I-Chlamydia yintsholongwane yesondo (i-STI) ekufuneka iphathwe nge-antibiotics. Xa zisetyenziswe ngokufanelekileyo, iintsholongwane zingaphilisa isifo kwaye zikhusele ezinye iingxaki. Kodwa unyango, nangona kunjalo, aluthinteli iintsholongwane kwixesha elizayo, kwaye ukuphindaphinda kuqhelekile. Kukho zombini iziphakamiso kunye nezinye iindlela zokulwa ne-antibiotic, kunye neengcebiso ezithile malunga nabasetyhini abakhulelweyo okanye abanokukhulelwa .
Ulwaphulo oluphezulu
Iiprogram ezingaphezu kwe-counter-counter are not effective against chlamydia kwaye akufanele zisetyenziswe. I-douching ye-vaginal kufuneka igwenywe njengokuba kukho umngcipheko wokubangela ukuba i-bacteria iphakanyiswe phezulu kwiphepha lesini lomzimba wesini, okwandisa ingozi ye-pelvic inflammatory disease (PID) kunye neengxaki ezinxulumene nayo, njengokungabikho kwengqondo kunye nosizi lwentlungu.
Ukuba ufumanisa ukukhutshwa kwe-chlamydia ephazamisayo, gcinani engqondweni ukuba iya kuphuma ngokukhawuleza kunye neyeza zonyango. Izilungiso ezingaphezulu kwee-counter will not help and make you uncomfortable.
Imimiselo (Abadala abangakhulelweyo)
Ugqirha unokumisela omnye wezo zimbini zonyango ezikhuthazwayo kubantu abadala abangakhulelwe abangaxhomekanga kula mayeza:
- I-Zithromax (i-azithromycin) -1 gram ngomlomo omnye
- Vibramycin / Doryx (doxycycline) -100 mg ngomlomo kabini ngosuku ngemini ezisixhenxe
Zombili zibhekwa njengezichanekileyo ngokulinganayo kwizifo zentsholongwane ka-genhla chlamydia, kwaye akukho nto ibonakala ngathi yinto enqabileyo yokuchasana ne-chlamydia kunokhetho.
I-proctitis (rectal chlamydia), nangona kunjalo, ingaphendula kangcono ukwenza i-doxycycline kune-azithromycin. Iimeko ezinzima zeproctitis zihlala ziphathwa njengeLymphogranuloma venereum (jonga ngezantsi).
Ezinye iindlela ezikhoyo zikhoyo, nangona zingenako ukusebenza okanye zingabangela iziphumo ezingaphezulu. Ezi zi yobungozi mazimele zisetyenziswe kuphela ngabantu abachasayo okanye baye bafumana impendulo engathandekiyo kumayeza anyanzeliswayo.
Ezinye unyango kubantu abadala abangakhulelwe ziquka:
- I-EryC (i-erythromycin base-base) - 500 mg ezine ngeentsuku iintsuku ezisixhenxe
- I-EES / EryPed (erythromycin ethylsuccinate) -800 mg ezine ngeentsuku ezisixhenxe
- I-Levaquin (levofloxacin) -500 mg kanye ngeentsuku ezisixhenxe
- I-Floxin (ye -loxacin) -300 mg kabini ngosuku ngeentsuku ezisixhenxe
I-Erythromycin ibonakala ingasebenzi kangangoko kunezinye iinqunto, kodwa oku kubangelwa ukunyamekanyiswa nokuhlanza okubangelwa yi-antibiotiki (ebangela ukuba abantu badumise amanani) kunokuba bangabi nako ukusebenza.
Xa ulinganisela ukhetho lwakho, cinga ukuba:
- Abanye abantu bafumana i-dose-time dose yeZithromax ukuba ibe yinto elula. Unokufuna ngokugqithiseleyo ukuyiqwalasela ukuba uthetha ukulibala ukuthatha amayeza.
- Amanani ala mayeza ahluka. Kwezinye iindlela zonyango, umzekelo, i-Floxin (ye -loxacin) ngokuqhelekileyo iyona ebiza kakhulu.
Kwabo abangakhulelwe, akukho mlandelelwano olulandelayo emva kokuba unyango lucetyiswa. Ukuba uqhubeka unayo nayiphi na impawu, ufanele ubone ugqirha wakho.
Imimiselo (Abafazi abakhulelweyo)
Ionyango ezicetywayo kubafazi abakhulelweyo bahluke kwizinto ezingentla. Ukuba ukhulelwe, akufanele uthathe i-doxycycline, ye -loxacin, okanye i-levofloxacin. U-Doxycycline, umzekelo, unokuchaphazela ukuphuhliswa kwamathambo kumntwana kwaye kubangele ukuguqulwa kwamazinyo.
I-Zithromax (i-azithromycin), i-1-gram enye, umthamo womlomo, yodwa unyango olucetyiswayo ngaphandle kokuba uhlaselwa kumachiza okanye ufumene impendulo embi emva kokuyithatha. Kukhuselekile kwaye kuyasebenza kubasetyhini abakhulelweyo.
Ezinye unyango kufuneka zisetyenziswe ngabasetyhini abakhulelweyo abanesifo sengqondo okanye abaye baphathwa kakubi kwiZithromax. Khetha ziquka:
- I-Amoxycillin-500 mg kathathu imihla ngemihla iintsuku ezisixhenxe
- I-EryC (isiseko se-erythromycin) -500 mg imihla ngemihla yesine imihla ngemihla iintsuku ezisixhenxe
- I-EryC (i-erythromycin base) -250 mg kane kane imihla ngemihla eyi-14
- I-EES / EryPed (erythromycin ethylsuccinate) -800 mg ezine ngeentsuku iintsuku ezisixhenxe
- I-EES / EryPed (erythromycin ethylsuccinate) -400 mg ezine ngeentsuku ezili-14 iintsuku
Ukuhlaziywa kwee-2017 zophando zifumene iirhafu zokunyanga ezifanayo phakathi kwezi zikhetho. Kodwa i-Zithromax, kubonakala ngathi ibangela iziphumo ezincinci kunezixhobo ze-erythromycin. Isisindo kunye nokuhlanza ngenxa ye-erythromycin ziqhelekileyo kwaye zinokuthi ziqhube ngakumbi ngokugula kwekusasa ngexesha le-trimester yokuqala.
Ukuxubusha ngeSondo
Xa uphathwa nge-chlamydia, kubaluleke kakhulu ukuba amaqabane akho ezesondo (nabani na oye walala naye ngexesha lemihla engama-60 ngaphambi kokuba uxilongwe) baphathwa ngokunjalo. Ukuba azinjalo, unokuphelisa ukusulela usulelo phakathi kwakho.
Musa ukwabelana nge-antibiotic yakho. Ngaphandle kwento yokuba kungenako ukucetyiswa kumlingane wakho, isifo sakho asiyi kupheliswa ngaphandle kwemvume yakho epheleleyo.
Kufuneka ubaleke ngesondo emva kweentsuku ezisixhenxe emva kokuqala unyango lwakho okanye ude ulugqibile. Oku kuya kukunceda ukuba ungakhuseli amaqabane akho ezesondo.
Nangona usuqedile i-antibiotic yakho, landela ugqirha wakho ukuba iimpawu zakho ziqhubeka kwaye uqhubeke nokuyeka ukuya kwisondo ade ahlolisise. Ukuba ukuyeka ukungenakwenzeka, qiniseka ukusebenzisa iikhondom kuzo zonke iintlanganiso zesini, kuquka u-sex oral.
Unyango lweengxaki
Iingxaki ze-chlamydia zivame ukuvela kwintsholongwane engapheliyo, ngoko ke unyango olukhankanywe ngasentla lubaluleke kakhulu. Xa iingxaki zenzeke, ukusuleleka kwe-chlamydia kuphathwa ngenye ye-antibiotics ekhankanywe ngasentla, kodwa kukho unyango olungaphezulu.
Izifo ezivuthayo zepelvic (PID) ezinobunzima zingaphathwa njengentsholongwane engathandekiyo, kodwa iimeko ezinzima zingadinga izibhedlele kunye neziza-antibabizo. Njengoko kunokuba kunzima ukuxelela ukuba intsholongwane ibangelwa ngaphezu kweyodwa i-microorganism, ii-antibiotic ezimbini (kunye ngamanye amaxesha ngaphezulu) zinokufuneka. I-PID inokubangela ukuba i-abscess (iqoqo le-pus elivalwe ngumzimba), elingafuna umjelo.
Unyango olunjengokuhlinzwa ukuba kususwe izicubu ezinqamlekileyo ezifunekayo kulabo abajongene nokungabi nabantwana ngenxa yesifo. Ekubeni ukukhulelwa kwe-ectopic kuqhelekileyo kubasetyhini abane-PID, ukubeka iliso ngenyameko kunye nokunyangwa kwe-tubal pregnancy, ukuba kwenzeka, kubalulekile.
Ubuhlungu obungapheliyo be-pelvic ezinxulumene nokusuleleka kwe-chlamydial kumabhinqa okanye kumadoda kunzima ukunyanga, kwaye ngokuqhelekileyo kufuna ukuba udibaniso lweendlela.
Iintsana kunye nabantwana
Ukusuleleka kwe-Chlamydia kwiintsana kunye nabantwana akuqhelekanga kakhulu ukuba ukusuleleka kubantu abadala.
Ukuba umntwana ufumaneka ukuba une-chlamydia, isinyathelo sokuqala (ngaphandle kokuzinzisa umntwana) kukuqinisekisa ukuba usuleleko lwaluhanjiswa ngexesha lokunikezelwa okanye emva koko.
Iintsana ezihlakulela ukusulelwa kwamehlo okanye imiphunga yomsumoniya (emva kokuqhawula i-chlamydia kumama onokungazalwanga nge-chlamydia ngexesha lokubeleka kwesisu) idinga unyango kunye nemithi ye-antibiotics. Nge-pneumonia, i-antibiotics ekhuselweyo idla ngokufunekayo.
Abantwana abakhulileyo (kwiminyaka engama-10 ukuya phezulu) kufuneka baphathwe njengabantu abadala, kodwa abantwana abancinci, ingakumbi abo bangaphambili, kufuneka bahlolwe ngunyango onobuchule bokuvavanya i-STD kubantwana.
Izifo kwiminyaka emithathu yokuqala yobomi ziba ziintsholongwane eziqhubekayo zokubeleka, kodwa naluphi na ukhuseleko kumntwana ludinga ukuxubusha koxhatshazo lwabesini ngokocansi.
Unyango lwezinye iindidi
Ezinye iimeko ezibangelwa yiClamydia trachomatis aziqhelekanga eUnited States, kodwa ziqhelekileyo emhlabeni jikelele:
- I-Lymphogranuloma venerium (LGV): I- Lymphogranuloma venereum iphathwa ngendlela efanayo ne-standard standard chlamydia, kodwa ixesha elide lonyango lisetyenzisiwe (iintsuku ezingama-21 endaweni yee sixhenxe). Olunye unyango luyafuneka kwakhona ukuba unyame izilonda zomzimba okanye izibilini ezingekho emagqabini xa zivela.
- I-Trachoma: iTrochoma yimbangela ebangela ukuphosakela emhlabeni wonke kwaye ifuna ukuba unyango olunefuthe nge-antibiotics kunye nokuhlinzwa; Ukujongana neemeko zokuphila ezingafanelekanga kuyafuneka.
Indlela yokuphila
Ukufumana ukuxilongwa kwe-chlamydia yithuba elihle lokujonga indlela ophila ngayo kwaye ubone ukuba nayiphi na into ingatshintshwa ukunciphisa umngcipheko wakho.
- Thatha isikhashana uhlolisise iindlela zokuziphatha zesondo ezikhuselekileyo .
- Thetha kunye nabahlobo bakho bezesondo malunga neembali zabo zokuxilongwa njengento ethile.
- Qaphela ukuba ubukhulu bemihlobiso yakho yezempilo. Kubalulekile ukuba abafazi bafumane i-smears yabo ye-year smears kwaye, ngokuxhomekeke kwiminyaka yobudala, uvavanyo lwe-chlamydia yonyaka, umzekelo.
Umzimba awuyi kuba ne-immune immune kwi-chlamydia njengoko yenzayo kwezinye iinyamachiza, ngoko ukuphindaphindiwe kuyaqheleke kakhulu.
> Imithombo:
> Amacandelo okuLawula nokuLawula izifo. Iphepha le-Chlamydia-CDC. Updated 10/04/17. https://www.cdc.gov/std/chlamydia/stdfact-chlamydia.htm
> Cluver C., Novikova, N., Eriksson, D., Bengtsson, K., kunye noG. Lingman. Amanyathelo okuNyango wokuPhatha iGenital Chlamydia Trachomatis Infection in Pregnancy. I-Cochrane Database yeeNkqubo eziPhezulu . 2017. 9: CD010485.
> LeFevre, M., US Preventive Services Task Force. Ukuhlolwa kwe-Chlamydia kunye neGonorrhea: I-Statement yeNkcazo yeNkcazo ye-US Preventive Force. Amanqaku angamayeza angaphakathi . 2014. 161: 902-10.
> Workowski, K., noG. Bolan. Amacandelo okuLawula nokuKhuselwa kwezifo. Izifo zoTyhulwa kwezifo zoTyhulwa, ngo-2015. Izifo Zama-Chlamydial MMWR. 2015. 64 (Hayi. RR-3): 1-137.