Njengoba kunabantu abangaphezu kwezigidi ezingu-200 emhlabeni wonke abangenwa yilesi sifo unyaka ngamunye, i-trichomoniasis ingenye yezifo ezithathelwana ngocansi ezivame kakhulu.

Ezikhathini eziningi, i-trichomoniasis iyisifo esithathelwana ngocansi esingabangela izinkinga futhi akufanele sinakwe. Ukuvimbela nokwelashwa okufanele kuqeda lesi silwane ku-90% yamacala.

Ngokuvamile, isikhathi sokufukamela se-parasite sisukela ezinsukwini ezingu-5 kuya kwezingu-30 ngemva kokungcola. Imvamisa ukutheleleka akubonakali kahle kubantu.

Kwabesifazane

Ezimweni ezingaba ngu-50%, izimpawu zingase zivele kwabesifazane. Ukutheleleka kwesitho sangasese sowesifazane nge-Trichomonas Vagonalis kubala cishe u-30% we-vulvovaginitis kanye nama-50% we-vaginitis ngokuphuma komchamo kwabesifazane.

Izimpawu ziyahlukahluka ngokuqina, kusukela kumafomu angabonakali kuye kokuningi, okuphuzi-okuluhlaza okotshani, okuphuma amagwebu esithweni sangasese esinephunga elifishane. Kukhona nobuhlungu esithweni sangasese kanye ne-perineum obuhambisana nobuhlungu ngesikhathi socansi kanye nobuhlungu lapho uchama (dysuria).

Ukutheleleka nge-asymptomatic kungaba uphawu nganoma yisiphi isikhathi lapho ukuvuvukala kwe-vulva ne-perineum kanye ne-edema ye-labia (imomozi) kukhula.

Ubukhulu bobuhlungu bubonakala kakhulu ekuqaleni nasekupheleni komjikelezo wokuya esikhathini ngenxa yokwanda kwe-pH yesitho sangasese sowesifazane, okuvumela ukuthuthukiswa kwe-parasite. Ukunqamuka kokuya esikhathini, okubangela ukushintshashintsha kwe-pH ezingeni lesitho sangasese sowesifazane, nakho kulungele ukuthuthukiswa kwe-parasite. Kwabesifazane abakhulelwe, i-Trichomonas Vaginalis ingase ibe nesibopho sokuzala ngaphambi kwesikhathi kwabesifazane abahlaselwe.

Kubantu

Izimpawu zomtholampilo azivamile, ukutheleleka akubonakali kuma-80% ezimweni. Ngezinye izikhathi i-urethritis ibonakala ngokukhishwa kwe-urethral okungase kube okwesikhashana, igwebu noma i-purulent noma kubangele ubuhlungu lapho uchama (dysuria) noma isifiso esivamile sokuchama (i-pollakiuria), ngokuvamile ekuseni. I-urethritis ngokuvamile iyingozi.

Okuwukuphela kwezinkinga ezingavamile i-epididymitis (ukuvuvukala komgudu oxhumanisa i-testes ne-prostate) kanye ne-prostatitis (ukuvuvukala kwe-prostate).

Kwabesilisa, i-trichomoniasis ibangela ubuhlungu obungapheli bokuqina okuhlukahlukene ngesikhathi sokuya ocansini.

Ukuseshwa kwe-Trichomonas Vaginalis kusekelwe ekuhlolweni okuqondile kwesampula ye-urogenital noma nge-molecular diagnostic technique (PCR).

Le nqubo ye-molecular (PCR), engabuyisiwe, kufanele ibe isihloko sencwadi kadokotela ethile futhi ayenziwa ngesikhathi sokuhlolwa okujwayelekile kwesampula yesitho sangasese sowesifazane.

Njengoba i-trichomonas Vaginalis iyi-parasite ehambayo, ingabonwa kalula ngesikhathi sokuhlolwa okuncanyana kakhulu inqobo nje uma kwenziwa ngokushesha ngemva kokuthathwa kwesampula. Uma kungenjalo, ukuhlolwa okuqondile kwenziwa ngemva kokungcoliswa kwesilayidi esifundwe ngaphansi kwesibonakhulu. Ukuhlolwa kwe-Pap smear kungase kwembule i-cytological (ucwaningo lwamaseli) okungavamile okusikisela ukutheleleka kwe-Trichomonas Vaginalis. Kodwa-ke, ayikuvumeli ukuphetha ngokuhlaselwa yi-parasite.

I-Trichomonas Vaginalis iyisilwane esithathelwana ngocansi. Kunconywa ukuhlola ukuba khona kwayo kubantu abanezinye izifo ezithathelwana ngocansi, njengoba lokhu kugcina kungandisa ukudluliselwa kwabo ngenxa yokuvuvukala okubangela ezingeni le-urogenital.

Ukungajwayelekile, ukudluliselwa ngamathawula anomswakama, amanzi okugeza noma izibuko zasendlini zangasese ebezingcoliswe ngaphambilini nakho kungenzeka. I-parasite ingaphila amahora angaba ngu-24 ezindaweni ezingaphandle uma izimo zivuma.

Kwabesifazane, i-trichomoniasis ingase inyuse ingozi yokuthola i-HIV lapho uya ocansini nophathina ophethe igciwane lengculazi. Ngakolunye uhlangothi, i-trichomoniasis ingase ikhulise ingozi yokudlulisela i-HIV kowesifazane onengculaza kumlingani wakhe.

Ukwelashwa kusekelwe ekuphathweni ngomlomo kwe-antiparasitic antibiotic emndenini we-nitro-imidazole (metronidazole, tinidazole, njll.). Ukwelashwa kungaba umthamo owodwa (ukwelashwa “kweminithi”) noma kuthathwe izinsuku ezimbalwa kuye ngezimpawu, ngaphandle kokuphuza utshwala ngesikhathi sokwelashwa. Ku-trimester yokuqala yokukhulelwa, kungcono ukunikeza ukwelashwa kwendawo (i-ova, ukhilimu) nakuba kungekho ukuphikisana nokuthatha i-nitro-imidazoles yomlomo.

Uma kwenzeka ukuncelisa ibele, kunconywa ukuthi uyeke ngesikhathi sokwelashwa kanye namahora angama-24 ngemuva kokuphela kokugcina.

Kuzo zonke izimo, noma zingekho izimpawu, kuyanconywa ukwelapha umlingani (s) womuntu onegciwane. Awukho umgomo wokuvimbela ukutheleleka nge-Trichomonas Vaginalis. Ukuvimbela kusekelwe ekuvikelweni kokuya ocansini.