Venereal lymphogranuloma inoreva zvirwere zvakasiyana. Kazhinji kacho chirwere chinoitika kune vechidiki makore makumi maviri nemakumi matatu, kutungamirira hupenyu hwepabonde hunoshanda. Zvisinei, muzviitiko zvisingawanzoitiki, kutapurirwa kwehutachiwana hunogonawo kuburikidza nezvinhu zvakachena.
Venereal lymphogranuloma - chii ichocho?
Zita rechipiri rehutachiona ndiro chirwere chechina chinowanikwa. Inotsamwiswa ne- chlamydia yakawanda , yakasiyana kubva kune iyo inokonzera kuzivikanwa kwegititalia clamidiosis. Zvisinei, iyo nzira yekupinda mukati memuviri wemunhu yakafanana. Kuwanda kwechirwere ichi inzira yepabonde. Muchiitiko ichi, vanachiremba havatauri mukana wekupinda kwepathogen kuburikidza nezvinhu zvehutsanana (nzira yemhuri).
Chirwere ichi chakapararira kunyika dzeWest uye East Africa, Asia, South America, India. Mhosva dzakanyoreswa munyika dzeEurope uye neCIS, mune vazhinji "inotengeswa" - hutachiona hunovapo nekuda kwekusabatwa kwepabonde kusina kudzivirirwa nevatakuri vehutachiona. Chirwere chacho chinonyatsozivikanwa nezviratidzo zvinoratidza, izvo zvinoita kuti pave nenguva yekurapa kwechirwere.
Pathogen ye venereal lymphogranuloma
Zvidzidzo zvakasimbisa kuti venereal lymphogranulomatosis inoshungurudzwa neserotypes zvitatu zve chlamydia: L1, L2, L3. Kuti chirwere chacho chibudirire, zvakakosha kuti pathogen ipinde nepakakanganiswa mucous membrane uye ganda. Gare gare, chlamydia inosvika kune lymphatic tract, inokonzera lymphangitis, lymphadenitis . Matambudziko aya ndiwo matanho ekutanga ehutachiona, kufambira mberi kunotungamirira kune maitiro ezviratidzo, kliniki yemifananidzo. Zviratidzo zvekutanga zvinotarisa mazuva matatu kubva pane utachiona.
Lymphogranulomatosis - Zvinokonzera
Chlamydial lymphogranuloma inoitika semugumisiro wekuita zvepabonde. Iyi nzira yekupinda inokosha. Zvisinei, venereologist hazviregi kukanganisa kwehutachiona kuburikidza nezvinhu zvehutsanana, dzimba, dzakashandisa pakutanga mutakuri wehutachiona. Zvinofanira kuonekwa kuti lymphogranuloma inoumbwa zvakananga panzvimbo yepathogen mumuviri. Saka, nemusingaenzanisi pabonde, unogona:
- vaginal;
- muromo;
- anal granulomas.
Venereal lymphogranuloma - zviratidzo
Kubva panguva iyo pathogen inopinda mumuviri uye isati yasvika inguinal lymphogranulomatosis inotanga, inopera kusvika mazuva gumi. Kune vamiririri vevarume vari pamusoro weimwe nhengo kune chidiki chiduku chinowedzera munguva yakakodzera. Madzimai, iyo venereal lymphogranuloma, mufananidzo uri pasi apa, inowanikwa munzvimbo dzebibia uye mumudzimai. Nekusagadzikana kwepabonde, venereal lymphogranuloma inogona kuumbwa:
- mumutauro;
- paminwe yamaoko;
- mune rectum.
Kutanga, panzvimbo yehutachiona, mabhubu anooneka, zviduku zvishoma, maronda. Hazvikonzeri kunetseka uye kurwadziwa. Pane kuwedzera kwemakirini (inguinal, cervical, submandibular). Sezvo kupararira kwehutachiwana mumuviri wose, hutano hwehutano hwakaipa. Varwere vanonyunyuta pamusoro pazvo:
- headache;
- nausea;
- kurutsa;
- simuka pakupisa.
Nekunzvimbo yepamusoro mune rectum zvinogoneka:
- kusunungurwa kubva kune anus;
- marwadzo mu rectum;
- itching in the anal area.
Venereal lymphogranulomatosis - kuonekwa
Chlamydial venereal lymphogranuloma inoratidzwa pane hwaro hwechipatara, zviratidzo. Zvisinei, kusimbisa kuongororwa, vanachiremba vanoshandisa ma laboratory:
- kuongorora zvinyorwa zvinyorwa zvisingatauriki;
- EIA;
- PCR .
Mukuongororwa kwechirwere ichi, zvimwe zvirwere zvine zviratidzo zvakafanana zvakabviswa:
- syphilis;
- lymphogranulomatosis;
- soft chancre;
- tuberculosis yeganda.
Chlamydial lymphogranuloma - analysis
Zvinokwanisika kuziva chirwere cheDuran-Nicolas-Favre (chlamydial lymphogranuloma) pasina kukanganisa kuburikidza nekushandisa chirongwa chemukatikati - Frey's reaction. Allergen yekuongororwa yakagadzirwa kubva kumabvu, zvironda. Kuti uite samuenzaniso, tora 0,1 mami yekutonga (pasina pathogen) uye mamwe maantigen, ayo akajowa intradermally mukati mezvinyorwa zvinogadziriswa zvepamberi. Migumisiro yemuedzo inoongororwa mushure maawa 48.
Kuongorora kunofungidzirwa kwakanaka apo papule ine uwandu hwemamiriyoni mashanu muhupamhi uye hukuru inoumbwa panzvimbo yejojo. Muchiitiko ichi, hukuru hwe erythema zvakapoteredza nzvimbo yejojo haibatanidzwi. Mhinduro yeFrey kune lymphogranuloma, maererano nehuwandu, inopupurira kuonekwa mukati memazana ezana makumi matatu nematatu ematambudziko, saka iyo nzira inowanzoonekwa seyakakura zvikuru. Muenzaniso wacho unogona kuitwa chero zvikamu zvechirwere chacho.
Venereal lymphogranulomatosis - kurapa
Kurapa kwe venereal lymphogranuloma inotora nguva yakareba. Chirwere chinogara chichiitwa munzira yakaoma uye chinangwa chekudzivisa kukura nekuberekwa kwechlamydia, nekuita kuti murwere ave noutano hwakanaka. Algorithm yemishonga inogadzirwa somunhu mumwe nomumwe, ichifunga nezvenhandare yechirwere ichi, kuvapo kwekugadzirisa zvirwere, makore. Nheyo yehutano hwekurapa ndeyokudya kwemishonga inorwisa mabhakitiriya. Muyero, nguva yakawanda yekugamuchira inogadzirirwa mumwe nomumwe. Pakati pezvinodhaka zvinoshandiswa pakurapa kwe venereal lymphogranuloma:
- Doxal;
- Vibramycin;
- Medomycin;
- Erythromycin;
- Unidox-Solutab.
Nguva yekubvuma inobva pane nguva yekutanga kwerapi, chiyero chekukuvadza mumuviri, mamiriro ehurwere hwemurwere. Muzviitiko zvakawanda, nzira yekurapa inopedza vhiki 3-5. Nguva nenguva yakaitwa zvidzidzo zvekuongororwa zvinosarudza kuvapo kana kusavapo kwechlamydia mumuviri. Kana zvikurudziro zvakabudiswa nachiremba zvisingaonekwi, kusarudzwa kunogona kuitika zvakare.