Donovanosis (granuloma inguinale)

Donovanosis (granuloma inguinale) bụ ọrịa a na-ebute site ná mmekọahụ nke a na-adịghị ahụkebe na United States.

Donovanosis (granuloma inguinale) bụ nje na-akpata ya Klebsiella granulomatis. A na-ahụkarị ọrịa a na mpaghara ebe okpomọkụ na okpuru mmiri dịka ọwụwa anyanwụ India, Guyana, na New Guinea. Enwere ihe dịka 100 na-akọ kwa afọ na United States. Ọtụtụ n'ime ọrịa ndị a na-eme na ndị mmadụ gara ma ọ bụ si n'ebe ọrịa a na-arịakarị.

Ọrịa ahụ na-agbasa kachasị site na mmekọ nwoke na nwanyị ma ọ bụ gbasara ike. Ọ dịkarịsịrị na ọ na-agbasa mgbe a na-edetu ọnụ.

Ọtụtụ ọrịa na-ebute mmadụ dị afọ 20 ruo 40.

Mgbaàmà nwere ike ime n’izu nke mbụ ruo n’izu iri abụọ na abụọ mgbe ị rụsịrị ọrịa na-ebute nje.

Ndị a nwere ike ịgụnye:

• Akpịrị mgbu na gbasara ike na ihe dị ka ọkara nke ikpe.
• Obere, ihe na-acha uhie uhie na-acha uhie uhie na-egosi na akụkụ ahụ ma ọ bụ gburugburu ike.
• Akpụkpọ ahụ ji nke nta nke nta na-ebelata, ihe ndị ahụ wee ghọọ elu, beefy-red, velvety nodules akpọ granulation anụ ahụ. Ha anaghị enwekarị ahụ mgbu, mana ọ na-adị mfe ịgba ọbara ma ọ bụrụ na ha merụrụ ahụ.
• Ọrịa ahụ ji nwayọọ nwayọọ na-agbasa ma na-ebibi akụkụ anụ ahụ.
• Mmebi nke anụ ahụ nwere ike gbasaa n’afọ.
• Akụkụ ahụ na akpụkpọ ahụ gbara ha gburugburu na-efunahụ agba akpụkpọ.

Na mmalite ya, ọ nwere ike isiri ike ịkọ ọdịiche dị n'etiti donovanosis na chancroid.

Na ọkwa ndị na-esote, donovanosis nwere ike ịdị ka ọrịa cancer etolite etolitela, lymphogranuloma venereum, na anogenital cutaneous amebiasis.

Ule nke enwere ike ime gunyere:

• Omenala nke anụ ahụ sample (ike ime na adịghị routinely dị)
• Scrapings ma ọ bụ biopsy nke ọnya

Nyocha ụlọ nyocha, dịka nke ejiri chọpụta syphilis, dị naanị na nyocha nyocha maka ịchọpụta donovanosis.

A na-eji ọgwụ nje agwọ donovanosis. Ndị a nwere ike ịgụnye azithromycin, doxycycline, ciprofloxacin, erythromycin, na trimethoprim-sulfamethoxazole. Iji gwọọ ọnọdụ ahụ, ọ dị mkpa ọgwụgwọ ogologo oge. Imirikiti usoro ọgwụgwọ na-agba ọsọ izu 3 ma ọ bụ ruo mgbe ọnya gwọchara kpamkpam.

Nyocha nyocha dị mkpa n'ihi na ọrịa ahụ nwere ike ịpụta ọzọ mgbe o yiri ka ọ gwọchara ya.

Gwọ ọrịa a n'oge na-ebelata ohere nke mmebi anụ ahụ ma ọ bụ ịkọ ụfụ. Ọrịa a na-agwọghị na-eduga na mmebi nke anụ ahụ nwoke na nwanyị.

Nsogbu ahụike nke nwere ike ibute ọrịa a gụnyere:

• Mmebi nwoke na nwanyi
• Loss nke agba akpụkpọ ke genital ebe
• Ọkpụkpụ akụkụ ahụ na-adịgide adịgide n'ihi ụcha

Kpọọ maka oge nlekọta gị na onye nlekọta ahụike gị ma ọ bụrụ:

• Nweela mmekọrịta nwoke na nwanyị mara na ọ nwere donovanosis
• Develop na-emepe mgbaàmà nke donovanosis
• Develop mepụtara ọnya na mpaghara nwoke na nwanyị

Izere omume nile metụtara mmekọahụ bụ nanị ụzọ zuru oke iji gbochie ọrịa na-ebute site ná mmekọahụ dịka donovanosis. Agbanyeghị, omume mmekọahụ dị mma karị nwere ike belata ihe egwu gị.

Ojiji kwesịrị ekwesị nke condom, ma ọ bụ nke nwoke ma ọ bụ nke nwanyị, na-ebelata ihe ize ndụ nke ibute ọrịa a na-ebute site ná mmekọahụ. Ikwesiri iyi condom site na mbido ruo na ngwụcha nke mmekọahụ ọ bụla.

Granuloma inguinale; Ọrịa na-ebute site ná mmekọahụ - donovanosis; STD - donovanosis; Ọrịa na-ebute site ná mmekọahụ - donovanosis; STI - donovanosis

• Skin n'ígwé

Gardella C, Eckert LO, Lentz GM. Ihe okike genital tract: vulva, ikpu, cervix, syndrome ujo, endometritis, na salpingitis. Na: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology zuru ezu. Nke 7. Philadelphia, PA: Elsevier Saunders; 2017: isi 23.

Ghanem KG, Nko EW. Granuloma inguinale (Donovanosis). Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier Saunders; 2020: isi 300.

Nkume BP, Reno HEL. Klebsiella granulomatis (donovanosis, granuloma inguinale). Na: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, na Bennett Prinkpụrụ na Omume nke Ọrịa Na-efe Ọrịa. Agba nke 9. Philadelphia, PA: Elsevier Saunders; 2020: isi 235.