Kusamalira chiwerengero cha chiopsezo
Pali chidziwitso chowonjezeka cha anthu kuti matenda a HPV opatsirana pogonana ali ndi chiopsezo chowonjezereka cha khansara ya chiberekero , ndi khansa zina , koma si onse omwe akudziwa momwe HPV imafalitsira mosavuta kapena momwe imawonekera. Chifukwa cha ichi, pali magulu omwe sangadziwe kuti ali pachiopsezo cha matenda a HPV kapena khansa yothandizira.
Azimayi, mbiri yakale, akhala amodzi mwa maguluwa, chifukwa nthawi zambiri sagwirizana ndi chisamaliro monga amayi omwe amayamba kugonana ndi amuna okhaokha komanso chifukwa madokotala ambiri samvetsa bwino za kugonana kwa amuna kapena akazi okhaokha komanso mavuto omwe angatengeke chifukwa cha kufalitsa matenda opatsirana pogonana. Chiwerengero cha amayi omwe amagonana ndi amayi omwe amadziwa kuti HPV imafalitsidwa kudzera mwa khungu ndi khungu ndipo akhoza kupatsirana pakati pa akazi ndi apansi kuposa momwe ayenera kukhalira.
Kupanda HPV Screening
Kuzindikira si chifukwa chokha chakuti azimayi ndi amayi ena omwe amagonana ndi amayi ali pangozi ya zotsatira zovuta za HPV. Chimodzi mwa zifukwa zomwe azimayi ambiri akhala akukumana nacho ndi matenda opatsirana kwambiri a khansa ya chiberekero ndi chakuti amayi omwe sasowa kuyendetsa bwino nthawi zambiri amakhala osagwira ntchito poyendera mayi wamayi. Iwo sangadziwe kuti ali pachiopsezo cha matenda opatsirana pogonana kapena mavuto ena azaumoyo; Komabe, angakhalenso osayesa kufufuza mayeso a pakhosi ndi kusamalira amayi chifukwa cha kusowa kwa inshuwalansi kapena mbiri ya kusagwirizana ndi madokotala.
Popanda kuyendera maulendo azimayi nthawi zonse, amayi sangalandire mapepala oyenera a Pap . Izi zikutanthauza kuti ngati khansa ya kanseri ikapezeka, imakhala ya mtsogolo , yoopsa, komanso yowononga kwambiri. Kupititsa patsogolo kuyang'anitsitsa kutsata, mwinamwake kupyolera mu kuyesera kwa HPV ndi kudzikonda, kungakhale njira imodzi yothandizira kuchepetsa kufala ndi kufa pakati pa akazi ocheperako.
Kupanda HPV Kupewa
Pomalizira, njira zothandizira kupewa kuchepetsa matendawa sizinakwaniritsidwe kwa atsikana achichepere. Phunziro la 2015 lofufuza dera lonse lapeza kuti azimayi ambiri sankatemera katemera wa HPV koposa momwe amachitira ndi amuna anzawo. Pakati pa 2006 ndi 2010, 8.5 peresenti ya abwenzi okhaokha omwe amadziwika kuti amayi omwe ali ndi zaka 15 mpaka 25 adatemera katemera poyerekezera ndi 28 peresenti ya akazi ogonana amuna kapena akazi okhaokha. Izi zikuwonetsa malingaliro a chiopsezo cha matenda, makamaka mwa mbali, monga umboni wa kuti katemera wa amayi opatsirana pogonana ndi apamwamba kwambiri - 33 peresenti. Kafukufuku wogwiritsa ntchito deta yaposachedwa yapeza katemera wapamwamba koma zitsanzo sizinayimire anthu ambiri, ndipo chiwerengerochi chinali chochepa kusiyana ndi akazi omwe amamwalira chifukwa chogonana.
Kutsiliza
Amayi achiwerewere amadwala matenda osiyanasiyana okhudzana ndi matenda a khansa. Zambiri mwazosiyanazi zingathe kubwereranso mmbuyo, mwina mbali imodzi, kuchitidwa manyazi kuti akhale membala wa anthu ogonana. Zina zimatha kutsatidwa ndi kusadziwa.
Kuchepetsa chiopsezo cha anyamata a khansa ya pachibelekero kudzafuna njira zambiri. Inshuwalansi idzafunika kupitiliza kukonzanso gulu la amai omwe athandizidwa kale.
Madokotala adzafunikanso kuphunzitsidwa molimbikitsana kwambiri pazokambirana ndi ogonana ndi amuna ochepa . Pomalizira, amai amafunika kukhala ophunzira bwino kuti aliyense yemwe ali ndi chiopsezo ali pachiopsezo cha HPV. Ngakhale kuti matenda ambiri amatha okha, icho ndi chinthu chomwe aliyense ayenera kuchidziwa.
Zotsatira:
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Marrazzo JM, Koutsky LA, Kiviat NB, Kuypers JM, Stine K. Papanicolaou poyezetsa magazi komanso kufalikira kwa papillomavirus kwa amayi omwe amagonana ndi amayi. Am J Public Health. 2001 Jun; 91 (6): 947-52
McRee AL, Katz ML, Paskett ED, Reiter PL. Katemera wa HPV pakati pa akazi okondana ndi amuna kapena akazi okhaokha: Zofufuza kuchokera ku kafukufuku wa achinyamata. Katemera. 2014 Aug 20; 32 (37): 4736-42. lembani: 10.1016 / j.vaccine.2014.07.001.
Reiter PL, McRee AL. Kuyezetsa khansa ya chiberekero (kuyesa mapepala) makhalidwe ndi kuvomereza kwa anthu odzipimitsa papillomavirus pakati pa akazi ogonana ndi amuna kapena akazi omwe ali ndi zaka 21-26 ku USA. J Fam Plann Wopereka Thanzi Labwino. 2014 Nov 10. pii: jfprhc-2014-101004. onetsani: 10.1136 / jfprhc-2014-101004. [Epub patsogolo pa kusindikiza]
Waterman L, Voss J. HPV, matenda a khansa ya pachibelekero, ndi zolepheretsa kusamalira akazi achiwerewere. Nurse Pract. 2015 Jan 16; 40 (1): 46-53; funso 53-4. lembani: 10.1097 / 01.NPR.0000457431.20036.5c.