Chlamydia

I-Chlamydia (kluh-MID-e-uh) iyisifo esidluliselwa ngocansi esivamile.

Izifo ezidluliselwa ngocansi ziyizifo ezisasazwa ikakhulu ngokuxhumana nezibuko zocansi noma izinto eziphuma emzimbeni. Zibizwa nangokuthi yi-STD, STI noma isifo socansi, ukutheleleka ngocansi kubangelwa yibhaktheriya, amavirus noma izinambuzane.

I-Chlamydia ibangelwa yibhaktheriya ye-Chlamydia trachomatis (truh-KOH-muh-tis) futhi isasazwa ngocansi lomlomo, oluvulekile noma oluseceleni.

Ungase ungazi ukuthi une-chlamydia ngoba abantu abaningi abanawo ama-symptom, njengokuhlunguluka kwezibuko zocansi nokuqothuka kwesikhumba esivela esibelethweni noma esibelethweni. I-Chlamydia trachomatis ihlukanisa kakhulu abesifazane abasebancane, kodwa ingaba khona kubantu besilisa nabesifazane nakubo bonke ubudala.

Akulukhuni ukuyiphatha, kodwa uma ingaphathwe ingabangela izinkinga zempilo ezingathi sína.

Ukutheleleka kwe-Chlamydia trachomatis ekuqaleni kuvamise ukubangela izimpawu ezimbalwa. Ngisho noma kunezimpawu, zivame ukuba zingenamandla. Lokho kwenza kube lula ukungazinaki, kungakho ukuhlolwa njalo kubalulekile. Izimpawu zokutheleleka kwe-Chlamydia trachomatis zingafaka: Ukushisa lapho uthimba. Ukuphuma kwesikhumba. Ukuphuma kwelungu lesilisa. Ubuhlungu ebuhleni. Ukopha kwesikhumba phakathi nezinsuku nokuphuma ebuhleni. Ubuhlungu emathangeni. Ngokuya ngokusebenza komuntu ngokobulili, i-Chlamydia trachomatis ingatheleleka emehlweni, ehlombe noma esibindini. Ukutheleleka kwamehlo, okuthiwa yi-conjunctivitis, kwenza ingaphakathi lelihlathi libe bomvu futhi licasuke. Ehlombe, ukutheleleka kungase kungabi nazimpawu, noma umuntu angaba nobuhlungu ehlombe. Ukutheleleka esibindini kungase kungabi nazimpawu noma kungabangela ubuhlungu esibindini, ukuphuma noma ukuphuma igazi. Bheka ochwepheshe bakho bezempilo uma une-discharge evela esikhumbeni sakho, elungwini lesilisa noma esibindini, noma uma unebuhlungu lapho uthimba. Futhi, bheka iqembu lakho lezempilo uma ufunda ukuthi umlingani wakho wezocansi une-chlamydia. Ochwepheshe bakho bezempilo cishe bayokunika ama-antibiotic ngisho noma ungenazimpawu.

Bona udokotela wakho uma unelukhuthala oluvela esibelethweni sakho, esibelethweni sakho noma esicathulweni sakho, noma uma uzwela ubuhlungu uma ukhishwa. Futhi, bona iqembu lakho lokunakekelwa kwezempilo uma ufunda ukuthi umlingani wakho wezocansi une-chlamydia. Udokotela wakho cishe uzokunikeza i-antibiotic ngisho noma ungenawo imimoya.

Ibhaktheriya iChlamydia trachomatis ivame ukudluliselwa ngokocansi, okuhlanganisa ubulili besisu, emlonyeni nasebungwini. Kungenzeka futhi ukuba ibhaktheriya isakazeke ngesikhathi sokukhulelwa, ngesikhathi sokuzalwa komntwana. I-Chlamydia ingabangela i-pneumonia noma ukutheleleka okukhulu kwamehlo kwesitho esisha.

Abantu abenza ubulili ngaphambi kweminyaka engu-25 baphezu kokuthola i-chlamydia kunabantu abadala. Lokho kungenxa yokuthi abantu abasebancane banesilinganiso esiphezulu sokuba nezici eziningi ezingozi.

Izici ezingozi ze-chlamydia zihlanganisa:

• Ukungasebenzisi i-kondomu noma ukusebenzisa i-kondomu ngokungalungile.
• Ukusebenzisa izinsizakalo zezempilo okuncane ukuvimba nokwelapha ukutheleleka ngocansi.
• Abalingani abasha noma abaningi bobulili.
• Ukushintsha abalingani bobulili ngaphambi kokufunda ngokutheleleka kwe-chlamydia.

IChlamydia trachomatis ingahlotshaniswa nalokhu okulandelayo:

• Isifo sokuvuvukala kwesisu, esibizwa nangokuthi i-PID. I-PID iwukutheleleka kwesisu kanye nemathubi okuqeda amaqanda. Ukutheleleka okukhulu kungadinga ukunakekelwa esibhedlela. I-PID ingalimaza amathebu okuqeda amaqanda, ama-ovari kanye nesisu, kufaka phakathi i-cervix.
• Ukutheleleka eduze kwama-testicles. Ukutheleleka kwe-chlamydia kungavuvukisa ithubi eliyindilinga elikhona eduze kwetesticles ngayinye, elibizwa ngokuthi yi-epididymis. Ukutheleleka kungabangela ukushisa, ubuhlungu nokuvuvukala kwesikhumba.
• Ukutheleleka kwe-prostate gland. Ngokungavamile, ibhaktheriya ye-chlamydia ingasabalala ku-prostate gland. I-Prostatitis ingabangela ubuhlungu ngesikhathi noma ngemva kokuthandana, ukushisa nomkhuhlane, ukuthamba okuhlungu, nobuhlungu ohlangothini oluphansi lwesihlalo.
• Ukutheleleka kwabantwana abasanda kuzalwa. Ukutheleleka kwe-chlamydia kungadlulela esithombeni somntwana wakho ngesikhathi sokubeletha, kubangele i-pneumonia noma ukutheleleka okukhulu kwamehlo.
• Ukukhulelwa okungaphandle kwesisu. Lokhu kwenzeka lapho iqanda eliqandisiwe lihlala futhi likhula ngaphandle kwesisu, ngokuvamile ethebhini lokuqeda amaqanda. Iqanda kufanele lisuswe ukuvimbela izinkinga ezingabulala, njengokupuka kwethubi. Ukutheleleka kwe-chlamydia kukhuphula le ngozi.
• Ukungaqedi. Ukutheleleka kwe-chlamydia kungabangela ukwenziwa kwamabala nokuvimbela amathebu okuqeda amaqanda, okungase kube yimbangela yokungaqedi.
• I-arthritis esabela. Abantu abane-Chlamydia trachomatis banengozi enkulu yokuthuthukisa i-arthritis esabela, eyaziwa nangokuthi yi-Reiter syndrome. Le simo ngokuvamile ithonya izintambo, amehlo ne-urethra - ithubi elikhipha umchamo e-bladder ukuya ngaphandle komzimba wakho.

Indlela eqinisekile kakhulu yokuvimbela ukutheleleka yi-chlamydia ukungabi nakho kokusebenzelana kobulili. Uma kungenjalo, ungenza lokhu okulandelayo:

• Sebenzisa amakhondomu. Sebenzisa ikhondomu yamadoda elenziwe ngelatex noma ikhondomu yabesifazane elenziwe nge-polyurethane ngesikhathi sokuhlangana ngakunye kobulili. Amakhondomu asebenza kahle ngesikhathi sokuhlangana ngakunye kobulili anciphise, kodwa awasusisi, ingozi yokutheleleka.
• Nciphise inani labangane bakho bobulili. Ukuba nabangane abaningi bobulili kukubeka engozini enkulu yokutheleleka yi-chlamydia nezinye izifo ezithathelwana ngobulili.
• Hlola njalo. Uma usebenza ngokobulili, ikakhulukazi uma unabangane abaningi, xoxa nodokotela wakho mayelana nokuthi kufanele uhlolwe kangakanani yi-chlamydia nezinye izifo ezithathelwana ngobulili. Imithi ebizwa nge-doxycycline ingaba yindlela yokuvimbela ukutheleleka kubantu abasezingozini eziphezulu kunokulinganiselwe lokutheleleka yi-chlamydia. Amaqembu asezingozini eziphezulu afaka abesilisa abalale nabesilisa kanye nabesifazane abaguqula ubulili. Ukuthatha i-doxycycline phakathi nezinsuku ezintathu emva kokusebenzelana ngobulili kunciphisa ingozi yokutheleleka ngamabhaktheriya abangela i-chlamydia. Udokotela wakho angakubhalela i-doxycycline nanoma yikuphi ukuhlolwa okudingayo ngenkathi uthatha imithi.

AmaZiko okuLawula izifo nokuvimbela (CDC) ayeluleka ukuhlolwa kwe-chlamydia kunoma ubani onezimpawu ze-chlamydia. Kungakhathaliseki izimpawu, khuluma neqembu lakho lokunakekelwa kwezempilo ukuthola ukuthi kufanele uhlolwe kangakanani i-chlamydia. Ngokuvamile, amaqembu athile ahlolwa kaningi kunabanye, njengoba:

• Abesifazane abasebenza ngokobulili abaneminyaka engu-25 noma ngaphansi. Izinga lokutheleleka kwe-chlamydia liphezulu kakhulu kuleli qembu, ngakho-ke kunconywa ukuhlolwa minyaka yonke. Ngisho noma uqale wahlolwa ngonyaka odlule, hlola uma uneqabane elisha lobulili.
• Abantu abakhulelwe. Ukuhlolwa kwe-chlamydia kungase kunikezwe ekuhlolweni kokuqala kokukhulelwa. Uma unesongo elikhulu lokutheleleka, hlola futhi kamuva ekukhulelweni kwakho. Usesongweni elikhulu uma uneminyaka engaphansi kuka-25, uneqabane elisha lobulili noma uneqabane lobulili elingase libe ne-infection.
• Abantu abanesongo elikhulu. Abantu abanabalingani abasha noma abaningi bobulili noma amadoda alala namadoda kufanele acabangele ukuhlolwa kwe-chlamydia okuvamile. Amanye amamaki esongo elikhulu ukutheleleka okwamanje ngenye into ethathelwanayo ngokobulili kanye nokukhombisa okungenzeka kokutheleleka kwe-STI ngeqabane eline-infection.

Ukuhlolwa nokuxilongwa kwe-chlamydia kulula. Ungase ukwazi ukusebenzisa ukuhlolwa okukhona ngaphandle kwesipreskripthi, ngezinye izikhathi kubizwa ngokuthi ukuhlolwa ekhaya, ukuze ubone ukuthi une-chlamydia yini. Uma lowo mkhuba ukhombisa ukuthi une-chlamydia, kuzodingeka ubone ochwepheshe bezempilo ukuze uqinisekise ukuxilongwa bese uqala ukwelashwa.

Ukuze ubone ukuthi une-chlamydia yini, ochwepheshe bakho bezempilo bazohlola isampula yamangqamuzana. Izampula zingabuthwa nge:

• Ukuhlolwa kwempisi. Isampula yempisi ihlolwa elabhorethri ukuze kubonwe ukuba khona kwalolu tshwele. Lokhu kungenziwa kumadoda nabesifazane.
• Iswabhu. Isampula evela e-cervix, isibeletho, umlomo noma umgudu iqoqwa eswabhu ukuze ihlolwe. Kusuka e-cervix, ilungu leqembu lakho lokunakekelwa kwezempilo liqoqa isampula yokukhipha evela e-cervix eswabhu ukuze ihlolwe. Lokhu kungenziwa ngesikhathi sokuhlolwa okuvamile kwe-Pap. Ngiswabhu evela esibelethweni, wena noma ochwepheshe bezempilo ningenza iswabhu. Kumadoda nabesifazane, kuye ngomlando wobulili, iswabhu ingathathwa emlonyeni noma emgudwini.