Gonorrhea
Chirwere chepachirwere chinotapukira, chinokonzerwa negonococci. Pakati pezvirwere zvinoputika zvemuviri wechikadzi, chirwere chegonorrhea chinowedzera chechipiri.
Gonococci muvakadzi inobata zvikamu zve genitourinary system iyo yakagadzirwa ne-cylindrical epithelium: ureter's mucosa, ganda remudzimai, mazamu ezvinyorwa zvebartholin, mucous membrane ye uterine cavity, fallopian tubes, mava mavari, peritoneum yemapapu. Panguva yepamuviri, muhuduku uye munguva yekuenda kumwedzi, gonorrhea inogonawo kuitika.
Iko kunokonzera utachiona munhu ane gonorrhea.
Nzira dzehutachiona .
- chirwere chacho chinoparadzirwa zvikurukuru kuburikidza nehupombwe;
- kuburikidza nehugochani hukama, muromo-genital contacts;
- kazhinji kazhinji nedzimba zvinoreva - kuburikidza nemashamba, machira, michina;
- panguva yekuberekwa kubva kuna amai vanorwara (ziso uye zvekudzivirira kwevakadzi mumusikana).
Madzimai, kliniki yemifananidzo yegonorrhea haisi yunifomu uye inobva pakuziva nzvimbo yacho, hutachiona hwepathogen, zera remurwere, reactivity yemuviri wake, danho rechirwere (acute, risingaperi).
Mutsva gonorrhea mune chimiro chakaoma chinoratidzwa nechirevo chechipatara chinyorwa: kutonhora kunomuka, kurwadziwa kwakanyanya kunowanikwa mudumbu rezasi, uye kubuda kwechikadzi kunoita seruva-ruvara. Kune marwadzo uye kupisa paunodhonza, kazhinji zvido zvayo pairi. Kunewo kuvhara uye mafiroia emamwe maitiro ekunze.
Subacute chimiro che gonorrhea chinowirirana ne-subfebrile condition, kazhinji zviratidzo zvechipatara zviratidzo zvinowanikwa. Kwairi zviitiko zvinotakura chirwere chisina kutanga mavhiki maviri akapfuura. Chirwere chimiro chinoratidzirwa nechirwere chechirwere chechirwere kana kuti hachirevi, asi mukadzi ane gonococci mu bacterioscopic kuongorora smear. Nechipfuva chegonorrhea bacteriological uye bacterioscopic chisimbiso hachipo, zviratidzo zvacho hazvipo, asi varwere ndivo vanokonzera utachiona.
Gonorrhea mumadzimai ane pamuviri inowanzosvibiswa. Inogona kutungamirira kumatambudziko ekudzivirira, kuberekwa uye postpartum period, uye kunewo chiitiko chinokonzerwa ne fetus nechechecheche. Zvinokonzerwa nezvinetso mumamai (chorioamnionitis, subinvolution ye chiberekero, endometritis), mumucheche (prematurity, anophthalmia, intrauterine sepsis, rufu). Kuguma kwekudzivirira kwekuita pamuviri kune njodzi nekuda kwekugona kwehutachiona hwechibereko, maovha, mafiropian tubes.
Gonorrhea muvana. Nzira yehutachiona: muzvitsva, utachiona hunoitika kana mwana achipfuura nehutachiwana hutachiwana, kana utero kuburikidza neamniotic fluid, uye kubva kuna amai vanorwara pavanenge vachichengeta mwana achangoberekwa. Vana vakwegura vanogona kutapukirwa nechimbudzi chakagovana kana tauro, machira, bhati. Gonorrhea mumusikana yakaoma nekunyanyisa kukuru uye kufungidzira kwemukati mutsvuku yezvipombwe, mucopurulent discharge, kazhinji uye kunorwadza kunyorera, kupisa, kuchenesa. Hushinho yemuviri inogona kubuda, asi zvinogoneka uye kubuda kwemhepo. Gonorrhea muvanasikana inopa zvinetso zvakafanana zvinowanikwa muvakadzi vakuru. Kuvharirwa kwevakomana kunowanzosawanzoitika nekuda kwehukuru hwechimiro chemuviri wechipfu.
Syphilis
Chirwere chepachirwere chinotapukira, chinoparadzirwa zvepabonde.
Iyo causative agent wechirwere ichi chirwere chinonzi microorganism pale treponema. Izvo zvinobva kune utachiona munhu anorwara.
Nzira dzinogona kuitika dzehutachiona :
- Zvepabonde - chikuru;
- nehurochani hukama, muromo-genital;
- veimba - kazhinji muvana, nehukama hwepedyo (apo mwana akarara nemubereki anorwara, anoshandisa zvinhu zvakachena). Nzira yezuva nezuva yehutachiona muvanhu vakuru inowanzoshoma chaizvo, somuenzaniso, pakutsvoda, kana paine mucous membrane yemiromo yemuromo kune kuputika kwechirphilitic nechiso chakanyorova;
- unyanzvi - panguva yekuongororwa kwevarwere kwechirwere, izvo zvinosvibiswa paganda kana mucous membrane nechando chakakisa;
- kupfurikidza (kuburikidza neparcenta) - mumamiriro ezvinhu apo mukadzi ane pamuviri ane utachiona hwechirwere, zvikurukuru wechipiri. Zvadaro mwana anoumba chirwere chepenifer;
- Kuwedzerwa (zvisingadikanwi) - nekuda kwekuwedzerwa kweropa kunotorwa kubva kune murwere ane chirwere.
Clinic. Kubvira pakupinda kwepathogen mumuviri uye kusvika kune zviratidzo zvekutanga zvechirwere, chiyero chevhiki 3-4. Iyi ndiyo inonzi incubation period. Iko-causative agent ikozvino yatopinda mumuviri, asi murwere haana mhere-mhere uye kuratidzwa kwechirwere chacho. Kunyangwe munguva ino munhu anenge atovhiringidza. Mushure mokuguma kwekudzivirira nguva, nzvimbo chete iyo iyo pathogen inopinda inotanga kuoneka zviratidzo. Uyu ndiwo anonzi akaoma chancre. Dhata chancre inenge isina kukwana mukati meganda kana mucous membrane (kudengenyeka), kazhinji - yakadzika (yeonda iyo, apo inoporesa, inoshiya tsvuku). A chancre yakasimba yepoteredza kana yemaundi, yakakomberedzwa muchengeti uye yakajeka, yakasimudzirwa mitsetse uye kusavapo kwekuvhiringidzika kwakapoteredza, kusuruvara, nechinhu chisina kumira uye chisina kunyanya kushandiswa kweva serous. Anenge vhiki imwe gare gare, apo chancre inowanikwa munzvimbo dzepabonde, inguinal lymph nodes kune rumwe rutivi ruchiwedzera. Iko kunowanzowanzo kuwedzera kuwirirana kwemakirini. Iyi ndiyo nguva inokosha yeuchivi, iyo inobva pakuonekwa kwekancre inotora vhiki 6-8. Kazhinji vakadzi havaoni chancre pamakumbo avo nekuda kwekusava nemarwadzo uye vanoshaya danho rekutanga rechirwere. Mushure memasvondo matanhatu kusvika masere mushure mekusimbiswa kwechigamba chancre, kutarisa kwemuviri wevarwere kunogona kusimuka, usiku hututu, hurombo hwemapfupa hunoonekwa. Izvi zvinoitika panguva ino iyo treponema yakajeka inowedzera, inopinda muropa uye mune varwere vari paganda uye mucous membrane kune kuparadzirwa kwakapararira. Izvi zvinoreva kuti chirwere chinopinda munguva yechipiri. Irosi yekutanga inonzi roseola - duku (0.5-1 cm.) Tsvuku dzakatsva paganda redu, mimba, mitezo, izvo zvisingabvumiri, hazvina kuputika pamusoro peganda uye hazvirevi. Zvadaro kune mavhambeti (papules). Panguva ino, mapuroseti anokonzera mazamu anogona kuonekwa paganda uye mucous membrane yezvikadzi zvepabonde. Iyo yakaoma, neostroospavitelnye, ine uwandu hwemamilimita mashoma kusvika 1 cm, ine nzvimbo yakanyorova, iyo pane zvakawanda zvirwere (papo treponem), saka zvinopararira zvikuru. Havana kurwadziwa. Somugumisiro wekukakavadzana nekutsamwa, idzi hutundu hunowedzera uye hunova huwandu hwemapulesi kana hukuru hukuru.
Kurapa kwezvirwere zveveereal de gonorrhea uye syphilis inoitwa mumamiriro ezvinhu echipatara chakasiyana-siyana chedermatovenerologic dispensary, maererano, pamwe nemirairo yeHMH yakagamuchirwa yeRussia. Mune zvimwe zviitiko, murwere anorapwa neenereologist mune polyclinic. Paanosarudza chiremba, chiremba anofunga nezvenzira yemakiriniki, kuoma kwebasa racho, kuvapo kwezvinetso. Mushonga wacho unotarirwa kubvisa pathogen, kuratidzwa kwezviratidzo zvekuvhiringidza kwemaitiro, kuwedzerwa kwemajoni reakagadziriswa emuviri. Ichi ndicho chikonzero kuzvipira kune ngozi uye kunokonzerwa nezvinetso zvakakomba.