Gonorrhea muvakadzi, zviratidzo zvinowanikwa mushure mechinguva, zvakajairika. Nzira huru yekufambisa kwayo ndeyepabonde. Ngationgororei zvakanyanya nezvechirwere, zvikonzero zvaro, zviratidzo uye nzira dzokurapa, tichazoona: sei gonorrhea inoratidzirwa nevakadzi, nzira dzekuongororwa kwayo.
Pathogen ye gonorrhea
Icho chinokonzera causative yehutachiona hwehupombwe iyi gonococcus - microorganism iyo ibhakitiriya yakawirirana. Kunze kwekunze, iyo pathogen yakafanana nemafuta ekofi, iyo inobatanirana nemativi ekudzikisa. Zita rechiLatin ndiNeisseria gonorrhoeae. Izvi zvinokonzera kukanganisa zvakatanga kurondedzerwa muna 1879, neasayendisiti weGermany Neiser. Zvakananga nezita rake uye akadana microorganism.
Iyo pathogen inogona kuvapo mumuviri kwenguva yakareba pasina kukonzera kliniki yemifananidzo. Izvi zvinokonzera kugona kuongororwa kwechirwere - inenge pakukwirira kwayo. Kudengenyeka kunoitika panguva yepabonde. Ukana hwehutachiona nehutachiwana pabonde dzisina kudzivirirwa nemumwe munhu ane hutachiwana hunosvika 90%. Kushandiswa kwemichina yekudzivirira kubata pamuviri zvinorega kutadzisa kutapurirwa.
Zviratidzo zveGonorrhea muvakadzi
Zviratidzo zvegonorrhea mukati mevakadzi zvinogona kuonekwa mushure menguva refu mushure mechiito. Izvi zvinokonzerwa nezvinokosha zvekugadzirwa kwepathogen, nyika yezvirwere zvemuviri zvemukadzi. Chirwere chemakiriniki chechirwere chinotarirwa chete nenzvimbo yehutachiona hutano. Simbe gonorrhea isingazivikanwi muvakadzi vane zviratidzo zvakavanzika kana kuvharwa nekuputika kwechiremba uye kubereka.
Vangani vakadzi vanobatwa negonorrhea?
Nguva yekudzivirira nguva yegonorrhea kuvakadzi inotsanangurwa nehutano hwemunharaunda. Saka, nguva yaro kubva panguva yehutachiona musati yamboonekwa yekliniki yezviratidzo, inopindurwa mukati mema 5- 5- mazuva. Muchiitiko ichi, kazhinji chirwere hachikwanisi kuratidzwa, mukadzi anonzwa ane utano. Iyo pathogen inowanikwa kuburikidza nekuongororwa kune gynecologist, kutakura smears kubva kumadzimai uye urethra. Kuvapo kweGonococcus kunoratidza kudiwa kwehutano chaihwo. Gonorrhea muvakadzi vechidiki, zviratidzo zvayo zvinoratidzwa munyaya yacho, zvinowanzoitika, nekuda kwehupenyu hwepabonde hunoshanda.
Gonorrhea - zviratidzo zvevakadzi, zviratidzo zvokutanga
Zviratidzo zvekutanga zvegonorrhea mukati mevakadzi zvinoratidzika mazuva mashanu kubva shure kwehutachiona (pahuwandu). Varwere vanonyunyuta pamusoro pekurumidza kushungurudzika, kurwadziwa mukati mekurera, izvo zvakanyanya kukura pakutanga kwechiito. Pane nguva yakawanda yekukurudzira kuenda kuchimbudzi, nenguva - kubudiswa kubva kumudzimai. Chimiro chavo chinopindirana ne:
- itching;
- kupisa;
- kushungurudzika mumudzimai;
- marwadzo mumimba pasi.
Pane imwe nguva, mumukana wakaoma wegonorrhea, zviratidzo zvisingaoneki zvinogona kuoneka, pakati pazvo:
- kuwedzera kwekushisa kwemuviri;
- kusuruvara mumutsipa.
Painoongororwa muzvigaro zvechirwere chevarwere vane gonorrhea, gynecologist inotaura zvipembenene zvinokonzera uterine mucosa, kufambisa kunze kwekunze kwekunze kwechiremba. Kubva pakumuviri wemukati, purulent kubuda kunooneka. Kuti kusimbise chirwere ichi uye kugadzirisa kugadziriswa kwekupedzisira, laboratory maitiro ezvinyorwa zvakatorwa kubva kumakumbo ega anopiwa.
Gonorrhea muvakadzi - zviratidzo, kubudiswa
Kugoverwa mune gonorrhea muvakadzi iko purulent. Mavara avo anokwanisa kusiyana, uye zvichienderana nesiteji yehutano hwehutano. Kazhinji kacho kuchena-kuchenesa kubuda, kuoma uye kuvhara. Apo kuongorora kwechikadzi, kuzvikudza nokudzikinura kwechiremba kunonyorwa, izvo zvinoratidzira chirwere chekuvhiringidza mukati mehutano hwemukadzi.
Apo gonococci inopinda yakakwirira mu urrogenital system, inopa ropa, ine kusanganiswa kwepus excretion. Ropa mavari rinowanikwa apo pathogen inokonzera mucous membrane yemugero wechiberekero. Nekuchinja kwakadaro, vakadzi vanocherechedza kuwedzera kwemarwadzo mumimba pasi. Muchembera panguva imwechete inowedzera muhukuru, inorwadza kunyange panguva yekurwadziwa kuburikidza nehutambo hwemimba dzomukati.
Gonorrhea inopera muvakadzi - zviratidzo
Nemhaka yekufamba kwenguva, kusavapo kwekliniki yakajeka, chisingaradzi gonorrhea inokura muvakadzi. Zvirwere zviri mumufananidzo uyu zvinoratidzirwa nenzira ine usimbe. Zviratidzo zvinonyangarika kwekanguva uye zvinoonekwa zvakare mushure menguva pfupi. Zviratidzo zvechirwere ichi muvakadzi ndezvi:
- zvinorwadza mukati mechitatu chechikamu chemuviri, izvo zvinowedzera nekuenda kumwedzi;
- purulent-mucous, dzimwe nguva kutarisa kubva kumudzimai;
- kushungurudzika munharaunda yechipararira;
- fever.
Nzira isingagumi yehutachiona inopesana nehutachiona hutano hwekubereka. Kutendwa kweizvi ndiko kunowanzoongororwa kwehutachiona paunenge uchiongorora mukadzi nezvekushaya mwana . Gonococcus inotungamirira kushanduko mu endermrium ye uterine, zvipfeko, nekuda kwekuti iyo yekudyarwa kweii inenge isingaiti. Kururamisa kurapa kunogona kugadzirisa mamiriro acho ezvinhu. Kurapa kwechirwere chegonorrhea kune vakadzi kunosanganisira kwenguva yakareba mishonga inorwisa mabhakitiriya.
Kuongorora kwegonorrhea kune vakadzi
Usati watora smear ye gonorrhea kuvakadzi, varwere vanorayirwa kugadzirisa gynecologist. Zvakananga nekuongorora gynecological, zvigadzirwa zvehupenyu zvakagadziriswa. A smear on gonorrhea pakati pevakadzi inosanganisira feni yezvinhu kubva kumadzimai, urethra, chibereki. Samples inowanikwa mukuedzwa kwemashubhu uye ichiendeswa kub laboratory yekutsvakurudza. Kuongororwa kwegonorrhea kunoitwa uchishandisa nzira dzinotevera:
- Kukurudzirwa - kunosanganisira kudyara kubudiswa kwemudzimai kubva kumudzimai kusvika kune utachiona hwemashoko. Nzvimbo yemakorikari inonzi pathogenic yakasimwa, iyo inogona kuongororwa zvakare nokuda kwekushushikana nemishonga inorwisa mabhakitiriya ekurapwa.
- Smear microscopy - kuongororwa kwezvinhu zvakagadzirwa pasi pe microscope.
- Polymerase-chain reaction (PCR) - inobatsira kuona DNA yepathogen mumuenzaniso wezvinhu. Anoziva chirwere ichi musipo kwechiitiko chakaoma.
- IEEISA test ndiyo nzira inosanganisira kuonekwa kwegonococcal antibodies uye antigen mune murwere ropa romuenzaniso.
Kurapa kwegonorrhea kuvakadzi
Asati aporesa gonorrhea kuvakadzi, vanachiremba vanodzidza zvakakwana. Kazhinji chirwere chacho chinopindirana nedzimwe nzira dzekudzivirira hutano muhutano hwekubereka. Chirwere chacho chinorapwa mumatanho maviri: kuparadzwa kwezvinyorwa zvepathogenic uye kudzorerwa kwechidimbu chinonzi microflora . Kurapa kwegonorrhea kune vakadzi kumba kunosanganisira kushandiswa kwemishonga inorwisa mabhakitiriya, iyo inosarudzwa mumwe nomumwe. Inogona kushandiswa, semunharaunda - vaginal suppositories, kirimu, mafuta, uye nemuromo - mahwendefa.
Kurapa kweGonorrhea muvakadzi - zvinodhaka, chirongwa
Gonorrhea mukati mevakadzi, zviratidzo zvaro zvinorondedzerwa pamusoro, zvinoda imwe nzira yekurapa. Kusarudza mahwendefa kubva kuGonorrhea kuvakadzi, vanachiremba vanotora mukana wekugadzirisa chirwere chemaitiro, kuoma kwezviratidzo. Inenge mu30% yematambudziko chirwere chacho chinosanganiswa nehutano hwakafanana nechlamydia. Nemhaka yeizvi, nzira yekurapa inosanganisira kushandiswa kwemishonga inorwisa mabhakitiriya inobatsira kurwisa gonococcus:
- Cefixime - 400 mg muromo, kamwe;
- Ciprofloxacin - 500 mg, kamwe;
- Ofloxacin - 400 mg mumuromo kamwe (shandisa imwe yemishonga iyi).
Kurwisa chlamydia, zvinodhaka zvinotevera zvinoshandiswa:
- Azithromycin - 1 g, kamwe;
- Doxycycline - 100 mg, kaviri pazuva, mazuva manomwe mushure.
Makhanduru eGonorrhea
Tichifunga nezvekurapa kwegonorrhea mune vakadzi, zvinodhaka hazvisi iyo chete nzira. Utachiona hunogona kuitwa nekushandiswa kwezvinodhaka nenzira yeidhodho. Mishonga yakadaro yegonorrhea kuvakadzi ine mamiriro emunharaunda munharaunda dzepabonde, kubvisa nokukurumidza zviratidzo zvechirwere. Zvinodhaka zvinorayirwa mumwe nomumwe, zvichiratidza nguva yakawanda yekushandiswa, kuwedzerwa uye nguva yekushandiswa. Mukurapa kwegonorrhea kazhinji shandisa:
- Hexicon;
- Betadine;
- Metronidazole.
Migumisiro yegonorrhea yevakadzi
Kana pasina mushonga, gonorrhea mukati mevakadzi inokonzera kuchinja muhutano hwekubereka. Saka, hutachiona hunobva kumadzimai hunopinda mumuviri, iyo tubhu. Izvi zvinotungamirira mukuputsa kwehutano hwehutoripian tubes, kuita kuti mimba isakwanise. Pakarepo mukugadzirisa zvikonzero zvekushaya, uye akawana gonorrhea. Kuunganidzwa kwepus mu uterine cavity kunogona kutungamirira kuhutano hwakadai se hydrosalpinx. Icho chiri pamwe chete nekuwedzera mukati mechibereko, kurwadziwa kwakanyanya muchechi chechitatu chemuviri, kunyanya kudha muviri. Pakati pezvinokonzera zvinetso zvegonorrhea zvinogona kuonekwa zvakare:
- pelvioperitonitis - kupera kwe fallopian tubes kana chiberekero pamwe nekubudiswa kwepurasitiki mukati memudumbu
- Bartholinitis - kuputika kwezvinyorwa zveB Bartholin pamusi wevakadzi.