Gonorrhea mwa amayi, zizindikiro zomwe zimawonekera pakapita kanthawi, zimakhala zachilendo. Njira yayikulu ya kufalitsa kwake ndi kugonana. Tiyeni tikambirane mwatsatanetsatane za matenda, zifukwa zake, zizindikiro ndi njira zothandizira, tidzatha kupeza: momwe gonorrhea imawonetseredwa mwa amayi, njira zomwe amadziwira.
Tizilombo toyambitsa matenda
Wothandizira matendawa pogonana ndi gonococcus - tizilombo toyambitsa matenda omwe ali ndi mabakiteriya awiri. Kunja, tizilombo toyambitsa matenda ndi ofanana ndi mbewu za khofi, zomwe zimagwirizana ndi mbali za concave. Dzina lachilatini ndi Neisseria gonorrhoeae. Izi zowonongeka zomwe poyamba zinalongosola mu 1879, ndi wasayansi wa ku Germany Neiser. Mwachindunji ndi dzina lake ndipo amatchedwa microorganism.
Tizilombo toyambitsa matenda tikhoza kukhalapo m'thupi kwa nthawi yaitali popanda kuwonetsa chithunzi chachipatala. Izi zimachititsa kuti matendawa azindikire mofulumira. Kutumiza kumachitika nthawi yogonana. Mkwatibwi wamatenda odwala mu chiwerewere chosatetezeka ndi wokondedwa yemwe ali ndi kachilomboka amafikira 90%. Kugwiritsira ntchito njira zowonetsera njira sikulepheretsa kuthekera kwa matenda.
Zizindikiro za chimfine mwa akazi
Zizindikiro za matendawa amapezeka pambuyo pa nthawi yaitali. Ichi ndi chifukwa cha zenizeni za chitukuko cha tizilombo toyambitsa matenda, boma la chitetezo cha mthupi la mkazi. Chithunzi cha kachipatala cha matendawa chimatsimikiziridwa ndi malo omwe ali ndi kachilombo ka HIV. Mankhwala otupa amadziwika kwambiri mwa amayi omwe zizindikiro zawo zimabisika kapena zimasungidwa ndi kutupa kwa urethra ndi njira yobereka.
Ndi amayi angati omwe amavutika ndi matendawa?
Nthawi yowakonzera mimba mwa amayi imatsimikiziridwa ndi boma la chitetezo chakumidzi. Choncho, nthawi yake kuyambira nthawi ya matenda asanaoneke mawonetseredwe oyambirira, imasinthasintha mkati mwa masiku 550. Pankhaniyi, nthawi zambiri matendawa sangawonetseke, mkaziyo amamva bwino. Tizilombo toyambitsa matenda timayesedwa mwa kuyesedwa kwa azimayi, kubereka kwa smears kuchokera ku vagina ndi urethra. Kukhalapo kwa gonococcus kumasonyeza kufunikira kwa mankhwala enieni. Gonorrhea mwa atsikana, zizindikiro zake zomwe zimasonyezedwa m'nkhaniyi, ndizofala, chifukwa cha kugonana kwachangu.
Gonorrhea - zizindikiro kwa amayi, zizindikiro zoyamba
Zizindikiro zoyambirira za chiwombankhanza mwa amayi zimawoneka masiku asanu ndi awiri (5-10) pambuyo pa matenda (pafupipafupi). Odwala amadandaula za kutentha kwadzidzidzi, kupweteka mu urethra, komwe kuli koopsa pachiyambi chachitachi. Pali chizoloŵezi chofuna kupita kuchimbudzi, ndi kutuluka nthawi kuchokera kumaliseche. Maonekedwe awo akuphatikizapo:
- kuyabwa;
- kuwotcha;
- kusokonezeka mu vagin;
- ululu m'mimba pamunsi.
Nthaŵi zina, panthawi yovuta ya matendawa, zizindikiro zosadziwika zitha kuoneka, mwazi:
- kutentha kwa thupi;
- kupweteka pammero.
Poyang'aniridwa ndi mpando wachibadwa wa odwala omwe ali ndi matendawa, katswiri wamagetsi amatha kutulutsa zilonda za uterine mucosa, kuthamanga kunja kwa urethra. Kuchokera ku kuwala kwa chiberekero, kutuluka kwa purulent kumaonekera. Pofuna kutsimikizira kuti matendawa ndi otsiriza, mayeso a ma laboratory ochokera ku ziwalo zoberekera amapatsidwa.
Gonorrhea mwa amayi - zizindikiro, kutuluka
Kugawanika kwa matendawa m'mimba mwa amayi ndi purulent. Maonekedwe awo amasiyana, ndipo zimadalira pazomwe zimayambira. Kawiri kawiri kumakhala koyera-koyera, kutayika ndi opaque. Pamene kuyesa kwa amayi, kudzikuza ndi kubwezeretsa kwa urethra zinalembedwa, zomwe zimasonyeza njira yotupa mu njira yobereka.
Pamene gonococci ikudutsa kwambiri mu njira ya urogenital, yamagazi, ndi kusakanizirana kwa pus excretion. Magazi mwa iwo amawonekera pamene tizilombo ta tizilombo timayambitsa matenda a chiberekero. Ndi kusintha koteroko, amai amawona kuwonjezeka kwa ululu m'mimba pamunsi. Chiberekero panthawi imodzimodzi chimawonjezeka kukula, zimakhala zopweteka ngakhale panthawi yamimba kupyolera mu khoma la m'mimba.
Gonorrhea yambiri mwa amayi - zizindikiro
Chifukwa cha kuthamanga kwapadera, kusakhala chithunzi chodziwika bwino cha chithandizo chamankhwala, matendawa amayamba mwa akazi. Matenda mu mawonekedwe awa amadziwika ndi njira yopusa. Zizindikiro zimatheratu kwa kanthawi ndipo zimawonekera pakapita nthawi yochepa. Zizindikiro zowonongeka kwa amayi ndi:
- zowawa m'mimba yachitatu ya mimba, yomwe imakula kwambiri ndi kusamba;
- purulent-mucous, nthawi zina amawoneka kuchokera kumaliseche;
- kupweteka mu dera la lumbar;
- malungo.
Mchitidwe wosalephereka wa matenda umakhudzanso njira yobereka. Kutsimikiziridwa ndi matendawa ndiko kufufuza kawirikawiri za matenda pamene mukufufuza mkazi wokhudzana ndi kusabereka . Gonococcus imabweretsa kusintha kwa endometrium ya uterine, mapuloteni, chifukwa chomwe fetereza imakhala yosatheka. Kulongosola mankhwala kungathetse vutoli. Chithandizo cha matenda otchedwa gonorrhea omwe amapezeka kwa amayi amachititsa kuti mankhwala a antibiotic apite nthawi yaitali.
Kufufuza kwa matendawa m'mimba mwa amayi
Musanayambe kumwa mankhwalawa kwa amayi, odwala amauzidwa kuti azimayi aziwafunsa. Mwachindunji ndi kuyeza kwadzidzidzi, zamoyo zowonongeka. Mankhwala otsekula m'mimba mwa amayi amaphatikizapo mpanda wochokera kumaliseche, urethra, chiberekero. Zitsanzo zimayikidwa m'mayipi omwe amayesedwa ndikupita ku labotale kukafufuza. Kuzindikira kwa matendawa kumapangidwa pogwiritsa ntchito njira zotsatirazi:
- Kulimbikitsidwa - kumaphatikizapo kufesa kumaliseche kwa abambo kuchokera kumaliseche kuti akhale ndi zakudya zowonjezera. Chilombo cha tizilombo toyambitsa matenda chimabzalidwa, chomwe chingayesetsedwe kwambiri kuti tizilandira mankhwala osokoneza bongo.
- Kupanga makina oonera microscopy - kufufuza zinthu zomwe zili pansi pa microscope.
- Mapuloteni othandizira (PCR) - amathandizira kuzindikira DNA ya tizilombo toyambitsa matenda. Amadziwitsanso matendawa pokhapokha ngati palibe malo ovuta.
- Mayeso a ELISA ndi njira yeniyeni yomwe imaphatikizapo kupezeka kwa majeremusi ndi ma antigen m'thupi la magazi.
Kuchiza kwa chimbudzi mwa akazi
Musanayambe kudwala matendawa, amayi amachititsa kufufuza. Kawirikawiri matendawa amaphatikizidwa ndi njira zina zowonongeka. Matendawa amachiritsidwa mu magawo awiri: chiwonongeko cha tizilombo toyambitsa matenda ndi kubwezeretsa kwa tizilombo toyambitsa matenda . Kuchiza kwa chiwombankhanza kwa amayi kunyumba kumaphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo omwe amasankhidwa payekha. Zikhoza kugwiritsidwa ntchito, monga zowonongedwa ndi abambo, zonona, mafuta, ndi mapiritsi.
Kuchiza kwa chiwombankhanza kwa amayi - mankhwala, ndondomeko
Gonorrhea mwa amayi, zizindikiro zomwe zimatchulidwa pamwambapa, zimafuna njira iliyonse ya mankhwala. Kusankha mapiritsi kuchokera ku gonorrhea kwa azimayi, madokotala amalingalira za sitepe ya matenda, zomwe zimakhala zovuta kwambiri. Pafupifupi 30 peresenti ya matendawa ali ndi matenda monga chlamydia. Chifukwa chaichi, njira yopangira mankhwala imaphatikizapo kugwiritsa ntchito mankhwala opha tizilombo omwe amathandiza polimbana ndi gonococcus:
- Cefixime - 400 mg pamlomo, kamodzi;
- Ciprofloxacin - 500 mg kamodzi;
- Ofloxacin - 400 mg kamodzi kamodzi (gwiritsani ntchito imodzi mwa mankhwalawa).
Poletsa chlamydia, mankhwalawa akugwiritsidwa ntchito:
- Azithromycin - 1 g, kamodzi;
- Doxycycline - 100 mg, kawiri pa tsiku, masiku 7 motsatira.
Makandulo a gonorrhea
Poganizira mmene mankhwalawa amathandizira amayi, mankhwala osokoneza bongo si njira yokhayo. Mankhwalawa akhoza kuchitika ndi kugwiritsa ntchito mankhwala mwa mawonekedwe a suppositories. Mankhwala oterewa a mimba mwa amayi ali ndi zotsatira zowonongeka pamimba, kuchotsa mwamsanga zizindikiro za matendawa. Mankhwala amalembedwa payekha, kusonyeza kuchuluka kwa ntchito, mlingo ndi nthawi yogwiritsiridwa ntchito. Pochiza matendawa, nthawi zambiri amagwiritsa ntchito:
- Hexicon;
- Bwenzi;
- Metronidazole.
Zotsatira za chiphuphu mwa akazi
Popanda chithandizo, matendawa amachititsa kusintha kwa chiberekero. Choncho, kachilombo kochokera kumaliseche mumaliseche, ma tubes. Izi zimayambitsa kuswa kwa mazira omwe amachititsa kuti mwana asatenge mimba. Posakhalitsa pofuna kukhazikitsa zifukwa za infertility, ndipo anapeza gonorrhea. Kupeza pus mu uterine cavity kungayambitse matenda monga hydrosalpinx. Zimaphatikizapo kuwonjezeka kwa chiberekero, kupweteka koopsa m'mimba yachitatu ya mimba, kuledzeretsa kwa thupi. Zina mwa zovuta zowopsa za gonorrhea zingathenso kudziwika:
- pelvioperitonitis - kupasuka kwa mazira kapena chiberekero ndi kumasulidwa kwa purulent mkati mwa m'mimba
- Matenda a Bartholinitis - kutukusira kwa matenda a Bartholin usiku watha.