I-Gonorrhea ekukhulelweni

Umxholo

• Ixhaphake kangakanani: ukuvuza ngaphantsi?
• Ngaba abanye abantu basemngciphekweni kunabanye?
• Ziintoni iimpawu kunye nengxaki ukuvuza ngaphantsi
• Zeziphi izinto ezixhalabisayo kwabasetyhini abakhulelweyo?
• Unyango, ukuthintela kunye nembonakalo

Ndinantoni?

Gonorrhea sisifo esidluliselwa ngeentlobano zesini (STD) esaziwa ngokuba “kukuqhwaba”. Ingene kwisini sangasese, ngomlomo, okanye ezimpundu nomntu osuleleke yi I-Neisseria gonorrhoeae ibhaktiriya. Nangona kunjalo, ayisiyiyo yonke into ekhokelela kusulelo.

I-gonorrhea bacteria ineeproteni kumphezulu wazo ezinamathele kwiiseli zomlomo wesibeleko okanye urethra. Emva kokuba iintsholongwane zibambekile, zingena kwiiseli zisasaze. Le mpendulo yenza ukuba kube nzima kumzimba wakho ukuzikhusela ngokuchasene neebhaktiriya, kwaye iiseli zakho kunye nezicubu zinokonakala.

Xa kuzalwa umntwana, ukuvuza ngaphantsi kunokubangela imiba enzulu kusana lwakho. I-Gonorrhea ingadluliselwa ukusuka kumama ukuya kumntwana ngexesha lokubeleka, ngoko kubalulekile ukuxilonga nokunyanga i-gonorrhea ngaphambi kokuba ube nosana lwakho.

Ixhaphake kangakanani: ukuvuza ngaphantsi?

I-Gonorrhea ixhaphake kakhulu emadodeni kunabasetyhini, ngokuka. Kwabasetyhini, usulelo lwe-gonorrhea luhlala lukhona kumlomo wesibeleko, kodwa ibhaktiriya inokufumaneka nakwindlela yokubuyisa, ukuvuleka kwesini, i-rectum kunye nomqala.

I-Gonorrhea sisifo sesibini esixelwa kakhulu e-United States. Ngo-2014, malunga nama-350,000 amatyala e-gonorrhea axeliweyo. Oku kuthetha ukuba bekukho amatyala ali-110 kubantu abangama-100,000. Ezi zibalo zazisezantsi ngo-2009 xa bekukho malunga nama-98 amatyala axelwe ngabantu abayi-100,000.

Iinkcukacha manani ze-gonorrhea kunokuba nzima ukuzifumana kuba ezinye iimeko zinokungachazwa. Kukho abantu abosulelekileyo kodwa ababonakalisi zimpawu. Abanye abantu abaneempawu abanokungaboni gqirha.

Ngokubanzi, izehlo zokuvuza ngaphantsi eUnited States zehle kakhulu ukusukela ngonyaka ka-1975. Oku kubangelwe ikakhulu ngabantu abaguqula isimilo sabo ngenxa yokoyika ukosulelwa yi-HIV. Namhlanje kukho kwakhona ukuhlolwa okungcono kunye nokuvavanywa kwegonorrhea.

Ngaba abanye abantu basemngciphekweni kunabanye?

Izinto ezinobungozi obuphezulu kwi-gonorrhea zibandakanya:

• ukuba phakathi kweminyaka eli-15 ukuya kwengama-24
• ukuba neqabane elitsha lokwabelana ngesondo
• ukuba namaqabane esini amaninzi
• sele ufumene ukuba une-gonorrhea okanye ezinye izifo ezosulela ngokwabelana ngesondo (STDs)

Usulelo oluninzi kwabasetyhini aluzivelisi iimpawu de kubekho iingxaki. Ngesi sizathu, i-CDC icebisa ukuvavanywa rhoqo kwabasetyhini abasemngciphekweni omkhulu, nokuba abanazimpawu.

Ziintoni iimpawu kunye nengxaki ukuvuza ngaphantsi

Iimpawu zokuba abanye abantu basetyhini banokufumana zibandakanya:

• ukukhutshwa kwencindi emthubi kunye nobofu kwilungu lobufazi
• ukuchama kabuhlungu
• ukuphuma kwegazi ngokungaqhelekanga

Intlungu engxamisekileyo kunye nokudumba kunokwenzeka ukuba usulelo lusasazeka kuloo ndawo.

Kuba uninzi lwabasetyhini alubonakalisi zimpawu, usulelo luhlala lunganyangwa. Ukuba oko kuyenzeka, usulelo lunokusasazeka ukusuka kumlomo wesibeleko ukuya kwinqanaba elingaphezulu lobufazi kwaye losulele isibeleko. Usulelo lunokusasazeka nakwimibhobho ye-fallopian, eyaziwa ngokuba yi-salpingitis, okanye isifo se-pelvic inflammatory (PID).

Abasetyhini abane-PID ngenxa yegonorrhea bahlala befumana umkhuhlane kwaye baneentlungu zesisu kunye neentlungu. Intsholongwane ebangela i-PID inokonakalisa imibhobho yesibeleko, enokubangela ukungachumi, ukukhulelwa kwe-ectopic, kunye nentlungu engapheliyo ye-pelvic.

Ukuba i-gonorrhea ayinyangwa inokusasazeka nasegazini kwaye ibangele ukusasazeka kosulelo lwe-gonococcal (DGI). Olu suleleko luhlala lusenzeka kwiintsuku ezisixhenxe ukuya kwelishumi emva kokuqala kokuba sexesheni.

I-DGI inokubangela umkhuhlane, Ukugodola kunye nezinye iimpawu. Izinto eziphilayo ze-gonococcal ephilayo zinokuhlasela ngokudibeneyo kwaye zibangele isifo samathambo emadolweni, emaqatheni, ezinyaweni, ezihlahleni nasezandleni.

I-Gonorrhea inokuchaphazela ulusu kwaye ibangele irhashalala ezandleni, izihlahla, iingqiniba kunye namaqatha. Irhashalala iqala njengamancinci, ethe tyaba, amabala abomvu aqhubela phambili kwi-blisters ezele bubofu.

Kwiimeko ezinqabileyo ukudumba kwezicwili ezisengqondweni okanye zomnqonqo, ukosuleleka kwezivalo zentliziyo, okanye ukudumba kwebala lesibindi, kunokwenzeka.

Ukongeza, isifo ukuvuza ngaphantsi kunokwenza kube lula ukuba. Oku kwenzeka ngenxa yokuba ukuvuza ngaphantsi kuvutha izicwili zakho kwaye buthathaka amajoni akho omzimba.

Zeziphi izinto ezixhalabisayo kwabasetyhini abakhulelweyo?

Uninzi lwabasetyhini abakhulelweyo abane-gonorrhea ababonisi zimpawu, ngenxa yoko usenokungazi ukuba usulelekile. Abafazi abakhulelweyo banenqanaba elithile lokhuseleko kwiingxaki ezinokubakho. Umzekelo, izicwili ezingekazalwa zinokunceda ukukhusela isibeleko kunye neetyhubhu zesibeleko kusulelo.

Nangona kunjalo, abasetyhini abakhulelweyo abane-gonorrhea banokuhambisa usulelo kwiintsana zabo ngexesha lokuhanjiswa kwelungu lobufazi. Oku kwenzeka ngenxa yokuba umntwana udibana nokufihla kukanina. Iimpawu kwiintsana ezosulelekileyo zihlala zivela kwiintsuku ezimbini ukuya kwezintlanu emva kokubeleka.

Iintsana ezosulelweyo zinokuphuhlisa usulelo lwe-scalp, usulelo oluphezulu lokuphefumla, urethritis, okanye i-vaginitis. Banokukhulisa usulelo lwamehlo olunzulu.

Usulelo lunokungena kwigazi losana, lubangele ukugula ngokubanzi. Njengabantu abadala, xa intsholongwane isasazeka emzimbeni wonke, inokuhlala kwilungu elinye okanye nangaphezulu, ibangele isifo samathambo okanye ukudumba kwezicwili ezisengqondweni okanye zomqolo.

Usulelo lwamehlo kusana olusandul 'ukuzalwa kunqabile ukuba lubangwe yi-gonorrhea. Ukuba oku kuyenzeka, nangona kunjalo, kunokubangela ubumfama obungapheliyo.

Nangona kunjalo, ukungaboni okubangelwa lusulelo lwamehlo kwi-gonorrhea kunokuthintelwa. Iintsana zihlala zinikwa ioyile ye-erythromycin ophthalmic ukuthintela usulelo lwamehlo. Eyona ndlela yokuthintela usulelo kwiintsana ezingaphantsi kweentsuku ezingama-28 ubudala kukukhusela nokunyanga umama ngaphambi kokubeleka.

Unyango, ukuthintela kunye nembonakalo

Ukuchonga kwangoko kunye nokunyanga ukuvuza ngaphantsi kubaluleke kakhulu ukuthintela ukusasazeka kwesi sifo. Ukuba amaqabane akho owabelana nawo ngesondo wosulelekile kufuneka uvavanywe kwaye unyangwe.

Ukuziqhelanisa nokwabelana ngesondo okukhuselekileyo kunye nokusebenzisa ikhondom kuya kunciphisa amathuba akho okufumana isifo se-gonorrhea okanye nayiphi na i-STD. Ungacela iqabane lakho ukuba livavanywe kwaye uqiniseke ukuba uyakuphepha ukulala nomntu onempawu ezingaqhelekanga.

Ukugqithisa i-gonorrhea kumntwana wakho osandul 'ukuzalwa kunokubangela izifo ezinzulu. Kubalulekile ukuba ukhumbule ukuba amaxesha amaninzi akukho zimpawu de kubekho iingxaki. Ngethamsanqa, amayeza okubulala iintsholongwane anokunyanga iimeko ezininzi ze-gonorrhea.

Ukuba novavanyo rhoqo xa ufumanisa ukuba ukhulelwe kunokunciphisa umngcipheko weengxaki ngexesha lokukhulelwa kwakho. Thetha nogqirha wakho malunga nokuhlolwa kwaye uqiniseke ukuba ubaxelela malunga naluphi na usulelo onalo.