Ungazilapha kanjani izifo ezithathelana ngokocansi ezingama-7

-Delile

• 1. Chlamydia
• 2. Isifo sokuvuza phansi
• 3. I-HPV
• 4. I-herpes yesitho sangasese
• 5. ITrichomoniasis
• 6. Ugcunsula
• 7. I-HIV / AIDS
• Ukunakekelwa okujwayelekile ngesikhathi sokwelashwa

Ukwelashwa kwezifo ezithathelwana ngocansi (ama-STI), ezazaziwa phambilini njengezifo ezithathelwana ngocansi, noma ama-STD kuphela, kuyahluka ngohlobo oluthile lokutheleleka. Kodwa-ke, eziningi zalezi zifo ziyelapheka futhi, ezimweni eziningi, inqobo nje uma zikhonjwe kusenesikhathi, zingasuswa ngokuphelele ngomjovo owodwa.

Ngakho-ke, into ebaluleke kakhulu ukuthi, noma nini lapho kunokusolwa kokutheleleka, kuthintwa udokotela wezifo ezithathelanayo noma udokotela ojwayelekile ukwenza ukuhlolwa kwegazi okudingekayo futhi aqale ukwelashwa okufanele kakhulu.

Ngisho nasezigulini ezingenalo ikhambi, njenge-AIDS, ukwelashwa kubaluleke kakhulu, ngoba kusiza ukuvikela lesi sifo ukuthi singabi sibi futhi sinciphise izimpawu, ngaphezu kokuvimbela ukudluliselwa kwalesi sifo kwabanye abantu.

Ngezansi, sikhombisa imihlahlandlela yokwelashwa ekhona kumthetho olandelwayo womtholampilo woMnyango Wezempilo:

1. Chlamydia

IChlamydia yisifo socansi esidalwa yigciwane, elaziwa ngokuthi I-Chlamydia trachomatis, okungathinta abesilisa nabesifazane, kubangele izimpawu ezinjengokushisa komchamo, ubuhlungu ngesikhathi sokuxhumana ngokocansi noma ukulunywa esifundeni esisondelene.

Ukuqeda amabhaktheriya, ukwelashwa kufaka ukusetshenziswa kwama-antibiotic, ngale ndlela elandelayo:

Inketho yokuqala

• I-Azithromycin 1 g, kuthebhulethi, kumthamo owodwa;

noma

• I-Doxycycline 100 mg, ithebhulethi, amahora ayi-12/12 izinsuku eziyi-7.

noma

• I-Amoxicillin 500 mg, ithebhulethi, 8 / 8h izinsuku eziyi-7

Le ndlela yokwelashwa kufanele iholwe njalo ngudokotela, ngoba kungadingeka ukuvumelanisa nezici zomuntu ngamunye. Isibonelo, esimweni sabesifazane abakhulelwe, i-Doxycycline akufanele isetshenziswe.

Bona ukuthi yiziphi izimpawu eziyinhloko ze-chlamydia nokuthi ukudluliswa kwenzeka kanjani.

2. Isifo sokuvuza phansi

I-gonorrhea ibangelwa amagciwane I-Neisseria gonorrhoeae, okudala izimpawu ezifana nokukhishwa okuphuzi okumhlophe, ukulunywa nobuhlungu lapho uchama futhi okuvame ukuthatha izinsuku ezifika kwezili-10 ukuvela ngemuva kokuthintana kocansi okungazivikelekile.

Indlela yokuqala yokwelashwa ifaka phakathi ukusetshenziswa kwe:

• I-Ciprofloxacino I-500 mg, icindezelwe, kumthamo owodwa, futhi;
• I-Azithromycin 500 mg, amaphilisi ama-2, kumthamo owodwa.

noma

• I-Ceftriaxone I-500 mg, umjovo we-intramuscular, kumthamo owodwa, futhi;
• I-Azithromycin 500 mg, amaphilisi ama-2, kumthamo owodwa.

Kwabesifazane abakhulelwe nezingane ezingaphansi kweminyaka engu-18, i-ciprofloxacin kufanele ishintshwe nge-ceftriaxone.

Thola ukuqonda kangcono ukuthi yini i-gonorrhea, izimpawu zayo nokuthi ungakuvimbela kanjani ukutheleleka.

3. I-HPV

I-HPV iyiqembu lamagciwane amaningi ohlobo olufanayo angatheleleka ohlelweni lokuzala, kokubili abesilisa nabesifazane futhi, ezimweni eziningi, kuholela kuphela ekubonakaleni kwezinsumpa ezincane, ezingasuswa kusetshenziswa okhilimu, i-cryotherapy noma ukuhlinzwa okuncane.Uhlobo lwezokwelapha luxhomeke kubukhulu, inombolo kanye nezindawo lapho kuvela khona izinsumpa, ngakho-ke, kubalulekile njalo ukuthi kube khona ukuholwa okuvela kudokotela.

Hlola ngokuningiliziwe izinhlobo zokwelashwa ezitholakalayo ze-HPV.

Kodwa-ke, ngaphezu kwezinsumpa, kunezinhlobo ezithile zamagciwane e-HPV angaholela kumdlavuza, owaziwa kakhulu umdlavuza wesibeletho kwabesifazane, ikakhulukazi uma izilonda ezibangelwa yigciwane zingalashwa kusenesikhathi.

Ukwelashwa kwe-HPV kungaqeda izimpawu futhi kuvimbele nokuqala komdlavuza, kepha akulisusi igciwane emzimbeni. Ngalesi sizathu, izimpawu zingaphinda zivele, futhi ukuphela kwendlela yokwelapha kulapho amasosha omzimba ekwazi ukuqeda igciwane, okungathatha iminyaka eminingana ukwenzeka.

4. I-herpes yesitho sangasese

I-Herpes herital yi-STI ebangelwa yigciwane elifanayo elibanga i-herpes on the lip, the i-herpes simplex. Lesi ngesinye sezifo ezithathelana ngokocansi ezivame kakhulu ukudala ukuvela kwamabhamuza amancane agcwele uketshezi esifundeni sangasese, anwaya futhi adedele uketshezi oluphuzi kancane.

Imvamisa ukwelashwa kwenziwa nge-acyclovir, umuthi onamandla wokulwa namagciwane olwa ne-herpes, ngokohlelo:

Le ndlela yokwelapha ayiliqedi igciwane emzimbeni, kepha iyasiza ukunciphisa ukuqina nobude beziqephu zezibonakaliso ezivela esifundeni sangasese.

Bona izimpawu ezingabonisa i-herpes yezitho zobulili, kwabesilisa nabesifazane.

5. ITrichomoniasis

I-Trichomoniasis yisifo esibangelwa yi-protozoan I-Trichomonas vaginalis, ekhiqiza izimpawu ezahlukahlukene kwabesifazane nakwabesilisa, kepha ngokuvamile ezibandakanya izinhlungu lapho uchama, ukhipha ngephunga elingemnandanga nokunwaya kanzima esifundeni sangasese.

Ukwelapha lesi sifo, i-Metronidazole elwa namagciwane ivame ukusetshenziswa, ngokulandela uhlelo:

• I-Metronidazole 400 mg, amaphilisi ama-5 kumthamo owodwa;
• I-Metronidazole 250 mg, 2 12/12 tablets for 7 days.

Endabeni yabesifazane abakhulelwe, le ndlela yokwelashwa kufanele iguqulwe futhi, ngakho-ke, kubalulekile ukuqhuba ukwelashwa ngolwazi lodokotela ababelethayo.

Bheka izimpawu ezisiza ukukhomba icala le-trichomoniasis.

6. Ugcunsula

Ugcunsula yisifo socansi esibangelwa amagciwane I-Treponema pallidum, okungadala izinhlobo ezahlukahlukene zezimpawu ngokwesigaba okuso, kodwa okuyisona esaziwa kakhulu ngamanxeba asingawadala esifundeni sangasese.

Ukwelapha ugcunsula, umuthi owuthandayo yi-penicillin, okufanele inikezwe ngemithamo ehlukahluka ngokwesigaba sokutheleleka:

1. Ugcunsula oluyisisekelo, olwesibili noma lwakamuva

• I-Benzathine penicillin G, 2.4 million IU, ngomjovo owodwa we-intramuscular, ne-1.2 million IU efakwe ku-gluteus ngayinye.

Enye indlela yokwelashwa ukuthatha i-Doxycycline 100 mg, kabili ngosuku, izinsuku eziyi-15. Endabeni yabesifazane abakhulelwe, ukwelashwa kufanele kwenziwe ngeCeftriaxone 1g, ngomjovo we-intramuscular, izinsuku eziyi-8 kuya kwezingu-10.

2. Ugcunsula osekusithekeni noma ophakeme

• I-Benzathine penicillin G, 2.4 million IU, ejojwe ngesonto amasonto amathathu.

Ngenye indlela, ukwelashwa kungenziwa futhi nge-Doxycycline 100 mg, kabili ngosuku izinsuku ezingama-30. Noma, esimweni sabesifazane abakhulelwe, abaneCeftriaxone 1g, ngomjovo we-intramuscular, izinsuku eziyi-8 kuya kwezingu-10.

Bheka imininingwane engaphezulu mayelana nezigaba zikagcunsula nokuthi ungazikhomba kanjani.

7. I-HIV / AIDS

Yize kungekho muthi okwaziyo ukwelapha ukutheleleka nge-HIV, kukhona amakhambi we-antiviral asiza ukuqeda inani legciwane egazini, evimbela hhayi kuphela ukuthi isifo siba sibi kakhulu, kodwa futhi nokuvimbela ukudluliselwa kwesifo.

Eminye yemithi elwa namagciwane engasetshenziswa ihlanganisa iLamivudine, i-Tenofovir, i-Efavirenz noma i-Didanosine, isibonelo.

Bona kule vidiyo imininingwane ebaluleke kakhulu nge-HIV kanye nokwelashwa kwayo:

Ukunakekelwa okujwayelekile ngesikhathi sokwelashwa

Yize ukwelashwa kohlobo ngalunye lwe-STI kwehluka, kunezindlela ezithile zokuqapha okufanele zithathwe. Lokhu kunakekelwa kusiza ukuba kube nokululama okusheshayo nokwelapha ukutheleleka, kepha futhi kubaluleke kakhulu ukuvimbela ukudluliswa kwama-STI kwabanye abantu.

Ngakho-ke, kuyalulekwa:

• Yenza ukwelashwa kuze kube sekupheleni, noma ngabe izimpawu ziyathuthuka;
• Gwema ukuxhumana ngokocansi, noma ngabe uvikelekile;
• Yenza izivivinyo zokuxilonga ezinye izifo zocansi.

Ngaphezu kwalokho, esimweni sezingane noma abesifazane abakhulelwe, kubalulekile ukuthi babe nokunye ukunakekelwa okukhethekile, kubalulekile ukubonisana nodokotela wezingane noma owokubelethisa, kusuka kusazi sokutheleleka.