I-Chancroid isifo sesisu sesisu sesisu sesisu. Ebangelwa yi-bhakterium Haemophilus ducreyi . Nangona kuphela uhlaza obonwayo eUnited States, i-chancroid isifo esiqhelekileyo kwilizwe elikhulayo. Njengoko kunye ne- syphilis , izilonda ezivulekileyo ezibangelwa yi-chancroid zonyusa umngcipheko womntu wokufumana ezinye izifo ezithathelwana ngesondo . Ngokukodwa, ezi zilonda ezivulekileyo zandisa ingozi ye-HIV. Benza oku ngokukwenza kube lula ukuba i-HIV ingene kumfudlana wegazi xa umntu ebonakala.
Ikhumba elungileyo liyimqobo efanelekileyo ye-HIV, engasasazeka ngesikhumba ukukhupha umnxeba .
Ziziphi iimpawu zeCancroid?
Iimpawu zokuqala ze-chancroid zingaphoswa nge-syphilis - i-pustule encinci iba yilonda, ngokuqhelekileyo kwisithuba seentsuku ezine ukuya kwe-10 emva kokudityaniswa. Nangona kunjalo, izilonda zikhula ngokubanzi ukuya kubukhulu obukhulu kwaye zibuhlungu kakhulu kunezo zilonda ezinxulumene ne-syphilis.
I-Chancroid ingakhokelela ekuvupheni, ukunyameka, nokuvuvukala kwe-lymph nodes kwi-groin. Esi siphumo secala asihambelani ne-syphilis.
Ngenxa yobunzima bayo, kunzima ukuvavanywa ngokuchanekileyo kwi-chancroid e-United States. Ngenxa yoko, i-CDC ithi oogqirha banokuxilonga i-chancroid ngaphandle kokuchaza i- HP ducreyi bhakteria ukuba zonke ezi zilandelayo zihambelana neendlela ezilandelayo:
- Omnye unesilonda esisodwa okanye ngaphezulu kwezilonda zesisu
- Izilonda, kunye naluphi na ukuvuvukala kwama-lymph nodes, zihambelana nokubonakala okulindelekileyo kwe-chancroid
- Akukho bubungqina be-syphilis phantsi kwe-microscope, okanye ngokuhlolwa kwegazi (emva kokuba izilonda zikhoyo ubuncinane iintsuku ezingama-7)
- Izilonda zivavanya i- HSV , isifo sesifo sesisu esisemthethweni kakhulu e-US
I-Chancroid ithathwa njani?
I-Chancroid iyaphathwa ngamayeza. Iirimim zimbini ezikhethiweyo zingamanye ama-azithromycin (1g) okanye i-ceftriaxone (250 mg, IM).
Kukho iirejimeni ezininzi ezikhoyo zifumaneka nge-ciprofloxacin (500 mg, 2x / ngosuku, iintsuku ezintathu) kunye nesiseko se-erythromycin (600 mg ngomlomo, 3x / ngosuku, iintsuku ezisixhenxe) Noko ke, unyango alusebenzelanga kangako kubantu abangalukileyo kunye nabantu abane-HIV ezintle. Yingakho i-CDC icebisa ukuba nabani na ophantsi kwonyango bahlolwe kwakhona ngugqirha 3 ukuya kwiintsuku ezingama-7 emva kokuba unyango luqale. Kubantu abaninzi, iimpawu ziya kuqala ukuphucula ngelo xesha ukuba unyango lusebenza.
Ngokufanayo, ngenxa yokungabi naso kwesi sifo, nabani na okhankanywa ukuba ne-chancroid kufuneka bahlolwe i-HIV .
Ziyayifana njani neCancroid e-US?
I-Chancroid ayiqhelekanga kakhulu e-US Nangona ixhaphake kakhulu kwii-1940 nee-50s, inani lamatyala lancipha ngokukhawuleza ukusuka kwi-50s. Kwakukho ukwanda okufutshane kwiminyaka yama-1980, eyona nto yayingenxa yentsholongwane entsha ye-HIV. Nangona kunjalo, inani lamatyala lakhawuleza lancipha kwaze kwaba yilapho izifo zingenakunqwenela ukwenza ukufikelela kokuvavanya kunzima. Ngo-2016, iimeko ezingama-7 zafunyaniswa kwilizwe lonke, kuphela e-Alabama, eCalifornia, eColorado, eMassachusetts, North Carolina naseMzantsi Carolina.
Xa i-chancroid ivela e-US, kunokwenzeka ukuba ibonakale kubabaleki okanye abafuduki be-Asia, Afrika kunye neCaribbean.
Kwakhona kunokwenzeka ukuba kubonakale kumntu onomlingani wesini kwisinye sale maqela. I-Chancroid yenzani ukuhla kwehlabathi. Iyona nto ibangele kwiindawo apho i-HIV ihlala khona , kuba izilonda ze-chancroid zinika indlela elula yokusuleleka.
Imithombo:
> Amacandelo okuLawula nokuLawula izifo. Ukuhlolwa koGawulayo ngesifo sika-2016 . I-Atlanta: Isebe lezeMpilo lase-US kunye neenkonzo zeNtlalo; 2017.
> Amacandelo okuLawula nokuLawula izifo. 2015 Izifo zoTyhulwa ngeSondo zoTyhulwa . I-MMWR Ikhuthaze u-2015; 64 (3): 1-138