Chancroid ne cutar ta hanyar cutar ta hanyar jima'i. Hakan ya haifar da kwayar cutar Haemophilus ducreyi . Kodayake ana gani ne kawai a {asar Amirka, chancroid wata cuta ce mai yawan gaske a cikin kasashe masu tasowa. Kamar dai yadda syphilis yake , magungunan da ke haifar da chancroid na kara yawan haɗarin mutum na samun wasu cututtuka da aka kwashe jima'i . Musamman ma, waxanda suke budewa suna kara yawan kwayar cutar HIV. Sunyi wannan ta hanyar saurin HIV don shigar da jini lokacin da mutum ya fallasa.
Cikin fata shine damuwa mai dacewa ga HIV, wadda ba a yada ta fata zuwa lambar fata ba .
Mene ne alamun cututtuka na Chancroid?
Matakan farko na chancroid na iya zama kuskure ga syphilis - ƙananan tsirma ya zama miki, yawanci a cikin kwanaki 4 zuwa 10 bayan da aka shafe. Duk da haka, ulcers sukan girma zuwa girma kuma suna da zafi fiye da wadanda suka hada da syphilis.
Chancroid zai iya haifar da kumburi, tausayi, da kuma ƙonewa daga cikin ƙananan lymph a cikin kullun. Wannan tasiri ba a haɗa shi da syphilis ba.
Dangane da damunta, yana da wuyar samun gwadawa daidai don chancroid a Amurka. Saboda haka, CDC ta bayyana cewa likitoci zasu iya gwada chancroid ba tare da gano kwayoyin H. ducreyi ba idan an cika dukkanin wadannan ka'idojin:
- Wani yana da daya ko fiye genital ulcers
- Ciwon ƙwayar cutar, da kuma kowane kumburi na ƙwayar lymph, suna daidai da yanayin da ake tsammani na chancroid
- Babu wani shaida na syphilis a karkashin wani microscope, ko ta gwajin jini (bayan ulcers sun kasance a cikin kwanaki bakwai)
- Magunguna suna gwajin cutar ga HSV , cutar mafi yawancin cutar cutar ta mutum a Amurka
Yaya aka yi amfani da Chancroid?
An magance Chancroid tare da maganin rigakafi. Yanayi guda biyu wadanda aka fi so su ne guda ɗaya na azithromycin (1g) ko ceftriaxone (250 MG, IM).
Har ila yau, akwai samfuran samuwa ta hanyar amfani da ciprofloxacin (500 mg, 2x / day, na kwana uku) da kuma erythromycin tushe (600 mg a layi, 3x / rana, har kwana bakwai) Duk da haka, magani ba shi da tasiri ga maza marasa kaciya da mutanen da ke HIV tabbatacce. Abin da ya sa CDC ya ba da shawarar cewa duk wanda ke shan magani zai sake gwadawa ta likita 3 zuwa 7 bayan kwana bayan farawa. Ga yawancin mutane, cututtuka zai fara inganta cikin wannan lokacin idan magani yana aiki.
Hakazalika, saboda rashin lafiyar cutar, duk wanda ake zaton yana da chancroid ya kamata a gwada shi HIV .
Yaya Yadda ake amfani da shi a Chancroid a Amurka?
Chancroid ne wanda ba a sani ba a Amurka. Duk da cewa mafi yawan lokuta a cikin shekarun 1940 da 50s, adadin lokuta sun ƙi hanzari farawa a tsakiyar shekarun 50s. Akwai karamin karuwa a cikin shekarun 1980, wanda ya yiwu saboda sabon annobar cutar HIV. Duk da haka, adadin lokuta sunyi jinkiri da sauri har sai cututtuka ba su da isasshen isa don yin gwajin gwaji. A shekara ta 2016, an gano kwayoyi bakwai ne kawai a cikin ƙasar, kawai a Alabama, California, Colorado, Massachusetts, North Carolina, da kuma South Carolina.
Lokacin da chancroid ya bayyana a Amurka, ana iya gani a cikin 'yan gudun hijira ko baƙi daga Asiya, Afrika, da Caribbean.
Haka kuma ana iya gani a wani wanda yake da abokin tarayya a cikin ɗayan waɗannan kungiyoyi. Chancroid ne ainihin a kan ragu a duniya. Mafi yawancin sukan haifar da yankunan da cutar ta kamu da cutar, saboda chancroid ulcers zai samar da hanya mai sauki don kamuwa da cuta.
Sources:
> Cibiyoyin Kula da Cututtuka da Cututtuka. Sanya Kula da Cututtuka da Jima'i 2016 . Atlanta: Ma'aikatar Lafiya ta Amurka da kuma Ayyukan Dan Adam; 2017.
> Cibiyoyin Kula da Cututtuka da Cututtuka. 2015 Zubar da Harkokin Cutar da Aka Haɗu da Haɗakar Jima'i . MMWR Bayar da Shawarar 2015; 64 (3): 1-138