Kudulidwa kwa amuna ndiko kuchotsedwa kwa khungu la chikopa chomwe chimaphimba nsonga ya mbolo. Ndizochitika kawirikawiri masiku awiri kapena 10 oyambirira atabadwa, kaya kuchipatala kapena ngati gawo la mwambo wachipembedzo kunyumba. Ngakhale kuti chizoloŵezichi chikuvomerezedwa ku America konse, mdulidwe uli wokongola kwambiri padziko lonse lapansi. Amayi 10 pa 100 aliwonse amapeza chithunzithunzi kuzungulira dziko lapansi, ndipo mitengo imachepetsabe m'mayiko - kuyambira 80 peresenti mu 1980 kufika pafupifupi 60 peresenti pakalipano. Ziwerengerozi zikuwonetseratu zokambirana zomwe zikuchitika potsata zomwe zimachitika komanso zomwe zimachitika pazochitikazo. Tiyeni tiwone zina mwa chikhalidwe, chikhalidwe, mbiri ndi zachipatala zokhudzana ndi mdulidwe wa amuna, komanso chifukwa chake posachedwapa sagonjetsedwa.
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Chifukwa Chiyani Amadulidwa?Nthawi zambiri, mdulidwe umachitika chifukwa cha zofunikira zachipatala ngati kachilombo kamatuluka kachilomboka, sungathe kubwereza (phimosis) kapena ngati sichikhoza kubweretsanso mbolo kamodzi kamene kamabwezeretsanso (paraphimosis). Koma kawirikawiri ndondomekoyi imachitika chifukwa cha chikhalidwe, chikhalidwe kapena chipembedzo. Ndizofala kwambiri pakati pa anthu achi Muslim ndi Ayuda ndi chizoloŵezi cha zaka zikwi zambiri ndi zofotokozedwa m'malemba achipembedzo. Zidatchuka ku US m'ma 1920 pamene madokotala adakhulupirira kuti zidzachepetse mitengo ya ma ARV monga chiwindi ndi kuchepetsa chilakolako chodzisula. Chikhulupiriro chakuti mdulidwe ndi wachiyero umakhalabe chifukwa chachikulu chomwe chimayambitsa ntchitoyi, makamaka m'makristu ndi m'midzi. Koma kodi zimenezi ndi zoona?
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Ubwino Wathanzi wa MdulidweKafukufuku wina amasonyeza kuti mdulidwe umalepheretsa matenda opatsirana m'makina, ndi amuna omwe amatha kukhala nawo. Malinga ndi CDC, maselo a chiwindi amatha kukhala ndi matenda ena opatsirana pogonana, kuphatikizapo kachilombo koyambitsa zibwenzi zosiyana-siyana, ndipo akhoza kuonjezera chiopsezo cha khansa ya penile. Ngakhale anthu ambiri amakhulupirira kuti mbolo yosadulidwa ndi yovuta kwambiri kuti ikhale yoyera ndipo motero ingayambitse mavuto, izi si zoona. Khungu limatha kutsukidwa ndi kusamba ndi sopo ndi madzi monga gawo la kachitidwe kawirikawiri.
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Matenda AkumadzuloPakati pa awiri ndi 10 peresenti ya mdulidwe kumabweretsa mavuto, ngakhale chiwerengero chenicheni sichidziwika. Kuwotcha ndi kupweteka pambuyo pake kumatha kuchititsa kuti matendawa akhale chimodzimodzi. Kuwopsya kumene kumapweteka kapena kupweteka kumakhala kosawerengeka, ngakhale kutaya ndi kupweteka pamene ukukwera kuzungulira mdulidwe sizachilendo.
Kusokoneza kwakukulu pa mdulidwe kumachokera ku American Academy of Pediatrics. Iwo amatsutsa kutsutsana pa maphunziro omwe amasonyeza kuwonongeka kwa maganizo kwa amuna odulidwa ndi kutsutsa mwamphamvu malangizo a CDC omwe amalimbikitsa kuchita. Maphunziro a chitukuko cha chidziwitso amasonyeza kuti kumva ululu wotere akadali wamng'ono kungapangitse kusintha kwa ubongo wa ubongo zomwe zingabweretse nkhawa, nkhawa, komanso kusakhudzidwa. (Nope, anesthesia sagwiritsidwa ntchito kawirikawiri.) Malingana ndi kafukufuku wina, mkwiyo, manyazi komanso ngakhale PTSD zingakhale zotsatira za nthawi yaitali za mdulidwe.
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Zotsatira ZogonanaNgakhale maphunziro achikulire amanena kuti zotsatira za nthawi yayitali za mdulidwe zimaphatikizapo kuchepa mphamvu zokhudzana ndi kugonana, kufufuza kwaposachedwa kumasonyeza kuti si choncho. Kulephera kugwiritsa ntchito makondomu komanso kugwiritsa ntchito mafuta akugwiritsidwanso ntchito m'mbuyomo monga umboni wa zotsatira zoyenera. Komabe, kufufuza kwatsopano kumatsutsana ndi chikhulupiliro chomwe anthu ambiri amakhulupirira kuti chifuwacho chimakhala ndi chidwi chochuluka ndipo chifukwa chake kuchotsedwa kumachokera ku chisangalalo cha amuna.
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Funso la MakhalidweMwinamwake funso lovuta kwambiri kuyankha ndilo ngati mdulidwe ndi chinthu choyenera kuchita. Ndi magulu osiyanasiyana (kuphatikizapo CDC) othandizira chizoloŵezi ndi ena akuyembekeza kuchimwira, chisankhocho chimachokera pa zikhulupiriro zawo. Ntchito ya dokotala ndiyosavulaza, kotero ngati wodwala sangapereke chilolezo ndipo ndondomeko siziri zofunikira kuchipatala, kodi ndizotheka kuchita zimenezo?
Pa dzanja limodzi, kuchepetsa mwayi wopezera khansa, kachilombo ka HIV, ndi matenda ena opatsirana pogonana ngakhale pang'ono kungakhale chifukwa choti makolo ena asankhe kudula. Kwa ena, ngakhale pangozi yaing'ono yopitilira opaleshoni ndi kuwonongeka kwa maganizo ndipamwamba kwambiri. Zikhalidwe, miyambo, ndi miyambo zikhoza kukhala zomwe zimayambitsa mabanja ambiri, chifukwa zoopsa ndi zopindulitsa zingawoneke mofanana.
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Kuti asinthe kapena OsasunthikaPopeza kuti izi ndi nthawi imodzi, ndikofunika kuti muyang'ane mbali zonse zazitsutsano. Ndikofunika kuphunzitsidwa za ngozi zomwe zingakhalepo ndi zotsatira za chisankho chilichonse. Chitani kafukufuku wanu; Musangodalira zomwe mumakumbukira kuchokera m'kalasi labwino kapena malangizo kapena kukakamizidwa kwa anzanu. Kutha kwa tsiku, ndi kusankha kwanu komwe mukupanga monga mwana kwa mwana wanu, yemwe adzanyamula naye moyo wake wonse. Koposa zonse, pangani chisankho chomwe chili choyenera kwa inu monga banja.