Donovanosis (granuloma inguinale)

Donovanosis (granuloma inguinale) cuta ce da ake ɗauka ta jima'i wanda ba safai ake ganin sa ba a Amurka.

Donovanosis (granuloma inguinale) kwayoyin cuta ne ke haifarwa Klebsiella granulomatis. Ana yawan samun cutar a yankuna masu zafi da na wurare masu zafi kamar kudu maso gabashin Indiya, Guyana, da New Guinea. Akwai kusan kararraki 100 da aka ruwaito kowace shekara a Amurka. Mafi yawan wadannan cututtukan na faruwa ne ga mutanen da suka yi tafiya zuwa ko kuma daga wuraren da cutar ta zama ruwan dare.

Cutar na yaduwa galibi ta hanyar saduwa ta farji ko dubura. Da ƙyar sosai, yana yaduwa yayin jima'i na baka.

Yawancin cututtukan suna faruwa ne a cikin mutane masu shekaru 20 zuwa 40.

Kwayar cututtuka na iya faruwa makonni 1 zuwa 12 bayan sun haɗu da cutar da ke haifar da ƙwayoyin cuta.

Waɗannan na iya haɗawa da:

• Ciwo a yankin dubura a kusan rabin al'amuran.
• Ananan, kumbura-ja-nama suna bayyana a al'aura ko a bayan dubura.
• Fata da sannu sannu tana lalacewa, kuma kumburin ya jujjuya zuwa, ja-ja-ja, nodules mai narkewa wanda ake kira granulation tissue. Galibi ba su da ciwo, amma suna zub da jini cikin sauƙi idan sun ji rauni.
• Cutar a hankali tana yaduwa tare da lalata kayan al'aura.
• Lalacewar nama na iya yaduwa zuwa makwancin gwaiwa.
• Al'aura da fatar da ke kusa da su na rasa launin fata.

A matakan farko, yana da wahala a iya banbance tsakanin donovanosis da chancroid.

A matakai na gaba, donovanosis na iya zama kamar cututtukan cututtukan al'aura masu ci gaba, lymphogranuloma venereum, da anobiital cutaneous amebiasis.

Gwajin da za a iya yi sun hada da:

• Al'adar samfurin nama (mai wahalar yi kuma ba a samu ba sosai)
• Scrapings ko biopsy na rauni

Gwajin dakin gwaje-gwaje, kwatankwacin waɗanda aka yi amfani da su don gano cutar sankara, ana samun su ne kawai a kan tsarin bincike don bincikar donovanosis.

Ana amfani da maganin rigakafi don magance donovanosis. Waɗannan na iya haɗawa da azithromycin, doxycycline, ciprofloxacin, erythromycin, da trimethoprim-sulfamethoxazole. Don warkar da yanayin, ana buƙatar magani na dogon lokaci. Yawancin kwasa-kwasan maganin suna yin makonni 3 ko kuma ciwon ya warke sarai.

Bincike na gaba yana da mahimmanci saboda cutar na iya sake bayyana bayan da alama ta warke.

Yin maganin wannan cutar da wuri yana rage damar lalacewar nama ko tabo. Cutar da ba a kula da ita ba tana haifar da lalacewar al'aura.

Matsalolin kiwon lafiya waɗanda ke iya haifar da wannan cutar sun haɗa da:

• Lalacewar al'aura da tabo
• Rashin launi na fata a cikin yankin al'aura
• Kumburin al'aura na dindindin saboda tabo

Kira don alƙawari tare da mai ba da lafiyar ku idan:

• Kun taba yin jima'i da mutumin da aka san shi da cutar sankara
• Kuna ci gaba bayyanar cututtuka na donovanosis
• Kuna ci gaba da miki a cikin yanki

Guje wa duk ayyukan jima'i ita ce kadai hanya madaidaiciya don hana cututtukan da ake ɗauka ta hanyar jima'i irin su donovanosis. Koyaya, halayyar jima'i mafi aminci na iya rage haɗarinku.

Amfani da kwaroron roba yadda ya kamata, ko na namiji ko na mace, na rage haɗarin kamuwa da cutar da ake ɗauka ta hanyar jima'i. Kuna buƙatar sa kwaroron roba daga farkon zuwa ƙarshen kowane aikin jima'i.

Granuloma inguinale; Cutar cututtukan jima'i - donovanosis; STD - donovanosis; Kamuwa da cuta ta hanyar jima'i - donovanosis; STI - donovanosis

• Launin fata

Gardella C, Eckert LO, Lentz GM. Cututtukan al'aura na al'aura: mara, farji, mahaifa, ciwo mai saurin tashin hankali, endometritis, da salpingitis. A cikin: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. M Gynecology. 7th ed. Philadelphia, PA: Elsevier Saunders; 2017: babi na 23.

Ghanem KG, ƙugiya EW. Granuloma inguinale (Donovanosis). A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier Saunders; 2020: babi na 300.

Dutse BP, Reno HEL. Klebsiella granulomatis (donovanosis, granuloma inguinale). A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier Saunders; 2020: babi na 235.