Chlamydia ndiyo chirwere chepabonde chinotapurirwa kazhinji chinenge chisina zviratidzo. Pasinei neizvi, chlamydia inogona kukonzera zvinetso zvingaguma zvichitungamirira mukusaziva uye zvimwe zvinetso. Zvinosuruvarisa, hapachina muedzo weimba unogona kushandisa kuti uione, uye zviratidzo zve chlamydia hazvionekwi sehupupu hwehutachiona. Kuedza ne swab urethral, swab yemukati kana chirwere, kana urinini kuongorora kunogona kuziva kana iwe une chirwere uye unoda kurapwa.
Self-Checks
Tinotaura nezvekuongorora-cheki kungosimbisa kuti chlamydia inogona kuongororwa zvakajeka mumakiriniki nemimwe miedzo yebazi. Iwe unogona kutarisa kumusoro zviratidzo zve chlamydia , uye ivo vakanaka kuti vazive. Asi pane zvakawanda zviri pakati pavo uye zvevamwe zvirwere.
Uyewo, ramba uchifunga kuti vazhinji vevanhu havana zviratidzo nezvirwere zvechlamydia. Iga 5 kubva muzana kusvika ku30 muzana yevakadzi uye 10 muzana yevarume vachave nezviratidzo nezvirwere.
Labs uye Miedzo
Iko kune miedzo shomanana yakasiyana-siyana inogona kuitwa kutarisa kuvapo kwechlamydia. Izvi zvinogona kuitwa kana iwe uine zviratidzo kana sechiitiko chekuongorora kana uchiita zvepabonde.
Miedzo Yakajairika
Miedzo yakajairika ndeye nucleic acid amplification tests (NAATs). Izvi zvinogona kumhanya pane:
- Urine specimen
- Urethral swab (varume)
- Endocervical swab (vakadzi)
- Vaginal swab (vakadzi)
Vanachiremba uye makiriniki vanosiyana mune zviedzo zvavanosarudza.
Zvinokwanisika kuedza chlamydia pamuenzaniso weuyu. Zvisinei, havasi vanachiremba vose vanoda kuita urinho rwemadzimai. Vashandi vakawanda vehutano vanosarudza kushandisa sermical samples, sezvavakambofungidzirwa kuti vape mhinduro yakarurama.
Izvozvo zvakati, kana iwe usingawanzo kuwana chirwere chechlamydia kana ichida swab, bvunza urinini yekuedza.
Inogona kunge isingatenderi sechinhu chisingaitiki, asi ichiri chiitiko chakanaka zvikuru.
Cherechedza kuti mutsara wepamusoro wekuedzwa hauna kusanganisira Pap smear . Kana iwe wakanga uine kuongorora kwemazuva ano, iyo inofanirwa kuve yakabatanidzwa muedzo iwoyo semamiriro ezvinhu, usafungidzira kuti wakamboedzwa chlamydia; Pap haigoni kuona mabhakitiriya anosangana.
Saizvozvowo, kana wakamboongororwa nezvimwe zvirwere zvepabonde zvinotapurirana pabonde, usafungidzira kuti wakamboedzwa chlamydia. Hakusi chete kuti chlamydia inoda kuedza kwayo, asi kurapwa kune dzimwe dzezvirwere zvepabonde / STDs hazvigoni kurwisa chlamydia.
Zvaunotarisira
Nzira iyo vanachiremba vanoedza nayo chlamydia yakasiyana chaizvo nevakadzi nevarume. Izvi zvinokonzerwa nenzvimbo iyo chlamydia inopinda mune zvepabonde rimwe nerimwe.
- Vakadzi: Gynecologist wako angangodaro anoshandisa speculum kuona bonde rako. Achatora muenzaniso kubva pamuviri wako uchishandisa swab duku, iyo inotumirwa kubasa.
Zvishoma nezvishoma, vagabhiji vevakadzi vanogona kuitwa. Zvidzidzo zvemazuva ano zvinoratidza kuti swabs emudzimai iyo vakadzi vanozviita ivo pachavo vakarurama (kana kwete) kupfuura avo vanoitwa nevashandi vehutano. Izvozvo zvakati, mumamiriro ezvinhu akawanda, chiremba achakurudzira kuti aite swab, ingave inopedzisira iripo kana kuti yemukadzi.
Kana uri kusarudza kuongorora urinhi, iva nechokwadi chekuuya kuhofisi yako yehutano wehutano nehuyu chizere.
- Varume: Chiremba wako angakukumbira kuti uwane urinho kana kuunganidza muenzaniso kubva mukati memusoro wepenisi yako uchishandisa swab duku. Ichi chiyeuchidzo zvino chinotumirwa kubhorosi yekuongorora. Haasi vanachiremba vose vanoita urini miedzo ye chlamydia. Zvisinei, unofanirwa kunzwa uine rusununguko kukumbira kana kana kuti kwete kuwana urine muedzo we chlamydia isarudzo. Iwe unogonawo kudana chiremba wako mberi kuti uone kana kuongorora kwemuti kuchiwanikwa.
Chlamydia kuedza kunovandudzika, uye miedzo inowanzodzoka mukati maawa mashomanana, zvichibvumira kurapa kwakakurumidza kwehutachiona.
Rectal and Oral Swaps
Rectal swabs neshoko swabs zvinogonawo kufungidzirwa kune avo vane unhu hwepabonde hwekunzwa kana zvepabonde dzisina kudzivirira .
Unyanzvi hwehutano hwako hunogona kupedzisa kusarudza kukupa muedzo wakasiyana, asi zvakanaka kuti azive pamusoro penyaya iyi zvisinei.
Hazvirevi kuti swab rectal kana muromo wemuromo zvinogamuchirwa kuongororwa, asi kutsvakurudza kunoratidza kuti kuita izvi zvidzidzo zvekare zvinokosha. Semuenzaniso, chidzidzo che 2017 chakawana kuti pakati pevarume vanoita zvepabonde nevarume (MSM), 13 muzana vaine rectal chlamydia zvirwere asi 3.4 muzana chete vakanga vane positive urethral swab. Madzimai (mune imwe nzvimbo yemuguta muUnited States), 3.7 muzana vakawanika kuti vane hutachiona husina kukwana. Vaya vari pasi pezera remakore gumi nemasere vane huwandu hwepamusoro hwehutachiona husina kukwana.
Mirayiridzo
Ikozvino yakakurudzirwa kuti vakadzi vanoita zvepabonde vava nemakore makumi maviri nepamana uye vanoongorora gore negore re chlamydia. Izvi zvinogona kuitwa panguva imwe chete sePega smear gore negore. Kunyanya kuongorororwa kunogona kukurudzirwa kune vechidiki.
Kune vakadzi vakuru vanopfuura 25 , kuongorora gore negore kunofanirwa kuitwa kune avo vari pangozi yakawanda, yakadai sevaya vane shamwari itsva, varoorana vakawanda, kana kunyanya, kana vari kune mumwe munhu ane chirwere cheDDD.
Kuongorora kuwanikwa kwakave kwakakosha uye kunonyanya kuderedza ngozi yemukadzi ari kuwedzera chirwere chinoputika chepachivic (PID ). Sezvo PID inogona kukonzera kusabereka, pakati pemamwe matambudziko, izvi zvinonyanya kukosha.
Varume vanoita zvepabonde nevarume (MSM) vanofanira kuongororwa zvishoma gore negore (zvose zvebonde uye rectal sites of exposure). Kune avo vane HIV kana vazhinji vakaroorana, kuongorora kunofanira kuitwa kwemwedzi mitatu kusvika kumitanhatu. Chidzidzo che2013 chakawana kuti kuongorora nguva dzose kweMSM kunogona kuderedza dambudziko reChlamydia neHIV ne15 muzana uye 4 muzana, zvichienderana. (Chlamydia inowedzera mukana wekutapukirwa neHIV.)
Kunyange zvazvo pasina mazano akajeka okuti varume vanoita zvepabonde , kuongorora kunofanirwa kunyatsoongororwa. Vanenge kaviri nevakadzi vakawanda sevarume vanoongororwa kuti vane chlamydia, zvichida nekuda kwekushaya kukwana kwevarume. Kusvikira zvirongwa zvichisarudzwa, varume avo vari kunze kwehukama hwemakore akawanda vanofanirwa kukumbira kuedza, kunyanya kune gore negore, uye kakawanda sezvinodiwa.
Kukumbira Kuedzwa
Kune zvikonzero zvakawanda nei vanachiremba vachikundikana kuedza maSDD- uye nei iwe uchida kutanga kutaurirana uye kukumbira muedzo iwe pachako. Kunyangwe nekuongorora mazano mumunzvimbo, maitiro mazhinji anoenda asina kuonekwa uye haana kuonekwa.
Iva nechokwadi chekukumbira test chlamydia, kunyanya kana mumwe wevamwe vako vakaonekwa kuti ane STI / STD, kana kuti iwe uri kuita zvepabonde kunze kwekugara kwenguva yakareba ukama hwomumwe chete.
Vakawanda vanonyara kubva pakuedzwa kwakadaro nekuda kwemanzwiro avo vachazotongwa nekuda kwehupfumi hwavo. Ziva kuti chlamydia yakakurumbira uye inowanikwa kune vanhu vanobva kumarudzi ose ehupenyu. Zvinongotora chiitiko chimwe chete chepabonde nemumwe munhu anotakura mabhakitiriya kuti akure hutachiona.
Kana kukumbira mushandi wako wehutano kwekuedzwa kwakaoma iwe, tarisa dzimwe nzira dzekugadzirisa nyaya yacho . Uye kana ukakumbira uye usingadi mhinduro yaunowana, funga kutsvaga mushandi wehutano hutsva.
Migumisiro nekutevera-Ups
Kana iwe uine muedzo wakanaka, zvakakosha kutaurirana kune umwe waunobata naye pabonde wawakave nawo mumwedzi miviri yapfuura uye anopa kuti vaone chiremba kuti aongorore uye kurapwa.
Sezvo chero ipi zvayo yeongororo yekuongorora, kune mikana yekukanganisa. Kunyange zvazvo kunzwisiswa kwema chlamydia inoshandiswa mazuva ano kwakanaka, vangave vachiri kushaya zvirwere (zvinokonzerwa nenhema-maitiro). Izvi zvinorevei kuti kana iwe uine zviratidzo, unofanirwa kutevera nechiremba wako-kunyange kana iwe wakanga uine mhinduro yakaipa.
Panewo pangozi duku yezvakaitika-zvenhema, iyo munhu ane chlamydia yakanaka asi kwete chaizvoizvo nehutachiona. Izvi zvisinganyanyi kunetseka zvachose, sezvo vanhu vakawanda vanoregerera kurapwa kwechlamydia zvakanaka, uye nekukanganisa kuporesa vanhu vashomanana vasina chirwere chiri nani kudarika kurasikirwa nevaya vanoita.
Kudzokororazve Mushure mekurapa
Vakadzi vakwegura vanofanira kudzorerwa shure kwemavhiki matatu mushure mekunge kurapwa kwapera. Vakadzi vane pamuviri vari pangozi yakawanda vanofanirwawo kuongororwa zvakare mumatatu matatu.
Asi zvirokwazvo ani naani anoramba achizviratidza anofanira kuongororazve. Kudzokororazve kunogona kuitika, uye maitiro akawanda anowanikwa mushure mekurapa ndeyekuda kweizvi, pane kukanganisa kwemishonga pachayo pachako. Kuwanazve kuedzwa kwemwedzi mitatu mushure mekurapa kwechlamydia inokurudzirwa varume nevakadzi, kunyange avo vanoziva vavakaroorana navo vakabatawo.
Kusiyanisa Kuongorora
Vaginal kubuda mumadzimai kune zvikonzero zvakawanda, kubva kubhakteria vaginosis kusvika kune yezvipembenene zvipembenene, kune chlamydia, kune humoni inoshanduka. Saizvozvowo, kune mhando dzakasiyana dzemamiriro ezvinhu zvinogona kukonzera marwadzo nekuita zvepabonde, kubuda ropa pakati penguva kana nepabonde, nezvimwe.
Kune varume nevakadzi, kurwadziwa uye kupisa nekukanganwa kunogona kuva nezvinokonzera zvakawanda, kusanganisira zvirwere zvechirwere nedzimwe zvirwere.
Saka, apo nyanzvi yezvehutano inogona kunge yakanganisa chimwe chinhu kana chimwe, kana iwe ukapa zviratidzo zvachose, maongororo emarongerwo anokosha kuti aite chlamydia yakagadziriswa nekusarudza kurapa kwakakodzera. Mukuwedzera, zvinogoneka kuti mumwe munhu ave nechlamydia uye imwe hutachiona panguva imwe chete, uye kuedza kunogona kubatsira rudzi rwekuti kana zvakadaro.
Tine mimwe miedzo yakanaka yekuwana chlamydia, uye kana zvakanaka, maitiro akanaka ekurapa utachiona. Asi pasina kuongororwa, kurapwa hakuiti, uye pasina kurapwa, zvinetso zvakadai sekushaya vana kunogona kuitika.
> Sources:
> Centres for Disease Control and Prevention. Chlamydia-CDC Dhiyabhorosi Yechokwadi (Inotsanangurwa). Updated 10/04/17. https://www.cdc.gov/std/chlamydia/stdfact-chlamydia-detailed.htm
> Frati, E., Fasoli, E., Martinelli, M. et al. Zvirwere zvepabonde: A Novel Screening Strategy yekuvandudza Utano hwevakadzi muHuman Vulnerable Populations. International Journal of Molecular Sciences . 2017 Jun 20; 18 (6). pii: E1311.
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