Indlela uMothuko womhlaza womlomo wesibeleko undenze ngayo ukuba ndithathe impilo yam yezesondo ngakumbi nangakumbi kunakuqala
Umxholo
Phambi kokuba ndenze i-Pap smear engaqhelekanga kwiminyaka emihlanu eyadlulayo, ndandingazi nokuba kuthetha ukuthini oko. Bendiye kwi-gyno ukusukela xa ndandikwishumi elivisayo, kodwa andikaze ndicinge ngenene ngento eyayivavanywa yiPap smear. Ndandisazi nje ukuba ndiza kuba ne-"twinge" yokungakhululeki, njengoko ugqirha wam ehlala esitsho, kwaye iya kugqitywa. Kodwa xa ugqirha wam endifowunela endixelela ukuba kufuneka ndibuyele kuvavanyo olungakumbi, ndandixhalabile. (Apha, fumana ngakumbi malunga nendlela yokucacisa iziphumo zakho ezingaqhelekanga ze-Pap smear.)
Uye wandiqinisekisa ukuba iiPaps ezingaqhelekanga ziqhelekile ngokwenene, ngakumbi kwabasetyhini abakwiminyaka yabo yama-20. Ngoba? Kulungile, okukhona unamaqabane okwabelana ngesondo ngakumbi, kokukhona kunokwenzeka ukuba ufumane i-human papillomavirus (HPV), eyona nto ibangela iziphumo ezingaqhelekanga. Ndikhawuleze ndafumanisa ukuba yayiyimbangela yam, nayo. Amaxesha amaninzi, i-HPV izisombulula ngokwayo, kodwa kwezinye iimeko, inokunyukela kumhlaza womlomo wesibeleko. Into ebendingayazi ngelo xesha kukuba kukho amanyathelo aliqela phakathi kovavanyo lwe-HPV kunye nokuba nomhlaza womlomo wesibeleko. Emva kokufumana ii-colposcopy ezimbalwa, iinkqubo apho kususwa incindi encinci kumlomo wesibeleko sakho ukuze kuvavanywe kufutshane (ewe, ayonwabanga njengoko kuvakala), safumanisa ukuba ndinento eyaziwa ngokuba zizilonda ze-squamous intraepithelial. Leyo yindlela nje yobuchwephesha yokuthetha ukuba i-HPV endandinayo yayihambele phambili kakhulu kwaye inokujika ibe ngumhlaza kunezinye iintlobo. Ndaye ndanovalo, ndaye ndanoloyiko ngakumbi xa ndifumanisa ukuba kufuneka ndenze i- procedure yokukhupha i-tissue yomlomo wesibeleko echaphazelekayo, kwaye kufuneka yenziwe ngokukhawuleza-ngaphambi kokuba ibe ngakumbi. (Ngokophando olutsha, umhlaza womlomo wesibeleko ubulala kakhulu kunangaphambili.)
Kwisithuba seeveki ezimbini zokufumanisa malunga nePap yam engaqhelekanga, ndandinento ebizwa ngokuba yi-loop extrosurgical excision procedure, okanye i-LEEP ngokufutshane. Kubandakanya ukusebenzisa ucingo olucekeceke kakhulu olunombane ukusika izicwili ezinqabileyo kumlomo wesibeleko. Ngokwesiqhelo, oku kunokwenziwa nge-anesthesia yendawo, kodwa emva komzamo ongahambanga kakuhle (ngokucacileyo, i-anesthetic yendawo ayisebenzi kuye wonke umntu njengoko kufanelekile, kwaye ndafumanisa ukuba indlela enzima ...), ukwenza uhambo lwesibini ukuya esibhedlele ukuze wenziwe. Ngesi sihlandlo, ndandilalisiwe. Emva kweeveki ezintandathu, kwathiwa ndisempilweni kwaye ndikulungele ukuhamba, kwaye ndaxelelwa ukuba kufuneka ndenze iPap smear qho kwiinyanga ezintathu zonyaka olandelayo. Emva koko, ndiza kubuyela kubo kanye ngonyaka. Masithi andisiso isigulana esikhulu, ke emva kokuba yonke into ibithethwa kwaye yenziwe bendisazi ukuba andisoze ndifune ukuphinda ndidlule kule nkqubo. Kuba zingaphezulu kwe-100 iintlobo ze-HPV, bendisazi ukuba yinto enokwenzeka ukuba ndingaphinde ndiyifumane kwakhona. Kuphela linani elincinci leentlobo ezibangela umhlaza, kodwa ngelo xesha, bendingafuni kuthatha nawaphi na amathuba.
Xa ndabuza ugqirha wam indlela yokuthintela le meko ukuba ingenzeki kwakhona, icebiso lakhe landothusa ngokwenene. “Yiba ngumfazi omnye,” watsho. "Yinto yam leyo kuphela Ndicinge.Ndandijongene neengozi zeSixeko saseNew York ukuthandana sigcawu ngelo xesha, kwaye ngelo xesha ndandingakwazi nokucinga ukudibana nomntu Ndingathanda ukuya kwimihla engaphezu kwemihlanu, ndingasathethi ke ukufumana iqabane lam ubomi. Ndihlala ndihlala ndicinga ukuba okoko nje ndikhuselekile ngesondo, ukukhetha ukungazinzisi ngekhe kube yingozi kwimpilo yam. Ndandisoloko ndisebenzisa iikhondom kwaye ndivavanyelwa ii-STIs rhoqo.
Kuyavela ukuba, nokuba usebenzisa ikhondom ngalo lonke ixesha usabelana ngesondo, usenokufumana i-HPV kuba iikhondom azinikezeli. gqibezela ukuzikhusela kuyo. Nokuba isetyenziswe ngokuchanekileyo, usenokudibana nolusu xa usebenzisa ikhondom, yindlela i-HPV edluliselwa ngayo komnye umntu iye komnye. Uphambene, akunjalo? Khange ndicinge ukuba akukho nto iphosakeleyo ngokungafuni ukuba ne-monogamous (kwaye ungafuni njalo), ke kwakunzima ukuqonda into yokuba umbono wam ngesondo wawuchasene ngqo neyona nto ilungileyo kwimpilo yam yesondo. Ngaba ukhetho lwam lwalukuphela kokuhlala phantsi kwi-23 kwaye ndithathe isigqibo sokulala nomntu omnye kuphela ubomi bam bonke? Bendingekayilungeli lonto.
Kodwa ngokutsho kukagqirha wam, impendulo yayisithi, ewe. Kum, oku kwabonakala kugqithisile. Uphindaphinde kum ukuba amaqabane ambalwa onawo, usehlisa umngcipheko wokufumana i-HPV. Ewe ebenyanisile. Nangona usenakho ukufumana i-HPV kwiqabane lexesha elide elinokuthatha iminyaka ukubonakalisa, nje ukuba umzimba wakho ucoce nayiphi na ingxaki abanayo, awuyi kuba nakho ukuyifumana kubo kwakhona. Logama nje wena kunye neqabane lakho nisabelana ngesondo omnye komnye, ulungile ukuba uhambe ngokubhekisele kusulelo kwakhona. Ngelo xesha, ndamangaliswa yinto yokuba eyona nto ingcono endinokuyenza ukukhusela impilo yam yezesondo yayisisiseko sokungabi nesondo de ndifumane "enye." Ndingathini ukuba andizange ndimfumane loo mntu? Ndihlale ndingatshatanga unaphakade!? Kwiminyaka embalwa elandelayo rhoqo xa ndicinga ngokulala nomntu, kwafuneka ndizibuze, "Ngaba oku ngokwenene Uthethe ngombulali. (FYI, ezi STIs kunzima kakhulu ukuzisusa kunokuba bezikade zinjalo.)
Inyaniso, ayikhange ibonakale iyinto embi kangako. Nanini na xa ndigqiba kwelokuba ndilale nomntu kwiminyaka eyalandelayo, andizange ndilandele kuphela iindlela ezikhuselekileyo zokuziphatha ngokwesondo, kodwa ndandisazi ukuba ndinemvakalelo eyomeleleyo ngomnye umntu ukuze kufaneleke ukuba semngciphekweni ejongene. Ngokusisiseko, oko kwakuthetha ukuba bendityalomali ngokwenyani kuye wonke umntu endilala naye. Ngelixa abanye besithi yindlela ekufanele ukuba ibe ngalo lonke ixesha, andibhalisi kwisikolo sokucinga. Ukuziqhelanisa, nangona kunjalo, ndizisindisile ngetoni yentliziyo ebuhlungu. Ekubeni ndandinamaqabane ambalwa endaye ndazi ngcono, ndajongana nemimoya engaphantsi kwe-post-sex. Abanye abantu basenokungayikhathaleli loo nto, kodwa nangona ndandingatyalwanga kakhulu emntwini, inxalenye yesiporho iphantse yahlala ifunxa.
Ngoku, kwiminyaka emihlanu kamva, kunokwenzeka ukuba ndikubudlelwane bexesha elide ndedwa. Ngelixa andinakuthi yenzeke ngokuthe ngqo ngenxa yamava am okanye ingcebiso kagqirha wam, ngokuqinisekileyo sisiqabu xa into efunwa yintliziyo yakho kunye neyona nto ilungele impilo yakho yenzeke. Kwaye akufuneki ukuba uxhalabe rhoqo nge-HPV ngendlela endakha ndenza ngayo? Uthando.