Lymphogranuloma venereum

Lymphogranuloma venereum (LGV) ndi matenda opatsirana pogonana.

LGV ndi matenda a nthawi yayitali (a matenda) a mitsempha yamagazi. Amayambitsidwa ndi mitundu itatu (ma serovars) amtundu wa mabakiteriya Chlamydia trachomatis. Mabakiteriya amafalikira pogonana. Matendawa samayambitsidwa ndi mabakiteriya omwewo omwe amachititsa chlamydia kumaliseche.

LGV imapezeka kwambiri ku Central ndi South America kuposa North America.

LGV imakonda kwambiri amuna kuposa akazi. Choopsa chachikulu ndicho kukhala ndi kachilombo ka HIV.

Zizindikiro za LGV zimatha kuyamba masiku angapo mpaka mwezi mutakumana ndi mabakiteriya. Zizindikiro zake ndi izi:

• Kutulutsa madzi kudzera pakhungu kuchokera ku ma lymph node mu groin
• Matenda opweteka (tenesmus)
• Zilonda zazing'ono zopweteka kumaliseche kwamwamuna kapena mumaliseche azimayi
• Kutupa ndi khungu lofiira pakhungu
• Kutupa kwa labia (mwa akazi)
• Kutupa kwa ma lymph lymph node mbali imodzi kapena mbali zonse; Zitha kukhudzanso ma lymph node ozungulira rectum mwa anthu omwe amagonana
• Magazi kapena mafinya ochokera m'matumbo (magazi m'mipando)

Wothandizira zaumoyo adzakufunsani. Mudzafunsidwa za mbiri yanu yazachipatala komanso yakugonana. Uzani omwe amakupatsani ngati munagonana ndi munthu amene mukuganiza kuti anali ndi zizindikiro za LGV.

Kuyezetsa thupi kumatha kuwonetsa:

• Kulumikizana kozizira, kosazolowereka (fistula) mdera lammbali
• Chilonda kumaliseche
• Kutulutsa madzi kudzera pakhungu kuchokera ku ma lymph node mu groin
• Kutupa kwa maliseche kapena labia mwa akazi
• Kutupa ma lymph node mu groin (inguinal lymphadenopathy)

Mayeso atha kuphatikiza:

• Chidziwitso cha mwanabele
• Kuyezetsa magazi kwa mabakiteriya omwe amayambitsa LGV
• Kuyesa kwa labotale kuti mupeze chlamydia

LGV imachiritsidwa ndi maantibayotiki, kuphatikizapo doxycycline ndi erythromycin.

Ndi chithandizo chamankhwala, mawonekedwe ake ndiabwino ndipo kuchira kwathunthu kungayembekezeredwe.

Mavuto azaumoyo omwe angabwere chifukwa cha matenda a LGV ndi awa:

• Kulumikizana kwachilendo pakati pa rectum ndi nyini (fistula)
• Kutupa kwaubongo (encephalitis - chosowa kwambiri)
• Matenda m'mfundo, maso, mtima, kapena chiwindi
• Kutupa kwakanthawi ndikutupa kwa maliseche
• Kuthyola ndi kupindika kwa rectum

Zovuta zimatha kupezeka patadutsa zaka zambiri mutangoyamba kumene.

Itanani omwe akukuthandizani ngati:

• Mwakhala mukuyankhulana ndi munthu yemwe angakhale ndi matenda opatsirana pogonana, kuphatikizapo LGV
• Mumakhala ndi zizindikiro za LGV

Kusachita zogonana ndiyo njira yokhayo yopewera matenda opatsirana pogonana. Khalidwe logonana lotetezeka lingachepetse ngozi.

Kugwiritsa ntchito kondomu moyenera, kaya chachimuna kapena chachikazi, kumachepetsa kwambiri chiopsezo chotenga matenda opatsirana pogonana. Muyenera kuvala kondomu kuyambira koyambirira mpaka kumapeto kwa chilichonse chogonana.

LGV; Lymphogranuloma inguinale; Lymphopathia venereum

• Makina amitsempha

Wopondereza BE, Tan M. Chlamydia trachomatis (trachoma, matenda opatsirana m'mimba). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 180.

Gardella C, Eckert LO, Lentz GM. Matenda opatsirana pogonana: maliseche, nyini, khomo pachibelekeropo, matenda owopsa, endometritis, ndi salpingitis. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: chap 23.