Okuqukethwe
Ukugonywa kwe-HPV: inkinga yezempilo yomphakathi, kepha ukukhetha komuntu
Ubani ozokwazi ukuthola umgomo?
I-premiere yaba Ngo-2003, intsha eneminyaka engu-15 kuya kwengu-19 yabuzwa ukuthi yayineminyaka emingaki iqala ukuya ocansini. Nazi izimpendulo zabo: iminyaka engu-12 (1,1%); iminyaka engu-13 (3,3%); Iminyaka engu-14 (9%)3. |
Ekwindla ka-2007, iKomidi Lokugoma laseQuebec (CIQ) lanikeza uNgqongqoshe u-Couillard isimo sokuqaliswa kwalolu hlelo. Lokhu kuhlinzekela ukusetshenziswa kwe-Gardasil, okuwukuphela komgomo we-HPV ogunyazwe yi-Health Canada okwamanje.
Ngomhla ziyi-11 kuMbasa, 2008, i-MSSS yamemezela imigomo yokusetshenziswa kohlelo lokugomela i-HPV. Ngakho, kusukela ngoSepthemba 2008, labo abazothola umgomo mahhala yilaba:
- amantombazane 4e unyaka wesikole samabanga aphansi (iminyaka engu-9 neminyaka eyi-10), njengengxenye yohlelo lwesikole lokugomela i-hepatitis B;
- amantombazane 3e yesibili (iminyaka engu-14 neminyaka engu-15), njengengxenye yokugoma i-diphtheria, i-tetanus kanye ne-pertussis;
- amantombazane 4e futhi 5e okwesibili;
- Amantombazane aneminyaka engu-9 naneminyaka engu-10 ubudala ashiye isikole (ngezikhungo zokugoma eziqokiwe);
- Amantombazane aneminyaka engu-11 kuya kwengu-13 abhekwa njengasengozini;
- amantombazane aneminyaka engu-9 kuya ku-18 ahlala emiphakathini yendabuko, lapho kunomdlavuza womlomo wesibeletho.
Kufanele kuqashelwe ukuthi amantombazane aneminyaka engu-11 kuya ku-13 (5e futhi 6e iminyaka) bazogonywa lapho sebeneminyaka emi-3e okwesibili. Ngendlela, amantombazane asebasha kusukela ku-4e futhi 5e kuyodingeka ukuthi bahambe ngokwabo baye ezindaweni ezifanele ukuze bathole umgomo mahhala. Okokugcina, abantu abangahlosiwe ohlelweni bangagonywa, ngezindleko ezilinganiselwa ku-CA $400.
Imithamo emibili kuphela?
Okunye kokungaqiniseki ngohlelo lokugomela i-HPV kuhlobene nohlelo lokugoma.
Ngempela, i-MSSS ihlinzeka ngohlelo oluhlanganisa iminyaka emi-5, emantombazaneni aneminyaka engu-9 no-10: izinyanga ezingu-6 phakathi kwemithamo emibili yokuqala futhi - uma kunesidingo - umthamo wokugcina uzonikezwa ngo-3.e okwesibili, okungukuthi iminyaka emi-5 ngemva komthamo wokuqala.
Kodwa-ke, uhlelo olubekwe umenzi weGardasil luhlinzeka ngezinyanga ezi-2 phakathi kwemithamo emi-2 yokuqala nezinyanga ezi-4 phakathi komthamo wesibili nowesithathu. Ukuze emva kwezinyanga eziyisi-6 ukugoma kuphelile.
Ingabe kuyingozi ukushintsha uhlelo lokugoma ngale ndlela? Cha, ngokusho kuka-Dr UMarc Steben ovela ku-National Institute of Public Health (INSPQ), obambe iqhaza ekwakheni izincomo ze-CIQ.
"Ukuhlola kwethu kusivumela ukuthi sikholwe ukuthi imithamo emi-2, ezinyangeni eziyisi-6, izonikeza impendulo yokuzivikela komzimba njengemithamo emi-3 ezinyangeni eziyi-6, ngoba le mpendulo ilungile komncane", ukhombisa.
I-INSPQ nayo ilandela eduze ucwaningo olwenziwa yiNyuvesi yaseBritish Columbia njengamanje, oluhlola ukusabela komzimba okunikezwa imithamo emi-2 ye-Gardasil emantombazaneni angaphansi kweminyaka engu-12 ubudala.
Kungani kube nohlelo lomhlaba wonke?
Ukumenyezelwa kohlelo lokugomela i-HPV jikelele kuphakamise inkulumompikiswano eQuebec, njengaseCanada kwenye indawo.
Ezinye izinhlangano ziyakungabaza ukubaluleka kohlelo ngenxa yokushoda kwedatha enembile, isibonelo ubude besikhathi sokuvikela umgomo noma inani lemithamo ye-booster engase idingeke.
I-Quebec Federation for Planned Parenthood Inqaba Okubalulekile Okunikezwe Ukugoma kanye Nemikhankaso Yokufinyelela Okungcono Ekuhlolweni2. Yingakho ecela ukuthi kumiswe ukuqaliswa kwalolu hlelo.
I-Dr U-Luc Bessette uyavuma. “Ngokugxila ekuhloleni, singakwazi ukwelapha umdlavuza wangempela,” usho kanje. Kuzothatha iminyaka eyi-10 noma engu-20 ukwazi ukusebenza kahle kokugoma. Khonamanjalo, asikhulumi ngenkinga yabesifazane abanomdlavuza womlomo wesibeletho abangahlolwa futhi abazoshona kulo nyaka, ngonyaka ozayo, noma eminyakeni emithathu noma emine. “
Nokho, akakholelwa ukuthi umgomo we-HPV uyingozi empilweni.
“Ukwephula ukungalingani kokuyeka esikoleni”
Enye yezinzuzo ezinkulu zohlelo lokugoma ukuthi “luzonqamula ukungalingani kokuyeka isikole,” kusho uDkt Marc Steben. Ukuyeka isikole kungenye yezinto eziyingozi enkulu yokutheleleka nge-HPV ezihlonzwe yi-INSPQ1.
“Ngenxa yokuthi amasosha omzimba asabela kahle kulo mgomo emantombazaneni aneminyaka engu-9 ubudala, ukugonywa esikoleni samabanga aphansi kuyindlela engcono kakhulu yokufinyelela amantombazane amaningi ngangokunokwenzeka ngaphambi kwengozi yokuyeka isikole. “
Eqinisweni, ngaphezu kwe-97% yentsha eneminyaka engu-7 kuya kwengu-14 iya esikoleni eCanada3.
Isinqumo somuntu siqu: okuhle nokubi
Nali ithebula elifingqa ezinye izimpikiswano zohlelo lokugomela i-HPV. Leli thebula lithathwe esihlokweni sesayensi esishicilelwe ephephandabeni lesiNgisi I-Lancet, ngo-September 20074.
Ukuhambisana nohlelo lokugomela amantombazane i-HPV ngaphambi kokuthi aye ocansini4 | ||
| Izimpikiswano FOR | Izingxabano ezimelene |
Ingabe sinolwazi olwanele ukuqala uhlelo lokugomela i-HPV? | Ezinye izinhlelo zokugoma zaqalwa ngaphambi kokuthi kwaziwe ukusebenza kahle kwesikhathi eside kwemithi yokugoma. Uhlelo luzothola idatha eyengeziwe. | Ukuhlola kungenye indlela enhle esikhundleni sokugoma. Kufanele silinde idatha eyengeziwe eqinisekisayo, ukuze sethule uhlelo oluhlanganisa ukugoma nokuhlolwa. |
Ingabe sikhona isidingo esiphuthumayo sokwamukela uhlelo olunjalo? | Uma isinqumo sihlehliswa, amantombazane asengozini yokungenwa igciwane. | Kungcono ukuqhubeka kancane, uthembele esimisweni sokuqapha. |
Ingabe umgomo uphephile? | Yebo, ngokusekelwe kudatha etholakalayo. | Abahlanganyeli abengeziwe bayadingeka ukuze kutholwe imiphumela engemihle engavamile. |
Ubude besikhathi sokuvikela umgomo? | Okungenani iminyaka emi-5. Eqinisweni, izifundo zithatha isikhathi seminyaka emi-5 ½, kodwa ukusebenza kahle kungadlulela ngale kwalesi sikhathi. | Isikhathi sengozi enkulu yokutheleleka nge-HPV senzeka eminyakeni engaphezu kweyi-10 ngemva kweminyaka yokugoma ebekwe wuhlelo. |
Yimuphi umgomo ongawukhetha? | I-Gardasil isivele ivunyiwe emazweni amaningana (kuhlanganise neCanada). | I-Cervarix ivunyelwe e-Australia futhi kulindeleke ukuthi ivunyelwe kwenye indawo maduze nje. Ukuqhathanisa le mithi yokugoma emibili kungaba yinto enhle. Ingabe ziyashintshana futhi ziyahambisana? |
Ubulili kanye nezindinganiso zomndeni | Abukho ubufakazi bokuthi ukugoma kukhuthaza ukuya ocansini | Ukugoma kungaholela ekuqalekeni kocansi futhi kunikeze umuzwa ongamanga wokulondeka. |