Mwandabvu - chii? Description of chirwere, zviratidzo, kurapwa

Zvinofungidzirwa kuti zvirwere zvinotapuriranwa pabonde dzakabuda munyika panguva imwe chete munhu. Somuenzaniso, mwandabvu angawana anotaura Bhaibheri uye kunyange akadhindwa ari nyanzvi yechiGiriki yekare. Yechipiri dzakakurumbira anozivikanwa zita chirwere ichi - mwandabvu. Vakawanda vanodavira kuti kubata chirwere ichi unogona chete pabonde, uye zvakawanda kana zvishoma anoziva zviri mwandabvu. Chii ophthalmia, urethritis, cervicitis, proctitis, haasi munhu wose anoziva. Zvichakadaro, zvose izvi uye gumi nevaviri zvirwere ngozi zvakaoma. nemigumisiro rinogona akasarudzwa sezvo mwandabvu, nokuti avo triggering mashandiro.

Portrait ane utachiona hwakakura

Kunyange vaya vanoziva kuti pane chirwere chepabonde - mwandabvu, chii gonokokk zvichiita simba. Tichaedza kuzadza gwanza ichi. Kune vakawanda utachiona, tupukanana munhu uye dzimwe nguva ndiani anofanira kutaura kuti muguva. Mumwe wavo ari diploid giremu pamusoro genus Neisseria gonococcus - the causative nomumiririri mwandabvu. tupukanana izvi vanotarisira zvakafanana kofi nhandare kana bhinzi, vanogara vaviri vaviri sei dzinonzi diploid. Shoko "giremu negative" bacteria-kuti-uremu reshiyo haaiti zvinoreva kuti havasi kuchinja ruvara yavo kana yakasvibiswa giremu nzira musayendisiti. Neisseria genus zita vachikudza kwavo akawana musayendisiti Albert Neisser. Flagella gonococci vane kudiki Real Estate. Villi, kana kumwa, iyo mumwe nomumwe wavo akapoteredzwa, havasi kutamira, uye kuti kuisa mucous. Mabhakitiriya aya vanogara mapoka anogona kurondwa zvakanaka smears zvomurwere.

Properties ari zvekunze zvakatipoteredza

Mwandabvu anonzwa zvakanaka chete inotonhorera nhau, kunyanya kana paine chizvarwa (kwete dzakachinjwa) dzevanhu mapuroteni, uye ari murume pachake. In zvakatipoteredza yawo pasi chinhanho. Saka, gonococci mumasekonzi vanofa kwakajairika sipo mhinduro, akakurumidza kufa pasi kuitwa kunyange simba antiseptics (munyu sirivha, betadine, doro, etc.), kufa sezvo kuomesa kwakaita madzihwa uye pus umo varipo. Pakanzi Izvi zvinobatsira chaizvo kuti vanhu uye rinoshandiswa sezvo ekudzivirira mwandabvu. Zvisinei, pane dzimwe nguva apo kwete chete zvakachengeteka gonococci aripo, asi akaberekwa nokuda rakapinza dzomukatikati akaturikidzana, ropa uye node midziyo pamusoro epithelial hukawanika.

The ehupfumi mabhakitiriya kuti vanogara muviri womunhu

Fantastic simba uye unpredictability pamusoro virulence - ndizvo mwandabvu ngozi. Ndeipi gonococci mune rutsigiro rwakakwana kwavari? zvisikwa izvi yakanyarara zvepachivande, kuuraya namano, nekuti, rakapinza muruoko muviri rechipfuwo (munhu), kazhinji vane nguva refu havashamisiri basa ravo utano-rinoparadza. Sick vanhu havasi kutomboziva pamberi chirwere uye anoramba kukanganisa vamwe. Gonokokk Zvichakadaro vatanga kuwedzera misha yavo, achishandisa ndima itsva uye kunosvika kubva mucous (chikuru nzvimbo sumo) kupinda zvomukati. Kugara panzvimbo itsva dzokugara, izvi utachiona hunokuvadza ichibudisa enzayemu Beta-lactamase, ichivadzivirira kubva zvinodhaka. Muviri womunhu ari kuedza kurwisa vanopinda nechisimba uye akaitema navo bacteriophages. Asi gonococci zvokuti akaoma musoro kuti kwete chete haana kufa, vari kudya, asi kuramba kuwanda. Imwe nzira kupona kwavo - kukwanisa ichishanduka, asika munhu L-zvakaumbwa, iro mishonga yakawanda hadzishandi.

"Pakuuraya" kuti mwandabvu

Haasi munhu wose anogona kuona sei achinyengera mwandabvu. Chii chinonzi symbiosis zvipenyu, inozivikanwa nomunhu wose. Gonokokki uyewo vanoumba symbiosis nevamwe chisvetasimba - Trichomonas kusangana nekutsi kwemukadzi. Kunoita trichomoniasis outsinye kwakapararira munyika, saka ivasvikire asiri uchiwirirana nokutonga Snap. The pamusoro Trichomonas zvishoma hombe gonococcal uye nyore kupinza navo. Kamwe mukati, kuti mwandabvu utachiona kuramba muwande, asi vari zvakakwana anodzivirirwa nemishonga. Uyezve, gonococci kazhinji kuwanikwa pachiimbwa mucosal Chlamydia, Treponema pallidum (njovhera utachiona hwakakura), howa - Candida, herpes nemavhairasi, izvo zvinoomesa zviratidzo. Mushure pakurapa mwandabvu chokuita tupukanana kuramba kukonzera mimwe kuzvimba.

Nzira chirwere

Nokuti vaiona munhu pabonde chirwere mwandabvu, parinowanika zvikonzero ainyanya chokuita zvepabonde upenyu hwevanhu. Zvisinei, pane nzira nezuva chirwere. Saka, mwandabvu inogona ezvamakaunganidza pa:

• usina kuzvidzivirira zvepabonde (nemumuromo, kusangana nekutsi kwemukadzi, mumagaro pabonde);
• shandisa pachiimbwa murwere nevakawanda tauro machira, washcloths;
• vana vane utachiona gonococci pakusununguka;
• vasikana vanogona kuva asiri zvaidiwa utsanana Urinary nhengo (mwandabvu "potting");
• Meso gonokokki maoko vakapinda (ipapo ophthalmia);
• mwandabvu inogona akapinda kushandisa imba nemaoko akasviba mumuromo (gonococcal pharyngitis, stomatitis).

Munzvimbo (kugeza, sauna, pool), pasi munhu kushandiswa utsanana zvinhu mukana wokuti mwandabvu chirwere zvokuti yakaderera kuti vaiona kuti razero.

kupatsanura

nokukurumidza sei anovandudza zvokurwara? Chii Danho ane mwandabvu? Nguva, kana chokutambudzika chirwere, pane zvinotevera:

• kutsva (chenjera), umo utachiona kwapfuura kubvira nguva kusvika 2 months;
• chisingaperi, anoramba kwemakore.

Pakutanga kurova vakadzi pamusoro mucous membranes ari nyinyo, uye vanhurume - kwenzira yemukomana, gonococci kupararira mberi achitevedza Urinary zvomukati, zvichikonzera kuzvimba kwavo uye ose yematambudziko, kusanganisira kushaya mbereko uye kubva kwepamuviri. Ndiwo mwandabvu kupfuura nengozi. Marudzi maperembudzi vari zvinotevera:

• pasikarudzi;
• extragenital;
• metastatic.

For yokubereka mwandabvu zvinosanganisira zvirwere nhengo dzokubereka nadzo uye madhipatimendi dzavo. Vakadzi, ichi oophoritis (kuzvimba ovaries uye fallopian sepombi) uye cervicitis (kuzvimba cervix).

Vasikana gonokokki parasitize chete nepanhengo uye kupinda dumbu uye zvinoshandiswa regai pinda.

Varume, zviri prostatitis, urethritis, vizekulit (rirwadze ari seminal vesicle).

By extragenital mwandabvu chirwere zvinosanganisira nonsexual nhengo anokonzerwa gonococcus. Kunze pamusoro gonoreynyh maziso uye muromo chirwere, zvinogona proctitis (rectal chirwere), cystitis, renal mwandabvu, gonokokkemiya (akafadzwa majoini, ganda) uye sepsis. Zvinofanira akati kuti gonococci havadi ropa serum anouraya navo mukati seconds. Saka, ropa riyerere kuti nhengo inotakurwa kubva genitourinary hurongwa. Asi dzimwe nguva varwere kusangana kuramba serum makemikari. In izvi Muzviitiko gonococci havafi, uye kupararira mumuviri.

Metastatic mwandabvu - pakava uye kusembura pakati yapfuura maviri.

Sei mwandabvu vakadzi nevasikana

Amazing uye ngozi chaizvo kuchiitwa chirwere ichi ndechokuti zvingava mwedzi kana kunyange kwemakore kazhinji zvikasaitika. Izvi zvinoitika muna vanenge 10% varume 80% vakadzi. Muchiitiko chino, vose varwere ava bacteria vatakuri. The incubation nguva kuti rikwanise mwandabvu hunogara kubva 1 zuva 1 mwedzi pashure waichengetwa yekuita pakusvibiswa. Panoperera ari incubation nguva, vamwe vakadzi vanonzwa tingling ari kutarisira nepanhengo uye horo (pamwe proctitis), dzimwe nguva pfupi marwadzo apo vanhurume uye cherechedzai neobilnye yavaive dziri netambo. Pashure neZvapupu Neisseria gonorrhoeae mumuromo chikamu chiduku vakadzi vane zvishoma kuzvimba tonsils uye pahuro bundu. Nekuti saizvozvo shoma kunoratidzwa mwandabvu, kurapwa vakadzi mukutanga nzendo chirwere hadziwanzowaniki. Kazhinji, munyoro zviratidzo uye regai vachikoshesa kukosha kutsungirira izvi musha mishonga.

Girls mwandabvu kunoonekwawo kuvaviwa uye kuzvimba sikarudzi pamwe purulent mucous zvinoyerera. General nezvevakafa varwere mukutanga nzendo chirwere anogara chakaipa.

Kuratidzwa mwandabvu nevanhu

Strong hafu vanhu nokukurumidza anoona kuti avo genitourinary hurongwa kuti chinhu chakaipa. Zviratidzo zvokutanga mwandabvu nevanhu vakaita pfupi-akararama marwadzo munguva weti, purulent (dzimwe nguva smelly) secretions, zvishomanana akatsvuka uye zvishomanana mumatenhere mboro musoro. Sezvo gonococci varume nokukurumidza pashure chirwere chinopinda kupinda urethra payo, yava uchazvimba, kana anonzi urethritis. Pakutanga zviratidzo vakanga wezvakakora. Mangwanani, varwere cherechedzai vamwe soreness uye nokukurumidza kupfuura inopisa manyawi kana vanhurume. The weti yakajeka, purulent shinda mairi zvishomanana. Zvisingafadzi zviratidzo achiipa pashure zvepabonde, kunwa doro uye zvimwe zvokudya. In mavhiki matatu iziviswe zviratidzo kuora, uye chirwere anova chirwere - pamwe yatinenge kuregererwa uye kuitazve - pachikuva.

Diagnostics

Vamwe "akangwara" kuwana purulent zvinoerera kubva sikarudzi yake, chiremba haana kutora nguva uye uende kutenga "piritsi kuti mwandabvu." Kazhinji izvi zvinoita kuti chokwadi kuti munhu anogamuchira basa nemishonga, chakamboti anobvisa zvisingafadzi zviratidzo chirwere uye anoshandura munzvimbo chirwere pachikuva, panguva iyo gonococci pinda zvakadzika kupinda mumuviri. Treatment kuti ubudirire, uve nechokwadi kuti chirwere. Zvinosanganisira:

• zvokurapa ongororo;
• urinalysis;
• fanira pap;
• bakposev (kugadzirira izwi kweinenge vhiki, asi anopa 100% rakarurama mugumisiro);
• PCR ongororo (kunyanya kubudirira pasina akazivisa zviratidzo).

Analysis ropa vanofungidzirwa mwandabvu asina kutorwa. The zvachose chirwere yakasimbiswa chete kana anoona mune bakposeve kana Neisseria gonorrhoeae zodzera.

mabatiro

Mwandabvu ikarapwa pamusoro outpatient hwaro kana kozhvendispanserah kuti anosarudza mashoko venereal chirwere. murwere zvivabatsire kuchipatara pamwe zvichibvira yematambudziko chirwere uye Achinzvenga kurapa dzavo pamusoro outpatient hwaro. Kana iwe uri nechokwadi nechirwere "mwandabvu", mishonga nevakadzi vabereke penicillin boka inorwisa mabhakitiriya ( "Oxacillin" "Amoxicillin" uye vamwe). Zvinosuruvarisa kubvira gonococcal saka refu ndichipfeka kubvisa nzira idzi kuti utachiona yakatanga nemishonga kwavari yatova yacho magene chechetere. Kudzika nemuumbi nehanya gonococci uye tetracycline, ampicillin, mapoka zvinodhaka spektinomitsinovoy. By kunyanya akaomarara siyana utachiona vanoshandisa "Ceftriaxone" kana "Rocephin". mishonga izvi zvinogona kupinda munzvimbo chero nyama uye nhengo dzomuviri. Kana munhu, vakafungira mukati make mwandabvu, pakarepo kubvunza chiremba, mishonga inogona nokukurumidza. Vanofanira rimwe nguva intravenous jekiseni "Rocephin" iri uwandu MG 250.

Traditional nzira ndichiva kubvisa mwandabvu haako. The chete chaungaita kushandisa mazano varapi semukana adjunct mishonga, - washing sikarudzi zvinodhaka, anobatsira kuzvimba (decoction pamusoro chamomil, celandine, voikukka nezvimwe miriwo midzi). Hatigoni kutaura kuti nzira dzakadaro chete kwokunwa zvokurapa terpenes.

yematambudziko

Kugona kuchinja uye kurwisa gonokokkov mishonga vanofanira kufungwa venereal chirwere iri kugadzwa mishonga. Kana munhu achiparidza kuzvidzora medicate, uye adopts ane "piritsi kuti mwandabvu" riri zano shamwari, dzinenge nguva dzose akacherechedza matambudziko. Ivo, pamwe chete chirwere chikuru anozviratidza pakarepo. kokutanga murwere anowana pfungwa kuti zvakazara akapora. Vakadzi, kuti matambudziko anoitika mwandabvu vari hwakazara mwana, ectopic pamuviri, kupfupfudzika. Chimwe chirwere ngozi kunokonzerwa untreated kana undertreated mwandabvu - iri hydrosalpinx. Panguva zvokurwara ichi muna fallopian chubhu rinoungana pus zvokunze mufananidzo afanane bundu. Mukadzi ari kusangana nomusoro uye musana marwadzo, fivhiri. Kana mutopota raputsika, uye pus runoyerera iri pelvic nharaunda, anotanga pelvioperitonit, izvo hwakazara dzinouraya nemigumisiro.

No ngozi zvishoma uye Bartolini (purulent kuzvimba vestibular mumasero).

Varume, migumisiro mwandabvu zvikuru ngozi - a prostatitis kuti kungaita kuti kusabetsera, uye epididymitis (kuzvimba manhu), izvo kunokonzera kushaya mbereko.

Kunokosha! Chero pabonde chirwere, mwandabvu uye kusanganisira vasaora kutapata, saka vanogona nechirwere isingaperi kanoverengeka.

dziviriro

Dzinenge nzira kupararira mwandabvu kuona matanho pamusoro chirwere. In wokutanga kunzvimbo pachikwata ndiko kushandiswa kwemakondomu panguva zvepabonde pose pose, kana pasina 100% kuvimba nemumwe wako. On rechipiri - utsanana.

Chimwe chinokosha ndiko akataurwa panguva venereologist mukati 3 months yapera pakurapwa uye hurukuro kudzora Analyses.