Ngakhale kuti nthawi zambiri zimakhala zosavomerezeka, zimakhala zotheka panthawi yogonana. Kugonana kwachiwerewere kumangotchulidwa chifukwa chachinsinsi cha nkhaniyo ndi kusayenerera kwa munthu kuti akambirane ndi dokotala wawo. Zomwe zimachititsa kuti anthu asamagwirizane ndi kugonana zingakhale zovuta kuzindikira kuti kugonana kumaphatikizira kupuma mokwanira, kuwonjezeka kwa mtima, ndi kutumphuka, kuthamanga kapena kupukuta khungu.
Choncho, kuchepa kwa zochita zokhudzana ndi kugonana kungakhale kosazindikirika, ngakhale kuti zotsatira zowopsa, kuphatikizapo urticaria / angioedema, zizindikiro za mphumu, ndi anaphylaxis , zimakhala zovuta kunyalanyaza.
Anthu ambiri angaganize kuti zotsatirazi zingayambidwe chifukwa cha kukhala ndi kondomu ya latex, yomwe mwina ingakhale yovuta kwambiri. Zina mwazi zimaphatikizapo kupweteka kwa seminida (nyemba), zakudya zokhala ndi chifuwa choyambitsa matenda okhudzana ndi kugonana, ndi zizindikiro zina zokhudzana ndi zochitika zogonana.
Latex Zozizira
Latex zowopsa , zomwe zimayambitsidwa ndi kondomu za latex, ndizo zimayambitsa mavuto ambiri pa nthawi yogonana. Zomwe zimachititsa kuti mankhwalawa asagwiritsidwe ntchito pochedwa latex zingakhudze onse aamuna ndi aakazi omwe amapezeka ndi kondomu ya latex. Zisonyezero za kuchepetsa mchere zimatha kuphatikizapo kuyabwa, kuyaka, ndi kupsa mtima, kapena kumakhala ndi zizindikiro zoopsa, kuphatikizapo urticaria / angioedema, zizindikiro za mphumu, ndi anaphylaxis.
Kawirikawiri, zizindikirozi zimachitika masentimita mpaka mphindi zam'mbuyo, ngakhale kuti dermatitis imafika ku latex imachitika maola ambiri pambuyo pa kutuluka kwa latex ndipo imakhudza khungu, khungu lopweteka kokha pamalo a latex. Mkwiyo wamtundu wamtunduwu ukhoza kuchitika chifukwa chowoneka ndi mafuta kapena spermicide omwe ali pamakondomu.
Kutulukira kwa latex mankhwala amatha kupyolera pogwiritsa ntchito kuyezetsa khungu kapena kuyezetsa magazi kwa kukhalapo kwa anti-IgE motsutsana ndi latex. Ngati kugwiritsidwa ntchito kwa dermatitis kupita ku latex kukudandaula, kuyesa kwa patch kumagwiritsidwa ntchito kuti azindikire. Chithandizo cha latex chifuwa makamaka kuchepa kwa latex ndipo motero kupeĊµa makondomu a latex. Ma khondomu, omwe amapangidwa ndi matumbo a mwanawankhosa, amapezeka kwambiri ndipo ndi njira yabwino yowonetsera, koma samateteza ku matenda opatsirana pogonana.
Matenda Okhudzana ndi Matenda
Zomwe zimachititsa kuti mankhwalawa asagwiritsidwe ntchito pamadzi (semen) akhala akudziwika kwa zaka zambiri, ngakhale kuti ndizochepa kwambiri. Mapuloteni amapezeka m'mimba mwa munthu, m'malo mwa umuna wokha, amachititsa kuti ambiri azisintha. Pali malipoti a amayi omwe amatsutsana ndi madzi okhaokha, komanso mauthenga a amayi omwe amatsutsana ndi madzimadzi ambiri. N'zotheka kuti mapuloteni ochokera ku zakudya kapena mankhwala (kuphatikizapo NSAIDs ndi mankhwala opha tizilombo), omwe mkaziyo sagwiritsidwa ntchito, akhoza kulengezedwa ndi munthu amene ali m'madzi amchere.
Zizindikilo zowonongeka kwa m'mimba zimaphatikizapo kuyabwa kwazimayi ndi kuzizira mkati mwa mphindi 30 za kugonana, ngakhale kuti zowopsya, kuphatikizapo urticaria / angioedema, asthma ndi anaphylaxis zafotokozedwa.
Matendawa amaphatikizapo kuyezetsa khungu mkazi yemwe ali ndi kachilombo ka HIV. Chithandizochi chimaphatikizapo kupewa kupezeka kwa madzi achitsamba pogwiritsa ntchito makondomu (latex kapena non-latex). Komabe, mayi akhoza kukhumudwa pogwiritsa ntchito madzi ochepa omwe amayamba nawo, omwe amachititsa kuti ayambe kugwira ntchito. Mankhwalawa angafunike pamene mimba ndizofunikira. Mchitidwe wokondweretsa mkaziyo ukhoza kusungidwa kudzera mwa kugonana nthawi zonse komanso kusamba kwa madzi osachepera kamodzi pamlungu.
Zotsutsa Zomwe Zimayendera Kugonana
Palinso zochitika zina zomwe zimayambitsa matenda, zomwe sizingagwiritsidwe ntchito zogonana, zitha kuwonedwa panthawi yogonana.
Zambiri mwazi ndi zokhudzana ndi mphamvu komanso zolimbitsa thupi. Gustatory rhinitis ndi mawonekedwe a osalimba a rhinitis omwe amayambitsa chisokonezo cha minofu, mphuno yamphongo ndi kupopera chifukwa cha kusokonezeka kwa mitsempha kapena kutuluka kwa mitsempha ya magazi m'magazi. Kuchiza kungaphatikizepo kugwiritsa ntchito mankhwala a nasal ipratropium bromide sprays ola limodzi musanayambe kugonana. Zomwe zimachitika pa nthawi yogonana ndizo zokhudzana ndi masewera olimbitsa thupi, zomwe zimawathandiza kuti zikhale zovuta.
Chitsime:
Lee J, Kim S, Kim M et al. Anaphylaxis ku Plasma ya Pachimake ya Mwamuna ndi Chithandizo cha Kukhazikika Kwawo Kwawo. Chipatala cha Clin Mol. 2008; 6:13.