Donovanosis (granuloma inguinale)

Donovanosis (granuloma inguinale) chirwere chinopfuudzwa pabonde chisingawanzoonekwa muUnited States.

Donovanosis (granuloma inguinale) inokonzerwa nebhakitiriya Klebsiella granulomatis. Chirwere ichi chinowanzo kuwanikwa munzvimbo dzinopisa uye dzinopisa dzakadai southeast India, Guyana, neNew Guinea. Iko kune mazana zana emakesi anotaurwa pagore muUnited States. Zvizhinji zvezviitiko izvi zvinoitika kune vanhu vakafamba kana kubva kunzvimbo dzinowanikwa chirwere ichi.

Chirwere ichi chinopararira kunyanya kuburikidza nekupinda pabonde kana nekumashure kunobuda nako tsvina. Kashoma kwazvo, inopararira panguva yepabonde.

Zvirwere zvakawanda zvinoitika muvanhu vane makore makumi maviri kusvika makumi mana.

Zviratidzo zvinogona kuitika 1 kusvika kumavhiki gumi nemaviri mushure mekusangana nechirwere chinokonzera hutachiona.

Izvi zvinogona kusanganisira:

• Maronda munzvimbo yekumashure mune inenge hafu yematambudziko.
• Diki, bumpy-tsvuku bumps anoonekwa panhengo yekubereka kana kutenderedza anus.
• Ganda rinopera zvishoma nezvishoma, uye mapundu anoshanduka kuita akakwidziridzwa, akatsvuka semombe, akatsvuka maronda anonzi granulation tishu. Kazhinji havarwadziwe, asi vanobuda ropa zviri nyore kana vakakuvara.
• Chirwere ichi chinopararira zvishoma nezvishoma nekuparadza nhengo dzesikarudzi.
• Tissue kukuvara kunogona kupararira kune iyo groin.
• Nhengo dzakavandika uye ganda rakavatenderedza zvinorasikirwa neganda.

Mumatanho ayo ekutanga, zvingave zvakaoma kuti utaure mutsauko pakati pe donovanosis uye chancroid.

Mumatanho ekupedzisira, donovanosis inogona kutaridzika kunge kenza yepamuviri yepamusoro, lymphogranuloma venereum, uye anogenital cutaneous amebiasis.

Miedzo inogona kuitwa inosanganisira:

• Tsika yemasuru sampuli (yakaoma kuita uye isingawanzo kuwanikwa)
• Zvipenga kana biopsy yechironda

Rabhoritari bvunzo, dzakafanana neidzo dzinoshandiswa kuona syphilis, dzinowanikwa chete pane yekutsvaga hwaro hwekuongorora donovanosis.

Mishonga inorwisa mabhakitiriya inoshandiswa kurapa donovanosis. Izvi zvinogona kusanganisira azithromycin, doxycycline, ciprofloxacin, erythromycin, uye trimethoprim-sulfamethoxazole. Kuti urape mamiriro acho, kurapwa kwenguva refu kunodiwa. Mazhinji makosi ekurapa anomhanya kwevhiki nhatu kana kusvika maronda apora zvachose.

Kuongorora kwekutevera kwakakosha nekuti chirwere ichi chinogona kuonekazve mushure mekuita kunge chaporeswa.

Kurapa chirwere ichi nekukurumidza kunoderedza mikana yekukuvara kwetishu kana kuti vanga. Chirwere chisingarapwe chinotungamira mukukuvara kwenzvimbo yekubereka.

Matambudziko ehutano anogona kukonzerwa nechirwere ichi anosanganisira:

• Kukuvara kwepamuviri uye vanga
• Kurasika kweganda munzvimbo yekubereka
• Permanent genital kuzvimba nekuda kwekushaiwa

Dana kuti usangane nemupi wako wezvehutano kana:

• Iwe wakamboita zvepabonde nemunhu anozivikanwa kuti ane donovanosis
• Unokudziridza zviratidzo zve donovanosis
• Unovandudza chironda munzvimbo yekubereka

Kudzivisa zvese zvekuita bonde ndiyo chete nzira chaiyo yekudzivirira chirwere chepabonde chakadai sedonovanosis. Zvisinei, maitiro epabonde akachengeteka anogona kuderedza ngozi yako.

Kushandiswa kwakakodzera kwemakondomu, angave echirume kana echikadzi mhando, anoderedza zvakanyanya njodzi yekubata chirwere chepabonde. Unofanirwa kupfeka kondomu kubva pakutanga kusvika kumagumo ezvese zvepabonde.

Granuloma inguinale; Zvirwere zvepabonde - donovanosis; STD - donovanosis; Utachiona hwepabonde - donovanosis; Njovhera - donovanosis

• Zvikamu zveganda

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 Saunders; 2017: chitsiko 23.

Ghanem KG, Hook EW. Granuloma inguinale (Donovanosis). Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier Saunders; 2020: chitsama 300.

Anotema nematombo BP, Reno HEL. Klebsiella granulomatis (donovanosis, granuloma inguinale). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier Saunders; 2020: chitsiko 235.