Izimpawu zenzeka, kodwa ngezinye izikhathi-ukushiya abantu abaningi bengaphathwa
I-Gonorrhea ("i -clap ") iyisifo sesibili esithathelwana ngocansi (STD) e-United States, kodwa abantu abaningi abanalo abakwazi ukuthi banakho ngoba ngokuvamile kaningi izibonakaliso zokutheleleka-ikakhulukazi kwabesifazane. Uma izimpawu zivela, zivame ukufaka ukukhishwa kwipeni noma ubulili kanye nobuhlungu ngenkathi uvuthwa noma ucansi.
Ngenkathi ukutheleleka kungabangela ukufa, kungabangela izifo ezivuthayo (PID) kubantu besifazane nokuvuvukala kwama-epididymis emadodeni, kokubili okungabangela ukungasebenzi.
Ezimweni ezingavamile, i-gonorrhea ingabangela ukuvuvukala kwenhliziyo, amalunga, nomgogodla, kanye nezinkinga ezinkulu ezinganeni ezithatheleleke ngesikhathi sokukhulelwa.
Izimpawu Zokuqala
I-gonorrhea iyadluliselwa ngesikhathi socansi lomlomo, wesifazane wesifazane, noma isandulela ngculazi, futhi izimpawu zokuqala zithola-uma zikhona-ngokuvamile zizobandakanya indawo ethintekile (izitho zangasese, iziqu, noma umphimbo).
Lapho ekhona ezithombeni zobulili kwabesifazane, izimpawu zingabandakanya:
- Ukukhishwa kwamagciwane
- Ukuvutha noma ubuhlungu lapho uchama (i- dysuria )
- Ukwehla kwamagciwane
- Ukuhlwitha phakathi kwezinkathi
- Ubuhlungu besisu esiswini noma ukungakhululeki
- Ubuhlungu phakathi kocansi (dyspareunia)
Kodwa-ke, ngokusho kwamaCenters for Disease Control and Prevention (CDC), iningi labesifazane abanalo hlobo lokutheleleka ngeke babe nezimpawu noma, uma benza, bazoziphutha ngesifo sofesheni noma isisu.
Uma kunesidlangalaleni kumadoda, izimpawu zingabandakanya:
- Ukukhishwa okwesibhakabhaka-okwesibhakabhaka kusuka epeni
- I-Dysuria
- Ubuhlungu nokuvuvukala kwamathambo noma isikhala
Amaphesenti angama-90 e-gonorrheal infections emqaleni ayengeke abe nezimpawu nakancane, kanti amaphesenti ayishumi asele angaboniswa kuphela ngomphimbo obuhlungu.
I-gonorrhea ejwayelekile ingabangela ubuhlungu obukhulu, ukunganaki, ukuphuma kwegazi, noma ubuhlungu ngesikhathi sokuhlukunyezwa, izimpawu ezivame ukuphutha ngenxa yezinyosi.
Kuzo zonke izinhlobo, uma izimpawu nezimpawu zikhula, zivame ukuvela ezinsukwini ezingu-10 kuya kwezingu-14 emva kokuvezwa kwe- Neisseria gonorrhoeae bacterium.
Izimpawu ezinganeni
Ngaphezu kokudluliselwa ngokocansi, i-gonorrhea ingadluliselwa kusuka kumama kuya kwengane ngesikhathi sokukhulelwa. Lokhu ngokuvamile akukenzeki ngenkathi umntwana esesiswini (njengoba izicubu zomzimba zithola isivikelo ngokutheleleka). Esikhundleni salokho, ukudluliselwa kungenzeka ngesikhathi sokubeletha lapho umntwana evezwa emicimbini yomama wengane.
Uma lokhu kwenzeka, amabhaktheriya angadluliselwa amehlo omntana futhi abangele i- ophthalmia neonatorum , uhlobo lwe-conjunctivitis elibonakala ngukubomvu kweso, ubuhlungu nokukhishwa. Isimo ikakhulukazi sigwenywe namhlanje ngenxa yokulawulwa kwendlela yokugcoba kwamafutha e-antibacterial eye zonke izingane ngesikhathi sokuzalwa.
Uma ukutheleleka kungavinjelwe, izimpawu zivame ukukhula ezinsukwini ezimbili ukuya kwezinhlanu. Ngokungeziwe ku-conjunctivitis, ukutheleleka kwe-scalp, ukuvuvukala kokuphefumula, i- vaginitis , ne- urethritis zivamile. Izinkinga zihlanganisa ukulahleka kombono, i-meningitis, i-septic arthritis, kanye nobuphofu.
Izinkinga
Uma ishiywe ingalashwa, i-gonorrhea ingabangela izinkinga ezinkulu eziphathelene nomthelela wesifazane nowesilisa futhi, ngokuvamile, amalunga, isikhumba, inhliziyo, kanye nesistimu enkulu yezinzwa.
Izinkinga kwabesifazane
Kulabo besifazane abane-gonorrhea engaphenduliwe, ukuhlukunyezwa okuvame kakhulu kuyisifo sokuvuvukala kwe-pelvic (PID) , ukutheleleka okungathí sina kwendlela yokuzala yesifazane. Izimpawu zizovela ngokushesha ngemva kokuya esikhathini, futhi kwezinye izimo, yiba uphawu lwakho lokuqala lokutheleleka. I-PID ibhekene nobuhlungu esifubeni nasesisu esiswini, kanye nesicanucanu, ukuhlanza, umkhuhlane, ukubola, ukuchithwa nokukhishwa okungcolile.
Ukutheleleka ngezinye izikhathi kungabangela ukuhluleka emhubheni ye-fallopian, okuholela ekuqedeni ukuvinjelwa kwe-tubal nokungasebenzi. Uma kuphela ukuvinjelwa okuyingxenye kwenzeka, iqanda lingakwazi ukukhulelwa kodwa lingenakukwazi ukudlula kuma-ovari ukuya esibelethweni. Lokhu kuzoholela ekukhulelweni kwe-ectopic (tubal) lapho ukukhulelwa kwesisu kungenakugwema kuphela kodwa kungabeka impilo yomama engozini uma kwenzeka ukuphuka nokwehla kwesisu.
Izinkinga kubantu
Ngendlela efanayo yokuthi i-gonorrhea ingabangela ukungabi nabantwana kwabesifazane, ukutheleleka okungalashwa kungabangela umonakalo nokuvinjelwa kwe-epididymis (ithubhu elincane eligcina isidoda esise-scrotum) emadodeni.
I- epididymitis ye- gonorrheal ingase ibonwe yi-dysuria, ukuphuma kwephunga elimnandi, i-ejaculation ebuhlungu, ne- lymph nodes evuvukalayo ku-groin. Njenge-PID, ukuvinjelwa kwesinye esisodwa noma zombili amashubhu kungabangela ukungasebenzi kahle kokusebenza.
I-Gonococcal Conjunctivitis
Uma izifo zomzimba ezithathelwanayo zingena emehlweni akho, isimo esibizwa ngokuthi i-gonococcal conjunctivitis (iso lesipinki) singase senzeke, kubangele ukubomvu, ubuhlungu, ukuvuvukala, nokukhulelwa okuvamile.
Uma ishiywe ingalashwa, ukutheleleka kungabangela ukulimala nokukhwabanisa kwe-cornea, okuholela ekulahlekelweni kombono nokuphuphuthekisa. Ezimweni ezingavamile, ukutheleleka kungabangela ukuthi i-cornea "iyancibilika," ibopha i-eyeball kancane noma ngokuphelele kwinqweba.
Ukusakazwa kwe-Gonococcal Infection (DGI)
Ezimweni ezingavamile, ukutheleleka kwe-gonorrheal kungasakazwa ngegazi futhi kuphazamise izitho ezikude. Lokhu kubizwa ngokuthi isifo sofuba se-gonococcal (DGI) , isifo esiyinkimbinkimbi esenza cishe amaphesenti amathathu wabesifazane namaphesenti angu-1 amadoda . Labo abasengozini enkulu bangabantu abanamasosha omzimba ahlotshisiwe , kuhlanganise nabamukeli begciwane kanye nabantu abane-HIV.
I-DGI ivame ukubizwa ngokuthi i-arthritis-dermatitis syndrome ngoba ivame ukubangela ukuvuvukala kwamajoyina (i- septic arthritis ) nezilonda ezigcwala izikhumba esikhumbeni.
Okungavamile kakhulu, ukutheleleka kungahlala enhliziyweni futhi kubangele ukuvuvukala kwamagundane enhliziyo ( endocarditis ), kubonakala ngezimpawu ze-malaise, umkhuhlane, izikhukhula, nenhliziyo ekhononda . I-DGI ingabangela nokuvuvukala kwezingqimba ezungeze ubuchopho nomgogodla ( meningitis ), okubangelwa ikhanda, umkhuhlane, ukukhathala, intamo eqinile, nokudideka kwengqondo.
Nini Ukubona Udokotela
Ngenkathi ezinye izibonakaliso zokutheleleka kwe-gonorrhea ziyingqayizivele (njengokukhishwa kwamadoda), iningi lilinganiselwe futhi alilahleki kalula. Ngenxa yalokhu, umthetho omuhle wesithupha uwukuba ubone udokotela futhi ucele iskrini se- STD uma uye ocansini olungavimbelwe noma yiziphi izimpawu zokutheleleka, noma kunjalo. Lokhu kuyiqiniso ikakhulu uma umngane wakho womlingani wobulili engumuntu owaziyo noma osolwa ukuthi kungenzeka abe ne-STD.
Uma unqikaza, khumbula ukuthi ochwepheshe bezempilo abakhona lapho ukukugweba. Kunalokho, indima yabo ukukunikeza ukwelashwa , uma kudingekile, nesiqondiso ekunciphiseni ingozi yakho yesikhathi esizayo.
Ngenxa yezinga eliphezulu lokutheleleka e-United States kanye nomthelela ongaba nawo kubantu besifazane abaneminyaka yokubeletha, i-US Preventive Services Task Force ikhuthaza ukuhlolwa kwe-gonorrhea kanye ne- chlamydia kubo bonke abesifazane abesilisa ocansini abasengozini enkulu yokutheleleka, kuhlanganise nabesifazane abakhulelwe.
Ezinye izikhungo zande kulezi zincomo futhi zizoqhuba ukuhlolwa kwesikhashana kwe-gonorrhea kanye ne-chlamydia, kanye nesifo sofuba , isibindi se-B , ne- HIV , njengengxenye yokuvakasha kokuqala kokubeletha.
> Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo. 2015 Izifo Zesifo Sokuziphatha Ngocansi: Izifo Zokwelashwa: Izifo ZamaGonococcal. I-Atlanta, Georgia; ikhishwe ngoJune 4, 2015; ibuyekeziwe ngoJanuwari 4, 2018.
> Lee, K .; Ngo-Metzger, Q .; U-Wolff, u-T. et al. Izifo ezithathelwana ngocansi: Izincomo ezivela e-US Preventive Services Task Force. Am Fam Physician. 2016; 94 (11): 907-915.
> McAnena, L .; U-Knowles, uS .; Curry, A. et al Prevalence of conjunctivitis gonococcal kubantu abadala kanye neonates. Iso. 2015; 29: 875-80. I-DOI: 10.1038 / iso.2015.57.
> Workowski, K .; I-Bolan, G .; Amasevisi Okulawula Nokuvimbela Izifo. Imihlahlandlela yokwelapha yezifo ezithathelwana ngocansi, 2015. I- MMWR Incomo Rep . 2015; 2015; 64 (33): 924.