Uyini Umehluko Phakathi KweChlamydia neGonorrhea?

-Delile

• I-Chlamydia vs. i-gonorrhea
• Ziqhathaniswa kanjani izimpawu?
• Izimpawu zeChlamydia
• Izimpawu ze-gonorrhea
• Yini ebangela isimo ngasinye?
• Isifo ngasinye sidluliselwa kanjani?
• Ubani osengozini eyengeziwe yalezi zimo?
• Sitholakala kanjani isimo ngasinye?
• Selashwa kanjani isimo ngasinye?
• Ukwelashwa kwe-chlamydia
• Ukwelashwa kwe-gonorrhea
• Yiziphi izingqinamba ezingenzeka esimweni ngasinye?
• Kokubili abesilisa nabesifazane
• Kwabesilisa
• Kwabesifazane
• Yiziphi izinyathelo engingazithatha ukuvimbela lezi zimo?
• Ukuthatha

I-Chlamydia vs. i-gonorrhea

I-Chlamydia ne-gonorrhea zombili izifo ezithathelwana ngocansi (ama-STI) ezibangelwa amagciwane. Bangathathwa ngokocansi ngomlomo, izitho zangasese, noma ngezitho zangasese.

Izimpawu zala ma-STI amabili ziyagqagqana, ngakho-ke uma unenye yalezi zimo, kwesinye isikhathi kunzima ukuqiniseka ukuthi ikuphi ngaphandle kokuhlolwa kokuxilongwa ehhovisi likadokotela.

Abanye abantu abane-chlamydia noma i-gonorrhea kungenzeka bangabi nazimpawu. Kepha uma kuvela izimpawu, kunokufana okuthile, njengokukhipha okungavamile, okunuka kabi okuvela epenisheni noma esithweni sangasese sowesifazane, noma umuzwa ovuthayo lapho uchama.

I-Chlamydia ivame kakhulu kune-gonorrhea. Ngokuya nge-a, kwabikwa amacala angaphezu kwe-1.7 wezigidi ze-chlamydia e-United States, ngenkathi kwabikwa amacala angaphezu kwe-550,000 we-gonorrhea.

Funda ukuze ufunde ukuthi la ma-STI amabili ahluke kanjani, afana kanjani nokuthi ungabanciphisa kanjani ubungozi balezi zifo.

Ziqhathaniswa kanjani izimpawu?

Bobabili abesilisa nabesifazane bangathola i-chlamydia noma i-gonorrhea futhi bangalokothi babe nezimpawu.

Nge-chlamydia, izimpawu zingase zingaveli emasontweni ambalwa ngemuva kokutheleleka. Futhi nge-gonorrhea, abesifazane kungenzeka bangalokothi babe nezimpawu nhlobo noma bangakhombisa izimpawu ezimnene kuphela, kuyilapho amadoda esethubeni lokuba nezimpawu ezinzima kakhulu.

Izimpawu ezimbalwa ezikhuluma kakhulu zalezi zifo zocansi ziyahlangana phakathi kwalaba bobabili (kwabesilisa nabesifazane), njenge:

• kuvutha lapho uchama
• ukukhishwa okungajwayelekile, okushintshe umbala okuvela esondweni noma esithweni sangasese
• ukukhishwa okungajwayelekile kusuka kunxande
• ubuhlungu ku-rectum
• ukuphuma kwegazi

Kokubili i-gonorrhea ne-chlamydia, abesilisa nabo bangathola ukuvuvukala okungavamile emasendeni abo nase-scrotum, nobuhlungu lapho bephuma.

Ungase futhi ube nezimpawu ezithinta umphimbo wakho uma uzibandakanya ocansini ngomlomo nomuntu onalezi zimo. Lokhu kungadala izimpawu zomlomo nomphimbo, kufaka phakathi umphimbo nokukhwehlela.

Izimpawu zeChlamydia

Nge-chlamydia, abesifazane bangathola izimpawu ezinzima kakhulu uma ukutheleleka kusakazekela phezulu esibelethweni kanye namashubhu e-fallopian. Lokhu kungadala isifo sokuvuvukala okhalo (PID).

I-PID ingadala izimpawu ezifana nalezi:

• imfiva
• ngizizwa ngigula
• ukopha esithweni sangasese, noma ngabe awunasikhathi
• ubuhlungu obukhulu endaweni yakho ye-pelvic

Funa usizo lwezokwelapha oluphuthumayo uma ucabanga ukuthi ungaba ne-PID.

Izimpawu ze-gonorrhea

Nge-gonorrhea, ungabona nezimpawu zemixhantela ezinjengokulunywa, ukukhathazeka, nobuhlungu lapho uzichamela.

Abesifazane bangabona nokuphuma kwegazi okunzima ngezikhathi zabo nobuhlungu ngesikhathi socansi.

Yini ebangela isimo ngasinye?

Zombili lezi zimo zibangelwa ukwanda ngokweqile kwamagciwane. I-Chlamydia ibangelwa ukugcwala kwamagciwane UChlamydia trokube.

I-gonorrhea ibangelwa ukugcwala kwamagciwane abizwa ngokuthi I-Neisseriamthokozisi.

Isifo ngasinye sidluliselwa kanjani?

Womabili ama-STI abangelwa ukutheleleka kwamagciwane okudluliselwa ngokuxhumana kocansi okungavikelekile, okusho ukuthi ucansi ngaphandle kokusebenzisa ikhondomu, idamu lamazinyo, noma esinye isithiyo esivikelayo phakathi kwakho nomlingani wakho ngesikhathi socansi lwangasese, lwendunu noma lomlomo.

Kungenzeka futhi ukuthi uthole ukutheleleka ngokuxhumana kocansi okungabandakanyi ukungena. Isibonelo, uma izitho zakho zobulili zihlangana nezitho zangasese zomuntu othelelekile, kungenzeka ukuthuthukisa lesi simo.

Womabili ama-STI nawo angangenwa ngocansi oluvikelwe ngekhondomu noma esinye isithiyo uma ungasebenzisi ukuvikeleka kahle, noma uma isithiyo siqhekeka.

Noma ngabe i-STI ingangenwa yini noma ngabe awubonisi izimpawu ezibonakalayo. Zombili izifo ezithathelana ngokocansi zingadluliselwa nasenganeni lapho izalwa uma umama enezimo zombili.

Ubani osengozini eyengeziwe yalezi zimo?

Usengozini enkulu yokuthola lezi zifo zocansi kanye nezinye uma:

• ube nabalingani abaningi bezocansi ngasikhathi sinye
• ungasebenzisi kahle ukuvikelwa, njengamakhondomu, amakhondomu abesifazane, noma amadamu amazinyo
• sebenzisa njalo amadokodo angacasula isitho sakho sangasese, abulale amabhaktheriya esitho sangasese sowesifazane aphilile
• uke watheleleka nge-STI phambilini

Ukuhlukunyezwa ngokocansi kungakhuphula nobungozi bakho bobabili i-chlamydia noma i-gonorrhea.

Hlola izifo ezithathelana ngokocansi ngokushesha ngangokunokwenzeka uma usanda kuphoqeleka ukuba wenze ucansi lomlomo, lobulili noma lwangasese olungeyona imvumelwano. Uma use-United States, ungaphinda ushayele i-Rape, Abuse, and Incest National Network (RAINN) ukwesekwa okuvela kubantu abangasiza ngaphandle kokudalula imininingwane yakho yangasese noma imininingwane yesipiliyoni sakho.

Sitholakala kanjani isimo ngasinye?

Womabili ama-STI angatholakala kusetshenziswa izindlela ezifanayo zokuxilonga. Udokotela wakho angasebenzisa okukodwa noma okuningi kwalokhu kuhlola ukuqinisekisa ukuthi ukuxilongwa kunembile nokuthi kunikezwa ukwelashwa okulungile:

• ukuhlolwa ngokomzimba ukubheka izimpawu ze-STI nokunquma impilo yakho iyonke
• ukuhlolwa komchamo ukuhlola umchamo wakho kubhaktheriya abangela i-chlamydia noma i-gonorrhea
• ukuhlolwa kwegazi ukuhlola izimpawu zokutheleleka ngamagciwane
• isiko le-swab lokuthatha isampula lokukhishwa kupipi lakho, esithweni sangasese sowesifazane, noma endunu ukuhlola izimpawu zokutheleleka

Selashwa kanjani isimo ngasinye?

Womabili ama-STI ayelapheka futhi angalashwa ngama-antibiotic, kodwa maningi amathuba okuthi uphinde utheleleke uma uke waba ne-STI phambilini.

Ukwelashwa kwe-chlamydia

I-Chlamydia ivame ukuphathwa ngomthamo we-azithromycin (i-Zithromax, i-Z-Pak) ethathwe konke ngasikhathi sinye noma ngaphezulu kwesonto noma ngaphezulu (imvamisa cishe izinsuku ezinhlanu).

I-Chlamydia nayo ingalashwa nge-doxycycline (Oracea, Monodox). Le antibiotic ivame ukunikezwa njengethebhulethi yomlomo ephindwe kabili ezinsukwini okudingeka uyithathe cishe isonto.

Landela imiyalelo yesilinganiso sikadokotela wakho ngokucophelela. Kubalulekile ukuthatha isilinganiso esiphelele senani lezinsuku ezinqunyiwe ukuze ama-antibiotic akwazi ukusula ukutheleleka. Ukungawuqedi umjikelezo wama-antibiotic kungadala ukuthi umelane naleyo antibiotic. Lokhu kungaba yingozi uma uthola ukutheleleka futhi.

Uma uhlangabezana nezimpawu, kufanele ziqale ukubuna ezinsukwini ezimbalwa ngemuva kokuqala ukwelashwa.

Gwema ukuya ocansini kuze kube yilapho udokotela wakho ekutshela ukuthi ukutheleleka sekususwe ngokuphelele yimithi elwa namagciwane. Kungathatha amasonto amabili noma ngaphezulu ukuthi ukutheleleka kuphele, futhi ngaleso sikhathi, usengakudlulisa ukutheleleka.

Ukwelashwa kwe-gonorrhea

Udokotela wakho kungenzeka anikeze i-ceftriaxone (Rocephin) ngendlela yomjovo ezinqeni zakho, kanye ne-azithromycin yomlomo ye-gonorrhea. Lokhu kwaziwa ngokuthi ukwelashwa okubili.

Ukusebenzisa womabili ama-antibiotic kusiza ukusula ukutheleleka kangcono kunokusebenzisa umuthi owodwa kuphela.

Njengakwi-chlamydia, ungayi ocansini kuze kube yilapho ukutheleleka kuqeda, futhi uqiniseke ukuthi uthatha wonke umthamo wakho.

I-gonorrhea inamathuba amaningi kune-chlamydia yokumelana nemithi elwa namagciwane. Uma ungenwa uhlobo lokumelana, uzodinga ukwelashwa ngamanye ama-antibiotics, udokotela wakho azowancoma.

Yiziphi izingqinamba ezingenzeka esimweni ngasinye?

Ezinye izinkinga zala ma-STI zingenzeka kunoma ngubani. Abanye bahlukile ocansini ngalunye ngenxa yokwehluka kwesimo socansi.

I-gonorrhea inezinkinga ezinzima kakhulu futhi kungenzeka ukuthi ibangele izinkinga zesikhathi eside njengokuzala.

Kokubili abesilisa nabesifazane

Izinkinga ezingabonakala kunoma ngubani zifaka:

• Ezinye izifo zocansi. I-Chlamydia ne-gonorrhea zombili zikwenza uthambekele kalula kwamanye ama-STI, kufaka phakathi igciwane lesandulela ngculaza (i-HIV). Ukuba ne-chlamydia nakho kungakhuphula ubungozi bokuhlaselwa yi-gonorrhea, futhi okuphambene nalokho.
• I-arthritis esebenzayo (i-chlamydia kuphela). Ebizwa nangokuthi i-Reiter's syndrome, lesi simo sibangelwa ukutheleleka emkhakheni wakho wokuchama (i-urethra, isinye, izinso, nama-ureters - amashubhu axhumanisa izinso nesinye sakho noma amathumbu. Izimpawu zalesi simo zidala ubuhlungu, ukuvuvukala, noma ukuqina emajoyintini nasemehlweni akho, nezinye izimpawu ezahlukahlukene.
• Ukungabi nenzalo. Ukulimala kwezitho zokuzala noma isidoda kungenza kube nzima kakhulu noma, kwezinye izimo, kungabi lula ukukhulelwa noma ukumithisa umlingani wakho.

Kwabesilisa

• Ukutheleleka kwe-testicular (epididymitis). I-Chlamydia noma i-gonorrhea bacteria ingadlulela kumashubhu aseduze kwesende lakho ngalinye, okuholele ekutheleleni nasekuvuvukeni kwezicubu zesende. Lokhu kungenza amasende akho avuvuke noma abe buhlungu.
• Ukutheleleka kwe-prostate gland (prostatitis). Amagciwane avela kuzo zombili izifo ezithathelana ngokocansi anganwenela endlaleni yakho ye-prostate, engeza uketshezi emzimbeni wakho lapho uphuma. Lokhu kungenza ukuphuma ejaculation noma ukuchama kube buhlungu, futhi kubangele imfiva noma ubuhlungu emhlane ongezansi.

Kwabesifazane

• Isifo sokuvuvukala kwesisu (PID). I-PID yenzeka lapho isibeletho sakho noma amashubhu e-fallopian etheleleka. I-PID idinga ukwelashwa ngokushesha ukuze ivikele ukulimala ezithweni zakho zokuzala.
• Ukutheleleka ezinganeni ezisanda kuzalwa. Womabili ama-STI angadluliselwa enganeni ngenkathi izalwa isuka ezicutshini zesitho sangasese sowesifazane esinegciwane. Lokhu kungaholela ezinkingeni ezifana nokutheleleka kweso noma inyumoniya.
  
• Ukukhulelwa kwe-Ectopic. La ma-STI angadala ukuthi iqanda elikhulelisiwe linamathele ezicutshini ezingaphandle kwesibeletho. Lolu hlobo lokukhulelwa ngeke luhlale kuze kube sekuzalweni futhi lungasongela impilo kamama nokuzala kwesikhathi esizayo uma kungalashwa.

Yiziphi izinyathelo engingazithatha ukuvimbela lezi zimo?

Ukuphela kwendlela ongazivikela ngayo ngokuphelele ekubambeni i-chlamydia, i-gonorrhea, noma enye i-STI ngokugwema ukuya ocansini.

Kodwa kunezindlela eziningi onganciphisa ngazo ubungozi bokuthola noma ukudlulisa lezi zifo:

1. Sebenzisa ukuvikelwa. Womabili amakhondomu abesilisa nabesifazane ayasebenza ekusizeni ukunciphisa ubungozi ekuthelelekeni ngamagciwane. Ukusebenzisa ukuvikelwa okufanele ngesikhathi socansi lomlomo noma lwendunu nakho kunganciphisa ubungozi bokutheleleka.
2. Nciphisa abalingani bakho ocansini. Lapho uhlanganyela nabantu abaningi ocansini, uba sengozini yokuzibeka ethubeni lokutheleleka. Futhi ngoba la ma-STI kungenzeka angabangeli izimpawu ezibonakalayo, abalingani ocansini kungenzeka bangazi ukuthi banesimo.
3. Hlola njalo. Noma ngabe uya ocansini nabantu abaningi noma cha, ukuhlolwa okuvamile kwe-STI kungakusiza ukuthi uhlale wazi ngempilo yakho yezocansi futhi uqinisekise ukuthi awudluliseli ukutheleleka kwabanye ngokungazi. Ukuhlolwa njalo kungakusiza nokuthi ubone ukutheleleka noma ngabe awunazo izimpawu.
4. Ungayisebenzisi imikhiqizo ethinta amabhaktheriya akho angasese. Amagciwane aphilile esithweni sangasese (abizwa ngokuthi izitshalo zangasese) ayasiza ekulweni nezifo. Usebenzisa imikhiqizo efana nezindishi noma imikhiqizo enephunga elimnandi yokunciphisa iphunga kungaphazamisa ibhalansi yezimila zangasese futhi kukwenze usengozini yokutheleleka.

Ukuthatha

Kokubili i-chlamydia ne-gonorrhea kungadluliswa ngezindlela ezifanayo, futhi zombili zingelashwa kalula kusetshenziswa ama-antibiotic.

Kokubili futhi kuyavikeleka uma uthatha izinyathelo zokuzivikela ngesikhathi socansi, njengokusebenzisa ukuvikela nokukhawulela inani labantu olala nabo ungaphephile nganoma yisiphi isikhathi.

Ukuhlolwa njalo kwe-STI, kokubili wena nabalingani bakho bezocansi, kungasiza futhi ekunciphiseni ubungozi bokudlulisa ukutheleleka uma wena noma umuntu ohlanganyela naye ocansini niba ne-STI.

Uma usola ukuthi kukhona i-STI noma kutholakale ukuthi unaso, yeka yonke imisebenzi yezocansi bese uthola ukwelashwa ngokushesha okukhulu. Uma utholakala, tshela noma ngubani owake walala naye ukuze ahlolwe uma kwenzeka kwenzeka.