Klamidiya

Chlamydia (kluh-MID-e-uh) ni indwara ikunze kwandura mubitsina.

Indwara zandura mubitsina ni ubwandu bukunda gukwirakwira hakoreshejwe igitsina cyangwa amazi y'umubiri. Kandi bizwi nka STDs, STIs cyangwa indwara y'igitsina, ubwandu bw'igitsina buterwa na bagiteri, virusi cyangwa udukoko.

Chlamydia iterwa na bagiteri ya Chlamydia trachomatis (truh-KOH-muh-tis) kandi ikwirakwira binyuze mu mibonano mpuzabitsina yo mu kanwa, mu gitsina cyangwa inyuma.

Ushobora kutamenya ko ufite chlamydia kuko abantu benshi nta bimenyetso bagira, nko kubabara mu gitsina no kuva amaraso mu gitsina cy'umugore cyangwa igitsina cy'umugabo. Chlamydia trachomatis ikunda kwibasira abagore bakiri bato, ariko ishobora kugaragara haba mu bagabo ndetse n'abagore kandi mu byiciro byose by'imyaka.

Ntabwo ari ikibazo gikomeye kuvura, ariko niba kitavuwe gishobora gutera ibibazo bikomeye by'ubuzima.

Ubwandu bwa Chlamydia trachomatis mu byiciro byambere bushobora kenshi kutagaragaza ibimenyetso. Nubwo ibimenyetso byaba bihari, bikunze kuba bito. Ibyo bituma biba byoroshye kubirengagiza, ariyo mpamvu gusuzuma buri gihe ari ingenzi. Ibimenyetso byubwandu bwa Chlamydia trachomatis bishobora kuba birimo: Kugira ububabare mu gihe cyo kumuha.Ibisohora mu gitsina.Ibisohora mu gitsina cy'umugabo.Ububabare mu gihe cy'imibonano mpuzabitsina.Kuva amaraso mu gitsina hagati yiminsi mikuru no nyuma yimibonano mpuzabitsina.Ububabare mu gituza. Bitewe n'imibonano mpuzabitsina umuntu akora, Chlamydia trachomatis ishobora kwandura amaso, ijosi cyangwa umunwa w'inyuma. Ubwandu bw'amaso, bwitwa conjunctivites, butuma imbere y'igitutu iba itukura kandi ikaba ibabaza. Mu ijosi, ubwandu bushobora kutagaragaza ibimenyetso, cyangwa umuntu ashobora kugira ububabare mu ijosi. Ubwandu mu munwa w'inyuma bushobora kutagaragaza ibimenyetso cyangwa bushobora gutera ububabare mu munwa w'inyuma, ibisohora cyangwa kuva amaraso. Reba umuganga wawe niba ufite ibisohora mu gitsina, mu gitsina cy'umugabo cyangwa mu munwa w'inyuma, cyangwa niba ufite ububabare mu gihe cyo kumuha. Nanone, reba itsinda ry'abaganga bawe niba umenya ko umukunzi wawe afite chlamydia. Umuganga wawe arashobora kwandika imiti ya antibiyotike nubwo udafite ibimenyetso.

Gira inama n'umuganga mu gihe ufite ibinyabutabire bivuye mu gitsina, igitsina gabo cyangwa umunwa w'inyuma, cyangwa mu gihe ubona ububabare mu gihe ushaka kwitinya. Nanone, gira inama n'abaganga bawe mu gihe umenya ko uwo muryamana na we afite chlamydia. Umuganga wawe arashobora kwandika imiti ya antibiyotike nubwo utayafite ibimenyetso.

Udukoko twa Chlamydia trachomatis twohererezwa cyane binyuze mu mibonano mpuzabitsina y'abagore, imibonano mpuzabitsina mu kanwa n'imyanya y'inyuma. Bishoboka kandi ko ubwo dukoko bwakwirakwira mu gihe cyo gutwita, mu gihe cyo kubyara. Chlamydia ishobora guteza igituntu cyangwa indwara ikomeye y'amaso ku mwana wavutse.

Abantu baryamana imbere y’imyaka 25 bafite ibyago byinshi byo kwandura agakoko ka chlamydia kurusha abantu bakuze. Ibyo biterwa n’uko abakiri bato bashobora kuba bafite ikintu kimwe cyangwa birenga bibatera ibyago.

Ibintu byatera agakoko ka chlamydia birimo:

• Kudakoresha agakingirizo cyangwa kukakoresha nabi.
• Gukoresha serivisi z’ubuzima nke mu gukumira no kuvura indwara zandurira mu mibonano mpuzabitsina.
• Kugira abashakanye bashya cyangwa benshi.
• Guhindura abashakanye mbere yo kumenya ko ufite agakoko ka chlamydia.

Chlamydia trachomatis ishobora kwerekanwa na:

• Indwara y'ububabare mu myanya y'imyororokere, izwi kandi nka PID. PID ni ubwandu bw'umura w'imbere n'amatembabuzi. Ubwandu bukomeye bushobora gusaba kwitabwaho mu bitaro. PID ishobora kwangiza amatembabuzi, ovaire n'umura, harimo n'inkondo y'umura.
• Ubwandu hafi y'intanga. Ubwandu bwa chlamydia bushobora gutera umuriro mu muyoboro ugoswe uri iruhande rya buri ntanga, witwa epididymis. Ubwandu bushobora gutera umuriro, ububabare mu gitsina, no kubyimbagira.
• Ubwandu bw'umusemburo wa prostate. Gake, udukoko twa chlamydia dushobora gukwirakwira mu misemburo ya prostate. Prostatitis ishobora gutera ububabare mu gihe cy'imibonano mpuzabitsina cyangwa nyuma yayo, umuriro n'igikomere, ububabare mu gihe cyo kwinjira, n'ububabare mu mugongo.
• Ubwandu mu bana bashya. Ubwandu bwa chlamydia bushobora kwambuka kuva mu muyoboro w'inda ku mwana wawe mu gihe cyo kubyara, bigatera pneumonia cyangwa ubwandu bukomeye bw'amaso.
• Ububyimba bw'inda hanze y'umura. Ibi bibaho iyo intanga y'umugore ishingiye kandi ikakura hanze y'umura, akenshi mu matemabazi. Intanga igomba gukurwaho kugira ngo hirindwe ingaruka zikomeye zishobora kwica, nko guturika kw'umuyoboro. Ubwandu bwa chlamydia byongera iryo risiko.
• Kubura ubushobozi bwo kubyara. Ubwandu bwa chlamydia bushobora gutera inkovu no gufunga amatemabazi, ibyo bishobora gutera kubura ubushobozi bwo kubyara.
• Uburwayi bwa arthrite reactive. Abantu bafite Chlamydia trachomatis bafite ibyago byinshi byo kurwara arthrite reactive, izwi kandi nka Reiter syndrome. Iyi ndwara isanzwe igira ingaruka ku ngingo, amaso n'umuyoboro w'inkari - umuyoboro utwara inkari kuva mu kibuno ujya hanze y'umubiri.

Uburyo bwizewe cyane bwo kwirinda kwandura chlamydia ni ukwirinda imibonano mpuzabitsina. Uretse ibyo, ushobora:

• Koresha agakingirizo. Koresha agakingirizo k'abagabo gakozwe mu mpira cyangwa agakingirizo k'abagore gakozwe muri polyurethane mu gihe cyose cy'imibonano mpuzabitsina. Agakingirizo akoreshwa neza muri buri mibonano mpuzabitsina kagabanya ariko ntikakarimbura ibyago byo kwandura.
• Kugabanya umubare w'abantu baryamana nawe. Kugira abantu benshi baryamana nawe bigushyira mu kaga gakomeye ko kwandura chlamydia n'izindi ndwara zandurira mu mibonano mpuzabitsina.
• Kwisuzumisha buri gihe. Niba uri umuntu ukora imibonano mpuzabitsina, cyane cyane niba ufite abantu benshi baryamana nawe, ganira n'umuganga wawe ku kugaragaza uko ukwiye kwisuzumisha chlamydia n'izindi ndwara zandurira mu mibonano mpuzabitsina. Imiti yitwa doxycycline ishobora kuba igisubizo cyo kwirinda kwandura ku bantu bafite ibyago byinshi kurusha abandi byo kwandura chlamydia. Amatsinda afite ibyago byinshi harimo abagabo baryamana n'abagabo n'abagore bahinduye igitsina. Fata doxycycline mu gihe kitarenze iminsi 3 nyuma y'imibonano mpuzabitsina bigabanya ibyago byo kwandura udukoko dutera chlamydia. Umuganga wawe ashobora kwandika doxycycline n'ibizamini ukeneye mu gihe urimo kuyifata.

Ibiro by'Amerika bishinzwe kurwanya indwara (CDC) birasuzuma ko abantu bose bafite ibimenyetso bya chlamydia bagomba kwipimisha. Bitabaye ibyo, ugomba kuvugana n'abaganga bawe kugira ngo umenye ukuntu ukwiye kwipimisha chlamydia kenshi. Muri rusange, hari amatsinda apimwa kenshi kurusha ayandi, nka:

• Abagore bakora imibonano mpuzabitsina bafite imyaka 25 cyangwa munsi yaho. Igipimo cy'ubwandu bwa chlamydia kiri hejuru muri iri tsinda, bityo kwipimisha buri mwaka birasuzumwa. Nubwo waba warapimwe mu mwaka ushize, jya kwipimisha igihe ufite umukunzi mushya.
• Abantu batwite. Kwipimisha chlamydia bishobora gutangwa mu isuzuma rya mbere ryo kwita ku nda. Niba ufite ibyago byinshi byo kwandura, jya kwipimisha ukundi mu gihe cya nyuma cyo gutwita. Uri mu kaga cyane niba ufite imyaka iri munsi ya 25, ufite umukunzi mushya cyangwa ufite umukunzi ushobora kuba yanduye.
• Abantu bafite ibyago byinshi. Abantu bafite abakunzi benshi cyangwa bashya cyangwa abagabo bakora imibonano mpuzabitsina n'abagabo bagomba gutekereza ku kwipimisha chlamydia kenshi. Ibindi bimenyetso by'ibyago byinshi ni ubukana bw'ubwandu bw'indwara zandurira mu mibonano mpuzabitsina n'ishobora kwandura indwara zandurira mu mibonano mpuzabitsina binyuze mu muntu wanduye.

Kwipimisha no kuvura chlamydia biroroshye. Ushobora gukoresha ikizamini kidakeneye amabwiriza y'umuganga, rimwe na rimwe bita ikizamini cyo mu rugo, kugira ngo urebe niba ufite chlamydia. Niba icyo kizamini kigaragaza ko ufite chlamydia, ugomba kubona umuganga kugira ngo yemeze uburwayi kandi utangire kuvurwa.

Kugira ngo umenye niba ufite chlamydia, umuganga wawe azasesengura urugero rw'uturemangingo. Ibipimo bishobora gutoranywa hakoreshejwe:

• Isuzuma rya urinaire. Urugero rwa urinaire rusuzumwa muri laboratwari kugira ngo harebwe niba hari ubwandu. Ibi bishobora gukorwa ku bagabo n'abagore.
• Agatambakazi. Urugero rwavuye mu kiziba cy'inda, mu gitsina, mu muhogo cyangwa mu kibuno rutoranywa ku gatambakazi kugira ngo rusuzumwe. Mu kiziba cy'inda, umwe mu bagize itsinda ry'ubuvuzi arakusanya urugero rw'ibyavuye mu kiziba cy'inda ku gatambakazi kugira ngo rusuzumwe. Ibi bishobora gukorwa mu gihe cyo gupima Pap bisanzwe. Kugira ngo hafatwe agatambakazi mu gitsina, wowe ubwawe cyangwa umuganga wawe mubikora. Ku bagabo n'abagore, bitewe n'amateka y'imibonano mpuzabitsina, agatambakazi gashobora gufatwa mu muhogo cyangwa mu kibuno.