Matenda owopsa ndi opatsirana pogonana ndipo amayamba chifukwa cha bakiteriya Chlamydia trachomatis. Komabe, kachilomboka kamakhala ngati kachilombo ka HIV. Izi zingakhudze momwe matenda a Chlamydia akufalikira komanso zifukwa zomwe zimakhala zovuta kuti zipeze. Matenda a Chlamydia angakhudze amai, chiberekero, ndi rectum, pakati pa zina.
Mwamwayi, chlamydia ndi kachilombo koyambitsa matenda.
Kuphunzira momwe maina ake amatengera mabakiteriya angakuthandizeni kumvetsetsa bwino zomwe zimapangitsa kuti kachilombo kawopsedwe kangapo.
Chlamydia Bacteria
Mabakiteriya ambiri amatha kuberekana okha malinga ngati ali pamalo ochereza alendo. Osati mtundu wofanana ndi chlamydia. Mabakiteriya a Chlamydia ali ndi kachilombo ka HIV ndipo ayenera kudalira magulu ake (anthu) kuti apulumuke.
Kwenikweni, chlamydia imagwira mitsempha ya maselo aumunthu monga masitolo akuluakulu. Zimatengera ATP, molekyulu yamagetsi; zakudya; ndi zina zowonjezera-zofunika pa kubalana zomwe mabakiteriya sangathe kudzipanga okha-kuchokera kwa munthu yemwe akudwala.
Popeza mabakiteriya sangathe kukhala opanda zofunika izi, C. trachomatis ndilofunika (sangathe kupulumuka popanda) intracellular (kukhala mkati mwa maselo) tizilombo toyambitsa matenda (kumene kumatenga koma sichibwezeretsa).
Kutenga
Chlamydia imakhala ndi moyo wa magawo awiri: thupi loyambirira ndi magawo oyenera a thupi:
Thupi loyamba
Chlamydia imayenda pakati pa maselo, ndi pakati pa anthu, ngati mawonekedwe a pulayimale-kamangidwe kakang'ono, kofiira, kamangidwe ka spore.
Pachigawo chino, thupi loyambirira ilibe kanthu kalikonse. Mabakiteriya amayenda pakati pa maselo ndi pakati pa anthu kuti apange matenda atsopano, koma matupi awa samawasintha kapena kusintha; Zimangotengedwa m'madzi.
Choncho, chlamydia ndi yotetezeka, koma sichigwira ntchito panthawiyi.
Sungani Thupi
Chlamydia imalowa mu sitejiyi kamodzi kokha pokhapokha pulayimale imayambitsa selo yatsopano. Mu mawonekedwe awa, mabakiteriya amagwiritsira ntchito zomwe zimachokera mu selo yolandiridwa kuti apange makope omwe mkati mwa selo. Matupi othandizira amatha kukula, kugawa, ndi kugwiritsira ntchito mankhwala. Mavuto angapitirire mwa njirayi kwa kanthawi.
Pomwe pali makope okwanira-ochulukirapo kuti apulumuke m'matupi am'thupi akhoza kubwerera m'matupi oyamba, kutsegula selo lotseguka, ndi kuthawa kuti atenge maselo atsopano (omwe ali ndi kachilombo kapena wogonana), kuyamba mobwerezabwereza.
Ichi ndi chodabwitsa chamoyo cha moyo chomwe sichimatsatira kwenikweni mapu a bakiteriya kapena matenda a tizilombo. Ichi ndi chimodzi mwa zifukwa zomwe chlamydia ndizosangalatsa komanso zofunikira kuphunzira. Ndi chitsanzo choonekeratu cha momwe njira zopatsirana zimagwirizanirana ndi zoyembekezera. Biology yake yapadera imalimbikitsa anthu kuganiza kunja kwa bokosi pamene akufunafuna mitundu, chithandizo, kapena machiritso.
Kutumiza
Kukambirana za khalidwe la chlamydia ndikofunika chifukwa zimakhudza momwe mabakiteriya amathandizira kuchokera kwa munthu ndi munthu. Njira yotumizira, imakhudza zoopsa zomwe zimapangitsa munthu kukhala ndi kachilombo ka HIV.
Chlamydia imafalitsidwa kupyolera mwachinsinsi m'malo mwa khungu ndi khungu, monga momwe zilili ndi tizilombo tina (monga HPV ). Izi zikutanthauza kuti sizingatheke pakati pa anthu awiri opanda mtundu wina wa madzi, monga nthata kapena chiberekero cha chiberekero. Kumatanthauzanso kuti makondomu angakhale othandiza kwambiri popewera kufalikira kwa mabakiteriya.
Kuzindikira kumayambiriro kwa thupi lanu kumatithandizanso kumvetsetsa chifukwa chake nthawi zina matenda a chlamydia amakhalapo kwa miyezi kapena zaka zisanafike. Izi ndi zofunika kwambiri ngati muli ndi mnzanu amene, podziwa za matenda a chlamydia, amadabwa ngati mwakhala wokhulupirika, ngakhale mutakhala ndi wina kwa nthawi yaitali.
Zizindikiro zoopsa za chlamydia zimakhala zofanana ndi zomwe zimayambitsa matenda opatsirana pogonana / matenda opatsirana pogonana koma zimasiyana mosiyana ndi njira yomwe tatchula pamwambapa.
Zochitika Zowopsa Kwamoyo
Zochitika zina zomwe zimakhala ndi moyo zingapangitse chiopsezo cha matenda a chlamydia:
- Kugonana kosatetezeka: Kuchita zogonana ndi abambo, olabadira, kapena kugonana pamlomo popanda kondomu ndizoopsa kwambiri zomwe zimayambitsa chlamydia. Popeza mabakiteriya akufalikira mwachinsinsi, kugwiritsa ntchito kondomu nthawi iliyonse yomwe mumagonana (kupatula ngati mutakhala pachibwenzi chokhazikika) ndi njira yabwino yopewera matenda.
- Kukhala ndi zibwenzi zambiri zogonana: Pamene munthu amakhala ndi zibwenzi zambiri zogonana, ndiye kuti ali ndi matenda opatsirana pogonana, kuphatikizapo chlamydia. Inde, zimangotenga munthu mmodzi payekha kuti azifalitsa kachilombo ka HIV, ndipo kuchita chiwerewere ndizofunika ngakhale mutagonana.
- Wokondedwa yemwe ali ndi matenda opatsirana pogonana : Ngakhale munthu atapatsidwa chithandizo cha chlamydia, ndi bwino kuyembekezera masiku asanu ndi awiri mutatha mankhwala kapena mpaka mankhwala onse atengedwa asanayambe kugonana.
- Amuna omwe amagonana ndi amuna (MSM): Amuna omwe amagonana ndi abambo amatha kukhala ndi kachilombo ka HIV, kachilombo, ndi / kapena kamvekedwe kokha kusiyana ndi amuna omwe amachitira amuna kapena akazi okhaokha. Pofufuza, 11,8 peresenti ya MSM m'tawuni ya United States anapezeka kuti anali ndi matenda enaake a chlamydia omwe amapezeka ndi anus kapena mmero.
Zinthu Zowopsa M'moyo
Anthu omwe ali ndi matenda omwe alipo ali pachiopsezo chachikulu cha matenda a chlamydia kuposa ena. Zinthu zoopsa pa moyo ndi monga:
- Kukhala ndi matenda ena opatsirana pogonana / matenda opatsirana pogonana: Njira zamoyo zomwe zingakulowetseni ku matenda ena opatsirana pogonana angayambitsenso chhlamydia (komanso mosiyana). Matenda ambiri opatsirana pogonana / matenda opatsirana pogonana amachititsanso kutupa kwa mukosa wamtundu wa chiberekero, chiberekero, kapena urethra. Pamene minofu iyi imayesedwa chifukwa cha matenda amodzi, ndi kosavuta kuti tizilombo tina tizilombo tilowe m'thupi ndikuyamba kukula.
- Kukhala ndi kachilombo ka HIV: Amuna khumi (10%) omwe ali ndi kachilombo ka HIV amakhalanso ndi chitsimikizo cha chlamydia.
- Kukhala ndi ectopy ya chiberekero : Cervical ectopy, momwe maselo a endocervix (chithako chachiberekero) amapezeka m'malo mwa ectocervix (kunja kwa khola lachiberekero), amachititsa kuti thupi likhale ndi matenda oopsa. Matendawa amavomereza kwambiri atsikana. Kafukufuku wakale akuyang'ana akazi a zaka zapakati pa 15 mpaka 24 adapeza kuti anthu omwe ali ndi ectopy ya chiberekero anali ndi mwayi wokwanira kuti apeze chlamydia. Pamene ali ndi zaka zazimayi, minofu ya chiberekero imasuntha ndipo ectopy ya chiberekero imachoka, kuika pangozi yochepa ya chlamydia.
Kupangidwanso
Mosiyana ndi matenda ena, omwe munthu amakhala ndi chitetezo pambuyo poonekera, thupi siliteteza chitetezo cha chlamydia pambuyo pa matenda. Izi zikutanthauza kuti munthu akhoza kutenga kachilombo kawiri kawiri.
Kupewa
Kuchepetsa chiopsezo chotenga chlamydia ndikuchita chiwerewere choyenera kumayamba posankha anzanu ogonana mwanzeru. Pamene mukupempha wopeza mnzanuyo za matenda omwe asanakhalepo simungakhale chinthu chomwe mukufuna kuti muchite, dziwani kuti anthu ali ndi zokambirana zofunikira nthawi zambiri tsopano kuposa kale. Kuteteza thanzi lanu sikungakhale kochititsa manyazi.
Njira yabwino kwambiri yopezera chlamydia, makamaka, ndi kugwiritsa ntchito kondomu nthawi iliyonse yomwe muli ndi kugonana kapena kugonana. Kuchepetsa chiopsezo chanu ndi kugonana m'kamwa ndi kotheka. Makondomu angagwiritsidwe ntchito nthawi ya fallatio, ndipo madamu a mano kapena zina zotchinga zingagwiritsidwe ntchito panthawi yamakono kapena cunnilingus.
Ngakhale mutakhala osamala, ndibwino kuti muwone dokotala wanu nthawi zonse ndikuyang'anitsitsa chlamydia. Ndi 5 peresenti yokha mpaka 30 peresenti ya matenda opatsirana mwa amayi ndi 10 peresenti ya matenda opatsirana mwa amuna amachititsa zizindikiro. Kuyesedwa ndiyo njira yokhayo yodziwira ngati muli ndi kachilombo koyambitsa-komanso kupewa zovuta za mlandu wosachitidwa.
> Zotsatira:
> Assi, R., Hashim, P., Reddy, V., Einarsdottir, H., ndi W. Longo. Matenda opatsirana pogonana a Anus ndi Rectum. World Journal of Gastroenterology . 2014. 20 (41): 15262-8.
> 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
> Liang, P., Rosas-Lemus, M., Patel, D., Fang, X., Tuz, K., ndi O. Juarez. Mphamvu Zamphamvu Zogwiritsa Ntchito Chlamydia Trachomatis Pachimake cha Metabolism Yachilendo Pa Kukula kwa Intracellar: Udindo wa Sodium Based Based Energetics mu Chlamydial ATP Generation. Journal of Biological Chemistry . 2018. 293 (2): 510-522.
> Trebach, J., Chaulk, C., Page, K., Tuddenham, S., ndi K. Ghanem. Neisseria Gonorrhoeae ndi Chlamydia Trachomatis Pakati pa Women Reporting Extragenital Exposures. Matenda Opatsirana pogonana . 2015. 42 (5): 233-239.