I-Chlamydia yisifo socansi esithathelwana ngokocansi (i-STI) okumelwe siphathwe ngama-antibiotic. Uma isetshenziswa kahle, ama-antibiotic angaphilisa lesi sifo futhi avimbele ukubhekana nezinye izinkinga. Ukwelapha, noma kunjalo, akuvimbeli ukutheleleka esikhathini esizayo, futhi ukuphindaphinda kuvamile. Kukhona kokubili iziphakamiso kanye nezinhlobo ezihlukile zokulwa namagciwane, nezincomo ezithile eziqondene nabesifazane abakhulelwe noma abakhulelwe .
Imithi yokwelapha ngaphezulu
Izindlela zokwelapha ezingaphezu kwezinto azikwazi ukusebenza ngokumelene ne-chlamydia futhi akufanele zisetshenziswe. I-douching yama-vaginal kufanele igwenywe njengoba kunengozi yokuthi ingashukumisa amabhaktheriya aphakeme phezulu emkhakheni wesifazane wobunikazi, okwandisa ingozi yezifo ezivuthayo zesikhumba (PID) kanye nezinkinga ezihlobene nayo, njengokungabhubhi nokubuhlungu okungapheli kwe-pelvic.
Uma uthola ukuxoshwa okuhlobene ne-chlamydia, khumbula ukuthi kuzosheshe ukhiphe ukwelashwa kwemithi. Izixazululo ezingaphezu kwamakhompiyutha angeke zisize futhi zingakwenza ungakhululeki nakakhulu.
Imigomo (abadala abangewona abakhulelwe)
Udokotela angase anikeze enye yezokwelapha ezimbili eziphakanyisiwe ezenzelwe abantu abadala abangakhulelwe abangenalutho kula mithi:
- I-Zithromax (i-azithromycin) -1 gram yomlomo ngomthamo owodwa
- I-Vibramycin / Doryx (doxycycline) -100 mg ngomlomo kabili ngosuku ngezinsuku eziyisikhombisa
Zomi zombili zibhekwa njengeziphumelelayo ngokulinganayo zokutheleleka ngokobulili chlamydia, futhi akubonakali ukuthi kukhona ukumelana okuphawulekayo kwe-chlamydia kunoma iyiphi indlela.
I-proctitis (i-rectal chlamydia), noma kunjalo, ingaphendula kangcono ukwenza i-doxycycline kune-azithromycin. Amacala ahlukumeza ama-proctitis avame ukuphathwa njenge-lymphogranuloma venereum (bheka ngezansi).
Ezinye izindlela ziyatholakala, nakuba zingase zingasebenzi noma zingabangela imiphumela emibi kakhulu. Lezi zidakamizwa kufanele zisetshenziswe kuphela labo abahlukunyezwayo noma ababenomthelela omubi kuma-antibiotic anconyiwe.
Ukwelashwa okunye kubantu abadala abakhulelwe kubandakanya:
- I-EryC (i-erythromycin base) - 500 mg izikhathi ezine ngosuku izinsuku eziyisikhombisa
- I-EES / EryPed (erythromycin ethylsuccinate) -800 mg kane ngosuku ngosuku kwezinsuku eziyisikhombisa
- I-Levaquin (levofloxacin) -500 mg kanye nosuku izinsuku eziyisikhombisa
- I-Floxin (i-ofloxacin) -300 mg kabili ngosuku ngezinsuku eziyisikhombisa
I-Erythromycin ibonakala ingasebenzi kangcono kunokunye okukhethayo, kodwa lokhu kungenzeka ngenxa yokucasula nokuhlanza okubangelwa yi-antibiotic (okubangela ukuba abantu badumise ukulinganisa) kunokuntula ukusebenza.
Uma ulinganisa izinketho zakho, cabangela lokhu:
- Abanye abantu bathola i-dose yesikhathi esisodwa sikaZithromax ukuba kube yinto elula. Ungase ufune ukuyihlola ngokukhethekile uma ujwayele ukukhohlwa ukuthatha imithi.
- Amanani ala mithi ahlukahluka. Ngokwezinye izindlela zokwelashwa, isibonelo, i-Floxin (i-ofloxacin) ivame ukubiza kakhulu.
Kulabo abangakhulelwe, akukho ukulandela okulandelayo emva kokwelashwa kunconywa. Uma uqhubeka nokuba nezimpawu, noma kunjalo, kufanele ubone udokotela wakho.
Imininingwana (Abesifazane abakhulelwe)
Imithi ephakanyisiwe yabesifazane abakhulelwe ihluke kulezo ezingenhla. Uma ukhulelwe, akufanele uthathe i-doxycycline, i-ofloxacin, noma i-levofloxacin. I-Doxycycline, isibonelo, ingathinta ukuthuthukiswa kwamathambo ebusweni futhi ibangele ukubola kwamazinyo.
I-Zithromax (i-azithromycin), i-1-gram yomuntu oyedwa, umlomo womlomo, kuphela ukwelashwa okunconywa ngaphandle uma uthola usizo kumuthi noma uhlangabezane nesenzo esibi ngemva kokuyithatha. Iphephile futhi isebenza kahle kwabesifazane abakhulelwe.
Ezinye izindlela zokwelapha kufanele zisetshenziswe kuphela abesifazane abakhulelwe abanomdlavuza noma abaye basabela kabi kuZithromax. Izinketho zihlanganisa:
- I-Amoxycillin-500 mg kathathu nsuku zonke izinsuku eziyisikhombisa
- I-EryC (i-erythromycin base) -500 mg nsuku zonke izikhathi ezine nsuku zonke izinsuku eziyisikhombisa
- I-EryC (i-erythromycin base) -250 mg kane izikhathi zonke izinsuku ezingu-14
- I-EES / EryPed (i-erythromycin ethylsuccinate) -800 mg izikhathi ezine nsuku zonke izinsuku eziyisikhombisa
- I-EES / EryPed (i-erythromycin ethylsuccinate) -400 mg izikhathi ezine nsuku zonke izinsuku ezingu-14
Ukubuyekezwa kwezifundo ezingu-2017 kutholwe amanani okuguqulwa okufanayo phakathi kwalezi zinketho. Nokho, i-Zithromax ibonakala ingabangela imiphumela embalwa kakhulu kunezici ze-erythromycin. I-nausea nokuhlanza ngenxa ye-erythromycin ivamile futhi ingase ikhutshwe ngokuqhubekayo nokugula kwasekuseni phakathi ne-trimester yokuqala.
Ukucabangela kobudlelwane ngokocansi
Uma uphathwa nge-chlamydia, kubaluleke kakhulu ukuthi abalingani bakho bezocansi (noma ubani oye walala naye phakathi nosuku lwama-60 obandulela ukuhlolwa kwakho) baphathwa kanjalo. Uma kungenjalo, ungaqeda ukudlulisa ukutheleleka phakathi kwakho.
Ungabelani ngama-antibiotic wakho. Ngaphandle kokuthi kungase kungasetshenziselwa umlingani wakho, ukutheleleka kwakho ngeke kuphele ngaphandle kwemithi yakho ephelele.
Kufanele futhi ubaleke ocansini izinsuku eziyisikhombisa emva kokuqala kokwelashwa kwakho noma uze uqede. Lokhu kuzokusiza ukuba ungangeni ekuthandaneni nabalingani bakho bobulili.
Ngisho noma usuqedile ama-antibiotic wakho, landela nodokotela wakho uma izimpawu zakho ziqhubeka futhi uqhubeke nokugwema ucansi aze akuhlole. Uma ukuyeka kungenakwenzeka, qiniseka ukusebenzisa amakhondomu kuzo zonke izicansi zobulili, kufaka phakathi ucansi lomlomo.
Ukwelashwa Kwezinkinga
Izinkinga ze-chlamydia zivame ukuvela ekutheleleni okungaqhutshwa yilapho kungatholakali, ngakho-ke imithi echazwe ngenhla ibaluleke kakhulu. Uma izinkinga zenzeka, ukutheleleka kwe-chlamydia kuphathwa nge-antibiotics efanayo okukhulunywe ngayo ngenhla, kepha ezinye izindlela zokwelapha zingadingeka futhi.
Izifo ezivuvukala ngama-pelvic (PID) ezinobumnene zingase ziphathwe njengendlela yokutheleleka ngokocansi okungavamile, kodwa amacala amakhulu angadinga izifo zokulwa nezidakamizwa. Njengoba kungase kube nzima ukutshela ukuthi ngabe ukutheleleka kubangelwa yizinyoni ezingaphezu kweyodwa, ama-antibiotic amabili (futhi ngezinye izikhathi ngaphezulu) angadingeka. I-PID ingabangela i-abscess (iqoqo le-pus elivinjiwe ngumzimba), okungadinga amanzi.
Ukwelashwa okunjengokuhlinzwa ukukhipha izicubu ezincane kungadingeka kulabo abhekene nokubhebhetheka kwesifo ngenxa yokutheleleka. Njengoba i-ectopic pregnancy ivame kakhulu kubantu besifazane abane-PID, ukuqapha ngokucophelela nokwelashwa kwezikhumba ze-tubal, uma kwenzeka, kubalulekile.
Ubuhlungu obungapheli besifo sofuba obuhlobene nokutheleleka kwe-chlamydial kunoma yimuphi owesifazane noma kumadoda kunzima ukuphatha, futhi ngokuvamile kudinga inhlanganisela yemigomo.
Izinsana Nezingane
Ukutheleleka kwe-Chlamydia ezinsana nezingane akuvamile kakhulu ukuthi ukutheleleka kubantu abadala.
Uma ingane itholakala ukuthi igciwane le-chlamydia, isinyathelo sokuqala (ngaphandle kokuzinzisa ingane) ukucacisa ukuthi ngabe ukutheleleka kudluliselwa ngesikhathi sokubeletha noma kukhishwe isivumelwano ngemva kwalokho.
Izinsana ezakha ukutheleleka kweso noma i-pneumonia (emva kokuthola i-chlamydia evela kumama one-chlamydia engalashwa ngesikhathi sokuzalwa kwesisu) idinga ukwelashwa ngemithi elwa namagciwane. Nge-pneumonia, ngokuvamile ama-antibiotic anesibindi ayadingeka.
Izingane ezindala (ezineminyaka eyishumi nambili kuya phezulu) kufanele ziphathwe njengabantu abadala, kodwa izingane ezincane, ikakhulukazi labo abaphambili, kufanele zihlolwe udokotela onolwazi ekuhloleni ama-STD ezinganeni.
Izifo eminyakeni emithathu yokuqala yokuphila zingaba izifo eziqhubekayo zokubeletha, kodwa noma yikuphi ukutheleleka kwengane kudinga ukucubungula ukuxhashazwa ngokocansi kwezingane.
Ukwelashwa Kwezinye Izinhlobo
Ezinye izimo ezimbili ezibangelwa i- Chlamydia trachomatis ayinjwayele e-United States, kodwa ejwayelekile emhlabeni jikelele:
- I-Lymphogranuloma venerium (LGV): I- Lymphogranuloma venereum iphathwa ngendlela efana ne-standard standard chlamydia infections, kepha isikhathi eside semithi isetshenziswa (izinsuku ezingu-21 esikhundleni sabayisikhombisa). Okunye ukunakekelwa kungase kudingeke futhi ukwelaphe izilonda zomzimba noma izisindo ezingenalutho uma zikhona.
- I-Trachoma: I- Trachoma iyimbangela ehamba phambili yobumpumputhe emhlabeni wonke futhi ngokuvamile idinga ukwelashwa okunamandla nge-antibiotic nokuhlinzwa; ukubhekana nezimo zokuphila ezingekho emthethweni nakho kuyadingeka.
Indlela yokuphila
Ukuthola ukuxilongwa kwe-chlamydia kuyithuba elihle lokubuka indlela yakho yokuphila futhi ubone ukuthi yini engashintshwa ukuze unciphise ingozi yakho.
- Thatha isikhashana ubuyekeze imikhuba yobulili ephephile .
- Khuluma nabalingani bakho bobulili (ama) mayelana nomlando wabo wokuxilonga njengendaba.
- Qaphela ukuvama kokuhlolwa kwakho kwezempilo. Kubalulekile ukuthi abesifazane bathole ama-smears abo ngonyaka, futhi kuye, ngokuya ngobudala, ukuhlolwa kwe-chlamydia yonyaka, isibonelo.
Umzimba awutholi noma yikuphi ukuzivikela ku-chlamydia njengoba kusebenza kwamanye ama-microorganisms, ngakho ukuphindaphindiwe kuvamile kakhulu.
> Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo. I-Chlamydia-CDC Ishidi Leqiniso. Kubuyekezwe ngo-10/04/17. https://www.cdc.gov/std/chlamydia/stdfact-chlamydia.htm
> Cluver C., Novikova, N., Eriksson, D., Bengtsson, K., noG. Lingman. Ukungenelela Ukwelashwa Kwesifo Sesibeletho Sama-Chlamydia Trachomatis ekukhulelweni. I-Cochrane Database yezibuyekezo ezihleliwe . 2017. 9: CD010485.
> LeFevre, M., US Preventive Services Task Force. Ukuhlolwa kwe-Chlamydia ne-Gonorrhea: Isitatimende Sokuncoma Sezinsizakalo Ze-US Preventive Services. Ama-Annal of Medicine yangaphakathi . 2014. 161: 902-10.
> Workowski, K., noG. Bolan. Amasevisi Okulawula Nokuvimbela Izifo. Izifo ezithathelwana ngocansi, izinkombandlela zokwelapha, 2015. Izifo Zama-Chlamydial MMWR. 2015. 64 (Cha. RR-3): 1-137.