Iyande kangakanani i-Female Genital Schistosomiasis (FGS)?
I-Schistosomiasis ivamile ezindaweni ezilshisayo lezishisayo kakhulu phakathi kwemiphakathi engelakho ukuthola amanzi aphephile noma ukukhlanzeka okwanele. Ukudluliswa kwe-FGS kungenzeka kuphela lapho abantu bexhumene nomthombo wamanzi angcolile. I-schistosomiasis yesitho sobulili kwabesifazane (i-FGS) icatshangwa ngabanengi njengesimo sabesifazane esinganakiwe kakhulu kuyo yonke i-sub-Saharan Africa. Sithinta amashumi ezigidi zamantombazane labesifazane emazweni lapho i-schistosomiasis ikhona, ikakhulukazi e-Afrika yonkana.
I-FGS ihlotshaniswa kakhulu lezimo zeschistosomiasis ezibangelwa yikakhulukazi i-S. haematobium (i-urinary blood fluke), futhi kulinganiselwa ukuthi kuze kube yingxenye ezintathu kwezine zalabo abangenwe yi-S. haematobium abaza le FGS, abesifazane lamankazana abafika izigidi ezingamatshumi amahlanu lasikhombisa. lokho laphezu kokuthi kuvame kangakanani, kukhona ukuyehla kolwazi kakhulu ngalesi simo. Akuphumi ezincwadini ezinengi zezokwelapha futhi akwaziwa ngabasebenzi abanengi bezempilakahle.
Ngabe i-genital schistosomiasis ingabathinta amadoda?
Yebo. I-schistosomiasis yesitho ithinta kokubili abesifazane olukhulayo abesilisa, lokho kulocwayisiso olwengeziwe olwazisa mayelana lezimpawu zomtholampilo kanye nezinkinga ezikhona kwabesifazane . Kwabesilisa kubizwa nge- male genital schistosomiasis (MGS). I-MGS iyisifo esinganakiwe kakhulu futhi ucwayisiso olwengeziwe luyadingeka ukuze kuqondwe kangcono umthelela we-schistosomiasis semadodeni. Esikwaziyo yikuthi izimpawu kwabesilisa zihlanganisa ukuvuvukala kwesitho sobulili, ukuqhanyelwa okubuhlungu nokuphuma isidoda, ukuchama njalo, ukuzwa ukutshisa lapho uchama, igazi esidodeni kanye lamathumba duzane kwe-prostate. I-MGS ingathinta izindlala zesidoda, amasende, i-prostate lezinye izitho, ngamaqanda e-schistosome abangela ukulimala kwezicubu lokuvuvukala. Njenge-FGS, izilonda ezithweni zobulili kanye lokuvuvukala kungabangela ingozi eyengeziwe yokuthola i-HIV. Kubalulekile ukuthi amadoda adinge ukwelatshwa nxa ecabanga ukuthi asengozini noma alezimpawu ze-MGS. I-Praziquantel (PZQ) ngumuthi osetshenziselwa ukwelapha zonke izinhlobo zesifo se-schistosomal, kuhlanganisela le-MGS.
Ngabe abantu abaphila le-FGS basengozini enkulu ye-HIV?
Kulocwayisiso olukhulayo olukhangela ukuxhumana phakathi kwe-schistosomiasis yesitho sobulili kanye le-HIV futhi manje sekwamukelwa kabanzi ukuthi abesifazane lamantombazane aphila le-FGS basengozini enkulu yokuthola i-HIV. Ucwayisiso olunengi olukhulu lubonise ukuthi abesifazane abadala abale-FGS balamathuba aphindwe kathathu noma kane okutheleleka nge-HIV kulabesifazane abangelayo i-FGS.
Kukhona futhi ukunqwabelana okuqinile kwezindawo ze-FGS le-HIV emazweni afana leMalawi, iMozambique, iSouth Afrika, iTanzania, kanye leZimbabwe. Ngokusekelwe kulobu bufakazi, i-FGS ingabonakala njengengxenye ehamba phambili ebudlelwaneni le-HIV ezwenikazi lonke. Ngenxa yalokho, izinhlelo zokulawulwa kwemithi ezinkulu (ama-MDAs) kusetshenziswa i-praziquantel (PZQ) zingaba yindlela yokuvimbela i-FGS kanye lokutheleleka okutsha kwe-HIV e-Afrika.