Kodi Muyenera Kuyesedwadi kangati ndi matenda opatsirana pogonana?

Zamkati

• Kodi Muyenera Kuyesedwa kangati Matenda Opatsirana pogonana
• Momwe Mungayezetsere matenda opatsirana pogonana
• Onaninso za

Mitu, azimayi: Kaya ndinu osakwatiwa komanso ~ osakanikirana ~, muli pachibwenzi chachikulu ndi bae, kapena mwakwatirana ndi ana, ma STD ayenera kukhala pa radar yanu yokhudza kugonana. Chifukwa chiyani? Mitengo ya STD ku US ndiyokwera kwambiri kuposa kale lonse, ndipo chlamydia ndi gonorrhea zili panjira yakukhala superbugs zosagwira maantibayotiki. (Ndipo, inde, ndizowopsa monga zimamvekera.)

Ngakhale kuti nkhani zoipa za STD zikuchulukirachulukira, ndi amayi ochepa kwambiri amene amapimidwa matenda opatsirana pogonana. Kafukufuku waposachedwa wa Quest Diagnostics adapeza kuti 27% ya atsikana samakhala omasuka kukambirana zakugonana kapena kuyezetsa matenda opatsirana pogonana ndi adotolo, ndipo 27% ina amawauza kuti amanama kapena amapewa zokambirana zokhudzana ndi kugonana kwawo, monga momwe tidagwirira nawo "Chifukwa Chokhumudwitsa Atsikana Sakuyesedwa Kwa Matenda Opatsirana pogonana. " Izi ndichifukwa choti pamakhala manyazi mozungulira ma STD-monga lingaliro loti ngati mutenga kachilomboka, ndinu odetsedwa, opanda ukhondo, kapena muyenera kuchita manyazi ndi zomwe mumachita.

Koma zenizeni ndi-ndipo izi zidzawombera malingaliro anu-anthu akugonana (!!!). Ndi gawo labwino kwambiri komanso labwino. (Ingoyang'anani maubwino onse azaumoyo ogonana.) Ndi kugonana kulikonse konse Ikuyika pachiwopsezo cha matenda opatsirana pogonana. Samasankha pakati pa "abwino" kapena "oyipa", ndipo mutha kusankha ngati mwagona ndi anthu awiri kapena 100.

Ngakhale simukuyenera kuchita manyazi ndi zochitika zogonana kapena matenda opatsirana pogonana, muyenera kutenga nawo mbali. Gawo loti mukhale wamkulu wogonana ndikusamalira thanzi lanu-ndipo izi zimaphatikizapo kuchita zogonana motetezeka ndikupeza mayeso oyenera a STD-chifukwa chanu komanso chifukwa cha onse omwe muli nawo.

Ndiye kodi mumafunika kuyezetsa kangati? Yankho lake lingakudabwitseni.

Kodi Muyenera Kuyesedwa kangati Matenda Opatsirana pogonana

Kwa amayi, yankho limatengera zaka zanu komanso chiwopsezo chanu chakugonana, atero a Marra Francis, MD, a board-certified ob-gyn komanso director wamkulu wazachipatala ku EverlyWell, kampani yoyesa labu kunyumba. (Chodzikanira: Ngati muli ndi pakati, muli ndi malingaliro osiyanasiyana. Popeza muyenera kuwona ob-gyn mulimonse, atha kukutsogolerani pamayeso oyenera.)

Malangizo apano malinga ndi Centers for Disease Control and Prevention (CDC) ndi US Preventive Services Task Force (USPSTF) - pamlingo wawo wofunikira kwambiri ndi awa:

• Aliyense amene amagonana mosadziteteza kapena kugawana zida za jakisoni ayenera kuyezetsa kachilombo ka HIV kamodzi pachaka.
• Azimayi ogonana omwe ali ndi zaka zosakwana 25 ayenera kulandira chlamydia ndi gonorrhea pachaka.Chisoni ndi chlamydia ndizokwera kwambiri m'gulu lazaka zomwe zimalangizidwa kuti muyesedwe ngati muli "oopsa" kapena ayi.
• Amayi ogonana azaka zopitilira 25 ayenera kulandira mayeso apachaka a chlamydia ndi gonorrhea ngati atachita "chiwerewere chowopsa" (onani pansipa). Gonorrhea ndi chlamydia mitengo imatsika atakwanitsa zaka 25, koma ngati mukuchita zachiwerewere "zowopsa," muyenera kuyesedwabe.
• Azimayi akuluakulu safunikira kuyezetsa chindoko mwachizolowezi pokhapokha atagonana mosadziteteza ndi mwamuna amene amagonana ndi amuna anzawo, akutero Dr. Francis. Izi ndichifukwa choti abambo omwe amagonana ndi abambo ndiwo ambiri omwe amatenga kachilombo ndikufalitsa chindoko, atero Dr. Francis.Amayi omwe sagwirizana ndi amuna omwe amakwaniritsa izi ali pachiwopsezo chochepa kuti kuyesa sikofunikira.
• Amayi azaka zapakati pa 21 mpaka 65 ayenera kuyesedwa ndi cytology (Pap smear) zaka zitatu zilizonse, koma kuyezetsa HPV kuyenera kuchitidwa kwa amayi azaka zapakati pa 30+. Chidziwitso: Malangizo pakuwunika kwa HPV amasintha pafupipafupi, ndipo doc yanu ingakulimbikitseni zina zosiyana kutengera chiopsezo chanu chogonana kapena zotsatira zamayeso am'mbuyomu, atero Dr. Francis. Komabe, HPV imapezeka kawirikawiri mwa achinyamata - omwe ali ndi mwayi waukulu wothana ndi kachilomboka motero amakhala ndi chiopsezo chochepa chokhala ndi khansa ya khomo lachiberekero - kotero kuti zimapangitsa kuti pakhale ma colposcopies ambiri osafunikira, chifukwa chake malangizowo sizifunika kuyezetsa HPV musanakwanitse zaka 30. Awa ndi malangizo aposachedwa ochokera ku CDC.)
• Amayi obadwa pakati pa 1945 ndi 1965 ayenera kuyezetsa matenda a hepatitis C, atero Dr. Francis.

"Khalidwe loopsa lachiwerewere" limaphatikizapo izi: Kugonana ndi bwenzi latsopano popanda kugwiritsa ntchito kondomu, zibwenzi zambiri m'kanthawi kochepa osagwiritsa ntchito kondomu, kugonana ndi anthu omwe amagwiritsa ntchito mankhwala osokoneza bongo omwe amafunikira singano za hypodermic, kugonana ndi aliyense wochita uhule, komanso kugonana kumatako (chifukwa Pali zambiri zomwe zawonongeka mpaka kuthyola khungu ndi kufalitsa madzi amthupi), atero Dr. Francis. Ngakhale "khalidwe lowopsa logonana" likuwoneka ngati lamanyazi-y, mwina limakhudza anthu ambiri: Dziwani kuti kugonana ndi munthu m'modzi watsopano popanda kondomu kumakuyikani m'gululi, choncho dziyeseni moyenerera.

Ngati simuli pabanja, pali lamulo limodzi lalikulu lomwe muyenera kudziwa: Muyenera kukayezetsa mutagonana ndi munthu wina aliyense wopanda chitetezo. "Ndikupangira kuti ngati mwagonana mosadziteteza ndipo mukuda nkhawa kuti mutha kudwala matenda opatsirana pogonana, kuti mukayezetse pakatha sabata imodzi kuchokera pamene wakhudzidwa koma kachiwiri pakadutsa milungu isanu ndi umodzi kenako miyezi isanu ndi umodzi," atero a Pari Ghodsi, MD. ob-gyn ku Los Angeles ndi mnzake wa American College of Obstetricians and Gynecologists.

Chifukwa chiyani muyenera kuyezetsa nthawi zambiri? "Chitetezo chanu cha m'thupi chimatenga nthawi kuti apange ma antibodies," akutero Dr. Francis. Makamaka ndi matenda opatsirana pogonana (monga chindoko, hepatitis B, hepatitis C, ndi HIV). Amenewo angatenge milungu ingapo kuti abwererenso. Komabe, matenda ena opatsirana pogonana (monga chlamydia ndi chinzonono) amatha kupereka zizindikilo ndikuyesedwa m'masiku ochepa chabe atadwala, akutero. Momwemo, muyenera kuyezetsa musanayambe kapena mutatha bwenzi latsopano, ndi nthawi yokwanira yodziwa kuti mulibe matenda opatsirana pogonana kuti musadutse matenda opatsirana pogonana, akutero.

Ndipo ngati muli paubwenzi wa mkazi mmodzi, muyenera kukumbukira: Pali malingaliro osiyanasiyana kwa anthu omwe ali ndi maubwenzi okwatirana ndi mwamuna mmodzi komanso omwe ali ndi chiopsezo cha kusakhulupirika. Yang'anani kudzikonda kwanu pakhomo; ngati mukuganiza kuti pali mwayi woti mnzanuyo akhale wosakhulupirika, ndibwino kuti mukayezetse m'dzina la thanzi lanu. "Tsoka ilo, ngati pangakhale chodetsa nkhaŵa chakuti bwenzi lanu likupita kunja kwa chibwenzi kukagonana, ndiye kuti muyenera kutsatira kuwunika kwa anthu omwe ali pachiwopsezo," akutero Dr. Francis.

Momwe Mungayezetsere matenda opatsirana pogonana

Choyamba, zimapindulitsa kudziwa momwe madokotala amayesera mtundu uliwonse wa STD:

• Gonorrhea ndi chlamydia zimayang'aniridwa pogwiritsa ntchito kachilombo ka chiberekero.
• HIV, hepatitis, ndi syphilis zimayezedwa ndikayezetsa magazi.
• HPV nthawi zambiri imayesedwa pa Pap smear. (Ngati pap smear yanu ikuwonetsa zotsatira zosazolowereka, adokotala angakulimbikitseni kuti mupeze colposcopy, ndipamene dokotala amakayang'anitsani khomo pachibelekeropo kuti apeze HPV kapena ma cell a khansa. cotesting, zomwe zili ngati mayeso onse awiri m'modzi.)
• Herpes amayesedwa ndi chikhalidwe cha zilonda zakumaliseche (ndipo nthawi zambiri zimangoyesedwa mukakhala ndi zizindikiro). "Magazi anu amathanso kufufuzidwa kuti muwone ngati mwakhalapo ndi kachilombo ka herpes, koma izi sizikukuwuzani ngati kuwonekera kunali kwamkamwa kapena maliseche, ndipo matumbo am'mimba ndiofala kwambiri," akutero Dr. Ghodsi. (Onani: Chilichonse Chimene Muyenera Kudziwa Zokhudza Matenda Opatsirana Pakamwa)

Onani dokotala wanu: Inshuwaransi yanu imangotenga zowunikira zapachaka, kapena zimakhudza "kuwerengera nthawi" pafupipafupi kutengera zoopsa zanu, atero Dr. Francis. Koma zimatengera dongosolo lanu, chifukwa chake funsani omwe amakupatsani inshuwaransi.

Pitani kuchipatala: Ngati kugunda ob-gyn kwanu sikungakhale koyenera nthawi iliyonse yomwe mukufuna kukayezetsa (pali vuto ladziko lonse la ob-gyn, pambuyo pake), mutha kugwiritsa ntchito masamba ngati CDC kapena LabFinder.com kuti mupeze mayeso a STD malo pafupi ndi inu.

Chitani izi kunyumba: Mulibe nthawi (kapena kutchera) kuti mupite kuchipatala IRL? Mwamwayi, kuyesa kwa STD kukukhala kosavuta kuposa kale, chifukwa cha mitundu yolunjika kwa ogula yomwe idayamba ndi zinthu monga mabras ndi tampons ndipo tsopano yafika kuchipatala. Mutha kuyitanitsa mayeso a STD kuti muchite kunyumba kwanu kuchokera kuntchito monga EverlyWell, myLAB Box, ndi iDNA Yachinsinsi pafupifupi $ 80 mpaka $ 400, kutengera yomwe mumagwiritsa ntchito ndi ma STD angati omwe mumayesa.

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