Donovanosis (granuloma inguinale)

Donovanosis (granuloma inguinale) ke lefu le tšoaetsanoang ka thobalano le bonoang ka seoelo United States.

Donovanosis (granuloma inguinale) e bakoa ke baktheria Klebsiella granulomatis. Lefu lena le fumanoa libakeng tse chesang tse mongobo le tse chesang tse mongobo joalo ka boroa-bochabela ho India, Guyana le New Guinea. Ho na le linyeoe tse ka bang 100 tse tlalehiloeng ka selemo United States. Bongata ba linyeoe tsena li etsahala ho batho ba kileng ba etela kapa ba tsoa libakeng tseo lefu lena le atileng ho lona.

Lefu lena le ata haholo ka thobalano kapa ka morao. Ke ka seoelo e jalang nakong ea thobalano ea molomo.

Matšoao a mangata a etsahala ho batho ba lilemo li 20 ho isa ho tse 40.

Matšoao a ka hlaha libeke tse 1 ho isa ho tse 12 kamora ho kopana le lefu le bakang baktheria.

Tsena li ka kenyelletsa:

• Liso sebakeng sa anal ka hoo e ka bang halofo ea linyeoe.
• Makukuno a masesaane a mafubelu a mafubelu a hlaha ka har'a litho tsa botona kapa tsa botšehali.
• Letlalo lea senyeha butle-butle, 'me makukuno a fetoha maqhutsu a' mala o bofubelu bo bosootho bo bocha bo bosootho bo bosootho bo bitsoang lisele tsa granulation. Hangata ha li utloe bohloko, empa li tsoa mali habonolo ha li lemetse.
• Lefu lena le ntse le ata butle-butle le senya lisele tsa thobalano.
• Tšenyo ea lisele e ka hasana ho ea fihla mokokotlong.
• Litho tsa botona le botšehali tse li potileng li lahleheloa ke 'mala oa letlalo.

Ha li sa tsoa qala, ho ka ba thata ho tseba phapang lipakeng tsa donovanosis le chancroid.

Mekhahlelo ea morao-rao, donovanosis e ka shebahala joalo ka mofets'e o tsoetseng pele oa thobalano, lymphogranuloma venereum le anogenital cutaneous amebiasis.

Liteko tse ka etsoang li kenyelletsa:

• Tloaelo ea sampole ea lisele (ho thata ho e etsa ebile ha e fumanehe khafetsa)
• Metsoako kapa biopsy ea lesion

Liteko tsa laboratori, tse ts'oanang le tse sebelisetsoang ho fumana syphilis, li fumaneha feela motheong oa lipatlisiso bakeng sa ho fumana donovanosis.

Lithibela-mafu li sebelisoa ho phekola donovanosis. Tsena li ka kenyelletsa azithromycin, doxycycline, ciprofloxacin, erythromycin, le trimethoprim-sulfamethoxazole. Ho phekola boemo, ho hlokahala kalafo ea nako e telele. Boholo ba lithuto tsa kalafo li nka libeke tse 3 kapa ho fihlela liso li folile ka botlalo.

Tlhahlobo e latelang e bohlokoa hobane lefu lena le ka hlaha hape kamora hore le bonahale le folile.

Ho phekola lefu lena kapele ho fokotsa menyetla ea tšenyo ea lisele kapa lesapo. Boloetse bo sa phekoleheng bo lebisa tšenyo ea lisele tsa thobalano.

Mathata a bophelo bo botle a ka bakoang ke lefu lena a kenyelletsa:

• Tšenyo ea litho tsa botona le botšehali
• Ho lahleheloa ke 'mala sebakeng sa thobalano
• Ho ruruha ho sa feleng hoa setho sa botona kapa botšehali ka lebaka la letšoele

Bitsa kopano le mofani oa tlhokomelo ea bophelo haeba:

• U kile ua kopanela liphate le motho ea tsejoang hore o na le donovanosis
• U hlahisa matšoao a donovanosis
• U ba le seso sebakeng sa thobalano

Ho qoba liketso tsohle tsa thobalano ke eona feela tsela e felletseng ea ho thibela mafu a tšoaetsanoang ka thobalano joalo ka donovanosis. Leha ho le joalo, boitšoaro bo sireletsehileng ba thobalano bo ka fokotsa kotsi ea hau.

Ts'ebeliso e nepahetseng ea likhohlopo, ebang ke tsa banna kapa tsa basali, e fokotsa menyetla ea ho tšoaroa ke mafu a tšoaetsanoang ka thobalano. O hloka ho roala khohlopo ho tloha qalong ho isa qetellong ea ketsahalo ka 'ngoe ea thobalano.

Granuloma inguinale; Maloetse a tšoaetsanoang ka thobalano - donovanosis; STD - donovanosis; Tšoaetso ea thobalano - donovanosis; Mafu a likobo - donovanosis

• Likarolo tsa letlalo

Gardella C, Eckert LO, Lentz GM. Matšoao a tšoaetso ea setho sa botona: botšehali, botshehadi, molomo oa popelo, lefu la ts'oaetso e kotsi, endometritis le salpingitis Ka: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Kakaretso ea mafu a basali. La 7th. Philadelphia, PA: Elsevier Saunders; 2017: khaolo ea 23.

Ghanem KG, Hook EW. Granuloma inguinale (Donovanosis). Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier Saunders; 2020: khaolo ea 300.

Lejoe BP, Reno HEL. Klebsiella granulomatis (donovanosis, granuloma inguinale). Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier Saunders; 2020: khaolo ea 235.