Ungazinyanga njani ii-STI ezi-7 eziqhelekileyo

Umxholo

• 1. IChlamydia
• 2. Ukuvuza ngaphantsi
• 3. I-HPV
• 4. Iherpes yesini
• 5. Itrichomoniasis
• 6. Igcushuwa
• 7. INTSHOLONGWANE KAGAWULAYO ​​/ GAWULAYO
• Unonophelo jikelele ngexesha lonyango

Unyango lwezifo ezosulela ngokwabelana ngesondo, ezazisaziwa njengezifo ezosulela ngokwabelana ngesondo, okanye ii-STDs, ziyahluka ngohlobo oluthile losulelo. Nangona kunjalo, uninzi lwezi zifo luyanyangeka kwaye, kwiimeko ezininzi, okoko zichongiwe kwangoko, zinokupheliswa ngokupheleleyo ngenaliti enye.

Ke, eyona nto ibalulekileyo kukuba, nanini na xa kukho urhano lokosuleleka, ugqirha osisifo okanye ugqirha jikelele uyacetyiswa ukuba enze uvavanyo lwegazi oluyimfuneko kwaye aqale olona nyango lufanelekileyo.

Nakwimeko yezifo ezinganyangekiyo, ezifana noGawulayo, unyango lubaluleke kakhulu, kuba luyanceda ekuthinteleni esi sifo ukuba siqhubeke sisiba mandundu kwaye sinciphise neempawu, ukongeza ekuthinteleni ukudluliselwa kwesi sifo kwabanye abantu.

Apha ngezantsi, sibonisa izikhokelo zonyango ezikhoyo kwiprotocol yeklinikhi yoMphathiswa Wezempilo:

1. IChlamydia

I-Chlamydia yi-STI ebangelwa yintsholongwane, eyaziwa njenge I-Chlamydia trachomatis, ezinokuthi zichaphazele amadoda kunye nabasetyhini, zibangele iimpawu ezinje ngokutsha komchamo, iintlungu ngexesha lokudibana ngokwesondo okanye ukurhawuzelela kwingingqi esondeleyo.

Ukuphelisa iintsholongwane, unyango lubandakanya ukusetyenziswa kwee-antibiotics, ngolu hlobo lulandelayo:

1st ukhetho

• I-Azithromycin 1 g, kwithebhulethi, kwidosi enye;

okanye

• Uncedo 100 mg, ithebhulethi, iiyure ezili-12/12 ngeentsuku ezisi-7.

okanye

• Amoxicillin 500 mg, ithebhulethi, 8 / 8h iintsuku ezisi-7

Olu nyango kufuneka luhlale lukhokelwa ngugqirha, njengoko kunokuba yimfuneko ukuziqhelanisa neempawu zomntu ngamnye. Umzekelo, kwimeko yabasetyhini abakhulelweyo, iDoxycycline ayifanele isetyenziswe.

Jonga ukuba zeziphi iimpawu eziphambili ze-chlamydia kunye nendlela usulelo olwenzeka ngayo.

2. Ukuvuza ngaphantsi

I-Gonorrhea ibangelwa yintsholongwane I-Neisseria gonorrhoeae, ebangela iimpawu ezinjengokukhululwa okumthubi-mhlophe, ukurhawuzelela kunye nentlungu xa uchama kwaye zihlala zithatha iintsuku ezili-10 ukuvela emva konxibelelwano olungakhuselekanga ngokwesondo.

Unyango lokuqala lukhetha ukusetyenziswa:

• Ciprofloxacino I-500 mg, icinezelwe, kwidosi enye, kwaye;
• I-Azithromycin 500 mg, amacwecwe ama-2, kwidosi enye.

okanye

• ICeftriaxone I-500 mg, inaliti ye-intramuscular, kwidosi enye, kwaye;
• I-Azithromycin 500 mg, amacwecwe ama-2, kwidosi enye.

Kwabasetyhini abakhulelweyo kunye nabantwana abangaphantsi kwe-18, i-ciprofloxacin kufuneka itshintshwe nge-ceftriaxone.

Fumana ukuqonda okungcono malunga nokuba yintoni ukuvuza ngaphantsi, iimpawu zayo kunye nendlela yokuthintela usulelo.

3. I-HPV

I-HPV liqela leentsholongwane zoluhlobo olunye ezinokuthi zichaphazele inkqubo yokuzala, kokubini amadoda nabasetyhini kwaye, kwiimeko ezininzi, kukhokelela kuphela ekubonakaleni kweentsumpa ezincinci, ezinokupheliswa ngokusetyenziswa kweekhrim, i-cryotherapy okanye utyando oluncinci.Uhlobo lonyango luxhomekeke kubungakanani, inani kunye neendawo apho iintsumpa zivela khona, ke ngoko, kuhlala kubalulekile ukuba kubekho isikhokelo esivela kugqirha.

Jonga ngakumbi iifom zonyango ezikhoyo kwi-HPV.

Nangona kunjalo, ukongeza kwiintsumpa, kukho nezinye iintlobo zeentsholongwane ze-HPV ezinokukhokelela kumhlaza, eyona idume kakhulu ngumhlaza womlomo wesibeleko kwabasetyhini, ngakumbi ukuba izilonda ezibangelwa yintsholongwane azinyangwa kwangethuba.

Unyango lwe-HPV lunokuphelisa iimpawu kwaye luthintele ukuqala komhlaza, kodwa aluyisusi intsholongwane emzimbeni. Ngesi sizathu, iimpawu zinokuphinda zenzeke, kwaye ekuphela kwendlela yokunyanga kuxa amajoni omzimba ekwazi ukuyiphelisa intsholongwane, enokuthatha iminyaka eliqela ukwenzeka.

4. Iherpes yesini

Herpes ezikumalungu yi-STI ebangelwa yintsholongwane efanayo ebangela iherpes emilebeni, i herpes simplex. Le yenye yezona zinto zixhaphakileyo ze-STI ezibangela ukubonakala kwamabhamu amancinci agcwaliswe lulwelo kumalungu esini, arhawuzayo kwaye akhuphe ulwelo olunombala otyheli.

Ngokwesiqhelo unyango lwenziwa ngeacyclovir, iyeza elinamandla lokulwa intsholongwane ngokuchasene neherpes, ngokwesicwangciso:

Olu nyango aluyiphelisi intsholongwane emzimbeni, kodwa luyanceda ukunciphisa amandla kunye nexesha leziqendu zemiqondiso ezivela kumalungu esini.

Jonga iimpawu ezinokubonisa i-herpes yangasese, kumadoda nabasetyhini.

5. Itrichomoniasis

I-Trichomoniasis sisifo esibangelwa yiprotozoan Trichomonas lobufazi, evelisa iimpawu ezahlukileyo kwabasetyhini nakumadoda, kodwa ngokubanzi kubandakanya iintlungu xa uchama, ukhupha ngevumba elibi kunye nokurhawuzelela kakhulu kumalungu esini.

Ukunyanga le ntsholongwane, i-Metronidazole yesiqhelo ihlala isetyenziswa, kulandelwa eli cebo:

• I-Metronidazole 400 mg, amacwecwe ama-5 kwidosi enye;
• I-Metronidazole 250 mg, 2 12/12 iipilisi iintsuku ezisi-7.

Kwimeko yabasetyhini abakhulelweyo, olu nyango kufuneka lulungiswe kwaye, ke ngoko, kubalulekile ukwenza unyango ngolwazi lwengcali yokubelekisa.

Jonga iimpawu ezinceda ukufumanisa imeko yeetrichomoniasis.

6. Igcushuwa

I-Syphilis yi-STI ebangelwa yintsholongwane Treponema pallidum, ezinokubangela iintlobo ezahlukeneyo zeempawu ngokwenqanaba ekulo, kodwa eyona yaziwa kakhulu ngamanxeba anokubangela kwingingqi yesini.

Ukunyanga igcushuwa, iyeza lokukhetha yi-penicillin, ekufuneka inikezwe ngeedosi ezahluka ngokwenqanaba losulelo:

1. I-syphilis yaseprayimari, yesibini okanye yakutshanje

• I-Benzathine penicillin G, i-2.4 yezigidi ze-IU, kwisitofu esinye se-intramuscular, kunye ne-1.2 yezigidi ze-IU ezilawulwa kwigluteus nganye.

Enye indlela yonyango kukuthatha i-Doxycycline 100 mg, kabini ngemini, kangangeentsuku ezili-15. Kwimeko yabasetyhini abakhulelweyo, unyango kufuneka lwenziwe ngeCeftriaxone 1g, kwisitofu se-intramuscular, kangangeentsuku eziyi-8 ukuya kwezi-10.

2. Igcushuwa efihlakeleyo okanye efihlakeleyo

• I-Benzathine penicillin G, i-2.4 yezigidi ze-IU, itofwe ngeveki iiveki ezintathu.

Ngenye indlela, unyango lunokwenziwa nge-Doxycycline 100 mg, kabini ngemini kangangeentsuku ezingama-30. Okanye, kwimeko yabasetyhini abakhulelweyo, kunye neCeftriaxone 1g, kwisitofu se-intramuscular, kangangeentsuku ezi-8 ukuya kwezi-10.

Jonga ulwazi oluthe kratya malunga namanqanaba egcushuwa nendlela yokuchonga nganye nganye.

7. INTSHOLONGWANE KAGAWULAYO ​​/ GAWULAYO

Nangona kungekho lunyango lunokunyanga usulelo lwe-HIV, kukho ezinye iindlela zokulwa intsholongwane ezinceda ekupheliseni ubungakanani bentsholongwane egazini, ukuthintela kungekuphela nje ukuba esi sifo siqatsele, kodwa kuthintela nokosulela kosulelo.

Ezinye ze-antivirals ezinokusetyenziswa zibandakanya i-Lamivudine, i-Tenofovir, i-Efavirenz okanye i-Didanosine, umzekelo.

Jonga kule vidiyo ulwazi olubaluleke ngakumbi malunga ne-HIV kunye nonyango lwayo:

Unonophelo jikelele ngexesha lonyango

Nangona unyango lohlobo ngalunye lwe-STI lungafani, kukho iindlela ezithile zokuthintela ekufuneka zithathiwe. Olu khathalelo linceda ukubuyisela kwimeko yesiqhelo ngokukhawuleza kwaye lunyange usulelo, kodwa zikwabaluleke kakhulu ukuthintela ukudluliselwa kwe-STIs kwabanye abantu.

Yiyo loo nto kucetyiswa:

• Yenza unyango kude kube sekupheleni, nokuba iimpawu ziya ziphucula;
• Kuphephe ukunxibelelana ngokwesondo, nokuba ukhuselekile;
• Yenza uvavanyo lokuqonda isifo kwezinye ii-STIs.

Ukongeza, kwimeko yabantwana okanye yabasetyhini abakhulelweyo, kubalulekile ukuba nolunye ukhathalelo olukhethekileyo, kubalulekile ukudibana nodokotela wabantwana okanye ugqirha wokubelekisa, osuka kwisifo esosulelayo.