I-Chancroid

I-Chancroid ukutheleleka kwamagciwane okusakazwa ngokuxhumana ngokocansi.

I-Chancroid idalwa yi-bacterium ebizwa ngokuthi I-Haemophilus ducreyi.

Lesi sifo sitholakala ezingxenyeni eziningi zomhlaba, njengase-Afrika naseningizimu-ntshonalanga ye-Asia. Bambalwa kakhulu abantu abatholakala e-United States unyaka ngamunye ngaleli gciwane. Iningi labantu base-United States abatholakala ukuthi bane-chancroid bathola lesi sifo ngaphandle kwezwe ezindaweni lapho ukutheleleka kuvame kakhulu.

Kungakapheli usuku olungu-1 kuya emavikini amabili ngemuva kokungenwa yilesi sifo, umuntu uzoba nesigaxa esincane esithweni sangasese. Iqhubu liba yisilonda kungakapheli usuku ngemuva kokuvela kwalo okokuqala. Isilonda:

• Ububanzi ngosayizi kusuka ku-1/8 intshi kuye ku-2 inches (3 millimeters to 5 centimeters) ubukhulu
• Kubuhlungu
• Ithambile
• Ichaze kahle imingcele
• Inesisekelo esimbozwe ngento empunga noma ephuzi-mpunga
• Inesisekelo esopha kalula uma ishayiswa noma isuliwe

Cishe uhhafu wamadoda athelelekile unesilonda esisodwa kuphela. Abesifazane bavame ukuba nezilonda ezi-4 noma ngaphezulu. Izilonda zivela ezindaweni ezithile.

Izindawo ezivamile emadodeni yilezi:

• I-Foreskin
• IGroove ngemuva kwekhanda lomthondo
• Shaft umthondo
• Inhloko yomthondo
• Ukuvulwa komthondo
• Isikhalazo

Kwabesifazane, indawo ejwayelekile kakhulu yezilonda yizindebe zangaphandle zesitho sowesifazane (i-labia majora). "Izilonda eziqabulayo" zingakhula. Izilonda zokwanga yilezo ezenzeka ezindaweni ezihlukile ze-labia.

Ezinye izindawo, njengezindebe zangasese zangaphakathi (i-labia minora), indawo ephakathi kwezitho zangasese ne-anus (indawo yezitho zangasese), namathanga angaphakathi nawo angabandakanyeka. Izimpawu ezivame kakhulu kwabesifazane ubuhlungu bokuchama nokuya ocansini.

Isilonda singabukeka njengesilonda se-syphilis eyinhloko (chancre).

Cishe ingxenye eyodwa yabantu abanegciwane le-chancroid bakhulisa ama-lymph node akhulisiwe emgodini.

Engxenyeni eyodwa yabantu abanokuvuvukala kwama-lymph node we-groin, ama-node angena esikhunjeni futhi abangele ukuvela kwamathumba. Ama-lymph node avuvukile namathumba abizwa nangokuthi ama-buboes.

Umhlinzeki wezokunakekelwa kwempilo uxilonga i-chancroid ngokubheka izilonda, ahlole ama-lymph node avuvukele nokuhlola (kukhishwe) ezinye izifo ezithathelwana ngocansi. Akukho ukuhlolwa kwegazi kwe-chancroid.

Ukutheleleka kulashwa ngama-antibiotic ahlanganisa i-ceftriaxone, ne-azithromycin. Ukuvuvukala okukhulu kwe-lymph node kudinga ukukhishwa, kungaba ngenaliti noma ukuhlinzwa kwendawo.

I-Chancroid ingaba ngcono yodwa. Abanye abantu banezilonda ezibuhlungu nokukhishwa izinyanga. Imithi elwa namagciwane ivame ukusula izilonda ngokushesha ngesibazi esincane kakhulu.

Izinkinga zifaka i-urethral fistula kanye nezibazi kujwabu lobudoda kwabesilisa abangasokile. Abantu abane-chancroid kufanele futhi bahlolwe ezinye izifo ezithathelwana ngocansi, kufaka phakathi ugcunsula, igciwane lesandulela ngculaza kanye ne-herpes yesitho sangasese.

Kubantu abane-HIV, i-chancroid ingathatha isikhathi eside ukwelashwa.

Shayela i-aphoyintimenti nomhlinzeki wakho uma:

• Unezimpawu ze-chancroid
• Uke waba nokuya ocansini nomuntu owaziyo ukuthi unesifo esithathelwana ngocansi (STI)
• Uhlanganyele ezenzweni zobulili ezinobungozi obukhulu

I-Chancroid isakazwa ngokuxhumana ngokocansi nomuntu onegciwane. Ukugwema zonke izinhlobo zezenzo zocansi ukuphela kwendlela ephelele yokuvikela isifo esithathelwana ngocansi.

Noma kunjalo, izindlela eziphephile zocansi zinganciphisa ubungozi bakho. Ukusetshenziswa okufanele kwamakhondomu, kungaba owesilisa noma owesifazane, kunciphisa kakhulu amathuba okuthola isifo esithathelwana ngocansi. Udinga ukugqoka ikhondomu kusukela ekuqaleni kuze kube sekupheleni kocansi ngalunye.

I-chancre ethambile; Ulcus molle; Izifo ezithathelwana ngocansi - i-chancroid; STD - chancroid; Ukutheleleka ngocansi - chancroid; I-STI - chancroid

• Izinhlelo zokuzala zabesilisa nabesifazane

UJames WD, u-Elston DM, uMcMahon PJ. Ukutheleleka kwamagciwane. Ku: James WD, Elston DM, McMahon PJ, ama-eds. Izifo zika-Andrews ze-Atlas Clinical Atlas. IPhiladelphia, PA: Elsevier; 2018: isahluko 14.

UMurphy TF. I-Haemophilus izinhlobo kufaka phakathi H. influenzae futhi H. ducreyi (chancroid). 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 225.