Ukusuleleka ngokusasazeka ngesondo kungaxhamla ingozi ye-HIV kabini
Sibanzi
I-Trichomoniasis yintsholongwane yesifo esithathwe ngesondo esabangelwa yi-parasite ene-celled ebizwa ngokuba yi- Trichomonas vaginalis . Kuqikelelwa ukuba amadoda angama-7.4 yezigidi nabafazi bafumana i-trichomoniasis ngonyaka.
Isi sifo esiqhelekileyo ngesini esithintekayo sisithinta amadoda namabhinqa; Nangona kunjalo, iimpawu ziqhelekileyo kubasetyhini, kubonakala malunga nama-50% abo ba sulele.
Kubantu, ukusuleleka kukuphela ixesha elifutshane kwaye ngokuqhelekileyo lixhatshaza, oku kuthetha ukuba lichaphazela ngokuyinhloko iphetshana le-urinary. Nangona ukusuleleka kumadoda kuthatha ixesha elifutshane nje, amadoda athelelekileyo angakwazi ukuhambisa i-parasite iqabane elithile lomfazi.
Ngenxa yokuba i-parasite ayihlali kumlomo okanye kwi-rectum, i-trichomoniasis isasazeka kumntu ukuya kumntu ngexesha lokulala ngesondo esingakhuselekanga.
Kubasetyhini, isayithi esona saxhaphakileyo sisisigxina, ngelixa i-urethra (i-urinary tract) yindawo eqhelekileyo yesifo kubantu. Abasetyhini banokusuleleka ngamadoda okanye abafazi ngokuqhagamshelana ngqo ngokwesondo, ngelixa amadoda enesifo esiphelele kubafazi.
Iimpawu
Ukuba i-trichomoniasis ibonakalisa iimpawu kunye neempawu, zivame ukuvela kwiiveki ezine zokungcola.
Kubasetyhini, iimpawu eziqhelekileyo zentsholongwane zi:
- Ukuvutha komzimba
- Ukucola okunone kakubi, ukutshatyalaliswa kwamanzi okwesibhakabhaka
- Ubuhlungu ngeentlobano zesini kunye / okanye ukucima
- Ukutshiza kunye nokucaphuka kwamanzi kunye namathanga
- Iintlungu zesisu (ezingaqhelekanga)
Amadoda amaninzi aya kuba neempawu ezimbalwa okanye azikho iimpawu emva kokusulelwa nguT . vaginalis . Nangona kunjalo, ukuba ngaba, ngokuqhelekileyo banomoya omnene kunye ofutshane. Izimpawu eziqhelekileyo kumadoda ziquka:
- Uvakalelo oluvuthayo "ngaphakathi" ipenisi
- Ukukhutshwa kwePenile
- Ukutshisa emva kokucoca kunye / okanye ukunyuka
Ukubambisana neHIV
Abasetyhini abanezibilini zesisu, ukuquka ukuvuvukala ngenxa ye-trichomoniasis, banomngcipheko ophezulu wokusuleleka ngu-HIV . Ngaphezu koko, ukusuleleka kwe-trichomoniasis kwabasetyhini abanentsholongwane kaGawulayo kwandisa umngcipheko wokudlulisa i-HIV kwintsebenziswano yesini.
Uphando lubonisa ukuba ukuxhaphaka kwe-trichomoniasis kwabasetyhini abane-HIV ihamba ukusuka kwi-10% ukuya kwi-20%, kwaye i- T. vaginalis ikhulayo njengenye yezona zinto zibaluleke kakhulu ekusebenziseni ingozi ye-HIV, ikakhulukazi kwiindawo zase-Afrika zaseMerika. Enyanisweni, i-trichomoniasis sisifo esixhaphakileyo ngesondo ngesantya soomama base-Afrika baseMerika, ngokukodwa kwezo zixeko ezinkulu zasezidolophini.
Ezinye izifundo zaseAfrika zicebise ukuba i-trichomoniasis inokwandisa amathuba okutshintshwa kwe-HIV ngokuphindwe kabini.
Unyango
Abasetyhini baphathwa ngokukhawuleza ngomlinganiselo omnye we-antibiotic ngomlomo othiwa i-Flagyl (metronidazole). Nangona oogqirha banqwenela ukunyanga ngesantya esisodwa, ama-dosage angatshintsha ngokubhekiselele kwimeko, ngale ndlela:
- 2 amagremu kaFlagyl, athathwe njengomlinganiselo omnye
- 500 milligrams kabini imihla ngemihla yesixhenxe
- 250 milligrams kathathu ngosuku iintsuku ezisixhenxe
Kwamadoda, isifo sofuba se-trichomoniasis siya kuhamba ngaphandle kwonyango.
Nangona kunjalo, ngenxa yokuba abantu bahlala bengakwazi ukusuleleka kwabo, banokuphinda baphinde baphathise amaqabane abo amabhinqa ngokuphindaphindiweyo. Ngoko ke, zombini amaqabane kufuneka aphathwe ngokukhawuleza ukuba ngaba ufunyenwe, ukucima umjikelezo wokubuyiswa kwakhona.
I-Flagyl akufanele ithatyathwe ukuba umntu uphuze utshwala njengoko i-metronidazole ivimbela ukuphuka kotywala kwisibindi. Ngenxa yoko, iimpawu ezifana nokuhlanza, isicupunu, iintloko, kunye neentlungu zentlungu zenzeka. Ukuphepha ezi mpawu zecala, kukulungele ukuphepha utywala ubuncinane kwiiyure ezingama-24 zokuqala kunye neeyure ezingama-24 zokuthatha i-Flagyl dose.
Thintelo
Ukuthintela i-trichomoniasis akufani nokuthintela nasiphi na isifo esithathelwana ngesondo.
Kungakhathaliseki nokuba kukho iimpawu zangaphandle, kusengcono ukulandela isikhokelo socwangciso esilondekileyo sesini, kuquka:
- Ukusebenzisa iikhondomu ze-latex ngexesha lokuhlangana kwezesondo ngasinye, ngokukodwa ngexesha lokwabelana ngesondo.
- Ukuba ukusuleleka kwe-trichomoniasis kulindeleke, umsebenzi wesondo kufuneka unqume de kube unyango lwabantu abanesifo kunye nabalingani babo bezesondo lugqityiwe kwaye zonke iimpawu ziye zazisombulula.
Ekugqibeleni, ukuba unobungane be - serodiscordant (apho omnye umlingane une-HIV kwaye enye ingenayo), akufanele kucatshangwe ukuba i- pilipe yokukhusela i-HIV (PrEP) kunye / okanye unyango lwe-HIV luya kuvumela isondo elingekho phantsi kwesini. Oku kuyinyaniso ngokukodwa ukuba omnye umlingane unesifo esithathelwana ngesondo, esinokunyusa kakhulu ukwanda kwe-HIV.
Imithombo:
Amaziko okuLawula izifo; "I-Factory Sheet" ye-Trichomoniasis; ISebe lezeMpilo laseMzantsi Afrika kunye neenkonzo zeNkonzo zabantu; 2007.
Sorvillo, F .; Smith, L; Kendt, P .; okqhubekayo. "Trichomona vaginalis, i-HIV kunye nabase-Afrika baseMerika." Izifo ezithathelwanayo. Disemba 2001; 7 (6): INGXELO: 10.320 / eid0706.010603.