SINHALA_TITLE: Ðe HPV Vaccine Kpena Ðe Ame Aɖe Si Ŋu Vidzinu Ƒe Ʋuʋudedi Le Ŋua? Mina Míakpɔe!

Ðewohĩ Genital Warts le ŋuwò xoxo . Ɣemaɣi la, susu le eme be nyabiasewo abe, "Ðe maxɔ HPV Vaccine fifiaa? Ðe woakpɔ nye zɔhɛ ta?" Esia nye nyabiase vevi aɖe na ame geɖe, eye wònye nyati si me nyawo me kɔ vie. Gake mègatsi dzi o, egbea míaƒo nu tso esia ŋu eme nakɔ eye míase egɔme.

Gbã la, mina míase nusi tututu HPV nye gɔme.

HPV nye Human Papillomavirus ƒe kpukpui . Menye dɔlékui ɖeka ŋutɔŋutɔe wònye o, ke boŋ dɔlékui geɖewo ƒe ƒomee - wu 150, ne míagblɔe tututu la! Enye dɔlékui si bɔ ŋutɔ. Ame akpa gãtɔ siwo dɔa wo nɔewo gbɔ la axɔ HPV le woƒe agbemeɣeyiɣi aɖe me.

Zi geɖe la, HPV dɔlékui meɖea dzesi aɖeke fiana o. Esia fia be ɖewohĩ mànya be dɔlékuia le ye ŋu o. Zi geɖe la, míaƒe Immune System wɔa avu kple dɔlékuia le ƒe ɖeka alo eve me, alo ɖenɛ ɖa keŋkeŋ. HPV kakana to ŋutigbalẽ kple ŋutigbalẽ ƒe kadodo me koŋ, vevietɔ le gbɔdɔdɔ me.

Ðe HPV ƒomeviwo katã sɔa? Ao, vovototoae nye esi!

Esia nye nya vevi aɖe ŋutɔ. Togbɔ be HPV ƒomevi alafa geɖe li hã la, menye wo katãe nye afɔku sɔsɔe o. Mina míama wo ɖe hatsotso vevi eve me:

1. HPV ƒomevi siwo me afɔku Low-risk HPV types : Vidzinu ƒe ʋuʋudedi koŋue ƒomevi siawo hea Genital Warts vɛ le vidzinuwo ƒe akpa si ƒo xlãe kple aɖuɖɔtoea ŋu. Ɣeaɖewoɣi la, ʋuʋudedi ate ŋu adze nu me alo ŋɔti me hã. Aɖuɖɔtoe siawo mezua Cancer o . Ðeko wohea vevesese kple susu me nuteɖeamedzi ɣeaɖewoɣi vɛ. Ke hã, woate ŋu axɔ ʋetsuvi siawo na ame bubuwo.
2. HPV ƒomevi siwo me afɔku le High-risk HPV types : Esiawoe nye ƒomevi siwo ŋu wòle be míalé ŋku ɖo wu. Elabena, ne HPV dɔlékui sia si me afɔku le ŋutɔ la nɔa ŋutilãa me ɣeyiɣi didi aɖe (ƒe geɖe) la, anɔ eme be ahe Cervical Cancer vɛ . HPV ƒomevi siawo siwo me afɔku le ŋutɔe nye nu vevitɔ si hea vidzidɔ me kansa vɛ na nyɔnuwo. Menye ema ɖeɖeko o, ke woawo hã gbɔe Anal Cancer kansa, Oropharyngeal Cancer kansa, nyɔnu ƒe vidzidɔ me Vaginal Cancer , Vulvar Cancer , kple Penile Cancer) Kansa abe vidzidɔ me kansa ene hã ate ŋu atso HPV sia si me afɔku le ŋutɔ gbɔ.

Mina míasrɔ̃ nu geɖe tso vidzinuwo ƒe ʋuʋudedi ŋu vie.

HPV ƒomevi siwo ŋu míeƒo nu tsoe siwo me afɔku mele o gbɔe vidzinuwo ƒe ʋuʋudedi tsona, vevietɔ HPV ƒomevi 6 kple 11. Woate ŋu adze le ŋutigbalẽ si ƒo xlã vidzinuwo, ata dome, akɔta, kple aɖuɖɔtoe ŋu. Ɣeaɖewoɣi la, woate ŋu adze abe ʋuʋudedi ɖeka ene, alo woate ŋu adze le ƒuƒoƒo me. Zi geɖe la, wodzena abe ʋuʋudedi suesuesue siwo le Cauliflower ƒe anyime ene . Togbɔ be womevea ame o hã la, woate ŋu aƒo wo alo woƒe dzi nadze eme.

Zi geɖe la, ɖɔkta ate ŋu ade dzesi aɖuɖɔtoe siawo to nukpɔkpɔ me. Atikewɔwɔ vovovowo li na wo (abe atike tɔxɛwo, Cryotherapy , kple laser zazã ene). Gake nu vevitɔ si dzi wòle be míaɖo ŋkui enye be ne woɖe aɖuɖɔtoeawo ɖa to atikewɔwɔ me gɔ̃ hã la, ɖewohĩ womate ŋu aɖe HPV dɔlékuia ɖa keŋkeŋ le ŋutilãa me o. Esia fia be ʋetsuviawo ate ŋu agadze ake.

Eyata ne ƒunukpeƒetetedɔ le ŋunye xoxo la, ɖe viɖe aɖe le HPV-tikea xɔxɔ mea?

Ɛ̃! Kakaɖedzitɔe la, ẽ! Esiae nye ŋuɖoɖo si me kɔ wu ɖesiaɖe si nàte ŋu ana. Maɖe nusitae me.

Tsɔe be vidzinuwo ƒe ʋuʋudedi le ŋuwò. Ema fia be HPV ƒomevi aɖe si me afɔku mele o (le kpɔɖeŋu me, HPV ƒomevi 6 alo 11) xɔ wò. Gake, HPV ƒomevi alafa geɖe li, alo? Anɔ eme be womexɔ wo katã zi ɖeka o. HPV ƒe atike la kpɔa tawò tso HPV ƒomevi bubu siwo me afɔku le siwo ŋu atikewɔmɔnua ku ɖo la si me, ne womexɔ dɔlélea haɖe o gɔ̃ hã.

Abe, ne dzamezã ƒomevi ɖeka dze ŋuwò eye wòwu enu la, ɖe màgate ŋu adze dɔ ake kple dɔlékui si hea dzamezã ƒomevi bubu oa? Àte ŋui, alo? HPV ƒe atikewɔmɔnu hã le mɔ ma ke nu. Ne HPV ƒomevi ɖeka ƒe ʋuʋudedi le ŋuwò la, atike sia ate ŋu akpɔ tawò tso HPV ƒomevi mawo siwo me afɔku le ŋutɔ siwo ate ŋu ahe kansa vɛ me (ne womexɔ wo haɖe o).

HPV ƒe atike abe 9 Gardasil 9 si wozãna le Sri Lanka kple xexeame katã fifia, kpɔa ame ta tso HPV ƒomevi 9 katã me, HPV ƒomevi vevi eve siwo hea vidzinuwo ƒe ʋuʋudedi vɛ (ƒomevi 6 kple 11) kple HPV ƒomevi vevi adre siwo me afɔku le ŋutɔ siwo hea vidzidɔ me kansa kple kansa bubuwo vɛ (ƒomevi 16, 18, 31, 33, 45, 52, kple 58). Eyata ne HPV ƒomevi si hea ʋuʋudedi vɛ le ŋuwò xoxo hã la, anyo be nàxɔ atike sia be wòakpɔ ɖokuiwò ta tso afɔku ƒomevi bubuawo si me.

Ne mexɔ atike la, ɖe woakpɔ nye zɔhɛa ta?

Nya sia nye nya si ame geɖe biana. Ne èxɔ HPV ƒe atike fifia la, ɖeko wòakpɔ wò ŋutilã ta tso dɔlékui siwo axɔ le etsɔme me. Atikea mate ŋu akpɔ wò zɔhɛa ta tso HPV ƒomevi siwo le asiwò xoxo, alo esiwo ate ŋu axɔ wò xoxo la me o. Atikea menye dɔlékui aɖe si li xoxo ƒe atike o.

Gake wò zɔhɛ ate ŋu axɔ HPV ƒe atike hã. Esia akpɔ eta tso HPV ƒomevi siwo ŋu atikewɔmɔnua xena ne womexɔe haɖe o. Wokafu HPV ƒe atike na amesiame, metsɔ le ŋutsu alo nyɔnu nyenye me o. Esia le alea elabena HPV dɔlékuiwo gblẽa nu le amesiame ŋu eye amesiame ƒe akpa si wòwɔna le vevie be woaxe mɔ ɖe dɔlélea ƒe kaka nu. Zi geɖe la, wodoa atike sia le ƒe 9-12 dome, gake anya wɔ be woaxɔ catch-up vaccination vaseɖe ƒe aɖe.

Ðe wòle vevie be woazã kɔndɔm ne wole atike zãm gɔ̃ hã?

Ẽ bliboe! Esia nye nusi me susu mele o. Ne wodo HPV ƒe atike bliboe na wò kple wò zɔhɛ hã la, ele vevie ŋutɔ kokoko be nàzã kɔndɔm le gbɔdɔdɔ ɖesiaɖe me (eɖanye le nyɔnuwo ƒe vidzidɔ me, le akɔta, alo le nu me o). Susu geɖewo tae wòle alea ɖo:

• HPV ƒomevi siwo hea kansa kple ʋuʋudedi vɛ zi geɖe la dometɔ ʋɛ aɖewo koe HPV ƒe atikewɔmɔnua ƒoa nu tsoe. HPV ƒomevi bubuwo li siwo ŋu atikewɔmɔnua meku ɖo o. Kɔndɔm zazã kpɔa ame ta vie tso ƒomevi mawo me.
• Menye ɖeko kɔndɔm zazã kpɔa ame ta tso HPV me ko o, ke ekpɔa ame ta tso gbɔdɔdɔ ƒe dɔléle/dɔlékui bubuwo hã me ( STDs / STIs ) (e.g. HIV, gonorrhea, chlamydia).
• Ke hã, nenɔ susu me na wò be HPV dɔlékuia ate ŋu anɔ ŋutigbalẽ ƒe teƒe siwo kɔndɔm metsyɔ o hã, eyata ɖewohĩ kɔndɔm makpɔ ame ta tso HPV me 100% o. Gake ametakpɔkpɔ si kɔndɔm nana la lolo wu ametakpɔnu aɖeke manɔmee.

Le esiawo katã megbe la, nukae wòle be míanya?

Nu vevi bubuwo gali nàwɔ tsɔ kpe ɖe atikewɔmɔnu xɔxɔ ŋu be nàkpɔ ɖokuiwò ta tso HPV me.

• Pap Smear na Nyɔnuwo: Ne nyɔnu srɔ̃tɔwo alo gbɔdɔdɔ ƒe dzodzrowo xɔ ƒe 25 (ƒe 21 le dukɔ aɖewo me) vɔ la, ele be woawɔ Pap smear edziedzi .Ele vevie ŋutɔ be woawɔ Pap dodokpɔ le ɣeyiɣi aɖewo me. Esia ate ŋu ade dzesi Precancerous changes le vidzidɔa ƒe lãmenugbagbeviwo me hafi woava zu kansa. Ele vevie be woawɔ dodokpɔ sia ne wodo atike na wò gɔ̃ hã. Ɣeaɖewoɣi la, wowɔa HPV DNA dodokpɔwo hã le ɣeyiɣi ɖeka me.
• Agbenɔnɔ si me lãmesẽ le: Ƒo asa na atamanono, nuɖuɖu si da sɔ ɖuɖu, kple wò dɔlélenutsiŋutete ƒe ŋusẽdodo hã kpena ɖe ame ŋu le mɔ si mele tẽ o nu be nàkpɔ ame ta tso dɔléle siwo do ƒome kple HPV me.

Afikae mate ŋu akpɔ HPV ƒe atike le? Aleke mawɔ anya nu geɖe?

Ne èdi be yeanya nu geɖe tso HPV ƒe atike, vidzinuwo ƒe ʋuʋudedi, alo gbɔdɔdɔ ƒe lãmesẽnya bubu ɖesiaɖe ŋu la, àte ŋu:

• Kpɔ wò ƒomea ƒe ɖɔkta.
• Yi dziɖuɖua ƒe gbɔdɔdɔ ƒe Sexual Health Clinic gbɔ kpɔƒe.
• Kpɔ Ƒome ƒe Family Health Midwife hena aɖaŋuɖoɖo.
• Xɔ nyatakakawo tso habɔbɔwo abe Family Planning Association ene gbɔ.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Eyata, le nusiwo ŋu míeƒo nu tsoe egbea nu la, ele be wòadze ƒã na wò be viɖe siwo nàkpɔ tso HPV ƒe atikewɔmɔnu la xɔxɔ me ne vidzinu ƒe ʋuʋudedi le ŋuwò gɔ̃ hã.

• Viɖe le HPV-tikea xɔxɔ me godoo ne vidzinuwo ƒe ʋuʋudedi le ŋuwò gɔ̃ hã. Ekpɔa tawò tso HPV ƒomevi siwo me afɔku le siwo ate ŋu ahe kansa vɛ la me, ne womexɔ dɔa haɖe o gɔ̃ hã.
• Atike si nèxɔ fifia makpɔ wò zɔhɛ ta tso HPV dɔlékui si le ŋuwò xoxo me o. Ele vevie be woadi atikewɔlawo ƒe aɖaŋuɖoɖo le atikewɔmɔnu hã xɔxɔ ŋu.
• Èɖaxɔ HPV ƒe atike alo mèxɔe o, kɔndɔm zazã le gbɔdɔdɔ ɖesiaɖe me nye mɔ nyuitɔ si dzi nàto akpɔ ɖokuiwò ta tso HPV ƒomevi bubuwo kple STDs bubuwo me .
• Ele vevie be nyɔnuwo nawɔ Pap Smear smear edziedzi be woakpɔ wo ɖokui ta tso vidzidɔ me kansa me.
• Miate ŋu aƒo nu kple ɖɔkta faa tso nyabiase alo dzimaɖitsitsi ɖe sia ɖe si le mia ŋu le miaƒe gbɔdɔdɔ ƒe lãmesẽ ŋu, ŋukpe alo vɔvɔ̃ manɔmee.

HPV dɔlékui menye nusi ŋu ŋukpe le o, ebɔ ŋutɔ. Nu vevitɔe nye be nànyae eye nàɖe afɔ siwo katã nàte ŋui atsɔ akpɔ ɖokuiwò kple wò lɔlɔ̃tɔwo ta.

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