Gardnerella kuvarume nevarume: zvinokonzera, zviratidzo, kurapa

Gardnerellez kuvakadzi - chirwere chepachirwere chinosangana ne dysbacteriosis chechikadzi chegungwa, pamwe chete nekuchengetedzwa kwejasnerella uye kusavapo / kuderera kukuru kwevanhu ve lactic acid mabhakitiriya. Chronic gardnerellez inotungamirira kuzvirwere zvinoputika zvemuviri wepachiviri, vagina, endometritis, inoonekwa sechinhu chinodiwa pakugadzira adnexitis (kuvhiringidzika mumatropian tubes uye mavari), zvinetso zvakakomba panguva yekuberekwa uye pamuviri.

Gardnerella kuvakadzi: zvinokonzera

Gardnerella vaginalis (chikwata chevanaerobes zvinoshandiswa) mune zviduku zvishoma zvinogara zviripo mu microflora yemukadzi, pasina kukonzera kusagadzikana uye zviratidzo zve gardnerellez. Vatakuri veGadnerella vaginalis vane 25-45% yevakadzi vane utano hwemakore akasiyana-siyana. Kuwedzera kwekushanda kwejasnerella pasi pesimba rezvinhu zvisingaperi / zvinogumira zvinotungamirira kushanduka kwe lactobacilli uye kushandiswa kwemaruva anowanzoitwa Gardnerella vaginalis. Somugumisiro, zvinetso zvebiyobrioti zvemucosa zvinopfuurira, zvidziviriro zvayo uye maitiro mumasero emudzimai epithelium shanduko. Gardnerella inobereka akawanda amino acids uye pyruvic acid, iyo inofanirwa kune zvipembenene zvepathogenic yezvokudya uye metabolism.Pakati ye decarboxylation ye amino acids mumadzimai ekuvhara, maini ane hunhu husina kufadza hwehove dzakaora dzinosunungurwa.

Etiology of gardnerellez:

• kazhinji kushivirira (kushamba kunze kwelactobacilli);
• kushandisa klorini-ine antiseptics (Miramistin, Gibitan);
• kushandiswa kwemishonga yekudzivirira ine 9-nonoxinol (makenduru Patentex, Nonoxinol);
• unzenza muhupombwe;
• kudya kusina musoro kwemishonga inorwisa mabhakitiriya;
• zvirwere zveurogenital system;
• kutsvaira kwemazuva mazhinji kwenguva refu;
• intestinal dysbiosis;
• hormonal failure. Basa reiyasi rinoratidza basa rekuberekwa kwelactoflora. Izvozvo zvinokonzerwa nehutoni muhutano hwe gardnerellosis zvinotsanangura kuti chirwere chacho hachiwanzoongororwa muhucheche (makore gumi nemaviri kusvika gumi nemana) uye panguva yekuguma;
• kuderedza kukanganisa kwemajoni ezvirwere kuhutachiona;
• kugamuchirwa kwevanhu vanorwisa zvinodhaka, mahomoni ekugadzirira.

Gardnerella kuvakadzi: zviratidzo

Chimwe chinhu chikuru chehutachiona ndechokusavapo kwekunze kwekunze kwekudzivirira kwemadziro emadzimai, mu50% yevarwere gardnerellez inowedzera nezviratidzo zvakavezwa. Chimwe chekuongorora chinoratidzira dystrophic deformations pamwe chete nemaitiro asina kukodzera mumuviri wechibereko. Dzimwe nguva kune chirwere chekushaya chimiro chechirwere - kusakwana kwakakwana kwezviratidzo zvechipatara pamusana pezvakanaka zvema laboratory test. Zviratidzo zvinoshandiswa zve gardnerelleza: yakawanda gorosi-yellow kubudiswa kwemafuta akaoma, kunhuhwira kwehove yakaora, marwadzo / kubvarura mu coitus.

Gardnerella kuvakadzi: kurapwa uye kuongororwa

Kuongororwa kwe "gardnerellez" kunobva pane anamnesis, kliniki uye kuongorora-data-pH-metry (senitivity 80-99%) uye inonyanya kukosha. Paunenge uchiongororwa nezvekuchengetedza gardnerellosis, kuwedzerwa kuwedzerwa kunofadza zvikuru kusabvisa zvirwere zvepabonde - genital herpes, gonorrhea, trichomoniasis.

Chirongwa chekurapa chinosanganisira zvikamu zviviri:

1. Kugadziriswa kwehutachiona uye kurwisana kunobatana. Gardnerelles inopesana nemakaminoglikozidam, sulfonamide, tetracyclines, cephalosporins; anonzwa cClindamycin uye ampicillin. Mishonga yekusarudza iClindamycin uye Metronidazole. Kuti ikurumidze kupora, hutachiona hunoitwa. Zvinokurudzirwa kurega zvepabonde pasina kushandisa kondomu nenguva yekushandisa mishonga.
2. Kudzorerwa kwechirwere chechikadzi chinokonzerwa nemakemikari. Edzai eubiotics (Bifidumbacterin, Acilactum, Lactobacterin), iyo inokurudzira kukura kwemurairoflora yepanyama uye inobatsira kuderedza nhamba yekudzokazve kwechirwere.

Gardnerella pamuviri

Chirwere chacho chinowanikwa mune 15-25% yevakadzi vanotarisira. Kubudirira kwehutachiona hwepachirwere panguva yekuzvitakura hakusi hunozivikanwa - nzira dzekudzivirirwa dzomuviri waamai dzinodzivirira fetus kubva muhutachiona, asi minda inodzivirira simba remasero, izvo zvinogona kutungamirira kumatambudziko akasiyana-siyana: kuberekwa kusati kwapera, postpartum sepsis, chorionamionitis. Kana gardnerella inowanikwa mukuongororwa, zvakakosha kuti uchitanga kurapwa ne Trichopolum, Ornidazole, Metrogil kana Metronidazole uye kutora probiotics. Iyo yakagadzirirwa chirongwa inosarudzwa nechiremba anoenda zvakakwana kune mumwe munhu.

Gardnerella kuvakadzi: kurapa kumba

Usati watanga kurapwa nemubatsiro wemishonga yevanhu, zvinokurudzirwa kuti uone chiremba kuti urege kunetseka nemigumisiro. Irapi inofanira kuitiswa pasi pekutarisirwa kwehutano nere laboratory kuongorora kwehutano huri hutano huno. Kuzvipira kunogona kuva nengozi!

1. Broth kubva ku phytospores:

   • tora zvakakwana zvakaenzana nemudzi wea althaea, uswa hwehutu, sweet clover, mashizha e nettle, blueberries, maruva lavender, pine buds. Zvitsva zvitatu zvakakura zvekuunganidza zvinoshandiswa neine litari yemvura inodzika, swira pamhepo inononoka kwemaminitsi gumi nemashanu, mudururire mu thermos, tsanidza maawa 10-12. Shandisa 120 milliliters kwema 30-40 maminitsi musati maita masikati;
   • kusanganisa zvakafanana zvakafanana uswa hwemint, wintergreen, maziso akajeka, eucalyptus mashizha, amai nemadzimai ekurera, bearberry, clover maruva, tansy, midzi ye badana. Dururirai mapepa matatu ekusanganiswa neine litari yemvura inodzika, virai 10-15 maminitsi, tsanangurira mu thermos 10-12 maawa, tora mamita 120 mishanu vasati vadya masikati.

2. Tampons:

   • gadzira sarudzo yeaple cider vhiniga (teaspoon) uye karoti juice (kikapu), shingai pachiganda cheshiza, pinda mumukadzi kwemaminitsi 20-25;
   • gadzirira musanganiswa wegungwa-buckthorn / maorivhi nemafuta emurosi (1: 1), shandisa pazhivha yejasi, inyore mumudzimai kwemaawa 10-12.

3. Kuchengetedza sedentary bath:

   • flowers of marigold, chamomile, walnut leaves, oak bark.

4. Mushonga weiyo kusimbisa kusagadzikana:

   • quince (1 chidimbu), mandimu (1 chikamu), garlic (7-9 meno), cherry itsva (2 makapu), maapuro (zvidimbu 2), mvura (2,5 litita). Zvishongedze zvakanyatsokura, kusanganisa, dururira mvura inodzika. Inwa 100-120 millilitres 4-5 pazuva.

Kudzivirira gardnerelleza kuvakadzi:

• kuvapo kweumwe munhu wepabonde, hupenyu hwepabonde hwakarongeka;
• kubvisa zvepabonde zvepabonde;
• kuchengetedzwa kwehukama hwepedyo, kushandiswa nguva dzose kwepads / tampons panguva yekuenda kumwedzi;
• kusimbisa kudzivirira;
• kupfeka kwepurasitiki yakaitwa nezvinhu zvepanyama;
• kurapwa panguva yakakodzera yezvirwere zvinoputika zvezvikamu zvemuviri.

Gardnerella kuvanhu

Kuvharirwa kwevanhu kunyanya kunowanikwa panguva yekubata nechitakura chemasikati cheasnerella. Nzira yekufambisa-yeimba yekutapurirwa kwehutachiona (nekunama maoko, kutsvoda, mune sauna / mubhedha) haibvumiri. Zvinyorwa zvejasnerellosis muvarume ndezvi: kuendesa / kutamiswa zvirwere zve genitourinary system, antibacterial therapy, kushandiswa kwema immunosuppressants, kuderera kwemaitiro ekuzivikanwa kwemaununiti maererano nekunze kwepanyama / kushushikana mupfungwa. Mumumuviri wejnerella varume vanogara kwenguva yakareba havakwanise - vanodzingwa 2-3 mazuva mushure mekurova. Muna 7-10% yematambudziko, vanaerobes vanoramba vari muurological tissue - kune chokuita ne gardnerella balanoposthitis (nonspecific urethritis).

Gardnerlellosis muvarume: zviratidzo

Muhuwandu hwemhosva, kukorodzwa kwenhengo dzepabonde neHardnerella hakuiti zviratidzo zvinoshamisa. Kazhinji kashoma chirwere chinoratidzira nekupisa / kusagadzikana panguva yekuzorora, nemhepo yakasvibiswa yakasvibiswa nehuno hunhu hwehove dzinoputika.

Matambudziko:

• prostatitis;
• vesiculitis (kuvhiringidza kwemainal vesicles);
• urethritis (kuvhiringidzika mukati mutsva).

Kuongororwa uye kurapwa kwemishonga ye gardnerellosis kuvanhu

Kuongorora zviyero zvinosanganisira: kuongorora ejaculate, urine, kuchengetedzwa kweprostate, kuparadzanisa kubva kurerera ne polymerase chain reaction (zvakananga 98%). Chirongwa chekurapa chinosarudzwa pachavo, zvichifunga kuvepo / kusavapo kwezvirwere zvinokonzera uye kusagadzikana kwea causative agent kumishonga yemishonga. Ratidza Levofloxacin, Clindamycin kana Doxycycline. Munguva yekutora mishonga, zvinokurudzirwa kutevera kudya kunoreva kurega kunwa doro, mafuta, kusvuta, zvinonhuwira. Muchipatara chakanyanya kuratidzwa kwechirwere ichi, zviratidzo zvekudzivirira muviri zvinoshandiswa kugadzirisa mucosa uye kuwedzera muviri wekuzvidzivirira kwemuviri. Maererano nezviratidzo zvinorayirwa zvinopesana nezvinodhaka zvinodhaka, zvinokonzera micheyo uye mavitamini. Kuti urege kudzivirira utachiwana nejasnerella, zvakakosha kutevera matanho ekudzivirira: kurega kuita zvepabonde nemudzimai ari kuenda kumwedzi, shandisa kondomu munguva yepabonde nemunhu asina kudzidza.

Gardnerelosis pakati pevakadzi ndiyo inowanzoita zvirwere zvemadzimai, izvo zvinodikanwa kuti uwane hutano uye hutano hwakakwana. Kana kukanganisa kwe microflora yemukadzi kunowanikwa, zvinokosha kuti uwane chirwere chakakodzera - izvi zvichabatsira kudzivisa zvinetso panguva yekuzvimba uye kubereka, kuchengetedza hutano hwekubereka kwenguva yakareba, nekuvandudza hupenyu hwehupenyu.