I-gonorrhea, i-hot piss, i-gonorrhea noma i-gonorrhea: incazelo

I-Gonorrhea, eyaziwa kakhulu ngokuthi "i-hot-piss", i-urethritis, i-gonorrhea noma i-gonorrhea, isifo esithathelwana ngocansi (STI) esibangelwa amagciwane i-Neisseria gonorrhoeae. Bekulokhu kwanda eFrance kusukela ngo-1998, njengezifo eziningi zocansi ezithathelana ngokocansi.

I-gonorrhea ivame ukutholakala emadodeni kunakwabesifazane, mhlawumbe ngenxa yokuthi emadodeni idala izimpawu ezisobala kuyilapho kwabesifazane abangaphezu kwesigamu lesi sifo singabangeli izimpawu ezibonakalayo. Abesilisa abaneminyaka engu-21 kuya ku-30 ​​nabesifazane abasebasha abaneminyaka engu-16 kuya ku-25 bathinteka kakhulu ngokutholakala kwalesi sifo esithathelwana ngocansi (STI)

Ingahlasela ipipi nesitho sangasese sowesifazane, i-urethra, i-rectum, umphimbo, futhi ngezinye izikhathi amehlo. Kwabesifazane, umlomo wesibeletho nawo ungalimala.

E-Canada, inani lamacala amasha e-gonorrhea seliphindeke ngaphezu kokuphindwe kabili eminyakeni eyi-10 edlule futhi ingxenye yamacala amelana nemithi elwa namagciwane ikhula kancane kancane.

Izimbangela

I-gonorrhea isakazeka ngesikhathi Ucansi olungavikelekile lomlomo, indunu, noma lwesitho sangasese sowesifazane nophathina onegciwane, ngokushintshaniswa koketshezi lwebhayoloji kanye nokuthintana nolwelwesi lwamafinyila. Akuvamile ukudluliselwa yi-cunnilingus.

I-gonorrhea ingadlulela enganeni esanda kuzalwa ivela kumama onaleli gciwane ngesikhathi ebeletha, okubangela isifo samehlo.

Izimpawu ze-gonorrhea 

Izimpawu ze-gonorrhea noma i-gonorrhea zivame ukuvela Izinsuku ezingu-2 emva kwesikhathi sokutheleleka emadodeni kodwa cishe kungathatha izinsuku eziyishumi kwabesifazane, mhlawumbe ngezinye izikhathi isikhathi eside. Ukutheleleka kungavela ku-rectum, umthondo, umlomo wesibeletho, noma emphinjeni. Kwabesifazane, ukutheleleka akubonakali ezimweni ezingaphezu kwesigamu, okungabangeli zimpawu ezithile.

Inkambo evamile ye-gonococcal urethritis engalashwa emadodeni ukunyamalala kwezimpawu : Izimpawu zingase zinyamalale emadodeni angaphezu kuka-95% phakathi nezinyanga eziyisi-6. Ukutheleleka kuyaqhubeka, nokho, inqobo nje uma kungelashwa. Uma kungekho ukwelashwa noma uma kwenzeka ukwehluleka, ingozi yokudlulisela ihlala, futhi yenza umbhede wezinkinga kanye ne-sequelae.

Kubantu

• Ukukhishwa kwe-purulent nokuphuzi okuluhlaza okuvela ku-urethra,
• Ubunzima bokuchama,
• Ukuzwa ukushisa okukhulu lapho uchama,
• Ubuhlungu ku-urethra,
• Ubuhlungu noma ukuvuvukala kwamasende,
• Ubuhlungu noma ukukhishwa kwi-rectum.
• Owesilisa obonisa lezi zimpawu kufanele akhulume nomlingani wakhe ngoba angase angabonisi zimpawu, ngisho noma ungumthwali wamagciwane.

Futhi ku-1% wamacala, amadoda akhombisa okuncane noma akukho kulezi zimpawu.

Kwabesifazane

Iningi labesifazane alinazo izimpawu ze-gonorrhea, futhi lokho kuphakathi kuka-70% no-90% wamacala! Uma zikhona, lezi zimpawu zivame ukudideka nalezo zokutheleleka komchamo noma kwesitho sangasese sowesifazane:

• Ukukhishwa kwe-purulent, okuphuzi noma ngezinye izikhathi okunegazi;
• Ukucasuka kwe-vulvaire;
• Ukopha okungavamile kwesitho sangasese sowesifazane;
• Ubuhlungu be-pelvic noma ubunzima;
• Ubuhlungu ngesikhathi socansi;
• Imizwa evuthayo lapho kudlula umchamo nobunzima bokudlulisa umchamo.

Endabeni yocansi olungavikelekile, kufanele kwenziwe ukuhlolwa, kanye nokuhlolwa kwe-chlamidiae.

Izimpawu ze-gonorrhea ye-anorectal

Kuvame kakhulu emadodeni aya ocansini namadoda (MSM) futhi angaveza ngezimpawu ezilandelayo:

• Ukulunywa ku-anus,
• Ukuvuvukala kwendunu,
• Ukukhishwa kwe-purulent kusuka ku-anus,
• Uhudo,
• Ukopha nge-anus,
• Ukungakhululeki lapho uzikhulula...

I-gonorrhea yomlomo nomphimbo ngokuvamile ayihlotshaniswa alukho uphawu olubonakalayo. Kwesinye isikhathi kungahle kube ne-pharyngitis noma umphimbo obuhlungu ozixazululayo wedwa. Le gonorrhea ye-oropharhyngeal ikhona ku-10 kuya ku-40% we-MSM (amadoda aya ocansini namadoda), u-5 kuya ku-20% wabesifazane asebevele bene-gonorrhea yangasese noma ye-anorectal, kanye no-3 kuya ku-10% wabantu abathandana nabobulili obuhlukile.

Ukubandakanyeka kwamehlo akuvamile kubantu abadala. Kwenzeka ngokuzithelela; umuntu othintekile onesifo sohudo endaweni yocansi bese eletha amagciwane emehlweni akhe ngezandla. Izimpawu yilezi:

• Ukuvuvukala kwamajwabu amehlo,
• Izimfihlo ezinzima neziningi,
• Ukuzwa uhlamvu lwesihlabathi esweni,
• Izilonda noma ukubhobozwa kwe-cornea.

Izinkinga ezingenzeka

Kwabesifazane, i-gonorrhea ingaholela isifo sokuvuvukala okhalo, okungukuthi, ukutheleleka kwezitho zokuzala zamashubhu, ama-ovari nesibeletho. Kungaba imbangela ukungazali, kwandisa ingozi ye- ukukhulelwa kwe-ectopic futhi kube yimbangela yobuhlungu be-pelvic obungapheli.

Kwabesilisa, i-gonorrhea ingabangela ukuvuvukala kwendlala yesinye (i-prostatitis) noma amasende (i-epididymitis), okungaholela ekubeni ube nenzalo.

I-gonorrhea ibuye inyuse amathuba okudlulisela i-HIV.

Ngakolunye uhlangothi, usana olusanda kuzalwa olungenwe unina lungaba nezinkinga zamehlo ezingathi sína nomaukutheleleka kwegazi (i-sepsis).

Ukuvuvukala kwezindlala zeBartholin

Kwabesifazane, izinkinga ezivame ukubonwa kakhulu ukuvuvukala kwezindlala zepara-urethral nezindlala zikaBartholin, ukutheleleka kwesibeletho (i-endometritis) kanye nokutheleleka kwamashubhu (i-salpingitis), okuvame ukuqhubeka ngaphandle kokubanga izimpawu ezithile. Kamuva, njengoba ukutheleleka kuqhubeka, ubuhlungu be-pelvic, ukungazali noma ingozi yokukhulelwa kwe-ectopic kungenzeka. Lokhu kungenxa yokuthi amashubhu angavinjelwa ukutheleleka nge-gonococcal.

Olunye ucwaningo lubonisa ukuthi phakathi kuka-10 no-40% wezifo ze-gonococcal ezingalashiwe zomlomo wesibeletho (i-gonococcal cervicitis) ziqhubekela kusifo sokuvuvukala kwezitho zangasese. Kodwa-ke, alukho ucwaningo lwelongitudinal olwenza kube nokwenzeka ukuhlola iphesenti lesipatsholo esidala izinkinga eziyinhloko, futhi ikakhulukazi ingozi yokungatholi abantwana, akukuvumeli ukuba kulinganiswe eFrance.

Ukutheleleka kwe-tubal

Uma kuqhathaniswa nokutheleleka nge-Chlamidiae trachomatis, izinkinga ezihambisana ne-gonorrhea

akuvamile. Kokubili lokhu kungaholela ekuthelelekeni nge-tubal (salpingitis) ngengozi yokungabi nenzalo nokukhulelwa kwe-ectopic. Izinhlobo ezijwayelekile ze-gonorrhea azivamile. Bangakwazi ukwethula ngendlela ye-subacute sepsis (ukujikeleza kwe-gonococcal-type bacteria egazini), futhi ingahambisana nokulimala esikhumbeni. I-gonorrhea esakazwayo ingabonakalisa futhi ngendlela yokuhlaselwa kwe-osteoarticular: i-subfebrile polyarthritis, i-purulent arthritis, i-tenosynovitis;

Izici zengozi

• Abesilisa abalala nabesilisa (i-MSM) bangabantu abanobungozi obukhulu;
• Abantu abanabalingani abangaphezu koyedwa bezocansi;
• Abantu abanomlingani onabanye abalingani bocansi;
• Abantu abasebenzisa amakhondomu ngokungaguquguquki;
• Abantu abangaphansi kweminyaka engama-25, abesilisa abenza ucansi, abesifazane noma intsha;
• Abantu asebethole igciwane lesandulela ngculazi (STI) esikhathini esedlule;
• Abantu abane-seropositive for HIV (i-AIDS virus);
• Abasebenza ngocansi;
• Abasebenzisa izidakamizwa;
• Abantu ejele;
• Abantu abaya endlini yangasese bengagezanga izandla ngendlela ehlelekile (i-ocular gonorrhea).

Ukubonisana nini?

Ngemva kokukodwa ucansi olungaphephile, thintana nodokotela ukuze uhlolwe ukuhlolwa.

Uma kunezimpawu zokutheleleka ngokobulili, kuyasha uma uchama emadodeni.