Zvisingatapuriki uye zvinopararira zvinokonzera penile ganda mamiriro ezvinhu
Kana ukacherechedza kuputika kana chivara pamapense ako, unogona kutya kuti une chirwere chepabonde (STI) kana kenza. Ichokwadi ndechekuti kune zvikonzero zvakasiyana siyana nei iwe ungave nekukurumidza kana chironda pahuma yako-zvimwe zvinotambudza uye zvimwe kwete.
Kunyange zvazvo zvakakosha iwe ona chiremba wako kuti aongorore zvakakodzera, kuva neruzivo pamusoro pezvikonzero zvinokonzera kuchinja kweganda uku kunogona kukugadzirira zvakanaka nokuda kwekushanya kwako.
Zvisiri-Zvinotapukira Zvinokonzera Penile Ganda Rashes kana Zvipembenene
Dzimwe nguva iwe unofunga kuti chiratidzo chetachiona chinotapuriranwa pabonde kana chekenza, inongova yako chaiyo yakagadziriswa. Semuenzaniso, iwe unogona kunge wakacherechedza mazamu mashoma pasi peganda re-scrotum uye nechepamusoro pemubhedha wepenisi-izvi zvinogona kunge zvakagadzirwa nevhudzi hwemvere .
Mukuwedzera, zviduku zvakashongedzwa kana zviputika zvinopoteredza korona yemusoro (kana glans) yepenisi zvichida pearly penile papules . Izvo zvinowanzowanikwa kune varume vasina kudzingiswa. Pearly penile papules (izwi rechiremba riri angiofibroma ) haritapuki uye harifaniri kurapwa.
Saizvozvowo, maduku maduku tsvuku kana bhuruu angave angiokeratomas . Hazviwanzoiti uye zvinogona kuonekwa chete pa glans, kana kuti zvinogona kuonekwa pazvinyorwa, kugomera, mahudyu, uye mimba. Havasi kutapukira uye havatongotori kurapwa kunze kwekuti ivo vachikonzera kubuda ropa, kurwadziwa, kana kubatwa.
Izvozvo zvichiti, kana ukacherechedza angiokeratomas mukati mekushambidza suti yenzvimbo yemwana, inogona kuratidza chirwere cheAnderson-Fabry, chinokonzerwa nekushaiwa kwe enzyme uye chinoda kurapwa kwechiremba.
Psoriasis isiri yechipfuva mamiriro ezvinhu anogona kuitika peni, zvichiita kuti chigamba chekundu kana saroni chive nemuchena kana chigadziko pamusoro payo. Nhau dzakanaka ndeyokuti kazhinji psoriasis yepense inobata kurapwa ne steroid cream, kunyange iyo inogona kudzoka kana steroid ikamira.
Lichen sclerosis inowanikwa munenge imwe yevarume 300. Iyo inokonzera hypopigmented (kurasikirwa kwemuvara) sekoni nekwakanamatira ganda. Icho chivara cheganda chinowanzokonzera penis glans uye frenulum. Inogona kutungamirira kune zvinorwadza zvinosuruvarisa uye zvinotyisa kana zvinorwadza. Dzimwe nguva varume vanonetseka kuzodha. Lichen sclerosis inobatanidza nekenza yemaperembudzi (kunyanya squamous cell carcinoma), kazhinji kamuti sampuli inoda kutorwa kuti igone kuonekwa kwayo. Ichi chiitiko chinowanzorapwa ne-on-the-skin (topical) corticosteroids.
Lichen planus chimwe chiganda cheganda (kunyange zvazvo chisingawanzoitiki) chinogona kukonzera kukwira, violet-mavara, flat, mapongonal bumps pane glans yepenis. Dzimwe nguva zviputi zvine mavara akanaka emachena uye dzimwe nguva zvinoshandiswa. Vanowanzoonekwa muchende kana mumutsara, uye vangave kana kuti vangave vasina kunaka kana kunyange kuora. Saizvozvowo zvipembenene zvinogona kuonekwa kune dzimwe nzvimbo dzomuviri, kunyanya mazinga uye shins. Lichen planus haisi kupfurikidza, asi kupindura kwekurapa kunogona kushanduka-inowanzobatanidza zuva rega reticical corticosteroid therapy.
Zvinokonzera Kupindira
Mukuwedzera kune zvikonzero zvisingaiti zvinotapukira zvekurwa kwepenisheni, kunewo zvirwere zvinotapukira zvinokonzerwa nekuputika kweganda.
HPV uye Genital Warts
Maererano neCenters for Disease Control and Prevention, papillomavirus yevanhu (HPV) ndiyo inowanzobatwa nehutachiona hwepabonde uye inogona kupararira kuburikidza nekuita zvepabonde, zvepabonde, zvepabonde, kana kuti kuburikidza nehuputi nemukati panguva yekuita zvepabonde.
Nhau dzakanaka ndeyokuti HPV inowanzobviswa nemaitiro evanhu omunyika kwenguva refu. Izvo zvinotaurwa, hutachiwana dzimwe nguva hahuendi kwenguva yakareba uye hunogona kukonzera marital genital kana kenza (kenza yepenile kana kenza yemunhu muvarume). HPV iri kumashure kwehuro inogona kukonzera chirwere chepuropa. Zvakakosha kucherechedza kunyange zvazvo kune zvakawanda zvakasiyana-siyana zveHIVV, uye matambudziko anokonzera maitiro emagetsi haasi mamwe matanho anokonzera kenza.
Nhengo dzomukati dzinogona kuratidzika sechinhu chimwe chete kana kuunganidzwa kwezvipembenene zvakakomberedza peni kana anus. Iko inogona kunge yakanyorova pamusoro pevhu kana nepamusoro nehuriflower-kufanana. Zviratidzo zvepabonde zvinowirirana mune zvavanoita-vamwe vanoenda, vamwe vanowedzera, uye vamwe vanogara zvakafanana.
Mishonga inogona kusanganisira mushonga waunotora pamusha kushanda kune wart, kana dermatologist yako inogona kuita nzira iri muhofisi yake kubvisa imwe kana mamwe mapfumo. Zvose, chirongwa chako chekurapa chinoenderana noutano hwako, nhamba yehondo dzaunayo, uye nzvimbo chaiyo yehondo.
Primary Syphilis
Sirifi chirwere chepabonde chingave chichigadziriswa panguva yekurara, zvepabonde, kana zvepabonde kana mushure mushure mokutaurirana zvakananga nechirwere chechivi-chinowanzo chakasimba, chitenderera chinenge chisina kukonzera marwadzo. Donda (kana maronda, somunhu anogona kuve nematare) anogona kuitika peni, kumativi ose anus, mu rectum, kana mukati kana pedyo nemuromo.
Chirwere chechirwere ndiyo nharaunda inokosha yeuchivi, uye kana isingatariswi, munhu anogona kufambira mberi kusvika kumatunhu echikoro chechirwere-iyi danho rekupedzisira rinogona kukonzera matambudziko makuru ehutano anokanganisa mwoyo, uropi, chiropa, mapfupa, nezvimwe nhengo.
Sipikisi inogona kuonekwa iine kuongorora ropa uye inogona kurapwa nemishonga inorwisa mabhakitiriya, sezvo chikonzero chechiphilisiti ibhakitiriya Treponema pallidum.
Genital Herpes
Genital herpes chirwere chepabonde chakakonzerwa nehupachivha hwemaperembudzi kana HSV. Inokonzera a masumbu emabhandani maduku anoputika, achiva maronda anorwadza anozopedzisira apera uye anoporesa mukati memavhiki maviri kusvika matanhatu. Chikamu chekutanga chebonde rejiteni kazhinji chinowanzobatanidzwa nekurwadziwa kwakanyanya uye feverish, chirwere chakafanana nehosha, apo nguva dzakadzoka dzinogona kuva dzakanyanya. Izvo zvataurwa, zvakakosha kucherechedza kuti vamwe vanhu vanotapurirwa neHSV havaiti zvironda.
Hakuchina mushonga wehepital genital, asi mishonga inogona kutorwa kutapudza nguva yezvironda uye kuderedza marwadzo anokonzera. Kana uine hepers, zvinokosha kuti usaita zvepabonde, sezvo HSV inogona kupfuurirwa nyore kune mumwe wako. Chaizvoizvo, zvinorayirwa kuti iwe unomirira mazuva mashomanana mushure mokunge maronda akajeka asati aita zvepabonde.
Molluscum Contagiosum
Molluscum chirwere chinowanikwa nehutachiona hunopararira nyore nyore, uye muvechiri kuyaruka uye vanhu vakuru, kazhinji vanogashiriswa kuburikidza nekubatana pabonde. Kunze kwekutsvaga kweganda-ku-ganda, molluscum inogona kupararira nekugovana chimwe chinhu chakafanana netauro kana tambo nemumwe munhu ane utachiona. Vanhu vane zvirwere zvezvirwere zvisina simba, sevaya vane maAID, vanonyanya kutarisana nekuwana molluscum (asi ani zvake anogona kugona).
Izvi zvose zvinotaurwa, zvakakosha kucherechedza kuti molluscum inowanzozivikanwa nevana, uye iyo yakawanda inopararira kuburikidza nekushamwaridzana kwevanhu (somuenzaniso, kugovana gym mats).
Izvi zvinogona kukonzera kusungira, madiki akaumbwa nemakumbo ane dambudziko repfungwa uye anogona kugadzira vanhu vakuru pameso, mumutsipa, mumakumbo, maoko, ruoko, mimba, uye mazamu, kusanganisira peni, scrotum, uye mukati mahudyu. Izvo zvipembenene hazvina maturo asi zvinogona kuchenesa, uye zvinotendeuka kubva kune rumwe ruvara rweganda rune ruvara rutsvuku, sezvo muviri unorwisa.
Nhau dzakanaka ndeyokuti utachiona hahukuvadzi uye huri huwandu hushoma, hunoreva kuti huchazoguma huri woga, kunze kwevanhu vane utachiona husina simba hwekuzvidzivirira. Izvo zvinotaurwa, vanhu vakawanda vanosarudza kurapwa kwechirwere kuderedza dambudziko rekutapurika, kuderedza mikana yekuparadzira kuputika kweganda ravo, uye nekuda kwezvikonzero zvekuzora. Kurapwa kunogona kusanganisira kana kubviswa kwemazamu kana kuti mishonga inoshandiswa pamagumisiro anoshandiswa pamakumbo.
Chinokonzera Chinetso
Kanzera yepenile inokonzera chikonzero chakanyanya kudarika chechirwere kana chironda pachirume. Zvipfeko zvinoratidzira zvekenza yepenile zvinowanzopenya zvakatsvuka, zvakasimudzwa, uye zvine maonero akanaka. Zvinogona kunge zvakashata uye zvinorwadza, asi kwete nguva dzose. Maererano neshoko iri muAmerica Family Physician, 5 muzana kusvika 30 muzana yevanhu vane zvipembenene izvi zvekutanga (zvinonzi penile carcinoma in situ), fambira mberi kuva ne squamous cell carcinoma. Penile carcinoma in situ inowanzoonekwa kune varume vanopfuura makumi matanhatu uye vasina kudzingiswa. HPV ndiyo chikonzero chinonyanya kukonzera kenza iyi.
Yeuka, kenza haina kutapukira, asi inoda kurapwa nokukurumidza. Nhau dzakanaka ndeyokuti kana uchitarirwa kare, zvirwere zvepenile zvakawanda zvinogona kurapwa.
Shoko Rinobva
Izvo zvinyorwa apa hazvisi zvakakwana. Kuzvidzivirira kwezvirwere zvepabonde, maruva kana rashes haisi pfungwa yakanaka, sezvo kazhinji kuongororwa kwakakodzera kunongogadzirwa chete ne biopsy.
Sezvo nezviratidzo zvose zvepabonde uye zviratidzo, tsvaka rubatsiro rwezvechiremba, ita zvepabonde rakachengeteka, uye ramba uchingoshanda mukati uye unoziva nezvehutano hwako hwepabonde.
> Sources:
> American Academy of Dermatology. Genital herpes.
> American Academy of Dermatology. Molluscum contagiousum
> Centres for Disease Control and Prevention. (January 2017). Human Papillomavirus: HPV uye Men - Fact Sheet.
> Centres for Disease Control and Prevention. (February 2017). Syphilis: Syphilis & MSM (Varume Vanoroorana Nevanhu) - CDC Fact Sheet.
> Teichman JM, Thompson IM, Elston DM. Noninfectious penile lesions. Ndiye Chiremba weNzara . 2010 Jan 15-81 (2): 167-74.