Venereal lymphogranuloma (LGV): ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira

Venereal lymphogranuloma, yotchedwanso nyulu kapena LGV, ndi matenda opatsirana pogonana omwe amayambitsidwa ndi mitundu itatu ya bakiteriya Chlamydia trachomatis, yomwe imakhalanso ndi chlamydia. Bacteria uyu, akafika kumaliseche, amatsogolera pakupanga mabala opanda ululu komanso amadzimadzi omwe samadziwika nthawi zonse.

LGV imafalikira kudzera mukugonana kosaziteteza ndipo, chifukwa chake, ndikofunikira kugwiritsa ntchito kondomu m'malo onse ogonana, komanso kuyang'anira ukhondo wamdera lanu mutagonana. Mankhwalawa amachitidwa nthawi zambiri pogwiritsa ntchito maantibayotiki, omwe amayenera kuperekedwa ndi dokotala malinga ndi kuzindikira kwa tizilombo toyambitsa matenda ndi zizindikilo zomwe zimaperekedwa ndi munthu aliyense, zomwe zimawonetsedwa nthawi zambiri kugwiritsa ntchito Doxycycline kapena Azithromycin.

Zizindikiro zazikulu

Nthawi yokwanira ya Chlamydia trachomatis ili pafupi masiku 3 mpaka 30, ndiye kuti, zizindikilo zoyamba za matendawa zimayamba kuwonekera mpaka masiku 30 mutakumana ndi mabakiteriya. Kawirikawiri, matendawa akhoza kugawidwa m'magulu atatu malinga ndi kuuma kwa zizindikiro zomwe zimaperekedwa:

• Gawo loyambira, momwe zizindikirazo zimawonekera pakati pa masiku atatu ndi masabata atatu mutakhudzana ndi mabakiteriya, chizindikiro choyamba kukhala mawonekedwe a chithuza chaching'ono mdera loberekera, chomwe chimasonyeza malo olowera mabakiteriya. Kuphatikiza apo, kutupa pang'ono pakhosi kumatha kuwoneka, zomwe zikuwonetsa kuti mabakiteriya afika ku ganglia ya malowo. Ngati kufalikirako kumachitika kudzera pakugonana, pakhoza kukhala ululu m'matumbo, kutuluka ndi kudzimbidwa. Pankhani ya amayi omwe ali ndi kachilomboka, nthawi zambiri samapezeka, matendawa amapezeka m'magawo otsatirawa;
• Ntchito yachiwiri, momwe zizindikirazo zimatha kuoneka pakati pa masiku 10 mpaka 30 mutakumana ndi mabakiteriya ndipo zimadziwika ndi kutupa koonekera kwambiri kwa kubuula, ndipo pakhoza kukhala kutupa kwa ganglia m'khwapa kapena m'khosi, malungo ndi kufiira kwa dera Kuwonjezera pa zilonda zam'deralo. rectum, magazi ndi ntchofu, ngati matendawa adachitika kudzera kumatako;
• Maphunziro apamwamba, zomwe zimachitika matendawa sakudziwika komanso / kapena kuchiritsidwa moyenera, zomwe zimapangitsa kuti kutupa kwa ganglia ndi maliseche kukulirakulira ndikuwonekera kwa zilonda, zomwe zimakonda matenda achiwiri.

Ngati zizindikirozo sizikupezeka ndipo matendawa amachiritsidwa mwachangu kapena molondola, zovuta zina zimatha kubwera, monga penile ndi scrotal lymphedema, matumbo a hyperplasia, vulvar hypertrophy ndi proctitis, komwe ndikutupa kwa mucosa komwe kumayambira rectum komanso zomwe zingachitike ngati mabakiteriya adapezeka pogonana. Dziwani zambiri za proctitis ndi momwe mankhwala amathandizira.

Venereal lymphogranuloma itha kupezeka mwa kulumikizana popanda kondomu, chifukwa chake imadziwika kuti ndi matenda opatsirana pogonana. Matendawa amapangidwa pofufuza zizindikiro ndi kuyezetsa magazi komwe kumazindikiritsa ma antibodies omwe akutsutsana nawo Chlamydia trachomatis, komanso chikhalidwe cha kutsekemera kwa bala, chomwe chingakhale chothandiza kuzindikira tizilombo toyambitsa matenda ndikuwonetsetsa kuti ndi mankhwala ati omwe angagwiritsidwe ntchito ngati mankhwala.

Momwe mankhwalawa amachitikira

Chithandizo cha venereal lymphogranuloma chikuyenera kuchitidwa molingana ndi upangiri wa zamankhwala, ndipo maantibayotiki nthawi zambiri amalimbikitsidwa.Mankhwala akulu omwe madokotala akuwonetsa ndi awa:

• Doxycycline kwa masiku 14 mpaka 21;
• Erythromycin masiku 21;
• Sulfamethoxazole / trimethoprim masiku 21;
• Azithromycin masiku 7.

Maantibayotiki komanso kutalika kwa chithandizo chikuyenera kuwonetsedwa ndi adotolo molingana ndi mawonekedwe a kukhudzika kwa tizilombo ndi zizindikilo zomwe zawonetsedwa. Kuphatikiza apo, ndikofunikira kuti munthu azipimidwa pafupipafupi kuti awonetsetse kuti mankhwalawa akugwiradi ntchito, komanso mnzake, yemwe akuyenera kupimidwa ndikuchiritsidwa ngakhale alibe zisonyezo.