I-Chancroid isifo sesisu sesisu socansi esithathelwana ngokocansi. Kubangelwa yi-bacterium Haemophilus ducreyi . Yize kuphela u-green ebonakala e-United States, i-chancroid iyisifo esivame kakhulu ezweni elithuthukayo. Njenge- syphilis , izilonda ezivulekile ezibangelwa i-chancroid zandisa ingozi yomuntu yokuthola ezinye izifo ezithathelwana ngocansi . Ngokuyinhloko, lezi zilonda ezivulekile zandisa ingozi ye-HIV.Zenza lokhu ngokwenza kube lula ukuthi i-HIV ingene ekuthumeni kwegazi lapho umuntu evezwa.
Isikhumba esingenakulungiswa yisithiyo esinengqondo se-HIV, esingasakazwa isikhumba ukukhubaza othintana naye .
Yiziphi izimpawu ze-Chancroid?
Izimpawu zokuqala ze-chancroid zingase ziphuthelwe nge-syphilis - i-pustule encane iba yisilonda, ngokuvamile phakathi kwezinsuku ezingu-4 kuya kwezingu-10 ngemuva kokuvezwa. Kodwa-ke, izilonda ngokuvamile zikhula zibe nobukhulu obukhulu futhi zibuhlungu kakhulu kunezo zilonda ezihlobene nesiphilisi.
I-Chancroid ingase iholele ekuvupheni, ekutheni, nokuvuvukala kwama-lymph nodes ku-groin. Lo mphumela ohlangothini awuhlotshaniswa nokuphilisa.
Ngenxa yobunzima bayo, kunzima ukuthola ukuhlolwa kwe-chancroid ngokunembile e-United States. Ngakho-ke, i-CDC ithi odokotela bangakwazi ukuxilonga i-chancroid ngaphandle kokukhomba ama-bacterium H. uma zonke izinqubo ezilandelayo zihlangene:
- Omunye unesilonda esisodwa noma ngaphezulu kwesilonda
- Izilonda, nanoma yikuphi ukuvuvukala kwama-lymph nodes, kufana nokubonakala okulindelekile kwe-chancroid
- Akukho bufakazi be-syphilis ngaphansi kwe-microscope, noma ngokuhlolwa kwegazi (ngemuva kokuthi izilonda zikhona okungenani izinsuku ezingu-7)
- Izilonda zivivinya i- HSV , isifo sesifo sesisu sangasese esivela kakhulu e-US
I-Chancroid ithathwe kanjani?
I-chancroid iphathwa ngemithi elwa namagciwane. Lezi zinhlobo ezimbili ezikhethwe yi-single dose ye-azithromycin (1g) noma i-ceftriaxone (250 mg, i-IM).
Kukhona nemigomo emide ekhona ngokusebenzisa i-ciprofloxacin (500 mg, 2x / usuku, izinsuku ezintathu) kanye nesisekelo se-erythromycin (600 mg ngomlomo, 3x / ngosuku, izinsuku eziyisikhombisa) Nokho, ukwelashwa akuphumelelanga kakhulu kubantu abangasokile nabanye abantu abane-HIV okuhle. Yingakho i-CDC incoma ukuthi noma ubani owela ukwelashwa aphinde ahlolwe udokotela izinsuku ezintathu kuya kwezingu-7 emva kokuqala ukwelashwa. Kubantu abaningi, izimpawu zizoqala ukuthuthukisa phakathi naleso sikhathi uma ukwelashwa kusebenza.
Ngokufanayo, ngenxa yokungabi nalutho kwalesi sifo, noma ubani ocatshangwa ukuthi une-chancroid kufanele ahlolwe i-HIV .
Yivamile kangakanani i-Chancroid e-US?
I-Chancroid iyinto engavamile kakhulu e-US Nakuba ijwayelekile kakhulu kuma-1940 no-50s, inani lamacala liye lancipha ngokushesha kusukela phakathi no-50s. Kwakukhona ukwanda okuncane eminyakeni yama-1980, okungenzeka ngenxa yesifo sengculazi esisha. Kodwa-ke, inani lamacala liye lasha ngokushesha kwaze kwaze kwaba yilapho izifo zingavamile ngokwanele ukwenza ukufinyelela kokuhlola kunzima. Ngo-2016, kuye kwatholakala amacala angu-7 kuphela ezweni lonke, kuphela e-Alabama, eCalifornia, e-Colorado, eMassachusetts, eNorth Carolina naseNingizimu Carolina.
Uma i-chancroid ivela e-US, cishe kungenzeka ukuthi ibonakale kubabaleki noma abavela kwamanye amazwe abavela e-Asia, e-Afrika naseCaribbean.
Kungenzeka futhi ukuthi kubonakale kumuntu onomlingani ocansini kwelinye lala maqembu. I-Chancroid empeleni iyancipha emhlabeni jikelele. Ngokuyinhloko kubangela ezindaweni lapho i-HIV ikhona khona , ngoba izilonda ze-chancroid zinikeza indlela elula yokutheleleka.
Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo. Ukuhlolwa Kwesifo Sokuziphatha Ngocansi 2016 . I-Atlanta: UMnyango WezeMpilo wase-US kanye Nezinsizakalo Zabantu; 2017.
> Amasevisi Okulawula Nokuvimbela Izifo. 2015 Izifo Zengculazi Ezithathelwana Ngocansi . I-MMWR Kunconywa Ngonyaka ka-2015; 64 (3): 1-138