Gonorrhea, hot piss, gonorrhea kapena gonorrhea: tanthauzo

Gonorrhea, yomwe imadziwika kuti "hot-piss", urethritis, gonorrhea kapena gonorrhea, ndi matenda opatsirana pogonana (STI) omwe amayamba chifukwa cha bakiteriya Neisseria gonorrhoeae. Zakhala zikukwera ku France kuyambira 1998, monga matenda ambiri opatsirana pogonana.

Chisoni chimapezeka kawirikawiri mwa amuna kusiyana ndi amayi, mwina chifukwa chakuti mwa amuna chimayambitsa zizindikiro zoonekeratu pamene mwa amayi oposa theka la matendawa sichimayambitsa zizindikiro zilizonse. Amuna a zaka zapakati pa 21 mpaka 30 ndi atsikana azaka zapakati pa 16 mpaka 25 amakhudzidwa kwambiri ndi matenda opatsirana pogonana (STI)

Angathe kupha mbolo ndi nyini, mkodzo, rectum, mmero, ndipo nthawi zina maso. Kwa amayi, khomo lachiberekero limathanso kuwonongeka.

Ku Canada, chiwerengero cha odwala matenda a chinzonono chawonjezeka kuwirikiza kawiri pazaka 10 zapitazi ndipo chiwerengero cha odwala omwe samva mankhwala opha tizilombo chikuchulukirachulukira.

Zimayambitsa

Gonorrhea imafalikira panthawiyi Kugonana mkamwa, kumatako, kapena kumaliseche mosadziteteza ndi okondedwa omwe ali ndi kachilomboka, mwa kusinthana madzimadzi achilengedwe ndi kukhudzana kwa mucous nembanemba. Simapatsirana kawirikawiri ndi cunnilingus.

Chisoni chingapatsirenso mwana wobadwa kumene kuchokera kwa mayi yemwe ali ndi kachilombo panthawi yobereka, zomwe zimayambitsa matenda a maso.

Zizindikiro za chinzonono 

Zizindikiro za gonorrhea kapena gonorrhea nthawi zambiri zimawonekera 2 masiku mu pambuyo pa nthawi ya matenda amuna koma iwo mwina kutenga masiku khumi akazi, mwina nthawi zina motalika. Matendawa amatha kuwoneka mu rectum, mbolo, pachibelekeropo, kapena pakhosi. Kwa amayi, matendawa samadziwika muzochitika zoposa theka, zomwe sizimayambitsa zizindikiro zenizeni.

Njira yodziwika bwino yosachiritsika ya gonococcal urethritis mwa amuna ndi kutha kwa zizindikiro : Zizindikiro zitha kutha mwa amuna opitilira 95% mkati mwa miyezi isanu ndi umodzi. Matendawa amapitilirabe, komabe, malinga ngati sanachiritsidwe. Popanda chithandizo kapena kulephera, chiopsezo chotenga kachilomboka chimakhalabe, ndipo chimapanga bedi la zovuta komanso zotsatila.

Mwa anthu

• Kutuluka kwa purulent ndi wobiriwira-wachikasu kuchokera ku mkodzo,
• Kuvuta kukodza,
• Kutentha kwambiri pakukodza,
• Kupweteka mu urethra,
• Kupweteka kapena kutupa kwa machende,
• Kupweteka kapena kutuluka kwa rectum.
• Mwamuna wosonyeza zizindikirozi ayenera kulankhula ndi bwenzi lake chifukwa sangasonyeze zizindikiro zilizonse, ngakhale atakhala wonyamula mabakiteriya.

Ndipo mu 1% ya milandu, amuna amawonetsa pang'ono kapena ayi.

Mwa akazi

Amayi ambiri alibe zizindikiro za chinzonono, ndipo izi ndi zapakati pa 70% ndi 90% ya odwala! Zikakhalapo, zizindikirozi nthawi zambiri zimasokonezedwa ndi matenda amkodzo kapena kumaliseche:

• purulent, chikasu kapena nthawi zina magazi kumaliseche;
• Kupweteka kwa vulvaire;
• Kutaya magazi kwachilendo;
• Kupweteka kwa m'chiuno kapena kulemera;
• Ululu panthawi yogonana;
• Kupsa mtima pamene mukutuluka mkodzo komanso kuvutika mkodzo.

Pogonana mosadziteteza, kuyezetsa kuyenera kuchitika, komanso kuyezetsa chlamidiae.

Zizindikiro za anorectal gonorrhea

Zimakhala zofala kwambiri mwa amuna omwe amagonana ndi amuna (MSM) ndipo amatha kuwoneka ndi zizindikiro zotsatirazi:

• Kuyabwa mu anus,
• Kutupa kwa anus,
• Kutuluka kwa purulent kuchokera ku anus,
• Kutsegula m'mimba,
• Kutuluka magazi kudzera ku anus,
• Kusapeza bwino pochita chimbudzi…

Chinzonono cha mkamwa ndi pakhosi nthawi zambiri sichimakhudzana ndi palibe chizindikiro chodziwika. Nthawi zina pangakhale pharyngitis kapena zilonda zapakhosi zomwe zimathetsa zokha. Gonorrhea ya oropharhyngeal imapezeka mu 10 mpaka 40% ya MSM (amuna omwe amagonana ndi amuna), 5 mpaka 20% ya amayi omwe ali ndi chinzonono kumaliseche kapena anorectal, ndi 3 mpaka 10% mwa anthu omwe amagonana ndi amuna kapena akazi okhaokha.

Kutenga nawo mbali m'maso kumakhala kosowa mwa akulu. Zimachitika mwa kudzipatsirana; munthu wokhudzidwa ndi chinzonono m'malo ogonana ndikubweretsa majeremusi m'maso ndi manja ake. Zizindikiro ndi:

• Kutupa kwa zikope,
• Kutulutsa kwamafuta ochepa komanso ochepa,
• Kumva mchenga m'diso,
• Zilonda kapena kuwonongeka kwa cornea.

Zovuta zotheka

Kwa amayi, chinzonono chingayambitse matenda a m'chiuno, ndiko kuti, matenda a ziwalo zoberekera za mazira, mazira ndi chiberekero. Ikhoza kukhala chifukwa osabereka, kuonjezera chiopsezo cha ectopic mimba ndi kukhala chifukwa cha kupweteka kwa m'chiuno kosatha.

Mwa amuna, chinzonono chingayambitse kutupa kwa prostate (prostatitis) kapena machende (matenda a epididymitis), zomwe zingayambitse kusabereka.

Chinzonono chimawonjezeranso mwayi wofalitsa kachilombo ka HIV.

Kumbali ina, khanda lobadwa kumene loyambukiridwa ndi amayi ake likhoza kudwala matenda aakulu a maso kapenamatenda a magazi (sepsis).

Kutupa kwa glands za Bartholin

Mwa akazi, zovuta zomwe zimawonedwa pafupipafupi ndi kutupa kwa para-urethral glands ndi Bartholin's glands, matenda a chiberekero (endometritis) ndi matenda am'machubu (salpingitis), nthawi zambiri amapita patsogolo popanda kuchititsa zizindikiro zilizonse. Pambuyo pake, matendawa akamakula, ululu wa m'chiuno, kusabereka kapena chiopsezo cha ectopic pregnancy chikhoza kuchitika. Izi ndichifukwa choti machubu amatha kutsekeka ndi matenda a gonococcal.

Kafukufuku wina amasonyeza kuti pakati pa 10 ndi 40 peresenti ya matenda osachiritsika a gonococcal (gonococcal cervicitis) amapita ku matenda a kutupa m'chiuno. Komabe, palibe kafukufuku wanthawi yayitali wopangitsa kuti athe kuwunika kuchuluka kwa chinzonono chomwe chimayambitsa zovuta zazikulu, makamaka chiopsezo cha kusabereka, sikulola kuti chiwerengedwe ku France.

Tubal matenda

Poyerekeza ndi matenda Chlamidiae trachomatis, mavuto kugwirizana ndi chinzonono

sizichitika kawirikawiri. Zonsezi zimatha kuyambitsa matenda a tubal (salpingitis) ndi chiopsezo cha infertility ndi ectopic pregnancy. Mitundu yambiri ya chinzonono ndiyosowa. Akhoza kupereka mu mawonekedwe a subacute sepsis (kuzungulira kwa mabakiteriya amtundu wa gonococcal m'magazi), ndipo akhoza kutsagana ndi kuwonongeka kwa khungu. Kufalitsidwa chinzonono angathenso kusonyeza mu mawonekedwe a osteoarticular kuukira: subfebrile polyarthritis, purulent nyamakazi, tenosynovitis;

Zowopsa

• Amuna omwe amagonana ndi amuna (MSM) ali pachiwopsezo chachikulu;
• Anthu omwe ali ndi zibwenzi zambiri zogonana;
• Anthu omwe ali ndi okondedwa omwe ali ndi zibwenzi zina zogonana;
• Anthu omwe amagwiritsa ntchito kondomu mosagwirizana;
• Anthu ochepera zaka 25, amuna, akazi kapena achinyamata omwe amagonana nawo;
• Anthu omwe adatenga kale matenda opatsirana pogonana (STI) m'mbuyomu;
• Anthu omwe ali ndi kachilombo ka HIV (kachilombo ka AIDS);
• Ochita zogonana;
• Ogwiritsa ntchito mankhwala osokoneza bongo;
• Anthu m'ndende;
• Anthu amene amapita kuchimbudzi osasamba m'manja mwadongosolo (ocular gonorrhea).

Nthawi yofunsira?

Pambuyo pa chimodzi kugonana kosatetezeka, funsani dokotala kuti akuyezetseni.

Ngati zizindikiro za matenda kumaliseche, amayaka pamene pokodza amuna.