Izinsumpa zangasese

Izinsumpa ezithweni zangasese ziyizicubu ezithambile esikhunjeni nasezikhaleni zomlomo zangasese. Zitholakala endondeni, esithweni sangasese, emgodini wesitho sangasese sowesifazane, esithweni sangasese, esithweni somlomo wesibeletho, naseduze nasendunu.

Izinsumpa zangasese zisatshalaliswa ngokuxhumana ngokocansi.

Igciwane elibangela izinsumpa ezithweni zangasese libizwa ngokuthi i-human papillomavirus (HPV). Ukutheleleka nge-HPV yisifo esihlasela kakhulu ngocansi (STI). Kunezinhlobo ezingaphezu kuka-180 ze-HPV. Eziningi azibangeli zinkinga. Ezinye zidala izinsumpa kwezinye izitho zomzimba hhayi izitho zangasese. Izinhlobo 6 no-11 zivame ukuxhunyaniswa nezinsumpa zangasese.

Ezinye izinhlobo ze-HPV zingaholela ezinguquko ezingaphambi kwesibeletho somlomo wesibeletho, noma kumdlavuza wesibeletho. Lezi zibizwa ngokuthi izinhlobo ezinobungozi obukhulu be-HPV. Futhi kungaholela kumdlavuza wesitho sangasese sowesifazane noma we-vulvar, umdlavuza wendunu, nomdlavuza womphimbo noma womlomo.

Amaqiniso abalulekile nge-HPV:

• Ukutheleleka nge-HPV kusakazeka kusuka komunye umuntu kuye komunye ngokuya ocansini okubandakanya ingquza, umlomo, noma isitho sangasese sowesifazane. Igciwane lingasakazeka, noma ngabe UNGABONI izinsumpa.
• Kungenzeka ungaboni izinsumpa amasonto ayisithupha kuya ezinyangeni eziyisithupha ngemuva kokutheleleka. Ungahle ungazinaki iminyaka.
• Akuwona wonke umuntu ohlangane negciwane le-HPV kanye nezinsumpa zangasese ezizobakhulisa.

Kungenzeka ukuthi uthole izinsumpa zangasese futhi uzisakaze ngokushesha uma:

• Yiba nabalingani abaningi bezocansi
• Benza ucansi besebancane
• Sebenzisa ugwayi noma utshwala
• Yiba nokutheleleka ngegciwane, njenge-herpes, futhi ucindezelekile ngasikhathi sinye
• Bakhulelwe
• Yiba namasosha omzimba abuthakathaka ngenxa yesimo esifana nesifo sikashukela, ukukhulelwa, i-HIV / AIDS, noma imithi

Uma ingane inezinsumpa zangasese, ukuhlukunyezwa ngokocansi kufanele kusolwe njengembangela engaba khona.

Izinsumpa zangasese zingaba zincane kakhulu, awukwazi ukuzibona.

Izinsumpa zingabukeka kanjena:

• Amabala anemibala yenyama aphakanyisiwe noma acabalele
• Ukukhula okubukeka njengaphezulu kwekholifulawa

Kwabesifazane, kungatholakala izinsumpa zangasese:

• Ngaphakathi esithweni sangasese noma endunu
• Ngaphandle kwemomo noma endunu, noma esikhumbeni esiseduze
• Emlomo wesibeletho ngaphakathi komzimba

Kwabesilisa, izinsumpa zangasese zingatholakala ku:

• Umthondo
• Isikhalazo
• Indawo ye-Groin
• Amathanga
• Ngaphakathi noma eduze kwendunu

Izinsumpa zangasese nazo zingavela kokulandelayo:

• Izindebe
• Umlomo
• Ulimi
• Umphimbo

Ezinye izimpawu azivamile, kepha zingafaka:

• Ubumanzi obandayo endaweni yesitho sangasese eduze kwezinsumpa
• Ukwanda kokukhishwa kwesitho sangasese sowesifazane
• Ukulunywa ngokobulili
• Ukopha kwesitho sangasese sowesifazane ngesikhathi noma ngemuva kocansi

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Kwabesifazane, lokhu kufaka ukuhlolwa kwe-pelvic.

Inqubo yehhovisi ebizwa nge-colposcopy isetshenziselwa ukubona izinsumpa ezingabonakali ngeso lenyama. Isebenzisa imakhroskophu ekhanyayo namandla aphansi ukusiza umhlinzeki wakho athole bese ethatha amasampuli (i-biopsy) yezindawo ezingajwayelekile kumlomo wesibeletho sakho. IColposcopy ivame ukwenziwa ukuphendula i-Pap smear engajwayelekile.

Igciwane elibanga izinsumpa ezithweni zangasese lingadala imiphumela engajwayelekile ku-Pap smear. Uma unalezi zinhlobo zezinguquko, ungadinga i-Pap smear ejwayelekile noma i-colposcopy.

Ukuhlolwa kwe-HPV DNA kungatshela ukuthi ngabe unohlobo lwe-HPV olusengozini enkulu olwaziwa ukudala umdlavuza wesibeletho. Lokhu kuhlolwa kungenziwa:

• Uma unezinsumpa zangasese
• Njengokuhlolwa kokuhlolwa kwabesifazane abangaphezu kweminyaka yobudala engama-30
• Kwabesifazane banoma yimuphi unyaka abanomphumela wokuhlolwa wePap ongajwayelekile

Qiniseka ukuthi uhlolwe umdlavuza womlomo wesibeletho, wesitho sangasese sowesifazane, wesitho sangasese sowesifazane, noma owasezindleleni uma kutholakala ukuthi unezinsumpa ezithweni zakho.

Izinsumpa zangasese kufanele ziphathwe udokotela. Ungayisebenzisi imishanguzo yamakhompiyutha eyenzelwe ezinye izinhlobo zezinsumpa.

Ukwelashwa kungafaka:

• Imithi esetshenziswa kwizinsumpa zangasese noma ejojowe ngudokotela wakho
• Imithi kadokotela oyisebenzisa ekhaya kaningana ngesonto

Ama-warts nawo angasuswa ngezinqubo ezincane, kufaka phakathi:

• Ukuqandisa (i-cryosurgery)
• Ukushisa (i-electrocauterization)
• Ukwelashwa nge-Laser
• Ukuhlinzwa

Uma unezinsumpa zangasese, bonke abalingani bakho bezocansi kufanele bahlolwe ngumhlinzeki bese belashwa uma kutholakala izinsumpa. Noma ungenazo izimpawu, kufanele welashwe. Lokhu ukuvimbela izinkinga nokugwema ukusabalalisa lesi simo kwabanye.

Uzodinga ukubuyela kumhlinzeki wakho ngemuva kokwelashwa ukuze uqiniseke ukuthi zonke izinsumpa sezihambile.

Kunconywa ama-Pap smear avamile uma ungowesifazane oke waba nezinsumpa zangasese, noma uma umlingani wakho enazo. Uma ngabe ubenezinsumpa wesibeletho sakho, kungadingeka ukuthi wenze iPap smear njalo ezinyangeni ezi-3 kuya kwezi-6 ngemuva kokwelapha kokuqala.

Abesifazane abanezinguquko ezingaphambi kwesikhathi ezibangelwa ukutheleleka kwe-HPV bangadinga ukwelashwa okuqhubekayo.

Abesifazane abaningi abasha abaya ocansini batheleleka nge-HPV. Ezimweni eziningi, i-HPV iyazihambela yodwa.

Iningi labesilisa abatheleleka nge-HPV abalokothi babe nezimpawu noma izinkinga ekuthelelekeni. Kodwa-ke, basengakudlulisela kozakwethu bezocansi abakhona manje futhi kwesinye isikhathi. Abesilisa basengozini enkulu yokuba nomdlavuza wenduku nomphimbo uma benomlando wokutheleleka nge-HPV.

Noma usulashelwe izinsumpa zangasese, ungahle uthelele abanye.

Ezinye izinhlobo ze-HPV zingadala umdlavuza womlomo wesibeletho kanye ne-vulva. Ziyimbangela enkulu yomdlavuza wesibeletho.

Izinsumpa zangasese zingaba ziningi futhi zikhulu impela. Lokhu kuzodinga ukwelashwa okuqhubekayo.

Shayela umhlinzeki wakho uma:

• Umlingani ocansini wamanje noma owedlule unezinsumpa zangasese.
• Unezinsumpa ezibonakalayo ezithweni zakho zangasese zangaphandle, ukulunywa, ukukhipha, noma ukuphuma kwegazi ngokungajwayelekile. Gcina wazi ukuthi izinsumpa zangasese kungenzeka zingaveli izinyanga kuya eminyakeni ngemuva kokuya ocansini nomuntu onegciwane.
• Ucabanga ukuthi ingane encane ingaba nezinsumpa zobulili.

Abesifazane kufanele baqale ukwenza ama-Pap smear lapho beneminyaka engama-21.

I-HPV ingadluliselwa isuke komunye umuntu iye komunye umuntu noma kungekho zinsumpa ezibonakalayo noma ezinye izimpawu. Ukwenza ucansi oluphephile kungasiza ekunciphiseni ubungozi bokuthola i-HPV nomdlavuza womlomo wesibeletho:

• Njalo sebenzisa amakhondomu abesilisa nabesifazane. Kepha yazi ukuthi amakhondomu awakwazi ukukuvikela ngokuphelele. Lokhu kungenxa yokuthi igciwane noma izinsumpa nazo zingaba esikhunjeni esiseduze.
• Yiba nomlingani oyedwa ocansini, owaziyo ukuthi akanalo igciwane.
• Nciphisa inani labalingani ocansini onabo ngokuhamba kwesikhathi.
• Gwema abalingani ababamba iqhaza emisebenzini yezocansi enobungozi obukhulu.

Umuthi wokugoma we-HPV uyatholakala:

• Kuvikela ezinhlotsheni ze-HPV ezidala umdlavuza omningi we-HPV kwabesifazane nakwabesilisa. Imithi yokugoma ayilaphe izinsumpa zangasese, ivikela ukutheleleka.
• Umuthi wokugoma unganikezwa abafana namantombazane aneminyaka engu-9 kuya kwengu-12 ubudala. Uma umuthi wokugoma unikezwa kule minyaka yobudala, uchungechunge lwezibhamu ezimbili.
• Uma umuthi wokugoma unikezwa uneminyaka eyi-15 noma ngaphezulu, uchungechunge lwezibhamu ezintathu.

Buza umhlinzeki wakho ukuthi ngabe umuthi wokugoma we-HPV ukufanele wena noma ingane.

Condylomata acuminata; Izinsumpa zePenile; I-human papillomavirus (HPV); Izinsumpa ze-Venereal; I-Condyloma; Ukuhlolwa kwe-HPV DNA; Izifo ezithathelwana ngocansi (STD) - izinsumpa; Ukutheleleka ngocansi (STI) - izinsumpa; I-LSIL-HPV; I-dysplasia-HPV esezingeni eliphansi; I-HSIL-HPV; I-high-grade dysplasia HPV; I-HPV; Umdlavuza wesibeletho - izinsumpa zangasese

• I-anatomy yokuzala yabesifazane

Amagciwane kaBonnez W. Papilloma. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases, uHlelo Olubuyekeziwe. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 146.

Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. I-human papillomavirus (HPV). www.cdc.gov/std/hpv/default.htm. Kubuyekezwe u-Okthoba 6, 2017. Kufinyelelwe ngoNovemba 20, 2018.

I-Kirnbauer R, i-Lenz P. Ama-virus e-papilloma womuntu. Ku: Bolognia JL, Schaffer JV, Cerroni L, ama-eds. Isikhumba. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 79.