7/22/2019 11_ENFERMEDADES DE TRANSMICION SEXUAL - MGO.pdf

1/8

XUI@UMGM MNMCGANI CO AKSOUKMCI CO XUO@UMCI

!"#$%&'#()( )!+,",-) (% +)-)!.#/)'

8)=!.+)( (% -%(#=#") (% +)-/#=,

5(&> ).3%&+, &,-, =)3)..%&,?

OKFOUGOCMCO^ CO SUMK^GA^AK ^O\_MD

GC_DI CO @AKONIDI@M

Q IE^SOSUANAM

7/22/2019 11_ENFERMEDADES DE TRANSMICION SEXUAL - MGO.pdf

2/8

GC_DI @AKONIDI@M Q IE^SOSUANAM | OKFOUGOCMCO^ CO SUMK^GA^AK ^O\_MD "

OKFOUGOCMCO^ CO SUMK^GA^AK ^O\_MD

Mspontis osoknamdos

Mntumdgokto os gs fronuokto, nigi nmusm co urotratas, Nldmgycam trmnligmtasquo `ikinini.

Dm urotratas pir `ikinini so cam`kistanm pir dm prosoknam co capdininis`rmgko`mtavis coktri co dms ndudms akfdmgmtirams.

Dm urotratas pir Nldmgycam trmnligmtas so sisponlm pir dm prosoknam co urotratasnik ndudms akfdmgmtirams, sak iesorvmrso emntorams coktri co oddms, y so nikfargmgocamkto tnkanms co akgukifduirosnoknam.

Mkto od cam`kstani co akfonnak pir `ikinini, so coeo trmtmr ogpranmgokto`ikinini y Nldmgycam trmnligmtas.

Dms pruoems co cam`kstani sorid`ani co dm sfadas puocok sor rom`kanms (VCUD yUXU) i tropikganms (FSM y SXLM).

Dms pruoems tropikganms sik numdatmtavms (+ / -), sik dms pragorms okpisatavazmrso (akndusi ok dm sfadas pragmram) y puocok porgmkonor pisatavms ticm dmvacm, mukquo od trmtmgaokti som nirronti. ^u gocanak ok DNU ki os tad pmrm odcam`kstani pmrm kourisfadas.

Dms pruoems rom`kanms sik numktatmtavms (=/=62 =/>52 =/632 =/=5

=/=8532=/583

7/22/2019 11_ENFERMEDADES DE TRANSMICION SEXUAL - MGO.pdf

3/8

GC_DI @AKONIDI@M Q IE^SOSUANAM | OKFOUGOCMCO^ CO SUMK^GA^AK ^O\_MD #

Akfonnak `ikinnanm

Otaidi`m

Od `ikinini (Koassoram `ikirrliomo) os uk nini `rmgko`mtavi morieai o akgvad nik tokcoknam mm`rupmrso ok pmrojms ok `rmkis co nmf. Ost ronueaorti co fagerams i padaquo do porgatok mclorarsom dms ndudms opatodamdos y nuym cosmpmranak pir vmrameadacmc co dm fmso fmvirono su casogakmnaklogmt`okm. Os uk pmt`oki oxndusavmgokto lugmki, quo niktakum nikstatuyokci ukm nmusm coakfonnaikos co trmksgasak soxumd (AS^) coeaci m quo od =?-58% co dms gujoros y od ?-=8% co disligeros akfontmcis sik pirtmciros msaktigtanis.

Ndkanm

Ok dis ligeros, dm `ikininam nigi tmd so gmkafaostm ok firgm co urotratas, quo nursm nik casuram y

sonronak urotrmd edmkquonakm osnmsm, co procigakai gmtakmd. Dm ndkanm nigaokzm co cis m naknicms trms dm oxpisanak. Ok dms gujoros puoco pricunar urotratas (skcrigo gannaikmd nik urinudtaviko`mtavi) i norvanatas ki nigpdanmcm. Ok osto nmsi, sa dm akfonnak pri`rosm, puoco cmr du`mr mokcigotratas, smdpak`atas, okforgocmc akfdmgmtiram pdvanm (OAX), mesnosis mkoxamdos, poratikatas`okormdazmcm i co dinmdazmnak poraloptanm (skcrigo co Fatz-Lu`l-Nurtas).

Od `ikinini tmgeak puoco pricunar akfonnak mkirrontmd u irifmrk`om, nik fronuoknam msaktigtanm.Srms dm mfontmnak dinmd nigi AS^, so puoco pricunar dm akfonnak `ikinnanm casogakmcm,cosoknmcokm fronuoktogokto curmkto od ogemrmzi i dm gokstrumnak. Dis pmnaoktos nik cfanat codis fmntiros fakmdos cod nigpdogokti i nigpdoji co mtmquo m dm gogermkm (N? m N1) taokok gmyirraos`i co prosoktmr akfonnak casogakmcm. ^o trmtm co uk numcri co faoero, tokisakivatas ypidamrtrmd`ams, nik dosaikos nutkoms pmpudmros quo so puocok lmnor pustudisms i logirr`anms,

satumcms nmrmntorstanmgokto siero dms mrtanudmnaikos y ok dms quo ki so suodo masdmr od `ikinini2 mostm pragorm fmso emntoraganm so sunoco ukm fmso gs tmrcm niksastokto ok mrtratas supurmtavm,tpanmgokto gikimrtanudmr y co `rmkcos mrtanudmnaikos (ricaddm, tieaddi i guonm) quo,oxnopnaikmdgokto, so puoco nigpdanmr nik dm mpmranak co okcinmrcatas, istoigaodatas i gokak`atas.

Cam`kstani y trmtmgaokti

Od cam`kstani so romdazm vasumdazmkci ok dm taknak co @rmg dms Koassoramco dinmdazmnak aktrmnodudmr,ok gocais co nudtavis osponfanis (Slmyor-Gmrtak), i eaok gocamkto tnkanms gs gicorkms comgpdafanmnak co nacis kundanis. Ok dm akfonnak casogakmcm dis loginudtavis suodok sor pisatavis.Od trmtmgaokti so puoco romdazmr nik ukm nofmdispirakm co tornorm `okormnak, nigi noftramxikm

aktrmgusnudmr (ok cisas kanm, ok nmsi co akfonnak `okatmd) i nofaxagm irmd (a`umdgokto ok cisaskanm). ^ik mdtorkmtavms vdacms pmrm od trmtmgaokti co dm akfonnak `okatmd dms quakidikms(naprifdixmnaki) pir vm irmd ok cisas kanm y dm mzatriganakm (pir vm irmd ok cisas kanm co 5`r)2 ostmdtagm os ukm mdtorkmtavm nmrm y nik fronuoknam pricuno aktidormknam ca`ostavm. Xir itrm pmrto, lmstm od>8% co dms nopms co `ikinini ok kuostri gocai sik rosastoktos m dms quakidikms.

Ok dis pmnaoktos cam`kistanmcis co akfonnak `ikinnanm so coeo romdazmr trmtmgaokti ogpranisagudtkoi pmrm Nldmgycam trmnligmtas, ym quo fronuoktogokto dms akfonnaikos vmk msinamcms y, sa

7/22/2019 11_ENFERMEDADES DE TRANSMICION SEXUAL - MGO.pdf

4/8

GC_DI @AKONIDI@M Q IE^SOSUANAM | OKFOUGOCMCO^ CO SUMK^GA^AK ^O\_MD $

ki so trmtm ostm dtagm, so gmkafaostm ndkanmgokto trms uk poraici co aknuemnak gs dmr`i (urotrataspis`ikinnanm, m dms tros sogmkms).

Nldmgycam trmnligmtas

Dm Nldmgycam os ukm emntoram `rmgko`mtavm co nronagaokti aktrmnodudmr ieda`mci. Nldmgycamtrmnligmtas nikstatuyo dm nmusm gs fronuokto co urotratas ok kuostri gocai. Ndkanmgokto pricunonumcris co urotratas ok mgeis soxis y, ok dm gujor, mcogs, norvanatas, okcigotratas, smdpak`atas, OAX,poratikatas y poralopmtatas soporpikaeos m dis pricunacis pir od `ikinini. Od cam`kstani so romdazmgocamkto taknak co @aogsm i tnkanms co akgukifduirosnoknam carontm ok dis oxucmcis.

Od trmtmgaokti co odonnak os dm cixanandakm vm irmd curmkto 0-=8 cms i ukm cisas kanm comzatriganakm (=`r.)

Nldmgycam trmnligmtas tmgeak pricuno nikjuktavatas co akndusak ok od ronak kmnaci (ipltmdgamkoikmtirug) y dis soritapis D=, D5 y D>, ukm AS^ cokigakmcm dakfi`rmkudigm vokroi (i okforgocmcKanlidms-Fmvro), nmrmntorazmcms pir mcokipmtms ak`uakmdos nik tokcoknam m dm fastudazmnak ypistorair nanmtrazmnak ospiktkom m di dmr`i co vmrais gosos.

^fadas

Os ukm AS^ pricunacm pir Sropikogm pmddacug sueosponao pmddacug, emntoram portokonaokto m dmfmgadam co dis ^parinlmotmdos(firgm co osparmd, nmpmnos co mutipripudsmrso `armkci siero s gasgm,mkmorieams y ki nudtavmedos), coktri co dm quo tmgeak so aknduyok dis `koris Eirrodam y Doptisparm.

Ndkanm

^o castak`uok vmrams fmsos. Srms uk poraici co aknuemnak co 5= cms, so mpmrono dm ndkanm co dmsfadas pragmram,nuym dosak nmrmntorstanm os od nlmknri curi, quo mpmrono ok od du`mr co aknuemnak(poko, vm`akm, mki, einm). Os ukm dosak siero odovmcm, co niksastoknam nmrtadm`akism, ki cidirism,co fikci dagpai, sak oxucmci y kirgmdgokto kanm. Lastid`anmgokto nursm nik ukm vmsnudatas co disvmsis crganis nik uk akfadtrmci akfdmgmtirai ok od quo procigakmk dms ndudms pdmsgtanms. ^omnigpmm co mcokipmtms ro`aikmdos, kirgmdgokto ak`uakmdos y eadmtormdos quo, md a`umd quo odnlmknri, sik co niksastoknam curm, ki cidirism y ki supurmk. Dm curmnak co dm ndkanm co dm sfadaspragmram os co dis cis m soas sogmkms.

Srms ukm fmso msaktigtanm co soas m inli sogmkms, mpmrono dm ndkanm tpanm co dm sfadassonukcmram, quo tmgeak curm co cis m soas sogmkms. Os ukm fmso co `okormdazmnak co dm akfonnak,nmrmntorazmcm pir faoero, mcokipmtms, sa`kis co mfontmnak co cavorsis r`mkis (gokak`asgi,mrtratas, lopmtatas, kouratas, uvotas, kofripmtm i `mstratas laportrfanm) y dms dosaikos nutkomsnmrmntorstanms co ostm fmso: gmnudioratogmtisms nik mfontmnak co pmdgms y pdmktms, dounicorgmsafadtani (dosaikos lapinrganms dinmdazmcms ok nuoddi, cikco firgmk od niddmroto co Vokus), dosaikosok gunisms (tpanmgokto dak`umd, nik copmpadmnak ok prmcorm so`mcm), zikms co fidanudatas nikmdiponam pmrnlomcm (ok trmsquadikos) y dm dosak nmrmntorstanm co dm sfadas sonukcmram, od nikcadigmpdmki, dosak guy akfontavm ok zikm co pdao`uos (suegmgmrai i ak`uakmd, osnriti, mxadms), ok firgm copdmnms ki oxucmtavms da`ormgokto siero odovmcms.

7/22/2019 11_ENFERMEDADES DE TRANSMICION SEXUAL - MGO.pdf

5/8

GC_DI @AKONIDI@M Q IE^SOSUANAM | OKFOUGOCMCO^ CO SUMK^GA^AK ^O\_MD %

Srms dm sfadas sonukcmram, oxasto uk poraici co dmtoknamcikco so castak`uo ukm fmso proniz (gokisco uk mi cosco dm akfonnak) y ukm fmso tmrcm, m pmrtar cod mi. Curmkto dm fmso proniz sik gsfronuoktos dis numcris ndkanis quo rogocmk dm sfadas sonukcmram. Dis nratorais cam`kstanis co dmdmtoknam sik dm fmdtm co sktigms, dm soridi`m dutanm pisatavm y od DNU sak mdtormnaikos (ym quo sa odDNU os pmtid`ani, mukquo so nugpdmk dms cis pragorms nikcanaikos, so trmtmrm co ukm kuourisfadasmsaktigtanm, quo so aknduyo ok dm sfadas tornamram).

Lmstm od >>% co dis pmnaoktos ki trmtmcis, md nmei co 58 m >8 mis co dm akfonnak pragmram,cosmrriddmrk dm sfadas tornamram, nuym dosak nutkom nmrmntorstanm os od `igm, dosak `rmkudigmtismkanm i gdtapdo quo puoco mfontmr m numdquaor r`mki co dm onikigm (nik fronuoknam ok paod,gunism i sastogm gusnudiosquodtani). Smgeak portokonok m dm sfadas tornamram dis numcris comfontmnak nmrcaivmsnudmr ok firgm co vmsnudatas nik konrisas co dm gocam, saokci dm mfontmnak tpanmdm co dm mirtm msnokcokto nik aksufanaoknam vmdvudmr msinamcm.

Xir dtagi, coktri co dm sfadas tornamram so aknduyok dis numcris co kourisfadas, nigi dmkourisfadas msaktigtanm (cosnratm provamgokto), gokak`atas suem`ucm i nrkanm y mnnacoktosnoroerivmsnudmros. Lmy cis numcris co kourisfadas, nik mfontmnak pmrokquagmtism:

Smeos cirsmd: Numcri co cosgaodakazmnak co dis nircikos pistorairos co dm gcudmospakmd quo pricuno mtmxam soksatavm, praknapmdgokto ok dis gaogeris akforairos, quo nik odtaogpi cm du`mr m dosaikos nutkoms (dnorms pdmktmros) y cofirgacmcos mrtanudmros(mrtanudmnaikos co Nlmrnit).

Xmrdasas `okormd pri`rosavm: Co`okormnak pri`rosavm cod ^KN nik mdtormnaikospsaquatranms (porsikmdacmc, kagi, mdunakmnaikos), gitirms (laporrofdoxam), aktodontumdos(gogiram, ndnudi), cod dok`umjo y cod sastogm vo`otmtavi, ms nigi dms nmrmntorstanmspupadms co Mr`ydd-Uieortsik, quo tmgeak puocok iesorvmrso ok dm tmeos cirsmd(romnnaikmk m dm mnigicmnak pori ki md ostagudi dugakisi).

Cam`kstani

Vasumdazmnak carontm cod Sropikogm pmddaaug gocamkto akgukifduirosnoknam carontm iganrisnipam co nmgpi isnuri (dis tropikogms ki so puocok nudtavms), saokci dms dosaikosgs akfontavms (nlmknri curi y nikcadigm pdmki) dms co gmyir roktmeadacmc. Xini ogpdomcmok dm prntanm lmeatumd.

Snkanms sorid`anms.^o castak`uok cis tapis co pruoems: Dms rom`kanms (VCUD y UXU),guy soksaedos pori pini osponfanms, pir di quo so ogpdomk nigi nraemci2 y dmstropikganms (SXLM y FSM-Mes), quo `rmnams m su osponafanacmc porgatok dm nikfargmnakcod cam`kstani.

Srms dm akfonnak, dmspragorms ok pisatavmrso sik dms tropikganms, quo puocok porgmkonor pisatavmsticm dm vacm m posmr cod trmtmgaokti. ^ak ogemr`i, dms pruoems rom`kanms tmrcmk gs ok pisatavmrso,so puocok gocar numktatmtavmgokto, mdnmkzmk nafrms gxagms ok dm sfadas sonukcmram y casgakuyok (mvonos lmstm ko`mtavazmrso) sa od trmtmgaokti os ofontavi, saokci pir oddi tados pmrm gikatirazmr dmovidunak y rospuostm cod trmtmgaokti mconumci. Smgeak so puocok gocar ok DNU y sarvo pmrmgikatirazmr md trmtmgaokti co dm kourisfadas, jukti nik od `rmci co pdoinatisas co DNU (quo nikstatuyood pmrgotri gs soksaedo co rospuostm md trmtmgaokti). Dms pruoems rom`kanms puocok prosoktmrfmdsis pisatavis ok nmsi co akfonnak pir Gynipdmsgm, Eirrodam, Nldmgycam, VAL, mknamkis,ogemrmzmcms, okforgocmcos mutiakgukatmrams i doprm.

7/22/2019 11_ENFERMEDADES DE TRANSMICION SEXUAL - MGO.pdf

6/8

GC_DI @AKONIDI@M Q IE^SOSUANAM | OKFOUGOCMCO^ CO SUMK^GA^AK ^O\_MD &

'()*+,+*)-./8( =* 5-> ,+3*?-> >*+6580/.-> ,-+- *5 =/-0(8>)/.6 =* 5- >

:+*,6(244/.->7;:9H9?>M :EN9C

O*07OEOM F@OLC

'()*+,+*)-./8(

"#$%&'(% "#$%&'(% )*+#,-'% .# +/8'='+5/8'='+ >*3 ?6#-0< 1>#,0+ .# &6#+ +#>%,%+:

20+'&'(% 20+'&'(% 5/8'='+ ,0 &6%&%.%5/8'='+ ',-066#-&%>#, &6%&%.%4#',8#--'7,

20+'&'(% "#$%&'(% 5/8'='+ ?6#-0< 1?6#66#%$/,'-%:5/8'='+ +#-*,.%6'% 18#,7>#,0 .# ?60

7/22/2019 11_ENFERMEDADES DE TRANSMICION SEXUAL - MGO.pdf

7/8

GC_DI @AKONIDI@M Q IE^SOSUANAM | OKFOUGOCMCO^ CO SUMK^GA^AK ^O\_MD A

Nlmknri edmkci i nmknriaco

Os ukm AS^ pricunacm pir od Lmogipladus cunroya, uk niniemnadi `rmgko`mtavi. Srms ukm aknuemnakco ukis tros cms (os od nlmknri co mpmranak gs proniz), so akanam nik ukm dosak co niksastoknamedmkcm, pustudism, ki siero odovmcm, cidirism y nik oxucmci quo puoco ddo`mr m sor purudokti.Fronuoktogokto so mnigpmm co mcokipmtms, ukadmtormdos i eadmtormdos, cidirisms y quo puocokfastudazmr lmnam dm paod. Od trmtmgaokti co odonnak os dm noftramxikm ok cisas kanm aktrmgusnudmr,quocmkci dis gmnrdacis nigi mdtorkmtavm.

@/-0(8>)/.6 =/1*+*(./-5 =* 56> .J-(.+6>

903=6> B+8(/.6>

D64?+* F@%,-60 .*60 F@%,-60'.#1L=%,.0:

N#6?#+$#,'&%=

C',80$6%,*=0>%(#,A6#0

J6%,*=0>% ',$*',%=

G)/6560/*('5,+(

3"(=/%'(3+8

>(*5''(3%?(=3#"+-'

'(.3?-./8( X +#>%,%+ ]UX ./%+ XU]D ./%+ ^UXD ./%+ ]U]I +#>%,%+B5?'0H ='+0H

60+%.0_,'-0

V=%,.0 3.0=060+0

5*-'0 # ',8=%U>%-'7,?#6'=#U+'0,%=

P\=&'?=#+ ?06%*&0',0-*=%U-'7,

M#+/-*=%+H\=-#6%+.0=060+%+%$6*?%.%+#, Q6%-'>0Z+0L6# L%+##6'>%&0+%

_=-#6% 8*$%%+ -0,U8=*#,+ ',.0=060+9*# +# *=-#6%,1?+#*.0L*L7,:

9=*(6,-) V'=%%=#+H.*6%+

E,.0=06%+H,0+*?*6%&'(%+

T,'=%%=#+S*#=#,H +# *=U

-#6%,

V'=%%=#+S0=060+%+

T,'=%%=#+H.*6%+

E,8=%>%&06'%+S*#=#,H 8'+&*U

='

7/22/2019 11_ENFERMEDADES DE TRANSMICION SEXUAL - MGO.pdf

8/8

GC_DI @AKONIDI@M Q IE^SOSUANAM | OKFOUGOCMCO^ CO SUMK^GA^AK ^O\_MD X

Lorpos sagpdo `okatmd

Os dm nmusm gs fronuokto co dms dnorms `okatmdos. Ok od 08-18% co dis nmsis so coeo md varuslorpos sagpdo tapi 5 (VL^-5). Dms dosaikos sik vosanudisms, cidirisms y puocok udnormrso. ^oiesorvmk ok od poko i ok dm vm`akm.^u prosoknam ok pmnaoktos nik akfonnak pir VAL mugoktm od raos`i co trmksgasak ok od nursi codniktmnti soxumd. Xuocok mnigpmmrso co mcokipmtms ak`uakmdos eadmtormdos cidirisms.

Lmstm ok cis tornais co dis nmsis mpmronok ronacavms, quo suodok nursmr nik gokis sktigms quo dmpragiakfonnak. Od cam`kstani os ndkani, gocamkto dm vasumdazmnak co dms nmrmntorstanms ndudms`a`mktos gudtakundomcms nik akndusaikos aktrmnatipdmsgtanms ok od naticam`kstani co Szmkb, i eaokgocamkto tnkanms co XNU (guy soksaedos). ^ik tados pmrm od trmtmgaokti od mnandivar, od fmgnandivar yod vmdmnandivar.

Itrms akfonnaikos co trmksgasak soxumd

Od nikcadigm mnugakmci i vorru`m `okatmd so pricuno pir od varus cod pmpadigm lugmki (VXL),fronuoktogokto co dis soritapis 6 y ==. Itris soritapis, nigi od =6 y =!6 ,# 0#,+=+&( 5 >+"-24(1 :+=%*%24( 5 %?83#3"+=+(1 Bf #.'-'7,W FKm

O.'&06'%=W O+?%l%H ID]]W P*l0< Pc 0(&-(* >!6 ,# 0#,+=+&( 5 >+"-24(1 7&;#==+%QBf #.'-'7,W FKm O.'&06'%=W O+?%l%H

ID]]W 28#'8#6W 90H 6?83#3"+=+( 5 2+=%*%24(1`f #.'-'7,W C'??',-0&&H IDDhW