Kunzima ukukhupha indle nokuchama, akunjalo mfowethu? Ayinakuba yi-gonorrhea!

NgoMvulo omnye, ngexesha elixakekileyo ekliniki yam, ndadibana noRyan okokuqala. URyan ungumphuhlisi wesoftware oneminyaka engama-26 ubudala. Wangena egumbini eneentloni kakhulu kwaye eneentloni. Akungena wahlala phantsi esitulweni sakhe, ndabona ukuba wayexinezelekile kakhulu ngale ngxaki yempilo.

“Gqirha Priya, oku kunzima kancinci kum ukukuthetha,” waqala uRyan, ilizwi lakhe lingcangcazela njengoko wayedibanisa iminwe yakhe. “Kwiintsuku ezimbalwa ezidlulileyo, bendisoloko ndiziva nditsha xa ndichama. Ndikwafumana nokukhupha okumhlophe okanye okumthubi okufana nobovu kumchamo wam.”

Ndancuma ndaza ndamthulisa. "Ryan, akufuneki ube neentloni okanye woyike nantoni na. Izifo ezidluliselwa ngesondo zifana nomkhuhlane oqhelekileyo. Eyona nto ilungileyo onokuyenza xa unengxaki efana nale kukubona ugqirha uze uthethe ngokukhululekileyo. Makhe sibone ukuba yintoni ekukhathazayo."

Yintoni i-gonorrhea?

Emva kokuphonononga ngononophelo iimpawu zikaRyan kunye nembali yakhe yezonyango, ndaqonda ukuba kusenokwenzeka ukuba yi-gonorrhea . I-gonorrhea lusulelo oluqhelekileyo lwebhaktheriya oludluliselwa ngokunxibelelana ngesondo. Ibangelwa yibhaktheriya i-Neisseria gonorrhoeae .

Kumadoda, le ntsholongwane idla ngokusulela i-urethra . Nangona kunjalo, ngokuxhomekeke kuhlobo lwesenzo sokwabelana ngesondo, njengokwabelana ngesondo ngomlomo okanye isondo sangasemva, olu sulelo lunokwenzeka nasemqaleni, emehlweni, okanye kwi-rectum.

Ngokutsho kweWorld Health Organisation (WHO), abantu abangaphezu kwezigidi ezingama-82 kwihlabathi liphela basulelwa yi-gonorrhea minyaka le, nto leyo eyenza ukuba ibe yenye yezona zifo zixhaphakileyo ezidluliselwa ngesondo (STIs) ezibangelwa ziintsholongwane.

🚨 Iiflegi ezibomvu ezifuna unyango olukhawulezileyo

Ekubeni usulelo lwe-gonorrhea lunokuba yingozi ebomini ukuba lusasazeka emzimbeni wonke, kufuneka ufune unyango ngokukhawuleza esibhedlele ukuba ufumana ezi mpawu zilandelayo:

• Intlungu ebuhlungu kunye nokudumba kwamalungu kunye nomkhuhlane ophezulu: Olu luphawu lweDisseminated Gonococcal Infection (DGI) , imeko ebangelwa kukusasazwa kweebhaktheriya egazini.
• Amaqhuqhuva amancinci azele bubomvu okanye amaqhuqhuva abomvu avela kwiindawo eluswini.
• Intlungu ebuhlungu kunye nokudumba kwamasende (i-Epididymitis).
• Intlungu enganyamezelekiyo ebuhlungu kwisisu esisezantsi okanye kwindawo ye-pelvic kubasetyhini (iimpawu ze-PID).

Iimpawu zeGonorrhea

Abantu abaninzi (ingakumbi abafazi) abanesifo se-gonorrhea abanazo naziphi na iimpawu zangaphandle.

1. Iimpawu ezenzeka kumadoda:

• Ukutsha kakhulu ngexesha lokuchama: URyan uchaze iintlungu ezinganyamezelekiyo ngokungathi incakuba yerazor yayinqumla i-urethra ngaphakathi.
• Ukuphuma komchamo: Ukuphuma kobomvu obumhlophe, obutyheli, okanye obuluhlaza okufana nobomvu obuvela kwi-urethra.
• Intlungu yamasende: Usenokuziva iintlungu ezincinci okanye ukudumba kwindawo yamasende okanye emqolo.

2. Iimpawu ezenzeka kubafazi:

Ngaphezulu kwama-50% abasetyhini abanazo naziphi na iimpawu, kwaye ukuba iimpawu ziyenzeka, zinokufana nezo zosulelo oluqhelekileyo lomchamo:

• Intlungu kunye nokutsha xa uchama.
• Ukuphuma kwamanzi kwisini kuninzi kakhulu kunesiqhelo okanye umbala wawo uyatshintsha.
• Ukopha igazi kwisini ngaphandle kwexesha lokuya exesheni okanye intlungu eqatha ngexesha lokwabelana ngesondo.
• Intlungu engapheliyo kwisisu esisezantsi (ebangelwa yiPelvic Inflammatory Disease - PID ).

Uxilongo kunye neendlela zonyango

1. Uvavanyo oluxilonga isifo

Ezi zilingo zilandelayo zenziwa ukuqinisekisa ngokuchanekileyo ukuba unayo na i-gonorrhea:

• Uvavanyo lomchamo: Uvavanyo olulula kakhulu, olungenabuhlungu.
• Uvavanyo lweSwab: Iswab ithathwa kwi-urethra, kwilungu lobufazi, emqaleni, okanye kwi-anus. Uvavanyo lwezakhi zofuzo lwanamhlanje olufana novavanyo lweNucleic Acid Amplification Tests (NAATs) lunokufumanisa iintsholongwane ngokuchanekileyo okungaphezulu kwe-95%.

2. Amayeza anikwa unyango

Ekubeni i-gonorrhea ilusulelo olubangelwa yintsholongwane, inganyangeka ngokupheleleyo ngee-antibiotics:

• Isitofu sokugonya seCeftriaxone: Sidla ngokunikezelwa njengedosi enye efakwe kwisihlunu sempundu.
• I-Doxycycline okanye i-Azithromycin: Ugqirha wakho unokukunika ezi pilisi ukuba kukho olunye usulelo oludluliselwa ngesondo (umz. i-chlamydia).

⚠️ Kubalulekile: Okwangoku, iintlobo ze-gonorrhea (i-Super Gonorrhea) ezingamelaniyo namayeza zisasazeka kwihlabathi liphela. Ke ngoko, kubalulekile ukuthatha idosi epheleleyo yamayeza achazwe ngugqirha kangangeentsuku zonke.

Izinto ekufuneka zenziwe nezo kufuneka zingayenzi

Imithombo yesayensi (Iingxelo)

• 📚 I-Gonorrhea - i-NHS
• 📚 Iintsholongwane zeNeisseria gonorrhoeae - i-PMC