ʻEhia mau manawa e pono ai ʻoe e hoʻāʻo ʻia no nā STD?
Anter
Nā poʻo, e nā wahine: Inā he kāne ʻoe a ~ hui ʻana ~, i kahi pilina koʻikoʻi me ka bae, a i ʻole male me nā keiki, pono nā STD ma kāu radar olakino. No ke aha mai? ʻOi aku ka nui o nā helu STD ma ka US ma mua o ka manawa, a ke hele maikaʻi nei ʻo chlamydia a me gonorrhea e lilo i superbugs anti-antibiotic. (A, ʻae, weliweli kēlā e like me ke kani ʻana.)
I loko nō o ka nalu nui o nā nūhou STD maikaʻi ʻole, aia nō he mau wahine e nānā pono ʻia nei no nā maʻi i loaʻa i ka moekolohe. Ua ʻike ʻia kahi noiʻi hou e Quest Diagnostics ʻaʻole i ʻoluʻolu ka 27 pākēneka o nā wahine ʻōpio e kamaʻilio e pili ana i ka moekolohe a i ʻole ka hoʻāʻo ʻana o STD me kā lākou kauka, a me kahi 27 pākēneka e hōʻike wahaheʻe ana a pale paha i nā kūkā kamaʻilio e pili ana i kā lākou hana moekolohe, e like me kā mākou e kaʻana nei i ka "The Infuriating Reason ʻAʻole e hoʻāʻo ʻia nā ʻōpio no nā STD. " ʻO ia hapa no ka mea aia nō kahi stigma a puni STDs-e like me ka manaʻo inā ʻaelike ʻoe i hoʻokahi, haumia ʻoe, kūpono ʻole, a hilahila paha ʻoe e pili ana i kāu moekolohe.
Akā ʻo ka ʻoiaʻiʻo-a e puhi kēia i kou noʻonoʻo-ke moe kolohe nei ka poʻe (!!!). He ʻāpana olakino a weliweli loa ia o ke ola. (E nānā wale i nā pono olakino kūpono a pau o ka moe kolohe.) A me kēlā me kēia pilina pili kino i nā mea āpau kau iā ʻoe ma ka makaʻu o STDs. ʻAʻole lākou e hoʻokae i waena o ka poʻe "maikaʻi" a "maikaʻi" paha, a hiki iā ʻoe ke koho i hoʻokahi inā ua hiamoe ʻoe me ʻelua a 100 paha mau kānaka.
ʻOiai ʻaʻole pono ʻoe e hilahila i kāu hana moe kolohe a i ʻole ke kūlana STD, pono ʻoe e lawe i ke kuleana no ia mea. ʻO ka ʻāpana o kahi ʻelemakule ʻelemakule e mālama nei i kou olakino moekolohe-a ʻo ia hoʻi ka hoʻomaʻamaʻa ʻana i ka moekolohe a me ka loaʻa ʻana o nā hoʻokolohua STD kūpono-no kou pono a no ka pono o kēlā me kēia mea āu e launa pū nei.
No laila ehia mau manawa pono ʻoe e hoʻāʻo? Kahaha paha ka pane.
ʻEhia mau manawa e pono ai ʻoe e hoʻāʻo ʻia no STDs
No nā wahine, hilinaʻi nui ka pane i kou mau makahiki a me ka pilikia o kāu moe kolohe, wahi a Marra Francis, M.D., he ob-gyn i hōʻoia ʻia e ka papa ma EverlyWell, kahi hui hoʻokolohua ma ka home. (Hoʻolaha: Inā hāpai ʻoe, he ʻokoʻa kāu mau ʻōlelo aʻoaʻo. Ma muli o kou ʻike ʻana i kahi ob-gyn, hiki iā lākou ke alakaʻi iā ʻoe ma o nā hoʻokolohua kūpono.)
ʻO nā kulekele o kēia manawa e like me nā Centers for Disease Control and Prevent (CDC) a me ka US Preventive Services Task Force (USPSTF) -ma kā lākou pae maʻamau-penei:
- Pono e ho'āʻo ʻia no ka maʻi HIV ma ka liʻiliʻi loa i hoʻokahi makahiki i ka poʻe i loaʻa i ka moe kolohe ʻole a i ʻole kaʻana like ʻana i nā lako lāʻau injection.
- ʻO nā wahine e hana ma ka moekolohe ma lalo o 25 mau makahiki e pono e loaʻa i nā kānana makahiki no ka chlamydia a me ka gonorrhea. ʻO ke kiʻekiʻe o ka maʻi gorrorrhea a me chlamydia i kēia pae makahiki ua paipai ʻia ʻoe e hoʻāʻo inā he "makaʻu" paha ʻoe.
- Pono nā wāhine moe kolohe ma luna o 25 mau makahiki i ka nānā ʻana no ka chlamydia a me ka gonorrhea inā lākou e komo i ka "moe kolohe" (e nānā i lalo). E hāʻule ana ka helu o Gonorrhea a me chlamydia ma hope o ka piha ʻana o nā makahiki 25, akā inā ʻoe e ʻimi nei i ka moekolohe "weliweli", pono ʻoe e hoʻāʻo.
- ʻAʻole pono nā wahine makua i nā hoʻokolohua syphilis maʻamau inā ʻaʻole lākou i moe kolohe ʻole me kahi kāne i moekolohe me nā kāne ʻē aʻe, wahi a Dr. Francis. ʻO kēia no ka mea ʻo nā kāne i moe kolohe me nā kāne ka mea nui o ka lehulehu e ʻaelike a hoʻolaha i ka syphilis, wahi a Kauka Francis.ʻO nā wahine i launa ʻole me kahi kāne e kū pono i kēia mau pae hoʻohālikelike aia lākou i kahi haʻahaʻa haʻahaʻa i ka pono ʻole o ka hoʻāʻo.
- Pono e hōʻike ʻia nā wahine 21 a 65 paha makahiki me ka cytology (a Pap smear) i kēlā me kēia makahiki ʻekolu, akā e hana wale ʻia ka hoʻokolohua HPV no nā makahiki 30+. Hoʻomaopopo: Hoʻololi pinepine nā kulekele no ka hōʻike ʻana o HPV, a koi paha kāu kauka i kahi mea ʻokoʻa e pili ana i kāu moekolohe a i ʻole nā hopena hoʻokolohua ma mua, wahi a Dr. Francis. Eia nō naʻe, ʻike pinepine ʻia ʻo HPV i nā ʻōpio ʻōpio-ʻoi aku ka nui o ka manawa kūpono e kaua aku i ka maʻi maʻi a no laila kahi liʻiliʻi o ka hoʻomohala ʻia ʻana o ka maʻi ʻaʻa cerviera mai ia-ʻo ia ka hopena i nā colposcopies pono ʻole, ʻo ia ke kumu e hana ai nā alakaʻi āpau ʻaʻole koi i ka loiloi HPV ma mua o kou huli ʻana i ka makahiki 30. Eia nā kulekele o kēia manawa mai ka CDC.)
- ʻO nā wahine i hānau ma waena o 1945 a me 1965 e hoʻāʻo ʻia no ka maʻi hepa C, wahi a Kauka Francis.
'O ka "mo'o pili kino" kekahi o kēia mau mea: ʻO ka hana ʻana i ka pilina me ka hoa hou me ka hoʻohana ʻole ʻana i ka condom, nā hoa he nui i ka manawa pōkole me ka hoʻohana ʻole ʻana i ka condom, ka moe ʻana me ka poʻe e hoʻohana i nā lāʻau leʻaleʻa e pono ai nā nila hypodermic, moe kolohe me kekahi mea e pili ana i ka moekolohe, a me ka moe anal (no ka mea aia he nui hou aku nā mea i hōʻino ʻia a hiki i ka haki ʻana o ka ʻili a me ka lawe ʻana i nā wai o ke kino), wahi a Dr. Francis. ʻOiai he mea hilahila paha ka "hoʻokamakama i ka moe kolohe", pili paha ia i ka hapa nui o ka poʻe: E noʻonoʻo ʻo ka moe ʻana me hoʻokahi kanaka hou me ka ʻole o ka condom e hoʻokomo iā ʻoe i ka māhele, no laila e hoʻāʻo iā ʻoe iho e like me.
Inā he male ʻole ʻoe, aia kahi lula nui e pono ai ʻoe e ʻike. Pono ʻoe e hoʻāʻo ma hope o kēlā me kēia hoa wahine pale ʻole ʻole ʻia. "Paipai wau inā he moe kolohe ʻole kou a hopohopo paha e pili ana i kahi STI, e hoʻāʻo ʻia ʻoe i loko o hoʻokahi pule o ka hōʻike akā hou i loko o ʻeono pule a laila i ka ʻeono mahina," wahi a Pari Ghodsi, MD, he palapala i hōʻoia ʻia. ob-gyn ma Los Angeles a me kahi hoa o ka American College of Obstetricians and Gynecologists.
No ke aha ʻoe e hōʻoia ai i nā manawa he nui? "Lawe ka manawa o kou ʻōnaehana pale kino i ka manawa e hoʻomohala ai i nā mea ʻino," wahi a Kauka Francis. "ʻOi aku me nā maʻi i lawe ʻia e ke koko (e like me syphilis, hepatitis B, hepatitis C, a me HIV). Eia nō naʻe, hiki i nā STD ʻē aʻe (e like me ka chlamydia a me ka gonorrhea) ke hōʻike maoli i nā hōʻailona a hoʻāʻo ʻia i loko o kekahi mau lā o ka maʻi, wahi āna. ʻO ke kūpono, pono ʻoe e hoʻāʻo ʻia ma mua a ma hope hoʻi o kahi hoa hou, me ka manawa kūpono e ʻike ai he STD-maikaʻi ʻole ʻoe i hele ʻole ʻoe i nā STD i mua a i ʻole, i ʻōlelo ʻo ia.
A inā ʻoe i loko o kahi pilina monogamous, pono ʻoe e noʻonoʻo: Aia kekahi mau ʻōlelo aʻoaʻo ʻokoʻa no ka poʻe ma ka pili monogamous a me ka pilina monogamous me ka makaʻu o ka infidelity. E nānā i kāu ego ma ka puka; inā ʻoe e noʻonoʻo aia paha he manawa kūpono ʻole e kolohe ai kāu hoa, ʻoi aku ka maikaʻi o kou hoʻāʻo ʻana ma ka inoa o kou olakino. "Minamina, inā aia kekahi hopohopo no kahi hoa e hele ana ma waho o ka pilina no ka pili moekolohe, a laila pono ʻoe e hāhai pono i ka loiloi maʻamau no nā poʻe i ka makaʻu," wahi a Dr. Francis.
Pehea e hoʻokolohua ai no nā STD
ʻO ka mea mua, uku ke ʻike pehea e hoʻāʻo ai nā kauka no kēlā me kēia ʻano STD:
- Nānā ʻia ʻo Gonorrhea a me chlamydia me ka hoʻohana ʻana i ka swab cervical.
- Kākoʻo ʻia ʻo HIV, hepatitis, a me syphilis me kahi hōʻike koko.
- Hoʻomaʻo pinepine ʻia ʻo HPV i ka wā o Pap smear. (Inā hōʻike kāu pap smear i nā hopena kūpono ʻole, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e loaʻa i kahi colposcopy, ʻo ia ka manawa e nānā ai kāu kauka i kou cervix no HPV a i ʻole nā maʻi maʻi maʻi maʻi. cotesting, e like me nā hoʻāʻo ʻelua i hoʻokahi.)
- Hōʻaʻo ʻia ʻo Herpes me kahi moʻomeheu o kahi ʻeha genital (a e hoʻāʻo wale ʻia ʻoe ke loaʻa nā ʻōuli). "Hiki ke nānā ʻia kou koko e ʻike inā loaʻa mua ʻoe i ka maʻi herpes, akā ʻaʻole hou kēia e haʻi iā ʻoe inā he waha a he genital paha ka puka ʻana, a he mea maʻamau ka herpes waha," wahi a Dr. Ghodsi. (E nānā: Nā mea a pau e pono ai ʻoe e ʻike e pili ana i nā STD waha)
E ʻike i kāu palapala: E uhi wale paha kāu ʻinikua i ka nānā ʻana i kēlā me kēia makahiki, a i ʻole hiki iā lākou ke uhi i nā "loiloi wā waena" pinepine e pili ana i kāu mau pilikia. Akā, pili ia i kāu hoʻolālā, no laila e nānā me kāu mea hoʻolako inikua.
E kipa i kahi keʻena maʻi: Inā ʻaʻole he koho i ke kuʻi ʻana i kāu ob-gyn i kēlā me kēia manawa e pono ai ʻoe e hoʻāʻo (aia kahi hemahema ob-gyn āpau, ma hope o nā mea āpau), hiki iā ʻoe ke hoʻohana i nā pūnaewele e like me ka CDC a i ʻole LabFinder.com e ʻike ai i kahi hoʻokolohua STD wahi kokoke iā ʻoe.
Hana ma ka home: ʻAʻohe ou manawa (a i ʻole guming) e hele i kahi keʻena maʻi IRL? ʻO ka mea pōmaikaʻi, ʻoi aku ka maʻalahi o ka hoʻokolohua STD ma mua o ka wā ma mua, mahalo i nā hiʻohiʻona mea kūʻai pololei i hoʻomaka me nā huahana e like me nā bras a me nā tampons a ua hōʻea i kēia manawa ke olakino olakino. Hiki iā ʻoe ke kauoha i kahi hoʻokolohua STD e hana pono ma kou home mai nā lawelawe e like me EverlyWell, myLAB Box, a me Private iDNA no kahi o $80 a i $400, ma muli o ka mea āu e hoʻohana ai a me ka nui o nā STD āu e hoʻāʻo ai.