Ukugonywa kwe-HPV: inkinga yezempilo yomphakathi, kepha ukukhetha komuntu

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.

 

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