Kune marudzi akasiyana-siyana ezvirwere zvepabonde (zvinonzi zveSDD). Chimwe chezvirwere izvi gonorrhea (kana gonorrhea). Chirwere ichi chinoparadzirwa kunyanya mumukati uye pabonde . Dzimwe nguva hutachiona hunoitika nenzira yemuromo. Vana vanozvarwa patsva uye avo vanorwara neamai vari panjodzi. Mune mamiriro ezvinhu epamba, gonorrhea haisi kuparadzirwa.
Kuongororwa kwegonorrhea
Munhu wose ane hutano hwepabonde, zvinoda kuongororwa nachiremba kamwechete pagore, zviri nani kazhinji. Pachidzidzo chega chekudzivirira chiremba anotora swab ye microflora kubva kumadzimai ekudzidzira. Kuvapo kwegonococci mu smear pa gonorrhea chiratidzo chekufamba kwenguva kwechirwere, kana kuti chinotakura.
Iyo nguva yenguva yakareba yehutachiona inowanikwa mazuva matatu kusvika ku10. Kazhinji chirwere chacho hachina kumira. Zviratidzo zvikuru zvegonorrhea ndezvi:
- kazhinji kukurudzira kurinate;
- kutsva, kurwadziwa pavanenge vachienda kuchivanze;
- kuchena kwechichena kuchena kubva kumadzimai.
- dzimwe nguva utsi hwemuviri hunomuka, huroti rinorwadza.
Kutora smear for gonorrhea
Zvichienderana nehutano hwomurwere, maitiro akasiyana anoshandiswa kutora swabs ye gonorrhea. Mumwe gynecologist anotora kuongorora gonococci muvakadzi vane vaginal mucosa, swab yekervical uye urethra. Mushure mokunge imwe yemhando inoshandiswa kune girazi rinokosha uye inotumirwa ku laboratori yekutsvakurudza. Iyi nzira haina kuitwa panguva yekuenda kumwedzi.
Kutora smear ye gonorrhea muvarume kunongowanikwa chete kubva muchiremba. Asi kuongorora kwakadaro hakuna kubviswa kubva pus inoputika, asi kuburikidza nokuisa mukati me urethra purogiramu chaiyo. Pamberi peizvi, zvinokurudzirwa kushambadza urethra, prostate.
Usati watora swabs yegonorrhea, vose vakadzi nevarume vanofanira kurega kutora mishonga inorwisa mabhakitiriya, kuita zvepabonde, uye kwemaawa 1.5-2 asati vatora mashoko, kurega kuenda kuchivanze uye kuchenesa.
Kuongorora smear paGonococcus Neisser mu laboratori
Mu laboratori yekuongororwa kwegonorrhea yakashandiswa kanowanzova mabhakitiriya uye mabhakitiriya emhando dzekutsvakurudza. Dzimwe nguva inoshandisa immunofluorescent, immuno-enzyme, serological method. Nzira itsva idzi dzinonzi PCR uye LCR.
Bacterioscopic smear test for gonococci
Mune nzira ye laboratori yekuongorora, nyanzvi yekuongorora yakasvibiswa pane slide. Kazhinji kacho, 1% zvinogadziriswa zve methylene bluu kana bhandi bhuruu zvinoshandiswa pane izvi. Kana yakasvibiswa ne-methylene bluu, gonococci inovaraidza inomira pakati pemasero mabhuruu. Asi ruvara rwebluish rine chinhu chaicho chinoratidza, nokuti zvose cocci zvakavezwa mubhuruu.
Mhedzisiro yakagadziriswa pamusoro pemigumisiro yekuongororwa inopiwa zvichienderana nekupenya kwezvinyorwa nenzira yeGram. Iyi nzira ndeyokuti gonococci discolour kubva pamigumisiro yewaini, uye cocci, iyo isiri yejenisi yeNeisseria, inoramba yakanyengedzwa.
Bacteriological analysis of gonococcal smear
Iyi nzira yekuongorora swabs ye gonorrhea inogadzirwa kana gonococci isina kuonekwa panguva yebactorioscopy. Iko kuongorora kunoitwa neku "mbeu" iyo nyanzvi mumusviki chaiwo. Kushanda kubereka kwegonococcal microorganisms kuchagadza kuvapo kwechirwere.
Kuongorora smear kwegonococci kunotsanangurwa nenzira inotevera:
- mhinduro yakanaka - mumashoko akawanikwa gonococci yeNeisser; inonzi inofadza apo kuvapo kwemaperemia nekupinda mukati kunopfuura mamita 5 mm;
- mhedzisiro yakaipa - DNA yeGonococci yeNeisser haina kuwanika mumuenzaniso.
Mhedzisiro isina kunaka inogonawo kukonzerwa nehurombo hwehutano hwehutachiona.