Maitiro ekurapa aya manomwe akajairika njovhera
Zvemukati
- 1. Chlamydia
- 2. Gonorrhea
- 3. HPV
- 4. Chirwere chepabonde
- 5. Trichomoniasis
- 6. Njovhera
- 7. HIV / AIDS
- Kutarisirwa kwakawanda panguva yekurapa
Kurapa kwezvirwere zvepabonde (STIs), yaimbozivikanwa sezvirwere zvepabonde, kana maSTD chete, zvinosiyana zvichienderana nerudzi rwehutachiona. Nekudaro, mazhinji ezvirwere izvi anorapika uye, mune akati wandei, sekureba sekunge anoonekwa nekukurumidza, anogona kutobviswa zvachose nejekiseni rimwe chete.
Nekudaro, chakanyanya kukosha ndechekuti, pese panenge paine fungidziro yekutapukirwa, chiremba wezvirwere kana chiremba mukuru anobvunzwa kuti aite kuongororwa kweropa kwakakodzera uye kutanga kurapwa kwakakodzera.
Kunyangwe mune nyaya dzezvirwere zvisina mushonga, zvakaita seAIDS, kurapwa kwakakosha kwazvo, nekuti kunobatsira kudzivirira chirwere kubva pakuwedzera uye kudzikamisa zviratidzo, pamusoro pekudzivirira kutapurira chirwere kune vamwe vanhu.
Pazasi, isu tinoratidzira marongero ekurapa aripo mukiriniki protocol ye Ministry of Health:
1. Chlamydia
Chlamydia chirwere chepabonde chinokonzerwa nebhakitiriya, inozivikanwa se Chlamydia trachomatis, iyo inogona kukanganisa vese varume nevakadzi, zvichikonzera zviratidzo sekutsva kwekunzwa mumurini, kurwadziwa panguva yekusangana pabonde kana kuvava munzvimbo yepedyo.
Kubvisa mabhakitiriya, kurapwa kunosanganisira kushandiswa kwemishonga inorwisa mabhakitiriya, seinotevera:
Yekutanga sarudzo
- Azithromycin 1 g, pahwendefa, mune imwe dose;
kana
- Doxycycline 100 mg, piritsi, 12/12 maawa kwemazuva manomwe.
kana
- Amoxicillin 500 mg, piritsi, 8 / 8h kwemazuva manomwe
Iyi kurapwa inofanirwa kugara ichitungamirwa nachiremba, sezvo zvingave zvichidikanwa kuchinjisa kune hunhu hwemunhu wega wega. Semuenzaniso, mune mamiriro evakadzi vane nhumbu, Doxycycline haifanire kushandiswa.
Ona kuti ndezvipi zvakakosha zviratidzo zvechlamydia uye kuti kutapurirana kunoitika sei.
2. Gonorrhea
Gonorrhea inokonzerwa nehutachiona Neisseria gonorrhoeae, izvo zvinokonzeresa zviratidzo senge yero yero-chena kubuda, kurumwa uye kurwadziwa kana uchiita weti uye izvo zvinowanzo kutora kusvika kumazuva gumi kuti zvioneke mushure mekubatana pabonde zvisina dziviriro
Yekutanga kurapwa sarudzo inosanganisira kushandisa kwe:
- Ciprofloxacino 500 mg, yakamanikidzwa, mune imwe dose, uye;
- Azithromycin 500 mg, mapiritsi maviri, mune imwe chete dose.
kana
- Ceftriaxone 500 mg, jekiseni repamuviri, mune imwe chete dose, uye;
- Azithromycin 500 mg, mapiritsi maviri, mune imwe chete dose.
Mumadzimai akazvitakura nevana vari pasi pemakore gumi nemasere, ciprofloxacin inofanira kutsiviwa ne ceftriaxone.
Wana nzwisiso iri nani yeiyo gonorrhea, zviratidzo zvayo uye maitiro ekudzivirira hutachiona.
3. HPV
HPV iboka remavirusi akati wandei erudzi irworwo anogona kutapudza hurongwa hwekubereka, hwese hwevarume nevakadzi uye, kazhinji, hunongotungamira pakuonekwa kwewarts diki, iyo inogona kubviswa nekushandisa mafuta, cryotherapy kana kuvhiya kudiki.Rudzi rwekurapa runoenderana nesaizi, nhamba uye nzvimbo panowonekwa warts uye, nekudaro, zvinogara zvichikosha kuti pane nhungamiro kubva kuna chiremba.
Tarisa uone zvakadzama mafomu ekurapa anowanikwa eHPV.
Zvakadaro, pamusoro pehondo, kune mamwewo marudzi ehutachiona hweHIVV hunogona kukonzeresa kugomarara, chinonyanya kuzivikanwa igomarara remuchibereko mumadzimai, kunyanya kana maronda anokonzerwa nehutachiona asina kurapwa nekukurumidza.
Kurapa kweHIVV kunogona kubvisa zviratidzo uye kunyange kudzivirira kutanga kwekenza, asi hakubvise hutachiona kubva mumuviri. Nechikonzero ichi, zviratidzo zvinogona kuitika zvakare, uye nzira chete yekurapa ndeye apo immune system painokwanisa kubvisa hutachiona, izvo zvinogona kutora makore akati kuti zviitike.
4. Chirwere chepabonde
Genital herpes chirwere chetachiona chinokonzerwa nehutachiona hwakafanana hunokonzera herpes pamuromo, iyo herpes simplex. Iyi ndeimwe yeanowanzoitika njovhera iyo inokonzeresa kutaridzika kwemabhuru madiki akazadzwa nemvura munzvimbo yekubereka, ayo anonanzva uye anosunungura zvishoma yero mvura.
Kazhinji kurapwa kunoitwa neacyclovir, ine simba mushonga antiviral kurwisa herpes, maererano nechirongwa:
Herpes | Mushonga | Dosi | Nguva |
Chekutanga episode | Aciclovir 200 mg kana Aciclovir 200 mg | Mahwendefa maviri e8 / 8h 1 piritsi ye4 / 4h | Mazuva manomwe Mazuva manomwe |
Dzokororo | Aciclovir 200 mg kana Aciclovir 200 mg | Mahwendefa maviri e8 / 8h 1 piritsi ye4 / 4h | Mazuva mashanu Mazuva mashanu |
Mushonga uyu haubvise hutachiona kubva mumuviri, asi zvinobatsira kudzikisira kusimba uye kureba kwezvikamu zvezviratidzo zvinoonekwa munzvimbo yekubereka.
Ona zviratidzo zvinogona kuratidza genital herpes, mune varume nevakadzi.
5. Trichomoniasis
Trichomoniasis chirwere chinokonzerwa neprotozoan Trichomonas vaginalis, iyo inogadzira zviratidzo zvakasiyana muvakadzi nevarume, asi izvo zvinowanzo sanganisira kurwadziwa kana uchiita weti, kuburitsa nekunhuwirira kusingafadzi uye kukurira kwakanyanya mudumbu.
Kurapa hutachiona uhu, anowanzoitwa mushonga Metronidazole, zvichitevera chirongwa ichi:
- Metronidazole 400 mg, mahwendefa mashanu mune imwe dose;
- Metronidazole 250 mg, 2 12/12 mapiritsi kwemazuva manomwe.
Panyaya yevakadzi vane nhumbu, kurapwa uku kunofanirwa kuchinjika uye, nekudaro, zvakakosha kuita kurapwa neruzivo rwechiremba wechiremba.
Tarisa uone zviratidzo zvinobatsira kuona kesi ye trichomoniasis.
6. Njovhera
Njovhera njovhera inokonzerwa nebhakitiriya Treponema pallidum, izvo zvinogona kukonzera mhando dzakasiyana dzezviratidzo zvinoenderana nedanho rairi, asi rinozivikanwa zvakanyanya nemaronda aanogona kukonzera munzvimbo yekubereka.
Kurapa syphilis, mushonga wesarudzo ipenicillin, iyo inofanirwa kupihwa muyero inosiyana zvichienderana nedanho rehutachiona:
1. Primary, sekondari kana ichangoburwa njovhera
- Benzathine penicillin G, 2,4 miriyoni IU, mune imwechete jekiseni jekiseni, ine 1.2 miriyoni IU inotarisirwa mune yega gluteus.
Imwe nzira yekurapa uku ndeyekutora Doxycycline 100 mg, kaviri pazuva, kwemazuva gumi nemashanu. Kana vari vakadzi vane nhumbu, kurapwa kunofanirwa kuitwa neCeftriaxone 1g, mujekiseni remutsipa, kwemazuva masere kusvika gumi.
2. Njovhera yakadzika kana yepamusoro
- Benzathine penicillin G, 2.4 miriyoni IU, jekiseni pavhiki kwevhiki nhatu.
Neimwe nzira, kurapwa kunogona kuitwawo neDoxycycline 100 mg, kaviri pazuva kwemazuva makumi matatu. Kana, kana iri nyaya yevakadzi vane nhumbu, vane Ceftriaxone 1g, mune jekiseni remutsipa, kwemazuva masere kusvika gumi.
Tarisa uone rumwe ruzivo nezve nhanho dze syphilis uye maitiro ekuziva imwe neimwe.
7. HIV / AIDS
Kunyangwe pasina kurapwa kunokwanisa kurapa hutachiona hweHIV, kune mamwe maantiviral mishonga anobatsira kubvisa huwandu hwehutachiona muropa, kudzivirira kwete chete kuti chirwere ichi chiwedzere, asi zvakare kudzivirira kutapukirwa kwehutachiona.
Mimwe yemishonga inorwisa mishonga inogona kushandiswa inosanganisira Lamivudine, Tenofovir, Efavirenz kana Didanosine, semuenzaniso.
Ona muvhidhiyo iyi ruzivo rwakakosha pamusoro peHIV uye kurapwa kwayo:
Kutarisirwa kwakawanda panguva yekurapa
Kunyangwe kurapwa kwemhando yega yega yeSTI kuchisiyana, pane dzimwe nzira dzekuchengetedza dzinofanira kutorwa. Kuchengeta uku kunobatsira kuti uwane kukurumidza kupora uye kuporesa hutachiona, asi zvakakoshawo kwazvo kudzivirira kutapurirana kwezvirwere zvepabonde kune vamwe vanhu.
Nekudaro, zvinokurudzirwa kuti:
- Ita kurapwa kusvikira kumagumo, kunyangwe kana zviratidzo zvikajeka;
- Dzivisa kusangana pabonde, kunyangwe ukadzivirirwa;
- Ita bvunzo dzekuongorora kune mamwe maSTI.
Uye zvakare, mune nyaya yevana kana vakadzi vane nhumbu, zvakakosha kuve nekumwe kutarisirwa kwakakosha, zvakakosha kuti ubvunze chiremba wevana kana chiremba wekubereka, kubva kuhutachiona.