Damaroron roba da lalata nama cikin jerin abubuwan damuwa
Yin amfani da lubricants zai iya yin jima'i a cikin jima'i duk abin da ke jin dadi yayin da yake da muhimmanci rage hadarin dambaroron roba. A cikin 'yan shekarun nan, duk da haka, akwai shawarwari cewa wasu lubricants zasu iya haɓakar cutar ta HIV , ko ta hanyar raunana tsarin tsarin dambaro na latex ko haifar da lalacewa ta hanyar salula wanda ya dace da tsofaffin ƙwayoyin cuta wanda ya danganta da farji ko ɗayan.
Tambayar ita ce, ta yaya ainihin waɗannan daga cikin wadannan ƙidaya?
Nau'in Lubricants
An ba da shawarar yin amfani da lubricants da ruwa a lokacin da za su iya yin jima'i da jima'i, yin amfani da wanda zai iya rage yawan rashin cin amshin roba ba tare da kashi uku cikin kashi ba bisa kashi 21 ko kuma idan ba a amfani da mai amfani da lubricant ba. Ya bambanta, man shafawa na man fetur-irin su man fetur, man fetur, man fetur, ko kayan lambu (watau Crisco) -an san su da sauri ya ƙasƙantar da amincin latex, sau da yawa a cikin mintuna, ƙara hawan katako na roba. Saboda wannan dalili kawai, dole ne a guje wa masu amfani da man fetur na man fetur.
Wani zaɓi wanda aka ba da shawarar, masu rububin siliki (polydimethylsiloxane) na sharaɗɗa yana ƙarfafa ƙananan matakan danko da kuma tasiri kadan akan daidaitattun latex. Duk da yake ba a matsayin masu amfani da ruwa ba, ana amfani da lubricants masu amfani da ruwa musamman kodayake akwai iyakokin bayanai na asibiti don tallafawa wannan, musamman a game da jima'i da jima'i .
Har ila yau, akwai lubricants masu linzamin glycol, wanda ko dai glycerine ko propylene glycol an kara da su a cikin kayan lubricants masu ruwa. Wadannan kwayoyin halitta sunyi aiki a matsayin masu humectants , suna hana evaporation don tabbatar da dindindin lokaci, kuma ana daukar su da lafiya don amfani.
Hanyoyin Lubricants
Tun 2002, akwai wasu bincike da suka yi gargadin tasiri na lubricants na mutum a kan kyawawan kwayoyin halitta waɗanda ke nuna farji da ɗayan.
Ɗaya daga cikin irin wannan binciken yayi bincike game da amfani da nonoxynol-9 , mai wanzuwa wanda ake amfani dashi a matsayin wakili na kwayar cutar don yada cutar HIV a cikin mata.
Binciken, wanda ya haɗa da ma'aikatan jima'i a cikin Thailand da Afirka, ya nuna cewa yawancin amfani da nonoxynol-9 kusan ninki biyu na hadarin HIV, idan aka kwatanta da mata a cikin wannan wuri. An yi la'akari da lalacewa da cutar ta jiki tsakanin masu amfani da nonoxynol-9, ma.
Ana ganin irin wannan sakamakon yayin bincike akan tasirin nonoxynol-9 a kan kyallen gyaran gyare-gyare, tare da mutane da yawa suna fama da ƙyallen gyaran gyare-gyare da kuma zubar da jini a wasu lokuta. A sakamakon wannan nazarin, ba a bada shawarar yin amfani da littattafan lubricants nonoxynol-9 wadanda ba su da kyau ga mata a babban haɗarin HIV.
Abin damuwa, duk da haka, ba'a iyakance ba ne kawai ga lubricants dauke da nonoxynol-9. Tun da baya zuwa shekara ta 2006, masu bincike suna kallon masu amfani da lubricants wanda ake zaton su sune hyperosmolar, ma'anar cewa suna shafar musayar ruwa a cikin kwayoyin jikinsu, suna fitar da ruwa kuma suna haddasa su da rauni da rauni. A yin haka, suna kara yawan yiwuwar kamuwa da cuta ta hanyar barin kamuwa da cutar ta hanyar jima'i (STIs) ta hanyar kai tsaye ta hanyar shinge na cellular da ke nufin hana su.
Ɗaya daga cikin binciken da aka wallafa, wanda ya zama wani ɓangare na shirin UCLA Micro Development, ya nuna cewa mutanen da suke amfani da jigilar kayan aiki na jima'i don shan jima'i suna da haɗari da sau uku sau uku na chlamydia da gonorrhea idan aka kwatanta da wasu masu amfani da lubricant.
Mafi yawan masu amfani (kashi 61 cikin dari) sunyi amfani da samfurori na ruwa, yayin da kashi 20 cikin dari sunyi amfani da man shanu na silicon, kashi 15 cikin dari sunyi amfani da man fetur na man fetur, kuma kashi bakwai cikin dari sunyi amfani da wakili na lubricating. Daga cikin ƙungiyar ta 421-patient, 229 maza da 192 sun kasance mata. Binciken, wanda aka gabatar a 2012, ba bincike HIV ko wani STI ba.
Tsaro na Lubricants
Wani binciken, wanda aka buga a shekara ta 2012, yayi la'akari da tasirin lubricants daban-daban a kan gyaran takalma kuma ya kammala, ba abin mamaki ba, cewa hadarin ya bambanta da samfurin. Wasu samfurori sun nuna karuwar hyperosmolarity saboda yawan ƙananan gishiri da carbohydrates yayin da wasu aka nuna su zama iso-osmolar , inda matakan gishiri da sauran sinadaran basu da tasiri akan kwayoyin halitta.
Daga cikin samfurorin 14 da aka yi bincike, masu ruwa guda biyu, masu launi na iso-osmolar ( Good Clean Love da PRÉ ) da kuma nau'in lubricants guda biyu ( Wet Platinum da Condom 2 na mata ) sun nuna mummunan tasiri. Abubuwan da ke dauke da chlorhexidine (waɗanda aka saba amfani da su a cikin cututtuka da maganin shafawa) an gani suna haifar da lalacewar mafi girma.
Duk da shaida na maye gurbin kwayar halitta, masu bincike sun yanke shawarar cewa babu wata hujja da ta nuna cewa lubrican mutane sun kara yawan cutar HIV. Bisa ga binciken, duk wani mummunar cututtuka da aka haifar da mai haɗari mai yiwuwa ba zai isa ba don yaduwar cutar HIV. Bugu da ƙari, akwai canje-canje mai sauƙi ga lalacewar jiki bayan amfani da lubricant.
Babu daga cikin binciken biyu da ya nuna cewa za a kauce wa man shanu, saboda wannan zai iya haifar da mummunar cututtuka ga suturar gyare-gyare / gyare-gyare yayin kara yiwuwar ƙuntataccen damba. Ƙarin binciken zai iya mayar da hankali ga gano mahadi da / ko additives a cikin lubricants wanda bazai cutar ba ko cutarwa ga kyallen takarda.
Sources:
Golombok, R .; Harding, R .; da kuma Sheldon, J. "Wani gwagwarmaya game da kwaroron roba mai tsabta tare da maza maza." AIDS ; 15 (2): 245-250.
Steiner, M .; et al. "Hanyoyin lubricants akan tasirin roba a lokacin da aka haɗu da juna." Jaridar Duniya na STD da AIDS. 5 (1): 29-36.
Hukumar Lafiya ta Duniya (WHO). "Amfani da samuwa na ƙarin lubricants don kwaroron roba na maza da mata: WHO / UNFPA / FHI360." Geneva, Switzerland; 2012: WHO / RHR /12.33.
Van Damme, L; Ramjee, G .; Alary, M .; et al. "Amfani da COL-1492, wani gel na nonoxynol-9, a kan cutar HIV-1 a cikin ma'aikatan mata masu jima'i: gwajin gwagwarmayar da aka samu." Lancet ; 360 (9338): 971-977.
Gorbach, P .; Weiss, R. Cranston, R .; et al. "Halin da ke da m: Yin amfani da lalata da kuma cututtuka da aka lalata ta hanyar jima'i: sabon haɗari da aka gano." Kwayoyin cututtuka da aka yi da jima'i. Janairu 2012; 39 (1): 59-64.