Popanda katemera kuteteza matenda, kugonana kosatetezeka kumakhalabe njira imodzi yabwino yopewera chithandizo. Izi ndi zoona makamaka ngati muli kapena mukufuna kutenga mimba. Ngakhale kuti congenital syphilis (syphilis inadutsa kuchokera kwa mayi kupita kwa mwana pamene ali ndi mimba) akadali yachilendo ku United States, chiwerengero cha matendawa chinawonjezeka ndi pafupifupi 800 peresenti pakati pa 2015 ndi 2016 okha, malinga ndi ziwerengero za Centers for Disease Control and Prevention (CDC ).
Kugonana Kosavuta
Kugonana kosatetezeka komanso kugonana ndi amuna ambiri ndizo zifukwa ziwiri zomwe zimayambitsa chiopsezo ndi matenda ena opatsirana pogonana (STIs / STDs). Choncho, kugonana kosayenera kumaphatikizapo zinthu ziwiri zosavuta: kugwiritsa ntchito makondomu komanso kuchepetsa chiwerengero cha anthu ogonana.
Makondomu
Makondomu amadziwika kuti ndi oteteza mzere woyamba pa matenda opatsirana pogonana. Ngakhale kuti sagwiritsidwa ntchito molakwika-makamaka ngati simukuwagwiritsa ntchito molondola -kakhala njira yodalirika yopezera kupewa kudziletsa. Pewani makondomu abwino kapena osasangalatsa , omwe sanagwiritsidwe ntchito kuteteza matenda opatsirana pogonana, ndipo phunzirani momwe mungakulitsire kondomu moyenera kuti muteteze kapena kutaya. Gwiritsani ntchito mafuta opangira madzi okha; ena akhoza kuchepetsa makondomu.
Matabwa a mano ayenera kuganiziranso pamanja-kugonana kwa abambo (cunnilingus) kapena kugonana kwa an-oral (analingus, kapena "rimming"). Makondomu aakazi , omwe amanyalanyazidwa kwambiri ku United States, amakhalanso ndi malo awo.
Monga chitetezo chowonjezereka, gwiritsani ntchito makondomu pa zolaula zogonana zogwirizana komanso onetsetsani kuti mukugwiritsa ntchito mankhwala osokoneza bongo pakati pa ntchito.
Ogonana
Chofunika kwambiri ndi kuchepetsa chiwerengero cha anthu ogonana, makamaka omwe sadziwika kapena omwe mumakumana nawo pa intaneti. Pamapeto pake, anthu omwe mumagonana nawo kwambiri, zimakhala zovuta kwambiri kuti musamangotenga kachilombo koma ma ARV ena omwe alibe makondomu, monga mapiromavirus (HPV) .
Ngati mukakumana ndi munthu watsopano, ndibwino kuti mukambirane malamulo okhudzana ndi kugonana musanafike. Movuta monga momwe zingakhalire, yesetsani kuti musasiye zinthu zomwe simukuzidziwa kapena muzidzifunsa kuti ndi ndani yemwe ayenera kupeza makondomu. Ngati mnzanu sakufuna kapena akukayikira kugwiritsa ntchito makondomu, mudzakhala ndizomwe mukufunikira kuti mudziwe kusankha bwino.
Muyeneranso kupanga mfundo yofunsa za mbiri yanu ya kugonana komanso ngati anayesedwa kale ndi matenda opatsirana pogonana. Nthawi zambiri mukhoza kutsegula zokambirana zanu poyambirira. Kuchita zimenezi kungalimbikitse mnzanuyo kutsata kutsogolera kwanu ndikuyesanso.
Pomaliza, mukagonana, pewani kugwiritsa ntchito mankhwala osokoneza bongo kapena mowa, zomwe zingakulepheretseni kuweruza ndikutsogolera kugonana .
Zowonetsera Zojambula
Njira yabwino yosinthira mafunde atsopano ndikuonetsetsa kuti aliyense amene ali pachiopsezo choteteza kachilombo ndi matenda ena opatsirana pogonana amayang'aniridwa bwinobwino. Mayeserowa ndi ofulumira komanso ophweka, ndipo akhoza kuchitidwa mwamseri kuchipatala, lab, ndi ma pharmacies ambiri. Mayesero apanyumba kapena ma mail aliponso.
Malo oyesera (kuphatikizapo zipatala zamagulu otsika mtengo) amapezeka kudzera pa malo opezeka pa CDC.
Mu 2016, bungwe la US Preventive Services Task Force (USPSTF) linapereka ndondomeko zatsopano zowunika ma ARV pa magulu otsatirawa:
- Sewero la chlamydia ndi gonorrhea mwa amayi ogonana ali ndi zaka 24 ndi pansi, komanso akazi achikulire pa chiopsezo chowonjezeka cha matenda
- Sewero la kaswiti, chiwindi cha hepatitis B , ndi HIV mwa amayi onse omwe ali ndi pakati (zochuluka pansipa)
- Sewero la HIV mwa anthu onse 15 mpaka 65 ngati gawo lachizoloŵezi chachidwi
- Sewero la kachilombo, kachilombo ka HIV, ndi hepatitis B mwa munthu aliyense pangozi yaikulu
Malingana ndi USPSTF, anthu omwe ali ndi chiopsezo chowonjezereka ndi omwe ali ndi zibwenzi zogonana, ogonana nawo atsopano, kapena ogonana nawo limodzi, kapena omwe sali pa mgwirizano wapamodzi ndi ogwiritsira ntchito makondomu mosagwirizana.
Ogwiritsa ntchito mankhwala osokoneza bongo komanso amuna ogonana omwe amagonana ndi abambo (MSM) omwe sadziwika kapena ophatikizana angayesedwe chaka chilichonse.
Azimayi Oyembekezera
Mankhwala osokoneza bongo amatha kutetezedwa ngati atapezeka msanga. CDC imalimbikitsa amayi onse omwe ali ndi pakati kuti ayang'ane kwa syphilis pa ulendo wawo woyamba. Anthu omwe ali pachiopsezo chachikulu kapena omwe amakhala pachiopsezo chotere ayenera kuyesedwa kachiwiri pamasabata 28. Zotsatira zabwino zilizonse zidzasamalidwa nthawi yomweyo ndi penicillin , mankhwala okhawo omwe amapewa kuteteza kachilombo kwa mwana.
Wokondedwa wanu ayenera kuyesedwa, makamaka ngati sanachitepo. Mwanjira iyi, ngati pali matenda opatsirana pogonana, iye angapezeke ndi kuchiritsidwa msanga. Chitetezo chiyenera kugwiritsidwa ntchito ngati pali mwayi uliwonse wa matenda.
> Zotsatira:
> Zomwe Zingathetsere Kudwala ndi Kuteteza Matenda (CDC). "2016 Matenda opatsirana pogonana: Syphilis." Atlanta, Georgia; zasinthidwa pa September 26, 2017.
> CDC. "2015 Matenda Opatsirana Opatsirana pogonana Malangizo: Chiwonetsero Chogonana." Inatulutsidwa pa June 4, 2015.
> Lee, K .; Nyo-Metzger, Q .; Wolff, T. et al. Matenda opatsirana pogonana: Malangizo ochokera ku bungwe la US Preventive Services Task Force. " American Family Physician. 2016; 94 (11): 907-915.