Usulelo lomlomo lomntu lwe-papillomavirus

Usulelo lwe-papillomavirus lomntu sisifo esosulelayo ngesondo. Usulelo lubangelwa yintsholongwane ye-papilloma virus (HPV).

I-HPV inokubangela iintsumpa kumalungu esini kwaye ikhokelele kumhlaza womlomo wesibeleko. Iindidi ezithile ze-HPV zinokubangela usulelo emlonyeni nasemqaleni. Kwabanye abantu, oku kunokubangela umhlaza womlomo.

Eli nqaku limalunga nosulelo lwe-HPV yomlomo.

I-Oral HPV icingelwa ukuba isasazeka ikakhulu ngesondo lomlomo kunye nokuphuzana ngolwimi olunzulu. Le ntsholongwane isuka komnye umntu iye komnye xa isabelana ngesondo.

Umngcipheko wokufumana usulelo uyenyuka ukuba:

• Yiba namaqabane esini ngakumbi
• Sebenzisa icuba okanye utywala
• Unamajoni omzimba abuthathaka

Amadoda kunokwenzeka ukuba abe nosulelo lomlomo lwe-HPV kunabafazi.

Iindidi ezithile ze-HPV ziyaziwa ukuba zibangela umhlaza womqala okanye weengqula. Oku kubizwa ngokuba ngumhlaza we-oropharyngeal. I-HPV-16 ihlala inxulunyaniswa phantse nayo yonke imihlaza yomlomo.

Usulelo lwe-HPV ngomlomo alubonisi zimpawu. Unokuba ne-HPV ngaphandle kokuyazi. Ungayidlulisela le ntsholongwane kuba ungazi ukuba unayo.

Uninzi lwabantu abahlakulela umhlaza we-oropharyngeal kusulelo lwe-HPV banesifo ixesha elide.

Iimpawu zomhlaza we-oropharyngeal zingabandakanya:

• Izandi ezingaqhelekanga (eziphakamileyo) zokuphefumla izandi
• Khohlela
• Ukukhohlela igazi
• Ingxaki yokuginya, iintlungu xa uginya
• Umqala obuhlungu ohlala ngaphezulu kweeveki ezi-2 ukuya kwezi-3, nkqu namayeza okubulala iintsholongwane
• Ukuduma okungangcono kwiiveki ezi-3 ukuya kwezi-4
• I-lymph nodes ezidumbileyo
• Indawo emhlophe okanye ebomvu (lesion) kwiitoni
• Intlungu yomhlathi okanye ukudumba
• Intamo okanye isidlele
• Ukuphulukana nobunzima obungachazwanga

Usulelo ngomlomo lwe-HPV alunazimpawu kwaye alunakufunyanwa kuvavanyo.

Ukuba uneempawu ezikukhathazayo, oko akuthethi ukuba unomdlavuza, kodwa kuya kufuneka ubone umboneleli wakho wezempilo ukuze ahlolwe.

Unokuya kuvavanywa ngokomzimba. Umboneleli wakho unokuvavanya indawo yakho yomlomo. Unokubuzwa malunga nembali yakho yezonyango kunye naziphi na iimpawu oziqapheleyo.

Umboneleli unokujonga emqaleni okanye empumlweni usebenzisa ityhubhu eguqukayo enekhamera encinci ekugqibeleni.

Ukuba umboneleli wakho ukrokrela umhlaza, ezinye iimvavanyo zinoku-odolwa, ezinje:

• I-Biopsy yesifo esikrokrelwayo. Esi sihlunu siya kuvavanyelwa i-HPV.
• I-x-ray yesifuba.
• Ukuxilongwa kwesifuba kwe-CT.
• Uvavanyo lwe-CT lwentloko nentamo.
• I-MRI yentloko okanye yentamo.
• Ukuskena iPET.

Uninzi losulelo lomlomo lwe-HPV luyazimela ngokwalo ngaphandle konyango kwisithuba seminyaka emi-2 kwaye alubangeli ngxaki kwezempilo.

Iindidi ezithile ze-HPV zinokubangela umhlaza we-oropharyngeal.

Fowunela umboneleli wakho ngoko nangoko ukuba ubona naziphi na iimpawu zomhlaza womlomo nomqala.

Sebenzisa iikhondom kunye namadamu wamazinyo kunokunceda ukuthintela ukusasazeka kwe-HPV yomlomo. Kodwa yazi ukuba iikhondom okanye amadama akanakukukhusela ngokupheleleyo. Kungenxa yokuba intsholongwane inokuba kwisikhumba esikufutshane.

Isitofu sokugonya se-HPV sinokunceda ekuthinteleni umhlaza womlomo wesibeleko. Akucaci ukuba isitofu sokugonya sinokunceda na ukuthintela i-HPV yomlomo.

Buza ugqirha wakho ukuba ugonyo lulungile na kuwe.

Usulelo lwe-Oropharyngeal HPV; Usulelo lwe-HPV yomlomo

Iintsholongwane zikaBonnez W. Papilloma. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. UMandell, uDouglas kunye noBennett's Principles and Practice of Infectious Diseases, uHlaziyo oluHlaziyiweyo. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 146.

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. I-HPV kunye nomhlaza we-oropharyngeal. Ukuhlaziywa ngo-Matshi 14, 2018. www.cdc.gov/cancer/hpv/basic_info/hpv_oropharyngeal.htm. Kufunyenwe ngoNovemba 28, 2018.

UFakhry C, uGourin CG. I-papillomavirus yabantu kunye ne-epidemiology yomhlaza wentloko nentamo. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 75.