Mungamve manyazi pang'ono kulankhula za kusasangalala kwina komwe kumachitika m'malo oberekera. Komabe, ndikofunikira kwambiri kudziwa zinthu zotere. Lero tikambirana za matenda opatsirana pogonana otchedwa `(Chancroid)` (otchedwa "chancroid"). Uwu ndi matenda opatsirana kwambiri.
Kodi `(Chancroid)` ndi chiyani? N’chifukwa chiyani imachitika?
Mwachidule, `(Chancroid)` ndi matenda omwe amapezeka pamene bakiteriya yotchedwa `(Haemophilus ducreyi)` (yomwe imatchedwa "Haemophilus ducreyi") ilowa m'thupi mwathu. Popeza ndi matenda opatsirana pogonana (STI), amafalikira makamaka kudzera mu kugonana kosadziteteza. Nthawi zina, madzi (monga mafinya) omwe amatuluka m'zilondazi amathanso kufalikira ngati akhudza bala la khungu la munthu wathanzi.
Chancroid si yofala kwambiri ku Sri Lanka. Ngakhale poyerekeza ndi mayiko ena padziko lonse lapansi, akuti chiwerengero cha malipoti a matendawa chikuchepa. Komabe, ngati mupita kumadera ena kumene matendawa ndi ofala (monga mayiko ena aku Africa, zilumba za Caribbean, madera ena akumwera chakumadzulo kwa Asia), ndiye kuti muli ndi mwayi waukulu woti matendawa ayambe.
Palinso dzina lina la izi, lomwe ndi ``Soft Chancre`` (lotchulidwa kuti "soft chancre").
Kodi zizindikiro za Chancroid ndi ziti?
Mukhoza kuyamba kukhala ndi zizindikiro mkati mwa masiku atatu mpaka asanu ndi awiri mutatha kukhudzidwa ndi mabakiteriya `(H. ducreyi).`
Chizindikiro choyamba chomwe mukuwona ndi chithuza chaching'ono, chopweteka, chokwezeka pa ziwalo zanu zoberekera. Izi zidzasanduka chithuza chofewa, chosakhazikika kapena zilonda zoberekera mkati mwa tsiku limodzi. Chithuza ichi ndiye chizindikiro chachikulu cha chancroid.
Komanso, mukhoza kuona zizindikiro monga:
- Kutuluka magazi kuchokera ku mabala.
- Khungu la zilonda limasintha mtundu (kusandulika wofiira, wofiirira, bulauni, kapena wakuda) ndipo limakhala lowala .
- Ma lymph nodes otupa m'malo olumikizirana mafupa. Izi zimamveka ngati ziphuphu zofewa komanso zopweteka.
- Mafinya kapena madzi omwe ali ndi kachilombo akutuluka m'mabala.
- Kupweteka pokodza (dysuria) .
- Kumva kupweteka panthawi yogonana (dyspareunia) .
- Zilondazo zimalumikizana wina ndi mnzake ndipo zimafalikira m'dera lalikulu la zilondazo .
Tangoganizirani momwe zingakhalire zovuta kukumana ndi zizindikiro ngati izi. Ndicho chifukwa chake ndikofunikira kufunafuna upangiri wa dokotala mwachangu.
Kodi zilonda za Chancroid zimawoneka bwanji? Zimachitika kuti?
Zilonda za "chancroid" izi zitha kubwera m'makulidwe osiyanasiyana. Nthawi zambiri zimatha kukhala kuyambira 1/8 ya inchi mpaka pafupifupi mainchesi awiri (mamilimita atatu mpaka asanu).
Ngati ndinu mwamuna , zilonda izi nthawi zambiri zimawoneka:
- Kwa iwo omwe ali ndi khungu lakunja, khungu limenelo.
- Pa mbolo ya glans.
- Pafupi ndi m'mphepete mwa mbolo ya glans (corona ya mbolo ya glans).
- Kuzungulira malo otseguka (nyama) a mbolo komwe mkodzo umatuluka.
- Pa mbolo.
- Pa machende (scrotum).
Ngati ndinu mkazi , zilonda za "Chancroid" nthawi zambiri zimawonedwa:
- Mu labia majora kapena labia minora.
- Mkati mwa ntchafu.
- Malo omwe ali pakati pa anus ndi vagina (perineum).
Kodi ndi zinthu ziti zomwe zimayambitsa matenda a Chancroid?
Aliyense amene amachita zogonana mosadziteteza akhoza kutenga kachilombo ka chancroid. Komabe, amuna osadulidwa apezeka kuti ali pachiwopsezo chachikulu chotenga kachilomboka. Nthawi zina akazi amatha kukhala ndi kachilomboka popanda kusonyeza zizindikiro zilizonse.
Izi sizichitika kawirikawiri m'maiko monga America ndi Europe. Komabe, monga tanenera kale, zikupezekabe m'madera ena padziko lapansi (Africa, Caribbean, Southwest Asia).
Kodi mavuto omwe angakhalepo chifukwa cha Chancroid ndi ati?
Ngati muli ndi chancroid, muli pachiwopsezo chachikulu chofalitsa kachilombo ka HIV ndi kutenga kachilombo ka HIV . Choncho ndikofunikira kwambiri kusamalira izi.
Ngati simulandira chithandizo choyenera, mutha kukhala ndi mavuto ena, monga:
- Matenda a minofu yofewa (monga suppurative lymphadenitis - kutupa kwa ma lymph nodes m'mimba zomwe zimadzaza ndi mafinya).
- Kupangidwa kwa ngalande kapena dzenje (fistula) pakati pa ziwalo zina.
- Kufa kwa minofu (necrosis) m'dera la maliseche.
Kumva zinthu izi kungamveke koopsa, koma kumbukirani kuti ngati mutalandira chithandizo panthawi yoyenera, mutha kupewa matenda oopsa awa .
Kodi dokotala amazindikira bwanji izi ngati `(Chancroid)`?
Ndipotu, nthawi zina zimakhala zovuta kwa dokotala kuzindikira bwino chancroid, chifukwa pali matenda ena omwe amayambitsa zilonda zam'mimba (matenda a genital ulcer (GUD)). Mayeso apadera a nucleic acid amplification (NAAT) amafunika kuti adziwe DNA ya bakiteriya H. ducreyi. Komabe, mayesowa sanavomerezedwe ndi FDA pa H. ducreyi.
Chifukwa cha kuvutika kwa mayesowa, dokotala adzayamba wafufuza ngati muli ndi matenda ena omwe ali ndi zizindikiro zofanana. Izi ndi izi:
- Chindoko
- Herpes '(kachilombo ka Herpes simplex - HSV)'
- Lymphogranuloma venereum (LGV)
Mukatsimikizira kuti mulibe matenda awa, mutha:
- Ngati muli ndi zilonda zopweteka chimodzi kapena zingapo m'dera la maliseche,
- Ngati malo a m'chiuno atupa komanso apweteka,
- Ngati mayeso atsimikizira kuti palibe matenda a herpes ndi `(Treponema pallidum)` (omwe amayambitsa matenda ena otchedwa `yaws`),
Dokotala angaganize kuti ``(Chancroid)''.
Kodi Chancroid ingachiritsidwe?
Inde, ndithudi! Chancroid imatha kuchiritsidwa kwathunthu ndi maantibayotiki.Matenda. Dokotala angakulembereni mankhwala opha tizilombo monga awa:
- `Azithromycin`
- 'Ceftriaxone'
- `Ciprofloxacin`
- `Erythromycin`
Komanso, nthawi zina madokotala angalimbikitse njira yotchedwa ``therapeutic fine needle aspiration'' kuti achotse mafinya m'malo otupa a lymph nodes.
Kodi Chancroid idzakhala bwino popanda chithandizo?
Inde, nthawi zina, ngakhale zitakhala kuti sizinachiritsidwe, zilonda za `(Chancroid)` zimatha kuchira zokha mkati mwa mwezi umodzi kapena iwiri. Komabe, ngakhale zili choncho, ngati simulandira chithandizo, chiopsezo chotenga mavuto omwe atchulidwa pamwambapa chimakhala chachikulu kwambiri. Chifukwa chake, ndi bwino kupita kwa dokotala mukangozindikira zizindikiro ndikupeza chithandizo.
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Ngati mwalandira chithandizo choyenera, muyenera kumva bwino mkati mwa sabata imodzi kapena ziwiri , ndipo zilondazo ziyamba kuchira. Komabe, ngati muli ndi vuto lalikulu la chancroid, mutha kukhala ndi zipsera pamalo omwe zilondazo zinali.
Ngati zizindikiro zanu sizikuchepa mutalandira chithandizo, dokotala wanu angakulangizeni kuti mupimidwenso. Mungakhalenso ndi matenda ena.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati muwona mtundu uliwonse wa zilonda, chotupa, ululu, kuyabwa, kapena chilichonse chachilendo m'dera lanu loberekera , onetsetsani kuti mwawonana ndi dokotala nthawi yomweyo . Komanso, ngati mukuchita zogonana, makamaka ngati mwapita kumadera komwe matenda monga `(Chancroid)` ndi ofala, ndi bwino kukayezetsa matenda opatsirana pogonana (STIs) kamodzi pachaka .
Mukapita kwa dokotala, mungafunse mafunso monga awa:
- Ngati ndilibe `(Chancroid)`, kodi vuto lina lingakhale liti?
- Kodi ndingapewe bwanji Chancroid?
- Kodi `(Chancroid)` iyi ingayambitse mavuto aliwonse mtsogolo?
- Kodi ndiyenera kuyezetsa matenda opatsirana pogonana kangati?
- Kodi anzanga ogonana nawonso ayenera kuyezedwa?
- Kodi pali zotsatirapo zilizonse pa chithandizochi?
Kodi mungathe kuchotsa Chancroid?
Inde, ndithudi! Mukhoza kuchita izi kuti muchepetse kukula ndi kufalikira kwa `(Chancroid)`:
- Kupewa kugonana kapena kuchita zogonana zodzitetezera . Izi zikutanthauza kugwiritsa ntchito kondomu nthawi iliyonse (pa nthawi yogonana pakamwa, m'mimba, kapena kumatako). Gwiritsani ntchito kondomu kuphimba malo omwe ali ndi kachilomboka.
- Kugonana ndi munthu m'modzi yekha, wopanda kachilombo .
- Ngati mafinya kapena madzi akutuluka m'malo omwe muli kachilomboka, samalani kuti asakhudze khungu lanu kapena la wina .
- Yezetsani matenda opatsirana pogonana kamodzi pachaka , kuphatikizapo musanagone ndi munthu watsopano.
Kumbukirani, musachite manyazi kulankhula za zinthu izi. Thanzi lanu ndilo chinthu chofunika kwambiri.
Kodi ndiyenera kuyembekezera chiyani ngati nditayamba matenda a `(Chancroid)`?
Mukalandira chithandizo choyenera, vuto lanu lidzasintha. Palibe chodetsa nkhawa nacho. Ngati simulandira chithandizo, mabalawo adzachira, koma pali chiopsezo chachikulu cha mavuto monga matenda a minofu yofewa.
Ngati dokotala atsimikiza kuti muli ndi chancroid, ndikofunikira kwambiri kudziwitsa aliyense amene munagonana naye masiku 10 zizindikiro zisanawonekere . Mwanjira imeneyi, amathanso kuyezetsa ndi kuchiritsidwa ngati pakufunika kutero, kuti apewe kufalikira kwa matendawa.
Pomaliza, uthenga wopita nawo kunyumba
Chabwino, ndikukhulupirira kuti mwamvetsa bwino `(Chancroid)` kuchokera pa zomwe takambirana.
- Chancroid ndi matenda opatsirana pogonana (STI) omwe amayambitsidwa ndi mabakiteriya.
- Chizindikiro chachikulu ndi zilonda zopweteka komanso zofewa m'dera la maliseche .
- Izi zitha kuchiritsidwa kwathunthu ndi maantibayotiki .
- Ngati sichikuchiritsidwa , chiopsezo cha kachilombo ka HIV chimawonjezeka ndipo mavuto ena akuluakulu angachitike.
- Ngati muwona zilonda zachilendo kapena ululu m'dera loberekera, musachite manyazi ndipo pitani kwa dokotala nthawi yomweyo .
- Kuchita zogonana zodzitetezera komanso kuyezetsa matenda opatsirana pogonana nthawi zonse kungathandize kupewa matenda amtunduwu.
- Ngati mwayamba kudwala matenda a Chancroid, dziwitsani anzanu ogonana nawo ndipo muwayesenso .
Thanzi la kugonana ndi gawo lofunika kwambiri pa thanzi lathu lonse. Chifukwa chake, kudziwa zinthu izi ndikuchita zinthu mosamala kudzakupindulitsani inu ndi okondedwa anu.
Chancroid , matenda opatsirana pogonana, matenda opatsirana pogonana, Haemophilus ducreyi, zilonda zam'mimba, kugonana kotetezeka, Soft Chancre











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