Ukutheleleka okuvamile ngokocansi kungase kube kabili ingozi ye-HIV
Sibutsetelo
I-Trichomoniasis yisifo esithathelwana ngocansi esibangelwa ama-parasite one-celled okuthiwa i- Trichomonas vaginalis . Kulinganiselwa ukuthi amadoda nabesifazane abayizigidi ezingu-7.4 bathola i-trichomonasis unyaka ngamunye.
Lesi sifo esivamile socansi sithinta kokubili amadoda nabesifazane; Kodwa-ke, izimpawu zivame kakhulu kubantu besifazane, kubonakala cishe abangaba ngu-50% kulabo abathintekile.
Emadodeni, ukutheleleka kuthatha isikhathi esifushane futhi ngokuvamile urethral, okusho ukuthi kuthinta ngokuyinhloko ipheshana lomchamo. Ngenkathi ukutheleleka emadodeni kuthatha isikhathi esifushane, amadoda athelelekile angadlulisela kalula ama-parasite kumlingani wesifazane.
Ngenxa yokuthi ama-parasite awahlali emlonyeni noma emthonjeni, i-trichomoniasis isakazwa kusuka komuntu kuya komuntu ngesikhathi sokulala ngokocansi okungavimbelwe.
Kwabesifazane, indawo evamile kakhulu yokutheleleka yi-vagin, kanti i-urethra (i-urinary tract) iyindawo evamile yokutheleleka yamadoda. Abesifazane bangatheleleka ngamadoda noma besifazane ngokuxhumana okuqondile kocansi, kuyilapho amadoda ejwayele ukutheleleka ngabesifazane.
Izimpawu
Uma i-trichomoniasis ibonisa izimpawu nezimpawu, ngokuvamile zivele zingakapheli amasonto amane okuvezwa.
Kwabesifazane, izimpawu ezivame kakhulu zokutheleleka yizi:
- Ukuvuvukala komzimba
- Ukukhishwa kwamagciwane okuphunga okumnandi, okuphuzi okwesibhakabhaka
- Ubuhlungu ngezocansi kanye / noma ukuchama
- Ukunambitheka nokucasula kwesisindo namathanga
- Ubuhlungu besisu (okuvamile)
Amadoda amaningi azoba nezimpawu ezimbalwa noma ezingekho ngemuva kokutheleleka nge- T . vaginalis . Kodwa-ke, uma kunjalo, ngokuvamile ilula futhi ihlala isikhashana. Izimpawu ezivame kakhulu kubantu zihlanganisa:
- Inzwa ecasulayo "ngaphakathi" ipeni
- Ukukhishwa kwe-penile
- Ukuvutha ngemuva kokuvuthwa kanye / noma ukujula
Ukuxhumana ne-HIV
Abesifazane abanezifo zokuvuvukala ngokobulili, kuhlanganise ukuvuvukala ngenxa ye-trichomoniasis, banengozi eyengeziwe yokutheleleka nge-HIV . Ngaphezu kwalokho, ukutheleleka kwe-trichomoniasis kwabesifazane abane-HIV kwandisa ingozi yokudlulisela i-HIV kumlingani wesilisa ocansini.
Ucwaningo lubonisa ukuthi ukusabalalisa kwe-trichomoniasis kwabesifazane abanesandulela ngculaza kuqhuma noma yikuphi kusuka ku-10% kuya kwezingu-20%, nokuthi iT. vaginalis ivela njengomunye wabaqashi abaluleke kakhulu ekukhuliseni ingozi ye-HIV, ikakhulukazi emiphakathini ye-Afrika yaseMelika. Empeleni, i-trichomoniasis isifo esithathelwana kakhulu ngokocansi nabesifazane base-Afrika baseMelika, ikakhulukazi labo abasemadolobheni amakhulu.
Ezinye izifundo zase-Afrika ziphakamise ukuthi i-trichomoniasis ingandisa amathuba okudluliselwa nge-HIV cishe kabili.
Ukwelapha
Abesifazane baphathwa kalula ngomthamo owodwa we-antibiotic ngomlomo okuthiwa i-Flagyl (metronidazole). Nakuba odokotela abaningi bekhetha ukwelapha ngesilinganiso esisodwa, amanani angashintsha ngokusekelwe kulokho, kanje:
- Amagremu angu-2 e-Flagyl, athathwe njengesilinganiso esisodwa
- 500 milligrams kabili ngosuku izinsuku eziyisikhombisa
- 250 milligrams kathathu nsuku zonke izinsuku eziyisikhombisa
Emadodeni, ukutheleleka kwe-trichomoniasis kuvame ukuhamba ngaphandle kokwelashwa.
Kodwa-ke, ngenxa yokuthi abantu bavame ukungakwazi ukutheleleka kwabo, bangase baphinde baphinde baphathe abalingani babo besifazane kaningi. Ngakho-ke, bobabili abalingani kufanele baphathwe ngesikhathi esifanayo uma kutholakala noma kutholakala, ukuvimbela umjikelezo wokuphindaphinda.
I-Flagyl akufanele ithathwe uma umuntu ephuza utshwala njengoba i-metronidazole ivimbela ukuphuza utshwala esibindi. Ngenxa yalokho, izimpawu ezifana nokuhlanza, i-nausea, ikhanda, nesisu zomzimba zingenzeka. Ukugwema lemiphumela emibi, kungcono ukugwema utshwala okungenani amahora angu-24 okuqala namahora angu-24 wokuthatha i-Flagyl dose.
Ukuvimbela
Ukuvimbela i-trichomoniasis akufani nokuvimbela noma yikuphi ukutheleleka ngokocansi.
Kungakhathaliseki ukuthi kunezibonakaliso zangaphandle noma cha, kungcono kakhulu ukulandela isiqondiso socansi oluvikelekile, okufaka:
- Ukusebenzisa ikhondomu ye-latex ngesikhathi sokuhlangana kocansi njalo, ikakhulukazi ngesikhathi socansi.
- Uma ukutheleleka kwe-trichomoniasis kulindeleke, umsebenzi wocansi kufanele ume kuze kube yilapho ukwelashwa komuntu onegciwane kanye nabalingani babo bocansi sekuqediwe futhi zonke izimpawu zixazululwe.
Okokugcina, uma ubuhlobo be-serodiscordant (lapho umlingani oyedwa enesandulela ngculaza kanti omunye akwenzi), akumelwe kuthathwe sengathi iphilisi lokuvimbela i-HIV (PrEP) kanye / noma ukwelashwa kwe-HIV kuzovumela ukuthi ubulili bube ngaphansi. Lokhu kuyiqiniso ikakhulukazi uma omunye umlingani enesifo socansi, esingaba nokwandisa kakhulu ukutheleleka kwe-HIV.
Imithombo:
Amasevisi Wokulawula Izifo; "I-Factory Sheet" ye-Trichomoniasis; UMnyango wezeMpilo waseMelika kanye nezinsizakalo zabantu; 2007.
I-Sorvillo, F .; Smith, L .; Kendt, P .; et al. "Trichomona vaginalis, i-HIV, nabase-Afrika baseMelika." Izifo Ezithathelwanayo Ezikhulayo. Disemba 2001; 7 (6): DOI: 10.320 / eid0706.010603.