Imikhuba yezocansi yezitabane

**Imikhuba** yezocansi yezitabane yimisebenzi yezocansi ehilela abesilisa abalala nabesilisa (i-MSM), kungakhathalekile ukuthi bathanda ini ngokobulili noma ubunikazi bobulili.Le mikhuba ingafaka ucansi lwendunu, ucansi olungangeni, nobulili bomlomo .Ubufakazi bukhombisa ukuthi ucansi phakathi kwamadoda alubikwa kangako ocwaningweni ngenxa yokuchema okufuna umphakathi .  

## Ukuziphatha
Izikhundla ezahlukahlukene zocansi zingenziwa ngesikhathi socansi phakathi kwamadoda.

### Ucansi lwendunu

Ngokomlando, ucansi lwendunu beluhlotshaniswa kakhulu nobungqingili besilisa kanye neMSM.Ama-MSM amaningi, nokho, awazibandakanyi ocansini lwendunu, futhi angazibandakanya ocansini lomlomo, efrijini noma efotweni, noma esikhundleni sokushaya indlwabu. 

Imibiko ephathelene nokusabalala kobulili bendunu phakathi kwe-MSM iye yahluka ngokuhamba kwesikhathi, kanti amanye amaphesenti aphezulu kunamanye.Amaphesenti amakhulu abesilisa abesilisa nabesilisa nabesilisa nabesifazane abenza ukuzibika kwabo ngesikhathi sokuphila kwabo ocansini lwangasese.  Ucwaningo phakathi kwamadoda athandana namanye lukhombisile ukuthi amaphesenti ayafana uma kuqhathaniswa amadoda akhetha ukungena kozakwethu kulabo abakhetha ukuba nguzakwethu olalelayo.  Abanye besilisa abalala nabesilisa, noma kunjalo, bakholelwa ukuthi ukuba ngumlingani olalelayo ngesikhathi sobulili bendunu kubuza ubudoda babo. 

### Ucansi olungangeni futhi amathoyizi ocansi

Kunezinhlobonhlobo zezenzo zocansi ezingangeni.I-Frot iyindlela yokwenza ucansi lowesilisa nowesilisa okuvame ukubandakanya ipipi ngqo -ukuthinta ipipi.Kuyindlela yefulethi. I-Frot ingathokozisa ngoba ivuselana futhi ngasikhathi sinye izitho zangasese zabo bobabili abalingani njengoba ijwayele ukukhiqiza ukungezwani okumnandi ngokumelene nesigaxa sezinzwa se-frenulum ngaphansi kwesigaxa sowesilisa ngamunye, ngezansi nje kokuvuleka komchamo kwekhanda lepipi (glans umthondo).Ukuya ocansini ngokobulili kungenye indlela yocansi olungangenisi olungenziwa phakathi kweMSM.Idokodo (ukufakwa kwepipi lowesilisa kwenye ijwabu lenye indoda) kuyenziwa futhi.

I-MSM ingasebenzisa amathoyizi ocansi . Ngokuya ngocwaningo olwenziwa online kwabesilisa abangama-25,294 abazibika ngokuthandana kwabantu bobulili obufanayo noma abesilisa nabesifazane, ama-49.8% asebenzise izidlidliza.Iningi labesilisa abake basebenzisa isidlidlizi esikhathini esedlule babika ukusetshenziswa ngesikhathi sokushaya indlwabu (86.2%).Lapho esetshenziswa ngesikhathi sokusebenzisana okuhlanganyelwe, ama-vibrator afakwa ku-foreplay (65.9%) nasekuhlanganyeleni kocansi (59.4%). 

### Ucansi olwenziwa ngomlomo

I-MSM ingahlanganyela ezinhlotsheni ezahlukahlukene zocansi lomlomo, njenge- fallatio, ukugoqa itiye, kanye ne- anilingus.Wellings et al. ibike ukuthi "ukulingana 'kobungqingili' nobulili 'bendunu' phakathi kwamadoda kuvamile kubantu abaqeqeshiwe kanye nabasebenza kwezempilo ngokufanayo," kanti ucwaningo olwenziwa online nge-18,000 MSM eYurophu "lukhombisa ukuthi ucansi lomlomo lwaluvame ukwenziwa, lulandelwe ukushaya indlwabu, ngokuya ocansini endunu endaweni yesithathu. "Ucwaningo olwenziwe ngo-2011 yi- *The Journal of Sexual Medicine* lwathola imiphumela efanayo kwabesilisa base-US abesilisa nabesilisa abesilisa nabesifazane.Ukuqabula umlingani emlonyeni (i-74.5%), ubulili bomlomo (i-72.7%), nokushaya indlwabu okuhlukanisiwe (i-68.4%) kwakuyizindlela ezintathu zokuziphatha ezivame kakhulu, nge-63.2% yesampula yokuzibika ngokuziphatha kocansi okuhlanu kuya kwesishiyagalolunye ngesikhathi sokugcina kwabo ukuhlangana. 

## Izingozi zezempilo
Izinhlobo zezifo ezithathelwana ngocansi (STIs) zingavela emisebenzini yezocansi.Ucwaningo lwango-2007 lwabika ukuthi izinhlolovo ezimbili zabantu ezinkulu zathola ukuthi "iningi labesilisa abayizitabane lalinamanani afanayo abantu abenza ucansi olungavikelekile minyaka yonke njengamadoda nabesifazane abaqondile."

I-Acquired immune deficiency syndrome (i-AIDS) isifo samasosha omzimba womuntu abangelwa igciwane lesandulela-ngculazi (i-HIV).Emhlabeni jikelele, kulinganiselwa ku-5-10% wokutheleleka nge-HIV kungumphumela wamadoda alala nabesilisa.Kodwa-ke, emazweni amaningi aseNtshonalanga, ukutheleleka okuningi kwe-HIV kudluliswa ngabesilisa abalala nabesilisa kunanoma iyiphi enye indlela yokudlulisa.E-United States, amadoda athandana nabesilisa nabesilisa abesilisa nabesilisa abesilisa nabesilisa abesilisa abesilisa nabesilisa abesilisa abesilisa nabesilisa abesilisa abesilisa nabesilisa abesilisa abesilisa nabesilisa abesilisa abesilisa nabesilisa abesilisa abesilisa nabesilisa abesilisa abesilisa nabesilisa abesilisa abesilisa nabesilisa abesilisa abesilisa nabesilisa abesilisa abesilisa nabesilisa babamba ama-70% okuthola ukuxilongwa kwe-HIV okusha okungu-38 739 ngo-2017.Kubantu abangu-5,164 abatholakala bene-HIV e-UK ngo-2016, ama-54% kwakungamadoda athandana nabesilisa nabesifazane.Lesi sibalo siyancipha eLondon njengoba kwabikwa yiPublic Health England ngo-2017. 

Ugcunsula budluliselwa busuka komunye nomuntu buye ngokuthintana ngqo nesifo sogcunsula; ikakhulu esithweni sangasese sangaphandle, esithweni sangasese sowesifazane, noma endunu.  Ngo-2006, amacala abikiwe angama-64% e-United States ayephakathi kwabesilisa abalala nabesilisa.Ukwanda kwesigcwala se-syphilis phakathi kwe-MSM kubonwe kwezinye izizwe ezithuthukile. Ugcunsula onenkontileka unyusa amazinga okungcoliswa yi-HIV futhi okuphambene nalokho, futhi ngokufanele ucwaningo olwenziwe e-US luthole ngempela ukuthi uhhafu we-MSM onegcunsula nawo une-HIV.Olunye ucwaningo olusebenzisa amasampula alula luphethe ngokuthi ukukhuphuka okunjalo kungabangelwa ukukhuphuka kwamanani ocansi ngaphandle kwekhondomu phakathi kweMSM,  yize okungenani isifundo esisodwa kusetshenziswa isampula elimele izwe lonke sithole ukuthi amazinga okusetshenziswa kwamakhondomu phakathi kweMSM akhuphukile, awehlile, eminyakeni eyishumi edlule, futhi kube nokwehla okukhulu emvamisa yocansi lwendunu ekuhlanganyeleni ngokocansi okokugcina kwe-MSM esebenzayo. 

Ngokwenhlolovo yase-US, i-HIV, ugcunsula, kanye nezinsumpa zangasese konke kuvame kakhulu kubantu besilisa abasanda kulala nabesilisa (MSM) kunabesilisa abasanda kwenza ucansi nabesifazane (MSW).Ngakolunye uhlangothi, i- herpes yezitho zobulili ayijwayelekile kakhulu phakathi kwe-MSM kunaphakathi kwe-MSW.IChlamydia, i- papillomavirus yomuntu, i- gonorrhea, nezintwala azibonanga mehluko omkhulu kuwo womabili la maqembu. 

## Bhekafuthi

* Ubungqingili
* Ubungqingili
* Ubungqingili besilisa