Iimpawu zivela, kodwa ngezinye iixesha-ezishiya abantu abaninzi bengaphathwa
I-Gonorrhea (" i-clap ") iyona yesibini isifo esixhaphakileyo ngesondo (STD) eUnited States, kodwa abantu abaninzi abanalo abakwaziyo ukuba banayo ngenxa yokuba kaninzi akukho zibonakaliso zentsholongwane-ngakumbi kubasetyhini. Xa kubonakala iimpawu, ziquka ukukhutshwa kwi-penis okanye kwisini kunye nentlungu xa uchama okanye ulala ngesondo.
Ngoxa usuleleko ukungafaki kubangele ukufa, kunokukhokelela kwizifo ezivuthayo zeplasvic (PID) kubasetyhini kunye nokuvuvukala kwe-epididymis emadodeni, ezo zombini zingabangela ukungapheli.
Kwiimeko ezinqabileyo, i-gonorrhea ingabangela ukuvuvukala kwentliziyo, amaqhina, kunye nentambo yomthambo, kunye neengxaki ezinzulu kwiintsana ezikhulelwe ngexesha lokukhulelwa.
Iimpawu zokuQala
I-Gonorrhea iyadluliselwa ngexesha lomlomo, isondo, okanye isondo sangasese, kunye neempawu zokuqala ezenzekayo-ukuba zikhona-ziya kubandakanya indawo echaphazelekayo (izitho zangasese, i-rectum, okanye umhombo).
Xa zikhona kwizitho zangasese kubasetyhini, iimpawu zingabandakanya:
- Ukukhutshwa kwamagciwane
- Ukuvutha okanye intlungu xa uchama (i- dysuria )
- Utywala olusisigxina
- Ukuhlamba phakathi kwamaxesha
- Ubuhlungu besisu esiswini okanye ukungaphumeleli
- Ubuhlungu ngexesha lesini (i-dyspareunia)
Nangona kunjalo, ngokwamaziko okuLawula kunye nokuVimbela (i-CDC), abaninzi abantu abasetyhini abanalo hlobo lokusuleleka abayi kuba neempawu okanye, ukuba baya kwenza, baya kubaphutha ngenxa yesifo sesisu okanye isifo sesisu.
Xa zikhona kwizitho zangasese kumadoda, iimpawu zingabandakanya:
- Ukukhutshwa okwesibhakabhaka oluhlaza okwesibhakabhaka ukusuka kumbindi
- Dysuria
- Ubuhlungu kunye nokuvuvukala kwamathambo okanye i-scrotum
Phantse iipesenti ezingama-90 ze-gonorrheal izifo zomqala emqaleni aziyi kuba nayo nayiphi na impawu, ngelixa iipesenti ezilishumi eziseleyo zingabonakaliswa kuphela ngumqala wengqondo.
I-gonorrhea ebonakalayo ingabangela ubumnandi obunzima, ukungathandeki, ukuphuma kwintlungu, okanye intlungu ngexesha lokuxhatshazwa, iimpawu eziphambaniswa rhoqo ngeemvumba.
Kuzo zonke iindidi, ukuba iimpawu kunye neempawu ziya kuvela, zivame ukuvela iintsuku ezili-10 ukuya kwe-14 emva kokungena kwi-british neisseria gonorrhoeae .
Iimpawu kwiintsana
Ukongeza kwindlela yokudluliselwa ngesondo, i-gonorrhea ingadluliselwa ukusuka kumama ukuya kumntwana ngexesha lokukhulelwa. Oku kuvame ukuba kwenzeke ngelixa umntwana esesibelethweni (njengoko izicubu ze-fetal zikhusela ukhuseleko). Kunoko, ukuhanjiswa kungenzeka ngexesha lokunikezelwa xa umntwana evelele kwimfihlo yomzimba yomama.
Xa oko kwenzeka, ibhaktheriya isenokuthi idluliselwe kwintsana yintsana ize ibangele i- ophthalmia neonatorum , ifom ye-conjunctivitis ebonakalayo ebomvu, isohlwayo kunye nokukhupha. Le meko ikhutshwe ngokubanzi namhlanje ngenxa yokulawulwa rhoqo kweso-antibacterial eye kwiintsana zonke ngexesha lokuzalwa.
Ukuba intsholongwane ayinakucinywa, impawu ziya kuthi zikhule ezinsukwini ezimbini ukuya ezintlanu. Ukongeza kwi-conjunctivitis, ukusuleleka kwe-scalp, ukuvutha kokuphefumula, i- vaginitis , kunye ne- urethritis ziqhelekile. Iingxaki zibandakanya ukulahleka kombono, i-meningitis, i-septic arthritis kunye nobumfama.
Iingxaki
Ukuba ishiywe ingakhange ilandelwe, i-gonorrhea ingakhokelela kwiinkxalabo ezinzulu ezichaphazela umzila wesibalo wesibalo wesilisa kunye noluntu, ngokuqhelekileyo, amanxeba, isikhumba, intliziyo kunye nenkqubo yesantya ephakathi.
Iingxaki kubafazi
Kwabesetyhini abane-gonorrhea engaphendulwanga, inkxalabo eqhelekileyo yintlungu yesifo se- pelvic (PID) , isifo esinokuthi siphumelele sisifo somntwana. Iimpawu ziza kubonakala ngokukhawuleza emva kokuhamba kwakho kwexesha kwaye, kwezinye iimeko, ube ngumqondiso wokuqala wokusuleleka. I-PID ibonakaliswe intlungu kwi-pelvis kunye nesisu esisiswini, kunye nesicathulo, ukuhlanza, iindlovu, ukukhupha, ukuchithwa kunye nokukhutshwa komsi onobuhlungu.
Usulelo lunokubangela ukuba utyholwe kwiibhulo zomgubo, okukhokelela ekugqibeleni ukucinywa kwe-tubal kunye nokungabikho kwengqondo. Ukuba kuphela ukukhutshwa okukhawuleza kwenzeka, iqanda linokuthi lucetywe kodwa lingenakukwazi ukudlula kwiiyunithi ukuya kwisibeletho. Oku kuya kubangela ukukhulelwa kwe-ectopic (tubal) apho ukungaphambuki komzimba kungekhona kuphela kodwa kunokubeka ubomi bomama engozini xa kuvela ukubola nokubola.
Iingxaki kwiMadoda
Ngendlela efanayo ne-gonorrhea inokukhokelela ekungabikho kwabantwana besifazane, ukusuleleka ngosulelo olungaphazamanga kungenza umonakalo kunye nokucinywa kwe-epididymis (ityhubhu encinci leyo igcina ubuninzi besilisa kwi-scrotum) emadodeni.
I-gonorrheal epididymitis iyakwazi ukuchongwa nge-dysuria, umkhuhlane ococekileyo, u-ejaculation obuhlungu, kunye ne-lymph nodes evuvukileyo kwi-groin. Njengoko i-PID, ukucinywa kweyodwa okanye zombini iishubhu kunokukhokelela ekusebenzisaneni nokungasebenzi.
Gonococcal Conjunctivitis
Ukuba i-fluid body infecting in your eyes, imeko eyaziwa ngokuthi i-gonococcal conjunctivitis (iso lesipinki) ingenzeka, kubangele ubomvu, intlungu, ukuvuvukala, kunye nokukhulelwa okuqhelekileyo.
Ukuba ishiywe ingaphendulwanga, usulelo lunokubangela ukutyhafa kunye nokuphazamiseka kwe-cornea, okukhokelela ekulahlekelweni kombono nokuphosa. Kwiimeko ezinqabileyo, ukusuleleka kungenza ukuba i-cornea "iyancibilika," ibophe i-eyeball ngokukodwa okanye ngokupheleleyo kwijwabu leso.
Ukusasazwa kwe-Gonococcal Infection (DGI)
Kwiimeko ezinqabileyo, ukusuleleka kwe-gonorrheal kunokusasazeka ngegazi kunye nokuchaphazela izitho ezikude. Oku kubhekiselwa kuyo njengosasazo lwe-gonococcal (DGI) , inkathazo eyenzeka kuma-3 ekhulwini kwabasetyhini kunye ne-1 ekhulwini yamadoda . Abo basengozini kakhulu ngabantu abanamasosha omzimba athathaka , kuquka nabamkeli begciwane kunye nabantu abane-HIV.
I-DGI idla ngokubizwa ngokuba yi-arthritis-dermatitis syndrome kuba ibangelwa ukuvuvukala kwamalungu (i- articritis septic ) kunye nezilonda ezizaliswe ngephuphu.
Kunqabile kakhulu, usulelo luyakwazi ukuhlala entliziyweni kwaye lubangele ukuvuvukala kweentsimbi zentliziyo ( endocarditis ), ezibonakaliswa ngeempawu ze-malaise, i-fever, i-chills, nentliziyo eguncuzelayo . I-DGI inokubangela ukuvuvukala kweembrane ezungeze ingqondo kunye nomgudu womthambo ( meningitis ), okubangelwa intloko, umkhuhlane, ukukhathala, intamo eqinile, nokudideka kwengqondo.
Nini ukubona iDokotela
Nangona ezinye iimpawu zentsholongwane ye-gonorrhea ziyingcali (ezifana nokukhutshwa kwamadoda), ezininzi zininzi ezingekho ngqo kwaye zilahleka kalula. Ngenxa yoko, umgaqo ogqwesileyo wesigwityu kukubona ugqirha kwaye ucele iskrini se-STD ukuba unesondo esingakhuselekanga kunye nayiphi na imiqondiso yesifo, nangona kunjalo. Oku kuyinyani ngokuthe xa umntu wakho wesini somntu engumntu owaziyo okanye osolwayo unokuthi abe ne-STD.
Ukuba unganqikazi, khumbula ukuba abaqeqeshi bezempilo abakho ukugweba. Kunoko, indima yabo kukunika unyango , ukuba kuyimfuneko, kunye nokukhokelwa ekunciphiseni ingozi yakho yengomso.
Ngenxa yezinga eliphezulu lokusuleleka e-United States kunye nempembelelo abanokuyenza kwiimali zokuzala abantwana, i-US Preventive Services Task Force ikhuthaza ukunconywa kwe-gonorrhea kunye ne- chlamydia kubo bonke abasetyhini abasetyhini abasengozini yokwanda, kuquka nabesifazane abakhulelweyo.
Amanye amaziko athe wandise kule ngcebiso kwaye uya kuqhuba rhoqo ukuhlola i-gonorrhea kunye ne-chlamydia, kunye ne- syphilis , i- hepatitis B kunye ne- HIV , njengenxalenye yokutyelela kokuqala.
> Imithombo:
> Amacandelo okuLawula nokuLawula izifo. 2015 Izifo ezithathelwana ngesondo ngesifo Izikhokelo zonyango: Izifo ezibangelwa yi-Gonococcal Infections. Atlanta, Georgia; kukhutshwa ngoJuni 4, 2015; hlaziywa ngoJanuwari 4, 2018.
> Lee, K .; Ngo-Metzger, Q. Wolff, T. et al. Izifo ezithathelwana ngesondo: Iziphakamiso ezivela kwi-US Preventive Services Task Force. I-Phys Physician. 2016; 94 (11): 907-915.
> McAnena, L .; Knowles, S; I-Curry, A. ne-al Prevalence ye-gonococcal conjunctivitis kubantu abadala kunye neonates. Iliso. 2015; 29: 875-80. INGXELO: 10.1038 / iso.2015.57.
> Workowski, K .; Bolan, G; Amacandelo okuLawula nokuKhuselwa kwezifo. Izikhokelo zonyango zonyango zonyango, ngo-2015. 2015; 2015; 64 (33): 924.