Muhutano hwemadzimai e microflora pane, sehunobatsira (lactobacilli), iyo inokonzera michina yakawanda. Gardnerella pakati pevakadzi inopinda mumharaunda yakakwana, asi iripo mumudzimai mune imwe chete. Ngationgororei pane zvakadzama chirwere chinokonzera gardnerella, kurapa kwayo, zvinokonzera, zviratidzo.
Gardnerella kuvakadzi - zvikonzero zve
Gardnerella vaginalis nguva dzose iripo muhutano hwemadzimai e microflora. Masero mashoma ei microorganism anowanzogadziriswa paanotarisa chiyero chekunatswa kwehutano hwekubereka. Mune mamwe mamiriro ezvinhu, kuwedzera kukura nekuberekwa kweiyo microorganism kunogona, semugumisiro wekuti gardnerellez inokura sei. Pakati pezvikonzero zvinokonzera chirwere, vanachiremba vanosiyanisa:
- kuvapo kwezvirwere zvinopararira muhutano hwekubereka;
- kushandiswa kwenguva refu kwemishonga inorwisa mabhakitiriya inoshandura kuumbwa kwe microflora;
- kushandiswa kweglucocorticoids, immunosuppressants, kuderedza hutachiona hwemunharaunda;
- chirwere cheshuga mellitus;
- kazhinji kuchinja kwepabonde.
Ndeipi iyo minda yevakadzi inobva kupi?
Gardnerella kuvakadzi nguva dzose iripo pakubereka. Zvisinei, hutsika hwayo hushoma hahupi hunoita mamiriro emukadzi, hahuna hunoita zviratidzo. Kukurumidza kukura nekukudziridza kwezvinotsigira izvi zvinoshandiswa nemamwe mamiriro ezvinhu. Mamiriro akasiyana akakonzera kubereka kweBarnerella kune vakadzi, zvikonzero zveizvi zvinogona kunge zvinotevera
- kutakura mabheji ane antiseptics ane chlorine (Miramistin, Gibitan);
- kushandiswa kwemishonga yekudzivirira ine 9-nonoxynol (Patentex Oval, Nonoxinol);
- kuchinja kwezvinoitika zvepabonde;
- kushandisa antibacterial vaginal suppositories (Polizinaks, Terzhinan, Betadin).
Kuongorora kweGarnnerella
Gardnerella kuvakadzi vane ruzivo rwegynecologists vanogona kugadzira pane imwe kliniki zviratidzo uye zviratidzo. Kuongororwa kwebhizinesi kunoshandiswa kusimbisa nekufungidzira kuongororwa. Nheyo idzi idzi smear kubva kumadzimai. Mushure mekuita, maitiro akaunganidzwa aya mashomanana, achitarisa kuwanda kwejasnerella mune microflora. Pakati peimwe nzira yekuongorora chirwere ichi:
- kutsunga kwepH yemukadzi - mukana wehutachiona hunoenderedzwa kune chikamu chealkaline;
- microscopy ye excretions umo gorofu epithelial masero aripo ne pathogenic microorganisms iri pavari.
- PCR.
Gardnerella ndiyo inowanzo
Sezvatotaurwa pamusoro apa, gardnerella mune smear iripo uye inowanzoitika. Kunyange zvakadaro, kutungidzirwa kwaro kwakanyanya kuduku zvokuti hazvibatsiri nyika yekubereka. Saka vanachiremba vanoti pamusoro pekugadziriswa kweiyo microorganism mune chikamu che 2-5% yehuwandu hwe microflora. I-lactobacilli inofanira kuva 95-98%. Kurongeka kwakadaro ndiko kusiyanisa kwechimiro, uye hakuiti kuti vanachiremba vanetseke.
Gardnerella kuvakadzi - zviratidzo
Asati apora gardnerella kuvakadzi, vanachiremba vanoita zvakanyanya kuongororwa. Apo hutachiona hwehutachiona hwakafanana neHardnerella huchiwedzera mumuviri, zviratidzo hazvionekwi pakarepo kuvakadzi. Sezvakaratidzwa zvinoratidzira, pamwero wega, kubvira panguva yeutachiona kusvika kuchikamu chemukati chemakiriniki, zviratidzo zvinoshandiswa zvinotangira kubva mumazuva matatu kusvika kune gumi. Nguva yakawanda inodiwa kuti microorganism ikure uye iwedzere, kuwedzera ikaroni yayo. Mushure menguva yakaratidzwa, gardnerella kuvakadzi inokonzera kukanganisa kunotevera:
- kuwedzera muhuwandu hwekudzivirira kwemudzimai, kuchinja kuonekwa kwahwo, kuwana unhu husina kufadza;
- kuora kwehupenyu hwakanaka-kuwedzera kwekushisa kwemuviri, chills, kuonekwa kwechando zviratidzo;
- kunyorera nekutsva mumudzimai;
- hymeremia of the vulva;
- musimba simba;
- painful urination;
- kurwadziwa panguva yepabonde;
- kunyunyuta kwevabereki.
Excretions in gardnerellez kuvakadzi
Kutaura nezve gardnerellez, zviratidzo zvaro zvinorondedzerwa pamusoro apa, pakati pezviratidzo zvakajeka zvekuputsika kwevadzidzisi vegynecologists vanocherechedza kuchinja kwechimiro chezvinyorwa. Vanoonekwa pakarepo mushure mekuenda kumwedzi, zvepabonde. Chimiro chavo chimiro chinonhuwira chisingafadzi, chinokonzera kusuruvara kukuru kumukadzi. Varwere vanowanzozvifananidza nekunhuwa kwehove yakashata. Inowanzowedzera zvikuru mushure mekuita zvepabonde usina kondomu. Alkaline sperm environment inokurudzira kuumbwa kwemhepo isina kuchena. Mukuwedzera kune kunhuhwira, kubudiswa kwacho kunenge kwakangofanana nekanguva:
- kusatendwa;
- kuwirirana kusagadzikana;
- gray shade;
- usasiya mifananidzo pamapurasitiki.
Gardnerella kuvakadzi - kurapwa
Mushure mekuona chirwere chakadai sa gardnerellez, kurapwa kunotanga pakarepo. Nheyo yerapi ndiyo antibacterial drugs. Nzira yekurapa inosanganisira zvikamu zviviri: kuderera mumusana wejasnerella nekudzorerwa kwechirwere chechidiki chemukadzi. Nzira yekurapa gardnerellez mune chiremba chiremba anogadza mumwe nomumwe, kusarudza zvinodhaka zvinotarisa kuoma kwechirwere ichi, zviratidzo, danga rehutano hwehutano. Panguva imwe chete nemishonga inorwisa mabhakitiriya, sezvo mari yakawedzerwa inogona kushandiswa:
- anti-inflammatory;
- immunomodulators.
Kurapa gardnerelleza kuvakadzi - zvinodhaka, chirongwa
Kurapa gardnerelleza kuvakadzi kunobva pamishonga inorwisa mabhakitiriya. Kubudirira mukurwisa chirwere ichi imishonga ine metronidazole. Inogona kushandiswa zvose zviri mukati uye mukati. Urongwa hwehutano gardnerelleza kuvakadzi hunogona kutarisa seizvi:
- gel - Metrogil , Flagil, Klion-D 100, zvinodhaka zvinoshandiswa muimba yegina 2 times a day for 5 days;
- Dalacin - inoshandiswa kamwe chete pazuva, usiku kuti irove chikadzi chechikadzi, nzira yekurapa - mazuva manomwe.
Sehwendefa ine Metronidazole, vanachiremba vanotaura:
- Clion;
- Medazole;
- Trichopol;
- Efloran;
- Metrogil.
Nzira yekurapa inogadzirwa mumwe nomumwe. Kazhinji, vakadzi vanorayirwa 500 mg yemishonga kaviri pazuva. Nguva yeutachiona inenge mazuva manomwe. Nekuregererwa kwemavara e gardnerellosis, dzidzo inogona kuwedzerwa kusvika mazuva gumi nemaviri. Kubudirira kwechirapa kunoongororwa ne laboratory diagnostic, pamagumo edzidzo
Makhanduru kubva kumunda weuserzaza kuvakadzi
Kutaura nezvenzira yekurapa gardnerellez, vanachiremba pakati pemamwe mafomu emayero vanoisa mberi suppositories. Makese kubva kuJardnerellez anobatsira kukurumidzira kubvisa chirwere chacho, kuderedza zviratidzo, kunatsa hutano hukama hwakanaka. Iine zvinhu zvakadai seMetronidazole kana Tinidazole. Zvinyorwa zvinoshandiswa mukati mechiratidzo chevakadzi mumangwanani nemanheru. Nzira yekurapa inopedza mazuva masere. Utachiona hunotanga 1-2 mazuva mushure mokuguma kwemwedzi. Pakati pezvokudya zvinowanzoitirwa kurapa gardnerelleza:
- Terzhinan ;
- Metrovagin;
- Metrovit;
- Metronidazole.
Gardnerellez - migumisiro
Pakati pemigumisiro inokonzera gardnerella, kuberekwa ndiko kunonyanya kuipa kwevakadzi vaduku. Kusava nechirwere chekurapa, nguva isingazivikanwi yechirwere ichi chinotungamirira kuchinja kusingagadziriswi muhutano hwekubereka. Kakawanda, gardnerella kuvasikana vaduku inokurudzira:
- adnexitis;
- salpingitis ;
- Matambudziko ekutanga kwekuita pamuviri - kuberekwa nguva isati yasvika, mushure mutsva wepentecenta.
Gardnerella panguva yekuzvitakura
Gardnerella, kuvapo kwaro kwakagadzirirwa chete apo hutachiona huchikura, hunowanzowanikwa kunyange kana mwana aberekwa. Mumamiriro ezvinhu akadaro, kurapwa kwechirwere ichi kunoitwa pasi pekutarisa kwevakadzi vegynecologists, kurapwa kwegazvi hakuna kugamuchirwa. Mishonga inorwisa mabhakitiriya inorayirwa kwete mberi kwemasvondo gumi nemasere ekuberekwa - nguva ino isati yasvika, vanachiremba vanoshandisa maitiro ekutarisira. Mune mamiriro ezvinhu apo maitiro ayo amai vanopfuura dambudziko rezvinetso mumucheche, shandisa Ampicillin mumutatu wekutanga. Metronidazole inoshandiswa mumutambo wechipiri uye wechitatu.
Gardnerella - kudzivirira
Kudzivirira gardnerelleza kuvakadzi kunosanganisira imwe nhamba yemitemo. Kuvatevera kunodzivirira kukura kwechirwere mune zvinopfuura 90% zvezviitiko.
Pakati pemitemo inokosha:
- Upenyu hwepabonde nehukama hwepabonde nguva dzose. Kana zvisina kudaro, senzira yekudzivirira, zvakakosha kushandisa kondomu.
- Kuteerera nemitemo yehukama hwakachena.
- Ita kuti muviri uchengetedzwe nekutora vitamini complexes.
- Kudzivirirwa kwezvirwere zvinopararira muhutano hwekubereka.
- Kuongororwa kwenguva nenguva kwezvirwere zvechirwere.
- Kubatanidzwa mukudya kwezvinhu zvakakonzerwa nemukaka, izvo zvinoita kuti kuchengetedza majekesheni anobatsira mumudzimai.