I-gonorrhea

I-gonorrhea ihlasela izigidi zabantu emhlabeni wonke unyaka ngamunye. Lesi sifo esithathelwana ngocansi esivamile singaba nemiphumela emibi kakhulu uma singelashwa. Isici esiyimbangela ye-gonorrhea amagciwane, futhi sisakazeka ngokuthintana nocansi, okwenza kube ukukhathazeka okukhulu kwezempilo yomphakathi. Ukuqonda izimpawu, izimbangela, kanye nezinketho zokwelapha i-gonorrhea kubalulekile ekuvimbeleni nasekungeneleleni kwezokwelapha ngesikhathi. 

Lesi sihloko sihlola izici ezibalulekile ze-gonorrhoea, okuhlanganisa izimpawu ze-gonorrhea kwabesilisa nabesifazane, izimbangela eziyinhloko, nezici zobungozi. 

Iyini i-Gonorrhoea? 

I-gonorrhea ibalwa phakathi kwezifo ezithathelwana ngocansi ezivame kakhulu (STIs). I-Bacterium Neisseria gonorrhoeae iwumzimba oyinhloko obhekene ne-gonorrhoea. Lesi sifo sasendulo, esinezinkomba ezisukela ezikhathini zeBhayibheli, saziwa ngamagama ahlukahlukene, kuhlanganise 'nokushaya izandla'. I-gonorrhea ihlasela kakhulu abantu abaya ocansini futhi ingasakazwa ngokuthintana ngesitho sangasese sowesifazane, ngomlomo, noma ngendunu. 

Ukutheleleka ngokuvamile kubonakala njenge-urethritis emadodeni kanye ne-cervicitis kwabesifazane. Kodwa-ke, i-gonorrhea ingathinta nezinye izitho zomzimba, kuhlanganise ne-rectum, umphimbo, namehlo. Kubalulekile ukuqaphela ukuthi abantu abaningi abane-gonorrhea bangase bangabi nazimpawu, okwenza kube lula ukusabalalisa ukutheleleka kubalingani bocansi bengazi. 

Izimpawu ze-Gonorrhea 

I-gonorrhea ivame ukuvela ngendlela ehlukile kwabesilisa nabesifazane, kanti izimo eziningi azibonakali. 
Kwabesifazane, izimpawu ze-gonorrhea zingabandakanya: 

• Ukukhishwa okungajwayelekile kwesitho sangasese sowesifazane okungaba phuzi, kube luhlaza okotshani, noma kube njengobomvu 
• Ubuhlungu noma umuzwa oshisayo lapho uchama 
• Ukungakhululeki kwesisu esingezansi 
• Ukuhlwitha phakathi kwezinkathi 

Izimpawu kwabesilisa yilezi: 

• Ukuphuma koketshezi olumhlophe, oluphuzi noma oluluhlaza epipini 
• Ubuhlungu noma ukuvutha lapho uchama 
• Ubuhlungu besende noma ukuvuvukala 

I-gonorrhea ingathinta nezinye izitho zomzimba, njenge: 

• Ukutheleleka nge-rectum kungase kubangele ukulunywa, ukuphuma, noma ubuhlungu ngesikhathi sokunyakaza kwamathumbu. 
• Izifo zomphimbo ngokuvamile azibonisi zimpawu kodwa ngezinye izikhathi zingaholela emphinjeni obuhlungu noma kube nzima ukugwinya. 
• Ukutheleleka kwamehlo kungase kubangele ubuhlungu, ukuzwela ekukhanyeni, nokuphuma kwamanzi. 

Izinkinga ze-Gonorrhea 

I-pathogen eyinhloko eyimbangela ye-gonorrhea yi-bacterium Neisseria gonorrhoeae, okuyi-pathogen yomuntu oyisibopho. Lokhu kusho ukuthi amabhaktheriya angaphila futhi aphinde azalane kuphela emzimbeni womuntu, okwenza uncike ngokuphelele kubantu ababamba abantu ukuze ube khona. Ukutheleleka kusakazeka ngokuyinhloko ngokusebenzisa: 

• Amagciwane abangela i-gonorrhea akhona oketshezini locansi, njengesidoda kanye ukuqunjelwa sangasese. Lapho lolu ketshezi luhlangana nolwelwesi lwamafinyila lomzimba, njengalolo olusemlonyeni wesibeletho, urethra, i-rectum, umphimbo, noma amehlo, ukutheleleka kungenzeka. Kubalulekile ukuqaphela ukuthi ukukhishwa kwe-ejaculation akudingekile ukuze amagciwane asabalale. 
• I-gonorrhea ingasakazwa futhi ngokuhlanganyela amathoyizi ocansi angageziwe noma lawo angamboziwe ngekhondomu entsha phakathi kokusetshenziswa. 
• Ukuvala ukuthintana kwezitho zangasese nezitho zangasese ngaphandle kokungena nakho kungaholela ekuchayekeni. 
• abesifazane abakhulelwe abane-gonorrhea bangadlulisela ukutheleleka kubantwana babo ngesikhathi sokubeletha. Lokhu kungaba nemiphumela emibi kusana olusanda kuzalwa, okungase kubangele izifo zamehlo okuthi, uma kungelashwa, kuholele ebumpumputheni unomphela. 

Izingozi Zezingozi 

Kunezici eziningana ezandisa amathuba okuthola i-gonorrhoea. Lokhu kungase kuhlanganise: 

• Abantu abangaphansi kweminyaka engu-25 ubudala basengozini enkulu, ikakhulukazi abesifazane abathanda ucansi kuleli qembu lobudala. Amadoda aya ocansini namadoda nawo abhekene nengozi ephakeme yokutheleleka. 
• Ukuba nabalingani bocansi abaningi noma abalingani bocansi abanegciwane kwandisa amathuba okuchayeka ku-gonorrhoea. 
• Abantu abanomlando wezifo ezithathelwana ngocansi (STIs) basengozini enkulu yokuthola i-gonorrhoea. 
• Ukusetshenziswa okungaguquki kwezindlela zokuvimbela ngesikhathi sezenzo zocansi, njengamakhondomu noma amadamu amazinyo, kubeka abantu engozini enkulu. 
• Ukuhlanganyela emisebenzini yocansi nabalingani abangakahlolelwanga ukuthi abanayo i-gonorrhea nakho kwandisa amathuba okutheleleka. 
• Izici zezenhlalo nezomnotho zingase zibe nomthelela engozini ye-gonorrhea. Isimo esiphansi senhlalo-mnotho, okungenzeka sihlotshaniswe nokufinyelela okulinganiselwe ekunakekelweni kwezempilo kanye nokuncipha kokuqwashisa ngezifo ezithathelwana ngocansi, siye sahlotshaniswa namazinga aphezulu ezimo ezibikiwe ze-gonorrhea. 

Izinkinga ze-Gonorrhea 

I-gonorrhea engelashiwe ingaba nemiphumela emibi kokubili kwabesilisa nabesifazane. 

• Kwabesifazane, lokhu kutheleleka ngebhaktheriya kungasakazekela esibelethweni nasemathunjini e-fallopian, okuholela ekuguleni kwe-pelvic inflammatory (PID). I-PID ingabangela ukukhubazeka unomphela kwendlela yokuzala, okuholela ekutheni ukungazali kanye nobuhlungu be-pelvic obungapheli. 
• Abesifazane bangase babe ne-salpingitis engabonakali noma enezimpawu ezincane, engase futhi ibangele ukulimala kwe-tubal. 
• Amadoda ane-gonorrhea engelashiwe angase abe ne-epididymitis. Ezimweni ezingavamile, i-epididymitis ingase iholele ekungazali. 
• Bobabili abesilisa nabesifazane basengozini yokutheleleka nge-gonococcal infection (DGI) uma i-gonorrhea ishiywe ingelashiwe. I-DGI yenzeka lapho ukutheleleka kusakazekela egazini, okungenzeka kuthinte isikhumba, amalunga, nezitho zangaphakathi. 
• Abesifazane abakhulelwe abane-gonorrhea bangadlulisela igciwane ezinganeni zabo ezisanda kuzalwa ngesikhathi sokubeletha, okungase kubangele izifo zamehlo ezinganeni ezisanda kuzalwa. Uma zingelashwa, lezi zifo zingaholela ebumpumputheni. 
• Ngokuphawulekayo, ukuba ne-gonorrhea kwandisa ingozi yokuthola nokudlulisela i-HIV. 

Sifo 

Ukuhlonza i-gonorrhea kudinga ukuhlolwa okuqondile, njengoba izimpawu zizodwa azanele ukuhlonzwa okuqondile. Indlela esetshenziswa kakhulu i-nucleic acid amplification test (NAAT), ehlonza izakhi zofuzo ze-Neisseria gonorrhoeae bacterium. Lokhu kuhlola okunembe kakhulu kungenziwa kumasampula ahlukahlukene, okuhlanganisa umchamo namaswabs (umphimbo, urethra, isitho sangasese sowesifazane noma irectum). Odokotela bangase futhi bahlole ezinye izifo ezithathelwana ngocansi, njengoba kungenzeka nge-gonorrhoea. 

Ukwelashwa kwe-Gonorrhea 

• Nemithi Elwa Namagciwane: Ngokuvumelana nokutusa kwe-CDC (Centers for Disease Control and Prevention), umthamo owodwa we-ceftriaxone (500 mg) we-intramuscular (500 mg) uwumugqa wokuqala wokwelapha isigono. 
• Ukwelashwa kwama-Co-infections: Njengoba i-gonorrhea ivame ukuvela kwezinye izifo ezithathelwana ngocansi, odokotela bangase banikeze ama-antibiotic engeziwe njengengxenye yokwelashwa kwesi sifo. 
• Ukwelashwa Kozakwethu: Kubalulekile ukuthi abalingani bocansi nabo bathole ukwelashwa ukuvimbela ukuphinda batheleleke noma ukubhebhetheka kwalesi sifo. 
• Ukuzithiba: Odokotela bavame ukweluleka ukuphumula nokugwema ukuya ocansini kuze kube yilapho ukutheleleka sekususwe ngokuphelele. 

Uzoyibona Nini Udokotela 

Uma usola ukuthi une-gonorrhoea, kubalulekile ukuthi uthole usizo lwezempilo ngokushesha. Kufanele wenze i-aphoyintimenti nodokotela wakho uma ubona noma yiziphi izimpawu, njengokuzwa ukushisa lapho uchama noma ukuphuma okufana nobomvu ezithweni zakho zangasese noma i-rectum. Ngisho noma ungenazo izimpawu, kubalulekile ukuthi uhlolwe i-gonorrhea uma uye ocansini olungavikelekile nophathina omusha noma uma umlingani wakho wamanje kutholwe ukuthi unesifo sohudo.

Prevention 

Ukuvimbela i-gonorrhea kubalulekile ekugcineni impilo yezocansi. Izindlela eziphumelela kakhulu zokugwema lesi sifo esithathelwana ngocansi yilezi: 

• Ukusebenzisa amakhondomu ngaso sonke isikhathi ngesikhathi socansi kuyindlela engcono kakhulu yokwehlisa amathuba okutheleleka. Lokhu kubandakanya ukusebenzisa amakhondomu ocansini lwesitho sangasese sowesifazane, sangemuva, nangomlomo. 
• Ukunciphisa inani labalingani bocansi koyedwa kanye nokuba sebudlelwaneni bomuntu oyedwa lapho bobabili abalingani behloliwe kunganciphisa kakhulu ingozi ye-gonorrhoea. 
• Odokotela baluleka ukuthi kuhlolwe njalo i-gonorrhea kubantu abaya ocansini, ikakhulukazi abangaphansi kweminyaka engama-25 kanye nalabo abasengozini enkulu. 
• Kubantu abasengozini enkulu, njengamadoda aya ocansini namadoda nabesifazane abashintsha ubulili, i-doxycycline ingase inqunywe njengesinyathelo sokuvimbela. Ukuphuza lo muthi phakathi nezinsuku ezintathu zokuya ocansini kungehlisa ingozi yokutheleleka nge-gonorrhea. 
• Kubalulekile ukugwema ukuya ocansini nomuntu okhombisa izimpawu zesifo esithathelwana ngocansi, njengezilonda zesitho sangasese noma ukuphuma okungajwayelekile. 

Isiphetho 

I-gonorrhea iseyinkinga enkulu yezempilo, ethinta izigidi emhlabeni wonke unyaka ngamunye. Lesi sifo esithathelwana ngocansi, esibangelwa igciwane i-Neisseria gonorrhoeae, singaba nemiphumela emibi uma siyekwa singalashwa. Ukuqonda izimpawu, kanye nezici eziyingozi nezindlela zokuvimbela, kubalulekile ukuze uzivikele wena nabanye ekusabalaleni kwazo. 

Ukuhlola okuvamile kuyisisekelo sokutholwa nokwelashwa kusenesikhathi, ikakhulukazi kulabo abasengozini enkulu. Khumbula, izimo eziningi ze-gonorrhea azibonisi zimpawu, okwenza ukuhlolwa okuvamile kubalulekile kubantu abaya ocansini. Ngokuhlala sinolwazi futhi sithatha izinyathelo ezisheshayo, singasebenza ndawonye ukuze sinqande ukusabalala kwalesi sifo esivamile kodwa esingavinjelwa. 

FAQs 

1. Yiziphi ezinye zezimpawu zokuqala ze-gonorrhoea? 

Esinye sezibonakaliso zokuqala ze-gonorrhea kungaba nomuzwa ovuthayo lapho uchama. Nokho, kubalulekile ukuqaphela ukuthi abantu abaningi abane-gonorrhea abanazo nhlobo izimpawu. Emadodeni, izimpawu zokuqala zingase zihlanganise nokuphuma okumhlophe, okuphuzi, noma okuluhlaza epipini. Abesifazane bangase babone ukukhishwa okungavamile kwesitho sangasese sowesifazane. Ingaba mncane noma ibe namanzi futhi ibe luhlaza noma ibe phuzi. 

2. Kuthatha isikhathi esingakanani ukwelashwa? 

Ukwelashwa kwe-gonorrhea ngokuvamile kuhilela umthamo owodwa wama-antibiotics, ngokuvamile anikezwa njengomjovo. Izimpawu zivame ukuba ngcono phakathi nezinsuku ezimbalwa, kodwa kungase kuthathe amasonto amabili ukuze ubuhlungu be-pelvis noma emasendeni bunyamalale ngokuphelele. Kubalulekile ukuqeda inkambo ephelele yama-antibiotics njengakho udokotela iyala. 

3. I-gonorrhoea iyingozi kangakanani? 

I-gonorrhea ingaba isifo esibi kakhulu uma ingelashwa. Kungaholela ezinkingeni ezibalulekile, okuhlanganisa ukungazali kubo bobabili abesilisa nabesifazane, isifo sokuvuvukala kwezitho zangasese kwabesifazane, kanye nengozi ephakeme yokudluliselwa kwe-HIV. Akuvamile ukuthi ukutheleleka kufinyelele emgudwini wegazi futhi kuthinte ezinye izitho zomzimba, njengamalunga. 

4. Ingabe i-gonorrhea ingelapheka? 

Yebo, i-gonorrhea ingelapheka ngokwelashwa ngokushesha nangokufanele ngama-antibiotic. Kodwa-ke, ngenxa yokwanda kokumelana nama-antibiotic, kuba yinselele kakhulu ukwelapha. Ukuthatha yonke imithi eshiwo njengoba kuyaliwe kubalulekile ukuqinisekisa ukuthi ukutheleleka sekuphelile. 

5. Kufanele ngihlolelwe kangaki i-gonorrhoea? 

I-Centers for Disease Control & Prevention (CDC) iphakamisa ukuhlolwa kwaminyaka yonke kwabesifazane abaya ocansini abangaphansi kweminyaka engama-25 kanye nabesifazane asebekhulile abasengozini yokuthola izifo. Amadoda aya ocansini namadoda kufanele ahlolwe okungenani ngonyaka noma njalo ezinyangeni ezi-3-6 uma esengozini enkulu. 

6. Ingabe i-gonorrhea izoke iphele? 

Ngaphandle kokwelashwa, i-gonorrhea ngeke iphele ngokwayo. Nakuba ezinye izifundo ziphakamisa ukuthi iphesenti elincane lokutheleleka lingase livele ngokuzenzekelayo, lokhu akuthembeki noma akunconyiwe. 

7. I-gonorrhea ihlala isikhathi esingakanani kwabesilisa? 

Ngaphandle kokwelashwa, i-gonorrhea ingaqhubeka unomphela kwabesilisa. Izimpawu, uma zikhona, ngokuvamile zivela phakathi kwezinsuku ezingu-2-14 ngemva kokuchayeka. Kodwa-ke, noma izimpawu zehlile, ukutheleleka kuhlala kusebenza futhi kungabangela izinkinga noma kudluliselwe kubalingani. Ukutheleleka kuvame ukuphela phakathi kwezinsuku ezingu-7-14 nge-antibiotic efanele 

CARE Medical Team

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