Momwe mungachiritse matenda opatsirana pogonana 7

Zamkati

• 1. Chlamydia
• 2. Chizonono
• 3. HPV
• 4. Zilonda zamaliseche
• 5. Matenda a Trichomoniasis
• 6. Chindoko
• 7. HIV / Edzi
• Chisamaliro chachikulu panthawi yachipatala

Chithandizo cha matenda opatsirana pogonana (matenda opatsirana pogonana), omwe kale ankadziwika kuti matenda opatsirana pogonana, kapena ma STD okha, amasiyanasiyana kutengera mtundu wa matendawa. Komabe, ambiri mwa matendawa amachiritsidwa ndipo, nthawi zambiri, bola atazindikira msanga, amatha kuthetsedweratu ndi jakisoni m'modzi.

Chifukwa chake, chofunikira kwambiri ndikuti, nthawi zonse kukayikiridwa kuti ali ndi kachilomboka, wofufuza kapena wothandizira amafunsidwa kuti akayese magazi koyenera ndikuyamba chithandizo choyenera kwambiri.

Ngakhale pakakhala matenda omwe alibe mankhwala, monga Edzi, chithandizo chimakhala chofunikira kwambiri, chifukwa chimathandiza kupewa matendawa kuti asakule ndikuthandizira kuziziritsa, kuphatikiza pakupewetsa kufala kwa matendawa kwa anthu ena.

Pansipa, tikuwonetsa malangizo azithandizo omwe alipo pachipatala cha Ministry of Health:

1. Chlamydia

Chlamydia ndi matenda opatsirana pogonana omwe amayamba chifukwa cha bakiteriya, wotchedwa Chlamydia trachomatis, zomwe zingakhudze abambo ndi amai, zomwe zimayambitsa zizindikilo monga kutentha pamkodzo, kupweteka pakugonana kapena kuyabwa m'dera loyandikana.

Kuchotsa mabakiteriya, chithandizochi chimaphatikizapo kugwiritsa ntchito maantibayotiki, motere:

Njira ya 1

• Azithromycin 1 g, piritsi, muyezo umodzi;

kapena

• Doxycycline 100 mg, piritsi, 12/12 maola masiku 7.

kapena

• Amoxicillin 500 mg, piritsi, 8 / 8h masiku 7

Mankhwalawa ayenera kutsogozedwa ndi dokotala nthawi zonse, chifukwa kungakhale kofunikira kuti azolowere mawonekedwe a munthu aliyense. Mwachitsanzo, kwa amayi apakati, Doxycycline sayenera kugwiritsidwa ntchito.

Onani zizindikiro zazikulu za chlamydia ndi momwe kufalikira kumachitika.

2. Chizonono

Gonorrhea imayambitsidwa ndi mabakiteriya Neisseria gonorrhoeae, zomwe zimayambitsa zizindikilo monga kutuluka koyera ngati chikasu, kuyabwa ndi kupweteka mukakodza ndipo nthawi zambiri zimatenga masiku 10 kuti ziwonekere mutagonana mosadziteteza.

Njira yoyamba yothandizira imaphatikizapo kugwiritsa ntchito:

• Ciprofloxacino 500 mg, wothinikizidwa, muyezo umodzi, ndipo;
• Azithromycin 500 mg, mapiritsi awiri, muyezo umodzi.

kapena

• Ceftriaxone 500 mg, jakisoni wa mu mnofu, muyezo umodzi, ndipo;
• Azithromycin 500 mg, mapiritsi awiri, muyezo umodzi.

Amayi apakati ndi ana osakwana zaka 18, ciprofloxacin iyenera kusinthidwa ndi ceftriaxone.

Dziwani bwino za chinzonono, zizindikiro zake komanso momwe mungapewere matenda.

3. HPV

HPV ndi gulu la ma virus angapo amtundu womwewo omwe amatha kupatsira ziwalo zoberekera, za amuna ndi akazi ndipo, nthawi zambiri, zimangotsogolera ku ma warts ang'onoang'ono, omwe amatha kuthetsedwa pogwiritsa ntchito mafuta, cryotherapy kapena opaleshoni yaying'ono.Mtundu wa mankhwalawo umadalira kukula, kuchuluka ndi malo omwe ziphuphu zimawonekera, motero, ndikofunikira nthawi zonse kuti pakhale chitsogozo kuchokera kwa dokotala.

Onaninso mwatsatanetsatane mitundu ya chithandizo cha HPV.

Komabe, kuwonjezera pa njerewere, palinso mitundu ina ya ma virus a HPV omwe angayambitse khansa, yomwe imadziwika bwino kwambiri ndi khansa ya khomo lachiberekero mwa amayi, makamaka ngati zotupa zoyambitsidwa ndi kachilomboka sizichiritsidwa msanga.

Chithandizo cha HPV chitha kuthetsa zizindikilo komanso kupewetsa kuyambika kwa khansa, koma sichitha kachilomboka mthupi. Pachifukwa ichi, zizindikiro zimatha kuonekanso, ndipo njira yokhayo yochizira ndi pomwe chitetezo chamthupi chimatha kuthetsa kachilomboka, komwe kumatha zaka zingapo kuti zichitike.

4. Zilonda zamaliseche

Matenda a maliseche ndi matenda opatsirana pogonana omwe amayambitsidwa ndi kachilombo komweko kamene kamayambitsa herpes pakamwa, the nsungu simplex. Ichi ndi chimodzi mwamagulu opatsirana pogonana omwe amachititsa kuti pakhale thovu lodzaza madzi mdera loberekera, lomwe limaluma ndikumasula madzi achikaso pang'ono.

Kawirikawiri mankhwala amachitidwa ndi acyclovir, mankhwala amphamvu oletsa ma virus motsutsana ndi herpes, malinga ndi dongosololi:

Mankhwalawa samachotsa kachilomboka mthupi, koma amathandiza kuchepetsa kukula ndi kutalika kwa magawo azizindikiro omwe amapezeka mdera loberekera.

Onani zizindikiro zomwe zitha kuwonetsa nsungu kumaliseche, mwa abambo ndi amai.

5. Matenda a Trichomoniasis

Trichomoniasis ndi matenda omwe amayamba ndi protozoan Trichomonas vaginalis, zomwe zimapanga zikhalidwe zosiyanasiyana mwa amayi ndi abambo, koma zomwe zimaphatikizapo kupweteka mukakodza, kutulutsa ndikununkhira kosasangalatsa komanso kuyabwa kwambiri m'chigawo choberekera.

Pofuna kuchiza matendawa, mankhwala a Metronidazole amagwiritsidwa ntchito motsatira chiwembu:

• Metronidazole 400 mg, mapiritsi asanu muyezo umodzi;
• Metronidazole 250 mg, mapiritsi 2 12/12 masiku 7.

Pankhani ya amayi apakati, mankhwalawa ayenera kusinthidwa ndipo, chifukwa chake, ndikofunikira kuchitira chithandizocho modziwitsa oyembekezera.

Onani zizindikiro zomwe zimathandiza kuzindikira vuto la trichomoniasis.

6. Chindoko

Chindoko ndi matenda opatsirana pogonana omwe amayamba chifukwa cha bakiteriya Treponema pallidum, zomwe zingayambitse mitundu yosiyanasiyana ya zizindikilo molingana ndi gawo lomwe ilimo, koma lomwe limadziwika kwambiri ndi mabala omwe angayambitse mdera loberekera.

Pofuna kuchiza syphilis, mankhwala omwe amasankhidwa ndi penicillin, omwe amayenera kuperekedwa m'miyeso yomwe imasiyana malinga ndi gawo la matendawa:

1. Chindoko choyambirira, chachiwiri kapena chaposachedwa

• Benzathine penicillin G, 2.4 miliyoni IU, mu jakisoni kamodzi, ndi 1.2 miliyoni IU yoyendetsedwa mu gluteus iliyonse.

Njira ina yothandizira ndi kumwa Doxycycline 100 mg, kawiri pa tsiku, kwa masiku 15. Pankhani ya amayi apakati, chithandizo chiyenera kuchitidwa ndi Ceftriaxone 1g, mu jakisoni wamitsempha, kwa masiku 8 mpaka 10.

2. Chindoko chobisika kapena chapamwamba

• Benzathine penicillin G, 2.4 miliyoni IU, jekeseni pamlungu kwa milungu itatu.

Kapenanso, chithandizo chitha kuchitidwa ndi Doxycycline 100 mg, kawiri patsiku masiku 30. Kapena, kwa amayi apakati, omwe ali ndi Ceftriaxone 1g, mu jakisoni wa mnofu, kwa masiku 8 mpaka 10.

Onani zambiri zam'magawo a chindoko ndi momwe mungadziwire aliyense.

7. HIV / Edzi

Ngakhale kulibe mankhwala omwe angachiritse kachilombo ka HIV, pali mankhwala ena omwe amathandiza kuthetsa kuchuluka kwa ma virus m'magazi, kupewa osati matenda okhawo, komanso kupewa kufalikira kwa matendawa.

Ena mwa ma antivirals omwe angagwiritsidwe ntchito ndi Lamivudine, Tenofovir, Efavirenz kapena Didanosine, mwachitsanzo.

Onani muvidiyoyi zambiri zofunika zokhudza HIV ndi chithandizo chake:

Chisamaliro chachikulu panthawi yachipatala

Ngakhale chithandizo chamtundu uliwonse cha matenda opatsirana pogonana chimasiyanasiyana, pali zina zofunika kuzisamala. Chisamaliro chimenechi chimathandiza kuchira msanga komanso kuchiza matenda, koma ndizofunikanso kupewa kufalitsa matenda opatsirana pogonana kwa anthu ena.

Chifukwa chake, amalangizidwa kuti:

• Chitani chithandizocho mpaka kumapeto, ngakhale zizindikilo zikuyenda bwino;
• Pewani kugonana, ngakhale mutetezedwa;
• Pangani mayeso owunika matenda opatsirana pogonana.

Kuphatikiza apo, pankhani ya ana kapena amayi apakati, ndikofunikira kukhala ndi chisamaliro china chapadera, ndikofunikira kukaonana ndi dokotala wa ana kapena azamba, kuchokera kwa wothandizira.