Zvirwere zvakawanda zvinogona kuvapo mumuviri kwenguva refu pasina kuzvipa. Izvi zvinosanganisira papillomavirus yevanhu. Maererano nehuwandu, makumi manomwe kubva muzana yevanhu vose vanotapukirwa nawo, asi vakawanda havazivi nezvazvo uye havazivi maitiro ekurapa vanhu papillomavirus.
Human papillomavirus - chii ichocho?
Ipapillomavirus yevanhu, kana, sezvo inowanzozivikanwa sechiremba, chirwere cheHIVV, iboka remavhakitiriya anonzi pathogenic anopararira munzvimbo yose. Masayendisiti akawana marudzi anopfuura zana eVVV. Panguva imwecheteyo, inenge 13 yezvose inowanikwa yakawedzera kushaya kemukari - inokurudzira kukura kwekenza. Chirwere chacho chinokurumidza kupararira zvepabonde, saka hutachiona hwehutachiona hwakanyoreswa nevasikana nevanasikana mushure mokupinda mune zvepabonde.
Zvinofanira kuonekwa kuti mhando dzakawanda dzeHIVV dziripo mumuviri womunhu kwenguva yakareba, pasina kuchinja maitiro ayo emukati. Ivo pachavo vanonyangarika vasina kupindira mune zvechiremba mwedzi yakawanda mushure moutachiona Yakawanikwa kuti inenge 90 muzana yeHIVV pachayo inopera pashure pemakore maviri. Zvisinei, chikamu chiduku chezvipembenene zvehutachiona zvinogona kutungamirira kune kenza, saka kuongorora kwenguva yakakodzera kunokosha zvikuru mukurwa neHIVV.
Human papillomavirus - marudzi
Zvichienderana nezvinonzi morphological features, zvakasiyana-siyana zvehutano, hutachiona hweHIV huchiparadzaniswa kuva marudzi mazhinji. Muchiitiko ichi, kukwanisa kwechimwe chimiro kunopera mumuviri wekenza kunokosha. Zvichienderana neizvi, HPV yakakamurwa kuva:
- HPV ine njodzi yakaderera yeincology - marudzi 6, 11, 42, 40, 54, 43, 61, 44, 81, 72, 70, CP6108;
- ane ngozi inogona kunge yakakwirira - 53, 26, 66;
- ane ngozi yakawanda - HPV 16, 18, 33, 31, 35, 45, 39, 52, 52, 56, 59, 58, 73, 68, 82.
Munhu ane chirwere chepillomavirus here?
Kutapurika mumatambudziko makumi mapfumbamwe nematatu anowanikwa nehutano hwemunhu ane hutano ane anotakura chirwere. Iyo pathogen iripo mumvura yemuviri, pane mucous membrane. HPV muvarume haisi yakashamwaridzana kupfuura yehutano hwakanaka, asi kazhinji ine nguva yakaderera. Zvirwere zvemuviri zvinodzivisa kukura kwehutachiwana, naizvozvo hahuri kuitika uye huripo mumuviri womunhu munharaunda isina kushanda. Nekuneta kwemasimba ekuchengetedza, kushandiswa kwaro kunowanikwa, chimiro chechimiro chechipatara chinomuka chinoita kuti varwere vaone chiremba.
Ko papillomavirus yemunhu inoparidzirwa sei?
Muzviitiko zvakawanda, kutapurirwa kwehutachiona kunoitika panguva yepabonde. Nemhaka yeizvi, papillomavirus yevakadzi inowedzera kakawanda nekutanga kwehupenyu hwepabonde hunoshanda. Kushandiswa kwemichina yekudzivirira kubata pamuviri (kondomu) kunoderedza ngozi yehutachiona, asi hazvibvisi zvachose zvakadai. Kudengenyeka kweHIVV kunogonawo kuitika nenzira yakananga - kubva kuna amai vanorwara kusvika kumwana panguva yekuberekwa.
Kazhinji kacho utachiona hwepilloma runoparidzirwa nehutano-kumba. Muzviitiko zvakawanda, izvi zvinoitika panguva imwechete yepabonde: nemakwenzi ekurara, kufambidzana nemuchembera yemutakuri wehutachiona, HPV inoparidzirwa kune mumwe munhu ane utano hwakanaka. Somugumisiro, zvinowanzoonekwa zvipatara zveHIVV zvinogona kuzviratidza pachavo panzvimbo yekuiswa kwepathogen mumuviri (michindwe, minwe).
Ndeipi ngozi kune HPV?
Mhedziso inotyisa zvikuru yeHIVV ndiyo inecological process. Masayendisiti ekuMadokero anonamatira kune pfungwa yokuti chirwere chepilloma chinogona kukonzera kenza yemunzvimbo ipi neipi. Nenzira iyi iyi pathogenic virusi inokonzera dysplastic phenomena mu mucous membrane uye epithelium, iyo inoshanda sechikamu chekutanga chemaitiro ekuchenjerera. Shanduko yakafanana imhando yemukenza wechibereki, iyo inokonzera mhando 16 ne18 - HPV yepamusoro incogenic ngozi. Mune zvimwe zviitiko, HPV inofungidzirwa sechikonzero chinokonzerwa nekusava nepamuviri kune vakadzi.
Human papillomavirus muvakadzi
Mushonga wepilloma yevakadzi muvakadzi mune gynecology inoonekwa sechikonzero chikuru chekenza yemumuromo . Izvi zvirwere zvinokonzerwa zvikuru nemarudzi gumi nemaviri nemakumi mapfumbamwe evhavha. Iyi nzira ine nguva yakareba, haisi kuteverwa nemakiriniki zviratidzo, saka zvakaoma kuzviongorora. Muzvakagadzirirwa zvemuviri wemuviri kubva pakuiswa kwehutachiwana mumuviri musati mavandudziro emukenza wechibereki angatora makore 15-20. Kana chirwere chemudzimai chisisina simba, chirwere chakakosha hachina kuitwa, pane ngozi yekuvandudza tumarara mumakore mashanu. Zvinyorwa zvinosanganisira:
- kutanga kwepabonde;
- kusava newaini nguva dzose yepabonde;
- kuvapo kwemitemo yakaipa (nicotine, doro).
Human papillomavirus muvarume
Kutaura, pane ngozi yeVPCH yevarume, vanachiremba havatungamiri makadhiinisi akasiyana nemigumisiro yehutano hunobuda kune vakadzi. Muvamiriri vehutano hwakasimba, HPV inokonzerawo zvipembenene zvekenza zvemuviri wenyama, kunyanya kunze. Mukuwedzera, semugumisiro wekuvapo kweHIVV mumuviri kunogona kuitika zvirongwa zvehutano mune dzimwe mamiriro emitumbi. Papillomavirus mumarume inotsamwisa:
- matumbo e rectum;
- kenza ye pharynx;
- kenza yemarara .
Human papillomavirus - zviratidzo
Rimwechete mumuviri, papillomavirus yevanhu inogona kusanzwika kwemwedzi 3-8 - kwenguva yakareba nguva yekudzivirira inopera. Mukuwedzera, mumatambudziko mazhinji, utachiona hwehutachiona hwehutachiona hunogadziriswa uye hunogadziriswa huripo mumakore maviri, kana panguva ino pasina hutachiona zvakare. Pamusoro pezviratidzo zvikuru, zviratidzo, zvichiratidza kuti chirwere chepilloma chemunhu chiripo mumuviri, zvakakosha kusiyanisa:
- Warts zvidiki zvishoma pamusoro peganda. HPV 1-5, 10, 49 uye 28 maitiro zvinowanzotsamwiswa. Warts ine chimiro chakasiyana uye maitiro uye nzvimbo yepamunharaunda (yakadzika, mapapiro, zvinyorwa zvinosvibisa).
- Zvakaita mazinya - zvipfeko zviri pamusoro pezvinyorwa zvemuviri zvemukati, mu anus, mumuromo, kwete pamuromo wemiromo. Zvinokonzera HPV 6, 11, 18, 13, 16, 35, 31.
- Papillomas emakumbo ezwi - inomiririra kukura kunokonzera kuderedza glottis. Mune zvimwe zviitiko, zvinowanikwa kune vana vanotapukirwa kubva kuna amai panguva yekuberekwa. Zvinokonzera HPV 11.
- Bovenoid papulosis - mahwendefa akafanana nemapapiro akafanana nehondo. Inowanikwa munzvimbo yebonde, kazhinji kazhinji inowanikwa kune varume pamusoro pepenisiti. Zvinogadziriswa 16, 31, 33, 42, 51, 48, 54, 51 mapeji eVHV.
Human papillomavirus - kuongororwa
Kuongorora kukuru kwepillomavirus yevanhu iCPR. Zvinyorwa zvekudzidza panguva iyo inoshandiswa ndeyeti swabs dzinotorwa kubva mumakumbo emadzimai uye chibereko mumadzimai uye kubva mucosa yepenis iri varume. Pakati peimwe nzira dzekuongororwa kwepillomavirus yevanhu:
- Digene-test ndiyo nzira itsva, kuwana kuwedzera kukurumbira mumishonga. Yakashandiswa kugadzirisa hutachiona hwehutachiona, iyo inogona kukuvadza chirwere. Kutenda nenzira iyi, vanachiremba vanoona kuwanda kwehutachiona hwehutachiona uye ngozi yekuve nemukenza.
- Cytological examination - inosanganisira kuongorora kukuru kwechigadzirwa chechirabvu kubva munhengo dzebereki, umo maitiro emasero anoongororwa.
- Kuongorora kwake kwekutsvaga kwake - kuongorora sampu yezvisikwa zvakatorwa nekuongorora gynecological.
Human papillomavirus - kurapa
Kuti zvibvise zvachose HPV kubva mumuviri, kurapwa kunofanira kutanga nezviratidzo zvokutanga zvechirwere. Izvo zvakaoma kuita izvi, uye kazhinji varwere vanotora zvidzidzo zvakawanda zverapi. Kuti abvise papillomavirus kubva mumuviri, vose vanoita zvepabonde vanofanira kupiwa mushonga, zvisinei kuti utachiona hunogona kuitika kakawanda. Kazhinji, chirwere cheHVV chinosanganisira:
- kunongedza kushandiswa kwehutachiona uye kushandiswa kwekudzivirira muviri;
- kurapwa kurapwa - resection yematukisi ane utachiona, kubviswa kwehondo.
Kugadzirira papillomavirus
Inofanira kuonekwa pakarepo kuti hapana mushonga wepasi rose wepillomavirus, zvinodhaka zvinofanira kusarudzwa mumwe nomumwe. Kurapa kwakaoma, maererano nezviratidzo zvehutano. Muyero wezvinodhaka unogadzirirwa nachiremba zvichienderana nechetatu rehutano hwehutachiona, hutachiona hwemuviri wemurwere. Kana hutachiona husingazviratidzi nenzira ipi zvayo, haufaniri kuchibata. Apo hutachiona hweHIVV, mapoka emarudzi anotevera emishonga anoshandiswa:
- cytotoxic zvinodhaka - 5-fluorouracil, Podophyllotoxin, Bleomycin;
- immunocorrecting drugs - Interferon, Immunal .
Mumatambudziko akaoma, chirwere chephotodynamic chinoshandiswa zvine simba. Pamusoro pezvisikwa zvakagadziriswa, chinhu chinoshandiswa chinoshandiswa icho, pasi pekuita kwechiedza chemazuva, chinosunungura maitiro akashanda eokisijeni. Pakarepo pasi pesimba ravo, masero eganda akaparara nehutachiwana anoparadzwa. Izvi zvinokurudzira kushanduka kwekugadzirisa nekugadzirisa zvirongwa.
Kudzivirira kweHIVV
Kutaurira maitiro ekurapa HPV, zvinofanira kuonekwa kuti kupinda kwayo mumuviri kwakaoma kudzivirira. Nzira huru yekudzivirira kuvhara kurwisa papillomavirus yevanhu. Zvirwere zvinopesana neHIVV zvinobudirira, zvakachengeteka. Nguva yakakurudzirwa yekushanda kwavo ndeye makore gumi nemakumi maviri nemaviri - nguva yekutanga kwekuyaruka. Kana izvi zvisina kuitwa munguva, iwe unogona kupemerwa gare gare: vakadzi - kusvika kumakore makumi maviri nemaviri, varume - kusvika makore 26. Kurora kunosanganisira kutarisirwa kwemasero matatu emishonga yemwedzi 6.
Kuti udzivise utachiona, unofanira kutevera mitemo yakawanda:
- Kupfuura zviongorori zvekudzivirira pane gynecologist.
- Shandisa zvipembenene.
- Rega kusangana pabonde.