IDonovanosis (i-granuloma inguinale)

IDonovanosis (i-granuloma inguinale) isifo esithathelwana ngocansi esingabonakali kakhulu e-United States.

IDonovanosis (i-granuloma inguinale) idalwa yigciwane UKlebsiella granulomatis. Lesi sifo sivame ukutholakala ezindaweni ezishisayo nezishisayo njengaseningizimu-mpumalanga yeNdiya, eGuyana naseNew Guinea. Kunamacala angaba yikhulu abikwa ngonyaka e-United States. Iningi lalezi zimo zenzeka kubantu abahambele noma abavela ezindaweni lapho lesi sifo sivame khona.

Lesi sifo sisakazeka kakhulu ngokuya ocansini noma endunu. Kuyaqabukela, isakazeka ngesikhathi socansi lomlomo.

Ukutheleleka okuningi kwenzeka kubantu abaneminyaka engama-20 kuya kwengama-40.

Izimpawu zingavela emavikini ayi-1 kuya kwayi-12 ngemuva kokuhlangana nalesi sifo esidala amagciwane.

Lokhu kungafaka:

• Izilonda endaweni yangemuva cishe engxenyeni yamacala.
• Kuqhamuka amaqhuqhuvana abomvu abomvu anezitho zangasese noma eduze kwendunu.
• Isikhumba siyaphela kancane kancane, kuthi amaqhuqhuva aphenduke amaqhubu aphakanyisiwe, abomvu njenge-beefy, velvety abizwa ngokuthi izicubu ze-granulation. Kaningi abubuhlungu, kepha bopha kalula uma belimele.
• Lesi sifo sisakazeka kancane kancane futhi sichithe izicubu zangasese.
• Ukulimala kwezicubu kungasakazeka ku-groin.
• Izitho zangasese nesikhumba esizizungezile zilahlekelwa umbala wesikhumba.

Esigabeni sayo sokuqala, kungaba nzima ukutshela umehluko phakathi kwe-donovanosis ne-chancroid.

Ezigabeni zakamuva, i-donovanosis ingahle ibukeke njengomdlavuza osezingeni eliphezulu, i-lymphogranuloma venereum, ne-anogenital cutaneous amebiasis.

Ukuhlolwa okungenziwa kufaka phakathi:

• Isiko lesampula lesicubu (okunzima ukukwenza futhi alitholakali njalo)
• Ukudweba noma i-biopsy yesilonda

Ukuhlolwa kwelabhorethri, okufana nalokho okusetshenziselwa ukuthola ugcunsula, kutholakala kuphela ocwaningweni lokuthola i-donovanosis.

Ama-antibiotic asetshenziselwa ukwelapha i-donovanosis. Lokhu kungafaka i-azithromycin, i-doxycycline, i-ciprofloxacin, i-erythromycin, ne-trimethoprim-sulfamethoxazole. Ukwelapha lesi sifo, kudingeka ukwelashwa kwesikhathi eside. Izifundo eziningi zokwelashwa zisebenza amasonto ama-3 noma kuze kube yilapho izilonda sezilapheke ngokuphelele.

Ukuhlolwa kokulandelela kubalulekile ngoba lesi sifo singavela futhi ngemuva kokuba sibonakala selaphekile.

Ukwelapha lesi sifo kusenesikhathi kunciphisa amathuba okulimala kwezicubu noma ukushaqeka. Izifo ezingalashwa ziholela ekulimaleni kwezicubu zangasese.

Izinkinga zempilo ezingabangelwa yilesi sifo zifaka:

• Ukulimala kwezitho zangasese kanye nesibazi
• Ukulahleka kombala wesikhumba endaweni yangasese
• Ukuvuvukala okuhlala njalo kwezitho zobulili ngenxa yesibazi

Shayela i-aphoyintimenti nomhlinzeki wakho wezokunakekelwa kwempilo uma:

• Uke waba nokuya ocansini nomuntu owaziwa ukuthi une-donovanosis
• Uba nezimpawu ze-donovanosis
• Uba nesilonda endaweni yangasese

Ukugwema yonke imisebenzi yezocansi ukuphela kwendlela ephelele yokuvikela izifo ezithathelwana ngocansi njenge-donovanosis. 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.

Granuloma inguinale; Izifo ezithathelwana ngocansi - i-donovanosis; STD - donovanosis; Ukutheleleka ngocansi - i-donovanosis; I-STI - i-donovanosis

• Izendlalelo zesikhumba

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 Saunders; I-2017: isahluko 23.

UGhanem KG, Hook EW. IGranuloma inguinale (iDonovanosis). Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier Saunders; 2020: isahluko 300.

Stoner BP, Reno USIZO. UKlebsiella granulomatis (donovanosis, i-granuloma inguinale). 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 Saunders; 2020: isahluko 235.