Donovanosis (granuloma inguinale)

Donovanosis (granuloma inguinale) ndi matenda opatsirana pogonana omwe samawoneka kawirikawiri ku United States.

Donovanosis (granuloma inguinale) imayambitsidwa ndi bakiteriya Klebsiella granulomatis. Matendawa amapezeka m'malo otentha monga madera akumwera chakum'mawa kwa India, Guyana, ndi New Guinea. Pali milandu pafupifupi 100 yomwe imanenedwa pachaka ku United States. Zambiri mwazimenezi zimachitika mwa anthu omwe adapita kapena akuchokera kudera lomwe matenda amapezeka.

Matendawa amafalikira makamaka kudzera kumaliseche kapena kumatako. Kawirikawiri, imafalikira panthawi yogonana m'kamwa.

Matenda ambiri amapezeka mwa anthu azaka 20 mpaka 40.

Zizindikiro zimatha kupezeka masabata 1 mpaka 12 mutakumana ndi matenda omwe amayambitsa mabakiteriya.

Izi zingaphatikizepo:

• Zilonda m'dera kumatako pafupifupi theka la milanduyo.
• Ziphuphu zazing'ono, zofiira ngati ng'ombe zimapezeka kumaliseche kapena mozungulira anus.
• Khungu limatha pang'onopang'ono, ndipo ziphuphu zimasanduka matumbo ofiira ofiira ofiira otchedwa granulation minofu. Nthawi zambiri samva kupweteka, koma amatuluka magazi mosavuta akavulala.
• Matendawa amafalikira pang'onopang'ono ndikuwononga ziwalo zoberekera.
• Kuwonongeka kwa minofu kumatha kufalikira kubowoleza.
• Ziwalo zoberekera ndi khungu lozungulira zimawonongeka.

Kumayambiriro kwake, zingakhale zovuta kusiyanitsa pakati pa donovanosis ndi chancroid.

M'magawo amtsogolo, donovanosis imatha kuwoneka ngati khansa yapabanja yayikulu, lymphogranuloma venereum, ndi anogenital cutaneous amebiasis.

Mayeso omwe angachitike ndi awa:

• Chikhalidwe cha zitsanzo zamatenda (zovuta kuchita komanso osapezeka pafupipafupi)
• Zojambula kapena biopsy ya lesion

Mayeso a Laborator, ofanana ndi omwe amagwiritsidwa ntchito kuti azindikire syphilis, amapezeka pokhapokha pofufuza kuti adziwe za donovanosis.

Maantibayotiki amagwiritsidwa ntchito pochiza donovanosis. Izi zingaphatikizepo azithromycin, doxycycline, ciprofloxacin, erythromycin, ndi trimethoprim-sulfamethoxazole. Kuti muchiritse vutoli, pakufunika chithandizo chanthawi yayitali. Njira zambiri zamankhwala zimatha masabata atatu kapena mpaka zilonda zitachira.

Kuwunika kotsatira ndikofunikira chifukwa matendawa amatha kupezekanso atawoneka kuti achiritsidwa.

Kuchiza matendawa msanga kumachepetsa mwayi wowonongeka kapena kuwonongeka kwa mabala. Matenda osachiritsidwa amabweretsa kuwonongeka kwa ziwalo zoberekera.

Mavuto azaumoyo omwe angabwere chifukwa cha matendawa ndi awa:

• Kuwonongeka kwa maliseche ndi mabala
• Kutaya mtundu pakhungu
• Kutupa kwamtundu wamuyaya chifukwa cha mabala

Itanani kuti mudzakumane ndi wokuthandizani ngati:

• Mudagonana ndi munthu yemwe amadziwika kuti ali ndi donovanosis
• Mumakhala ndi zizindikilo za donovanosis
• Mumakhala ndi zilonda kumaliseche

Kupewa zochitika zonse zogonana ndiyo njira yokhayo yothetsera matenda opatsirana pogonana monga donovanosis. 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.

Granuloma inguinale; Matenda opatsirana pogonana - donovanosis; STD - donovanosis; Matenda opatsirana pogonana - donovanosis; Opatsirana pogonana - donovanosis

• Magawo akhungu

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 Saunders; 2017: chap 23.

Ghanem KG, Hook EW. Granuloma inguinale (Donovanosis). Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier Saunders; 2020: mutu 300.

Woponya miyala BP, Reno HEL. Klebsiella granulomatis (donovanosis, granuloma inguinale). 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 Saunders; 2020: chap 235.