Yakawanda zvakadii Female Genital Schistosomiasis (FGS)?
Schistosomiasis inowanzoitika munzvimbo dzinopisa uye dzinopisa zvikuru pakati penharaunda dzisingawani mvura yakachena kana hutsanana hwakakwana. Kutapuriranwa kweFGS kunongoitika chete kana vanhu vasangana nemvura ine tsvina. Female genital schistosomiasis (FGS) inofungidzirwa nevakawanda sechirwere chevakadzi chisingatarisirwi zvakanyanya muAfrica yose iri kumaodzanyemba kweSahara. Chinobata makumi emamiriyoni evasikana nevakadzi munyika dzine chikosoro, kunyanya muAfrica yose.
FGS inonyanyobatana nezviitiko zveschistosomiasis zvakakonzerwa zvakananga neS. haematobium (urinary blood fluke), uye zvinofungidzirwa kuti vanosvika zvikamu zvitatu kubva muzvina zveavo vane S. haematobium vachaita FGS, madzimai nevasikana vangasvika mamirioni makumi mashanu nematanhatu. Asi kunyangwe zvakajairika sei, kune kudzikira kweruzivo nezve chirwere ichi. Hazvina kutaurwa mumabhuku mazhinji ekurapa uye hazvizivikanwe nevashandi vazhinji vezvehutano.
Ko genital schistosomiasis inogona kubata varume here?
Hongu. Genital schistosomiasis inobata vese vakadzi nevarume, zvisinei kune tsvakiridzo yakawanda uye kuziviswa nezvezviratidzo uye matambudziko anozviratidza muvakadzi. Muvarume inonzi male genital schistosomiasis (MGS). MGS chirwere chisingatariswi nezvacho zvakanyanya uye tsvakiridzo yakawanda inodiwa kuti tinzwisise zviri nani mabatiro anoita genital schistosomiasis pavarume. Chatinoziva ndechekuti zviratidzo muvarume zvinosanganisira kuzvimba kunhengo yesikarudzi, kurwadziwa kwekumira kwenhengo yemurume uye kurwadziwa pakubuda hurume, kunzwa kupisa pakuita weti nguva nenguva, kunzwa kutsva paunenge uchiita weti, ropa muurume nemamota pedyo neprostate. MGS inogona kukanganisa seminal glands, testics, prostate nedzimwe nhengo, nemazai eschistosome achikonzera kukuvara kwenyama uye kuzvimba. Sezvakaita FGS, maronda epasikarudzi nekuzvimba zvinogona kukonzera njodzi yakawedzera yekuwana HIV. Zvakakosha kuti varume vatsvage kurapwa kana vachifunga kuti vari panjodzi kana kuti vane zviratidzo zveMGS. Praziquantel (PZQ) ndiwo mushonga unoshandiswa kurapa marudzi ese echirwere cheschistosomal, kusanganisira MGS.
Vanhu vari kurarama neFGS vari panjodzi yeHIV here?
Pane tsvakiridzo iri kuramba ichikura ichitarisa hukama huripo pakati pegenital schistosomiasis neHIV uye zvave kugamuchirwa neveruzhinji kuti madzimai nevanasikana vari kurarama neFGS ndivo vari panjodzi yakakura yekubatira neHIV. Ongororo huru dzakati wandei dzakaratidza kuti vakadzi vakuru vane FGS vane mukana wekutapukirwa neHIV zvakapetwa katatu kana kana pane vakadzi vasina FGS.
Kune zvakare kupindirana kwakasimba kweFGS neHIV munyika dzakaita seMalawi, Mozambique, South Africa, Tanzania, neZimbabwe. Zvichienderana nehumbowo uhu, FGS inogona kuonekwa senhungamiri huru pakudyidzana neHIV mukondinendi yese. Nekuda kweizvozvo, zvirongwa zvemass drug administration (MDAs) vachishandisa praziquantel (PZQ) inogona kuva nzira yekudzivirira FGS neutachiona hutsva hweHIV muAfrica.