Created at:1/16/2025
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I-Chlamydia ingenye yezifo ezithathelwana ngocansi ezivame kakhulu (STIs) ezingcoliswa yibhaktheriya ebizwa ngokuthi yi-Chlamydia trachomatis. Lesi sifo siqeda izigidi zabantu emhlabeni jikelele unyaka ngamunye, ikakhulukazi abantu abangaphansi kweminyaka engama-25.
Ibhaktheriya ngokuyinhloko iyaphehla ingxenye yomzimba eyahlukaniswa ngezitho zangasese, kodwa ingaphehla nezinye izingxenye njengomlomo, amehlo, kanye nesisu. Okwenza i-chlamydia ikhathazeke ngokukhethekile ukuthi abantu abaningi ababonisi zimpawu, yingakho ibizwa ngokuthi “ukutheleleka okungenazimpawu”.
Izindaba ezinhle ukuthi i-chlamydia iyakwazi ukwelashwa ngokuphelele ngama-antibiotics afanele. Ukutholakala kwesikhathi esifanele nokuphathwa kungavimbela izinkinga ezinzima futhi kuvimbele ukusabalala kubalingani bocansi.
Abantu abaningi abane-chlamydia ababonisi zimpawu, ikakhulukazi ekuqaleni. Uma izimpawu zivele, ngokuvamile zivele ngemuva kwamasonto ayi-1 kuya kwamathathu ngemuva kokubekwa.
Kwabesifazane, izimpawu ezivamile zingafaka:
Amadoda angase abonise lezi zimpawu:
Uma i-chlamydia iphehla umlomo ngocansi lomlomo, ungase ube nobuhlungu ehlombe. Ukutheleleka kwesisu kungabangela ubuhlungu, ukuqothuka, noma ukuphuma igazi esiswini. Khumbula, lezi zimpawu zingaba zingandile noma zingabi khona, ngakho ukuhlolwa njalo kubalulekile uma uhlala uhlanganyela ucansi.
I-Chlamydia ibangelwa yibhaktheriya i-Chlamydia trachomatis, esabalala ngocansi. Ungathola i-chlamydia ngocansi lomlomo, umlomo, noma umlomo nomuntu onalesi sifo.
Ibhaktheriya ihlala ezinzweni zomzimba njenge-semen, izinzwa zesikhumba, kanye ngezinye izikhathi isikhumba. Ingadlulela komunye umuntu kwenye ngisho noma izimpawu zingabonakali, yingakho abantu abaningi besabalalisa lesi sifo ngaphandle kokwazi.
Abesifazane abakhulelwe bangadlulisela i-chlamydia kubantwana babo ngesikhathi sokubeletha. Lokhu kungabangela ukutheleleka kwamehlo noma i-pneumonia kubantwana abasanda kuzalwa, nakuba lokhu kungavikeleka ngokuhlolwa kwesikhathi esifanele nokuphathwa ngesikhathi sokukhulelwa.
Kubalulekile ukwazi ukuthi i-chlamydia ayisabalali ngokuthintana okuvamile njengokuqabulana, ukwabelana ngezinsiza, noma ukusebenzisa isihlalo esifanayo se-toilet. Ibhaktheriya idinga ukuxhumana ngqo nezinzwa ezithathelwanayo noma izinzwa zomlomo ukuze idlulisele.
Kufanele ubheke umhlinzeki wezempilo uma ubona izimpawu ezingavamile endaweni yakho yomzimba, ngisho noma zibonakala zingandile. Lokhu kufaka noma yikuphi ukuqothuka okusha, ukushisa lapho ukhishwa khona, noma ubuhlungu esiswini.
Ngisho noma ungenazimpawu, kuwukuhlakanipha ukuhlolwa uma uhlanganyele ucansi olungavikelekile nomlingani omusha noma uma umlingani ocansini ekutshela ukuthi une-STI. Odokotela abaningi bancoma ukuhlolwa kwaminyaka yonke kwe-chlamydia kwabesifazane abasebenzisa ucansi abangaphansi kweminyaka engama-25 kanye nabesifazane abadala abanezinto eziyingozi.
Uma ukhulelwe, ukuhlolwa kwe-chlamydia kubaluleke kakhulu ukuvikela impilo yengane yakho. Iningi lokunakekelwa kwangaphambi kokubeletha kuhlanganisa ukuhlolwa kwe-STI, kodwa ungangabazi ukubuza udokotela wakho ngokuhlungwa uma unokukhathazeka.
Khumbula, awekho amahloni ngokuhlungwa noma ukwelashwa kwe-STIs. Abahlinzeki bezempilo babona lezi zifo njalo, futhi balapho ukuze bakusize uhlale uphilile ngaphandle kokwahlulela.
Izinto eziningi zingandisa amathuba akho okuthola i-chlamydia, nakuba noma ubani ohlanganyela ucansi angaba sengozini. Ukuqonda lezi zinto eziyingozi kungakusiza wenze izinqumo ezifanele ngempilo yakho yocansi.
Izinto eziyingozi ezivamile zihlanganisa:
Iminyaka idlala indima ebalulekile ngoba imizimba yabantu abasebancane ingase ibe lula ukutheleleka, futhi banamathuba amaningi okuhlangana nabalingani abaningi ngokuhamba kwesikhathi. Noma kunjalo, i-chlamydia ingathinta noma ubani kunoma iyiphi iminyaka ohlanganyela ucansi.
Ukutheleleka kwe-chlamydia ngaphambili akukuvimbeli ekutholeni futhi. Eqinisweni, ukuba ne-chlamydia ngaphambili kungase kukwandisa kancane ingozi yakho yokuphinda uyithole uma ukhombiswe.
Nakuba i-chlamydia ilula ukwelashwa, ukuyishiya ingalashwanga kungabangela izinkinga zezempilo ezinzima ngokuhamba kwesikhathi. Lezi zinkinga zithuthuka kancane kancane futhi zingase zingabangeli zimpawu kuze kube yilapho ukulimala okukhulu sekwenzeke.
Kwabesifazane, i-chlamydia engalashwanga ingabangela:
Amadoda angase athuthukise:
Ezimeni ezingavamile, i-chlamydia engalashwanga ingasabalala kwezinye izingxenye zomzimba, ibangela i-arthritis noma ukutheleleka kwamehlo. Abesifazane abakhulelwe abangenayo i-chlamydia bangase bahlangabezane nokuzalwa kwangaphambi kwesikhathi noma badlulisele lesi sifo kubantwana babo.
Izindaba ezikhuthazayo ukuthi zonke lezi zinkinga zingavikeleka ngokuhlungwa kwesikhathi esifanele nokuphathwa. Ngisho noma uke waba ne-chlamydia isikhathi eside, ukuyilapha kungavimbela ukulimala okwengeziwe.
Indlela ethembekile kunazo zonke yokuvimbela i-chlamydia ukugwema ucansi noma ukuba nobudlelwano obuhlala njalo nomlingani ohlanzekile we-STIs. Noma kunjalo, kunezinyathelo eziningi ezipraktikal ongazithatha ukuze unciphise ingozi yakho.
Ukusetshenziswa okuhlala njalo nokufanele kwama-condoms ngesikhathi socansi lomlomo, umlomo, nomlomo kunikeza isivikelo esiqinile e-chlamydia. Ama-condoms e-latex ayasebenza kakhulu, kodwa ama-condoms e-polyurethane asebenza kahle uma une-allergies ye-latex.
Ukuhlolwa okuhlala njalo kwe-STI kubalulekile ukuvimbela. Ukuhlolwa kukuvumela ukwazi isimo sakho futhi uthole ukwelashwa ngaphambi kokuthi izinkinga zivele. Abahlinzeki bezempilo abaningi bancoma ukuhlolwa kwaminyaka yonke kwabantu abasebenzisa ucansi abangaphansi kweminyaka engama-25.
Ukuxhumana nabalingani bocansi ngokuhlungwa kwe-STI kanye nomlando wocansi, nakuba ngezinye izikhathi kuyinkimbinkimbi, kudlala indima ebalulekile ekuvinjelweni. Cabanga ukuhlolwa ndawonye ngaphambi kokuba uhlanganyele ucansi olungavikelekile.
Ukunciphisa inani labalingani bocansi nokuqeda ucansi nabantu abana balingani abaningi kunganciphisa ingozi. Khumbula, umuntu angaba ne-chlamydia ngaphandle kokwazi, ngakho lezi zingxoxo zibalulekile ngisho nabalingani ababonakala bephilile.
Ukuhlola i-chlamydia kulula futhi ngokuvamile kuhilela ukuhlolwa okulula, okungenabhlungu. Umhlinzeki wakho wezempilo ngokuvamile uzoqoqa isampula yomchamo noma asebenzise i-cotton swab ukuqoqa amangqamuzana endaweni ethintekile.
Kwabesifazane, indlela evamile kakhulu ukuhlolwa komchamo noma i-swab evela e-cervix ngesikhathi sokuhlolwa kwesisu. I-cervical swab ivame ukunemba kakhulu, kodwa ukuhlolwa komchamo kuthembekile kakhulu futhi kududuza abantu abaningi.
Amadoda ngokuvamile anikeza isampula yomchamo, nakuba ngezinye izikhathi i-swab evela ekupheleni kwesibeletho ingase isetshenziswe. Uma uke waba nocansi lomlomo noma umlomo, udokotela wakho angase ahlole lezo zindawo nge-swabs ezengeziwe.
Izampula zithunyelwa elabhoratri lapho zihlungwa khona ibhaktheriya ye-chlamydia usebenzisa izindlela ezinemba kakhulu. Imiphumela ivame ukubuya ngaphakathi kwezinsuku ezimbalwa kuya kwesonto, nakuba ezinye izikhungo zinikeza ukuhlolwa okusheshayo ngemiphumela cishe ngemizuzu engama-30.
Ukuhlolwa kuyimfihlo, futhi izindawo eziningi zinikeza ukuhlolwa kwe-STI mahhala noma ngentengo ephansi. Awudingi njalo izimpawu ukuze uhlanganyele, futhi abahlinzeki bezempilo abaningi bahlanganisa ukuhlolwa kwe-chlamydia njengengxenye yokuhlolwa okuvamile kwezempilo yocansi.
Ukuphathwa kwe-Chlamydia kunamandla kakhulu futhi kuhilela ukusebenzisa ama-antibiotics ngokuqondile njengoba kuyalelwe umhlinzeki wakho wezempilo. Imithi evamile kakhulu eyalelwayo yi-azithromycin (ethathwa njengodose olulodwa) noma i-doxycycline (ethathwa kabili ngosuku izinsuku eziyisikhombisa).
Udokotela wakho uzokhetha i-antibiotic engcono kakhulu ngokuya ngesimo sakho esithile, eminye imithi oyithathayo, nokuthi ukhulelwe yini. Kokubili imithi isebenza kahle uma ithathwe ngokufanele, ngezilinganiso zokwelapha ezingaphezu kuka-95%.
Kubalulekile ukuthatha yonke imithi, ngisho noma uqala ukuzizwa kangcono ngaphambi kokuphela kwesigaba. Ukuyeka ama-antibiotics ngokushesha kungavumela ukutheleleka ukubuyela futhi kungase kuhlanganyele ekumelana nama-antibiotics.
Ngesikhathi sokwelashwa, kufanele ugweme ucansi kuze kube yilapho wena nomlingani wakho (abalingani) niphethe ukwelashwa futhi nihlolwe kabusha. Lokhu ngokuvamile kusho ukulinda okungenani izinsuku eziyisikhombisa ngemuva kokuphela kwama-antibiotics ngaphambi kokuba uhlanganyele ucansi futhi.
Abalingani bakho bocansi bezinsuku ezingama-60 ezedlule kufanele nabo bahlolwe futhi balashwe, ngisho noma abanawo izimpawu. Abahlinzeki bezempilo abaningi bangakusiza uxhumane nabalingani noma bakunikeze ukwelashwa kwabo.
Nakuba ama-antibiotics enza umsebenzi oyinhloko wokwelapha i-chlamydia, kunezinto eziningi ongazenza ekhaya ukuze usekele ukululama kwakho futhi uvikele ukutheleleka kabusha. Ukulandela lezi zinyathelo kungasiza ukuqinisekisa ukuthi ukwelashwa kusebenza kahle.
Thatha ama-antibiotics akho ngokuqondile njengoba kuyalelwe, ngezikhathi ezifanayo nsuku zonke uma ukhona ekilasini eliningi lezinsuku. Setha izikhumbuzo zocingo uma kudingeka, futhi ungaphosisi izilinganiso ngisho noma uzizwa uphelele.
Gwema utshwala ngenkathi uthatha ama-antibiotics athile njenge-metronidazole, njengoba lokhu kungabangela imiphumela emibi. Ngama-antibiotics amanye, utshwala olufanele aluyi kuphazamisa ukwelashwa, kodwa ngokuvamile kungcono ukugwema ukuze usize umzimba wakho ugxile ekululameni.
Hlala uthambile futhi udle ngokujwayelekile ngaphandle uma imithi yakho ibangela ukuphazamiseka kwesisu. Ukuthatha ama-antibiotics ngokudla kungasiza ukunciphisa isicanucanu uma uhlangabezana nakho.
Gwema yonke imisebenzi yocansi kuze kube yilapho uphethe ukwelashwa futhi udokotela wakho eqinisekisa ukuthi ukutheleleka sekuphelile. Lokhu kukuvikela wena nabalingani bakho ekutholeni kabusha noma ukusabalalisa ibhaktheriya.
Hlola kabusha ngemuva kwezinyanga ezintathu ngemuva kokwelashwa ukuqinisekisa ukuthi ukutheleleka sekuphelile, ikakhulukazi uma ungaphansi kweminyaka engama-25 noma unezinto eziyingozi zokutheleleka kabusha.
Ukulungiselela i-aphoyintimenti yakho kungakusiza uthole okuningi ekuhambeni kwakho futhi kuqinisekise ukuthi udokotela wakho uneyonke imininingwane edingekayo ukukunikeza ukunakekelwa okuhle kakhulu. Ukulungiselela kancane kungasiza futhi ukunciphisa ukukhathazeka okungase ube nakho.
Bhala phansi noma yiziphi izimpawu ozibonile, kufaka phakathi ukuthi zaqala nini nokuthi ziguquke kanjani ngokuhamba kwesikhathi. Faka imininingwane enjengokuqothuka okungavamile, ubuhlungu, noma ukuzwakala ukushisa, ngisho noma kubonakala kuncane.
Yenza uhlu lwabalingani bakho bocansi abamuva futhi ulungele ukuxoxa ngomlando wakho wocansi ngokwethembeka. Lolu lwazi lusiza udokotela wakho ukuhlola ingozi yakho futhi anqume ukuhlolwa okufanele. Khumbula, le ngxoxo iyimfihlo futhi ayinamahloni.
Letha uhlu lwanoma iyiphi imithi noma izongezo ozithathayo njengamanje, njengoba ezinye zingase zihlangane nama-antibiotics. Faka amaphilisi okuvimbela ukukhulelwa, njengoba ama-antibiotics amanye angase aphazamise ukusebenza kwawo.
Lungisa imibuzo ofuna ukuyibuza, njengokuthi ukwelashwa kuthatha isikhathi esingakanani, nini ongabuyela ekuhlanganyeleni ucansi, noma ungaxoxa kanjani nabalingani ngokuhlungwa. Ukuba nemibuzo ebhaliwe phansi kuqinisekisa ukuthi awukhohlwa lutho olubalulekile.
Uma ukhathazekile nge-aphoyintimenti, cabanga ukuletha umngani othembekile noma ilungu lomndeni ukuze likusekele, nakuba kuzodingeka balinde ngaphandle ngesikhathi sokuhlolwa.
Into ebaluleke kakhulu okufanele uyikhumbule nge-chlamydia ukuthi ivame kakhulu, iyakwazi ukwelashwa ngokuphelele, futhi ayikho into okumele uhloniphwe ngayo. Izigidi zabantu zithola i-chlamydia unyaka ngamunye, futhi ngokwelashwa okufanele, iphela ngokuphelele ngaphandle kwemiphumela ende.
Ukutholakala kwesikhathi esifanele nokuphathwa kuyisivikelo sakho esihle kakhulu ezingxabanweni. Njengoba abantu abaningi abanawo izimpawu, ukuhlolwa okuhlala njalo kubalulekile uma uhlanganyela ucansi, ikakhulukazi uma ungaphansi kweminyaka engama-25 noma unezilingani eziningi.
Uma uvivinywa njengoba une-positive, ukulandela uhlelo lwakho lokwelashwa ngokuphelele nokuqinisekisa ukuthi abalingani bakho bahlolwe futhi balashwe kuzoqeda isilinganiso sokutheleleka. Abantu abaningi bazizwa bebuyele esimweni sabo esijwayelekile ngaphakathi nesonto noma amabili ngemuva kokuqala kwama-antibiotics.
Ukuvimbela ngezindlela zocansi eziphephile, ukuxhumana okuvulekile nabalingani, kanye nokuhlolwa okuhlala njalo kuhlala kuyindlela engcono kakhulu. Khumbula, ukunakekela impilo yakho yocansi kubaluleke kakhulu njenganoma yiluphi olunye uhlangothi lokunakekelwa kwakho kwezempilo.
Uma unokukhathazeka nge-chlamydia noma noma iyiphi i-STI, ungangabazi ukukhuluma nomhlinzeki wezempilo. Balapho ukuze bakusize uhlale uphilile, futhi lezi zingxoxo yingxenye evamile yokunakekelwa kwezempilo kwabantu abadala abasebenzisa ucansi.
I-Chlamydia ngokuvamile ayisabalali ngokuqabulana emlonyeni. Noma kunjalo, uma umuntu enokutheleleka ehlombe okuvela e-chlamydia (okusuka ekuhlanganyeleni ucansi lomlomo), kunengozi encane yokudlulisela ngokuqabulana okujulile ngolimi. Izindlela eziyinhloko zokusabalalisa zihlala zingu-vaginal, anal, kanye nocanso lomlomo.
Izimpawu ngokuvamile zivele ngemuva kwamasonto ayi-1 kuya kwamathathu ngemuva kokubekwa, kodwa abantu abaningi abaziveli izimpawu ezibonakalayo neze. Abanye abantu bangase babone izimpawu ngaphakathi kwezinsuku ezimbalwa, kanti abanye bangase bangabi nazimpawu izinyanga. Yingakho ukuhlolwa okuhlala njalo kubalulekile kungakhathaliseki ukuthi uzizwa kanjani.
I-Chlamydia ayibuyeli yodwa ngemuva kokwelashwa okuphumelelayo, kodwa ungatheleleka kabusha uma uhlanganyela ucansi nomuntu onayo i-chlamydia. Cishe 1 kuya ku-5 abantu bathola i-chlamydia futhi ngaphakathi kwezinyanga ezimbalwa ngemuva kokwelashwa, ngokuvamile esuka kumlingani ongalashwanga noma kumlingani omusha othintekile.
Kufanele ulinde okungenani izinsuku eziyisikhombisa ngemuva kokuphela kokwelashwa kwakho kwe-antibiotic ngaphambi kokuba uhlanganyele ucansi futhi. Uma uthathe ukwelashwa kodose olulodwa, linda izinsuku eziyisikhombisa kusukela lapho uthathe khona imithi. Umlingani wakho kufanele futhi aphethe ukwelashwa ngaphambi kokuba nihlanganyele ucansi ndawonye.
I-Chlamydia engalashwanga ngesikhathi sokukhulelwa ingabangela ukuzalwa kwangaphambi kwesikhathi, isisindo esincane sokuzalwa, kanye nokutheleleka kubantwana abasanda kuzalwa kufaka phakathi i-pneumonia kanye nokutheleleka kwamehlo. Noma kunjalo, i-chlamydia ingalashwa ngokuphephile ngesikhathi sokukhulelwa ngama-antibiotics afanele angayilimazi ingane. Abesifazane abakhulelwe bahlolwa njalo i-chlamydia njengengxenye yokunakekelwa kwangaphambi kokubeletha.