Ngabe ama-STD angahamba ngokwawo?

-Delile

• Iyini I-STD, Noma kunjalo?
• Ukuhlolwa Kuphela Kwendlela Yokwazi Uma Une-STD
• Ungayiphatha Kanjani i-STD
• Ngakho Ingabe I-STD Ingazihambela Yodwa?
• Kwenzekani Uma Ungelapheki I-STD?
• Umugqa Ophansi
• Buyekeza kwe-

Kwezinye izinga, cishe uyazi ukuthi izifo ezithathelwana ngocansi zivame kakhulu ukwedlula uthisha wakho ofundisa ngocansi esikoleni esiphakathi akuholele ekukholweni. Kepha lungela ukuhlaselwa ngokomthetho: Nsuku zonke, kutholakala ama-STD angaphezu kwezigidi eziyi-1.2 emhlabeni wonke, futhi e-United States kuphela kunezigameko ezintsha ezingama-20 ze-STD unyaka nonyaka, ngokusho kombiko we-The World Health Organisation (WHO) . Woza!

Ngaphezu kwalokho, ochwepheshe bathi kungenzeka ukuthi banjalo Okuningi okuvame kakhulu kunalokho okusikiselwa yilezi zinombolo, ngoba izinombolo ezibikwe ngenhla kuphela kuqinisekisiwe amacala. Okusho ukuthi, othile wahlolwa futhi waba ne-positive.

“Nakuba kuwumkhuba ongcono kakhulu ukuhlola njalo ngonyaka noma ngemva kwawo wonke umlingani omusha—kungakhathaliseki ukuthi ikuphi okuza kuqala—abantu abaningi abane-STI abanazo izimpawu futhi iningi labantu alihloli ngaphandle uma linezimpawu,” kuchaza uSherry A. Ross. MD, ob-gyn nombhali we I-She-ology. Hhayi-ke, ayikho indlela yokuthi iCenters for Disease Control and Prevention (CDC) noma i-WHO yazi ukuthi une-STI ongasazi naso! Kukhona nethuba lokuthi wena cabanga okuthile kuphakamile, kepha unquma ukukulinda ngaphandle bese ubona ukuthi ngabe "kungazinakekela yini."

Nansi into: Ngenkathi ama-STI eqinisekile hhayi isigwebo sentambo ngenxa yakho noma sexcapades yakho, uma ishiywe ingalashwa, ingadala izimo ezithile zempilo ezimbi. Ngezansi, ochwepheshe baphendula yonke imibuzo yakho mayelana nokuthi izifo ezithathelwana ngocansi zingazihambela yini, ubungozi bokushiya i-STI ingelashiwe, ukuthi ungayiqeda kanjani i-STD uma unayo, nokuthi kungani ukuhlolwa kwe-STI okuvamile kubaluleke kakhulu.

Iyini I-STD, Noma kunjalo?

Okubizwa kokubili ama-STD kanye ne-STIs-izifo ezithathelwana ngocansi-izifo ezitholakala ngokuthintana ngokocansi. Cha, lokho akusho ukuthi i-P-in-V nje. Izinto zezandla, ucansi lomlomo, ukuqabulana, kanye nokuqhubukushana nokugaya okungena-skivvy kungakubeka engcupheni. Oh, futhi masingakushiyi ngaphandle ukwabelana ngemikhiqizo yokuzijabulisa efana namathoyizi (luv those, BTW).

Qaphela: Ochwepheshe abaningi babheke olimini olusha lwe-STI ngoba igama elithi "isifo" lisho isimo "esiphazamisa ukusebenza okuvamile futhi sibonakala ngokuhlukanisa izimpawu nezimpawu," ngokusho kukaMerriam Webster. Kodwa-ke, eziningi zalezi zifo azinazo izimpawu futhi azikhinyabezi ukusebenza nganoma iyiphi indlela, yingakho ilebula ye-STI. Lokho kusho ukuthi, abantu abaningi basazi futhi bababiza ngama-STD.

Ngokuvamile, ama-STD awela ezigabeni ezimbalwa eziyinhloko:

• Ama-STD wegciwane: i-gonorrhea, i-chlamydia, i-syphilis
• Izifo ezithathelwana ngocansi: i-trichomoniasis
• Ama-STD amagciwane: i-herpes, i-HPV, i-HIV, ne-Hepatitis B
• Kukhona futhi utwayi nezintwala zasesidlangalaleni, ezibangelwa izintwala nezibungu, ngokulandelana

Ngoba amanye ama-STD asakazwa ngokuxhumana kwesikhumba nesikhumba kanti amanye asakazeka ngoketshezi lomzimba, ukudluliswa kungenzeka nganoma yisiphi isikhathi lapho uketshezi (kufaka phakathi i-pre-cum) lushintshaniswa noma kuthintwa isikhumba. Ngakho-ke, uma uzibuza: "Ngingathola i-STD ngaphandle kocansi?" Impendulo ithi yebo.

Ukuhlolwa Kuphela Kwendlela Yokwazi Uma Une-STD

Futhi, iningi lama-STI alinazimpawu ngokuphelele. Futhi, ngeshwa, noma ngabe kunezimpawu, lezo zimpawu (ukukhishwa kwesitho sangasese sowesifazane, ukulunywa, ukushisa ngenkathi uchama) zivame ukuba nezicashile futhi zingachazwa kalula ngokunye ubumnandi besitho sangasese sowesifazane ~ njengokutheleleka ngemvubelo, i-bacterial vaginosis, noma isifo somgudu womchamo (UTI), kusho uDkt. Ross.

"Awukwazi ukuthembela ezimpawu zokukutshela ukuthi unesifo," uthi, "Ukuthola kuphela ukuhlolwa okugcwele kwe-STI okwenziwa udokotela wakho okungakutshela ukuthi unesifo." (Nakhu ukuthi kufanele uvivinywe kangaki ama-STD.)

Themba, yonke i-shebang iyashesha futhi ayibuhlungu. "Ngokuvamile kuhilela inhlanganisela ethile yokuchama enkomishini noma ukudonsa igazi lakho noma ukuthathwa kwamasiko," kusho uMichael Ingber, M.D., udokotela womchamo ogunyazwe yibhodi kanye nochwepheshe bemithi yezitho zangasese zesifazane e-Centre for Specialised Women's Health eNew Jersey. (Futhi izinkampani eziningi zinikela ngokuhlolwa kwasekhaya kwe-STI / STD manje futhi.)

Ungayiphatha Kanjani i-STD

Izindaba ezimbi: Uma uzibuza ukuthi ungayiphatha kanjani i-STD ekhaya, impendulo ukuthi, imvamisa awukwazi. (Ngaphandle kwezinkalankala / izintwala zomphakathi, kepha ngaphezulu kulokho okungezansi.)

Ezinye izindaba zezimpahla: Uma zibanjwe kusenesikhathi, ama-STD ebhaktheriya namagciwane angaqedwa elashwe ngama-antibiotics. "I-gonorrhea ne-chlamydia ngokuvamile zelashwa ngama-antibiotic avamile njenge-doxycycline noma i-azithromycin, kanti ugcunsula welashwa nge-penicillin," kusho uDkt. Ingber. I-Trichomoniasis yelashwa nge-metronidazole noma i-tinidazole. Ngakho-ke, yebo, i-chlamydia, i-gonorrhea, ne-trich konke kungaphela, inqobo nje uma welashwa.

Ama-STD amagciwane ahluke kancane. Cishe kuzo zonke izimo, "uma umuntu esene-STD yegciwane, lelo gciwane lihlala ngaphakathi emzimbeni kuze kube phakade," kusho uDkt. Ross. Okusho ukuthi, azinakwelashwa. Kodwa ungathuki: "Izimpawu zingalawuleka ngokuphelele." Okubandakanya lokho kuphatha kuyahlukahluka kusuka ekuthelelekeni kuye ekuthelelekeni. (Bona Kabanzi: Umhlahlandlela Wakho Wokuthola Ukuxilongwa Okungalungile Kwe-STI)

Abantu abane-herpes bangaphuza imishanguzo yokulwa namagciwane nsuku zonke ukuvimbela ukubheduka, noma ukuqala kwezimpawu. Abantu abane-HIV noma i-Hepatitis B bangakwazi ukuphuza izidambisigciwane, ezehlisa inani legciwane egazini, livimbe igciwane ukuthi liphindaphindeke emzimbeni ngaleyo ndlela livimbele ukuthi lingenzi omunye umonakalo emzimbeni. (Futhi, lokhu kwehlukile ku- ukwelapha igciwane.)

I-HPV ingumuntu okhishwa kancane kulokho, kwezinye izimo, igciwane lingazimela lodwa, ngokusho kwe-American Sexual Health Association (ASHA). Ngenkathi ezinye izingqinamba zibangela izinsumpa zangasese, izilonda, futhi, uma zisebenza njengamanje, zingatholakala ngemiphumela yokuhlolwa kwe-pap engajwayelekile, futhi azikwazi ukuveza zimpawu futhi zilele zingasebenzi amasonto, izinyanga, iminyaka, noma impilo yakho yonke, okusho ukuthi i-pap yakho imiphumela izobuya ijwayelekile. Amaseli wegciwane angahlala emzimbeni wakho isikhathi esingapheli, kepha futhi angahlanzwa kubantu abanamasosha omzimba asebenza kahle, ngokusho kwe-ASHA.

Ngakho Ingabe I-STD Ingazihambela Yodwa?

Ngaphandle kwe-HPV (futhi kwesinye isikhathi kuphela), ukuvumelana okujwayelekile akukho! Amanye ama-STD "angahamba" ngemithi efanele. Amanye ama-STD awakwazi "ukuhamba," kepha ngokwelashwa / ngemithi efanele kungalawulwa.

Kwenzekani Uma Ungelapheki I-STD?

Impendulo elula: Akukho okuhle!

I-Gonorrhea, i-trichomoniasis, ne-chlamydia: Uma ishiywe ingatholakali futhi ingalashwa, ekugcineni, noma yiziphi izimpawu ze-gonorrhea, i-trichomoniasis, ne-chlamydia ezazikhona (uma zikhona) zizophela ... kodwa lokho akusho ukuthi ukutheleleka kuyenzeka, kusho uDkt Ingber. Esikhundleni salokho, ukutheleleka kungadlulela kwezinye izitho ezinjengamashubhu e-fallopian, ama-ovari, noma isibeletho, futhi kubangele into ebizwa ngokuthi, isifo sokuvuvukala kwe-pelvic (PID). Kuthatha cishe unyaka ukuthi ukutheleleka kokuqala kuthuthuke kube yi-PID, kanti i-PID ingaholela ekulimaleni nasekungazali, kusho yena. Ngakho-ke uma nje uhlolwa njalo, kufanele ukwazi ukugwema noma yikuphi kwalokhu okuthuthukela ku-PID. (Okuhlobene: Ingabe I-IUD Ikwenza Ube Sengozi Kakhudlwana Yezifo Ezivuvukalayo Ze-Pelvic?)

I-Syphilis: Ngogcunsula, ingozi yokuyishiya ingelashiwe inkulu nakakhulu. Ukutheleleka kwasekuqaleni (okwaziwa njenge-syphilis eyinhloko) kuzodlulela kugcunsula wesibili cishe emasontweni amane kuya kwayisishiyagalombili ngemuva kokutheleleka, "kusho uDkt Ingber, okuyilapho lesi sifo siqhubeka sisuka ezilondeni zangasese siye emqubeni ogcwele emzimbeni." Ekugcineni, ukutheleleka kuzoqhubeka kugcunsula okuyilapho lesi sifo sihamba siye ezithweni ezikude njengobuchopho, amaphaphu, noma isibindi, futhi singabulala,” usho kanje. Kunjalo, kuyabulala.

I-HIV: Umphumela wokushiya i-HIV ingalashwa unzima ngokufanayo. Ngaphandle kokwelashwa, i-HIV izolulaza kancane kancane amasosha omzimba futhi yandise kakhulu ingcuphe yezinye izifo kanye nomdlavuza ohlobene nokutheleleka. Ekugcineni, i-HIV engelashwa iba ingculazi, noma i-adjusted immune deficiency syndrome. (Lokhu kwenzeka ngemuva kweminyaka eyi-8 kuya kweyi-10 ngaphandle kokwelashwa, ngokusho kweMayo Clinic.)

Ukhwekhwe nezintwala zangasese: Iningi lamanye ama-STI kungenzeka angabi namandla, kepha utwayi nezintwala akunjalo. Zombili ziyaluma ngendlela engavamile, ngokusho kukaDkt. Ingber. Futhi zizoqhubeka nokuluma kuze zelaphe. Okubi nakakhulu, uma uba namanxeba avulekile ngenxa yokuklabalasa kudoti wakho, lawo manxeba angangenwa amagciwane noma aholele esibazini esihlala njalo. Izindaba ezimnandi? Izintwala noma izintwala zangasese yizona STD ongayelapha ekhaya: Ngokuvamile ziphathwa ngeshampoo ekhethekile noma amafutha okugcoba angathengwa i-OTC ngaphandle kwencwadi kadokotela. (Nakhu okunye ngezintwala zasesidlangalaleni, izinkalankala.) Ngakolunye uhlangothi, ukhwekhwe ludinga into yokugcoba noma ukhilimu odokotela bakho, ngokusho kweCenters for Disease Control and Prevention.

I-Herpes: Futhi, i-herpes ayikwazi ukuphulukiswa. Kodwa kungalawulwa ngama-anti-virus, anciphisa inani lokuqubuka — noma kwezinye izimo kumisa ukuqubuka ukuthi kungenzeki ngokuphelele. Kepha lokho akusho ukuthi ukuthatha ama-anti-virus kufanele; ukuthi umuntu uthatha imishanguzo noma cha kuyisinqumo somuntu siqu esisuselwa ezicini ezifana nokuqubuka kokuqubuka, uma wenza ucansi, ukuthi uzizwa kanjani ngokuthatha imithi yansuku zonke nokuningi, ngokusho kukaDkt Sheila Loanzon, MD, ob-gyn kanye nombhali we Yebo, ngine-Herpes.

I-HPV: Lapho i-HPV yenza hhayi zihambe zodwa, kungahle kuholele kumdlavuza. Izinhlobo ezithile (hhayi zonke!) Ze-HPV zingadala umdlavuza womlomo wesibeletho, i-vulvar, isitho sangasese sowesifazane, i-penile, nomdlavuza wendunu (futhi kwezinye izimo, nomdlavuza womphimbo). Ukuhlolwa njalo komdlavuza wesibeletho nokuhlolwa kwe-pap kungakusiza ukuthi ubambe i-HPV ukuze udokotela wakho akwazi ukuyibheka, ayibambe ngaphambi kokuba ibe nomdlavuza. (Bheka: 6 Izimpawu Eziyisixwayiso Somdlavuza Wesibeletho)

Umugqa Ophansi

Ekugcineni, "indlela ehamba phambili ngama-STD ukuvimbela," kusho uDkt Ingber. Lokho kusho ukusebenzisa izithiyo zocansi eziphephe kunoma imuphi umlingani onesimo se-STI ongasazi, noma yimuphi umlingani one-STD omuhle, ngesikhathi socansi lwesitho sangasese sowesifazane, somlomo, nesangasese. Futhi ukusebenzisa leso sithiyo ngokufanele. (Okusho ukuthi, zama ukungenzi noma imaphi kulawa maphutha ayisishiyagalombili ajwayelekile ekhondomu. Futhi uma ulala nomunye umuntu ngesitho sangasese, nangu umhlahlandlela wakho wobulili obuphephile.)

"Noma ngabe wenza ucansi oluphephile, udinga ukuhlolwa kanye ngonyaka noma ngemuva kwabo bonke abalingani abasha," kusho uDkt Ross. Yebo, noma ngabe usebudlelwaneni bomuntu oyedwa! (Ngeshwa, ukukopela kuyenzeka). Uyanezela: Uma unezimpawu ezithile kungcono uhlolwe — noma ngabe uhlolwa cabanga yi- "nje" i-BV noma ukutheleleka kwemvubelo-ngoba ukuphela kwendlela yokwazi ngokuqinisekile ukuthi hlobo luni lokutheleleka onalo ukuya kudoc. Futhi, ngaleyo ndlela, uma yenza une-STD, ungayithola emikhondweni yayo futhi uyelaphe.

Ngizokusho futhi kubantu abangemuva: i-STD ayikwazi ukuzihambela yodwa.

Kulezi zinsuku, ziningi izindlela ongahlolwa ngazo ngezindleko eziphansi noma mahhala. "Izinhlelo eziningi zomshuwalense zibandakanya ukuhlolwa kwe-STI, kufaka phakathi izinhlelo zeMedicaid. Futhi iPlanished Parenthood, iMinyango Yezempilo Yasekhaya, namanye amakolishi namanyuvesi azonikeza ukuhlolwa kwama-STI mahhala," kusho uDkt Ingber. Ngakho-ke, asikho isizathu sokungahlali phezu kwempilo yakho yezocansi.

Buyekeza kwe-