I-Venereal lymphogranuloma ibhekisela kwizifo ezithile. Ngokuvamile lesi sifo senziwa kubantu abasha eminyakeni engu-20-30, okuholela ekuphileni okusebenza ngokocansi. Kodwa-ke, ezimweni ezingavamile, ukudluliselwa kokutheleleka nakho kungenzeka ngokusebenzisa izinto zokuhlanzeka.
I-Venereal lymphogranuloma - iyini?
Igama lesibili lokutheleleka yisifo sesine sezilwane. Iyakhuthazwa yi- chlamydia encane , ehlukile kulabo abangela i-genitalia i-clamidiosis eyaziwayo. Nokho, indlela yokungena emzimbeni womuntu ifana. Ukuvama kwalesi sifo kuyindlela yokwenza ucansi. Kulesi simo, odokotela abafaki ukungena kwe-pathogen ngokusebenzisa izinto zokuhlanzeka (indlela yasendlini).
Lesi sifo sande emazweni aseNtshonalanga neMpumalanga Afrika, e-Asia, eNingizimu Melika, eNdiya. Amacala abhaliswe emazweni aseYurophu naseCIS, iningi "angeniswa" - ukutheleleka kwenzeka ngenxa yokulala ngokobulili okungavimbelwe nabathwali bokutheleleka. Lesi sifo sibonakala kalula ngezibonakaliso zezici, okubangela ukuqaliswa kokwelapha okwesikhashana.
I-Pathogen ye-venereal lymphogranuloma
Ucwaningo luye lwasungula ukuthi i-venereal lymphogranulomatosis ishukunyiswa ama-serotypes amathathu e-chlamydia: L1, L2, L3. Ukuze lesi sifo sikhule, kudingekile ukuba i-pathogen ingene ngaphakathi kwezingqimba ezikhungethweyo nezikhumba. Kamuva, i-chlamydia ifinyelela ku-lymphatic tract, okubangelwa i-lymphangitis, i- lymphadenitis . Lezi ziphazamiso yizigaba zokuqala ze-pathology, ukuqhubekela phambili okuholela ekubukeni kwezibonakaliso zezici, isithombe somtholampilo. Izimpawu zokuqala zivela ezinsukwini ezingu-3-10 emva kokutheleleka.
I-Lymphogranulomatosis - Izimbangela
I-chlamydial lymphogranuloma ivela ngenxa yokuxhumana kocansi. Le ndlela yokungena iyisisekelo. Kodwa-ke, ama-venereologists awafaki ukutheleleka ngezinto zokuhlanzeka, amakhaya, asetshenziswa ngaphambili othwala isifo. Kumele kuqashelwe ukuthi i-lymphogranuloma ikhiwa ngokuqondile esakhiweni se-pathogen emzimbeni. Ngakho, ngokuziphatha okungavamile kocansi, unga:
- isisu;
- ngomlomo;
- ama-granulomas anesilwane.
I-Venereal lymphogranuloma - izimpawu
Kusukela nje lapho i-pathogen ingena emzimbeni futhi ngaphambi kokuba i-lymphogranulomatosis inguinal ikhule, ihlala kuze kube yizinsuku ezingu-10. Kummeleli wesilisa enhloko yelungu kune-tubercle encane eyanda ngesikhathi esifanele. Kulaba besifazane, i-venereal lymphogranuloma, isithombe sitholakala ngezansi, sitholakala endaweni yama-labia nasesiswini. Ngezihlobo zobulili ezingajwayelekile, i-venereal lymphogranuloma ingakhiwa:
- ngolimi;
- eminwe yezandla;
- kwi-rectum.
Okokuqala, esiteshini sokutheleleka, ama-bubbles avela, ukuqhuma okuncane, izilonda. Ayibangeli ukungahambi kahle nobuhlungu. Kukhona ukwanda kwama-lymph nodes (inguinal, umlomo wesibeletho, i-submandibular). Njengoba ukusakazwa kokutheleleka kuwo wonke umzimba, impilo yonke iyadabukisa. Iziguli zikhononda ngalokhu:
- ikhanda;
- isicasuli;
- ukuhlanza;
- ukuphakama kokushisa.
Ngendawo yangakini ku-rectum kungenzeka:
- ukukhipha ku-anus;
- ubuhlungu e-rectum;
- itching endaweni yangaphambili.
I-Venereal lymphogranulomatosis - ukuxilongwa
I-chlamydial venereal lymphogranuloma itholakala ngesisekelo somfanekiso wesitholampilo, i-symptomatology. Nokho, ukuqinisekisa ukuxilongwa, odokotela basebenzisa izindlela zokwelapha:
- ukuhlolwa okuncane kakhulu kwe-detachable;
- I-EIA;
- I-PCR .
Lapho kutholakala lesi sifo, ezinye izifo ezinezimpawu ezifanayo zifakiwe:
- i-syphilis;
- lymphogranulomatosis;
- i-chancre esithambile;
- isifo sofuba esikhumbeni.
I-chlamydial lymphogranuloma - ukuhlaziywa
Kungenzeka ukunquma i-Duran-Nicolas-Favre isifo (chlamydial lymphogranuloma) ngaphandle kwephutha ngokusebenzisa ukuhlolwa kwe-intradermal - Ukusabela kukaFrey. I-Allergen yokuhlaziywa ilungiswa kusuka kubhulo, izilonda. Ukuze wenze isampula, thatha u-0.1 ml wokulawula (ngaphandle kwe-pathogen) kanye nama-antigens akhethekile, ajowelwa ngaphakathi kwe-intradermally zibe yizingxenye ze-forearm. Imiphumela yokuhlolwa ihlolwe emva kwamahora angu-48.
Ukuhlaziywa kubhekwa okulungile uma i-papule enesayizi yobubanzi obuyi-5 mm ubukhulu futhi inkulu isakhiwe endaweni yokujova. Kulesi simo, ubukhulu be-erythema ezungeze isayithi lokujola akucatshangelwa. Ukusabela kukaFrey ku-lymphogranuloma, ngokusho kwezibalo, kuqinisekisa ukuthi kutholakala amacala angu-75%, ngakho-ke le ndlela ngokuvamile ibhekwa njenge-normative kakhulu. Isampula singenziwa kunoma isiphi isigaba sesifo.
I-Venereal lymphogranulomatosis - ukwelashwa
Ukwelashwa kwe-venereal lymphogranuloma yinkqubo ende. Ukwelashwa kuhlale kwenziwa ngendlela eyinkimbinkimbi futhi kuhloswe ukucindezela ukukhula nokukhiqizwa kwe-chlamydia, nokusiza impilo yesiguli. I-algorithm yokwelashwa yenziwe ngabanye, kucatshangelwa isigaba sesifo, ukutholakala kwe-patcomogly concomitant, iminyaka. Isisekelo sezinyathelo zokwelapha kungukudla kwezidakamizwa zokulwa ne-antibacterial. Isilinganiso, imvamisa yokwamukelwa isethwe ngabanye. Phakathi kwezidakamizwa ezisetshenziselwa ukwelashwa kwe-venereal lymphogranuloma:
- I-Doxal;
- I-Vibramycin;
- I-Medomycin;
- Erythromycin;
- I-Unidox-Solutab.
Isikhathi sokwamukelwa sincike esikhathini sokuqala kokwelashwa, izinga lokulimala emzimbeni, isimo sesimiso somzimba somzimba wesiguli. Ezimweni eziningi, inqubo yokwelapha ihlala emavikini angu-3-5. Ucwaningo oluqhutshwa ngezikhathi ezithile oluthatha ukutholakala noma ukungabikho kwe-chlamydia emzimbeni. Uma izincomo ezikhishwe udokotela zingagcinwa, ukuqokwa kungenzeka ukuthi kubuyiselwe emuva.