Health Library Logo

Health Library

Trichomoniasis

Uhlolojikelele

I-Trichomoniasis yisifo esidluliselwa ngocansi esivamile esibangelwa yi-parasite. Kwabesifazane, i-trichomoniasis ingabangela ukopha komalunga esifubeni okunuka kabi, ukukhahlela kwesitho sobulili, nokuthuthumela okuhlungu. Amadoda ane-trichomoniasis ngokuvamile awanawo ama-symptom. Abesifazane abakhulelwe abanayo i-trichomoniasis bangase babe sengozini enkulu yokubeletha izingane zabo ngaphambi kwesikhathi. Ukwelashwa kwe-trichomoniasis ukusebenzisa i-antibiotic—ngokwesibonelo i-metronidazole (Flagyl), i-tinidazole (Tindamax) noma i-secnidazole (Solosec). Ukuvimbela ukutheleleka futhi, bonke abalingani bocansi kufanele baphathwe ngesikhathi esifanayo. Unganciphisa ingozi yokutheleleka ngokusebenzisa ama-condom ngendlela efanele njalo lapho uya ocansini.

Izimpawu

Abantu abaningi abane-trichomoniasis abanawo ubufakazi noma izimpawu. Noma kunjalo, izimpawu zingase zivele ngokuhamba kwesikhathi. Uma ubufakazi kanye nezibonakaliso zivele, ziyahluka kubantu besilisa nabesifazane.

Kubantu besifazane, ubufakazi kanye nezibonakaliso ze-trichomoniasis zihlanganisa:

  • Inani elikhulu lokukhishwa okunqunu, okuvame ukuba nomphunga omubi, oluvela esibelethweni — olungase lube sobala, mhlophe, luhlaza okwesiliva, oluphuzi noma oluhlaza okwesundu
  • Ubomvu, ukushisa nokuthimula kwesitho sobulili
  • Ubuhlungu ngesikhathi sokuthamba noma ucansi
  • Ukungahambi kahle endaweni yesisu ephansi

Kubantu besilisa, i-trichomoniasis ayivame ukubangela izimpawu. Noma kunjalo, uma abantu besilisa benesibonakaliso kanye nezibonakaliso, kungase kuhlanganise:

  • Ukuthimula noma ukuvuvukala ngaphakathi kwepenisi
  • Ukushisa ngesikhathi sokuthamba noma ngemuva kokukhishwa
  • Ukukhishwa oluvela epeniseni
Isikhathi sokubona udokotela

Bona uhlinzeki wakho wezempilo uma unezithonjana zanoma iyiphi i-trichomoniasis noma uma uqaphela ukuthi iqabane lakho lobulili lineleli gciwane.

Izimbangela

I-Trichomoniasis ibangelwa yi-protozoan eneselula elilodwa, uhlobo lwe-parasite encane ebizwa nge-Trichomonas vaginalis. Le parasite idluliselana phakathi kwabantu ngesikhathi sokuthintana kwezitho zangasese, okuhlanganisa ubulili besisu, ngomlomo noma ngemuva. Ukutheleleka kungadluliselana phakathi kwamadoda nabesifazane, abesifazane, kanti ngezinye izikhathi namadoda.

Le parasite iyangena endaweni engezansi yesisu. Kwabesifazane, lokhu kuhlanganisa ingxenye yangaphandle yezitho zangasese (vulva), isiphuphu, ukuvula kwesisu (cervix) nokuvula komchamo (urethra). Kumadoda, le parasite iyangena ngaphakathi kwepenisi (urethra).

Isikhathi esiphakathi kokubekwa engcupheni yale parasite nokutholakala kokutheleleka (inkathi yokukhula) asaziwa. Kodwa kukholelwa ukuthi kusukela ezinsukwini ezine kuya kwezingama-28. Ngisho noma ungenawo ama-symptom, wena noma umlingani wakho ningasabalalisa lokhu kutheleleka.

Izici eziyingozi

Izimbangela ezingozi zokuthola i-trichomoniasis zihlanganisa ukuba noku:

  • Abalingani abaningi bobulili
  • Umlando wezinye izifo ezithathelwana ngobulili (STIs)
  • Isigameko sangaphambili se-trichomoniasis
  • Ubulili ngaphandle kwe-kondomu
Izingqinamba

Abesifazane abakhulelwe abanesi-trichomoniasis bangase:

  • Babele ngaphambi kwesikhathi (ngokukhahlela)
  • Babe ne-baby enesisindo esincane sokuzalwa
  • Banikeze usana ukutheleleka njengoba ingane idlula endleleni yokubeletha

Ukuba ne-trichomoniasis kubangela ukuvuvukala endaweni yobudoda okungenza kube lula ezinye izifo ezithathelwana ngobulili (STIs) ukungena emzimbeni noma ukuzithumela kwabanye. I-trichomoniasis ibonakala futhi iyenze kube lula ukutheleleka yi-human immunodeficiency virus (HIV), i-virus ebangela i-acquired immunodeficiency syndrome (AIDS).

I-trichomoniasis ihlotshaniswa nenhlanhla enkulu yomdlavuza we-cervical noma we-prostate.

Uma ingalashwa, ukutheleleka kwe-trichomoniasis kungagcina izinyanga kuya eminyakeni.

Ukuvimbela

Njengoba kunjalo nezinye izifo ezithathelwana ngocansi, indlela kuphela yokuvimbela i-trichomoniasis ukungabi nobudlelwane bobulili. Ukuze unciphise ingozi yakho, sebenzisa amakhondomu angaphakathi noma angaphandle ngokufanele njalo lapho uba nobudlelwane bobulili.

Ukuxilongwa

Umhlinzeki wakho wezinsizakalo zezempilo angase aqaphele i-trichomoniasis ngokwenza ukuhlolwa kwezitho zangasese kanye nezivivinyo zelebhu.

Umhlinzeki wakho wezinsizakalo zezempilo angase futhi abukele isampula yephukuthe le-vagina kwabesifazane noma i-swab evela ngaphakathi kwepenisi (urethra) kwabesilisa ngaphansi komkhiqizo. Uma i-parasite ingabonakala ngaphansi komkhiqizo, azikho ezinye izivivinyo ezidingekayo.

Uma ukuhlolwa kungabonisi i-parasite, kodwa umhlinzeki wakho ucabanga ukuthi ungase ube ne-trichomoniasis, ezinye izivivinyo zingase zenziwe. Umhlinzeki wakho angase ayalele ukuhlolwa okwenziwe esampulini yephukuthe le-vagina, i-swab ye-urethra yepenisi noma ngezinye izikhathi umchamo. Izivivinyo zihlanganisa ukuhlolwa okusheshayo kwe-antigen kanye nokuhlolwa kokukhulisa i-nucleic acid.

Uma une-trichomoniasis, umhlinzeki wakho angase futhi enze izivivinyo zezinye izifo ezithathelwana ngocansi (STIs) ukuze zitholakale futhi zitholwe ukwelashwa.

Ukwelashwa

Ukwelashwa kwe-trichomoniasis kudinga i-antibiotic yomlomo ephumelela ekulweni nokungcola okubangelwa yi-parasite. Ukwelashwa kungenziwa ngesikhathi sokukhulelwa. Izindlela zingafaka:

Bonke abalingani bobulili badinga ukwelashwa ngesikhathi esifanayo. Lokhu kuvimbela ukuthola kabusha ukungcola ngokushesha (ukutheleleka kabusha). Futhi udinga ukugwema ubulili kuze kube sekuphelile ukwelashwa futhi izimpawu zihambe. Lokhu kuvame ukuthatha isonto elilodwa ngemuva kokuphela komthamo wokugcina we-antibiotic. Tshela umhlinzeki wakho wezempilo uma izimpawu zingapheli ngemuva kokwelashwa.

Ukuphuza utshwala phakathi nangesikhathi esingamazinsuku ambalwa ngemuva kokwelashwa kungabangela ukupuka nokuhlanza okukhulu. Ungaphuzi utshwala amahora angu-24 ngemuva kokuthatha i-metronidazole, amahora angu-48 ngemuva kokuthatha i-secnidazole noma amahora angu-72 ngemuva kokuthatha i-tinidazole.

Umhlinzeki wakho wezempilo uzovame ukukuhlola kabusha i-trichomoniasis ngemuva kokwelashwa. Ukuhlolwa kabusha emavikini amabili kuya ezinyangeni ezintathu ngemuva kokwelashwa kungahlola ukuqinisekisa ukuthi ukungcola sekuyimpilo futhi awukabi nakutheleleka kabusha.

Ngisho noma uthole ukwelashwa okuqeda i-trichomoniasis, kungenzeka ukuthi uyithole futhi uma ukhombiswe umuntu onokungcola.

  • Umthamo omkhulu. Umhlinzeki wakho wezempilo angakuncoma umthamo omkhulu (umthamo omkhulu) we-metronidazole (Flagyl), i-tinidazole (Tindamax) noma i-secnidazole (Solosec). Uthatha le miyekezo yomlomo kanye kuphela.
  • Izilinganiso eziningi. Umhlinzeki wakho angakuncoma izilinganiso eziningi eziphansi ze-metronidazole noma i-tinidazole. Uthatha amaphilisi kabili ngosuku izinsuku eziyisikhombisa. Ukuze usike ukungcola ngokuphelele, qhubeka uthatha le miyekezo isikhathi esigcwele umhlinzeki wakho ayikuncoma, ngisho noma uqale ukuzizwa kangcono ngemuva kwezinsuku ezimbalwa. Uma uyeka ukusebenzisa le miyekezo ngokushesha kakhulu, ukungcola kwakho kungenzeka kungapheli ngokuphelele.

Ikheli: 506/507, 1st Main Rd, Murugeshpalya, K R Garden, Bengaluru, Karnataka 560075

Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.

Yenziwe eNdiya, yomhlaba