Ma STI Anu 13 Omwe Ali Ndi Maganizo Ambiri, Akuyankhidwa
Zamkati
- Kodi pali kusiyana kotani pakati pa matenda opatsirana pogonana ndi matenda opatsirana pogonana?
- Mukanena kuti 'yesani chilichonse' iwo, chabwino, yesani chilichonse, sichoncho?
- Amangoyesa matenda opatsirana pogonana
- Chifukwa chiyani matenda ena opatsirana pogonana amasiyidwa?
- Sangayese mayeso opatsirana pogonana pokhapokha mukafunsa momveka bwino
- Kodi kondomu imateteza ku chilichonse?
- Kodi mungayesedwe mutangogonana?
- Kodi muyenera kuyezetsa kangati ngati muli ndi zibwenzi zingapo?
- Kodi mungayese kunyumba?
- Kodi cholinga cha Pap smear ndi chiyani?
- Kodi pali katemera aliyense yemwe mungapeze?
- Kodi mungadziwe bwanji kuti matenda anu ndi opatsirana pogonana, kapena china chake?
- Kodi matenda onse opatsirana pogonana amachiritsidwa?
- Mfundo yofunika
Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.
Ngati pali china chomwe mwachita Googled kuposa "kuphika mawere a nkhuku" ndi "kugonana amuna kapena akazi okhaokha" (ine ndekha ??), ndalama zimati "ndili ndi matenda opatsirana pogonana?" kapena funso lina lokhudza matendawa.
Ichi ndichifukwa chake tidayika limodzi bukuli lothandiza pa zaumoyo.
Kuchokera momwe mungachepetse chiopsezo chofalitsa matenda opatsirana pogonana kuti mufikire nthawi yayitali bwanji musanakayezeke mukatha kuwonekera, pendani pansi kuti mupeze mayankho a mafunso a STI mukudziwa mwakhala Mukuyenda.
Kodi pali kusiyana kotani pakati pa matenda opatsirana pogonana ndi matenda opatsirana pogonana?
Mukadakhala ndi mwayi wokhala ndi maphunziro ofanana ndi kugonana - kodi mumadziwa 30 ku 50 ku United States yomwe imakulamulirani? Zoopsa! - mwayi ndi wophunzitsa wanu wotchedwa zinthu monga chinzonono ndi herpes "matenda opatsirana pogonana," kapena matenda opatsirana pogonana mwachidule.
Koma penapake kuyambira pamenepo mpaka pano, mawuwo adapeza makeover.
Tsopano, zikuwoneka ngati aliyense akuwatcha iwo matenda opatsirana pogonana, kapena matenda opatsirana pogonana.
Ndiye pali kusiyana kotani? Malinga ndi Planned Parenthood, matenda amangotchedwa matenda akayambitsa zizindikiro, zomwe matenda ena opatsirana pogonana amachita!
- matenda opatsirana pogonana = matenda obwera chifukwa cha kugonana omwe ali wopanda chidziwitso
- matenda opatsirana pogonana = matenda obwera chifukwa chogonana omwe ali chizindikiro
“Ngati mwini maliseche ali ndi HPV koma pakadali pano alibe zisonyezo, ndi matenda opatsirana pogonana. Koma ngati [ayamba] kuyamba kukhala ndi zizindikilo, izi zitha kutchedwa matenda opatsirana pogonana, "akufotokoza Dr. Earim Chaudry, MRCGP, dokotala wamkulu komanso wamkulu wa zamankhwala pachipatala cha amuna's wellness platform.
"Mawuwa amagwiritsidwabe ntchito mofananamo m'malo ambiri," akutero Dr. Kristy Goodman, OB-GYN komanso woyambitsa mnzake komanso CEO wa PreConception. "Ndipo mabungwe ena monga CDC amangokhalira kuwatchula kuti matenda opatsirana pogonana."
Mukanena kuti 'yesani chilichonse' iwo, chabwino, yesani chilichonse, sichoncho?
Kwenikweni, cholakwika.
Amangoyesa matenda opatsirana pogonana
Matenda opatsirana pogonana osiyanasiyana amayesedwa kudzera m'njira zosiyanasiyana.
- Chlamydia ndi gonorrhea zimayesedwa kudzera mumkodzo.
- Hepatitis, herpes (HSV), HIV, ndi syphilis amayesedwa ndi magazi.
- Mankhwala a papillomavirus (HPV), HSV, trichomoniasis (“trich”), molluscum contagiosum, ndi nkhanambo amayesedwa pogwiritsa ntchito kupukuta kwa ma cell, mwina posinthana ndi dera lomwe lakhudzidwa kapena posinthana ndi zilonda kapena njerewere.
Kuti mukayezetse matenda opatsirana pogonanawa, muyenera kupeza magazi, mkodzo, ndi swab.
Ndipo (!) Muyeneranso kuuza dokotala wanu momveka bwino kuti mukufuna kukayezetsa matenda opatsirana pogonana, kuphatikizapo herpes, HPV, ndi HIV.
Zomwezi zimachitikanso ndi nsabwe, "nkhanu" ndi nkhanambo, zomwe akatswiri azaumoyo azimayi Dr. Sherry A. Ross, wolemba "She-ology" ndi "She-ology, The She-quel," akuti madokotala ambiri sangayese chifukwa pokhapokha mutakhala ndi chifukwa chokhulupirira kuti muli nacho (aka m'modzi mwa omwe mumagonana nawo ali nawo).
Chifukwa chiyani matenda ena opatsirana pogonana amasiyidwa?
Madokotala ambiri amasiya HSV pokhapokha wina atakhala ndi zilonda zowoneka, chifukwa zomwe sizimalimbikitsa iwo omwe alibe zizindikilo. Chifukwa chiyani?
Malinga ndi CDC, "Kupeza matenda opatsirana kumaliseche mwa munthu yemwe alibe zizindikiro sikuwonetsa kusintha kulikonse pamakhalidwe awo ogonana (mwachitsanzo, kuvala kondomu kapena kusagonana) komanso sikulepheretse kufalikira kwa kachilomboka."
Amawonjezeranso kuti ndizotheka kulandira zotsatira zabodza.
Kuyezetsa magazi nthawi zambiri kumasiyidwa kwa anthu omwe sali amaonedwa ngati "oopsa kwambiri." Malinga ndi, "chiopsezo chachikulu" chimaphatikizapo aliyense amene ali ndi:
- mbolo ndipo wagonana ndi munthu wina yemwe ali ndi mbolo
- anagonana kumatako kapena kumaliseche ndi munthu yemwe ali ndi HIV
- adagonana ndi anthu opitilira m'modzi kuyambira pomwe adawayeza kachilombo ka HIV
- wagwiritsa ntchito singano kapena kugwiritsa ntchito mankhwala osokoneza bongo
- kuchita chiwerewere
Tsoka ilo, madokotala ambiri alibe zokambirana zofunikira kuti adziwe ngati wina ali pachiwopsezo chachikulu kapena ayi. Izi pamapeto pake zikutanthauza kuti ndi anthu ochepa omwe amayesedwa kuposa momwe akuyenera kuyesedwa.
Kupitilira apo, chifukwa cha kusalidwa kwa kusala ndi kachirombo ka HIV ndi kachirombo ka HIV, odwala ena safuna kukhala ndi kachirombo ka HIV pazolembedwa zawo zamankhwala ndipo chifukwa chake sadzasaina chikalata chovomerezera chofunikira asanamuyese wina kachilombo ka HIV.
Kuyesedwa kwa HPV nthawi zambiri kumasiyidwa chifukwa chotsimikizika ndikuti eni maliseche azaka zapakati pa 30 mpaka 65 amangokhala ndi Pap smear yophatikiza ndi kuyesa kwa HPV komwe kumachitika zaka zisanu zilizonse.
Ngati zaka 5 zanu sizinathe, madokotala ambiri sangayese.
Sangayese mayeso opatsirana pogonana pokhapokha mukafunsa momveka bwino
Ndizowona, matenda opatsirana pogonana si chinthu!
"Matenda opatsirana pogonana amatha kupezeka m'malo am'mimbamo monga pakamwa, milomo, pakhosi, kapena anus," atero a board urologist komanso katswiri wazachipatala wazimayi Dr. Michael Ingber, ndi The Center for Specialised Women’s Health ku New Jersey.
"Zomwe zimafala kwambiri ndi ma herpes am'kamwa kapena nsungu zam'mphuno, condyloma (maliseche) omwe amatha kuwonekera mu anus, ndi pakhosi gonorrhea ndi chlamydia," akutero.
Madokotala ambiri sangachite pakhosi kapena kumatako pokhapokha mukawauza zakugonana komwe mwakhala mukuchita ndikupempha kuti mukayesedwe.
Kodi kondomu imateteza ku chilichonse?
Kugonana kumatako, kumaliseche, ndi mkamwa pakati pa anthu awiri omwe ali ndi maliseche, kapena pakati pa munthu wamwamuna ndi wamwamuna mmodzi, "makondomu ndi njira yabwino yothandizira kupewa kufalikira kwa matenda opatsirana pogonana panthawi yogonana," akutero Ross.
Komabe, si 100% oteteza kumatenda.
"Matenda opatsirana pogonana omwe amatha kufalikira kudzera pakhungu pakhungu - monga HSV, HPV, ndi trich - atha kupatsidwabe ndi dera lililonse lomwe silikuphimbidwa ndi kondomu," akufotokoza a Goodman.
Zomwezo zimachitika pokhudzana ndi ngozi iliyonse ndi khungu khungu lisanakhazikitsidwe.
Matenda opatsirana pogonana omwe amapezeka kudzera m'madzi amthupi - monga HPV, gonorrhea, chlamydia, HIV, ndi hepatitis B - amatha kupatsirana kudzera pakusinthana kwamadzi komwe kumachitika kale kondomu idavalidwa.
Mwachitsanzo, ngati nsonga ya mbolo yokhala ndi pre-cum itapukutidwa kumaliseche kapena kumatako kondomu isanachitike, kufalitsa matenda opatsirana pogonana kungachitike.
Ndiyeneranso kudziwa kuti kondomu za khungu la nyama siziteteza kumatenda opatsirana pogonana. Zili ndi mabowo omwe ndi akulu mokwanira kuti tinthu tating'onoting'ono todutsamo.
Makondomu sangateteze kufala kwa matenda opatsirana pogonana panthawi yogonana pakati pa eni maliseche awiri, kapena kugonana mkamwa kochitidwa ndi eni maliseche.
"Pamene eni maliseche awiri akugonana wina ndi mnzake, madamu a mano kapena makondomu obwezeretsedwanso ayenera kugwiritsidwa ntchito poyesa ndi kugonana m'kamwa kuti muchepetse chiopsezo," akutero a Goodman.
Zopinga monga magolovesi a nitrile ndi miphika yazala ziyenera kugwiritsidwa ntchito pazinthu monga kumenya nkhonya ndi zala.
Kodi mungayesedwe mutangogonana?
"Kuyesedwa mutangogonana sikungakupatseni chidziwitso chokhudza ngati mwapatsidwa matenda opatsirana pogonana kuchokera kwa anzanu omwe mwangogonana nawo," akutero a Goodman.
"Ngakhale atha kukupatsirani chidziwitso chokhudzana ndi matenda opatsirana pogonana kuchokera kwa bwenzi lanu lapamtima."
Ndi chifukwa chakuti matenda opatsirana pogonana ali ndi nthawi ya makulitsidwe. Ino ndi nthawi yapakati pomwe mumayamba kutengapo kachilomboka komanso pamene thupi lanu limazindikira ndikupanga mankhwala oteteza matendawa.
Ma antibodies awa ndi ofunikira kuti mayeso athe kuwonetsa zotsatira zabwino.
"Muyenera kudikirira sabata limodzi kapena awiri kuti mukayesedwe ndi chlamydia, gonorrhea, kapena trichomoniasis," akufotokoza a Goodman. "Ndipo kwa miyezi 1 mpaka 6 ya matenda opatsirana pogonana mutha kuyesa kudzera m'magazi, monga chindoko, HIV, ndi herpes."
Izi zati, ngati muli ndi zifukwa zokhulupirira kuti mudali ndi matenda opatsirana pogonana - mwachitsanzo, mudagonana popanda chotchinga ndi munthu yemwe ali ndi matenda opatsirana pogonana, kapena cholepheretsacho chidatha - lankhulani ndi omwe amakupatsani chithandizo chamankhwala.
Mukadakhala kuti muli ndi kachilombo ka HIV, omwe amakupatsirani mankhwalawa akhoza kukupatsani mankhwala ochepetsa mphamvu ya kachilombo koyambitsa matendawa (PEP).
Ngati mutamwa pasanathe maola 72 kuchokera pomwe mutha kupezeka, PEP ikhoza kukuthandizani kupewa kutenga kachirombo ka HIV.
Ngati mukadakhala kuti mukudwala chlamydia, chinzonono, kapena chindoko, omwe amakupatsirani mankhwalawa atha kukupatsirani mankhwala oletsa kupatsirana kwa anzawo.
Ndipo ngati mungapezeke ndi HSV, dokotala wanu akhoza kukupatsani mankhwala a propycylactic acyclovir kapena valacyclovir.
Mankhwalawa sangapewe kufalikira kwa matenda a herpes, koma amatha kuchepetsa chiopsezo cha kuphulika kwazizindikiro.
Kodi muyenera kuyezetsa kangati ngati muli ndi zibwenzi zingapo?
"Ndibwino kukayezetsa matenda opatsirana pogonana kamodzi pachaka, mutagonana mosadziteteza, kapena mutagonana ndi aliyense watsopano - chilichonse chomwe chimabwera koyamba," akutero Ross.
Chizindikiro chofala kwambiri cha matenda opatsirana pogonana sichizindikiro ngakhale pang'ono, chifukwa chake lamuloli likuyimira ngati mukukumana ndi matenda kapena ayi.
Kodi mungayese kunyumba?
Inde! Pali gulu la makampani azachipatala omwe amagwiritsa ntchito anzawo mosapita m'mbali omwe akuyesa mayeso opatsirana pogonana omwe mungachite kunyumba kwanu.
"Zida zambiri zapanyumba zapamwamba zimakhala zolondola mofanana ndi zomwe mungapeze ku ofesi ya dokotala," akutero a Ross.
Umu ndi momwe amagwirira ntchito. Mudza:
- Yankhani mafunso ena pa intaneti.
- Konzani mayeso omwe tsambalo limalimbikitsa.
- Tsatirani malangizowo (aka pendani chala chanu kukayezetsa magazi, pezani mu chubu, kapena swab mkati mwa nyini kapena anus).
- Tumizani zitsanzozo mu makalata.
- Pezani zotsatira zanu pa intaneti m'masiku ochepa.
Mukalandira zotsatira zabwino, ambiri amakampaniwa amakupatsani mwayi wodziwa zaumoyo kuti mukambirane zomwe mungachite.
Zosankha zodziwika bwino zimaphatikizapo zida zochokera ku:
- LetsGetChecked
- STD Chongani
- Nurx
- iDNA
Ngakhale ma kitsiwa ndiabwino kwa anthu omwe alibe mwayi wokhala ndi IRL doc, Ross akugogomezera kuti kulumikizana kwanu komwe mumakhala ndi dokotala ndikofunika kwambiri.
"Mukapita kwa dokotala, mumaperekedwanso kukayezetsa [m'chiuno], uphungu woyenera wa njira zolerera ndi kugonana kotetezeka, ndipo mumatha kukambirana mafunso omwe mungakhale nawo okhudzana ndi matenda opatsirana pogonana komanso matenda ena," akutero. Ross.
Kodi cholinga cha Pap smear ndi chiyani?
"Pap smear ndi kuyezetsa koyezetsa komwe kumachitika kwa anthu omwe ali ndi nyini kuti aone ngati ali ndi vuto lachiberekero lomwe lingatengeke ndi khansa ya pachibelekero komanso kuyang'ana HPV," akutero a Ross.
Kodi pali katemera aliyense yemwe mungapeze?
Pali katemera awiri opatsirana pogonana.
Imodzi ndi ya matenda a chiwindi a hepatitis B, omwe amaperekedwa atangobadwa kumene.
"Ndipo imodzi ya HPV, yotchedwa Gardasil-9, yomwe ingateteze ku mitundu 9 ya HPV yomwe imayambitsa 90% ya matenda onse a HPV," akufotokoza Ross.
Katemerayu ndi wa amuna kapena akazi onse azaka zapakati pa 9 ndi 45, ndipo amawupatsa muwiri kapena katatu.
Ndikulimbikitsidwa kuti ana alandire katemerayu ali ndi zaka 11 kapena 12, chifukwa chake amatetezedwa kotheratu asanagonane.
Kodi mungadziwe bwanji kuti matenda anu ndi opatsirana pogonana, kapena china chake?
Simungathe nokha! Kuti mudziwe, muyenera kupita kuchipatala.
"Zizindikiro zanu zitha kukhala zosonyeza matenda ena, ndichifukwa chake ndikofunikira kufunsa dokotala yemwe angakuthandizeni kudziwa zomwe zikuchitika," akutero Chaudry.
Kodi matenda onse opatsirana pogonana amachiritsidwa?
Matenda ambiri opatsirana pogonana amachiritsidwa. Izi zikutanthauza kuti bola mukawagwira molawirira ndikuwachitira bwino, amapita kwamuyaya.
Matenda opatsirana pogonana sali ngati katsabola. Kuchipeza kamodzi sikutanthauza kuti mulibe vuto lakutenganso.
"Matenda opatsirana pogonana monga HPV, herpes, hepatitis B, ndi HIV sizichiritsidwa ndipo azikhala mthupi lanu kwamuyaya," akutero Ross.
Komabe, matenda opatsirana pogonanawa amatha kuyendetsedwa ndi mankhwala. Izi zithandiza kuchepetsa zizindikilo zilizonse ndikuchepetsa chiopsezo chotumiza kwa anzanu, atero a Goodman.
Mfundo yofunika
Matenda opatsirana pogonana amachitika! Njira yokhayo yodziwira ngati muli nayo ndi kukayezetsa.
Ndipo, ngati mungasankhe njira yoyeserera muofesi, pitirizani kufunsa dokotala wanu zoletsa zaulere. Zipatala zambiri zimakhala ndi makondomu ndi madamu amano omwe amapereka popanda mtengo.
A Gabrielle Kassel ndi mlembi wa ku New York wogonana komanso wathanzi komanso Mphunzitsi wa CrossFit Level 1. Amakhala munthu wam'mawa, adayesa opitilira 200, ndikudya, kuledzera, ndikupaka makala - zonsezi mdzina la utolankhani. Munthawi yake yaulere, amapezeka kuti amawerenga mabuku azodzilankhulira ndi ma buku achikondi, kukanikiza benchi, kapena kuvina. Mutsatireni pa Instagram.