Chlamydia ndiyo chirwere chepabonde chinotapurirana (ITSI) chinofanira kutarisirwa nemishonga inorwisa mabhakitiriya. Kana yakashandiswa zvakanaka, mishonga inorwisa mabhakitiriya inogona kurapa chirwere ichi uye kudzivirira mamwe matambudziko. Mishonga, zvisinei, haidzivisi kutapurika mune ramangwana, uye kugadziriswa kunowanzoitika. Izvo zvose zvinokurudzirwa uye zvinoshandiswa nemishonga inorwisa mabhakitiriya, pamwe nemazano akakurudzira kune vakadzi vanove kana kuti vanogona kunge vane pamuviri .
Over-the-Counter Therapies
Pasi-the-counterrapies haisi kubudirira kurwisa chlamydia uye haifaniri kushandiswa. Vaginal vagination douching inofanira kudziviswa sezvo kune ngozi yokuti inogona kukonzera mabhakitiriya akakwirira mumharaunda yevakadzi, kuwedzera njodzi yehutachiona hwepachivi (infidmatory disease) (PID) uye zvinetso zvinosangana nayo, zvakadai sokushaya vana uye kusuruvara kwenguva refu.
Kana ukawana chlamydia-related discharge bothersome, ramba uchiyeuka kuti ichakurumidza kukura nemishonga yekurapa. Kupfuura-the-remedies remedesi hakubatsiri uye kunogona kukuita kuti usanyanya kunetseka.
Zvinyorwa (Vasati Vabereki Vakura)
Chiremba angaronga imwe yezvirwere zviviri zvinorayirwa kune vasiri vanhu vasina pamuviri vasingagumiri kune mishonga iyi:
- Zithromax (azithromycin) -1 g gramu mumuromo mumwe chete
- Vibramycin / Doryx (doxycycline) -100 mg muromo kaviri pamusi kwemazuva manomwe
Zvose izvi zvinofungidzirwa kuti zvakaenzana nekugadzirisa zvirwere zvegital chlamydia, uye hakuratiki seine chero chinhu chakakosha chechihlamydia kune imwe nzira.
Proctitis (rectal chlamydia), zvisinei, inopindura zviri nani kuita doxycycline kupfuura azithromycin. Mhosva dzakawanda dzeproctitis dzinowanzobatwa se lymphogranuloma venereum (ona pasi apa).
Zvimwe zvinogona kuwanikwa, kunyange zvingasave zvinobudirira kana zvinogona kukonzera mamwe matambudziko. Iyi mishonga inofanira kungoshandiswa neavo vanoratidzira kana kuti vakave nemagumisiro akaipa kune mazano anorwisa mabhakitiriya.
Zvimwe zvirongwa zvevanhu vakuru vasina kubata zvinosanganisira:
- EryC (erythromycin base) - 500 mg kana kane zuva nezuva kwemazuva manomwe
- EES / EryPed (erythromycin ethylsuccinate) -800 mg kana kane pazuva kwemazuva manomwe
- Levaquin (levofloxacin) -500 mg kamwe pazuva kwemazuva manomwe
- Floxin (ofloxacin) -300 mg kaviri pazuva kwemazuva manomwe
Erythromycin inoratidzika isinganyanyi kubudirira pane imwe sarudzo, asi izvi zvinokonzerwa nekushushikana uye kusuruvara kunokonzerwa nemishonga inorwisa maitiro (iyo inokonzera vanhu kuderera doses) panzvimbo yekushaya simba.
Paunoyera zvaunogona kuita, funga izvi:
- Vamwe vanhu vanowana nguva imwe chete yeZithromax kuti ive yakanyanya kusarudzwa. Iwe unogona kunyanya kuda kuzvifunga kana iwe uchida kukanganwa kutora mishonga.
- Mitengo yemishonga iyi inosiyana. Pamamwe marapirwo akasiyana, somuenzaniso, Floxin (ofloxacin) kazhinji inodhura zvikuru.
Kune avo vasina pamuviri, hapana kunyatsotevera pashure pekurapa kunorudzirwa. Kana iwe uchiramba uine zviratidzo, zvakadaro, iwe unofanira kuona chiremba wako.
Zvinyorwa (Vakadzi Vabereki)
Mishonga inorayirwa kuvakadzi vane pamuviri yakasiyana neyepamusoro. Kana iwe uri nepamuviri, haufaniri kutora doxycycline, ofloxacin, kana levofloxacin. Doxycycline, somuenzaniso, inogona kukanganisa kufambira mberi kwemapfupa mumucheche uye kunokonzera kubuda kwemeno.
Zithromax (azithromycin), 1-gramu imwe, muromo wemuromo, ndiyo chete inorayirwa kurapwa kunze kwekuti iwe uri kurwara kune mishonga kana kuti wakambosangana nematambudziko mushure mekuitora. Izvo zvose zvakachengeteka uye zvinobudirira kuvakadzi vane pamuviri.
Dzimwe nzira dzokurapa dzinofanira kungoshandiswa chete nevadzimai vane pamuviri vane zvirwere zvepfungwa kana kuti avo vakave nechinetso chakaipa kuna Zithromax. Zvimwe zvinosanganisira:
- Amoxycillin-500 mg katatu zuva nezuva kwemazuva manomwe
- EryC (erythromycin base) -500 mg zuva rega rega kanomwe zuva nezuva kwemazuva manomwe
- EryC (erythromycin base) -250 mg kanomwe zuva rimwe nerimwe kwemazuva 14
- EES / EryPed (erythromycin ethylsuccinate) -800 mg kana kane zuva nezuva kwemazuva manomwe
- EES / EryPed (erythromycin ethylsuccinate) -400 mg kanhi zuva nezuva kwemazuva 14
A 2017 kuongororwa kweongororo yakawanikwa yakafanana kurapwa kwemitengo pakati pezvinhu izvi. Zithromax, zvisinei, yakaonekwa kuti inokonzera zvishoma zvinokonzera kupfuura maitiro e erythromycin. Nausea nekurutsa nekuda kwe erythromycin inowanzosvibiswa uye inogona kuwedzera kuwedzera nekurwara kwemazuva munguva yekutanga kwemutatu.
Kuita zvepabonde Zvinofungwa
Apo iwe uri kurapwa nokuda kwechlamydia, zvakakosha zvikuru kuti vako vanoita zvepabonde (chero wawakamboita zvepabonde naye mukati mezuva makumi matanhatu nguva isati yasvika iwe unorwara) inobata pamwe chete. Kana vasina, iwe unogona kupedzisa kupedza hutachiona hwekare nekupakati pakati pako.
Usava nemishonga inorwisa mabhakitiriya. Kunze kwekuti inogona kunge isina kukurudzirwa kune mumwe wako, hutachiwana hwako hahuzoparadzwi pasina mushonga wako wose.
Iwe unofanirwawo kurega zvepabonde kwemazuva manomwe mushure mekutanga kurapwa kwako kana kusvikira wapedza. Izvozvo zvichakubatsira kuti urege kutapurirana nevarume vako vepabonde.
Kunyangwe iwe wapedza ma antibiotic yako, tevera nachiremba wako kana zvirwere zvako zvichirambira uye uenderere kurega zvepabonde kusvikira akuongorora. Kana kudzivisa hazvibviri, ita kuti ushandise kondomu kune zvose zvese zvepabonde, kusanganisira muromo wepabonde.
Kurapa Kwezvinetso
Izvo zvinetso zve chlamydia zvinowanzobuda kubva kune hutachiona husina kutapurirwa, saka kurapwa kwataurwa pamusoro apa kunonyanya kukosha. Kana zvinetso zvikaitika, chirwere chechlamydia chinorapwa nemishonga inoratidzira iyo inotaurwa pamusoro, asi mamwe maitiro anogona kudiwa zvakare.
Chirwere chechipembenene chinoputira (PID) chine unyoro chinogona kurapwa sechirwere chetachiona chisingaverengeki, asi mhosva dzakaoma dzinogona kudikanwa muchipatara uye mishonga inorwisa mabhakitiriya. Sezvo zvinogonawo kuva zvakaoma kutaurira kana chirwere chacho chinokonzerwa nehuwandu huwandu hwe microorganism, maviri antibiotic (uye dzimwe nguva akawanda) angadikanwa. PID inogona kukonzera kubhekwa (kukohwa kwepus iyo yakakomberedzwa nemuviri), iyo inogona kuda mvura.
Zvirwere zvakadai sokuvhiya kubvisa zvisikwa zvitsva zvinogona kudiwa kune avo vari kutarisana nekushaya simba semugumisiro wehutachiona. Sezvo ectopic pamuviri inowanzoonekwa kune vakadzi vane PID, kunyatsoongorora uye kurapwa kwekutakura pamuviri, kana zvichiitika, kunokosha.
Kusuruvara kurwadziwa kwepisvosi yakabatana nezvirwere zve chlamydial mumadzimai kana varume zvakaoma kurapa, uye zvinowanzoda kusanganiswa kwemaitiro.
Vacheche nevana
Chlamydia zvirwere mumavangwana uye vana zvakanyanya kudarika kuti utachiona hwevanhu vakuru.
Kana mwana akawanika ane utachiona nechlamydia, danho rokutanga (kunze kwekusimudzira mwana) nderokuziva kana chirwere chacho chakaparidzirwa panguva yekuberekwa kana kubvumirana pashure.
Vacheche vanovaka maziso ekuona kana pneumonia (mushure mekunge vabvumirana chlamydia kubva kune amai vane chlamydia isina kubatwa panguva yekuzvarwa kwevakadzi) vanoda kurapwa nemishonga inorwisa mabhakitiriya. Neyo pneumonia, mushonga unorwisa mabhakitiriya unowanzodiwa.
Vana vakwegura (pakati pemakore gumi nemakore zvichikwira) vanofanira kutarisirwa sevanhu vakuru, asi vana vaduku, kunyanya avo avo vanofanirwa kutanga, vanofanira kuongororwa nachiremba ane nyanzvi yekuongorora zvirwere zvepabonde kune vana.
Zvirwere mumakore matatu ekutanga ehupenyu zvinogona kuva zvirwere zvinoramba zvichiitika kubva pakuberekwa, asi chero hutachiona hwemwana hunoda kubvunzurudzwa nekushungurudzwa kwepabonde kwevana.
Kurapa Kwemamwe Marudzi
Dzimwe mimwe miviri inokonzerwa neClamydia trachomatis isiri muUnited States, asi inowanikwa pasi rose:
- Lymphogranuloma venerium (LGV): Lymphogranuloma venereum inobatwa nenzira yakafanana neyese yegital chlamydia zvirwere, asi kwenguva refu yerapi inoshandiswa (mazuva 21 panzvimbo pechinomwe). Zvimwe zvekuchengetedza zvinogonawo kudiwa kurapa zvipembenene zvepabonde kana nhengo dzisina kuvhara kana dzisina kuitika kana dzikaitika.
- Trachoma: Trachoma ndiyo inokonzera kukonzera pasi rose uye kazhinji inoda kurapwa nemishonga inorwisa mabhakitiriya nekuvhiya; Kutaura nezvehupenyu husina kuchena hunodiwawo.
Lifestyle
Kuwana kuongororwa kwe chlamydia mukana wakanaka wekutarisa mararamiro ako uye kuona kana chero chinhu chinogona kuchinjwa kuti kuderedze njodzi yako.
- Tora kanguva kuti uongorore zvakachengeteka zvepabonde .
- Taura nemumwe wako wepabonde (s) pamusoro pehupenyu hwavo hwekuongororwa semhaka.
- Tora nhamba yehuwandu hwehutano hwehutano hwako. Zvakakosha kuti vakadzi vawane Pap smear yavo yegore negore uye, zvichienderana nezera, chlamydia gore negore, semuenzaniso.
Muviri hauna hutachiona hwe chlamydia sezvinoitwa kune zvimwe zvipembenene, saka kudzorera kunowanzoitika.
> Sources:
> Centres for Disease Control and Prevention. Chlamydia-CDC Chikafu Chaicho. Updated 10/04/17. https://www.cdc.gov/std/chlamydia/stdfact-chlamydia.htm
> Cluver C., Novikova, N., Eriksson, D., Bengtsson, K., naG. Lingman. Zvinyorwa zveKubata Genital Chlamydia Trachomatis Infection muKubata. Cochrane Database yekuongorora kwakarongeka . 2017. 9: CD010485.
> LeFevre, M., US Preventive Services Task Force. Kuongorora kweClamydia neGonorrhea: US Preventive Services Task Force Recommendation Statement. Anals of Internal Medicine . 2014. 161: 902-10.
> Workowski, K., naG. Bolan. Nzvimbo dzeDaase Control uye Kudzivirira. Zvirwere zvepabonde Zvirwere Zvinyorwa, 2015. Chlamydial Infections MMWR. 2015. 64 (Kwete. RR-3): 1-137.