Kuyesedwa kochepa kosavuta kwa Gonorrhea, Chlamydia, ndi matenda ena opatsirana pogonana
Kuyezetsa mkaka kwa matenda opatsirana pogonana kumapezekabe. Ndicho chinthu chabwino. Zidakhala kuti kuyesa matenda opatsirana pogonana, makamaka kwa matenda opatsirana pogonana, kunali kovuta kwambiri. Amuna omwe amaganiza kuti akhoza kukhala ndi TB ya bakiteriya monga chlamydia kapena gonorrhea adayesedwa pokhala ndi swab omwe alowetsedwa mu urethra. Akazi amayenera kukayezetsa magazi. Panthawi yoyezetsa magazi, phokoso lachiberekero likanatengedwa ndi kuyesedwa kwa mabakiteriya.
Tsopano, matenda opatsirana pogonana angapangidwe pogwiritsa ntchito kuyesa mkodzo. Mayeso a chlamydia ndi mayesero a gonorrhea ndi osangalatsa kwambiri kusiyana ndi chiberekero kapena swabs. Kumalo ena Kuyezetsa mkodzo wa STD kungakhale kovuta kupeza. Komabe, zimakhala zosavuta komanso zosavuta chaka chilichonse. Izi ndizofunika kwambiri kwa gonorrhea ndi chlamydia, pomwe mayeso a mkodzo amayamba kugwira ntchito mwamsanga.
Kuyesedwa kwa Mitsempha ya Matenda a Bakiteriya
Ndondomeko ya golide ya matenda opatsirana pogonana, monga chlamydia ndi gonorrhea, anali ndi chikhalidwe cha mabakiteriya . Izi zinaphatikizapo kuyesa kukula kwa mabakiteriya kuchokera ku zitsanzo zomwe zinatengedwa kuchokera ku chiberekero kapena urethra.
Masiku ano, kuyezetsa DNA kwa mabakiteriya kumaonedwa kuti ndibwinoko. Zimagwira mosiyana ndi chikhalidwe cha bakiteriya. Mmalo moyesera kukula mabakiteriya, mayeserowa amangoyang'ana DNA ya bakiteriya. Izi zikhoza kuchitika pogwiritsa ntchito njira yotchedwa LCR (kugwiritsira ntchito kayendedwe ka makina) kapena ndi njira zina za DNA zopangira.
Mitundu iyi ya kuyezetsa imayang'ana ngakhale DNA yaying'ono kwambiri ya mabakiteriya. Ngakhale zili bwino, sizikufuna zitsanzo za bakiteriya wamoyo. Zoterezi, zimatha kuthamanga mumtsinje, osati kungochera kapena kuperekera kwachiberekero. Kwa anthu ambiri, lingaliro lakutenga mkodzo wa mthendayi kapena mayeso a chlamydia mkodzo ndi woopsa kwambiri kuposa lingaliro la kufunika koyezetsa thupi.
Kodi Maselo a Edzi Amtendere Ndiwabwino Monga Mavuto Ena a STD?
Anthu ena amakayikirabe ngati kuyesa mkodzo kuli kothandiza pozindikira matenda opatsirana pogonana monga chlamydia ndi gonorrhea. Kawirikawiri mafunsowa amaganizira za momwe mayesero amachitira atsikana. Chifukwa chiyani? Malo otchuka kwambiri a kachilombo ka HIV (mkaka wa chiberekero) sali pa njira yomwe mkodzo umatuluka kunja kwa thupi. Mosiyana ndi zimenezi, mkodzo umadutsa pa malo ambiri omwe amachititsa matenda (penile urethra), mwa amuna.
Phunziro la 2015 limene linayesa kafukufuku 21 wokhudzana ndi kugwiritsidwa ntchito kwa mitundu yosiyanasiyana kuti azindikire chlamydia ndi gonorrhea anapeza kuti:
- Kuyezetsa kwa chlamydia kwa amayi, kukhudzidwa ndichinsinsi ndi 87 peresenti ndi 99 peresenti ya mitsempha ya mkodzo poyerekeza ndi zitsanzo za khola.
- Kuyezetsa kwa chlamydia mwa amuna, kukhudzidwa ndi chidziwitso ndi 88 peresenti ndi 99 peresenti ya zitsanzo za mkodzo poyerekeza ndi zitsanzo za mitsempha.
- Kuyezetsa magazi kwa amayi, kumvetsetsa ndikumveka bwino ndi 79 peresenti ndipo 99 peresenti ya mitsempha ya mkodzo poyerekeza ndi zitsanzo za chiberekero.
- Poyezetsa magazi m'mimba mwa amuna, chidwi ndi zowonjezera zinali 92 peresenti ndi 99 peresenti ya zitsanzo za mkodzo poyerekeza ndi zitsanzo za urethral.
Mwachidziwikire, zotsatirazi ndi zosawerengeka pamaphunziro onse.
Chochititsa chidwi, kuti swabs zakunja zowonongeka zinali pafupi kwambiri ndi zowonongeka kwa kakhosi kusiyana ndi kuyesa mkodzo. Kwa amayi ena, izo zingakhale njira zovomerezeka kwambiri pamene kuyesa mkodzo sikupezeka.
Choncho inde, mayesero amtundu wa mkodzo awonetsetse matenda opatsirana pogonana kusiyana ndi kuyesa ma swab. Komabe, sayansi imasonyeza kuti kuyesa mkodzo ndi ntchito yabwino kwambiri yopezera anthu ambiri odwala. Iyi ndi nkhani yabwino kwa anthu omwe akufuna kuyesedwa kwa gonorrhea ndi chlamydia m'njira yosavuta. Komabe, mayesero ena a STD amafunikira ngakhale kuunika kwa thupi kapena kukhetsa magazi .
Miyeso ya Mavitamini a Mitsempha kwa Gonorrhea ndi Chlamydia
Chlamydia ndi gonorrhea ndi matenda awiri omwe amadziwika kwambiri ku United States.
Mu 2016, chlamydia oposa 1.5 miliyoni anauzidwa ku CDC kuphatikizapo matenda oposa 400,000. Matenda ambiri ndi gonorrhea ndi chlamydia ndizochepa. Mfundo yakuti anthu ambiri alibe zizindikiro zimatanthauza kuti njira yokhayo yodziwira ndi kuchiza matendawa ndi kupyolera mu kuyang'ana.
Amuna, matendawa amachititsa kuti urethra, komanso amayi omwe ali pachibelekero. Komabe, n'zotheka kupeza matenda onsewa pammero, kugonana kwa m'kamwa. Kugonana koyambanso kungayambitse matenda a chlamydia ndi rectal gonorrhea.
Mwatsoka, palibe matenda opatsirana kapena amlomo / ammtima omwe amapezeka ndi kuyesa mkodzo. Ndikofunika kwambiri kuti dokotala adziwe ngati muli ndi kugonana kosamalidwa kapena kamene simunatetezedwe . Kuyesera kuyenera kuchitidwa mosiyana kwa malowa. Pakalipano, ndibwino kuti amuna omwe agonana ndi amuna adzikidwe mkodzo, mmero, ndi kuyang'ananso ndi kamodzi pachaka. Anthu ena omwe nthawi zonse amakhala ndi chiwalo chogonana chamtundu kapena chamuna ayenera kuganizira mofanana ndi dongosolo loyang'ana. Anthu omwe amayamba kugonana amatha kugonana ndi kuyesedwa kwa mkodzo okha ndi matenda a gonorrhea ndi chlamydia.
Mayesero ena a EDD
Pakalipano, gonorrhea yekha ndi chlamydia amapezeka kawirikawiri pogwiritsa ntchito zitsanzo za mkodzo. Komabe, pali matenda ena opatsirana pogonana omwe angayesedwe motere. Mayesero a Trichomoniasis amadzikanso kupezeka kwambiri. Monga gonorrhea ndi chlamydia, trichomoniasis ndi matenda opatsirana kwambiri omwe amachiritsidwa. Momwemo, zimapangitsa kuti madokotala azitha kuyesa nthawi yomweyo. Kuyezetsa mitsempha ndi njira imodzi yochitira zimenezo. Mofanana ndi chlamydia ndi gonorrhea, kafukufuku wina amasonyeza kuti kuyesa mkodzo sikungakhale kothandiza ngati kuchita mayeso ofanana ndi msinkhu wa m'mimba.
HPV ndi matenda ena opatsirana pogonana omwe angapezeke pogwiritsa ntchito mayeso. Mofanana ndi trichomoniasis, kuyesedwa kwa mkodzo kwa HPV sikukupezekabe. Komabe, kafukufuku akusonyeza kuti kuyesa koyambirira kosalekeza kumathandiza kwambiri poyesa ma smears a m'mimba. Izi zinkati, poyerekeza ndi mapepala a Pap , minofu ya HPV imakhala ndi vuto limodzi ndi mayeso ena a HPV. Matenda ambiri a HPV amachoka okha. Choncho, zingakhale zothandiza kudziwa ngati pali vuto lachiberekero kusiyana ndi ngati wina ali ndi HPV. Mungathe kuchita izi ndi test smear kapena test VIA .
Palibe mayeso amtundu wamakono omwe amapezeka kwa syphilis kapena herpes . Ngakhale kuti FDA inavomereza kuyesa mkodzo wa HIV m'zaka za m'ma 1990, sizimagwiritsidwa ntchito nthawi zambiri. Mankhwala ammimba ndi magazi amatha kugwiritsidwa ntchito poyezetsa HIV. Pali ngakhale kuyesa kwa HIV komwe kumagwiritsira ntchito saliva zitsanzo.
Mawu Ochokera
Kwa nthawi yaitali, kafukufuku wasonyeza kuti chiberekero ndi kuyezetsa magazi ndizovuta kwambiri kuposa kuyesa mkodzo kwa ma ARV. Komabe, kafukufuku watsopano amasonyeza kuti mayeso ena a mkodzo angakhale bwino pakutenga matenda ena. Ngakhale pamene sali apamwamba, mayesero a EDA omwe amavomereza amtendere ndi abwino kuposa nthawi zambiri. Kuwonjezera apo, mayesero akupitirizabe kukhala bwino ndi nthawi.
Kwa anthu ambiri, ndikofunika kwambiri kuti apeze mayeso opatsirana pogonana m'malo modandaula za kupeza mayeso abwino a STD. Kuyeza mayeso ku mkodzo sikungakhale kovuta ngati kuyesedwa pogwiritsa ntchito dokotala yemwe anasonkhanitsa swab. Komabe, ndi bwino kusiyana ndi kusayesedwa konse. Choncho, ngati mayeso a STD mkodzo kapena ma swab anu sakuwopsyeza, funsani. Mutha kuitanitsa ofesi ya dokotala musanayambe kukonzekera kuti muyesetse kuti mayesero amapezeka. Ngati iwo sali, mukhoza kusankha nthawi zonse kuti ayesedwe kwinakwake.
> Zotsatira:
Coorevits L, Traen A, Bingé L, Van Dorpe J, Praet M, Boelens J, Padalko E. Kuzindikiritsa mgwirizano wogwirizana ndi Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Trichomonas vaginalis ndi papillomavirus yaumunthu. Kachilombo ka Micro Clinic. 2018 Mar 17. pii: S1198-743X (18) 30223-4. lembani: 10.1016 / j.cmi.2018.03.013.
Lunny C, Taylor D, Hoang L, Wong T, Gilbert M, Lester R, Krajden M, Ogilvie G. Omwe Anadzigwirizanitsa ndi Omwe Anayang'aniridwa ndi Chithandizo cha Chlamydia ndi Gonorrhea Screening: Kukonzekera Kwachidule ndi Meta-Analysis. PLoS One. 2015 Jul 13; 10 (7): e0132776. lembani: 10.1371 / magazini.pone.0132776.
> Amadzera AM, Saad H, Salah E, Meshaal H, AbdElbar M, Omran E, Eldaly A. Urine amayesa ma ARVs monga chithunzithunzi cha matenda a chiberekero komanso kansalu ya khansa ya pachibelekero. Int J Gynaecol Obstet. 2018 Jan 31. doi: 10.1002 / ijgo.12453.
> Marangoni A, Foschi C, Nardini P, D'Antuono A, Banzola N, Di Francoco A, Cevenini R. Kuunika kwa mayeso atsopano VERSANT CT / GC DNA 1.0 kuyesa kuti apeze Chlamydia trachomatis ndi Neisseria gonorrhoeae mumakono. J Clin Lab Anal. 2012 Feb; 26 (2): 70-2. lembani: 10.1002 / jcla.21485.
> Situ SF, Ding CH, Nawi S, Johar A, Ramli R. Ochidziwikiratu poyerekeza ndi maselo a Chlamydia trachomatis ndi Neisseria gonorrhoeae pakati pa amuna omwe ali ndi matenda opatsirana pogonana. Ma Malays J Pathol. 2017 Apr; 39 (1): 25-31.