Zizindikiro zimachitika, koma nthawi zina-kusiya anthu ambiri osatembenuzidwa
Gonorrhea (" chiwombankhanga ") ndichiwiri chachilendo chotenga matenda opatsirana pogonana ku United States, koma anthu ambiri omwe ali nawo sadziwa kuti ali nawo chifukwa nthawi zambiri palibe zizindikiro za matenda-makamaka amayi. Pamene zizindikiro zikuwonekera, zimakhala ndi zozizira kuchokera kumimba kapena kumaliseche komanso kumamva ululu pamene mukukodza kapena kugonana.
Ngakhale kuti matendawa sichimayambitsa imfa, amatha kudwala matenda opweteka kwambiri (PID) mwa amayi ndi kutupa kwa epididymis mwa amuna, zonsezi zomwe zingachititse kuti munthu asapere.
Nthawi zambiri, mphutsi ikhoza kuyambitsa kutupa kwa mtima, ziwalo, ndi msana, komanso mavuto aakulu kwa ana omwe ali ndi kachilombo pa nthawi yomwe ali ndi mimba.
Zizindikiro Zoyamba
Gonorrhea imafalikira pakamwa pamimba, m'mimba, kapena pachiwerewere, ndipo zizindikiro zoyamba zimakhalapo-ngati zilizonse-zidzakhudza malo omwe amachitidwa (ziwalo zoberekera, chifuwa, kapena khosi).
Mukakhalapo m'mimba mwa amayi, zizindikiro zikhoza kukhala:
- Vaginal kumwa
- Kupsa kapena kupweteka pamene mukukaka ( dysuria )
- Vuto lachiberekero
- Kusuntha pakati pa nthawi
- Kumva kupweteka kwa m'mimba kapena kupweteka
- Ululu pa nthawi yogonana (dyspareunia)
Komabe, malinga ndi Centers for Disease Control and Prevention (CDC), amayi ambiri omwe ali ndi matendawa alibe zizindikiro kapena ngati atero adzawasocheretsa chikhodzodzo kapena chikhodzodzo.
Mukakhalapo m'mimba mwa amuna, zizindikiro zikhoza kukhala:
- Kutuluka kwa chikasu cha chikasu kuchokera ku mbolo
- Dysuria
- Kupweteka ndi kutupa m'matumbo kapena puloteni
Pafupifupi 90 peresenti ya matenda a gonorrheal a mmmero sangakhale ndi zizindikiro zirizonse, pamene otsala 10 peresenti amangowonekera poyera ndi khosi.
Mankhwalawa amachititsa kuti thupi likhale lofewa, kusasangalatsa, kutuluka m'magazi, kapena kupweteka pa nthawi ya matendawa, zizindikiro zomwe kawirikawiri zimagwiritsidwa ntchito chifukwa cha mphutsi.
Mu mitundu yonse, ngati zizindikiro ndi zizindikiro zikukula, nthawi zambiri zimawonekera masiku 10 mpaka 14 mutatha kuwona kachilombo ka Neisseria gonorrhoeae .
Zizindikiro M'nyamata
Kuphatikiza pa kulumikiza kugonana, gonorrhea ikhoza kuperekedwa kuchokera kwa mayi kupita kwa mwana pamene ali ndi mimba. Izi kawirikawiri sizichitika pamene mwana ali m'mimba (monga matenda a fetal amatetezera ku matenda). M'malo mwake, kachilombo ka HIV kamatha kubereka pamene mwanayo akuwonekera pobisala.
Izi zikachitika, mabakiteriya akhoza kusamutsira maso a mwana wakhanda ndipo amachititsa ophthalmia neonatorum , mawonekedwe a conjunctivitis omwe amadziwika ndi kuunika kwa maso, ululu, ndi kukhuta. Matendawa amapewa lero chifukwa cha kachitidwe kake ka mafuta onunkhira m'maso mwa ana onse pa nthawi yoberekera.
Ngati matendawa asasinthidwe, zizindikiro zimayamba kukula masiku awiri kapena asanu. Kuphatikizana ndi conjunctivitis, matenda a scalp, kutupa kwa kupuma, vaginitis , ndi urethritis ndizofala. Zovuta zimaphatikizapo masomphenya, kutuluka kwa mimba, matenda a nyamakazi, ndi khungu.
Mavuto
Ngati simunasamalidwe, gonorrhea ingayambitse mavuto akuluakulu okhudzana ndi chiberekero cha amayi ndi abambo ndipo, mocheperapo, ziwalo, khungu, mtima, ndi pakatikati.
Mavuto mwa Akazi
Muzimayi omwe ali ndi matenda otsekemera osatulutsidwa, vuto lofala kwambiri ndi matenda a kutupa kwapakhosi (PID) , omwe ali ndi kachilombo koyambitsa matendawa. Zizindikiro zimapezeka nthawi yomweyo mutangopita kumwezi, ndipo nthawi zina muzikhala chizindikiro choyamba cha matenda. PID imakhala ndi ululu m'mimba mwa pakhosi komanso m'mimba, komanso kusuntha, kusanza, malungo, kuzizira, kupunduka, ndi kukhutura kwabwino.
Matendawa nthawi zina amalephera kuphulika m'magazi, ndipo amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda komanso tizilombo toyambitsa matenda. Ngati chitetezo chochepa chimachitika, dzira likhoza kukhala feteleza koma silingathe kudutsa m'mimba mwa mazira ndi chiberekero. Izi zikhoza kuchititsa mimba yokhala ndi ectopic (tubal) yomwe kupititsa padera sizingapeweke koma kungapangitse moyo wa mayi kukhala pangozi ngati kupweteka ndi kuchepa kwa thupi kumachitika.
Zovuta mwa Amuna
Mofanana ndi momwe gonorrhea ingayambitsire kusabereka kwa amayi, matenda osatetezedwa akhoza kuwononga ndi kutseka kwa epididymis (chubu yopapatiza yomwe imasunga umuna pamtunda) mwa amuna.
Gonorrheal epididymitis ikhoza kudziwika ndi dysuria, kutaya kununkhira, kupweteka kwapweteka, ndi kutupa kwa mitsempha m'mimba. Mofanana ndi PID, kutsekedwa kwa imodzi kapena zigawo zonse ziwiri kungayambitse kusagwira ntchito.
Gonococcal Conjunctivitis
Ngati mavitamini a thupi atha kulowa m'maso mwanu, matenda otchedwa gonococcal conjunctivitis (diso la pinki) akhoza kuchitika, kuchititsa kufiira, kupweteka, kutupa, komanso nthawi zambiri.
Ngati simunalandidwe, matendawa angayambitse kupweteka komanso kupweteka kwa cornea, zomwe zimayambitsa kuwonongeka ndi khungu. Nthawi zambiri, matendawa amachititsa kuti cornea "kusungunuka," kumangiriza diso lonse pang'onopang'ono kapena kwathunthu.
Kusakaza Gonococcal Infection (DGI)
Nthawi zambiri, matenda opatsirana amatha kufalikira kudzera m'magazi ndipo amachititsa ziwalo zakutali. Izi zimatchulidwa kuti matenda a gonococcal (DGI) , vuto lomwe limapezeka pafupifupi 3 peresenti ya amayi ndi 1 peresenti ya amuna . Anthu omwe ali pachiopsezo ndi anthu omwe amatetezedwa ndi chitetezo cha mthupi , kuphatikizapo olandira mankhwala ndi anthu omwe ali ndi HIV.
DGI nthawi zambiri imatchedwa matenda a arthritis-dermatitis chifukwa nthawi zambiri imayambitsa kutupa kwa mafupa ( nyamakazi yamtenda ) ndi zilonda zodzaza khungu.
Kawirikawiri, matendawa amatha kukhala pamtima ndipo amayambitsa kutupa kwa mtima ( endocarditis ), kuwonetsa ndi zizindikiro za malaise, malungo, kuzizira, ndi mtima kudandaula . DGI ingayambitsenso kutukusira kwa ubongo ndi msana ( meningitis ), kupweteka mutu, kutentha thupi, kutopa, khosi lolimba, ndi kusokonezeka maganizo.
Nthawi Yomwe Muwone Dokotala
Ngakhale kuti zizindikiro zina za matenda a chimfine zimakhala zachilendo (monga kutuluka kwa amuna), zambiri zimakhala zosafunika kwenikweni ndipo zimasowa mosavuta. Chifukwa cha ichi, malamulo abwino kwambiri pa thumbu ndiwone dokotala ndikupempha sewero la matenda opatsirana pogonana ngati mwakhala mukugonana mosatetezeka ndi zizindikiro zilizonse za matenda, ngakhale zili zofewa. Izi ndi zoona makamaka ngati mnzanu wapamtima ndi munthu yemwe simukudziwa kapena akuganiza kuti akhoza kukhala ndi matenda opatsirana pogonana.
Ngati inu mukukayikira, kumbukirani kuti akatswiri azaumoyo sakupezeka kuti akuweruzeni. M'malo mwake, udindo wawo ndikukupatsani chithandizo , ngati mukufunikira, ndi chitsogozo chochepetsera chiopsezo chanu chamtsogolo.
Chifukwa cha matenda akuluakulu ku United States komanso momwe angakhudzire ndi amayi a msinkhu wobereka, bungwe la US Preventive Services Task Force limalimbikitsa kufufuza kwa matendawa ndi chlamydia kwa amayi onse ogonana omwe ali pachiopsezo chotenga matenda, kuphatikizapo amayi apakati.
Mabungwe ena aonjezera malangizowo ndipo amachititsa kuwonetsetsa mwachizoloŵezi kwa matendawa ndi chlamydia, komanso syphilis , hepatitis B , ndi HIV , monga mbali yoyamba yobereka.
> Zotsatira:
> Zolinga za Kuletsa ndi Kuteteza Matenda. 2015 Zokhudzana ndi Magonana Ogonana Zotsatira za Chithandizo: Matenda a Gonococcal. Atlanta, Georgia; inaperekedwa pa June 4, 2015; zasinthidwa pa January 4, 2018.
> Lee, K .; Ngo-Metzger, Q .; Wolff, T. et al. Matenda opatsirana pogonana: Malangizo ochokera ku bungwe la US Preventive Services Task Force. Am Phys Physician. 2016; 94 (11): 907-915.
> McAnena, L .; Knowles, S .; Curry, A. et al Prevalence ya gonococcal conjunctivitis kwa akuluakulu ndi osowa. Diso. 2015; 29: 875-80. DOI: 10.1038 / eye.2015.57.
> Workowski, K .; Bolan, G ;; Maofesi a Kuletsa ndi Kuteteza Matenda. Malangizo okhudzana ndi matenda opatsirana pogonana, 2015. Pemphani Pemphani Munthu Woti Aziphunzira Nanu Baibulo 2015; 2015; 64 (33): 924.