Chancroid ndi matenda opatsirana pogonana opatsirana pogonana. Anayambitsidwa ndi bakiteriya Haemophilus ducreyi . Ngakhale kuti kuli mtundu wonyezimira umene umapezeka ku United States, chancroid ndi matenda ofala kwambiri m'mayiko osauka. Mofanana ndi chisa , zilonda zotseguka zomwe zimayambitsa chancroid zimachulukitsa chiopsezo cha munthu kuti adziwe matenda ena opatsirana pogonana . Makamaka, zilonda zotseguka zimachulukitsa chiopsezo cha kachilombo ka HIV. Iwo amachita izi mwa kuchititsa kuti kachilombo ka HIV kasalowe magazi pamene munthu akuwonekera.
Khungu lenileni ndilolepheretsa HIV, lomwe silikufalikira khungu pakhungu .
Kodi Zizindikiro za Chancroid ndi ziti?
Zizindikiro zoyambirira za chancroid zikhoza kulakwitsa chifukwa cha syphilis - kachilombo kakang'ono kakakhala chilonda, kawirikawiri mkati mwa masiku 4 kapena 10 mutatha kuwoneka. Komabe, zilondazi zimakula kukula kwambiri ndipo zimapweteka kwambiri kusiyana ndi zilonda zomwe zimagwiritsidwa ntchito ndi syphilis.
Chancroid ingathenso kuchititsa kutupa, kuchepa, ndi kutupa kwa maselo am'mimba m'mimba. Chotsatira ichi sichigwirizana ndi chisa.
Chifukwa cha kusowa kwake, ndizovuta kuti muyesedwe molondola ku chancroid ku United States. Choncho, CDC imanena kuti madokotala akhoza kupeza chancroid popanda kudziwitsa mabakiteriya a H. ducreyi ngati zonsezi zikutsatiridwa:
- Winawake ali ndi zilonda zamtundu umodzi kapena zambiri
- Zilonda zam'mimba, ndi kutupa kwa maselo amphine, zimagwirizana ndi maonekedwe a chancroid
- Palibe umboni wa syphilis pansi pa microscope, kapena mwa kuyezetsa magazi (pambuyo poti zilondazo zakhalapo kwa masiku osachepera asanu ndi awiri)
- Zilondazi zimayesa zovuta kwa HSV , matenda opatsirana kwambiri a m'mimba ku US
Kodi Chancroid Yachitidwa Motani?
Chancroid imachizidwa ndi maantibayotiki. Mavitamini awiri omwe amakonda kwambiri ndi azithromycin (1g) kapena ceftriaxone (250 mg, IM).
Palinso ma regimens aatali omwe amapezeka pogwiritsira ntchito ciprofloxacin (500 mg, 2x / tsiku, masiku atatu) ndi maziko a erythromycin (600 mg pamlomo, 3x / tsiku, kwa masiku asanu ndi awiri) Komabe, mankhwala sagwira ntchito kwa amuna osadulidwa komanso anthu omwe ali ndi HIV zabwino. Ndicho chifukwa chake CDC imalimbikitsa kuti aliyense amene akuchiritsidwa ayang'anenso ndi dokotala masiku atatu mpaka 7 mutatha mankhwala. Kwa anthu ambiri, zizindikiro zimayamba kusintha mkati mwa nthawi ngati mankhwala akugwira ntchito.
Mofananamo, chifukwa cha matendawa, aliyense yemwe akuganiza kuti ali ndi chancroid ayenera kuyesedwa kachilombo ka HIV .
Kodi ndi Chancroid yambiri bwanji ku US?
Chancroid ndi yachilendo kwambiri ku US Ngakhale kuti kwambiri pakati pa 1940s ndi 50s, chiwerengero cha milandu chinachepa mofulumira kuyambira m'ma 50s. Panali kuwonjezeka kwakanthawi m'ma 1980, zomwe zikutheka chifukwa cha mliri watsopano wa HIV. Komabe, chiwerengero cha milandu chinakana mofulumira mpaka matendawa anali ochepa kuti athe kuyesa kupeza zovuta. Mu 2016, mavoti 7 anapezeka m'dziko lonselo, ku Alabama, California, Colorado, Massachusetts, North Carolina, ndi South Carolina.
Pamene chancroid imapezeka ku US, zimakhala zosawoneka m'mabulu kapena anthu ochokera ku Asia, Africa, ndi Caribbean.
Zimakhalanso zovuta kuwonedwa mwa munthu yemwe ali ndi zibwenzi pakati pa magulu awa. Chancroid imakhala ikuchepa padziko lonse lapansi. Ambiri amachititsa malo omwe HIV imakhalapo , chifukwa zilonda zam'mimba zimapereka njira yosavuta yodwala matenda.
Zotsatira:
> Zolinga za Kuletsa ndi Kuteteza Matenda. Matenda Opatsirana pogonana 2016 . Atlanta: US Department of Health and Human Services; 2017.
> Zolinga za Kuletsa ndi Kuteteza Matenda. 2015 Mafupa Opatsirana pogonana Njira Zothandizira . MMWR Akuthandizani Rep 2015; 64 (3): 1-138