Kana iwe uchifungidzira kuti wakatapukirwa negonorrhea , zvakakosha kuona chiremba. Iye achaunganidza urinho sarudzo kana kuti kusungira nzvimbo iyo inofungidzirwa kuti inotapukirwa (vagina, urethra, kana throti, somuenzaniso) uye kutsvaka kutsigira kuongorora kuburikidza nekushandiswa kwebhakitiriya tsika, kugadzira gem, kana kuti genetic test . Kana iwe usingakwanisi kuona chiremba, kana iwe unofarira kubata izvi uri woga, panewo makate anokubvumira kuzviongorora kubva kumba.
Nokuti gonorrhea inowanzovapo isina zviratidzo, vanhu pahuwandu huwandu hwekutsvaga vanogona kurairwa kuti vatsvake kuedza kweizvi nezvimwe zvirwere zveSDD, pasinei nokuti vanonzwa sei.
Labs uye Miedzo
Kune mimwe miedzo mitatu inoshandiswa kuongororwa gonorrhea, imwe neimwe yadzo inobatsira uye zvisingakwanisi. Mukuwedzera kune gram-staining uye tsika dzebhakitiriya, inyanzvi itsva, inonzi nucleic acid amplification test (NAAT) , inogona kupa uchapupu hwehutachiona hwehutachiona.
Nucleic Amplification Test (NAAT)
I NAAT ndiyo maitiro ekuenzanisa maitiro ekutanga ekugadzirwa muna 1993. Ndiyo nzira yakakurudzirwa yokuongedza urinary uye genorrhea nekuda kwekukurumidza nekururama.
Panzvimbo pokutsvaga bhakitiriya pachayo, NAAT inoratidzira maitiro akasiyana naN . gonorrhoeae . Izvo zvinodaro nokuwana zvidimbu zveDNA yebhakitiriya kubva mumuenzaniso wemuti kana kuti swab yemukadzi, chibereki, kana urethra (mumarume). Nenzira inonzi thermocycling, iyo michina inonyorwa kakawanda kusvikira paine anenge mabhiriyoni emakopi.
Nokupa ruzivo rwemagadzirirwo ehutachiona, NAAT inogona kupa mhinduro yakarurama mukati maawa mashomanana. Iwe unogona kutarisira kugamuchira mitsva yako yekuedza mukati memazuva maviri kusvika matatu.
Kunyange zvazvo nzvimbo dzekurapa nekudzivirira (CDC) dzinokurudzira kuti NAAT ishandiswe kuongorora zvirwere zvegonorrheal ye rectum nehuro, Food and Drug Administration haisati yabvumidza kuedza kwekushandisa kwakadaro.
Mabhakiteriya Mutsika
Bhakitiriya tsika inogona kunyatsobudirira pakuongorora gonorrhea yemakumbo, rectum, maziso, kana kuti nehuro. Mushure mokutora swab yepepa inenge yafungidzirwa, masero akaunganidzwa achawedzerwa kune zvinhu zvakagadzirirwa kukurudzira kukura kwaN . gonorrhoeae . Kana pane kuwedzera, muedzo unofadza. Kana pasina kuwedzera, muedzo hauna kunaka.
Chimiro chinogona kushandiswawo kuongorora kana bhakitiriya inopesana chero ipi zvayo ine mishonga inorwisa mabhakitiriya. Izvi zvakakosha kudzidza kana chirwere chinokundikana kubvisa utachiona kana pane chirwere chegonococcal (DGI) chakaparadzirwa, chirwere chakakomba umo mabhakitiriya akapararira kuburikidza neropa kusvika kune nhengo dzakawanda.
Kunyange zvazvo tsika inogona kupa uchapupu hwakasimba hwehutachiona, muedzo unogona kukanganiswa kana swab isati yatorwa zvakanaka. (A gonorrheal swab inoda masero ose mucosal uye kubuda kwepachirwere.) Chigadzirwa chebhakitiriya chinotonhora-uye chinogona kunge chisina kunyatsogadzikana kana pane zvikanganiso mukubata, kuchengetedza, kushandiswa, kana kushandiswa kwemuenzaniso.
Kazhinji, zvinogona kutora kubva pamazuva mashanu kusvika kune manomwe kuti uwane migumisiro yebhakitiriya yako tsika.
Gram Sdzing
Gram staining is a method in which special dyes are used to destroy the walls of a bacteria so that they can be isolated and identified under microscope.
Gram kuchenesa inzira inobatsira yekuongorora hutachiwana hwehutachiona hwevarume. Iro inowanzoitwa nekuwana shanduko kubva murerera pamwe ne "kutanga kubata" urini samuenzaniso. ("Kubata kwekutanga" inzira inoshandiswa kugadziriswa kweawa imwe chete isati yaunganidzwa uye chete 20 kusvika ku 30 milliliters emukoro inounganidzwa kubva pakuyerera.)
Gram inopisa, zvakasiyana, inonyanya kukoshesa vakadzi nokuti kukosha kwaN. gonorrhoeae kunowanzopararira uye nyore nyore kukanganisa kune mamwe mabhakitiriya anowanzoitika mumuviri. Uyezve, nokuti chirongwa chegamu chinonzwisisika pasi, chikonzero chakaipa chevarume vevanhu vasingagoni kuonekwa sechinhu chakasimba.
Muzviitiko zvose, mamwe maitiro ekuedzwa aizodiwa.
Kazhinji kutaura, iwe unofanirwa kutarisira kugamuchira yako gram stain test results mumazuva maviri kusvika matatu.
Kusiyanisa Kuziva
Kunyange zvazvo zvimwe zviratidzo zvegonorrhea zvingaratidzika sezvisingagadziri kwauri (zvakadai sokusununguka kwemamiriki kubva kuchirume), pangave nezvimwe zvinokonzera izvo chiremba achada kuongorora izvo zvakafanana zvakafanana. Izvi zvinosanganisira:
- Urinary tract infections
- Herpes simplex urethritis
- Vaginitis
- Bacterial vaginosis
- Internal hemorrhoids
- Epididymitis
- Mucopurulent cervicitis
- Bacterial conjunctivitis
- Orchitis
Kudzika-Cheki / Pamba-Kuedzwa
Kana iwe uchifunga kuti ungangodaro wakaiswa kune gonorrhea, unogona kutarisa zviratidzo uye zviratidzo usati watsvaga muedzo. Yeuka, zvisinei, hazviitike kakawanda uye, kana zvikadaro, zvinogona nyore kukanganisa kune chimwe chinetseka. Zvakanaka kuongororwa kuti utsigire kufungidzira kana kuisa pfungwa dzako nyore nyore.
Stigma, kunyara, uye kutya kudururwa ndezvimwe zvezvikonzero nei vamwe vanhu vachidzivisa kuongororwa zveSDD. Muzvokwadi, maererano nemushumo unobva kuCDC, maSDD asingawaniki anokonzera kusununguka kwevakadzi vanopfuura 20 000 veAmerica gore negore.
Kumugumo uyu, nhamba inowedzera yevatsigiri vehutano hwepaguru yakatsigira kushandiswa kwepamba-kutengesa matanho epamba, iyo inopa vatengi kuzvigadzirisa uye zvakavanzika zvavanoda.
Imiti yakakurumbira inotengeswa pamusha yegonorrhea inoda iwe kuti uwane swab uye / kana urinisi sampu mumba uye uzvitumire kubasa rekuongorora. Iwe unyoresa pane imwe nzvimbo yakachengeteka kuti uwane mitsva yako mumazuva matatu kusvika mashanu ebhizimusi.
Pasinei nekukumbira kwekuongorora kwekumba, pane zvakawanda zvinokanganisa. Kuunganidza zviyero zvinowanzova zvakaoma kupfuura vakugadziri vanoratidza, uye kushandiswa kwevashandi kwakazara. Zvizhinji zvemakambani hazvisi pachena pamhando yezviedzo zvavanopa kana kururamisa kwavo (sezvakayerwa nekunzwisisika / tsanangudzo). Uyezve, mari yekiti inogona kunge yakarambidza, kutanga pamadhora makumi mana nematanhatu kweSDD imwe chete uye kupfuura $ 300 yeSDD yakananga.
Chimwe chiedzo chekuzvidzivirira zvachose ndeichikurumidza gonorrhea test strip. Kunyange zvazvo urini- uye miviri yakadzivirirwa inogona kuunza mhinduro mune zvishoma zvishoma nemaminitsi gumi nemashanu, inopa kunzwisisika kwe 60 chete kubva kune makumi manomwe kubva muzana-kureva kuti vazhinji vezviviri zvezvishanu zvese vachadzoka mutezo wenhema.
Kana Ukaedza Zvakanaka
Kana mhinduro yakanaka yegonorrhea inogamuchirwa, chirwere chakakwana cheSDD chinofanira kuitwa, kusanganisira chlamydia, syphilis, trichomoniasis, uye HIV. Ko-kutapukirwa kune yakawanda pakati pezvirwere zveSDD, uye vamwe, vakaita seHIV, vanokwanisa kutarisa utachiona kana mumwe aripo. Kana iwe wakashandisa kuedza-kumba, kutsvaga kuongororwa kwakawedzerwa kubva kuchiremba kunorayirwa.
Zvinonyatsokurudzirwa kuti uone nevarume vako vanoita zvepabonde kuti uvazivise nezvekuongorora kwako uye kukurudzira kuti vaongororwe (uye vabatwa, kana zvichidiwa).
Kana imwe chirwere ichipera, chirongwa chekutevera hachidikanwi kusimbisa kuti hutachiona hwakanatswa chero bedzi ma antibiotic anokurudzirwa anoshandiswa. Zvisinei, kupa chikwata chepamusoro chekudzorerazve, chiremba wako angakukumbira kuti iwe udzoserwe mumwedzi mitatu pasinei nokuti shamwari dzako dzakarapwa kana kwete.
Kuongorora Mazano
Gonorrhea ndiyo yechipiri inowanzoshandiswa STD muUnited States, inotarisa zvirwere zvinopfuura 800 000 gore negore. Kumugumo uyu, US Preventive Services Task Force inokurudzira kuti kuongororwa kwegonorrhea nedzimwe zvirwere zvinowanzoitika kune vanhu vari pangozi yekutengesa uye / kana zvirwere zvinetso.
Pakati pezvikurudziro:
- Gonorrhea uye chlamydia inofanira kuongororwa mumadzimai ose anobata zvepabonde avo vari mungozi yakawandisa yekusununguka.
- Gonorrhea uye chlamydia inofanira kuongororwa mumadzimai ane pamuviri ari kune ngozi yakawanda.
- Syphilis, hepatitis B, uye HIV zvinofanira kuongororwa mumadzimai ose ane pamuviri.
- Syphilis, hepatitis B, uye HIV zvinofanira kuongororwa nevarume kana vakadzi vane ngozi yakawanda.
- Kuongororwa kweHIV kunofanirwa kuitwa sechikamu chekugara kwachiremba kwekushanyira vanhu vose vane makore 15 kusvika ku65.
Iwe unofunga kuti uri pangozi yakawanda kana iwe wakamboita zvepabonde vakawanda uye / kana wakaita zvepabonde zvisina kudzivirira (kusanganisira muromo wepabonde ). Kunyangwe kana kujekesa kwakaitika makore apfuura, zvakakosha kuongororwa. Kana iwe uine utachiona, ucharamba uine hutachiwana kusvikira wapora uye unogona kuunza hutachiwana hukama hutsva husingazivi.
Kuti uwane nzvimbo yekuedza pedyo newe, shanyira mutsva weCDC uri paIndaneti. Mazhinji emakiriniki akatarirwa anopa kuongorora kwakadhura kana kusingabhadhari zvakavanzika kune vagari vanoziva.
Sources:
> Centres for Disease Control and Prevention. CDC Dhiyabhorosi Dhiyabhorosi: Dhidhiyo dzinorondedzerwa muUnited States, 2016 - High Burden of STD Inoparadza Mamiriyoni eAmerica. Atlanta, Georgia; yakabudiswa muna September 2017.
> CDC. 2015 Zvirwere Zvepabonde Zvirongwa Zvokurapa: Gonococcal Infections. Yakabudiswa June 4, 2015; yakarongedzwa naJanuary 4, 2018.
> Lee, K .; Ngo-Metzger, Q .; Wolff, T. et al. Zvirwere zvepabonde: Mazano kubva kuUnited States Preventive Services Task Force. Ndiye Chiremba weNzara. 2016; 94 (11): 907-915.
> Workowski, K .; Bolan, G ;; Nzvimbo dzeDaase Control uye Kudzivirira. Zvirwere zvepabonde zvinotapurirwa maitiro ekurapa, 2015. MMWR Nyaya Rep . 2015; 2015; 64 (33): 924.