I-Venereal lymphogranuloma ibhekisela kwizifo ezithile. Ngokuqhelekileyo eso sifo senziwa kubantu abaselula kwiminyaka engama-20-30, ekhokelela ekusebenzeni ngobomi besini. Nangona kunjalo, kwiimeko ezinqabileyo, ukuhanjiswa kwesulelo kunokwenzeka nakwizinto ezihlambulukileyo.
Venereal lymphogranuloma - yintoni na?
Igama lesibini lokusuleleka sisifo sesine sesifo. Kucaphukiswa yinkalo ye- chlamydia , eyahlukileyo naleyo eyenza i-genitalia i-clamidiosis eyaziwayo. Nangona kunjalo, indlela yokungena emzimbeni womntu iyafana. Ubunzima kwesi sifo ngumendo wesondo. Kule meko, oogqirha abafaki ukuba bangene ukungena kwintsholongwane ngezinto zokucoceka (kwindlu).
Esi sifo sisasazeke kumazwe aseNtshona nakumaMpuma Afrika, e-Asia, eMzantsi Melika, eNdiya. Iimeko ezibhaliswe kumazwe aseYurophu nakwi-CIS, ininzi "ingeniswa" - intsholongwane iyenzeka ngenxa yesondo esingakhuselekanga ngokwesondo kunye nabathwala isifo. Esi sifo sibonakala lula ngokubonakalisa izibonakaliso ezibonakalayo, ezenza ukuba kuqaliswe unyango olufike ngexesha.
I-Pathogen ye venereal lymphogranuloma
Izifundo ziye zaqinisekisa ukuba i-venereal lymphogranulomatosis igxothwa yi-serotypes emithathu ye-chlamydia: L1, L2, L3. Ukuze isifo sihlakulele, kuyimfuneko ukuba i-pathogen ingene kwiimbrane ezinobungozi kunye nesikhumba. Kamva, i-chlamydia ifinyelela kwi-lymphatic tract, okubangelwa i-lymphangitis, i- lymphadenitis . Ezi ngxaki ziyizigaba zokuqala zentsholongwane, ukuqhubela phambili okukhokelela ekubonakaleni kwempawu, uphawu lwekliniki. Impawu zokuqala zivela kwiintsuku ezingama-3 emva kokusuleleka.
I-Lymphogranulomatosis - Izizathu
I-chlamydial lymphogranuloma ivela ngenxa yokuqhagamshelana ngesondo. Le ndlela yokungena isisiseko. Nangona kunjalo, i-venereologists ayibandakanyi ithuba lokusuleleka kwizinto ezihlambulukileyo, iintsapho, ezazisetyenziselwa ngaphambili umntu ophethe isifo. Kufuneka kuqatshelwe ukuba i-lymphogranuloma yenziwe ngokuthe ngqo kwisiza se-pathogen emzimbeni. Ngoko ke, ngokungafani ngokwezesondo, unga:
- ubufazi;
- ngomlomo;
- granulomas.
I-Venereal lymphogranuloma - iimpawu
Ukususela kwangoko i-pathogen engena emzimbeni kwaye ngaphambi kokuba i-lymphogranulomatosis inguinal ikhule, ihlala kwiintsuku ezili-10. Kubammeli besilisa entloko yelungu kukho i-tubercle encinci eyenyuka ngexesha elifanelekileyo. Kula mabhinqa, i-venereal lymphogranuloma, ifoto ifumaneke ngezantsi, yindawo yangasese kwi-labia nasesisini. Ngobudlelwane bezesondo ezingaqhelekanga, i-venereal lymphogranuloma ingenziwa:
- ngolwimi;
- kwiminwe yezandla;
- kwi rectum.
Okokuqala, kwisiza sentsholongwane, izibhambeka zivela, iintlobo ezincinane, izilonda. Azingabangela ukuphazamiseka nentlungu. Kukho ukwanda kwee-lymph nodes (inguinal, cervical, submandibular). Njengoko ukusasazeka kwintsholongwane emzimbeni wonke, impilo yonke ibonakala nzima. Izigulane zikhalaza malunga:
- intloko;
- isicefe
- ukuhlanza;
- ukunyuka kwamaqondo obushushu.
Ngendawo yokuhlala kwi-rectum inokwenzeka:
- kukhutshwa kwi-anus;
- intlungu kwi-rectum;
- ukubetha kwindawo yangaphambili.
Venereal lymphogranulomatosis - ukuxilongwa
I-chlamydial venereal lymphogranuloma ifunyanwe kwisiseko somfanekiso wesitholampilo, uphawu lweempawu. Nangona kunjalo, ukuqinisekisa ukuxilongwa, oogqirha basebenzisa iindlela zelabhoratri:
- uvavanyo oluncinci lwe-detachable;
- EIA;
- PCR .
Xa ukuxilongwa kwesi sifo, ezinye izifo ezineempawu ezifanayo zifakiwe:
- i-syphilis;
- lymphogranulomatosis;
- chancre esithambileyo;
- isifo sofuba esikhumbeni.
I-chlamydial lymphogranuloma - uhlalutyo
Kunokwenzeka ukucacisa isifo se-Duran-Nicolas-Favre (chlamydial lymphogranuloma) ngaphandle kwempazamo ngokusebenzisa uvavanyo lwe-intradermal - Ukusabela kukaFrey. I-Allergen yokuhlalutya ilungiselelwe ukusuka kumabhule, izilonda. Ukufezekisa isampuli, thabatha i-0.1 ml yokulawula (ngaphandle kwe-pathogen) kunye nee-antigens ezithile, ezifakwe kwi-intradermally kwi-flexor surface of forearm. Iziphumo zovavanyo zivavanywa emva kweeyure ezingama-48.
Uhlalutyo kuthathwa njengento efanelekileyo xa ipapule enobukhulu obuyi-5 mm ububanzi kunye neyona mkhulu yenziwa kwisiza sokungena. Kule meko, ubukhulu be-erythema ejikeleze isayithi ye-injection ayiqwalaselwanga. Impendulo yeFrey kwi-lymphogranuloma, ngokwemibare, iqinisekisa ukuxilongwa kwiimeko ezingama-75%, ngoko ke le ndlela idlalwa njengesiqhelo esiphezulu. Isampula ingenziwa nakweyiphi na isigaba sesifo.
Venereal lymphogranulomatosis - unyango
Ukunyangwa kwe-venereal lymphogranuloma yinkqubo ende. Ulwaphulo luhlala lwenziwa ngendlela enzima kwaye lujoliswe ekunciphiseni ukukhula nokuveliswa kwe-chlamydia, kunye nokuququzelela impilo yegulane. I-algorithm yonyango yenziwe ngokwayo, ingqalelo kwisigaba sesi sifo, ubukho be-patcomogly concomitant, ubudala. Isiseko semilinganiselo yokunyanga sisisiselo seziyobisi ezichasayo. Umyinge, ixesha lokumkela lihlelwe ngabanye. Phakathi kweziyobisi ezisetyenziselwa unyango lwe-venereal lymphogranuloma:
- Doxal;
- Vibramycin;
- Medomycin;
- Erythromycin;
- Unidox-Solutab.
Ixesha lokumkelwa lixhomekeke kwixesha lokuqala kwonyango, umlinganiselo wonakalo emzimbeni, isimo somzimba womzimba wesigulane. Kwiimeko ezininzi, inkqubo yokwelapha ihlala kwiiveki ezi-3-5. Izifundo eziqhutywe ngeziganeko ezibonisa ukuba khona okanye ukungabikho kwe-chlamydia emzimbeni. Ukuba iziphakamiso ezikhutshwe ngugqirha ayigcinwanga, ukuqeshwa kunokwenzeka ukuba kubuyiselwe kwakhona.