Njerewere pa mbolo

Njerewere pa mbolo (maliseche njerewere) ndi chosaopsa zotupa. Iwo amayamba nthawi zambiri (90%), HPV (anthu papilloma HIV).

Condylomata (urogenital) kudzera mwa kukhudzana kugonana, matenda ndi iwo mosavuta. Zinapangitsa njerewere pa mbolo chifukwa kusapeza pa kugonana. Komanso, njerewere maliseche akhoza limodzi ndi maonekedwe a magazi, kuyabwa ming'alu kutupa.

Tikumbukenso kuti mankhwala ndi zovuta. Ichi ndi chifukwa cha luso la kachilombo kubisala minofu ozungulira mapangidwe. Pamene anakamba boma anapatsidwa ndi chiopsezo zisadzachitikenso (kukonzanso zikamera wa njerewere pa mbolo).

Nthawi zambiri mu njerewere zoberekera kuoneka zaka zapakati pa zaka twente faifi ndipo sikisitini. Mapangidwe njerewere ndi khalidwe la yogwira (achigololo) akazi pansi zaka twente-faifi, zikuoneka mu 10-40%.

Pamene chiwonetsero cha matenda urogenital pa maziko a matenda HPV nthawi zonse kumachitika kudzera mu kugonana. Mwina kumenya HIV nthawi yogonana ndi pakati pa 60 ndi 66%.

Pa matenda Kugonana mukhoza kudutsa microcracks. HIV akhoza mkatikati kwa Kakhungu woyambira (wosanjikiza) wa khungu (chapamwamba wosanjikiza wa khungu) kapena mucosal dera khungu chionongeko (microcracks). Amuna ndi njerewere pa mbolo, HPV ndi wapezeka mu madzimadzi seminal. Zimenezi zikusonyeza kuti madzi sing'anga kuti kufala kwa matenda ambiri omwe mukonda. M'mawu ena, kudzera kugonana mosadziteteza kugonana, HPV akhoza zimafalitsidwa kwa bwenzi la.

Nthawi zina, njerewere maliseche mwina amayambiranso (amasiya patsogolo) popanda aliyense achire.

Nthawi makulitsidwe (ku matenda chiwonetsero cha matenda) akhale pa dongosolo la miyezi isanu ndi inayi. Kawirikawiri, njerewere maliseche apitiriza nthawi yaitali. Mowiriza mgwirizano zimawonedwa mu 10-30% odwala.

Nthawi zambiri, njerewere anapanga m'madera ambiri amakonda choipa pa kugonana. Munthu akhoza kuona njerewere pa mbolo kapena kukhala kupanga angapo. njerewere maliseche (urogenital) ndi mawonekedwe a "Tambala zisa" kapena "kolifulawa". Mu amuna, pali njerewere pa mbolo zosiyanasiyana m'madera: akhudzidwa mbali ya mutu wa frenulum mbolo, coronal sulcus, lamkati tsamba zapamwamba za m'Baibulo. Nthawi zina, njerewere maliseche anapanga mu groin, pa scrotum, perineum. m'madera ankaikira matsango a njerewere ku akazi ndi: dera zapambuyo commissure, nkongo, labia (yaikuluikulu), perineum, kumaliseche, khonde m'deralo. M'dera la kutsegula kunja mkodzo njerewerezo maliseche zimachitika pafupifupi 4-8% ya amayi ndi 20-25% ya anthu.

Tikumbukenso kuti kugonana ndi chinthu chachikulu kufala kwa HIV. njerewere maliseche nthawi zambiri zimachitika anthu amene anali kugonana oyambirira zokwanira, nthawi zambiri kusintha ogonana. Komanso, kuipitsidwa angayambe kwa mnzanga, amene anali ambiri ojambula kugonana (makamaka pa zaka ziwiri zapitazi). Zifukwa mulinso boma la akusowa mthupi, kusuta.

Monga mmene kuchita, nthawi zambiri, njerewere si limodzi ndi zizindikiro, ndipo anthu ambiri sakudziwa nkomwe za iwo. Komabe, odwala ena amadandaula magazi, kupweteka ndi kutentha zotengeka. Kunja njerewere maliseche angathe osakaniza urethral kapena khomo lachiberekero (ngalande khomo lachiberekero - uterine khosi gawo kuti zikugwirizana chiberekero ndi nyini) matenda.