Chlamydia ndi matenda opatsirana pogonana omwe ayenera kuperekedwa ndi mankhwala oletsa mankhwala. Pogwiritsidwa ntchito bwino, maantibayotiki akhoza kuchiza matendawa ndi kupewa mavuto ena. Chithandizo, komabe, sichiteteza matenda m'tsogolomu, ndipo kubwezeretsedwa kumakhala kofala. Pali mitundu yambiri ya ma antibayotiki yomwe imayamikiridwa ndi njira zina, zomwe zimaperekedwa kwa amayi omwe ali ndi pakati kapena omwe ali ndi pakati .
Njira Zochiritsira Zambiri
Mankhwala owonjezera omwe sagwiritsidwa ntchito ndi mankhwalawa sagwirizana ndi chlamydia ndipo sayenera kugwiritsidwa ntchito. Mankhwala a masewera amadzimadzi ayenera kupewa ngati pali chiopsezo kuti akhoza kukankhira mabakiteriya pamwamba pa chiberekero cha akazi, kuonjezera chiopsezo cha matenda a kutupa kwapakhosi (PID) ndi mavuto omwe amapezeka nawo, monga kuperewera ndi kupweteka kwapakhosi.
Ngati mutapeza vuto lokhudzana ndi matenda a chlamydia, kumbukirani kuti lidzakula mofulumira ndi mankhwalawa. Njira zothandizira pazinthu zothandizila sizidzakuthandizani ndipo zingakuchititseni kuti musakhale omasuka.
Malemba (Achikulire Osalimba)
Dokotala angapereke mankhwala amodzi omwe angapatsedwe kwa achikulire omwe sali oyembekezera omwe sali othetsera mankhwala awa:
- Zithromax (azithromycin) -1 gramu pamlomo umodzi
- Vibramycin / Doryx (doxycycline) -100 mg pamlomo pamtima masiku asanu ndi awiri
Zonsezi zimaonedwa kuti ndi zothandiza kwambiri pa matenda a chiberekero cha chlamydia, ndipo sizikuwoneka kuti kulimbana kwakukulu kwa chlamydia kuti mwina.
Proctitis (rectal chlamydia) angayankhe bwino kuchita doxycycline kuposa azithromycin. Matenda oopsa a proctitis nthawi zambiri amachitidwa ngati lymphogranuloma venereum (onani m'munsimu).
Njira zina zilipo, ngakhale sizikhoza kukhala zothandiza kapena zingayambitse zotsatira zina. Mankhwalawa ayenera kugwiritsidwa ntchito ndi anthu omwe amatsutsa kapena asokonezeko mankhwala opatsirana.
Njira zothandizira anthu akuluakulu omwe si oyembekezera ndi awa:
- EryC (erythromycin maziko) - 500 mg kanayi tsiku lililonse kwa masiku asanu ndi awiri
- EES / EryPed (erythromycin ethylsuccinate) -800 mg kanayi pa tsiku kwa masiku asanu ndi awiri
- Levaquin (levofloxacin) -500 mg kamodzi pa tsiku masiku asanu ndi awiri
- Floxin (ofloxacin) -300 mg kawiri pa tsiku kwa masiku asanu ndi awiri
Erythromycin ikuwoneka kuti ndi yopambana kwambiri kuposa zosankha zina, koma izi zikhoza kukhala chifukwa cha kunyoza ndi kusanza chifukwa cha antibiotic (zomwe zimachititsa anthu kuti asiye mankhwala) m'malo moperewera.
Poyerekeza zosankha zanu, ganizirani izi:
- Anthu ena amapeza kuti nthawi imodzi ya Zithromax ndi yosavuta kusankha. Mwinanso mungakonde kuziganizira ngati mumakonda kuiwala kumwa mankhwala.
- Mitengo ya mankhwala awa imasiyanasiyana. Mwa njira zina zochiritsira, Mwachitsanzo, Floxin (ofloxacin) kawirikawiri ndi yotsika mtengo kwambiri.
Kwa omwe alibe mimba, palibe chithandizo chotsatira chithandizo pambuyo pake. Ngati mupitiriza kukhala ndi zizindikiro zilizonse, muyenera kuwona dokotala wanu.
Malemba (Amayi Oyembekezera)
Mankhwala ovomerezeka kwa amayi apakati amasiyana ndi omwe ali pamwambapa. Ngati muli ndi pakati, simuyenera kutenga doxycycline, ofloxacin, kapena levofloxacin. Mwachitsanzo, Doxycycline ingakhudzire chitukuko cha mafupa m'mimba ndipo imayambitsa mano.
Zithromax (azithromycin), 1-gramu imodzi, mlingo wamlomo, ndiyo mankhwala okhawo amene akuyenera kupatsidwa pokhapokha ngati mukulephera kumwa mankhwala kapena mwakhala mukukumana ndi vutoli mutatha kumwa. Zonse ziri zotetezeka komanso zothandiza kwa amayi apakati.
Njira zochiritsira zowonjezera ziyenera kugwiritsidwa ntchito ndi amayi apakati omwe ali ndi zovuta kapena omwe asokonezeka ndi Zithromax. Zosankha zikuphatikizapo:
- Amoxycillin-500 mg katatu tsiku lililonse kwa masiku asanu ndi awiri
- EryC (erythromycin maziko) -500 mg tsiku lililonse kanayi tsiku lililonse kwa masiku asanu ndi awiri
- EryC (erythromycin maziko) -250 mg kanayi tsiku lililonse kwa masiku 14
- EES / EryPed (erythromycin ethylsuccinate) -800 mg kanayi tsiku lililonse kwa masiku asanu ndi awiri
- EES / EryPed (erythromycin ethylsuccinate) -400 mg kanayi tsiku lililonse kwa masiku 14
Kupenda kafukufuku wa 2017 kunapezekanso ndondomeko ya machiritso ofanana pakati pa njirazi. Komabe, Zithromax amawoneka kuti amachititsa zotsatira zochepa kusiyana ndi mankhwala a erythromycin. Nthenda ndi kusanza chifukwa cha erythromycin ndizofala ndipo zikhoza kuwonjezereka kwambiri ndi matenda a m'mawa m'kati mwa trimester yoyamba.
Zogonana Zogonana
Pamene mukupatsidwa chithandizo cha chlamydia, ndikofunika kwambiri kuti ogonana nawo (omwe mwakhala nawo pa nthawi ya masiku 60 musanafike). Ngati sali, mukhoza kuthetsa matendawa pakati panu.
Osagawana mankhwala anu opha majeremusi. Kupatulapo kuti mwina sizingakonzedwe kwa mnzanuyo, matenda anu sadzachotsedwa popanda mankhwala anu onse.
Muyeneranso kupeĊµa kugonana kwa masiku asanu ndi awiri mutangoyamba kumene mankhwala anu kapena mutatsiriza. Izi zidzakuthandizani kuti musagwirizane ndi anthu ogonana nawo.
Ngakhale mutatha mankhwala anu opatsirana pogonana, tsatirani dokotala ngati zizindikiro zanu zikupitirira ndipo pitirizani kupewa kugonana mpaka atakufunsani. Ngati kudziletsa sikungatheke, khalani ogwiritsira ntchito makondomu pazochitika zonse zogonana, kuphatikizapo kugonana.
Kuchiza kwa Mavuto
Zovuta za chlamydia nthawi zambiri zimachokera ku matenda osatetezedwa, choncho mankhwala omwe tatchulawa ndi ofunikira kwambiri. Pamene mavuto amapezeka, matenda a chlamydia amachiritsidwa ndi ma antibiotic omwe atchulidwa pamwambapa, koma mankhwala ena amafunikanso.
Matenda a kutupa thupi (PID) omwe ali ofatsa amatha kuchitidwa ngati matenda opatsirana a chiwerewere, koma milandu yambiri imatha kupha ma antibayotiki. Ngakhale zingakhale zovuta kudziwa ngati matendawa amayamba chifukwa cha tizilombo tomwe timayambitsa tizilombo toyambitsa matenda, tizilombo tina tizilombo toyambitsa matenda (komanso nthawi zina zambiri) zingakhale zofunikira. PID ikhoza kuchititsa kupuma (pus yomwe imatengedwa ndi thupi), yomwe ingafune madzi.
Mankhwala monga opaleshoni kuchotsa minofu yowopsya angafunikire kwa iwo omwe akukumana ndi kusabereka chifukwa cha matenda. Popeza kuti ectopic mimba ndi yowonjezereka kwa amayi omwe ali ndi PID, kuyang'anira mosamala ndi chithandizo cha mimba za tubal, ngati zikuchitika, ndizofunikira.
Kupweteka kwapakhosi kumayambiriro kwa matenda a chlamydial mwa amayi kapena abambo ndi kovuta kuchiza, ndipo nthawi zambiri kumafuna kuphatikiza.
Ana Obadwa ndi Ana
Chlamydia matenda opatsirana ana ndi ana sagwiritsidwa ntchito kwambiri kuti matenda akuluakulu.
Ngati mwana amapezeka kuti ali ndi matenda a chlamydia, sitepe yoyamba (osati kuimitsa mwanayo) ndiyo kudziwa ngati kachilomboka kanatulukako panthawi yobereka kapena yogulitsidwa pambuyo pake.
Ana obadwa kumene omwe amayamba kudwala matenda a maso kapena chibayo (atatha kulandira chlamydia kuchokera kwa mayi yemwe alibe chlamydia osatetezedwa panthawi ya kubadwa) amafunika mankhwala ndi mankhwala oletsa mankhwala. Ndi nthenda ya chibayo, nthawi zambiri mankhwala opha tizilombo amafunika kwambiri.
Ana okalamba (azaka zapakati pazaka zapakati pazaka khumi ndi zisanu ndi ziwiri) ayenera kuchitidwa ngati achikulire, koma ana aang'ono, makamaka omwe ali otsogolera, ayenera kuyesedwa ndi dokotala wodziwa kuyambitsa matenda opatsirana pogonana kwa ana.
Matenda m'zaka zitatu zoyambirira za moyo angakhale matenda opatsirana kuyambira kubereka, koma matenda aliwonse mwa mwana amafunika kuganizira za kugwiriridwa kwa ana.
Chithandizo cha Mitundu Yina
Zinthu zina ziwiri zomwe zimachitika ndi Chlamydia trachomatis sizinali zachilendo ku United States, koma zimafala kwambiri padziko lonse lapansi:
- Lymphogranuloma venerium (LGV): malo otchedwa Lymphogranuloma venereum amachitidwa mofananamo ndi matenda opatsirana amtundu wa chlamydia, koma nthawi yayitali (masiku 21 m'malo mwa asanu ndi awiri). Kusamalanso kwina kungathenso kuthana ndi zilonda zam'mimba kapena nthendayi zosagwiritsidwa ntchito ngati zikuchitika.
- Trachoma: Trachoma ndi amene amachititsa khungu padziko lapansi ndipo kawirikawiri amafuna mankhwala oopsa ndi antibiotic ndi opaleshoni; Kulimbana ndi moyo wosakhazikika ndi kofunikanso.
Moyo
Kupeza chithandizo cha chlamydia ndi mwayi wabwino kuti muwone momwe mumakhalira ndikuwona ngati zingasinthidwe kuti muchepetse chiopsezo chanu.
- Tengani kamphindi kuti muwone zoyenera zachiwerewere .
- Lankhulani ndi okondedwa kapena abwenzi anu zogonana zokhudzana ndi mbiri yawo ya matenda monga momwe zilili.
- Zindikirani mafupipafupi a zowonongeka. Ndikofunika kuti amayi adziwe mapepala awo a pap apakale ndipo, malinga ndi msinkhu, mayesero a chlamydia pachaka, mwachitsanzo.
Thupi silikhala ndi chitetezo cha chlamydia monga momwe zimakhudzira tizilombo tina, kotero kubwezeretsa kumakhala kofala.
> Zotsatira:
> Zolinga za Kuletsa ndi Kuteteza Matenda. Cholemba cha Chlamydia-CDC. Kusinthidwa 10/04/17. https://www.cdc.gov/std/chlamydia/stdfact-chlamydia.htm
> Cluver C., Novikova, N., Eriksson, D., Bengtsson, K., ndi G. Lingman. Njira Zothandizira Chilombo Chlamydia Trachomatis Infection mu Mimba. Dongosolo la Cochrane la Zosintha Zogwirizana . 2017. 9: CD010485.
> LeFevre, M., US Ogwira Ntchito Zothandizira Ntchito. Kuyeza kwa Chlamydia ndi Gonorrhea: Mfundo Yopereka Chigwirizano cha US Preventive Services Task Force. Annals of Internal Medicine . 2014. 161: 902-10.
> Workowski, K., ndi G. Bolan. Maofesi a Kuletsa ndi Kuteteza Matenda. Matenda Opatsirana pogonana Njira Zothandizira, 2015. Chlamydial Infections MMWR. 2015. 64 (Ayi. RR-3): 1-137.