Venereal lymphogranuloma amatanthauza matenda enaake. Nthawi zambiri matendawa amapezeka kwa achinyamata zaka 20-30, ndikutsogolera moyo wogonana. Komabe, kawirikawiri, kufalitsa kachilombo ka HIV kungathenso kupyolera mu zinthu zaukhondo.
Venereal lymphogranuloma - ndi chiyani?
Dzina lachiwiri la kachilombo ndi matenda achinayi. Zimakwiyitsa ndi chlamydia zingapo, zosiyana ndi zomwe zimayambitsa matenda otchedwa genitalia clamidiosis. Komabe, kayendedwe ka kulowa mu thupi la munthu ndi ofanana. Kukula kwa matendawa ndi njira yogonana. Pachifukwa ichi, madokotala samapatula mwayi wodwala tizilombo toyambitsa matenda kudzera mu zinthu zaukhondo.
Matendawa afalikira m'mayiko akumadzulo ndi East Africa, Asia, South America, India. Milandu yolembedwera m'mayiko a ku Ulaya ndi a CIS, ambiri mwa iwo ali "otumizidwa" - matendawa amapezeka chifukwa cha kugonana kosatetezeka ndi onyamula matenda. Matendawa amadziwika mosavuta ndi zizindikiro zomwe zimayambitsa, zomwe zimapangitsa kuti athandizidwe mwamsanga.
Pathogen ya venereal lymphogranuloma
Kafukufuku wasonyeza kuti venereal lymphogranulomatosis imayambitsidwa ndi katatu a chlamydia: L1, L2, L3. Kuti matendawa apitirire, m'pofunika kuti tizilombo toyambitsa matenda tilowemo kupyolera mu majekeseni ndi khungu loonongeka. Patapita nthawi, chlamydia imadutsa mitsempha yotchedwa lymphatic, yomwe imayambitsa lymphangitis, lymphadenitis . Matendawa ndi magawo oyambirira a matenda, zomwe zimayambira ku maonekedwe a zizindikiro, chithunzi chachipatala. Zizindikiro zoyamba zimawoneka patatha masiku 3-10 patatha matenda.
Lymphogranulomatosis - Zimayambitsa
Chlamydial lymphogranuloma imapezeka chifukwa cha kugonana. Njira iyi yolowera ndizofunikira. Komabe, anthu owona malowa samaphatikizapo kuthekera kwa kachilombo ka HIV kudzera mu zinthu zaukhondo, mabanja omwe adagwiritsira ntchito kachilombo ka HIV. Tiyenera kukumbukira kuti lymphogranuloma imapangidwa mwachindunji pa malo a tizilombo toyambitsa matenda m'thupi. Kotero, ndi zachiwerewere zosagwirizana, mukhoza:
- mzimayi;
- molankhula;
- anal granulomas.
Venereal lymphogranuloma - zizindikiro
Kuyambira nthawi yomwe tizilombo toyambitsa matenda timalowa m'thupi ndipo isanafike inguinal lymphogranulomatosis, imatha masiku 10. Kwa oimira mwamuna pamutu wa membala pali phokoso laling'ono limene limapitirira nthawi ndithu. Kwa akazi, venereal lymphogranuloma, chithunzi chili pansipa, ndi chapafupi ndi labiya komanso mukazi. Ndi machitidwe osagwirizana ndi kugonana, venereal lymphogranuloma ikhoza kupangidwa:
- mu chinenero;
- pa zala za manja;
- mu rectum.
Choyamba, pa tsamba la matenda, mavuvu amawoneka, zokopa zazing'ono, zilonda. Sizimapweteka komanso zimapweteka. Pali kuwonjezeka kwa ma lymph nodes (inguinal, chiberekero, submandibular). Monga kufalikira kwa matenda m'thupi lonse, thanzi labwino limakula. Odwala amadandaula za:
- mutu;
- chisokonezo;
- kusanza;
- kuwuka kutentha.
Ndi kumalo komwe mukukhala mumtengowu ndi kotheka:
- kuchotsa ku anus;
- ululu mu rectum;
- kuyabwa mu malo a anal.
Venereal lymphogranulomatosis - matenda
Chlamydial venereal lymphogranuloma imapezeka pa maziko a chithunzithunzi chachipatala, symptomatology. Komabe, kuti atsimikizire kuti akudwala matendawa, madokotala amagwiritsa ntchito njira za ma laboratory:
- kufufuza zochepa kwambiri za detachable;
- EIA;
- PCR .
Pozindikira kuti matendawa, matenda ena ali ndi zizindikiro zofanana ndi awa:
- syphilis;
- malingaliro;
- chancre yofewa;
- chifuwa chachikulu cha khungu.
Chlamydial lymphogranuloma - kufufuza
N'zotheka kudziwa matenda a Duran-Nicolas-Favre (chlamydial lymphogranuloma) popanda cholakwika pogwiritsa ntchito mayeso a intradermal - Frey anachita. Allergen kuti ayambe kufufuza imakonzedwa kuchokera ku thovu, zilonda. Kuti muchite zitsanzo, tengani 0,1 ml ya mphamvu (popanda tizilombo toyambitsa matenda) ndi ma antitigeni, omwe ali jekeseni intradermally mu masinthasintha pa malo omwe ali pamwamba pake. Zotsatira za mayeso zimayesedwa pambuyo pa maola 48.
Kusanthulako kumayesedwa bwino pamene papule yomwe ili ndi kukula kwa 5 mm m'mimba mwake ndi yaikulu imapangidwira pamalo ojambulidwa. Pachifukwa ichi, kukula kwa erythema pafupi ndi malo ojambulidwa sikungoganizidwe. Zotsatira za Frey ku lymphogranuloma, malinga ndi ziwerengero, zimatsimikizira kuti matendawa ndi ofalitsa pafupifupi 75%, choncho njirayi imakhala yovomerezeka kwambiri. Chitsanzocho chikhoza kuchitidwa pa gawo lirilonse la matendawa.
Venereal lymphogranulomatosis - mankhwala
Kuchiza kwa venereal lymphogranuloma ndi njira yayitali. Thandizo nthawi zonse limagwiritsidwa ntchito m'njira yovuta ndipo cholinga chake ndi kuchepetsa kukula ndi kubereka kwa chlamydia, ndikuthandizira kukhala wathanzi. Chidziwitso cha mankhwala chimapangidwa payekha, kuganizira za siteji ya matenda, kukhalapo kwa concomitant pathologies, zaka. Maziko a chithandizo cha mankhwala ndi kudya kwa mankhwala oletsa antibacterial. Mlingo, mafupipafupi a phwando aikidwa payekha. Zina mwa mankhwala ogwiritsidwa ntchito pa mankhwala a venereal lymphogranuloma:
- Doxal;
- Vibramycin;
- Medomycin;
- Erythromycin;
- Unidox-Solutab.
Nthawi yovomerezeka imadalira nthawi yoyamba ya mankhwala, mlingo wa kuwonongeka kwa thupi, mthupi la chitetezo cha mthupi. Nthaŵi zambiri, njira zothandizira zimatha masabata 3-5. Kafukufuku amene amaphunzitsidwa kawirikawiri omwe amasonyeza kuti alipo kapena alibe chlamydia m'thupi. Ngati malingaliro omwe adatulutsidwa ndi adokotala sakuwonedwa, kusankhidwa ndi kotheka kubwerera.