Kufanele * Uvivinywe Kangaki Ama-STD?

-Delile

• Kudingeka Kangakanani Ukuhlolelwa Ama-STD
• Ungahlolwa Kanjani Izifo Ezithathelwana Ngocansi
• Buyekeza kwe-

Siyakwazisa, makhosikazi: Noma ngabe awukashadi futhi ~ uxubana ~, ebudlelwaneni obunzima ne-bae, noma ushade nezingane, ama-STD kufanele abe kwi-radar yakho yezempilo yezocansi. Kungani? Amazinga e-STD e-US aphakeme kunanini ngaphambili, futhi i-chlamydia ne-gonorrhea zisendleleni yazo yokuba ama-superbugs amelana nama-antibiotic. (Futhi, yebo, lokho kuyethusa njengoba kuzwakala.)

Naphezu kwegagasi lezindaba ezimbi ze-STD, bambalwa kakhulu abesifazane abahlolwa izifo ezithathelwana ngocansi. Inhlolovo yakamuva eyenziwe yi-Quest Diagnostics ithole ukuthi amaphesenti angama-27 abesifazane abasebasha abazizwa bekhululekile ukukhuluma ngocansi noma ukuhlolwa kwe-STD nodokotela wabo, futhi abanye abangamaphesenti angama-27 babika amanga noma agwema izingxoxo mayelana nomsebenzi wabo wocansi, njengoba sihlanganyele kwesithi "Isizathu Esicasulayo." Abesifazane Abancane Abahlolelwa izifo ezithathelwana ngocansi. " Lokho kungenxa yokuthi kusekhona inhlamba ezungeze ama-STD-njengombono wokuthi uma uthola eyodwa, ungcolile, awuhlanzekile, noma kufanele uzizwe unamahloni ngokuziphatha kwakho ngokocansi.

Kepha iqiniso liwukuthi-futhi lokhu kuzoshaya ingqondo-yakho abantu benze ucansi (!!!). Kuyingxenye enempilo futhi emangalisayo emangalisayo yempilo. (Bheka nje zonke izinzuzo ezisemthethweni zezocansi.) Nanoma yikuphi ukuxhumana kocansi kube bonke kukubeka engozini yama-STD. Ababandlululi phakathi kwabantu "abalungile" noma "ababi", futhi ungakhetha eyodwa ukuthi ulale nabantu ababili noma abayikhulu.

Noma kungafanele uzizwe unamahloni ngomsebenzi wakho wezocansi noma isimo se-STD, udinga ukuzibophezela ngakho. Ingxenye yokuba ngumuntu omdala ocansini ukunakekela impilo yakho yezocansi-futhi lokho kubandakanya ukwenza ucansi oluphephile nokuthola izivivinyo ze-STD ezifanele-ngenxa yakho nangenxa yawo wonke umuntu onaye.

Ngakho-ke udinga kangaki ukuthi uhlolwe? Impendulo ingase ikumangaze.

Kudingeka Kangakanani Ukuhlolelwa Ama-STD

Kwabesifazane, impendulo incike kakhulu kubudala bakho nasengozini yokuziphatha kwakho ngokocansi, kusho uMarra Francis, MD, ob-gyn oqinisekisiwe webhodi nomqondisi wezokwelapha ophethe e-EverlyWell, inkampani yokuhlola ilebhu yasekhaya. (Ukuzikhulula: Uma ukhulelwe, unezincomo ezihlukile. Njengoba kufanele ubone i-ob-gyn noma kunjalo, bazokwazi ukukuqondisa ezivivinyweni ezifanele.)

Imihlahlandlela yamanje ngokusho kwamaCenter for Disease Control and Prevention (CDC) kanye ne-U.S. Preventive Services Task Force (USPSTF) - ezingeni labo eliyisisekelo - imi kanje:

• Noma ngubani owenza ucansi olungavikelekile noma owabelana ngemishini yomjovo wokujova kufanele ahlolwe i-HIV okungenani kanye ngonyaka.
• Abesifazane abasebenza ngokocansi abaneminyaka engaphansi kwengama-25 kufanele bathole ukuhlolwa kwaminyaka yonke kwe-chlamydia ne-gonorrhea. Izinga le-gonorrhea ne-chlamydia liphezulu kakhulu kuleli qembu leminyaka kangangokuba kunconywa ukuthi uhlolwe ukuthi ngabe "uyingozi" noma cha.
• Abesifazane abahlanganyela ocansini abaneminyaka engaphezu kwengama-25 kufanele bathole ukuhlolwa konyaka kwe-chlamydia ne-gonorrhea uma bengena "ekuziphatheni okuyingozi kocansi" (bheka ngezansi). Izinga le-gonorrhea ne-chlamydia liyehla ngemva kweminyaka engu-25, kodwa uma uhlanganyela ekuziphatheni kocansi "okuyingozi", kufanele uhlolwe.
• Abesifazane asebekhulile abadingi ukuhlolwa kochwepheshe njalo ngaphandle uma beya ocansini olungaphephile nowesilisa olala namanye amadoda, kusho uDkt Francis. Lokhu kungenxa yokuthi abesilisa abaya ocansini nabesilisa yibona bantu abaningi okungenzeka ukuthi bathole futhi basakaze ugcunsula, kusho uDkt. Francis.Abesifazane abangaxhumani nowesilisa ohlangabezana nalezi zindlela basengozini ephansi kangako yokuthi ukuhlolwa akudingekile.
• Abesifazane abaneminyaka engama-21 kuya kwengama-65 kufanele bahlolwe nge-cytology (i-Pap smear) njalo eminyakeni emithathu, kepha ukuhlolwa kwe-HPV kufanele kwenziwe kuphela kwabesifazane abaneminyaka engama-30 nangaphezulu. Qaphela: Imihlahlandlela yokuhlolwa kwe-HPV ishintsha kaningi, futhi udokotela wakho angase ancome okuthile okuhlukile ngokusekelwe engcupheni yakho yocansi noma imiphumela yokuhlolwa yangaphambilini, kusho uDkt. Francis. Kodwa-ke, i-HPV itholakala kakhulu kubantu abadala - abanethuba elikhulu lokulwa naleli gciwane ngakho-ke banobungozi obuncane bokuthola umdlavuza womlomo wesibeletho kuwo - lokho kubangela ama-colposcopy amaningi angenasidingo, yingakho imihlahlandlela ejwayelekile yenza lokho Akudingi ukuhlolwa kwe-HPV ngaphambi kokuba ube neminyaka engama-30. Lezi imihlahlandlela yamanje evela ku-CDC.)
• Abesifazane abazalwa phakathi kuka-1945 no-1965 kufanele bahlolelwe i-hepatitis C, kusho uDkt. Francis.

"Ukuziphatha okuyingozi kobulili" kufaka phakathi noma yikuphi okulandelayo: Ukuhlanganyela ocansini nomlingani omusha ngaphandle kokusebenzisa ikhondomu, abalingani abaningi ngesikhathi esifushane ngaphandle kokusebenzisa ikhondomu, ukuya ocansini nabantu abasebenzisa izidakamizwa zokuzithokozisa ezidinga izinaliti ze-hypodermic, ukuya ocansini nanoma ubani owenza ubufebe, nokwenza ucansi lwendunu (ngoba kukhona umonakalo omkhulu kakhulu owenziwe njengokuqhekeka kwesikhumba nokudluliswa ketshezi lomzimba), kusho uDkt. Francis. Noma ngabe "ukuziphatha okuyingozi kocansi" kuzwakala kuyihlazo-ke, kungenzeka kusebenza kubantu abaningi: Qaphela ukuthi ukuya ocansini nomuntu omusha oyedwa ngaphandle kwekhondomu kukubeka esigabeni, ngakho zihlole ngokufanele.

Uma ungashadile, kunomthetho owodwa odinga ukuwazi: Kufanele uhlolwe njalo emva komlingani omusha ocansini ongazivikele. "Ngincoma ukuthi uma uya ocansini ungazivikele futhi ukhathazekile ngokuchayeka kwi-STI, ukuthi uhlolwe kungakapheli isonto ubonisiwe kodwa futhi emasontweni ayisithupha bese kuba izinyanga eziyisithupha," kusho uPari Ghodsi, MD, oqinisekiswe yibhodi ob-gyn eLos Angeles kanye nozakwabo we-American College of Obstetricians and Gynecologists.

Kungani kufanele uhlolwe izikhathi eziningi kangaka? “Isimiso sakho sokuzivikela ezifweni sithatha isikhathi ukwakha amasosha omzimba,” kusho uDkt. Francis. "Ikakhulukazi ngezifo ezithathelwana ngocansi ezithwalwa ngegazi (njenge-syphilis, hepatitis B, hepatitis C, ne-HIV). Lokho kungathatha amasonto ambalwa ukubuya ngiphilile." Kodwa-ke, amanye ama-STD (njenge-chlamydia ne-gonorrhea) angabonisa izimpawu futhi ahlolwe ezinsukwini ezimbalwa zokutheleleka, usho kanjalo. Okufanelekile, kufanele uhlolwe ngaphambi nangemva komlingani omusha, unesikhathi esanele sokwazi ukuthi awunaso isifo se-STD ukuze ungadluli ama-STD emuva naphambili, usho kanjalo.

Futhi uma usebudlelwaneni bomuntu oyedwa, udinga ukukhumbula: Kunezincomo ezehlukene zabantu abasebudlelwaneni bomuntu oyedwa nobudlelwano bomuntu oyedwa kanye nengozi yokungathembeki. Hlola i-ego yakho emnyango; uma ucabanga ukuthi kukhona nethuba lokuthi umlingani wakho angathembeki, ungcono ukuthi uhlolwe egameni lempilo yakho. "Ngeshwa, uma kuke kwaba khona ukukhathazeka ngophathina ohamba ngaphandle kobudlelwano nganoma yikuphi ukuxhumana kocansi, kufanele-ke ulandele ukuhlolwa okujwayelekile kwabantu abasengozini," kusho uDkt Francis.

Ungahlolwa Kanjani Izifo Ezithathelwana Ngocansi

Okokuqala, kukhokha ukwazi ukuthi odokotela baluhlola kanjani uhlobo ngalunye lwe-STD:

• I-gonorrhea ne-chlamydia ziyahlolwa kusetshenziswa i-swab yomlomo wesibeletho.
• I-HIV, i-hepatitis, ne-syphilis zihlolwa ngokuhlolwa kwegazi.
• I-HPV ivame ukuhlolwa ngesikhathi kwenziwa iPap smear. (Uma i-pap smear yakho ikhombisa imiphumela engajwayelekile, udokotela wakho angakutusa ukuthi uthole i-colposcopy, okuyilapho udokotela wakho ehlola umlomo wakho wesibeletho i-HPV noma amaseli anomdlavuza. Ungathola futhi ukuhlolwa kwe-HPV okuhlukile kwe-pap smear ejwayelekile, noma i-Pap ne-HPV cotesting, okufana nokuhlolwa kokubili kokukodwa.)
• I-Herpes ihlolwa ngesiko lesilonda sangasese (futhi imvamisa ihlolwa kuphela uma unezimpawu). "Igazi lakho lingabhekwa futhi ukuthi ngabe wake waba sengozini yegciwane le-herpes, kodwa futhi lokhu akukutsheli ukuthi ukuvezwa kwakungumlomo noma isitho sangasese, futhi i-herpes yomlomo ivame kakhulu," kusho uDkt Ghodsi. (Bheka: Konke Odinga Ukukwazi Ngama-STD Omlomo)

Bona idokhumenti yakho: Umshwalense wakho ungakhava kuphela ukuhlolwa kwaminyaka yonke, noma ungakhava "ukuhlolwa kwesikhashana" kaningi kuye ngezici zakho zobungozi, kusho uDkt. Francis. Kodwa konke kuncike ohlelweni lwakho, ngakho bheka umhlinzeki wakho womshwalense.

Vakashela umtholampilo: Uma ukushaya i-ob-gyn yakho kungeyona inketho ngaso sonke isikhathi lapho udinga ukuhlolwa (kukhona ukushoda kwe-ob-gyn ezweni lonke, ngemuva kwakho konke), ungasebenzisa amasayithi afana neCDC noma iLabFinder.com ukuthola ukuhlolwa kwe-STD indawo eduze nawe.

Kwenze ekhaya: Awunaso isikhathi (noma i-gumption) yokuya emtholampilo we-IRL? Ngenhlanhla, ukuhlolwa kwe-STD kuba lula kunangaphambili, ngenxa yamamodeli aqonde kumthengi aqale ngemikhiqizo efana nobhodisi nama-tampons futhi manje asefinyelele ukunakekelwa kwezempilo kwezocansi. Ungakwazi uku-oda ukuhlolwa kwe-STD ukuthi kwenziwe khona kanye ekhaya lakho kusukela kumasevisi afana ne-EverlyWell, i-myLAB Box, ne-Private iDNA cishe ngo-$80 kuya ku-$400, kuye ngokuthi iyiphi oyisebenzisayo nokuthi mangaki ama-STD owahlolela.

Buyekeza kwe-