I-venereal lymphogranuloma (LGV): kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Yelashwa kanjani

I-Venereal lymphogranuloma, ebizwa nangokuthi iminyuzi noma i-LGV, iyisifo esithathelwana ngocansi esidalwa yizinhlobo ezintathu zebhaktheriya I-Chlamydia trachomatis, nayo ebhekele i-chlamydia. Leli gciwane, lapho lifinyelela esifundeni sobulili, liholela ekwakhekeni kwamanxeba angenabuhlungu futhi agcwele uketshezi angaqashelwa njalo.

I-LGV idluliswa ngokuya ocansini olungaphephile futhi, ngakho-ke, kubalulekile ukusebenzisa amakhondomu kubo bonke oxhumana nabo abasondelene, kanye nokunaka inhlanzeko yesifunda esisondelene ngemuva kocansi. Ukwelashwa kuvame ukwenziwa ngokusetshenziswa kwama-antibiotic, okumele anqunywe udokotela ngokuya ngephrofayili yokuzwela kwe-microorganism kanye nezimpawu ezivezwa umuntu ngamunye, okuvame ukukhonjiswa ukusetshenziswa kwe-Doxycycline noma i-Azithromycin.

Izimpawu eziyinhloko

Isikhathi sokufukamela seChlamydia trachomatis cishe izinsuku ezingama-3 kuye kwangama-30, okungukuthi, izimpawu zokuqala zokutheleleka ziqala ukuvela kuze kube yizinsuku ezingama-30 ngemuva kokuthintana namagciwane. Ngokuvamile, lesi sifo singahlukaniswa ngezigaba ezintathu ngokobukhulu bezimpawu eziveziwe:

• Isigaba sokuqala, lapho izimpawu zivela khona phakathi kwezinsuku ezi-3 namasonto ama-3 ngemuva kokuthintana namagciwane, uphawu lokuqala kube ukuvela kwebhamu elincane esifundeni sangasese, esibonisa indawo yokungena kwamagciwane. Ngaphezu kwalokho, kungabonakala ukuvuvukala okuncane emgodini, okukhombisa ukuthi amabhaktheriya asefinyelele kwi-ganglia yaleyo ndawo. Uma kwenzeka ukuthi ukudluliswa kwenzeke ngokocansi, kungahle kube nobuhlungu ku-rectum, ukukhipha nokuqunjelwa. Endabeni yabesifazane abanegciwane, bavame ukungabonakali, lesi sifo sitholakala kuphela kulezi zigaba ezilandelayo;
• Umsebenzi wesibili, lapho izimpawu zingavela phakathi kwezinsuku eziyi-10 nezingama-30 ngemuva kokuthintana namagciwane futhi kubonakala ngokuvuvukala okubonakalayo kwesibumbu, futhi kungahle kube nokuvuvukala kwe-ganglia emakhwapheni noma entanyeni, imfiva nokubomvu kwesifunda , ngaphezu kwezilonda ezisendaweni, i-rectum, ukopha nokukhishwa kwe-mucus, uma kwenzeka ukutheleleka kwenzeka nge-anal;
• Ukufundela imisebenzi ephakeme, okwenzeka lapho lesi sifo singakhonjwa futhi / noma singelashwa kahle, okuholela ekwandeni kokuvuvukala kwe-ganglia kanye nesifunda sangasese kanye nokuvela kwezilonda, okuthanda ukutheleleka kwesibili.

Uma izimpawu zingakhonjwa futhi isifo silashwa ngokushesha noma ngendlela efanele, kungavela ezinye izinkinga, njenge-penile ne-scrotal lymphedema, i-hyperplasia yamathumbu, i-vulvar hypertrophy ne-proctitis, okuwukuvuvukala kwe-mucosa okuhambisana ne-rectum futhi okungenzeka uma amabhaktheriya atholwe ngocansi lwangemuva. Funda kabanzi nge-proctitis nokuthi ukwelashwa kwenziwa kanjani.

I-venereal lymphogranuloma ingatholakala ngokuxhumana okusondelene ngaphandle kwekhondomu, ngakho-ke kubhekwa njengesifo esithathelwana ngocansi. Ukuxilongwa kwenziwa ngokuhlaziywa kwezimpawu nokuhlolwa kwegazi okukhomba amasosha omzimba aphikisayo I-Chlamydia trachomatis, kanye nesiko lokufihla isilonda, okungaba wusizo ukukhomba i-microorganism nokuqinisekisa ukuthi imuphi umuthi olwa nawo wokubulala amagciwane ongasetshenziswa njengokwelashwa.

Yelashwa kanjani

Ukwelashwa kwe-venereal lymphogranuloma kufanele kwenziwe ngokuya ngezeluleko zezokwelapha, futhi ama-antibiotics avame ukunconywa.Imithi esemqoka ekhonjiswe odokotela yile:

• I-Doxycycline izinsuku eziyi-14 kuya kwezingu-21;
• I-Erythromycin izinsuku ezingama-21;
• I-Sulfamethoxazole / trimethoprim izinsuku ezingama-21;
• I-Azithromycin izinsuku ezingu-7.

I-antibiotic nobude besikhathi sokwelashwa kufanele kuboniswe ngudokotela ngokuya ngephrofayili yokuzwela kwe-microorganism kanye nezimpawu eziveziwe. Ngaphezu kwalokho, kubalulekile ukuthi umuntu ahlolwe njalo ukuze aqiniseke ukuthi ukwelashwa kusebenza ngempela, kanye nomlingani wakhe, okufanele ahlolwe futhi alashwe noma engenazo izimpawu.