Ake sifunde ngqo nge-LGV (Lymphogranuloma Venereum), isifo esithathelwana ngocansi?

Wake wezwa ngokuqhuma okuvela ezithweni zakho zangasese bese kuba yiqhubu embotsheni yakho? Noma wake wezwa umngane ekhuluma ngalezi zimpawu? Lezi ngezinye izikhathi zingaba izimpawu zesifo esithathelwana ngocansi. Namuhla sizokhuluma ngesifo esisodwa esinjalo , i-LGV (Lymphogranuloma Venereum) . Nakuba kuyigama elide, sizoxoxa ngokuthi siyini, ukuthi sikhula kanjani, yiziphi izimpawu, ingabe kukhona ukwelashwa, nokuthi ungahlala kanjani uphephile.

Kuyini i-LGV? Ake sithole kalula.

Kalula nje, i-LGV (i-Lymphogranuloma Venereum) yisifo esidluliselwa ngocansi. Lokhu sikubiza ngokuthi isifo esidluliselwa ngocansi (STD) . I-LGV iqala ukubonakala njengamaqhubu amancane ezithweni zangasese. Bese kuthi esigabeni sesibili, ama-lymph node e-groin, e-pelvis, noma e-rectum avuvuke futhi abe buhlungu.

Cabanga ngakho njengenkinga encane ngohlelo lwethu lwe-lymphatic. Izindaba ezinhle ukuthi ngokuvamile ingelashwa ngama-antibiotic. Kodwa-ke, uma ingelashwa, ingabangela umonakalo wesikhathi eside ohlelweni lwethu lwe-lymphatic. I-LGV iphinde yandise ingozi ye -HIV nezinye izifo ezithathelwana ngocansi. Ngakho-ke kubalulekile ukuqaphela lokhu.

Ubani ongathuthukisa i-LGV? Ubani osengozini enkulu?

Eqinisweni, noma ubani ohlanganyela ocansini angathola i-LGV. Kodwa-ke, abantu abahlanganyela ocansini abaneminyaka ephakathi kwengu-15 no-40 basengozini enkulu. Lesi sifo singathinta kokubili amadoda nabesifazane.

Kodwa-ke, ucwaningo luthole ukuthi amadoda alala namadoda (MSM) anamathuba amaningi okuthola i-LGV kunabesifazane. Abantu abane -HIV nabo basengozini enkulu yokuthola i-LGV.

Ngakho-ke, noma ngabe awuyena omunye walezi zigaba, uma uya ocansini, kubaluleke kakhulu ukuqaphela lezi zifo.

I-LGV ivame kangakanani? Ingabe iyatholakala eSri Lanka?

I-LGV ivame kakhulu ezindaweni ezishisayo nezingaphansi kwezindawo ezishisayo. Ayivamile emazweni afana ne-United States. Kodwa-ke, ukuqubuka kwe-LGV kubikwe emazweni afana neNyakatho Melika, iYurophu, ne-Australia phakathi kwamadoda alala namadoda. Isibonelo, ngo-2018, amacala angu-2,389 e-LGV abikwe emazweni angu-22 aseYurophu.

Kuhle ngathi, esihlala endaweni eshisayo njengeSri Lanka, ukukhathazeka ngalokhu. Ngoba uma unezimpawu ezinjengalezi, kuwukuhlakanipha ukubona udokotela esikhundleni sokucabanga ukuthi, "Akunakwenzeka ukuthi lokhu kwenzeke kimi."

Kungani lokhu kwenzeka nge-LGV? Iyini imbangela?

I-LGV ibangelwa yi -Chlamydia trachomatis.Igciwane elibizwa nge-LGV libangelwa izinhlobo ezintathu ezithile zaleli gciwane, ama-serovars L1, L2, kanye ne-L3 .

Cishe uke wezwa ngesinye isifo esidluliselwa ngocansi esibizwa ngokuthi "i-chlamydia." Sibangelwa futhi yibhaktheriya efanayo, i-Chlamydia trachomatis. Kodwa sibangelwa uhlobo oluhlukile (i-serovar DK) . Ngakho-ke, i-LGV ifana nelungu elihlukile kancane, elingase libe yingozi lomndeni we-Chlamydia.

I-LGV ingadluliselwa ngocansi lwendunu, lwesitho sangasese sowesifazane noma ngomlomo . Lokhu kusho ukuthi uma uxhumana nomuntu onegciwane, ungasithola lesi sifo.

Ziyini izimpawu ze-LGV? Kunezigaba ezintathu!

Izimpawu ze-LGV zivame ukuqala zingakapheli izinsuku ezintathu kuya kweziyishumi nambili (3-12) zokutheleleka. Kodwa-ke, kwezinye izimo, izimpawu zingathatha izinsuku ezingama-30 ukuthi zivele. Lezi zimpawu zenzeka ngezigaba ezintathu eziyinhloko:

Isigaba 1: Lapho kuvela amabhamuza amancane

Phakathi nalesi sigaba, kuvela amabhamuza amancane agcwele uketshezi (angamamilimitha angu-1 kuya kwangu-6 ngobukhulu) epenis yakho noma ngaphakathi kwesitho sakho sangasese sowesifazane. Lawa ngokuvamile awabuhlungu futhi aphola ngokushesha. Ngezinye izikhathi la mabhamuza angavela emlonyeni noma emphinjeni wakho. Abantu abaningi bangase banganaki kakhulu la mabhamuza, njengoba ephela ngokushesha.

Isigaba Sesibili: Isikhathi sokuvuvukala nesibuhlungu

Lesi sigaba sesibili siqala cishe emavikini amabili kuya kwayisithupha ngemva kwesigaba sokuqala. Izimpawu eziyinhloko ezingabonakala kulesi sigaba yilezi:

• Ama-lymph node athambile, avuvukele endaweni ye-groin (abizwa nangokuthi 'ama-buboe'). Lokhu kuvame kakhulu kwabesilisa.
• Kwabesifazane, ama-lymph node e-pelvis kanye ne-rectum angase avuvuke futhi abe buhlungu.

Isikhumba esiphezu kwala ma-lymph node avuvukele ngezinye izikhathi singavuleka, okuvumela igazi noma ubomvu ukuthi kuphume kuwo kuye ebusweni besikhumba (lokhu kubizwa ngokuthi i-sinus tract).

Ngaphezu kwalezi zimpawu eziyinhloko, ezinye izimpawu eziningana zingase zivele kulesi sigaba:

• Ubuhlungu besisu
• Ubuhlungu bendunu
• Ubuhlungu bomhlane noma ubuhlungu be-pelvic kwabesifazane
• Ubuhlungu bomzimba, Ukukhathala
• Ukuqunjelwa
• Ukuzizwa sengathi udinga ukuphuma indle njalo
• Ikhanda elibuhlungu kanye nomkhuhlane
• Ukuvuvukala kwe-rectum kanye ne-anus (i-proctitis)
• Ukopha okubangelwa yi-rectum, ukulunywa noma ukuphuma kwegazi
• Ubuhlungu ngesikhathi sokuchama (i-dysuria) kanye nobuhlungu ngesikhathi sokuphuma kwendle
• Ukwehlisa isisindo okungachazeki

Isigaba Sesithathu: Kwenzekani uma ungatholi ukwelashwa okufanele

Lesi sigaba senzeka uma i-LGV ingelashwa kahle. Esigabeni sesithathu, noma ngabe izilonda zangaphambilini sezipholile, izibazi zingase zihlale. "Ama-sinus tracts" okukhulunywe ngawo ngaphambili (izindlela zokukhipha amanzi ezibolile) angase abe khona.

Kuleli qophelo, kungase kuvele izinkinga ezinkulu kakhulu:

• Amathumba
• Imisele engavamile yendunu (i-Anal fistulas)
• Izitho zangasese ezikhubazekile
• Ukuqina kwe-rectal
• Ukungasebenzi kahle kwephansi le-pelvic
• Ukuvuvukala kwezitho zangasese

Uyabona, noma kuqala kulula, kungaba kubi kakhulu uma kungelashwa. Yingakho kubalulekile ukuqaphela lezi zimpawu.

Udokotela uyixilonga kanjani i-LGV?

Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela. Udokotela uzoqala ngokukubuza ngezimpawu zakho kanye nempilo yakho yocansi. Ngemuva kwalokho, uzokwenza ukuhlolwa ngokomzimba.

Uma kusolwa ukuthi i-LGV iyatholakala, udokotela wakho angase asikisele ukuhlolwa okuningana, okufana nalokhu:

• Ukuhlolwa kwegazi: Lokhu kuhlola ama-antibodies akhiqizwa emzimbeni wethu ngokumelene namagciwane (i-Chlamydia trachomatis).
• Ukuhlolwa Kokukhulisa I-Nucleic Acid (NAAT): Lokhu kubheka ngqo amagciwane i-Chlamydia trachomatis kusampula ethathwe embotsheni yakho, e-rectum, noma e-lymph node evuvukele. Lokhu kuhlolwa kuvame ukusetshenziswa ukuqinisekisa i-LGV.

Ngokuvamile, amadoda angatholakala ezigabeni zokuqala zalesi sifo. Kodwa-ke, lapho abesifazane betholakala, lesi sifo ngezinye izikhathi singaba sithuthuke kakhulu. Lokhu kungenxa yokuthi izimpawu zabesifazane ngezinye izikhathi zenzeka ngaphakathi, ngakho-ke izimpawu zangaphandle zingase zingabonakali kangako.

Yiziphi izindlela zokwelapha i-LGV? Ingabe ingelapheka?

Yebo, i-LGV ingelashwa ngempumelelo ngama-antibiotic! Lena yinto ebaluleke kakhulu.

Odokotela bavame ukukunikeza umuthi olwa namagciwane obizwa ngokuthi i-doxycycline . Kufanele uthathe ama-milligram ayi-100 alo muthi kabili ngosuku izinsuku ezingama-21. Kubaluleke kakhulu ukuthatha umuthi njengoba nje udokotela wakho ekutshelile, isikhathi sonke somuthi.

Ngezinye izikhathi, amanye ama-antibiotic, njenge -erythromycin noma i-azithromycin, anganikezwa esikhundleni se-doxycycline.

Uma unezimbotshana ze-lymph (ama-buboe) ezigcwele ubovu, ezivuvukele endaweni yakho yezimbotshana, udokotela wakho angase futhi akuncome ngenaliti encane (i-FNA) ukuze kususwe ubovu. Lokhu kungasiza ekunciphiseni ubuhlungu nokungakhululeki.

Khumbula, uma kutholakale ukuthi une-LGV, kubaluleke kakhulu ukwazisa abalingani bakho bocansi futhi nabo bahlolwe. Lokhu kufaka phakathi noma ubani oye walala nawe ezinsukwini ezingu-60 ngaphambi kokuba izimpawu zakho ziqale. Lokhu kuzomvumela ukuthi ahlolwe futhi elashwe uma kudingeka.

Yini esingayenza ukuze sinciphise ukuvela kwe-LGV?

Kunezinto eziningana esingazenza ukuze sizivikele ezifweni ezithathelwana ngocansi njenge-LGV:

• Gwema ucansi olungaphephile , njengokuba nabalingani abaningi bocansi ngesikhathi esisodwa.
• Lapho kuvela izimpawu zokuqala zesifo esithathelwana ngocansi (STD) , funa iseluleko sezokwelapha bese uthola ukwelashwa okudingekayo. Ungabi namahloni noma wesabe. Impilo yakho iyona nto ebaluleke kakhulu.
• Uma udokotela ekutshela ukuthi une-LGV, tshela abalingani bakho bocansi ukuze nabo bahlolwe futhi bathole ukwelashwa uma kudingeka.
• Sebenzisa amakhondomu noma ezinye izindlela zokuzivikela njalo uma uya ocansini. Lokhu kungakuvikela hhayi kuphela ezifweni ze-LGV, kodwa nakwezinye izifo eziningi ezithathelwana ngocansi.

Yiziphi izinkinga ezingaba khona ngenxa ye-LGV? Ingabe kufanele ngikhathazeke?

Uma i-LGV ingelashwa kahle futhi ngokushesha, kungase kube nezinkinga ezithile. Yingakho sincoma ukubona udokotela ngokushesha nje lapho ubona izimpawu. Nazi ezinye zezinkinga ezingase zenzeke uma zingelashwa:

• Imisele engavamile yendunu (i-Anal fistulas)
• Ukuvinjelwa kwe-lymphatic
• Ukwandiswa kwezitho zangasese
• Ukungazali
• I-Reactive arthropathy (isifo samalunga esibangelwa ukutheleleka)
• Ukuqina kwe-rectal
• Ukuvuvukala okukhulu kwezitho zangasese (okubizwa nangokuthi i-elephantiasis)

Ngaphezu kwalokho, ingozi yokuthola izifo ezifana ne -hepatitis kanye ne -pneumonia nayo inganda. Uma ama-fistula noma ama-strictures e-rectum ebangele umonakalo omkhulu, kungase kudingeke ukuhlinzwa.

Kodwa asikho isidingo sokwesaba lezi zinto, uma uthola ukwelashwa ngokushesha, eziningi zalezi zinkinga zingavinjelwa.

Liyini ikusasa lomuntu one-LGV? Ingabe kuzoba nokululama okuphelele?

Lena inkinga abantu abaningi abanayo. Uma i-LGV itholakala futhi yelashwa kusenesikhathi, ingalapheka ngokuphelele! Ucwaningo lukhombisile ukuthi ukuthatha i-doxycycline izinsuku ezingu-21 kwelapha iziguli ezingaphezu kuka-98.5% ze-LGV.

Kodwa-ke, uma i-LGV yonakalise imithambo yakho ye-lymphatic, ukuvuvukala kungase kuqhubeke.

Enye into ebalulekile ukuthi abantu abane-LGV basengozini enkulu yokuthola ezinye izifo ezithathelwana ngocansi (STD). Isibonelo:

• I-Gonorrhea
• I-HIV
• I-Hepatitis B
• I-Hepatitis C
• I-Syphilis

Ngakho-ke, uma une-LGV, udokotela wakho angase akuhlolele nezinye izifo ezifana nalezi. Ngemuva kwalokho, ukwelashwa okudingekayo kungaqalwa ngokushesha. Futhi, kuwumqondo omuhle ukuhlolwa `(Chlamydia trachomatis)` futhi cishe ezinyangeni ezintathu ngemuva kokuqeda ukwelashwa kwe-LGV.

Uma une-LGV, uzinakekela kanjani?

Kufanele ugweme ngokuphelele ukwenza ucansi ngesikhathi sokwelashwa kwe-LGV. Ngemva kokuqeda ukwelashwa, bekezela kuze kube yilapho udokotela ethi, "Kulungile, akunankinga manje."

Bese, ukuze uvimbele lezi zinhlobo zezifo ukuthi zingaphinde zenzeke esikhathini esizayo, hlala wenza ucansi oluphephile, njengokusebenzisa amakhondomu.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho-ke sesikhulume kakhulu nge-LGV manje. Nazi izinto ezibaluleke kakhulu okudingeka uzikhumbule:

• I-LGV yisifo esidluliselwa ngocansi esiqala ngokubangela amabhamuza ezithweni zangasese, kulandele ama-lymph node avuvukele.
• Ingadluliselwa ngocansi lwendunu, lwesitho sangasese sowesifazane, noma ngomlomo.
• Uma kungelashwa ngokushesha, kungaba nezinkinga ezifana nokungazali kanye nokuvuvukala kwezitho zangasese.
• Kodwa-ke, i-LGV ingelashwa ngempumelelo ngama-antibiotic! Uma yelashwa kusenesikhathi, kungenzeka ukuthi ilulame ngokuphelele.
• Kubaluleke kakhulu ukwenza ucansi oluphephile nokufuna iseluleko sezokwelapha ngokushesha nje lapho ubona izimpawu.

Uma uneminye imibuzo mayelana nalokhu, noma uma uzizwa sengathi unezinye zezimpawu ezishiwo, sicela ungabi namahloni noma wesabe ukubona udokotela. Impilo yakho ibaluleke kakhulu kuwe.

I- LGV, i-Lymphogranuloma Venereum, Izifo Ezithathelwana Ngocansi, Ama-STD, i-Chlamydia, i-Lymphadenopathy, Ucansi Oluphephile