Chancroid

Chancroid ndi matenda omwe amabwera chifukwa chogonana.

Chancroid imayambitsidwa ndi bakiteriya wotchedwa Haemophilus ducreyi.

Matendawa amapezeka m'malo ambiri padziko lapansi, monga Africa ndi kumwera chakumadzulo kwa Asia. Ndi anthu ochepa okha omwe amapezeka ku United States chaka chilichonse ali ndi matendawa. Anthu ambiri ku United States omwe amapezeka ndi chancroid amakhala ndi matendawa kunja kwa dziko kumadera omwe matendawa amapezeka kwambiri.

Pasanathe tsiku limodzi kapena masabata awiri atadwala, munthu amayamba kudumphadumpha kumaliseche. Chotupacho chimakhala chilonda pasanathe tsiku limodzi chikangowonekera kumene. Chilondacho:

• Makulidwe amakulidwe kuyambira 1/8 inchi mpaka mainchesi 2 (3 millimeter mpaka 5 sentimita) m'mimba mwake
• Zimapweteka
• Ndi ofewa
• Adafotokozera bwino malire
• Ili ndi maziko okutidwa ndi imvi kapena chikasu-imvi
• Ali ndi maziko omwe amatuluka magazi mosavuta ngati amenyedwa kapena kupukutidwa

Pafupifupi theka la amuna omwe ali ndi kachilomboka ali ndi chilonda chimodzi. Amayi nthawi zambiri amakhala ndi zilonda 4 kapena kupitilira apo. Zilondazo zimapezeka m'malo enaake.

Malo omwe amuna amapezeka ndi awa:

• Zojambula
• Malo kumbuyo kwa mutu wa mbolo
• Kutsinde kwa mbolo
• Mutu wa mbolo
• Kutsegula mbolo
• Mpukutu

Kwa amayi, malo ofala kwambiri a zilonda ndi milomo yakunja kwa nyini (labia majora). "Zilonda zopsompsona" zikhoza kuyamba. Zilonda zopsompsonana ndizomwe zimachitika m'malo osiyana a labia.

Madera ena, monga milomo yamkati yamaliseche (labia minora), malo apakati pa maliseche ndi anus (malo amphongo), komanso ntchafu zamkati zimathanso kutengapo gawo. Zizindikiro zofala kwambiri mwa amayi ndi zopweteka pokodza ndi kugonana.

Chilondacho chimawoneka ngati chilonda cha chindoko chachikulu (chancre).

Pafupifupi theka la anthu omwe ali ndi kachilombo ka chancroid amakhala ndi ma lymph nodes ochulukirapo.

Pakati pa theka la anthu omwe ali ndi zotupa zam'mimba, mfundozo zimadutsa pakhungu ndikupangitsa kukhetsa ma abscess. Nthenda zotupa ndi zotupa zimatchedwanso buboes.

Wopereka chithandizo chamankhwala amapeza chancroid poyang'ana zilonda zam'mimba, kuyang'ana zotupa zam'mimba zotupa ndikuyesa (kuweruza) matenda ena opatsirana pogonana. Palibe kuyesa magazi kwa chancroid.

Matendawa amathandizidwa ndi maantibayotiki kuphatikiza ceftriaxone, ndi azithromycin. Kutupa kwakukulu kwa ma lymph node kumafunika kukhetsedwa, mwina ndi singano kapena opaleshoni yakomweko.

Chancroid imatha kukhala yabwinopo payokha. Anthu ena amakhala ndi zilonda zopweteka kwa miyezi yambiri. Mankhwala opha tizilombo nthawi zambiri amathetsa zotupazo mwachangu ndi mabala ochepa.

Zovuta zimaphatikizira zotupa m'mimba ndi zipsera pakhungu la mbolo mwa amuna osadulidwa. Anthu omwe ali ndi chancroid ayeneranso kufufuzidwa ngati ali ndi matenda ena opatsirana pogonana, kuphatikizapo syphilis, HIV, ndi ziwalo zoberekera.

Mwa anthu omwe ali ndi HIV, chancroid imatha kutenga nthawi yayitali kuti ichiritse.

Itanani kuti mudzakumane ndi wokuthandizani ngati:

• Muli ndi zizindikiro za chancroid
• Mudagonana ndi munthu yemwe mukudziwa kuti ali ndi matenda opatsirana pogonana (STI)
• Mwachita chiwerewere chowopsa

Chancroid imafalikira chifukwa chogonana ndi munthu yemwe ali ndi kachilomboka. Kupewa mitundu yonse yakugonana ndiyo njira yokhayo yothetsera matenda opatsirana pogonana.

Komabe, machitidwe otetezeka ogonana angachepetse chiopsezo chanu. Kugwiritsa ntchito makondomu moyenera, kaya amuna kapena akazi, kumachepetsa kwambiri chiopsezo chotenga matenda opatsirana pogonana. Muyenera kuvala kondomu kuyambira koyambirira mpaka kumapeto kwa chilichonse chogonana.

Chancre yofewa; Ulcus molle; Matenda opatsirana pogonana - chancroid; STD - chancroid; Matenda opatsirana pogonana - chancroid; Opatsirana pogonana - chancroid

• Ziwalo zoberekera za abambo ndi amai

A James WD, Elston DM, McMahon PJ. Matenda a bakiteriya. Mu: James WD, Elston DM, McMahon PJ, olemba. Matenda a Andrews a Khungu La Zachipatala. Philadelphia, PA: Elsevier; 2018: mutu 14.

Murphy TF. Haemophilus mitundu kuphatikizapo H. fuluwenza ndipo H. ducreyi (Chancroid). 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 225.