Zimene Mukuyenera Kuyesedwa ndi Nthawi
Nthawi zonse mumapita kwa dokotala wanu wamagulu kapena madokotala kuti mukafufuze chaka chilichonse. Inu, chotero, muganizire kuti mungadziwe ngati muli ndi vuto la matenda opatsirana pogonana. Chinthu chiri ^ pali mwayi wabwino kuti mukulakwitsa. Madokotala ochuluka, kapena ambiri, madokotala samadzionetsetsa kuti adziwe matenda opatsirana pogonana. Angayang'ane ngati mwawafunsa. Komabe, mwina sangakhale ngati simunapange pempholi.
Choncho, nthawi yotsatira mukamapita kukacheza kwanu pachaka, funsani dokotala ngati akhala, kapena akuwonetsani za matenda opatsirana pogonana. Ndiye, ngati atero inde, funsani ma ARV omwe akukonzekera kuti akuyang'anirani.
Ngakhale madokotala omwe amayesa odwala awo nthawi zonse, musayese matenda onse opatsirana pogonana . Pali zifukwa zomveka zoti musayese zitsamba za m'mimba ndi HPV mwa anthu omwe alibe zizindikiro, komabe palinso mavuto. Kwa chimodzi, kusayesa kwa matendawa kungapangitse anthu ena kukhala achinyengo. Choncho, ndikofunika kudziƔa zomwe mukudwala komanso osayesedwa. Ndipotu, ndizofunikira kwambiri podziwa nthawi yotsiriza yomwe munayesedwa .
Kodi muyenera kuyesedwa ndi chiyani komanso nthawi zingati? Kufikira kwina, kufufuza std kumadalira pazifukwa zanu zokha. Komabe, malangizo enawa ali pansipa:
I. Pali matenda opatsirana angapo omwe dokotala ayenera kukuyeserani chaka chilichonse . Izi ndizo matenda opatsirana pogonana ndi bwino kuyesedwa asanayambe kugonana kwatsopano :
- Gonorrhea
- HIV (izi zikutanthauza kusintha kwa ma CDC , omwe tsopano akuyesa kuyesa konsekonse )
II. Palinso matenda opatsirana pogonana omwe muyenera kuyesedwa nthawi zonse, koma osati chaka chilichonse.
- Khansara ya Chiberekero (njira zatsopano zowesera ) - kudzera pa Pap Smear .
Zindikirani: Ambiri a khansa ya chiberekero amayamba chifukwa cha HIVV . Ndikofunika kudziwa kuti amuna sangayesedwe kwa HPV. Amuna akhoza kupeza smear ya anal. Komabe, kuyesera kwa HPV sikugwiritsidwe ntchito kuti apeze matenda opatsirana pogonana mwa amuna.
III. Pali matenda opatsirana pogonana omwe nthawi zambiri mayesero samawalimbikitsa pokhapokha mutadziwa kuti mwakhala nawo. Muyeneranso kuyezetsa matenda opatsirana pogonana ngati muli ndi zizindikiro:
- Chizindikiro
- Trichomoniasis
- Zilonda zamtundu
- Hepatitis B
- Chancroid
- Bacterial Vaginosis
Zindikirani: BV amaonedwa kuti ndi chikhalidwe chogonana osati matenda opatsirana pogonana
IV. Pomaliza, pali matenda opatsirana pogonana omwe amayenera kuyesedwa pa nthawi yomwe ali ndi pakati :
- Chlamydia : Amayi onse ayenera kuyesedwa panthawi yoyamba yobereka. Azimayi omwe ali ndi chiopsezo chachikulu, komanso amayi a zaka zoposa 25 ayenera kuyesedwa kachiwiri mu 3 trimester.
- Gonorrhea: Atsikana ndi amayi omwe ali ndi chiopsezo chachikulu ayenera kuyesedwa panthawi yoyamba yobereka. Akazi omwe ali ndi chiopsezo chachikulu ayenera kuyesedwa kachiwiri pa 3 trimester. Azimayi m'madera omwe ali ndi matenda otsekemera ayenera kuonedwa kuti ali pangozi yaikulu.
- HIV: Akazi ayenera kuyesedwa panthawi yoyamba yobereka. Ayeneranso kuyesedwa mu trimester yachitatu. Azimayi amene sanayesedwe pa nthawi yoyembekezera ayenera kuyesedwa mwamsanga pa nthawi yobereka. Izi ndizo malangizo a CDC. Komabe, kuyezetsa kachilombo ka HIV pa nthawi ya mimba silovomerezeka m'zinthu zonse.
- Chiwopsezo : Azimayi ayenera kuyesedwa panthawi yoyamba yobereka (amayi onse), pa 3 trimester (amayi omwe ali ndi chiopsezo chokha), komanso pakubereka (amayi onse).
- Chiwindi chakumwa B : Akazi ayenera kuyesedwa panthawi yoyamba yobereka. Ayeneranso kuyesedwa kachiwiri mu 3 trimester ngati ali pangozi yaikulu
- Hepatitis C : Akazi omwe ali pachiopsezo ayenera kuyesedwa pakapita koyambira.
- Bacterial Vaginosis : Kafukufuku wina amasonyeza kuti amayi omwe ali ndi chiopsezo chachikulu choyambitsa kubereka ayenera kuyesedwa kwa chikhalidwe cha kugonana bacterial vaginosis . Komabe, deta ndizovuta. Kuyesera sikungathandizidwe kwa amayi omwe sadziwa zambiri.
Zotsatira:
> Workowski KA, Bolan GA; Maofesi a Kuletsa ndi Kuteteza Matenda. Matenda ochepetsa matenda opatsirana a CDC, 2015 . MMWR Akulimbikitsanso Rep. 2015 Jun 5; 64 (RR-03): 1-137