Gonorrhea

Gonorrhea chirwere chinotapuriranwa pabonde (STI).

Gonorrhea inokonzerwa nehutachiona Neisseria gonorrhoeae. Chero mhando yebonde inogona kuparadzira gonorrhea. Iwe unogona kuiwana kuburikidza nekubata nemuromo, huro, maziso, urethra, kusangana nekutsi kwemukadzi, peni, kana anus.

Gonorrhea ndiyo yechipiri inonyanya kutaurwa nezvirwere zvinotapuriranwa. Anenge mazana matatu nemakumi matatu ezviitiko anoitika muUnited States gore rega rega.

Mabhakitiriya anokura munzvimbo dzinodziya, dzakanyorova dzemuviri. Izvi zvinogona kusanganisira chubhu inotakura weti kunze kwemuviri (urethra). Mune vakadzi, mabhakitiriya anogona kuwanikwa mune yekubereka nzira (iyo inosanganisira fallopian machubhu, chibereko, uye chibereko). Utachiona hunogona zvakare kukura mumaziso.

Vanoona nezvehutano vanosungirwa nemutemo kuti vaudze State Board rehutano nezvenyaya dzese dzegonorrhea. Chinangwa chemutemo uyu ndechekuona kuti munhu anowana chengeto yakanaka yekutevera pamwe nekurapwa. Vanhu vatinodanana navo vanodawo kuwanikwa nekuongororwa.

Iwe uri mukana wekuvandudza chirwere ichi kana:

• Iwe une vakawanda bonde shamwari.
• Iwe une mudiwa ane nhoroondo yakapfuura yechero njovhera.
• Haushandise kondomu pabonde.
• Unoshandisa doro zvisina kufanira kana zvinhu zvisiri pamutemo.

Zviratidzo zvegonorrhea zvinowanzoonekwa mazuva maviri kusvika mashanu mushure mekutapukirwa. Zvisinei, zvinogona kutora kusvika kumwedzi kuti zviratidzo zvionekwe muvarume.

Vamwe vanhu havana zviratidzo. Vanogona kunge vasingazive kuti vabata hutachiona, saka usatsvage kurapwa. Izvi zvinowedzera njodzi yezvinetso uye mikana yekupfuudza hutachiona kune mumwe munhu.

Zviratidzo muvarume zvinosanganisira:

• Kutsva nekurwadziwa uchiita weti
• Unoda kuita weti nekukurumidza kana kazhinji
• Kubuda kubva panhengo (chena, yero, kana girini muvara)
• Tsvuku kana kuzvimba kuvhura kwepenis (urethra)
• Tender kana kuzvimba machende
• Huro huro (gonococcal pharyngitis)

Zviratidzo muvakadzi zvinogona kuve zvakapfava. Vanogona kukanganisa neimwe mhando yehutachiona. Zvinosanganisira:

• Kutsva nekurwadziwa uchiita weti
• Huro inorwadza
• Kurara pabonde
• Kurwadziwa kwakanyanya mudumbu rezasi (kana hutachiona hukapararira kune fallopian machubhu uye nzvimbo yechibereko)
• Fivhiri (kana hutachiona hukapararira kune fallopian machubhu uye nzvimbo yechibereko)
• Isina kujairika uterine kubuda ropa
• Kubuda ropa mushure mebonde
• Kusanzwisisika kusangana nekutsi kwemukadzi kubuda pamwe neruvara rwegreenish, yero kana hwekunhuwa

Kana hutachiona hukapararira muropa, zviratidzo zvinosanganisira:

• Kupindwa nechando
• Mapundu
• Arthritis-sezviratidzo

Gonorrhea inogona kukurumidza kuonekwa nekutarisa sampuli yekubuda kana nyama pasi peiyo microscope. Izvi zvinonzi giraidhi gwapa. Iyi nzira inokurumidza, asi haisi iyo yechokwadi.

Gonorrhea inonyatsoonekwa neDNA bvunzo. Bvunzo dzeDNA dzinobatsira pakuongorora. Iyo ligase chain reaction (LCR) bvunzo ndeimwe yemiedzo. DNA bvunzo dzinokurumidza kupfuura tsika. Iyi bvunzo inogona kuitwa pane weti sampuli, izvo zviri nyore kuunganidza kupfuura masampuli kubva kunhengo yekubereka.

Pamberi peBvunzo dzeDNA, tsika (maseru anokura mune dhishi dhishi) aishandiswa kupa humbowo hwegonorrhea, asi haunyanyo shandiswa ikozvino.

Samples dzetsika dzinowanzo kutorwa kubva pamuromo wechibereko, mukadzi, urethra, anus, kana huro. Kazhinji, masampuli anotorwa kubva kujoini fluid kana ropa. Tsika dzinogona kazhinji kupa kuongororwa kwekutanga mukati maawa makumi maviri nemana. Iyo yakasimbiswa kuongororwa inowanikwa mukati maawa makumi manomwe nemaviri.

Kana iwe uine gonorrhea, unofanirwa kukumbira kuti uongororwe zvimwe zvirwere zvepabonde, kusanganisira chlamydia, syphilis, uye HIV herpes uye hepatitis.

Kuongororwa kwegonorrhea muasymptomatic vanhu kunofanira kutora mapoka anotevera:

• Vakadzi vanoita zvepabonde makore makumi maviri nemana uye vadiki
• Mukadzi mukuru pamakore makumi maviri nemana ari panjodzi yekuwedzera hutachiona

Hazvina kujeka kana kuongorora varume kwegonorrhea kunobatsira.

Mhando dzakasiyana dzemishonga inorwisa mabhakitiriya inogona kushandiswa kurapa hutachiona uhu.

• Iwe unogona kugashira imwe hosi huru yemumuromo maantibioti kana kutora diki diki kwemazuva manomwe.
• Unogona kupihwa jekiseni remishonga inorwisa mabhakitiriya kana kupfurwa, wozopihwa mapiritsi emushonga. Mimwe mhando yemapiritsi inotorwa kamwechete muhofisi yemupi. Dzimwe mhando dzinoendeswa kumba kweinosvika svondo.
• Zvimwe zvakakomba zviitiko zvePID (pelvic inflammatory chirwere) zvinogona kuda kuti iwe ugare muchipatara. Mishonga inorwisa mabhakitiriya inopihwa nemutsinga.
• Usambozvibata pachako usati waonekwa nemupi wako kutanga. Mupiki wako anozotarisa kurapa kwakanyanya.

Inenge hafu yevakadzi vane gonorrhea vane utachiona hwechlamydia. Chlamydia inorapwa panguva imwechete sehutachiona hwegonorrhea.

Iwe unozoda kwekutevera-kushanya mazuva manomwe mushure mekunge zviratidzo zvako zvichisanganisira kurwadza kwemajoini, kuputika kweganda, kana kurwadziwa kwakanyanya kwepelvic kana kwemimba. Kuedzwa kuchaitwa kuve nechokwadi chekuti hutachiona hwaenda.

Vane bonde vanofanira kuongororwa uye kurapwa kuitira kudzivirira kupfuudza hutachiona kumashure nekudzoka. Iwe nemumwe wako munofanira kupedza mishonga yese inorwisa mabhakitiriya. Shandisa makondomu kusvikira mose mapedza kunwa mishonga yemaantibioti. Kana wakabata gonorrhea kana chlamydia, haunyanyobatwa nechirwere zvakare kana uchigara uchishandisa makondomu.

Zvese zvebonde zvemunhu ane gonorrhea zvinofanirwa kusangana uye kuyedzwa. Izvi zvinobatsira kudzivirira kuwedzera kupararira kwehutachiona.

• Mune dzimwe nzvimbo, unogona kutora ruzivo uye mishonga kumurume wako wepabonde iwe pachako.
• Kune dzimwe nzvimbo, dhipatimendi rezvehutano rinobata mumwe wako.

Utachiona hwegonorrhea husina kupararira hunogona kupora nguva dzose nemishonga inorwisa mabhakitiriya. Gonorrhea yakapararira hutachiona hwakanyanya. Kazhinji yenguva, zvinova nani nemushonga.

Matambudziko muvakadzi anogona kusanganisira:

• Zvirwere zvinopararira kune fallopian machubhu zvinogona kukonzera vanga. Izvi zvinogona kukonzera matambudziko kutora pamuviri panguva inotevera. Iyo inogona zvakare kutungamira kune isingaperi pelvic kurwadziwa, PID, kushaya mbereko, uye ectopic nhumbu. Zvikamu zvakadzokororwa zvichawedzera mikana yako yekuve nekushaya mbereko nekuda kwekukuvara kwetubal.
• Vakadzi vane pamuviri vane gonorrhea yakakomba vanogona kupfuudza chirwere ichi kumwana wavo vachiri mudumbu kana panguva yekusununguka.
• Inogona zvakare kukonzera matambudziko mukuzvitakura senge hutachiona uye preterm kuburitsa.
• Kuputirwa muchibereko (chibereko) uye dumbu.

Zvinetso muvarume zvinogona kusanganisira:

• Kupwanya kana kudzikira kweiyo urethra (chubhu inotakura weti kunze kwemuviri)
• Kusuruvara (kuunganidzwa kwepus yakakomberedza urethra)

Zvinetso muvarume nevakadzi zvinogona kusanganisira:

• Joint zvirwere
• Utachiona hwevhavha yemoyo
• Utachiona hwakakomberedza huropi (meningitis)

Fonera mupiki wako ipapo kana uine zviratidzo zvegonorrhea. Makiriniki mazhinji anotsigirwa nehurumende anozoongorora nekurapa njovhera pasina muripo.

Kudzivisa kusangana pabonde ndiyo chete nzira yechokwadi yekudzivirira gonorrhea. Kana iwe nemumwe wako mukasarara nemumwe munhu, izvi zvinogona kudzikisira mukana wako zvakare.

Bonde rakachengeteka zvinoreva kutora matanho usati uye panguva yebonde izvo zvinogona kukutadzisa kubva kubatira hutachiona, kana kubva pakupa imwe kune mumwe wako. Maitiro ekurara pabonde asina njodzi anosanganisira kuongorora hutachiona hweHIV mune vese vanoita zvepabonde, kushandisa makondomu nguva dzose, kuita vashoma zvepabonde.

Kumbira mupi wako kana iwe uchifanira kugamuchira hepatitis B yekudzivirira-chinongedzo uye iyo HPV yekudzivirira-chinongedzo. Iwe unogona zvakare kuda kufunga nezve HPV jekiseni.

Kuombera; Drip

Nzvimbo dzekuchengetedza Dziviriro uye Kudzivirira webhusaiti. Zvepabonde kutarisisa hosha kuongororwa 2019. www.cdc.gov/std/statistics/2019/default.htm. Yakagadziridzwa Kubvumbi 13, 2021. Yakasvika muna Kubvumbi 15, 2021.

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Habif TP. Zvirwere zvepabonde. Mune: Habif TP, rakanyorwa. Clinical Dermatology. 6th ed. Philadelphia, PA: Elsevier; 2016: chits.

LeFevre ML; US Inodzivirira Services Task Force. Kuongorora kweChlamydia uye gonorrhea: US Preventive Services Task Force kukurudzira chirevo. Ann Mukati Med. 2014; 161 (12): 902-910. PMID: 25243785 www.ncbi.nlm.nih.gov/pubmed/25243785.

Marrazzo JM, Apicella MA. Neisseria gonorrhoeae (Gonorrhea). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Principles uye Practice yeInfectious Diseases, Yakagadziridzwa Edhisheni. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 214.

US Inodzivirira Services Task Force webhusaiti. Chirevo chekupedzisira chekukurudzira: chlamydia uye gonorrhea: kuongorora. www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/chlamydia-and-gonorrhea-screening. Yakagadziridzwa Nyamavhuvhu 2014. Yakasvika muna Kubvumbi 29, 2019.

Workowski KA, Bolan GA; Nzvimbo dzeDzidziso Kudzora uye Kudzivirira (CDC). Zvirwere zvepabonde zvirwere zvekurapa, 2015. MMWR Inokurudzira Rep. 2015; 64 (RR-03): 1-137. PMID: 26042815 www.ncbi.nlm.nih.gov/pubmed/26042815.