I-lymphogranuloma venereum

I-Lymphogranuloma venereum (i-LGV) sisifo esosulela ngokwabelana ngesondo.

I-LGV sisifo sexesha elide (esingapheliyo) se-lymphatic system. Kubangelwa naziphi na iintlobo ezintathu ezahlukeneyo (iiserovars) zebhaktheriya I-Chlamydia trachomatis. Iibhaktheriya zisasazeka ngokuqhagamshelana ngokwesondo. Usulelo alubangelwa yintsholongwane efanayo ebangela ichlamydia yesini.

I-LGV ixhaphake kakhulu kuMbindi naseMzantsi Melika kunakuMntla Melika.

I-LGV ixhaphake kakhulu emadodeni kunabafazi. Owona mngcipheko uphambili kukuba ne-HIV.

Iimpawu ze-LGV zingaqala kwiintsuku ezimbalwa ukuya kwinyanga emva kokudibana neebhaktiriya. Iimpawu zibandakanya:

• Ukuhamba ngesikhumba kwii-lymph node kwi-groin
• Ukuhamba kwamathumbu kubuhlungu (tenesmus)
• Isilonda esincinci esibuhlungu kumalungu esini sangasese okanye kumalungu esini sabasetyhini
• Ukudumba nokubomvu kolusu kwindawo ye-groin
• Ukudumba kweelebhu (kwabasetyhini)
• Ukudumba kwe-lymph node kwelinye okanye macala omabini; Inokuchaphazela ne-lymph node ejikeleze i-rectum kubantu abalala ngesondo
• Igazi okanye ubofu kwi-rectum (igazi kwizitulo)

Umboneleli wezempilo uyakukuvavanya. Uya kubuzwa malunga nembali yakho yezonyango kunye nezesondo. Xelela umboneleli wakho ukuba ubukhe wanxibelelana ngesondo nomntu ocinga ukuba uneempawu ze-LGV.

Uvavanyo lomzimba lunokubonisa:

• Ukuqhagamshela, unxibelelwano olungaqhelekanga (fistula) kwindawo yecala
• Isilonda kwilungu langasese
• Ukuhamba ngesikhumba kwii-lymph node kwi-groin
• Ukudumba kwelungu lobufazi okanye lelebia kubafazi
• I-lymph nodes ezivuvukileyo kwi-groin (inguinal lymphadenopathy)

Uvavanyo lunokubandakanya:

• I-Biopsy ye-lymph node
• Uvavanyo lwegazi kwiibhaktheriya ezibangela i-LGV
• Uvavanyo lwelabhoratri ukufumana i-chlamydia

I-LGV inyangwa ngamayeza okubulala iintsholongwane, kubandakanya i-doxycycline kunye ne-erythromycin.

Ngonyango, umbono ulungile kwaye unokufumana kwakhona ngokupheleleyo.

Iingxaki zempilo ezinokubangelwa kukosuleleka kwe-LGV kubandakanya:

• Unxibelelwano olungaqhelekanga phakathi kwe-rectum kunye nelungu lobufazi (fistula)
• Ukudumba kwengqondo (i-encephalitis-inqabile)
• Usulelo kumalungu, amehlo, intliziyo, okanye isibindi
• Ukudumba kwexesha elide kunye nokudumba kwamalungu esini
• Ukuqhekeka kunye nokunciphisa i-rectum

Iingxaki zinokwenzeka kwiminyaka emininzi emva kokuba wosulelekile.

Fowunela umnikezeli wakho ukuba:

• Uye wanxibelelana nomntu onokuba nosulelo olosulela ngokwabelana ngesondo, kubandakanya ne-LGV
• Uphuhlisa iimpawu ze-LGV

Ukungabinamsebenzi wesondo kuphela kwendlela yokuthintela usulelo olosulela ngokwabelana ngesondo. Ukuziphatha ngokwesondo okukhuselekileyo kunokunciphisa umngcipheko.

Ukusetyenziswa ngokufanelekileyo kweekhondom, nokuba yeyindoda okanye uhlobo lowasetyhini, kunciphisa kakhulu umngcipheko wokubanjwa kosulelo olosulela ngokwabelana ngesondo. Kufuneka unxibe ikhondom ukusuka ekuqaleni ukuya esiphelweni kwisenzo ngasinye sesondo.

I-LGV; Lymphogranuloma inguinale; I-Lymphopathia venereum

• Inkqubo yeLymphatic

IBatteiger BE, uTan M. I-Chlamydia trachomatis (itrachoma, usulelo lomchamo). Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl. 180.

UGardella C, uEckert LO, uLentz GM. Usulelo lwamalungu esini sangasese: ubufazi, ubufazi, umlomo wesibeleko, isifo sokudakumba esinetyhefu, i-endometritis, kunye ne-salpingitis. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 23.