Chancroid chirwere chepabonde chirwere chepabonde. Iyo yakakonzerwa nebhakitiriya Haemophilus ducreyi . Kunyange zvazvo veruti chete inowanikwa muUnited States, chancroid chirwere chinowanzoonekwa munyika inokura. Sezvakaita syphilis , maronda akazaruka anokonzerwa nekancroid inowedzera njodzi yevanhu yekuwana dzimwe zvirwere zvepabonde . Kunyanya, maronda aya akazaruka anowedzera njodzi yeHIV. Vanoita izvi nekuita kuti zvive nyore kuti HIV iende muropa kana munhu akaratidzwa.
Kushanda kweganda chinhu chinokonzerwa neHIV, iyo haina kupararira neganda kumatehwe .
Ndezvipi zviratidzo zveKancroid?
Zviratidzo zvekutanga zvekancroid zvingave zvisina kukanganisa nekusvibisa - pustule shoma inova chirwere, kazhinji mumazuva mana kusvika kwema gumi mushure mekutsvaga. Kunyange zvakadaro, zvipembenene zvinowanzokura kusvika pakukura kukuru uye zvinorwadza kudarika zvipembenene zvinosangana nechirwere.
Chancroid inogonawo kutungamirira mukudzikama, unyoro, uye kuputika kwemaitiro emakirini mumupura. Ichi chikamu chinopisa hachibatanidzi nesipirisi.
Nokuda kwehuyo hwavo, zvakaoma kuti zviongororwe zvakajeka kune chancroid muUnited States. Nokudaro, CDC inotaura kuti vanachiremba vanogona kuongororodza chancroid pasina kuziva iyo H. ducreyi mabhakitiriya kana zvose zvinotevera zvinosangana:
- Mumwe munhu ane rimwe kana zvimwe zvirwere zvepabonde
- Zvironda, uye chero kuvhara kwemakirini, zvinowirirana nechitarisiko chinotarisirwa che chancroid
- Hapana humwe humwe hutachiona pasi pe microscope, kana neropa rekuongorora (mushure mokunge zvionda zvange zviripo kwemazuva manomwe)
- Zvironda zvinongoratidzika zvisina kunaka neHSV , chirwere chinowanzozivikanwa zvikuru chepabonde chepabonde muUnited States
Chancroid Inotarirwa Sei?
Chancroid inorapwa nemishonga inorwisa mabhakitiriya. Iyo miviri yakasarudzwa inokonzerwa nemaitiro ausitromycin (1g) kana ceftriaxone (250 mg, IM).
Panewo marongerwo akareba anowanikwa achishandisa ciprofloxacin (500 mg, 2x / zuva, kwemazuva matatu) uye erythromycin base (600 mg mumuromo, 3x / zuva, kwemazuva manomwe) Zvisinei, kurapwa hakusi nyore kune varume vasina kudzingiswa uye vanhu vane HIV positive. Ndicho chikonzero CDC inokurudzira kuti ani naani ari kurapwa aongororwezve nachiremba mazuva matatu kusvika kune manomwe mushure mokurapa kunotanga. Kune vanhu vakawanda, zviratidzo zvichatanga kuvandudzwa mukati meyo nguva iyo mushonga unoshanda.
Saizvozvowo, nekuda kwekushayikwa kwechirwere, ani nani anokanganiswa kuti ane chancroid anofanira kuongororwa neHIV .
Ndezvipi zvakafanana Chancroid muUnited States?
Chancroid inowanzoshamisa zvikuru muUnited States Kunyange zvazvo yakawanda zvikuru muma1940 uye 50s, nhamba yematambudziko yakaramba yakakurumidza kutanga mukati mamakore makumi mashanu. Ikoko kwaive nekuwedzera kwenguva pfupi muma1980, izvo zvichida nekuda kwechirwere chitsva cheHIV. Zvisinei, nhamba yemhosva yakabva yakurumidza kusvika kusvikira zvirwere zvisingawanzokwanisi kuita kuti kuedza kuve kwakaoma. Muna 2016, mamiriyoni manomwe akaongororwa munyika yose, muAlabama, California, Colorado, Massachusetts, North Carolina, uye South Carolina.
Apo chancroid inowanikwa muUnited States, zvinowanzoonekwa kune vapoteri kana vatorwa vanobva kuAsia, Africa, neCaribbean.
Izvi zvinowedzerawo kuonekwa kune mumwe munhu ane unhu hwepabonde mune rimwe remapoka aya. Chancroid inonyanya kupera pasi rose. Inonyanya kukonzera munharaunda umo HIV inowanikwa , nokuti zvipembenene zvekancroid zvinopa nzira iri nyore yekutapukirwa.
Sources:
> Centres for Disease Control and Prevention. Zvirwere zvepabonde Zvirwere Kuongororwa 2016 . Atlanta: US Department of Health and Human Services; 2017.
> Centres for Disease Control and Prevention. 2015 Zvirwere Zvepabonde Zvirongwa Zvokurapa . MMWR Inokurudzira Rep 2015; 64 (3): 1-138