Gardnerellez mwa amayi - matenda opatsirana omwe amagwirizanitsidwa ndi dysbacteriosis wa chilengedwe, komanso kudera la gardnerella komanso kuchepa kwa chiwerengero cha mabakiteriya a lactic acid. Chronic gardereerellez imayambitsa matenda opweteka a ziwalo zogonana, umaliseche, endometritis, amaonedwa kuti ndi chofunika kwambiri kuti chitukuko cha adnexitis (kutupa thupi mu mazira ndi mazira ochulukirapo), zikhale zovuta panthawi yobereka ndi mimba.
Gardnerella kwa akazi: zomwe zimayambitsa
Gardnerella vaginalis (kalasi ya anaerobes yokhayokha) mwazing'ono nthawi zonse imakhalapo mu microflora ya vagin, popanda kuvulaza ndi zizindikiro za gardnerellez. Otsatira a Gardnerella vaginalis ali 25-45% a amayi abwino omwe ali ndi zaka zosiyana. Kuwonjezereka mwakhama kwa gardnerella mothandizidwa ndi zinthu zowopsya / zodziwika zimayambitsa kusuntha kwa lactobacilli ndi kubzala zomera za Gardnerella vaginalis. Chotsatira chake, vuto la disbiotic la mucosa likupita, zomwe zimateteza komanso njira zomwe zimakhala m'maselo a vaginito. Gardnerella imabweretsa mavitamini ambiri a amino ndi asidi a pyruvic, omwe ndi ofunika kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda ndi zakudya zamthupi. M'kati mwa mafinya amino amadzimadzi amtunduwu, amines omwe ali ndi fungo losasangalatsa la nsomba yovunda amamasulidwa.
Etiology ya gardnerellez:
- Kusambitsana kawirikawiri (kutsuka kwa lactobacilli);
- kugwiritsa ntchito mankhwala oteteza klorini (Miramistin, Gibitan);
- kugwiritsa ntchito njira za kulera zophatikizapo 9-nonoxinol (makandulo Patentex, Nonoxinol);
- chiwerewere mu kugonana;
- kudya mopanda nzeru kwa mankhwala opha tizilombo;
- matenda a urogenital;
- kuwonetseredwa kwa dzuwa kwa nthawi yaitali;
- m'mimba dysbiosis;
- zolephera za hormoni. Ntchito ya mazira ochuluka amatsimikizira ntchito yobereka ya lactoflora. Chigawo cha mahomoni m'zochitika zamtundu wa gardnerellosis chimalongosola kuti matendawa sapezeka kawirikawiri ali mwana (zaka 14-18) komanso nthawi ya kusamba;
- kuchepetsa mphamvu ya chitetezo cha mthupi kwa opatsirana opatsirana;
- phwando la mankhwala opatsirana pogonana, kukonzekera mahomoni.
Gardnerella kwa amayi: zizindikiro
Chinthu chachikulu cha matendawa ndi kupezeka kwa maonekedwe a kunja kwa mazira, mwa 50% odwala gardnerellez amayamba ndi zizindikiro zowonongeka. Kafukufuku wamakono amasonyeza kuti dystrophic deformations ikuphatikizapo njira zoperewera m'thupi. Nthawi zina pali njira yowonongeka ya matendawa - kusowa kwathunthu kwa zizindikiro zachipatala kumbuyo kwa mayeso abwino a labotale. Zizindikiro zomveka za gardnerelleza: kumakhala koyera-kofiira kofiira, kununkhira kwa nsomba yovunda, kupweteka / kuyabwa mu coitus.
Gardnerella mwa amayi: chithandizo ndi matenda
Kudziwa kuti "gardnerellez" kumachokera pa deta ya anamnesis, kuchipatala ndi kuwonetsetsa - pH-metry (kutsimikizika 80-99%) ndi aminotest. Poyesedwa kwa gardnerellosis, kuyesedwa kwina kuli kofunikira kwambiri kuti asatenge matenda opatsirana pogonana - mankhwala a chiberekero, gonorrhea, trichomoniasis.
Njira yothandizira ili ndi magawo awiri:
- Kuthetsa matenda ndi kugwidwa kogwirizana. Gardnerelles sagwirizana ndi kaminoglikozidam, sulfonamides, tetracyclines, cephalosporins; kumvetsetsa kwa cClindamycin ndi ampicillin. Mankhwala osankhidwa ndi Clindamycin ndi Metronidazole. Pofulumizitsa ndondomeko yowonongeka, thupi limatulutsa thupi. Ndikoyenera kuti tipewe kugonana popanda kugwiritsira ntchito makondomu nthawi ya kumwa mankhwala.
- Kubwezeretsa kachibadwa ka microbiocenosis. Lembani eubiotics (Bifidumbacterin, Acilactum, Lactobacterin), zomwe zimapangitsa kukula kwa lactoflora komanso kuthandizira kuchepetsa chiwerengero cha matendawa.
Gardnerella ali ndi mimba
Matendawa amapezeka mu 15-25% a amayi oyembekezera. Kukula kwa matenda a intrauterine pamene ali ndi mimba si khalidwe - njira zotetezera za thupi la mayi zimateteza mwanayo kuti asatenge kachilombo ka HIV, koma matendawa amachititsa kuti maselo asatetezedwe, zomwe zingabweretse mavuto osiyanasiyana: kubadwa msanga, postpartum sepsis, chorionamionitis. Ngati gardnerella imapezeka mukufufuza, nkofunika kuti muyambe kulandira chithandizo ndi Trichopolum, Ornidazole, Metrogil kapena Metronidazole komanso kutenga maantibiobio. Njira yabwino kwambiri yodzisankhirayo imasankhidwa ndi dokotala yemwe akupezekapo payekha.
Gardnerella mwa amayi: mankhwala kunyumba
Musanayambe kulandira mankhwala mothandizidwa ndi mankhwala ochiritsira, ndibwino kuti mufunsane ndi dokotala kuti musapewe mavuto ndi zotsatirapo. Thandizo liyenera kuchitidwa ndi kuyang'aniridwa ndi zachipatala ndi kafukufuku wa odwala pakadali pano. Kudzipiritsa kungakhale koopsa!
Msuzi ku phytospores:
- Tengani mofanana mofanana ndi muzu wa althaea, udzu wa cudweed, sweet clover, masamba a nettle, blueberries, maluwa a lavender, masamba a pinini. Nkhumba zazikulu zitatu za kusonkhanitsa kusamba ndi madzi okwanira amodzi otentha, wiritsani kutentha kwakukulu kwa mphindi 10-15, kutsanulirani mu thermos, tsatirani maola 10-12. Gwiritsani ntchito milliliters 120 kwa mphindi 30-40 musanadye masana;
- kuti aziphatikizana mofanana ndi udzu wa timbewu tonunkhira, wintergreen, maso a maso, masamba a eucalypt, amayi ndi azimayi opeza, bearberry, maluwa a clover, tansy, mizu ya badana. Thirani supuni zitatu za zokololazo ndi lita imodzi ya madzi otentha, wiritsani mphindi khumi ndi zisanu ndi ziwiri, imani mu thermos 10-12 maora, mutenge 120 milliliters musanadye chakudya masana.
Tampons:
- Konzani yankho la apulo cider viniga (supuni ya supuni) ndi katsulo karoti (supuni), gwiritsani ntchito pansalu ya gauze, kulowetsani mumaliseche kwa mphindi 20-25;
- Konzani chisakanizo cha madzi a buckthorn / mafuta a maolivi ndi madzi a alosi (1: 1), gwiritsani ntchito pepala laching'ono, lowetsani m'mimba kwa maola 10-12.
Kusamalitsa kusamba kokha:
- maluwa a marigold, chamomile, mtedza masamba, oak makungwa.
Tiyi ya mankhwala kuti tilimbikitse chitetezo:
- quince (1 pieces), mandimu (1 pieces), adyo (mano 7-9), chitumbuwa chatsopano (2 makapu), maapulo (2 zidutswa), madzi (2.5 malita). Zosakaniza bwino, sungani, sungani madzi otentha. Imwani mamita 100-120 milliliters 4-5 pa tsiku.
Kupewa gardnerelleza mwa amayi:
- kukhalapo kwa bwenzi limodzi, kugonana kwabwino;
- kuthetsa kugonana kosayenera;
- kusunga ukhondo wochuluka, kusinthana nthawi zonse pamapope / matamponi pa nthawi ya kusamba;
- kulimbikitsa chitetezo;
- kuvala zovala zamkati zopangidwa ndi zipangizo zachilengedwe;
- Matenda a panthawi yake a matenda opweteka a ziwalo za m'mimba.
Gardnerella mwa amuna
Kutengera kwa munthu makamaka kumachitika pa coitus ndi chotengera chachikazi cha gardnerella. Njira yothandizira odwala matendawa (pogwirana chanza, kupsompsona, kusambira, kusambira) osatulutsidwa. Zosowa za gardnerellosis mwa amuna ndi izi: Kuphatikizidwa / kutumiza matenda a mavitamini, mankhwala oletsa tizilombo toyambitsa matenda, kugwiritsa ntchito ma immunosuppressants, kuchepa kwachitetezo cha umoyo waumunthu motsutsana ndi vuto la thupi / maganizo. Mu thupi gardnerella amuna amakhalapo kwa nthawi yaitali sangathe - amachotsedwa patatha masiku 2-3 atagunda. Pakati pa 7-10% ya milandu, anaerobes amakhalabe mu urological tishu - pali kugwirizana ndi gardnerella balanoposthitis (nonspecific urethritis).
Gardnerlellosis mwa amuna: zizindikiro
Nthawi zambiri, kulumikizana kwa ziwalo zoberekera ndi Gardnerella sikupereka chizindikiro chachikulu. Kawirikawiri matendawa amadziwika mwa kuwotcha / kupweteketsa panthawi ya kukodza, ndi zowonongeka zowonongeka bwino ndi fungo la nsomba za stale.
Mavuto:
- prostatitis;
- vesiculitis (kutupa kwa maselo a seminal);
- urethritis (yotupa njira mu urethra).
Kuzindikira ndi chithandizo cha mankhwala kwa gardnerellosis mwa amuna
Zomwe zimaphatikizapo ndikuphatikizapo: kufufuza kwa ejaculate, mkodzo, kutsekemera kwa prostate, kuchotsa ku urethra ndi polymerase chain reaction (enieni 98%). Mankhwala ochiritsira amasankhidwa payekha, kuganizira kukhalapo / kusowa kwa matenda opatsirana pogonana ndi kukana kwa causative wothandizira mankhwala. Lembani Levofloxacin, Clindamycin kapena Doxycycline. Pakati pa kumwa mankhwala, tikulimbikitsanso kutsatira zakudya zomwe zimatanthauza kukana mowa, mafuta, kusuta, zokometsera zokometsera. Mawonetseredwe oopsa a matendawa, zimagwiritsidwa ntchito kuti zibwezeretse mucosa ndikuwonjezera chitetezo cha mthupi. Malingana ndi zizindikirozo zimayikidwa mankhwala otsutsana ndi mankhwala osokoneza bongo, makompyuta a ma microelements ndi mavitamini. Pofuna kupewa matenda opatsirana ndi gardnerella, nkofunika kutsatira njira zothandizira: kupewa kugonana ndi mkazi wamsambo, gwiritsani ntchito kondomu pa nthawi yogonana ndi mnzanu wosakwatiwa.
Gardnerelosis mwa amayi ndi matenda omwe amapezeka m'mlengalenga, zomwe zimafuna kuti munthu adziwe kuti ali ndi chidziwitso choyenera. Ngati kuphwanya kwa microflora ya umaliseche kumapezeka, nkofunika kuti mupeze mankhwala abwino - izi zidzakuthandizani kupeĊµa zovuta panthawi yoyembekezera ndi kubala, kusunga thanzi labwino kwa nthawi yaitali, ndi kusintha umoyo wa moyo.