ogcwele.
Kodwa uma kungenjalo babhekwa njengokuphephile.
Nakuba imiphumela emibi kakhulu ebikwe ohlelweni lokubika lomcimbi olungalungile oluvela kubantu abaye bathola ukudubula kwe-HPV, lezi zibonisiwe ukuthi azihlobene nomgomo. , ngokubanzi, akubonwanga ukuthi ihlobene nokugoma, futhi imibiko yokubulawa komuthi okuxilongwa ngokugonywa ibonakala ingenasisekelo.
> Imithombo:
> I-American Cancer Society. "I-FDA ivumela i-Gardasil 9 I-HPV Vaccine." Jan 8, 2015.
> I-European Medicines Agency. "Cervarix." Isifinyezo se-EPAR soMphakathi. Juni 2016.
U-Petrosky E, uBocchini JA Jr, u-Hariri S, u-Chesson H, uC Curtis CR, uSaraiya M, u-Unger ER, uMarkowitz LE; Amasevisi Okulawula Nokuvimbela Izifo (CDC). " > Ukusetshenziswa kwe-9-valent Human Papillomavirus (HPV) Umuthi Wokugoma: Ukubuyekezwa kwe-HPV Yokuncoma Izincomo zeKomidi Elilulekayo Emisebenzini Yokugoma ." I-MMWR I-Morb Mortal Wkly Rep . 2015 Mar 27; 64 (11): 300-4. I-PubMed PMID: 25811679.
Ama-Reuters. "I-China Ivumela Ukusetshenziswa Kwegciwane le-GSK Cervarix for Cancer Cancer." NgoJulayi 18, 2016
Ukuphathwa kwe-US nokuDrug. "Amagciwane, Igazi negazi: Gardasil 9." Feb 5, 2018.