Momwe Mungadziwire, Kuchiza, ndi Kuteteza Gonorrhea Pakamwa

Zamkati

• Kodi chizonono chapakamwa chimafala?
• Kodi imafalikira motani?
• Zizindikiro zake ndi ziti?
• Kodi zimasiyana bwanji ndi zilonda zapakhosi, khosi, kapena zina?
• Kodi mukufunika kukaonana ndi dokotala?
• Amachizidwa bwanji?
• Momwe mungauzire anzanu omwe ali pachiwopsezo
• Ngati mukufuna kukhala osadziwika
• Kodi kutsuka mkamwa ndikokwanira, kapena mukufunikiradi maantibayotiki?
• Kodi chimachitika ndi chiyani chikapanda kuchiritsidwa?
• Kodi akuchiritsidwa?
• Kodi ndizotheka bwanji?
• Kodi mungapewe bwanji?

Kodi chizonono chapakamwa chimafala?

Sitikudziwa ndendende momwe chizonono cha mkamwa chafala kwambiri pakati pa anthu.

Pakhala pali kafukufuku wambiri wofalitsidwa ndi gonorrhea ya mkamwa, koma ambiri amayang'ana magulu ena, monga akazi ndi amuna omwe amagonana amuna kapena akazi okhaokha.Lusk MJ, ndi al. (2013). Gonorrhea ya Pharyngeal mwa akazi: Gwero lofunikira pakukulitsa kufalikira kwa Neisseria gonorrhea m'mizinda yaku Australia yogonana amuna kapena akazi okhaokha? KODI:
10.1155 / 2013/967471 Fairley CK, ndi al. (2017). Kutumiza pafupipafupi kwa chinzonono mwa amuna omwe amagonana ndi amuna. KODI:
Onetsani: 10.3201 / eid2301.161205

Zomwe tikudziwa ndikuti oposa 85 peresenti ya achikulire omwe amagonana adagonanapo m'kamwa, ndipo aliyense amene amagonana mosadziteteza amakhala pachiwopsezo.Kuopsa kwa matenda opatsirana pogonana komanso kugonana m'kamwa - CDC Fact Sheet [Zowona]. (2016).

Akatswiri amakhulupiriranso kuti chinzonono cha m'kamwa chosadziwikanso ndi chomwe chikuchititsa kuti matendawa azizizira kwambiri.Deguchi T, ndi al. (2012). Kuwongolera kwa pharyngeal gonorrhea ndikofunikira popewa kutuluka ndikufalikira kwa Neisseria gonorrhoeae yolimbana ndi maantibayotiki. KODI:
Onetsani: 10.1128 / AAC.00505-12

Chizonono cha pakamwa sichimayambitsa zizindikiro ndipo nthawi zambiri chimakhala chovuta kuchizindikira. Izi zitha kuchititsa kuti achedwetse chithandizo, zomwe zimawonjezera chiopsezo chofalitsa matendawa kwa ena.

Kodi imafalikira motani?

Matendawa amatha kufalikira kudzera mu kugonana mkamwa kochitidwa kumaliseche kapena kumatako a munthu amene ali ndi chinzonono.

Ngakhale maphunziro ndi ochepa, pali malipoti angapo okhudza kufalitsa kudzera kupsompsona.Willmott FE. (1974). Kutumiza kwa gonococcal pharyngitis ndikumpsompsona?

Kupsompsonana kwa lilime, komwe kumatchedwa kuti "kupsompsona ku France," kumawoneka kuti kumawonjezera ngozi.Wolemba Fairley CK, et al. (2017). Kutumiza pafupipafupi kwa chinzonono mwa amuna omwe amagonana ndi amuna. KODI:
Onetsani: 10.3201 / eid2301.161205

Zizindikiro zake ndi ziti?

Nthawi zambiri, chizonono cha mkamwa sichimayambitsa zizindikiro zilizonse.

Mukakhala ndi zizindikilo, zimakhala zovuta kusiyanitsa ndi zomwe zimafala pakhosi.

Zizindikiro zimaphatikizapo:

• chikhure
• kufiira pakhosi
• malungo
• zotupa zam'mimba zotupa pakhosi

Nthawi zina, munthu yemwe ali ndi chinzonono pakamwa amathanso kukhala ndi matenda a chinzonono mbali ina ya thupi, monga khomo pachibelekeropo kapena mkodzo.

Ngati ndi choncho, mungakhale ndi zizindikiro zina za chinzonono, monga:

• kutuluka kwachilendo kumaliseche kapena penile
• kupweteka kapena kutentha pamene mukukodza
• kupweteka panthawi yogonana
• machende otupa
• zotupa zam'mimba m'mimba

Kodi zimasiyana bwanji ndi zilonda zapakhosi, khosi, kapena zina?

Zizindikiro zanu zokha sizingathe kusiyanitsa pakati pa chizonono cha mkamwa ndi vuto lina la mmero, monga zilonda kapena khosi.

Njira yokhayo yodziwira zowona ndikuwona dokotala kapena wothandizira zaumoyo pakhosi.

Monga strep throat, chinzonono cham'kamwa chimatha kupweteka pakhosi ndi kufiira, koma khosi limayambitsanso zigamba zoyera pakhosi.

Zizindikiro zina za khosi limaphatikizapo:

• malungo mwadzidzidzi, nthawi zambiri 101˚F (38˚C) kapena kupitilira apo
• mutu
• kuzizira
• zotupa zam'mimba zotupa pakhosi

Kodi mukufunika kukaonana ndi dokotala?

Inde. Gonorrhea iyenera kuthandizidwa ndi mankhwala opha tizilombo kuti athetse matendawa ndikupewa kufalikira.

Ngati sanalandire chithandizo, gonorrhea imatha kubweretsa zovuta zingapo.

Ngati mukukayikira kuti mwawululidwa, pitani kwa dokotala kapena wothandizira ena kuti akakuyeseni.

Wothandizira anu amatenga khosi lanu kuti awone ngati mabakiteriya omwe amayambitsa matendawa.

Amachizidwa bwanji?

Matenda am'kamwa ndi ovuta kuchiza kuposa matenda opatsirana pogonana kapena matumbo, koma amatha kuchiritsidwa ndi maantibayotiki oyenera.Kuopsa kwa matenda opatsirana pogonana komanso kugonana m'kamwa - CDC Fact Sheet [Zowona]. (2016).

Centers for Disease Control and Prevention (CDC imalimbikitsa njira ziwiri zochizira chifukwa cha kuchuluka kwa mitundu yosagwiritsa ntchito mankhwala ya N. gonorrhoeae, bakiteriya omwe amayambitsa matendawa.Gonorrhea - CDC sheet sheet (Detailed version) [Zowona zenizeni]. (2017).

Izi zimaphatikizapo jakisoni umodzi wa ceftriaxone (250 milligrams) ndi mlingo umodzi wamlomo wa azithromycin (1 gramu).

Muyenera kupewa kugonana konse, kuphatikiza kugonana m'kamwa ndi kupsompsona, masiku asanu ndi awiri mukamaliza kulandira chithandizo.

Muyeneranso kupewa kugawana chakudya ndi zakumwa panthawiyi, chifukwa chinzonono chimatha kupatsirana kudzera m'malovu.Ndi Chow EPF, et al. (2015). Kuzindikira kwa Neisseria gonorrhoeae mu pharynx ndi malovu: Zomwe zimafalitsa matenda a chinzonono. KODI:
10.1136 / sextrans-2015-052399.10

Ngati zizindikiro zanu zikupitirira, onani omwe akukuthandizani. Angafunikire kuwapatsa maantibayotiki amphamvu kwambiri kuti athetse matendawa.

Momwe mungauzire anzanu omwe ali pachiwopsezo

Ngati mwalandilidwa kapena mwakhala ndi munthu yemwe adakhalapo, muyenera kudziwitsa onse omwe mwangogonana nawo kumene kuti akayesedwe.

Izi zimaphatikizapo aliyense amene mwakhala mukugonana naye m'miyezi iwiri chisanafike chizindikiro kapena matenda.

Kuyankhula ndi anzanu apano kapena omwe mwakhala nawo kale sikungakhale kovuta, koma kuyenera kuchitidwa kuti mupewe zovuta zomwe zingachitike, kupatsirana kachilomboka, ndi kutenga kachilomboka.

Kukhala wokonzeka ndi chidziwitso cha chinzonono, kuyesa kwake, ndi chithandizo chake kungakuthandizeni kuyankha mafunso a mnzanu.

Ngati mukuda nkhawa ndi zomwe mnzanu angachite, lingalirani zopangira nthawi yoti muwonane limodzi zaumoyo.

Nazi zinthu zina zomwe munganene kuti muyambe kukambirana:

• "Ndalandira zotsatira zamayeso lero, ndipo ndikuganiza kuti tiyenera kukambirana za izi."
• “Dokotala wanga anangondiuza kuti ndili ndi kena kake. Pali mwayi kuti muli nawo. "
• “Ndangopeza kuti wina yemwe ndinali naye kwakanthawi akudwala chinzonono. Tonse tikuyenera kukayezetsa kuti tikhale otetezeka. ”

Ngati mukufuna kukhala osadziwika

Ngati mukuda nkhawa kuti mukalankhula ndi anzanu apano kapena omwe mudapitako kale, funsani omwe amakupatsani mwayi wokhudza kukhudzana.

Pofufuza olumikizana nawo, dipatimenti yazachipatala kwanuko idzadziwitsa aliyense amene angawululidwe.

Itha kukhala yosadziwika, kotero anzanu omwe simugonana nawo sayenera kukuwuzani omwe adawatumiza.

Kodi kutsuka mkamwa ndikokwanira, kapena mukufunikiradi maantibayotiki?

Anthu akhala akukhulupirira kuti pakamwa pakutha kuchiza matenda a chinzonono. Mpaka posachedwa, panalibe umboni wa sayansi wotsimikizira izi.

Zambiri zomwe adazipeza kuchokera ku 2016 yoyeserera mosasunthika komanso kafukufuku wa mu vitro adapeza kuti mkamwa Listerine adachepetsa kwambiri kuchuluka kwa N. gonorrhoeae pamtunda.Ndi Chow EPF, et al. (2016). Antiseptic mouthwash motsutsana ndi pharyngeal Neisseria gonorrhoeae: Kuyesedwa kosasinthika ndi kafukufuku wa vitro. KODI:
10.1136 / sextrans-2016-052753

Ngakhale izi zikulonjeza, kafukufuku wina amafunika kuti awunikire izi. Chiyeso chachikulu chikuchitika pakadali pano.

Maantibayotiki ndiwo mankhwala okha omwe atsimikiziridwa kuti ndi othandiza.

Kodi chimachitika ndi chiyani chikapanda kuchiritsidwa?

Ngati sanalandire chithandizo, chinzonono cha mkamwa chitha kufalikira kudzera m'magazi anu kupita mbali zina za thupi lanu.

Izi zitha kubweretsa matenda amtundu wa gonococcal, omwe amadziwikanso kuti kufalitsa matenda a gonococcal.

Matenda a gonococcal ndi vuto lalikulu lomwe lingayambitse kupweteka pamodzi ndi kutupa ndi zilonda za khungu. Ikhozanso kupatsira mtima.

Gonorrhea ya maliseche, rectum, ndi kwamikodzo imatha kubweretsanso mavuto ena osasiyidwa.

Mavuto omwe angakhalepo ndi awa:

• m'chiuno yotupa matenda
• zovuta zapakati
• osabereka
• matenda am'mimba
• chiopsezo chachikulu cha HIV

Kodi akuchiritsidwa?

Ndi mankhwala oyenera, chinzonono ndichachiritsika.

Komabe, mitundu yatsopano ya chinzonono chosagwira maantibayotiki imatha kukhala yovuta kwambiri kuchiza.

CDC imalimbikitsa kuti aliyense amene wathandizidwa matenda a chinzonono pakamwa abwerere kwa omwe amamuchitira chithandizo chamankhwala masiku 14 atalandira chithandizo cha mayeso ake.Matenda a gonococcal. (2015).

Kodi ndizotheka bwanji?

Sitikudziwa kuti mwina kubwereza kungayambike bwanji m'kamwa.

Tikudziwa kuti kubwereza kwa mitundu ina ya gonorrhea ndikokwera, kumakhudza kulikonse kuyambira 3.6 peresenti mpaka 11 peresenti ya anthu omwe adathandizidwa kale.Kissinger PJ, ndi al. (2009). Kubwereza koyambirira kwa Chlamydia trachomatis ndi matenda a Neisseria gonorrhoeae pakati pa amuna kapena akazi okhaokha. KODI:
10.1097% 2FOLQ.0b013e3181a4d147

Kuyesanso ndikofunikira miyezi itatu kapena isanu ndi umodzi mutalandira chithandizo, ngakhale inu ndi anzanu mutakwanitsa kumaliza kulandira chithandizo ndipo mulibe zizindikiro.Meya MT, et al. (2012). Kuzindikira ndikuwongolera matenda opatsirana ndi gonococcal.
aafp.org/afp/2012/1115/p931.html

Kodi mungapewe bwanji?

Mutha kuchepetsa chiopsezo cha chizonono cha mkamwa pogwiritsa ntchito damu la mano kapena kondomu ya "amuna" nthawi zonse mukamagonana.

Kondomu “yamphongo” imatha kusinthidwa kuti izigwiritsa ntchito ngati chotchinga mukamagonana mkamwa kumaliseche kapena kumatako.

Kuti muchite izi:

• Dulani mosamala nsonga ya kondomu.
• Dulani pansi pa kondomu, pamwamba pake.
• Dulani mbali imodzi ya kondomu.
• Tsegulani ndikugona mosalala kunyini kapena kumatako.

Kuyesedwa pafupipafupi ndikofunikanso. Kayezetseni musanafike komanso mukatha mnzanu aliyense.