Utachiwana hweHIV hunotapukira humwe humwe hunogona kuwedzera hutachiwana hweHIV
Overview
Trichomoniasis chirwere chepabonde chinokonzerwa ne-one-celled parasite inonzi Trichomonas vaginalis . Inofungidzirwa kuti mamiriyoni nemamiriyoni nemazana manomwe evanhu varume nevakadzi vanotora trichomoniasis gore negore.
Ichi chirwere chepabonde chinotapukira chinokanganisa vose varume nevakadzi; zvisinei, zviratidzo zvinowanzoonekwa kune vakadzi, zvichionekwa munenge makumi mashanu kubva kune makumi mashanu kune avo vane utachiona.
Muvanhu, hutachiona hunongogara kwenguva pfupi uye kazhinji urethral, zvinoreva kuti inobata zvikuru ruzivo rwekuvhenekera. Kunyange zvazvo hutachiona hwevarume hunopedza nguva shomanana, varume vane utachiona vanogona kutumira chirwere chechirwere kune mukadzikadzi.
Nemhaka yokuti chirwere chisingaiti mumuromo kana kuti rectum, trichomoniasis inopararira kubva kumunhu kusvika kune munhu panguva yepabonde isina kudzivirirwa.
Madzimai, nzvimbo inowanikwa yakawanda yehutachiona ndeyechikadzi, asi urethra (urinary tract) ndiyo nzvimbo inowanzobatwa nehutachiona hwevarume. Vakadzi vanogona kutapukirwa nevarume kana vakadzi kuburikidza nehutano hwepabonde zvakajeka, nepo varume vachiwanzo utachiwana nevakadzi.
Zviratidzo
Kana trichomoniasis zviratidzo uye zviratidzo zvichiitika, zvinowanzoonekwa mukati memavhiki mana ekutsvaga.
Madzimai, zviratidzo zvinowanzozivikanwa zveutachiona ndezvekuti:
- Kuzvimba kwepabonde
- Kunhuwirira-tsvina, tsvuku-ruvara rwemasvikiro
- Urombo nehupombwe uye / kana kunyura
- Kuchengeta nekutsamwisa kwemukadzi nemakumbo
- Zvinorwadza mumimba (zvishoma nezvishoma)
Varume vazhinji vachave vashoma kana kuti vasina zviratidzo mushure mekunge vaine utachiona naT . vaginalis . Zvisinei, kana ivo, ivo kazhinji vanove vanyoro uye kwenguva pfupi. Zviratidzo zvakanyanya kune varume zvinosanganisira:
- Inotyisa kunzwa "mukati" penis
- Penile kubuda
- Kupisa mushure mekunge uchizora uye / kana kuvhara
Kushamwaridzana neHIV
Vakadzi vane chirwere chepabonde, kusanganisira kuvhiringidzika nemhaka ye trichomoniasis, vane ngozi yakawanda yekutapukirwa kweHIV . Uyezve, hutachiona hwetachiona hweHIV hunowedzera hutachiwana hutachiwana hweHIV kune varume vanoita zvepabonde.
Zvidzidzo zvinoratidza kuti kupararira kwetachimoniasis kune vakadzi vane HIV vanoenda chero kupi zvako kubva pa10 kusvika ku20%, uye kuti T. vaginalis iri kubuda semumwe wevanonyanya kukosha pakudzidzisa hutachiwana hweHIV, zvikurukuru munharaunda dzeAfrica. Muchokwadi, trichomoniasis chirwere chepabonde chinonyanya kupararira nevakadzi veAfrica muAmerica, kunyanya avo vari mumaguta makuru.
Dzimwe dzidzo dzeAfrica dzakaratidza kuti trichomoniasis inogona kuwedzera mukana wekutapurirwa kweHIV neanenge kaviri.
Kurapa
Vakadzi vanorapwa nyore nyore nehana imwe chete yemushonga unorwisa mabhakitiriya anonzi Flagyl (metronidazole). Kunyange zvazvo vanachiremba vakawanda vachida kurapa nehana imwe chete, madhigiri anokwanisa kusiyanisa kubva pachiitiko chacho, sezvinotevera:
- 2 gramu eFirgyl, inotorwa seyero imwe chete
- 500 milligrams kaviri zuva nezuva kwemazuva manomwe
- 250 milligrams katatu zuva nezuva kwemazuva manomwe
Muvanhu, trichomoniasis chirwere chinowanzoenda pasina kurapwa.
Zvisinei, nokuti vanhu kazhinji havazivi nezvehutachiona hwavo, vanogona kutorazve zvirwere zvevakadzi vavo kakawanda. Nokudaro, vaviri vari vaviri vanofanirwa kuporerwa panguva imwechete kana imwe inowanikwa, kuvhara mhirizhonga yekudzorerazve.
Flagyl haafaniri kutorwa kana munhu ari kunwa doro semetronidazole inodzivisa kuparara kwedoro muropa. Somugumisiro, zviratidzo zvakadai sokurutsa, kushungurudza, misoro, uye dumbu zvinoputika zvinogona kuitika. Kuti udzivirire mimwe migumisiro yechirwere, zvakanakisisa kuti urege kunwa doro kwemaawa makumi maviri nemaviri ekutanga uye maawa makumi maviri nemaviri ekutora chirwere che Flagyl.
Kudzivirira
Kudzivirira trichomoniasis hakusi kufanana nekudzivirira chero humwe hutachiona hwepabonde.
Zvichida kana kwete pane zviratidzo zvekunze, zvichiri nani kukutevera hutano hwakachengetedza zvekurara pabonde, kusanganisira:
- Kushandisa kondomu makondomu panguva dzose dzepabonde musangana, kunyanya panguva dzepabonde.
- Kana chirwere chinonzi trichomoniasis chinotarisirwa, kuita zvepabonde kunofanira kumira kusvikira kuporesa kwomunhu ane hutachiwana uye avo vanoita zvepabonde zvapera uye zviratidzo zvose zvagadziriswa.
Pakupedzisira, kana iwe uri mu- serodiscordant (apo mumwe munhu ane HIV uye mumwe wacho haaiti), hazvifanirwi kufungidzirwa kuti piritsi yekudzivirira HIV (PrEP) uye / kana HIV inorapa ichaita kuti kondomu isati yamboita zvepabonde. Izvi zvinonyanya kuitika kana umwe wega wega ane chirwere chepabonde, icho chinogona kuwedzeredza zvakanyanya kukwanisa kwekutapukirwa kweHIV.
Sources:
Zvivako zveDaase Control; "Trichomoniasis Fact Sheet"; Dhipatimendi reUnited Health Health and Human Services; 2007.
Sorvillo, F .; Smith, L .; Kendt, P .; et al. "Trichomona vaginalis, HIV, uye African Africa." Emerging Infectious Diseases. December 2001; 7 (6): DOI: 10.320 / eid0706.010603.