Zviratidzo zvinowanzoitika, asi dzimwe nguva-kusiya vanhu vazhinji vasingateereri
Gonorrhea (" chidimbu ") ndiyo yechipiri inowanzozivikanwa nehutano hwepabonde (STD) muUnited States, asi vanhu vazhinji vane nayo havazivi kuti vanezvo nekuti pane kazhinji kusina zviratidzo zvehutachiona-kunyanya kuvakadzi. Kana zviratidzo zvikaonekwa, zvinowanzobatanidza kusununguka kubva peniki kana kumadzimai uye kurwadziwa paunenge uchizora kana kuita zvepabonde.
Kunyange zvazvo hutachiona husingawanzokonzera rufu, hunogona kutungamirira kuzvirwere zvepachivic (infidmatory disease) (PID) mumadzimai uye nekuputika kwe epididymis mumarume, zvose zvingaguma nekushaya simba.
Muzviitiko zvisingawanzoitiki, gonorrhea inogona kukonzera kuputika kwemwoyo, mafundo, nemutsipa wepelinha, uyewo zvinetso zvakakomba kune vacheche vanotapukirwa munguva yekuzvitakura.
Pakutanga zviratidzo
Gonorrhea inoparidzirwa panguva yemuromo, zvepabonde, kana zvepabonde, uye zviratidzo zvekutanga zvinowanikwa-kana pane-zvinowanzobatanidza nzvimbo inobatwa nayo (maitiro, maitiro, kana huro).
Kana iripo mune zvepabonde kune vakadzi, zviratidzo zvinogona kusanganisira:
- Vaginal discharge
- Kupisa kana kurwadziwa kana uchikwira ( dysuria )
- Vaginal itchiness
- Kubvambura pakati penguva
- Kunzwa kurwadziwa kwepamuviri kana kusagadzikana
- Pain panguva yepabonde (dyspareunia)
Zvisinei, maererano neCenters for Disease Control and Prevention (CDC), vakadzi vakawanda vane rudzi urwu rwehutachiona havazove nezviratidzo kana, kana vachidaro, vachavakanganisa nokuda kwechirwere chepachiviri kana chikadzi.
Paunenge uripo mune zvepabonde mumarume, zviratidzo zvinogona kusanganisira:
- Kubuda kwemavara-ruvara kubva kumucheto
- Dysuria
- Urombo uye kuvhara mumatete kana shrotum
Inenge 90 muzana yegonorrheal zvirwere zvehuroti hazvizove nezviratidzo zvachose, asi zvakasara gumi zvezana zvingangoratidzwa chete nehuro.
Rectal gonorrhea inogona kukonzera ucheche munyoro, kusagadzikana, kubuda ropa, kana kurwadziwa panguva yekuzvidzivirira, zviratidzo zvinowanzoderedzwa nehemorrhoids.
Mune mhando dzose, kana zviratidzo uye zviratidzo zvinokura, zvinowanzoonekwa mazuva gumi kusvika ku14 mushure mekutarisana neBeisseria gonorrhoeae bhakitiriya.
Zviratidzo Mucheche
Mukuwedzera kune kutapurirana zvepabonde, gonorrhea inogona kudarika kubva kuna amai kuenda kumwana panguva yekuzvitakura. Izvi kazhinji hazviitike apo mwana ari mudumbu (sezvinonzi fetal tissues inodzivirira kune utachiona). Pane kudaro, kutapurika kunogona kuitika panguva yekubereka apo mwana ari kutarisana nemukomana wepabonde.
Kana izvi zvikaitika, mabhakitiriya anogona kutamirwa kumaziso echecheche uye anokonzera ophthalmia neonatorum , chimiro chekujunctivitis chinoratidzwa nehutachiona hweziso, kurwadziwa, nekubuda. Mamiriro acho anonyanya kudzivirirwa nhasi nekuda kwekugara kwehutano hwehutano hwemaawa hunobata mazamu mumazuva ese ekuzvarwa.
Kana hutachiona husina kubviswa, zviratidzo zvinowanzokura mukati memakore maviri kusvika mashanu. Mukuwedzera kune conjunctivitis, chipembenene chepalp, kuputira kuputika, vaginitis , uye urethritis zvakajairika. Zvinetso zvinosanganisira kurasikirwa nekuona, meningitis, septic arthritis, uye bofu.
Matambudziko
Kana ikasatenderwa, gonorrhea inogona kutungamirira kumatambudziko akakomba ane chokuita nevakadzi nevarume vane ruzivo rwekubereka uye, zvishoma, kazhinji, majoini, ganda, mwoyo, uye mukati mehutano hurongwa.
Matambudziko muvakadzi
Madzimai ane gonorrhea asina kuratidzirwa, zvinetso zvakajairika ndeye chirwere chinoputika chepilvic (PID) , utachiona hunogona kunge hwakakomba hwehutano hwevakadzi. Zviratidzo zvinowanzoonekwa pakarepo mushure mekuenda kwako kumwedzi uye, pane dzimwe nguva, uve chiratidzo chako chokutanga chetachiona. PID inoratidzwa nekurwadziwa mumapapiro nepamuviri pasi, pamwe nekunyunyutira, kurutsira, fever, chills, cramping, uye kusvibiswa kunonhuwa.
Utachiona dzimwe nguva hunokonzera kukanganisa mumatope, zvichiita kuti tizadzise tubal kuvhara uye kutadza. Kana kuvhara kwega kwega kuchikwanisa kuitika, ei inogona kugadziriswa asi inogona kusakwanisa kudarika kubva mavha mavari kusvika pachibereko. Izvi zvingaguma nehutachiona hwe ectopic (tubal) umo kusununguka pamuviri hakusi kungodziviswa asi kunogona kuisa hupenyu hwehupenyu huri pangozi kana kupera uye kuora ropa kuchiitika.
Matambudziko muMurume
Nenzira imwechete iyo gonorrhea inogona kutungamirira mukusava nemadzimai, chirwere chisingatapuriki chinogona kukanganisa nekudzivirirwa kweepididymis (bhuru rakamanikana rinochengeta hutundu muhutachi) mumarume.
Gonorrheal epididymitis inogona kuonekwa nedysuria, kubuda kunhuhwirira, kunorwadza kwejeri, uye kuvhara lymph nodes mugukura. Sezvakaita nePID, kuvharwa kweimwe kana maviri machutato kunogona kutungamirira kuhutano husina maturo.
Gonococcal Conjunctivitis
Kana hutachiona hwemuviri hutachiona hunopinda maziso ako, chirwere chinozivikanwa segonococcal conjunctivitis (pink eye) inogona kuitika, zvichikonzera kubwinya, kurwadziwa, kuzvimba, uye kazhinji kanyanya kubuda.
Kana isina kusiya, utachiona hunogona kukonzera kupera uye kupera kwekonoa, zvichiita kuti kurasikirwa kwemaono uye kupofu. Muzviitiko zvisingawanzoitiki, utachiona hunogona kukonzera kuti cornea "inyauka," kusungira ziso rimwechete kana kuti zvakakwana kumeso emajeri.
Kuparadzirwa kweGonococcal Infection (DGI)
Muzviitiko zvisingaiti, chirwere chegonorrheal chinogona kupararira kuburikidza neropa uye rinopinda nhengo dziri kure. Izvi zvinotumidzwa sehutachiona hweGonococcal (DGI) , chinetso chinowanikwa munzvimbo dzinenge 3 muzana yevakadzi uye 1 muzana yevarume . Vaya vari panjodzi ndeyevanhu vane zvirwere zvekudzivirira zvirwere , kusanganisira vagashiri vemiviri uye vanhu vane HIV.
DGI inowanzotumidzwa seArthritis-dermatitis syndrome nokuti inowanzokonzera kuvhiringidza kwezvibatanidza ( septic arthritis ) uye zvipembenene zvakasunga-ganda paganda.
Hazviwanzoitiki, utachiona hunogona kugara mumwoyo uye hunokonzera kuputika kwemagetsi emwoyo ( endocarditis ), kuratidza nezviratidzo zve malaise, fivha, chills, uye mwoyo kugunun'una . DGI inogonawo kukonzera kuvhuvhuta kwakapoteredza uropi nemutsipa wepelinitis ( meningitis ), zvichikonzera musoro, fivha, kuneta, mutsipa wakaoma, uye kuora mwoyo mupfungwa.
Nguva Yokuona Chiremba
Kunyange zvazvo zvimwe zviratidzo zvehutachiona hwegonorrhea dziri zvekare (zvakadai sekubudiswa mumarume), dzakawanda hazvisi izvo-uye zvinorehwa nyore nyore. Nokuda kweizvi, mutemo wakanakisisa wegunwe ndewokuona chiremba uye kukumbira svondo reSDD kana iwe wakabata zvepabonde zvisina kudzivirira uye chero zviratidzo zvehutachiona, zvisinei. Izvi zvinonyanya kuitika kana wako wepabonde nemumwe munhu waunonyatsoziva kana kuti ane mhosva angave ane STD.
Kana iwe uchizeza, yeuka kuti vashandi vehutano haasipo kuti vatonge iwe. Asi, basa ravo nderokukupai kurapwa , kana zvichidiwa, uye kutungamirirwa kuderedza dambudziko renyu remangwana.
Pamusana pehuwandu hwehutachiona muUnited States uye zvinogona kuitika kune vakadzi vane makore ekuberekera, US Preventive Services Task Force inokurudzira kuongorora kwegonorrhea uye chlamydia kune vakadzi vose vanoita zvepabonde vari kuwedzera mungozi yehutachiona, kusanganisira vakadzi vane pamuviri.
Dzimwe hurumende dzakapararira pane izvi zvinorayirwa uye dzichaitisa nguva dzose kuongororwa kwegonorrhea uye chlamydia, uyewo chirwere , hepatitis B , uye HIV , sechikamu chekushanyira kwekutanga kutangira.
> Sources:
> Centres for Disease Control and Prevention. 2015 Zvirwere Zvepabonde Zvirongwa Zvokurapa: Gonococcal Infections. Atlanta, Georgia; yakabudiswa naJune 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.
> McAnena, L .; Knowles, S ;; Curry, A. uye al Prevalence ye gonococcal conjunctivitis kuvanhu vakuru neononates. Ziso. 2015; 29: 875-80. DOI: 10.1038 / eye.2015.57.
> Workowski, K .; Bolan, G ;; Nzvimbo dzeDaase Control uye Kudzivirira. Zvirwere zvepabonde zvinotapurirwa maitiro ekurapa, 2015. MMWR Nyaya Rep . 2015; 2015; 64 (33): 924.