Mu mavitamini a vaginal microflora alipo, othandiza (lactobacilli), tizilombo toyambitsa matenda. Gardnerella mwa amayi amapita ku microflora yachibadwa, koma ali mu chikazi chimodzimodzi. Tiyeni tione mwatsatanetsatane matenda omwe amachititsa gardnerella, mankhwala ake, zifukwa, mawonetseredwe.
Gardnerella mwa amayi - zomwe zimayambitsa
Gardnerella vaginalis nthawi zonse imakhalapo mu mavitamini a microflora. Maselo osakwatira a tizilombo toyambitsa matendawa nthawi zambiri amakhala otsimikizika pozindikira kukula kwa ubereki. Pazifukwa zina, kukula ndi kuberekanso kwa tizilombo toyambitsa matenda ndiko kotheka, monga momwe gardnerellez imayambira. Zina mwa zomwe zimayambitsa matenda, madokotala amasiyanitsa:
- Kukhalapo kwa njira zolimbana ndi matenda opatsirana;
- kugwiritsa ntchito mankhwala osokoneza bongo nthawi yaitali omwe amachititsa kusintha kwa microflora;
- kugwiritsidwa ntchito kwa glucocorticoids, ma immunosuppressants, kuchepetsa kutetezeka kwanuko;
- shuga;
- kawirikawiri amasintha kugonana nawo.
Kodi a gardnerella aakazi amachokera kuti?
Gardnerella mwa amayi nthawi zonse amakhalapo mu njira yobereka. Komabe, kuchepa kwake sikumakhudza mkhalidwe wa mkazi, sizimayambitsa zizindikiro. Kukula mwamsanga ndi chitukuko cha anthu oterewa amathandizidwa ndi zikhalidwe zina. Zinthu zosiyana zimabweretsa Gardnerella kubereka kwa amayi, zifukwa izi zingakhale zotsatirazi
- kupanga ma douches okhala ndi antiseptics okhala ndi chlorine (Miramistin, Gibitan);
- kugwiritsa ntchito njira zakulera zophatikizapo 9-nonoxynol (Patentex Oval, Nonoxinol);
- kusintha kwaposachedwapa kwa kugonana;
- kugwiritsa ntchito antibacterial vaginal suppositories (Polizinaks, Terzhinan, Betadin).
Kufufuza kwa Gardnerella
Gardnerella mwa amayi omwe ali ndi ma gynecologists amatha kukhazikitsa pa mawonetseredwe amodzi ndi zizindikiro. Kuyeza kwa Laboratory kumagwiritsidwa ntchito kutsimikiziridwa ndi kuganiza kuti ali ndi matenda. Maziko a izi ndi smear kuchokera mukazi. Pambuyo pa ndondomekoyi, zomwe zimagwiritsidwa ntchito ndizochepa kwambiri, kuwonetsa kuchuluka kwa gardnerella mu microflora. Njira zina zodziwira matendawa:
- Kutsimikiza kwa pH ya chikazi - ngati matendawa amachotsedwa kumbali yamchere;
- Kachilomboka kake kakang'ono kamene maselo ophatikizika omwe alipo amakhala ndi tizilombo toyambitsa matenda.
- PCR.
Gardnerella ndi chizolowezi
Monga taonera kale, munda wa gardnerella ulipo komanso wamba. Komabe, mcherewo ndi wawung'ono kwambiri kotero kuti sukusokoneza chikhalidwe cha kubereka. Kotero madotolo amanena za chilolezo chovomerezeka cha tizilombo toyambitsa matendayi ndi kuchuluka kwa 2-5% ya chiwerengero chonse cha microflora. Lactobacilli ayenera kukhala 95-98%. Zolemba zoterozo ndizosiyana, ndipo sizichititsa kuti madokotala azikayikira.
Gardnerella mwa amayi - zizindikiro
Asanayambe kulandira madokotala a gardnerella, madokotala amatha kudziŵa bwinobwino. Pamene chiwerengero cha tizilombo ngati Gardnerella chikuchulukira mukazi, zizindikiro siziwonekera nthawi yomweyo mwazimayi. Monga momwe mawonetsero amasonyezera, pafupipafupi, kuyambira nthawi ya kachilombo kupita kuchipatala chodziwika bwino, chizindikiro cha symptomatology chimayenda kuyambira masiku atatu mpaka 10. Nthawi yochuluka yowonjezera kuti tizilombo tizilombo tikulitse ndikuchulukanso, kuonjezera koloni yake. Pambuyo pa nthawi yomwe yawonetsedwa, gardnerella mwa amayi amachititsa zotsatirazi:
- kuwonjezeka kwa kuchuluka kwa mphamvu yakugonana, kusintha maonekedwe ake, kupeza fungo losasangalatsa;
- kuwonongeka kwa umoyo wabwino - kuwonjezeka kwa kutentha kwa thupi, kuzizira, kuoneka kwa kuzizira;
- kuyabwa ndi kuyaka mu vagin;
- chithunzi;
- minofu yofooka;
- kupweteka kowawa;
- ululu pa kugonana;
- Kutupa kwa azimayi.
Kusamalidwa mu gardnerellez mwa akazi
Kulankhula za gardnerellez, zizindikiro zomwe zimatchulidwa pamwambapa, pakati pa zizindikiro zoonekeratu za kuphwanya kwa akazi a amayi amadziwa kusintha kwa mtundu wa zobisika. Amawonekera mwamsanga atangomaliza kusamba, kugonana. Makhalidwe awo ndi fungo losasangalatsa, lomwe limapweteka kwambiri mkaziyo. Odwala nthawi zambiri amawayerekezera ndi fungo la nsomba zonyozeka. Nthawi zambiri zimakula kwambiri pambuyo pa kugonana popanda kondomu. Nthenda yamchere ya alkaline imalimbikitsa mapangidwe a amines osasinthasintha. Kuwonjezera pa kununkhiza, kutuluka kwa thupi kumakhala mofanana ndi mwachizolowezi:
- osatembenuzidwa;
- kusagwirizana kofanana;
- mthunzi wa imvi;
- musasiye zovala zapansi.
Gardnerella mwa amayi - mankhwala
Pambuyo pozindikira kuti matendawa ndi gardnerellez, mankhwala amayamba nthawi yomweyo. Maziko a mankhwala ndi mankhwala ophera tizilombo toyambitsa matenda. Njira yamachiritso ili ndi magawo awiri: kuchepa kwa minda ya gardnerella komanso kubwezeretsa kwa microflora yachibadwa. Momwe mungachiritse gardnerellez kwa madokotala amadzipereka payekha, kusankha mankhwala omwe amaganizira za kuopsa kwa matenda, zizindikiro, siteji ya matenda. Pamodzi ndi mankhwala opha tizilombo, monga ndalama zowonjezera zingagwiritsidwe ntchito:
- anti-inflammatory;
- omangamanga.
Chithandizo gardnerelleza mwa amayi - mankhwala, ndondomeko
Chithandizo gardnerelleza mwa amayi chimadalira mankhwala oletsa maantibayotiki. Kugwiritsa ntchito polimbana ndi matendawa ndi mankhwala omwe ali ndi metronidazole. Zingagwiritsidwe ntchito ponseponse ndi mkati. Chiwembu cha mankhwala gardnerelleza mwa amayi chikhoza kuwoneka monga chonchi:
- Gel - Metrogil , Flagil, Klion-D 100, mankhwala amajambulidwa mu vaginja kawiri pa tsiku kwa masiku asanu;
- Dalacin - amagwiritsidwa ntchito kamodzi patsiku, usiku kuti azichizira mkodzo, njira ya mankhwala - masiku asanu ndi awiri.
Monga mapiritsi okhala ndi Metronidazole, madokotala amati:
- Chithunzi;
- Medazole;
- Chotsutsa;
- Efloran;
- Metrogil.
Njira ya mankhwala imapangidwa payekha. Kawirikawiri, amayi amalamulidwa 500 mg ya mankhwala kawiri pa tsiku. Kutalika kwa mankhwala ndi osachepera masiku asanu ndi awiri. Ndi mitundu yosalephereka ya gardnerellosis, maphunzirowo akhoza kupitirira kwa masiku 10-14. Kupindula kwa mankhwalawa kumafufuzidwa pogwiritsa ntchito ma laboratory diagnosis, pamapeto pa maphunzirowo
Makandulo ochokera ku gardennerelleza mwa akazi
Kulankhula za momwe angapangire gardnerellez, madokotala pakati pa ma fomu ena a mayendedwe amachititsa patsogolo suppositories. Makandulo ochokera ku gardennerellez kuthandizira kuthetsa matendawa, kuchepetsa zizindikiro, kuchepetsa moyo wa wodwalayo. Zili ndi zigawo monga Metronidazole kapena Tinidazole. Mankhwalawa amalowetsedwa m'kati mwa vaginja m'mawa ndi madzulo. Maphunzirowa amatha masiku osachepera asanu ndi awiri. Mankhwala amayamba 1-2 patatha masiku kutha kwa msambo. Zina mwazinthu zowonjezereka zothandizira bustnerelleza:
- Terzhinan ;
- Metrovagin;
- Msewu;
- Metronidazole.
Gardnerellez - zotsatira
Zina mwa zotsatira zomwe zimachititsa gardnerella, kusabereka ndizoipa kwambiri kwa atsikana. Popanda kuchipatala, matendawa amayamba kusinthika mosavuta. Kawirikawiri gardennerella atsikana amachititsa kuti:
- adnexitis;
- salpingitis ;
- Zovuta za kuyambira kwa mimba - kubadwa msanga, kutsegulira msanga kwa placenta.
Gardnerella pa nthawi ya mimba
Gardnerella, kukhalapo kwake kumangokhala kokha pamene matenda akukula, amapezeka nthawi zambiri ngakhale mwanayo atabadwa. Zikatero, mankhwala a matendawa amachitidwa motsogoleredwa ndi amayi amodzi, kudziletsa okha sikuloledwa. Maantibayotiki saperekedwa kale kuposa masabata 14 a chiwerewere - isanafike nthawiyi, madokotala amagwiritsa ntchito machenjerero oyembekezera. Momwe zinthu zimakhudzira mayiyo kuposa chiopsezo m'mimba ya mwanayo, gwiritsani ntchito Ampicillin m'zaka zitatu zoyambirira. Metronidazole imagwiritsidwa ntchito pa 2 ndi 3 trimesters.
Gardnerella - kupewa
Kupewa gardnerelleza kwa amayi kumaphatikizapo malamulo angapo. Kuwatsatira kumalepheretsa chitukukochi kuwonjezeka pazifukwa zoposa 90%.
Mwa malamulo oyambirira:
- Kukhala ndi chiwerewere ndi munthu wokwatirana naye nthawi zonse. Apo ayi, ngati njira yoteteza, m'pofunika kugwiritsa ntchito kondomu.
- Kugwirizana ndi malamulo a ukhondo wochuluka.
- Limbikitsani chitetezo cha thupi pogwiritsa ntchito vitamini complexes.
- Kupewa njira zolimbana ndi matenda opatsirana.
- Kufufuza kwadzidzidzi matenda owonjezera.
- Kuwongolera mu zakudya za mkaka wowonjezera, zomwe zimathandiza kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda.