Gonorrhea
Matenda opatsirana opatsirana, omwe amachititsidwa ndi gonococci. Zina mwa matenda opweteka kwambiri a chiberekero, kachilombo ka gonorrya kamakhala kachiwiri.
Gonococci mwa amayi amakhudza mbali zonse za njira ya genitourinary yomwe ili ndi epithelium yamakono: mchere wa chiberekero, mitsempha ya bartholin, mazira a chiberekero, mazira, mazira, peritoneum a pelvis. Pakati pa mimba, ali mwana komanso nthawi ya kusamba, matendawa amatha kuchitika.
Gwero la matenda ndi munthu amene ali ndi matendawa.
Njira za matenda .
- matendawa amafala makamaka pogonana;
- kudzera mu kugonana kwa amuna okhaokha, kugonana pamimba;
- kawirikawiri kawirikawiri - kudzera mu nsalu, zovala, zitsulo;
- panthawi yobereka kuchokera kwa mayi wodwala (diso ndi zowonongeka kwa atsikana).
Kwa amayi, chithunzi cha kachipatala cha gonorrhea sichiri chofanana ndipo zimadalira momwe zimakhalira, kuyambira kwa tizilombo toyambitsa matenda, zaka za wodwala, kuyanjanitsa kwa thupi lake, siteji ya matenda (ovuta, aakulu).
Mafinya atsopano mu mawonekedwe ovuta amawonetsedwa ndi chithunzi chodziwika bwino: kutentha kumatuluka, ululu waukulu umapezeka m'mimba, ndipo umaliseche umakhala ngati wobiriwira. Pali kupweteka ndi kuyaka pamene mukukaka, zofuna nthawi zambiri. Palinso kutupa ndi ma hyperemia a maonekedwe a kunja.
Mtundu wotchedwa gonorrhea umaphatikizidwa ndi chikhalidwe chochepa, nthawi zambiri zizindikiro zachipatala zimapezeka. Kulimbana ndi matenda omwe ayamba kale kuposa masabata awiri apitawo. Chiwopsezo chimakhala ndi zizindikiro zochepa chabe kapena zimakhala zovuta, koma mayi ali ndi gonococci mu kafukufuku wamatsenga. Ndi mavitamini apakhungu otchedwa gonorrhea ndi bacterioscopic chitsimikizo sichipezeka, zizindikiro siziripo, koma odwala ndiwo omwe amachokera ku matenda.
Gonorrhea mwa amayi omwe ali ndi pakati nthawi zambiri amakhala osakwanira. Zingayambitse mavuto a mimba, kubala ndi nthawi ya postpartum, komanso pali vuto lalikulu kwa mwana wakhanda ndi mwana wakhanda. Zingatheke zovuta m'ma mayi (chorioamnionitis, subinvolution of chiberekero, endometritis), m'mimba ya fetus (prematurity, anophthalmia, intrauterine sepsis, imfa). Kuchotsa mwadzidzidzi kutenga mimba ndi koopsa chifukwa cha kuthekera kwa kachilombo ka chiberekero, mazira, mazira oyipa.
Gonorrhea mwa ana. Njira yokhayikitsa matenda: Pakatuluka ana, kachilombo kawopsa kamapezeka pamene mwana akudutsa mumtsinje wobadwa nawo, kapena kudzera mu amteroo fluid, komanso kuchokera kwa mayi wodwalayo pamene akusamalira mwana wakhanda. Ana okalamba akhoza kutenga kachilombo kogawana kapena thaulo, nsalu yachapa, kusamba. Gonorrhea mwa atsikana ndi ovuta kwambiri ndi kutupa kwakukulu ndi ma hyperemia a mitsempha ya ziwalo zoberekera, kutuluka kwa thupi, kupuma, kuyabwa. Kutentha kwa thupi kukhoza kuwuka, koma ndi kotheka komanso kutuluka kwa thupi. Gonorrhea mwa atsikana amapereka mavuto ofanana omwe amawonedwa mwa amayi achikulire. Kutengera kwa anyamata kumapezeka kawirikawiri chifukwa cha zenizeni za kapangidwe ka ziwalo zoberekera.
Chizindikiro
Matenda opatsirana opatsirana, omwe amafalitsidwa pogonana.
Wothandizira matendawa ndi microorganism wotumbululuka treponema. Gwero la matenda ndi munthu wodwala.
Njira zodalirika za matenda :
- Zogonana - chachikulu;
- ndi kugonana kwa amuna okhaokha, kugonana-chiwalo;
- abambo - kawirikawiri ana, pokhala nawo pafupi (pamene mwana wagona ndi kholo lodwala, amagwiritsa ntchito zinthu zoyera). Njira ya tsiku ndi tsiku yotenga matenda pakati pa akuluakulu imachitika kawirikawiri, mwachitsanzo, pakupsompsona, pamene pamphuno ya pakamwa pamakhala mphuno ya syphilitic ndi pamwamba;
- katswiri - poyezetsa odwala chifukwa cha chisa, zomwe zimatuluka pakhungu kapena muchumane ndi malo ozizira;
- transplacental (kupyolera mu pulasitiki) - pamene mayi wapakati ali ndi kachirombo ka HIV, makamaka mawonekedwe achiwiri. Kenaka mwanayo akuyamba syphilis congenital;
- Kusakaniza (zosavuta kwambiri) - chifukwa cha kuikidwa kwa magazi kuchokera kwa wodwala ndi syphilis.
Kliniki. Popeza kuti tizilombo toyambitsa matenda timalowa m'thupi ndikufika ku zizindikiro zoyamba za matendawa, pafupifupi masabata 3-4. Ichi ndi chomwe chimatchedwa nthawi yosakaniza. Wothandizira mankhwalawa amalowa kale mu thupi, koma wodwala alibe zodandaula ndi mawonetseredwe a matendawa. Ngakhale panthawiyi munthuyo ali kale ndi kachilomboka. Pambuyo pa nthawi ya makulitsidwe, malo okha omwe tizilombo toyambitsa matenda timalowa timayambira zizindikiro zoyamba. Ichi ndi chomwe chimatchedwa hard chancre. Chancre yolimba ndilakwitsa khungu pakhungu kapena muphungu (kutentha kwa nthaka), kawirikawiri - chakuya (chilonda chomwe, pakuchiritsa, chimasiya chilonda). Kuwoneka kolimba kwa maonekedwe ozungulira kapena ovalo, wandiweyani m'munsi ndi zomveka, m'mphepete mwazing'ono komanso popanda kutupa kuzungulira, osapweteka, ndi zosalala ndi zosafunika kwenikweni za serous secretions. Pafupifupi sabata kamodzi, pamene chancre imapezeka kumalo amtundu, ziwalo zamagulu za inguinal kumbali imodzi zikuwonjezeka. Sikokwanira kuwonjezereka kwa maselo am'mimba. Iyi ndi nthawi yoyamba ya chisa, yomwe imachokera ku maonekedwe a chancre amatha masabata 6-8. Kawirikawiri amayi sazindikira chancre pamimba zawo chifukwa cha kupweteka kwake ndipo amasowa gawo loyamba la syphilis. Pambuyo pa masabata asanu ndi limodzi ndi asanu ndi atatu mutatha chitukuko cholimba, kutentha kwa thupi kwa wodwalayo kungayambe, mutu wa usiku, ululu wa mafupa ukuwonekera. Nthawi yowonjezerekayi pa treponema nthawiyi yotumbululuka kwambiri imachulukira, imalowerera m'magazi ndipo odwala pakhungu ndi mucous membrane pali kupasuka kwabalalika. Izi zikutanthauza kuti kachilombo kamadutsa nthawi yachiwiri. Mphuno yoyamba ndi roseola - yaing'ono (0,5-1 masentimita.) Mawanga ofiira pa khungu la thunthu, mimba, miyendo, zomwe sizimayambitsa kuyabwa, sizimapitirira pamwamba pa khungu ndipo sizimatuluka. Ndiye pali mitsempha (papules). Panthawiyi, mapulogalamu oyipa amaoneka pa khungu komanso m'magazi a ziwalo zoberekera. Iwo ndi owopsa, neostroospavitelnye, ndi mamita a millimeters pang'ono mpaka 1 masentimita, ndi chonyowa pamwamba, pomwe pali tizilombo toyambitsa matenda. Zilibe zopweteka. Chifukwa cha kukangana ndi kukhumudwa, minofuyi imakula ndikusanduka hypertrophic papules kapena mapulogalamu akuluakulu.
Chithandizo cha matenda opatsirana a gonorrhea ndi syphilis chimachitika malinga ndi zikhalidwe za chipatala chapadera cha dermatovenerologic dipatimenti, motsatira, ndi chiphunzitso cha MOH wovomerezeka wa Russia. Nthaŵi zina, wodwalayo amachizidwa ndi malo otchedwa venereologist mu polyclinic. Posankha dokotala, dokotala amalingalira mawonekedwe a chipatala, kuuma kwa njira, kukhalapo kwa mavuto. Mankhwalawa akuwongolera kuthetsa tizilombo toyambitsa matenda, maonekedwe a kutupa, kuyambitsa immunobiological reactivity ya zamoyo. Ichi ndi chifukwa chake kudziletsa kumakhala koopsa ndipo kuli ndi mavuto aakulu.