IDonovanosis (igranuloma inguinale)

IDonovanosis (i-granuloma inguinale) sisifo esosulela ngokwabelana ngesondo esingafane sibonwe eMelika.

IDonovanosis (i-granuloma inguinale) ibangelwa yintsholongwane UKlebsiella granulomatis. Esi sifo sifumaneka kwiindawo ezishushu nezishushu ezifana nasempuma yeIndiya, eGuyana naseNew Guinea. Kukho malunga neemeko ezili-100 ezichazwe ngonyaka e-United States. Uninzi lwezi meko lwenzeka kubantu abakhe baya okanye bavela kwiindawo apho esi sifo sixhaphake khona.

Esi sifo sisasazeka ikakhulu ngokwabelana ngesondo kwilungu lobufazi okanye ezimpundu. Kunqabile kakhulu, iyasasazeka ngexesha lokwabelana ngesondo ngomlomo.

Uninzi lwezifo zenzeka kubantu abaneminyaka engama-20 ukuya kuma-40.

Iimpawu zinokwenzeka kwiiveki ezi-1 ukuya kwezi-12 emva kokudibana nesi sifo esibangela ibhaktiriya.

Oku kunokubandakanya:

• Izilonda kwindawo eyi-anal malunga nesiqingatha samatyala.
• Amancinci amancinci, abomvu obomvu obomvu abonakala kwizitho zangasese okanye malunga ne-anus.
• Ulusu luyaphela ngokuthe ngcembe, kwaye amaqhuma ajika anyuke, abe bomvu-bomvu, amaqhuqhuva velvety abizwa ngokuba ziiseli zomzimba. Bahlala bengenazintlungu, kodwa bopha ngokulula xa benzakele.
• Esi sifo sisasazeka ngokukhawuleza kwaye sitshabalalise izicubu zomzimba.
• Umonakalo wethishu ungasasazeka kwi-groin.
• Ilungu lesini kunye nolusu olubangqongileyo lilahlekelwa ngumbala wolusu.

Kumanqanaba ayo okuqala, kunokuba nzima ukwahlula phakathi kwe-donovanosis kunye ne-chancroid.

Kumanqanaba okugqibela, i-donovanosis inokubonakala ngathi ngumhlaza womzimba ongaphezulu, i-lymphogranuloma venereum, kunye ne-anogenital cutaneous amebiasis.

Uvavanyo olunokwenziwa lunokubandakanya:

• Inkcubeko yesampulu yethishu (kunzima ukuyenza kwaye ayifumaneki rhoqo)
• Ukukhutshelwa okanye i-biopsy yesilonda

Iimvavanyo zaselebhu, ezifanayo nezo zisetyenziselwa ukufumanisa igcushuwa, ziyafumaneka kuphela kwisiseko sophando sokufumanisa isifo se-donovanosis.

Amayeza okubulala iintsholongwane asetyenziselwa ukunyanga idonovanosis. Oku kunokubandakanya i-azithromycin, doxycycline, ciprofloxacin, erythromycin, kunye ne-trimethoprim-sulfamethoxazole. Ukunyanga le meko, kufuneka unyango lwexesha elide. Uninzi lwezifundo zonyango ziqhuba iiveki ezi-3 okanye kude kuphole izilonda.

Uviwo olulandelayo lubalulekile kuba esi sifo sinokuphinda sivele emva kokuba sinyangekile.

Ukunyanga esi sifo kwangoko kunciphisa amathuba okonakala kwethishyu okanye amanxeba. Isifo esinganyangekiyo sikhokelela ekonakaleni kwezicubu zomzimba.

Iingxaki zempilo ezinokubangelwa sesi sifo zibandakanya:

• Ukulimala komzimba kunye nokuqhekeka
• Ukuphulukana nombala wolusu kwindawo yesini
• Ukudumba okungapheliyo kwamalungu omzimba ngenxa yokushwabana

Biza ixesha lokubonana nomboneleli wakho wezempilo ukuba:

• Ukhe wabelana ngesondo nomntu owaziwayo ukuba une-donovanosis
• Uphuhlisa iimpawu zedonovanosis
• Uphuhlisa isilonda kwindawo yesini

Ukuphepha yonke imisebenzi yesondo kuphela kwendlela yokuthintela isifo esidluliselwa ngeentlobano zesini ezifana nedonovanosis. 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.

IGranuloma inguinale; Izifo ezosulela ngokwabelana ngesondo - idonovanosis; STD - donovanosis; Ukosuleleka ngesondo - idonovanosis; STI - donovanosis

• Uluhlu lolusu

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 Saunders; Ngo-2017: isahluko 23.

IGhanem KG, iHook EW. IGranuloma inguinale (iDonovanosis). Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier Saunders; 2020: isahluko 300.

Amatye BP, Reno HEL. UKlebsiella granulomatis (donovanosis, granuloma inguinale). 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 Saunders; 2020: isahl 235.