Chlamydia ndi matenda opatsirana pogonana omwe nthawi zambiri alibe zizindikiro. Ngakhale izi, chlamydia ikhoza kuchititsa mavuto omwe angathe kutsogolera kusabereka komanso mavuto ena. Mwamwayi, palibe mayeso omwe mungawagwiritse ntchito, ndipo zizindikiro za chlamydia sizinayesedwe ngati umboni wa matenda. Kuyezetsa pogwiritsa ntchito chikhomo cha chiberekero, msampha wa chiberekero kapena umuna, kapena kuyesa mkodzo kungathe kudziwa ngati muli ndi matenda ndipo mukufuna mankhwala.
Odzifufuza okha
Timatchula kuti tizitsulo tomwe timangoganizira kuti chlamydia ikhoza kupezedwa bwino mu chipatala ndi mayesero ena apadera. Mukhoza kuyang'ana zizindikiro za chlamydia , ndipo ndibwino kuti azidziwe. Koma pali kusiyana kwakukulu pakati pawo ndi zina za matenda ena.
Komanso, kumbukirani kuti anthu ambiri alibe zizindikiro ndi matenda a chlamydia. Amayi okha 5 peresenti mpaka 30 peresenti ya amayi ndi 10 peresenti ya amuna adzakhala ndi zizindikiro ndi matenda awo.
Mapulogalamu ndi Mayesero
Pali mayesero angapo omwe angapangidwe kuti ayang'ane kukhalapo kwa chlamydia. Izi zikhoza kuchitidwa ngati muli ndi zizindikiro kapena ngati mukuwonetsa mwachizolowezi ngati mukugonana.
Mayesero Amodzi
Mayesero omwe amapezeka kwambiri ndi nucleic acid amplification tests (NAATs). Izi zikhoza kuyendetsedwa pa:
- Mtsinje wamakono
- Kusuta kwa amuna (amuna)
- Sitifiketi yotchedwa endocervical (akazi)
- Nsalu zazimayi (akazi)
Madokotala ndi zipatala amasiyana ndi mayesero omwe amawakonda.
N'zotheka kuyesa chlamydia pamsampha wa mkodzo. Komabe, si madokotala onse omwe akufuna kukonzekera mkodzo kwa amayi. Ophunzira ambiri azachipatala amakonda kugwiritsa ntchito zizindikiro za khola lachiberekero, monga momwe akhala akuganizira kale kuti apereke zotsatira zolondola.
Izi zikuti, ngati simukupeza mayeso a chlamydia ngati mukufuna swab, funsani kuyesa mkodzo.
Zingakhale zosadalirika ngati kusuta, koma ndiyeso yabwino kwambiri.
Onani kuti mndandanda wa mayeserowa sungaphatikizepo Pap smear . Ngati mwakhala mukuyezetsa magazi mwamsanga, zomwe ziyenera kuti zakhala zikuyendetsa muyezowu, musaganize kuti mwayesedwa chlamydia; Pap silingathe kudziwa mabakiteriya omwe amagwirizana nawo.
Chimodzimodzinso, ngati mwayesedwa matenda ena opatsirana pogonana, musayerekeze kuti mwayesedwa chlamydia. Sikuti chlamydia imangofuna kuyesedwa, koma mankhwala ena opatsirana pogonana ndi matenda opatsirana pogonana sagwirizana ndi chlamydia.
Zimene muyenera kuyembekezera
Njira imene madokotala amayesa chlamydia ndi yosiyana kwambiri kwa amayi ndi abambo. Izi zimachokera ku malo omwe chlamydia imakhudza pazochitika zogonana.
- Akazi: Dokotala wanu wamagetsi angagwiritse ntchito speculum kuti awone chiberekero chanu. Adzalandira zitsanzo kuchokera ku chiberekero chanu pogwiritsa ntchito swab yaing'ono, yomwe idzatumizidwa ku labu.
Kawirikawiri, msampha wamkazi ukhoza kuchitidwa. Kafukufuku waposachedwapa amasonyeza kuti nsomba za m'madzi zomwe amai amachita zimakhala zolondola (ngati sizinanso) kusiyana ndi zomwe zimachitidwa ndi akatswiri azaumoyo. Izi zikuti, nthawi zambiri, dokotala amamupempha kuti apange swab, kaya atsekemera kapena m'mimba.
Ngati mukusankha kuyesa mkodzo, onetsetsani kuti mubwere ku ofesi ya zaumoyo wanu ndi chikhodzodzo chonse.
- Amuna: Dokotala wanu angakufunseni mkodzo kapena kutengera chitsanzo kuchokera mkati mwa mutu wa mbolo yanu pogwiritsa ntchito swabu yaing'ono. Chitsanzochi ndikutumizidwa ku labu kuti awononge. Sikuti madokotala onse amapanga mayeso a mkodzo chifukwa cha chlamydia. Komabe, muyenera kumasuka kufunsa ngati mukulephera kuyesa mkodzo kapena chlamydia. Mukhozanso kuyitanitsa dokotala pasanapite kukawona ngati kuyesa kwa mkodzo kulipo.
Kuyeza kwa chlamydia kumapindulitsa, ndipo mayesero amabwereranso mkati mwa maola angapo chabe, kuti athe kulandira chithandizo mwamsanga matenda.
Chiwerengero ndi Mlomo Wopsereza
Rectal swabs ndi swabs swabs angathenso kuganiziridwa ndi anthu omwe ali ndi chilakolako chogonana ndi abambo kapena kugonana kosalankhula .
Wothandizira zaumoyo wanu akhoza kumatsiriza kukupatsani mayeso osiyana, koma ndibwino kuti adziwe mbiriyi mosasamala kanthu.
Sitiliyi kapena yalabvuyi saloledwa kuyesa, komabe kafukufuku akusonyeza kuti kuchita izi ndizofunika kwambiri. Mwachitsanzo, kafukufuku wa 2017 anapeza kuti pakati pa amuna omwe agonana ndi amuna (MSM), 13 peresenti anali ndi matenda a chlamydia omwe anali ndi rectal koma 3,4 peresenti anali ndi swabu yabwino ya urethral. Azimayi (mumzinda wa United States), 3.7 peresenti anapezeka kuti ali ndi matenda opatsirana. Anthu omwe ali ndi zaka 18 ali ndi chiopsezo chachikulu cha matenda opatsirana.
Malangizo
Pakalipano akulimbikitsidwa kuti amayi ogonana amakhala ndi zaka 25 ndi pansi akuyesedwa chaka chlamydia. Izi zikhoza kuchitidwa panthawi imodzimodzimodzi ndi Pap smear chaka chilichonse. Kafukufuku wochulukira kawirikawiri angapangidwe kwa achinyamata.
Kwa amayi a zaka zoposa 25 , kuyezetsa chaka ndi chaka kumachitika kwa omwe ali ndi chiopsezo chowonjezeka, monga omwe ali ndi mnzatsopano, ogonana nawo ambiri, kapena makamaka ngati ali ndi munthu amene ali ndi matenda opatsirana pogonana.
Kuwonetsetsa kwapezeka kuti kuli kothandiza kwambiri komanso kuchepa kwambiri chiopsezo cha mayi amene akulitsa matenda opatsirana a pelvic (PID ). Popeza PID ingachititse kusabereka, pakati pa mavuto ena, izi ndi zochititsa chidwi kwambiri.
Amuna omwe amagonana ndi amuna (MSM) ayenera kufufuzidwa chaka chilichonse (malo onse opatsirana pogonana ndi ovomerezeka). Kwa omwe ali ndi kachilombo ka HIV kapena abwenzi ambiri, kufufuza kumachitika miyezi itatu kapena isanu ndi umodzi. Phunziro la 2013 linapeza kuti kuwonetsa nthawi zonse kwa MSM kungachepetse chiopsezo cha chlamydia ndi kachirombo ka HIV mwa magawo 15 ndi 4 peresenti. (Chlamydia imachulukitsa chiopsezo chotenga HIV.)
Ngakhale kulibe ndondomeko yeniyeni yowononga amuna okhaokha , kuwonetsetsa kuyenera kuganiziridwa mozama. Amayi omwe amapezeka kuti ali ndi chlamydia amapezeka kawiri konse kawiri kawiri, makamaka chifukwa cha kuyesa amuna okwanira. Mpaka kutsata ndondomeko, amuna omwe ali kunja kwa mgwirizano wa nthawi yayitali ayenera kupempha kuyesedwa, makamaka chaka ndi chaka, komanso mobwerezabwereza.
Kupempha kuyesedwa
Pali zifukwa zingapo zomwe madokotala amalephera kuyesa matenda opatsirana pogonana - ndipo chifukwa chake mungafunike kuyamba kukambirana ndikupempha mayeso nokha. Ngakhale ndi ndondomeko zowunikira m'malo, maulendo ambiri amalephera kutsegulidwa komanso osadziwika.
Onetsetsani kuti mupemphe mayeso a chlamydia, makamaka ngati mmodzi mwa anzanu akupezeka kuti ali ndi matenda opatsirana pogonana / matenda opatsirana pogonana, kapena ngati mukugonana kunja kwa mgwirizano wamodzi womwe umagwirizana.
Ambiri amapewa kuyesedwa kotere chifukwa cha malingaliro omwe adzaweruzidwa chifukwa cha mbiri yawo ya kugonana. Dziwani kuti chlamydia ndi yofala kwambiri ndipo imapezeka mwa anthu osiyanasiyana. Zimangotengera kugonana kokha ndi munthu mmodzi yemwe amanyamula mabakiteriya kuti adziwe matenda.
Ngati mupempha dokotala wanu kuti ayesedwe, zimakuvutani, ganizirani njira zina zomwe zingakuthandizireni . Ndipo ngati mupempha ndipo simukukonda yankho limene mumapeza, ganizirani kupeza watsopano wothandizira zaumoyo.
Zotsatira ndi Zotsatira Zotsatira
Ngati muli ndi mayesero abwino, ndi bwino kukambirana ndi abwenzi omwe munagonana nawo mu miyezi iwiri yapitayo ndipo akuwonetseni kuti adziwe dokotala kuti ayesedwe ndi mankhwala.
Monga ndi mayesero aliwonse a ma labata, pali zofunikira zolakwika. Ngakhale kuti chidwi cha mayeso a chlamydia amagwiritsidwa ntchito masiku ano ndi abwino, iwo angaphonye matenda (zotsatira zake ndi zabodza). Izi zikutanthauza kuti ngati muli ndi zizindikiro zilizonse, muyenera kutsata dokotala-ngakhale mutakhala ndi zotsatira zoipa.
Palinso chiopsezo chochepa cha zotsatira zabwino zabodza, zomwe munthu ali ndi chlamydia mayeso koma alibe kachilombo ka HIV. Izi sizikudetsa nkhaŵa kwambiri, monga momwe anthu ambiri amavomerezera chithandizo cha chlamydia bwino, ndipo kuchiza mwachangu anthu ochepa omwe alibe matendawa ndibwino kusiyana ndi omwe akusowa.
Kuyesanso kachiwiri Patatha Chithandizo
Azimayi ayenera kubwezeretsedwanso patatha masabata atatu chithandizo chitatha. Azimayi omwe ali pa chiopsezo chachikulu ayenera kuganiziranso kachiwiri ku trimester yachitatu.
Koma ndithudi aliyense amene ali ndi zizindikiro zopitirira ayenera kuyesedwa. Kutenga kachilombo ka HIV ndi kotheka, ndipo mafupipafupi omwe amapezeka pambuyo pa chithandizo ndi chifukwa cha kuthekera kumeneku, m'malo molephera mankhwalawo. Kuyesedwa kachiwiri patatha miyezi itatu chithandizo cha chlamydia chilimbikitsidwa kwa abambo ndi amai, ngakhale omwe amadziwa ochita nawo anzawo amathandizidwanso.
Kusanthula Kusiyanasiyana
Kugonana kwa amayi kumayambitsa zifukwa zambiri, kuyambira bacterial vaginosis mpaka matenda a yisiti, chlamydia, kusintha kwa mahomoni. Mofananamo, pali zinthu zambiri zomwe zingayambitse kupweteka ndi kugonana, magazi pakati pa nthawi kapena kugonana, ndi zina zambiri.
Kwa amuna ndi akazi, kupweteka ndi kuyaka ndi kukodza kungakhale ndi zifukwa zambiri, kuphatikizapo matenda a chikhodzodzo ndi matenda ena opatsirana pogonana.
Choncho, ngakhale katswiri wa zaumoyo angaganize kuti pali vuto linalake, ngati mukuonetsa zizindikiro, ma test labwino ndi ofunikira kuti apeze chithandizo choyenera cha chlamydia ndikusankha mankhwala oyenera. Kuwonjezera pamenepo, n'zotheka kuti wina akhale ndi chlamydia ndi kachilombo kena panthawi imodzimodzi, ndipo kuyesa kungathandize kuthetsa ngati ndi choncho.
Tili ndi mayeso abwino kuti tipeze chlamydia, komanso ngati mankhwala abwino ndi ochiritsira kuchiza matenda. Koma popanda kuchipatala, mankhwala samapezeka, ndipo popanda chithandizo, mavuto monga infertility angayambe.
> Zotsatira:
> Zolinga za Kuletsa ndi Kuteteza Matenda. Chidziwitso cha Chlamydia-CDC (Zowonjezera). Kusinthidwa 10/04/17. https://www.cdc.gov/std/chlamydia/stdfact-chlamydia-detailed.htm
> Frati, E., Fasoli, E., Martinelli, M. et al. Matenda opatsirana pogonana: Ndondomeko Yoyesera Yowonetsera Nthenda ya Azimayi ku Anthu Osauka. International Journal of Molecular Sciences . 2017 Jun 20; 18 (6). pii: E1311.
> Kiridou, M., Vriend, H., Lugner, A. et al. Kuwonetsa Zotsatira za Chlamydia Screening pa Kutumiza kachirombo ka HIV pakati pa amuna omwe amagonana ndi amuna. Matenda a BMC Opatsirana . 2013. 13 (1L: 436.
> Lunny, C., Taylor, D., Hoang, L. et al. Zosonkhanitsa Zomwe Zimagwirizanitsidwa ndi Wachipatala-Zosonkhanitsa Zitsanzo za Chlamydia ndi Gonorrhea Kuyeza: Kukonzekera Mwadongosolo ndi Kusanthula Meta. PLoS One . 2015. 10 (7): e0132776.
> Mustanski, B., Feinstein, B., Madkins, K., Sullivan, P., ndi G. Swann. Zomwe zimawopsa komanso zoopsa za matenda opatsirana pogonana ndi achiwerewere Kuchokera pazitsanzo Zodzikonda Zomwe Achinyamata Amagonana Amuna Akugwira nawo Ntchito Yopitiriza Kugonana! 2.0 Yoyesedwa Wowonongeka. Matenda Opatsirana pogonana . 2017. 44 (8): 483-488.
> Van Der Pol, B., Williams, J., Fuller, D., Taylor, S., ndi E.Hook. Kuyesedwa kofanana kwa Chlamydia, Gonorrhea, ndi Trichomonas pogwiritsa ntchito BD Max CT / GC / TV Assay ndi mitundu ya Genitourinary Specimen Types. Journal of Clinical Microbiology . 2016. 55 (1): 155-164.