I-Lymphogranuloma venereum

I-Lymphogranuloma venereum (i-LGV) isifo esithathelwana ngocansi esithathelwana ngocansi.

I-LGV yisifo sesikhathi eside (esingapheli) sohlelo lwe-lymphatic. Kubangelwa yinoma yiziphi izinhlobo ezintathu (serovars) zamagciwane I-Chlamydia trachomatis. Amagciwane asakazwa ngokuya ocansini. Ukutheleleka akubangelwa amagciwane afanayo abangela i-chlamydia yesitho sangasese.

I-LGV ivame kakhulu eMelika Ephakathi neseNingizimu kunaseNyakatho Melika.

I-LGV ivame kakhulu kwabesilisa kunabesifazane. Ingcuphe enkulu yokuba ne-HIV.

Izimpawu ze-LGV zingaqala ezinsukwini ezimbalwa kuye enyangeni ngemuva kokuhlangana namagciwane. Izimpawu zifaka:

• Ukugeleza kwesikhumba kusuka kuma-lymph node ku-groin
• Ukuhamba kwamathumbu okubuhlungu (i-tenesmus)
• Isilonda esibuhlungu esibuhlungu esithweni sangasese sowesilisa noma emgodini wesitho sangasese sowesifazane
• Ukuvuvukala nokubomvu kwesikhumba endaweni yokububula
• Ukuvuvukala kwama-labia (kwabesifazane)
• Ama-lymph node avuvukile kolunye noma ezinhlangothini zombili; Kungaphinde kuthinte ama-lymph node azungeze i-rectum kubantu abalala ngokocansi
• Igazi noma ubomvu ovela engxenyeni (igazi elisezindlini)

Umhlinzeki wezokunakekelwa kwempilo uzokuhlola. Uzobuzwa ngomlando wakho wezokwelapha nowezocansi. Tshela umhlinzeki wakho uma ngabe wahlangana nocansi nomuntu ocabanga ukuthi unezimpawu ze-LGV.

Ukuhlolwa ngokomzimba kungakhombisa:

• Ukuxhuma, ukuxhuma okungavamile (fistula) endaweni engxenyeni
• Isilonda esithweni sangasese
• Ukugeleza kwesikhumba kusuka kuma-lymph node ku-groin
• Ukuvuvukala kwesitho sangasese sowesifazane noma i-labia kwabesifazane
• I-lymph nodes evuvukile emgodini (inguinal lymphadenopathy)

Ukuhlolwa kungafaka:

• I-biopsy ye-lymph node
• Ukuhlolwa kwegazi kwamagciwane abangela i-LGV
• Ukuhlolwa kwelabhoratri ukuthola i-chlamydia

I-LGV iphathwa ngama-antibiotic, kufaka phakathi i-doxycycline ne-erythromycin.

Ngokwelashwa, umbono muhle futhi ungalulama ngokuphelele.

Izinkinga zempilo ezingabangelwa ukutheleleka kwe-LGV zifaka:

• Ukuxhumana okungavamile phakathi kwe-rectum nesitho sangasese sowesifazane (i-fistula)
• Ukuvuvukala kobuchopho (i-encephalitis - akuvamile kakhulu)
• Ukutheleleka emalungeni, amehlo, inhliziyo, noma isibindi
• Ukuvuvukala kwesikhathi eside nokuvuvukala kwezitho zangasese
• Ukuqhuma nokuncipha kwe-rectum

Izinkinga zingenzeka eminyakeni eminingi ngemuva kokutheleleka okokuqala.

Shayela umhlinzeki wakho uma:

• Uke waxhumana nomuntu ongaba nokutheleleka ngocansi, kufaka phakathi i-LGV
• Uba nezimpawu ze-LGV

Ukungabi nazinto zocansi ukuphela kwendlela yokuvikela ukutheleleka ngocansi. Ukuziphatha okuphephile kocansi kunganciphisa ubungozi.

Ukusetshenziswa okufanele kwamakhondomu, kungaba uhlobo lowesilisa noma lowesifazane, kunciphisa kakhulu ubungozi bokubamba izifo ezithathelwana ngocansi. Udinga ukugqoka ikhondomu kusukela ekuqaleni kuze kube sekupheleni kocansi ngalunye.

I-LGV; I-lymphogranuloma inguinale; I-Lymphopathia venereum

• Uhlelo lweLymphatic

IBatteiger BE, uTan M. I-Chlamydia trachomatis (trachoma, izifo ezithinta urogenital). Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 180.

UGardella C, u-Eckert LO, uLentz GM. Izifo ezithwala izitho zangasese: isitho sangasese sowesifazane, isitho sangasese sowesifazane, umlomo wesibeletho, i-toxic shock syndrome, i-endometritis, ne-salpingitis. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 23.