Matenda a nyamakazi

Matenda a nyamakazi ndi mtundu wa nyamakazi yomwe imatsatira matenda. Zitha kupanganso kutupa kwa maso, khungu ndi kwamikodzo komanso maliseche.

Zomwe zimayambitsa matenda a nyamakazi sizikudziwika. Komabe, nthawi zambiri imatsatira matenda, koma olumikizanawo omwe alibe kachilomboka. Matenda a nyamakazi amapezeka nthawi zambiri mwa amuna ochepera zaka 4, ngakhale nthawi zina amakhudza azimayi. Itha kutsata matenda mu urethra mutagonana mosadziteteza. Mabakiteriya ofala kwambiri omwe amayambitsa matendawa amatchedwa Chlamydia trachomatis. Matenda a nyamakazi amathanso kutsatira matenda am'mimba (monga poyizoni wazakudya). Pafupifupi theka la anthu omwe amaganiza kuti ali ndi nyamakazi, mwina sipangakhale matenda. N'zotheka kuti milandu yotereyi ndi mtundu wa spondyloarthritis.

Zamoyo zina zimatha kukupangitsani kuti mukhale ndi vutoli.

Matendawa sapezeka kwenikweni kwa ana aang'ono, koma amatha kupezeka mwa achinyamata. Matenda a nyamakazi amatha kupezeka mwa ana azaka 6 mpaka 14 pambuyo pake Clostridium difficile matenda am'mimba.

Zizindikiro za mkodzo zidzawoneka patadutsa masiku kapena milungu ingapo mutadwala. Zizindikirozi zitha kuphatikiza:

• Kuwotcha pokodza
• Kutuluka kwamadzimadzi kuchokera kumtunda (kutulutsa)
• Mavuto kuyambira kapena kupitiliza mkodzo
• Kufunika kukodza nthawi zambiri kuposa zachilendo

Malungo ochepa komanso kutuluka m'maso, kuyaka, kapena kufiira (conjunctivitis kapena "diso la pinki") kumatha kukhala m'masabata angapo otsatira.

Matenda m'matumbo amatha kuyambitsa kutsekula m'mimba komanso kupweteka m'mimba. Kutsekula m'mimba kumatha kukhala kwamadzi kapena kwamagazi.

Kupweteka pamodzi ndi kuuma kumayambanso panthawiyi. Matenda a nyamakazi amatha kukhala ofatsa kapena owopsa. Zizindikiro za nyamakazi zingaphatikizepo:

• Kupweteka kwa chidendene kapena kupweteka kwa Achilles tendon
• Zowawa m'chiuno, bondo, akakolo, ndi kutsika kumbuyo
• Ululu ndi kutupa komwe kumakhudza gawo limodzi kapena angapo

Zizindikiro zimatha kuphatikizira zilonda pakhungu pazikhatho ndi zidendene zomwe zimawoneka ngati psoriasis. Pakhoza kukhala zilonda zazing'ono, zopanda ululu pakamwa, lilime, ndi mbolo.

Wothandizira zaumoyo wanu azindikire vutoli malinga ndi zomwe mwakumana nazo. Kuyezetsa thupi kumatha kuwonetsa zizindikilo za conjunctivitis kapena zilonda pakhungu. Zizindikiro zonse sizimawoneka nthawi imodzi, chifukwa chake pakhoza kukhala kuchedwa kuti mupeze matenda.

Mutha kukhala ndi mayeso otsatirawa:

• Antigen ya HLA-B27
• Ma x-ray ophatikizana
• Kuyezetsa magazi kutulutsa mitundu ina ya nyamakazi monga nyamakazi, gout, kapena systemic lupus erythematosus
• Mlingo wa sedimentation wa erythrocyte (ESR)
• Kupenda kwamadzi
• Chikhalidwe cha chopondapo ngati mutsekula m'mimba
• Kuyesa kwamkodzo kwa DNA ya bakiteriya monga Chlamydia trachomatis
• Kulakalaka kolumikizana kotupa

Cholinga cha chithandizo ndikuchepetsa zizindikiritso ndikuchiza matenda omwe akuyambitsa vutoli.

Mavuto amaso ndi zilonda pakhungu sizimafunika kuthandizidwa nthawi zambiri. Adzapita okha. Ngati mavuto amaso akupitilira, muyenera kuyesedwa ndi katswiri wazamatenda amaso.

Omwe amakupatsirani mankhwala amakupatsani maantibayotiki ngati muli ndi matenda. Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) ndi othandizira kupweteka kumatha kuthandizira pakumva kupweteka. Ngati cholumikizira chatupa kwambiri kwakanthawi, mutha kukhala ndi mankhwala a corticosteroid ojambulidwa mu olowa.

Ngati nyamakazi ikupitilira ngakhale ma NSAID, sulfasalazine kapena methotrexate zitha kukhala zothandiza. Pomaliza, anthu omwe samvera mankhwalawa angafunike anti-TNF biologic agents monga etanercept (Enbrel) kapena adalimumab (Humira) kuti ateteze chitetezo cha mthupi.

Thandizo lakuthupi lingathandize kuchepetsa ululu. Ikhozanso kukuthandizani kuti musunthire bwino ndikukhala ndi nyonga.

Matenda a nyamakazi amatha pambuyo pa milungu ingapo, koma amatha miyezi ingapo ndipo amafunikira mankhwala nthawi imeneyo. Zizindikiro zimatha kubwerera kwakanthawi kwa theka la anthu omwe ali ndi vutoli.

Nthawi zambiri, vutoli limatha kubweretsa vuto la mtima kapena mavuto ndi aortic mtima valve.

Onani omwe akukuthandizani ngati mukukula ndi matendawa.

Pewani matenda omwe angabweretse matenda a nyamakazi pochita zogonana motetezeka komanso kupewa zinthu zomwe zingayambitse poyizoni wazakudya.

Matenda a Reiter; Matenda opatsirana pambuyo pake

• Matenda a nyamakazi - mawonekedwe a mapazi

Augenbraun MH, McCormack WM. Urethritis. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: mutu 109.

Carter JD, Hudson AP (Adasankhidwa) Spondyloarthritis yosadziwika. Mu: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, olemba. Kelley ndi Firestein's Bookbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: mutu 76.

Horton DB, Strom BL, Putt INE, Rose CD, Sherry DD, Sammons JS. Epidemiology ya clostridium difficile matenda omwe amagwiritsidwa ntchito ndi nyamakazi kwa ana: matenda osadziwika, omwe atha kukhala owopsa. JAMA Wodwala. 2016; 170 (7): e160217. PMID: 27182697 www.ncbi.nlm.nih.gov/pubmed/27182697. (Adasankhidwa)

Lumikizani RE, Rosen T. Matenda ochepetsa akunja akunja. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 16.

Misra R, Gupta L. Epidemiology: nthawi yobwereranso ku lingaliro la nyamakazi yogwira ntchito. Nat Rev Rheumatol. 2017; 13 (6): 327-328. (Adasankhidwa) PMID: 28490789 www.ncbi.nlm.nih.gov/pubmed/28490789. (Adasankhidwa)

Kukula kwa matenda a nyamakazi okhudzana ndi chlamydia. Scand J Rheumatol. 2017; 46 (5): 415-416. PMID: 28067600 www.ncbi.nlm.nih.gov/pubmed/28067600.

Masewera a Schmitt. Matenda a nyamakazi. Kutenga Dis Clin North Am. 2017; 31 (2): 265-277. PMID: 28292540 www.ncbi.nlm.nih.gov/pubmed/28292540. (Adasankhidwa)

Pezani nkhaniyi pa intaneti Weiss PF, Colbert RA. Matenda a nyamakazi othandizira komanso opatsirana. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: mutu 182.