Anthu ambiri samalankhula ngati amayi omwe amagonana ndi amayi amafunika kuchita zachiwerewere . Kutenga mimba kuchokera pa tebulo kumathetsa kuthetsa kulimbikira kulikonse pa zokambiranazo. Komabe, amuna ndi akazi omwe ali pachiopsezo ali pachiopsezo cha matenda opatsirana pogonana. Kuwonjezera pamenepo, matenda opatsirana amtundu wa abambo angapite nthawi yaitali osadziwika - kuonjezera zomwe zingayambitse matenda a nthawi yaitali.
Izi, makamaka mbali, chifukwa cha nkhani zogonana zazing'ono zokhudzana ndi kugonana ali ndi mwayi wopeza chithandizo chaumoyo.
Matenda achiwerewere, Matenda opatsirana pogonana, ndi Health Care System
Kwa amayi ambiri achikulire, chithandizo chamankhwala chimakhudzana ndi kusowa kwa kulera. Mu njira zambiri, bungwe la zamankhwala la America linapangidwa kuzungulira chidziwitso ichi chovomerezeka. Amayi nthawi zambiri amawasamalira kwambiri kudzera mwa OB / GYN ndi ogwira ntchito omwewo. Madokotala awa amapereka mauthenga okhudzana ndi amayi okhaokha komanso mayesero achiwerewere nthawi zonse. Azimayi omwe sasowa chithandizo cha kulera, mwina chifukwa cha msinkhu, kugonana, kapena zochitika zina zamoyo, sagwiritsidwa ntchito mosamala kuti asamalidwe. Nthawi zina, izi zikhoza kuopseza moyo. Kuperewera kwa mapepala apakati pa azimayi ndi amayi achikulire akhala akukhudzidwa ndi chiopsezo chawo chofera khansa ya pachibelekero.
Amayi achiwerewere angakhalenso ndi zolepheretsa zina zothana ndi njira yowonjezera yachipatala.
Ngakhale atagwiritsira ntchito chithandizo chamankhwala, amamva ngati osasangalatsa kufotokoza za kugonana kwawo kwa madokotala ngati akuwopa kuti adzaweruzidwa. Chifukwa choti alibe mphamvu yolankhulirana, izi zingakhudze mbali zina za moyo wa amayi. Mukatseka chitseko ponena za chinthu chofunika kwambiri monga kugonana, mumataya mwayi wokambirana zambiri zokhudza matenda ena.
Zingakhale zovuta kuti mayi aliyense akambirane ndi dokotala wake zaumoyo. Nthawi zambiri zimakhala zosavuta pamene akungoyankha mafunso enieni. Komabe, mafunso ovomerezeka sangakhale othandiza kwa anyamata ndi atsikana omwe amagonana ndi amayi (WSW). Mwachitsanzo, dokotala akhoza kufunsa kuti "Ndi amuna angati omwe mwakhala mukugonana ndi chaka chino?" kapena "Kodi mumagwiritsira ntchito makondomu nthawi iliyonse pamene mukugonana?" Palibe funso lomwe lingapereke chithunzi cholondola cha mbiri yokhudza kugonana kwa WSW. Izi, kuphatikizapo mantha a tsankho zomwe zingathe kuwonjezeka ndi malingaliro amenewa, zingachititse kuti azisewero azikana kukambirana mbiri yawo ya kugonana ndi dokotala. Ngakhale, kapena makamaka makamaka, pamene mbiri yachiwerewere nthawi zina imaphatikizapo amuna.
Matenda Omwe Amatha Kudutsa Pakati pa Akazi
Kugona ndi mwamuna siko kokha kowopsa kwa matenda opatsirana pogonana. Matenda angapo amatha kupatsirana kuchokera kwa mkazi kupita kwa mkazi. Chiwerengero chapamwamba cha zibwenzi zazimayi chikukhudzidwa ndi chiopsezo chowonjezeka cha bacterial vaginosis , herpes , ndi HPV mu maphunziro osiyanasiyana. Pali umboni wakuti kugonana kwa amuna kapena akazi okhaokha kumatha kutulutsa trichomoniasis ndi matenda a chiwindi. Komanso, mu 2014 CDC inapeza umboni wosatsutsika wakuti HIV imatengera kachilombo ka HIV pakati pa amuna ndi akazi omwe ali pachiopsezo chachikulu chogonana.
Kuopsa kwa kufalitsa matenda opatsirana pogonana pakati pa amayi kumaphatikizapo chifukwa chakuti azimayi ambiri ndi akazi omwe amagonana ndi amuna kapena akazi okhaokha amaona kuti kugonana pakati pa amai ndi ntchito yochepa kwambiri ndipo musachite zachiwerewere.
Kugonana kosagonana ndi amuna kapena akazi okhaokha sikuli mpweya wabwino. Pali njira zowonjezera chitetezo cha ambiri, ngati sichoncho, kugonana komwe kumachitika pakati pa akazi. Zokonza zamagulu ochuluka zogonana pakati pa akazi ndi zofanana ndi za mitundu yambiri ya mabanja ndikuphatikizapo:
- Pogwiritsa ntchito zithandizira , monga madamu a mano , kukulunga kwamasana, kapena kutambasula makondomu omasuka , kulankhulana kwa abambo.
- Kugwiritsira ntchito magolovesi poika zala mu chikazi kapena kachilombo.
- Kusamba m'manja bwino, kuphatikizapo zikhomo musanayambe kugonana - ngakhale magalasi angagwiritsidwe ntchito.
- Kuyeretsa zidole za kugonana musanagwiritse ntchito
- Kuika makondomu pa zovuta zowonongeka zogonana ndikusintha kondomu kwa wina aliyense.
Zindikirani: Makondomu ayeneranso kusinthidwa pamene akusuntha chidole kuchokera kumaliseche kupita kumtunda.
Kuwonjezera apo, ndiyenera kutchula kuti amayi ambiri omwe amadziwika ngati amaliseche agonana ndi munthu kamodzi m'miyoyo yawo. Pa zifukwa zosiyanasiyana, amayi omwe amadziwika ngati amaliseche sagwiritsa ntchito chitetezo pa nthawi yogonana ndi amuna. Izi zimawonjezera chiopsezo chotenga matenda pa nthawi iliyonse. Chinthu chinanso chimene chimaonjezera chiopsezo ndi chakuti abambo ambiri omwe ali ndi zibwenzi omwe ali ndi zibwenzi, amakhala ndi chiopsezo chachikulu kuposa abwenzi omwe amachitira nkhanza akazi.
Zotsatira:
Chan, S. et al. "Kupititsa kwa Amuna Kapena Akazi Kugonana kwa HIV - Texas, 2012" Malipoti Okhudza Sabata Pamodzi ndi Kufa. 2014, March 14; 63 (10): 209-212
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Marrazzo, JM; Kuphika, P; ndi Bingham, A. "Kugonana, kuganizira zoopsa komanso kudziwa za matenda opatsirana pogonana pakati pa akazi ogonana ndi amuna kapena akazi okhaokha." Matenda Opatsirana Opatsirana Maganizo Ogonana. 2005 Mar; 37 (1): 6-12.
McNair R. "Kuopsa ndi kupewa matenda opatsirana pogonana pakati pa amayi omwe amagonana ndi amayi." Zaumoyo. 2005; 2 (4): 209-17.
Muzny, CA .; Sunesara, IR; Martin, DH, ndi Mena, LA. Matenda opatsirana pogonana komanso makhalidwe omwe amachitira pakati pa amayi a ku Africa omwe amagonana ndi amayi: kodi kugonana ndi amuna kumasintha? " Kugonana Kwadongosolo. 2011 Dec; 38 (12): 1118-25.
Roberts SJ. "Malangizi othandizira zaumoyo kwa amayi omwe ali ndi zibwenzi." J Obstet Gynecol Nursing Neonatal. 2006 Sep-Oct; 35 (5): 583-91.