Ingabe i-HPV ingadala umdlavuza womphimbo?

-Delile

• Ziyini izimpawu?
• Kubangelwa yini?
• Ubani osengozini?
• Kutholakala kanjani?
• Ilashwa kanjani?
• Ngingazivikela kanjani?
• Lithini izinga lokusinda?

Uyini umdlavuza womphimbo we-HPV-positive?

I-human papilloma virus (HPV) uhlobo lwesifo esithathelwana ngocansi (STD). Yize imvamisa kuthinta izitho zangasese, ingavela nakwezinye izindawo. Ngokusho komtholampilo waseCleveland, kunama-subtypes angaphezu kwama-40 we-HPV yocansi ethinta izitho zangasese nomlomo / umphimbo.

I-subtype eyodwa ye-HPV yomlomo, ebizwa nge-HPV-16, ingadala umdlavuza womphimbo. Umdlavuza ovelayo kwesinye isikhathi ubizwa ngokuthi yi-HPV-positive cancer cancer. Qhubeka ufunde ukuze ufunde kabanzi ngezimpawu zomdlavuza womphimbo one-HPV nokuthi ungazivikela kanjani.

Ziyini izimpawu?

Izimpawu zomdlavuza womphimbo we-HPV-positive ziyefana nezomdlavuza womphimbo we-HPV-negative. Kodwa-ke, kutholakale ukuthi umdlavuza womphimbo we-HPV ubangela amacala amaningi okuvuvukala kwentamo. Ucwaningo olufanayo luphethe ngokuthi umphimbo obuhlungu uvame kakhulu kumdlavuza womphimbo we-HPV-negative, yize futhi kungaba uphawu lomdlavuza womphimbo we-HPV.

Ezinye izimpawu zomdlavuza womphimbo we-HPV-positive zifaka:

• ama-lymph node avuvukile
• izindlebe
• ulimi oluvuvukele
• ubuhlungu lapho ugwinya
• ukushaqeka
• ukuba ndikindiki ngaphakathi komlomo wakho
• izigaxa ezincane ngaphakathi komlomo wakho nasentanyeni yakho
• ekhwehlela igazi
• amabala abomvu noma amhlophe kumalaka akho
• ukuncipha kwesisindo okungaqondakali

I-Oral HPV ingaba nzima ukuyithola kusaqalwa. Lokhu kungenxa yokuntuleka kwezimpawu ezibonakalayo. Ngaphezu kwalokho, akuwona wonke amacala we-HPV yomlomo aphenduka izingqinamba zezempilo. Eqinisweni, iHarvard Health ilinganisela ukuthi abantu abaningi abanazo nhlobo izimpawu, futhi ukutheleleka kuyazixazulula kungakapheli iminyaka emibili.

Kubangelwa yini?

I-HPV yomlomo ivame ukudluliselwa ngocansi lomlomo, kodwa akucaci ukuthi yini ebangela ukuthi ikhule ibe ngumdlavuza womphimbo. Olunye ucwaningo luphakamisa ukuthi ukuba nabalingani abaningi bezocansi kuxhunyaniswe nomdlavuza womphimbo we-HPV-positive. Kodwa-ke, kudingeka izifundo eziningi ukuqonda kahle ubudlelwano phakathi komdlavuza womphimbo we-HPV-positive kanye nenani labalingani bobulili owake waba nabo.

Khumbula ukuthi izimo eziningi ze-HPV yomlomo azibangeli zimpawu, okwenza kube lula ngomuntu ukuthi ayidlulisele kumlingani wakhe ngokungazi. Kungathatha futhi iminyaka ukuthi umdlavuza womphimbo ukhule kusuka ekungenweni yi-HPV. Zombili lezi zinto zenza kube nzima ukugcizelela izimbangela ezingaba khona.

Ubani osengozini?

ICleveland Clinic ilinganisela ukuthi lelo phesenti labantu abadala ligcina linezifo ze-HPV-16. Ngaphezu kwalokho, cishe izingxenye ezimbili kwezintathu zawo wonke umdlavuza womphimbo uqukethe izinhlobo ze-HPV-16. Kungakho ukuba ne-HPV yomlomo kubhekwa njengengozi enamandla yomdlavuza womphimbo. Noma kunjalo, iningi labantu abanezifo ze-HPV-16 abagcini ngokuthola umdlavuza womphimbo.

Ucwaningo lwango-2017 luphinde lwathola ukuthi ukubhema kungaba yinto ebalulekile engcupheni. Ngenkathi ukubhema kungabangeli umdlavuza womphimbo we-HPV-positive, ukubhema nokuba nokutheleleka nge-HPV okusebenzayo kungandisa ubungozi bakho bomangqamuzana lomdlavuza. Ukubhema futhi kwandisa ingozi yokuba nomdlavuza womphimbo ongemuhle we-HPV.

Ngaphezu kwalokho, ngokusho kwe-, ukutheleleka ngomlomo kwe-HPV kwakuvame kakhulu ukwedlula amadoda kwabesifazane kunabesifazane, ukutheleleka ngomlomo kwe-HPV okuyingozi kakhulu kwakuvame kakhulu kubantu besilisa kahlanu, kanti i-HPV yomlomo yayivame ngokuphindwe kayisithupha emadodeni.

Kutholakala kanjani?

Akukho sivivinyo esisodwa sokuthola umdlavuza womlomo we-HPV noma we-HPV-positive kusenesikhathi. Udokotela wakho angahle abone izimpawu zomdlavuza womphimbo noma i-HPV yomlomo ngesikhathi sokuhlolwa okujwayelekile. Kwezinye izimo, kutholakala izimpawu zomdlavuza womphimbo ngesikhathi sokuqokwa kwamazinyo. Imvamisa, umdlavuza utholakala ngemuva kokuba umuntu enezimpawu.

Noma ungenazo izimpawu, udokotela wakho angancoma ukuhlolwa komdlavuza womlomo uma usengozini yokuwukhulisa. Lokhu kufaka ukuhlolwa komzimba ngaphakathi komlomo wakho nokusetshenziswa kwekhamera encane ukubheka ngemuva komphimbo wakho kanye nezintambo zakho zezwi.

Ilashwa kanjani?

Ukwelashwa komdlavuza womphimbo we-HPV-positive kufana kakhulu nokwelashwa kwezinye izinhlobo zomdlavuza womphimbo. Ukwelashwa komdlavuza womphimbo we-HPV-positive ne-non-HPV kuyafana. Umgomo ekwelashweni ukuqeda amangqamuzana omdlavuza azungeze indawo yomphimbo ukuze angasabalali noma abangele ezinye izinkinga. Lokhu kungafezwa ngokunye noma okuningi kokulandelayo:

• ukwelashwa ngamakhemikhali
• ukwelashwa ngemisebe
• ukuhlinzwa ngamarobhothi, okusebenzisa i-endoscopy nezinsimbi ezimbili ezilawulwa ngamarobhothi
• ukukhishwa kokuhlinzwa kwamangqamuzana omdlavuza

Ngingazivikela kanjani?

Unganciphisa ubungozi bokuthola umdlavuza womphimbo ohlobene ne-HPV noma i-HPV ngokuthatha izixwayiso ezimbalwa. Khumbula, i-HPV kaningi ayibangeli zimpawu, ngakho-ke kubalulekile ukuthi uzivikele noma ngabe kubonakala sengathi othile akanayo i-HPV.

Landela lawa macebiso ukunciphisa ubungozi bakho:

• Sebenzisa ukuvikela uma wenza ucansi, kufaka phakathi amakhondomu namadamu wamazinyo ngesikhathi socansi lomlomo.
• Gwema ukubhema nokuphuza kakhulu utshwala, okungenza ingozi yakho yokuba nomdlavuza womphimbo we-HPV uma unayo i-HPV.
• Buza udokotela wamazinyo wakho ukuthi ahlole noma yini engajwayelekile, njengamachashazi okuguqulwa kombala, emlonyeni wakho ngesikhathi sokuhlanza amazinyo njalo.Futhi, hlola umlomo wakho njalo esibukweni nganoma yini engajwayelekile, ikakhulukazi uma uya ocansini ngomlomo kaningi. Yize lokhu kungeke kuvimbele umdlavuza ohlobene ne-HPV kusuka ekukhuleni, kungasiza ukuwukhomba ngaphambili.
• Uma uneminyaka engama-45 noma ngaphansi, khuluma nodokotela wakho ngomuthi wokugoma we-HPV uma ungakawutholi phambilini.

Lithini izinga lokusinda?

Umdlavuza womphimbo we-HPV uvame ukuphendula kahle ekwelashweni, futhi abantu okutholakala ukuthi banayo banezinga lokusinda ngaphandle kwezifo ngamaphesenti angama-85 kuye kwangama-90. Lokhu kusho ukuthi iningi lalaba bantu liyaphila futhi alinomdlavuza eminyakeni emihlanu selitholakele.

Cishe abantu abangamaphesenti ayi-7 e-United States abaphakathi kweminyaka eyi-14 nengama-69 banesifo esihlobene ne-HPV emphinjeni, esingaphenduka umdlavuza womphimbo. Ukuzivikela ezifweni ze-HPV kubalulekile ekuvikeleni izinkinga zezempilo ezihlobene, kufaka phakathi umdlavuza womphimbo.

Uma uhlala wenza ucansi lomlomo, yiba nomkhuba wokuhlola njalo ingaphakathi lomlomo wakho, futhi uqiniseke ukuthi utshela udokotela wakho uma uthola noma yini engajwayelekile.