Chancroid

I-Chancroid yintsholongwane ebangelwa kukusasazeka ngokwesondo.

I-Chancroid ibangelwa yintsholongwane ebizwa ngokuba I-Haemophilus ducreyi.

Usulelo lufumaneka kwiindawo ezininzi zehlabathi, ezifana ne-Afrika kunye ne-Asia-ntshona ye-Asia. Bambalwa kakhulu abantu abafunyaniswa e-United States unyaka nolu sulelo. Uninzi lwabantu baseMelika abafunyaniswe ukuba banechancroid banesifo ngaphandle kwelizwe kwiindawo apho usuleleko luxhaphake khona.

Kwisithuba sosuku olunye ukuya kwiiveki ezi-2 emva kokuba wosulelekile, umntu uya kufumana iqhuma elincinci kwilungu lobuni. Ingqumba iba sisilonda kungaphelanga usuku emva kokuba ivele okokuqala. Isilonda:

• Ububanzi bubungakanani ukusuka kwi-1/8 intshi ukuya kwii-intshi ezi-2 (iimilimitha ezi-3 ukuya kwii-5 iisentimitha) ububanzi
• Ngaba kubuhlungu
• Ithambile
• Uchaze imida kabukhali
• Inesiseko esigqunywe ngombala ongwevu okanye omthubi-ngwevu
• Ngaba inesiseko esopha ngokulula ukuba siyabethwa okanye sikhutshiwe

Phantse isiqingatha samadoda anesi sifo unesilonda esinye kuphela. Abasetyhini bahlala benezilonda ezi-4 okanye nangaphezulu. Izilonda zibonakala kwiindawo ezithile.

Iindawo eziqhelekileyo emadodeni zezi:

• Foreskin
• Groove emva kwentloko yelungu lobudoda
• Shaft yelungu lobudoda
• Intloko yelungu lobudoda
• Ukuvulwa kwelungu lobudoda
• Isikram

Kwabasetyhini, eyona ndawo ixhaphakileyo yezilonda yimilebe yangaphandle yelungu lobufazi (labia majora). "Ukuphuza izilonda" kunokukhula. Izilonda zokumanga zezo zenzeka kwiindawo ezichaseneyo zelebhu.

Ezinye iindawo, ezinje ngemilebe yangaphakathi yelungu lobufazi (labia minora), indawo ephakathi kwamalungu angasese kunye ne-anus (indawo ebukhali), kunye namathanga angaphakathi nawo anokubandakanyeka. Ezona mpawu zixhaphakileyo kwabasetyhini ziintlungu ngokuchama kunye nokwabelana ngesondo.

Isilonda sinokujongeka njengesilonda segcushuwa (chancre).

Phantse isiqingatha sabantu abasuleleke yi-chancroid bahlakulela ii-lymph node ezandayo.

Kwisiqingatha esinye sabantu abanokudumba kwe-lymph node, iindawo ezinqamleza ulusu kwaye zibangele ukuvela kwamathumba. I-lymph nodes kunye ne-abscesses zibizwa ngokuba yi-buboes.

Umboneleli wezempilo ufumanisa i-chancroid ngokujonga izilonda, ukujonga ukudumba kwe-lymph node kunye nokuvavanya (ukulawula) ezinye izifo ezidluliselwa ngesondo. Akukho luvavanyo lwegazi lwechancroid.

Usulelo lunyangwa ngamayeza okubulala iintsholongwane kubandakanya i-ceftriaxone, kunye ne-azithromycin. Ukudumba kwe-lymph node enkulu kufuna ukuba kukhutshwe inaliti okanye uqhaqho lwasekhaya.

I-Chancroid inokuba ngcono ngokwayo. Abanye abantu baneenyanga zezilonda ezibuhlungu kunye nokutsala. Unyango lwe-Antibiotic luhlala luzicoca ngokukhawuleza izilonda ezincinci.

Iingxaki zibandakanya i-urethral fistula kunye nezivalo kwijwabu lobudoda kwindoda engalukanga. Abantu abanechancroid kufuneka bajongisiswe nezinye izifo ezosulela ngokwabelana ngesondo, kubandakanya negcushuwa, i-HIV, kunye neherpes.

Kubantu abane-HIV, i-chancroid ingathatha ixesha elide ukuphilisa.

Biza ixesha lokubonana nomboneleli wakho ukuba:

• Unempawu zechancroid
• Ukhe wabelana ngesondo nomntu owaziyo ukuba unesifo esosulela ngokwabelana ngesondo (STI)
• Uthathe inxaxheba kwizenzo zesondo ezinobungozi obuphezulu

I-Chancroid isasazeka ngokudibana ngokwesondo nomntu osulelekileyo. Ukuphepha zonke iintlobo zesenzo sesondo kuphela kwendlela yokuthintela isifo esidluliselwa ngesondo.

Nangona kunjalo, iindlela ezikhuselekileyo zokuziphatha ngokwesondo kunokunciphisa umngcipheko. Ukusetyenziswa ngokufanelekileyo kweekhondom, nokuba yeyindoda okanye uhlobo lowasetyhini, kunciphisa kakhulu umngcipheko wokufumana isifo esidluliselwa ngeentlobano zesini. Kufuneka unxibe ikhondom ukusuka ekuqaleni ukuya esiphelweni kwisenzo ngasinye sesondo.

Chancre ethambileyo; Ulcus, Isifo esosulela ngokwabelana ngesondo - chancroid; STD - chancroid; Ukosuleleka ngesondo - chancroid; STI - chancroid

• Iinkqubo zokuzala zamadoda nabasetyhini

UJames WD, uElston DM, uMcMahon PJ. Usulelo lwebhakteria. Ku: James WD, Elston DM, McMahon PJ, ii-eds. Izifo zikaAndrews zeAtlical Clinical Atlas. IPhiladelphia, PA: Elsevier; I-2018: isahluko 14.

UMurphy TF. Haemophilus iintlobo kubandakanya H. influenzae kwaye H. ducreyi (chancroid). 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: isahluko 225.