Lymphogranuloma venereum

Lymphogranuloma venereum (LGV) chirwere chetachiona chinopfuudzwa pabonde.

LGV chirwere chenguva refu (chisingaperi) cheiyo lymphatic system. Iyo inokonzereswa nechero ipi yevatatu mhando dzakasiyana (serovars) yebhakitiriya Chlamydia trachomatis. Mabhakitiriya anopararira nekubatana pabonde. Hutachiona hahwukonzerwe nehutachiona hwakafanana hunokonzeresa genital chlamydia.

LGV inowanikwa muCentral neSouth America kupfuura kuNorth America.

LGV yakajairika kuvarume kupfuura vakadzi. Njodzi huru inyaya yekuva neutachiona hweHIV.

Zviratidzo zveLGV zvinogona kutanga mazuva mashoma kusvika pamwedzi mushure mekusangana nehutachiona. Zviratidzo zvinosanganisira:

• Drainage kuburikidza neganda kubva kune lymph node mune iyo groin
• Zvinorwadza ura kufamba (tenesmus)
• Honda diki isingarwadze panhengo yesikarudzi yemurume kana munhengo yechikadzi
• Kuzvimba uye kutsvuka kweganda munzvimbo yekugomera
• Kuzvimba kwemarabi (muvakadzi)
• Kuzvimba groin lymph node kune rimwe kana mativi ese; zvinogona zvakare kukanganisa lymph node dzakakomberedza rectum mune vanhu vanoita anal anal
• Ropa kana pus kubva kune rectum (ropa muzvigaro)

Anokuchengetedza hutano achakuongorora. Iwe uchazobvunzwa nezve yako yekurapa uye yebonde nhoroondo. Udza mupiki wako kana iwe ukaita zvepabonde nemumwe munhu waunofunga kuti anga aine zviratidzo zve LGV.

Kuongorora kwepanyama kunogona kuratidza:

• Iyo oozing, isina kujairika kubatana (fistula) munzvimbo yakatenderera
• Ronda panhengo dzakavandika
• Drainage kuburikidza neganda kubva kune lymph node mune iyo groin
• Kuzvimba kweguvhu kana labia muvakadzi
• Kuzvimba lymph node mune iyo groin (inguinal lymphadenopathy)

Miedzo inogona kusanganisira:

• Biopsy yeiyo lymph node
• Ropa bvunzo kune hutachiona hunokonzera LGV
• Rabhoritari bvunzo kuti uone chlamydia

LGV inorapwa nemishonga inorwisa mabhakitiriya, inosanganisira doxycycline uye erythromycin.

Nokurapwa, maonero akanaka uye kupora kwakazara kunogona kutarisirwa.

Matambudziko ehutano anogona kukonzerwa nehutachiona hweLGV anosanganisira:

• Kusabatana kusinganzwisisike pakati perece uye mukadzi (fistula)
• Kuzvimba kwehuropi (encephalitis - zvisingawanzoitika)
• Zvirwere mumajoini, maziso, moyo, kana chiropa
• Yenguva refu kuzvimba uye kuzvimba kwenhengo dzakavanzika
• Kuvhundutsa uye kuderera kweiyo rectum

Matambudziko anogona kuitika makore mazhinji mushure mekunge utapukirwa.

Fonera mupiki wako kana:

• Wanga uchisangana nemumwe munhu angave aine chirwere chepabonde, kusanganisira LGV
• Iwe unovandudza zviratidzo zve LGV

Kusaita chero bonde ndiyo nzira chete yekudzivirira hutachiona hwehutachiona. Maitiro epabonde akachengeteka anogona kudzora njodzi.

Kushandiswa kwakakodzera kwemakondomu, angave echirume kana echikadzi mhando, inoderedza zvakanyanya njodzi yekubata hutachiona hwehutachiona. Unofanirwa kupfeka kondomu kubva pakutanga kusvika kumagumo ezvese zvepabonde.

LGV; Lymphogranuloma inguinale; Lymphopathia venereum

• Lymphatic maitiro

Batteiger BE, Tan M. Chlamydia trachomatis (trachoma, urogenital zvirwere). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 180.

Gardella C, Eckert LO, Lentz GM. Zvirwere zvepamuviri zvinotapukira: vulva, nyini, cervix, chepfu inokatyamadza chirwere, endometritis, uye salpingitis. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 23.