Chinzonono - ndichiyani? Kufotokozera za matenda, zizindikiro, chithandizo

Akukhulupirira kuti matenda opatsirana pogonana anaonekera mu dziko nthawi yomweyo ndi munthu. Mwachitsanzo, chinzonono mungapeze otchula Baibulo ndipo ngakhale mu Mfundo za akatswiri wakale Greek. Lachiwiri ndi yotchuka dzina kwa matenda - chinzonono. Ambiri amakhulupirira kugwira matenda wenewu pogonana, ndi zambiri kapena zochepa amadziŵa zimene zili chinzonono. Kodi ophthalmia, urethritis, cervicitis, proctitis, osati aliyense amadziwa. Padakali pano, onse a awa ndi khumi ndi matenda oopsa ndi zovuta kwambiri akhoza ikhale chinzonono, chifukwa ndi njira zawo adziphe.

Chithunzi cha tizilomboto ndi

Ngakhale anthu amene akudziwa kuti pali matenda opatsirana pogonana - chinzonono, zimene gonokokk kuzipangitsa ofooka. Tidzayensa kudzaza kusiyana izi. Kuli tizilombo timene munthu ndi zina ndani kulankhula kwa manda. Mmodzi wa iwo ndi galamu diploid wa mtundu Neisseria gonococcus - nthumwi causative a chinzonono. majeremusi awa awoneka ofanana ndi malo khofi kapena nyemba, amakhala awiriawiri chifukwa iwo amatchedwa diploid. Chiŵerengero mawu "galamu alibe" mabakiteriya ndi kulemera sakutero zikutanthauza kuti iwo sasintha mtundu wawo pamene papezeka ndi galamu njira wasayansi. Neisseria mtundu ndi dzina lake polemekeza anatulukira awo wasayansi Albert Neisser. Michirayo imakhala yosiyanasiyana gonococci nawo pang'ono malo. Villi, kapena chakumwa, amene aliyense wa iwo wazunguliridwa, si kusuntha, ndipo angagwirizanitse kwa mucous. mabakiteriya amakhala madera zimene gwero bwino smears wodwala.

Katundu m'malo kunja

Chinzonono amamva mosatekeseka yekha pa TV michere, makamaka ngati pali mbadwa (osati kusinthidwa) mapuloteni anthu, ndi munthuyo. Mu malo ya viability ake otsika. Choncho, gonococci masekondi adzafa ochiritsira njira sopo, kufa msanga pansi zochita za ngakhale antiseptics ofooka (salt siliva, betadine, mowa, etc.), kufa monga kuyanika wa ntchofu ndi mafinya limene pali. Mbali imeneyi ndi zothandiza kwambiri kuti anthu ndi ntchito monga kupewa matenda a chinzonono. Komabe, panali nthawi imene si bwinobwino yekha gonococci akhalipo, komanso ayipanga pa pamalo zaminyewa ndi ozama m'chipinda chamkati ziwiya zigawo, magazi ndi lymph.

The katundu wa tizilombo kuti moyo mu thupi

Wosangalatsa mudzakhalanso ndi unpredictability wa virulence - chimenecho ndiye oopsa a chinzonono. ndi gonococci mu malo abwino okhala kwa iwo? Izi chete zolengedwa mobisa, kupha chozemba, chifukwa, ozama mu thupi la munthu wovulalayo (munthu), nthawi zambiri ali kwa nthawi yaitali sadzitamandira ntchito yawo thanzi-kuwononga. anthu odwala si n'komwe pamaso pa matendawo ndipo akupitiriza kugwira ena. Gonokokk azungu anawonjezera madera awo, kulanda dera atsopano komanso chochokera mucous (malo yaikulu oyamba) ku ziwalo mkati. N'zoona malo okhala, izi tizilombo toyambitsa matenda kupereka enzyme beta-lactamase, kuwateteza ku mankhwala. Thupi la munthu akuyesera kuti alimbane ndi amamenyana nawo ndi bacteriophages. Koma gonococci ali olimbikira osati sanafe, zikudyedwa, komanso kupitiriza kuchulukana. Njira ina apulumuke - kukhoza kusintha, kukonza L woboola pakati, amene mankhwala ambiri sizikugwira ntchito.

"Amathandiza" a chinzonono

Si aliyense amene angachite kuzindikira sioneka chinzonono. Kodi kudalirana kwa zinthu zamoyo, ndi zodziwika kwa aliyense. Gonokokki komanso kupanga kudalirana ndi tiziromboti ena - Trichomonas a kumaliseche kwa mkazi. Izo zimayambitsa trichomoniasis modabwitsa ambiri padziko lonse, kotero kuwatengera iwo pamene sanali kugwilizana ndi chithunzithunzi a. The Trichomonas pamwamba penapake zikuluzikulu gonococcal ndi mosavuta kuyamwa iwo. Akalowa, mabakiteriya a chinzonono udzapitirizabe kuchulukitsa, koma mwangwiro kutetezedwa mankhwala. Komanso, gonococci amapezeka molumikizana ndi mucosal mauka, Treponema pallidum (chindoko tizilomboto), bowa - candida, nsungu mavairasi, amene complicates matenda. Pambuyo mankhwala a chinzonono kugwirizana majeremusi kupitiriza chifukwa kutupa zina.

Njira matenda

Chifukwa amaona opatsirana pogonana matenda a chinzonono, zifukwa zake yatsoka makamaka zokhudzana ndi moyo wogonana wa munthu. Komabe, pali njira tsiku ndi tsiku matenda. Choncho, chinzonono akhoza anatola pa:

• zochita mosadziteteza kugonana (m'kamwa, kumaliseche kwa mkazi, kumatako kugonana);
• ntchito molumikizana ndi mtima mapepala wamba chopukutira, washcloths;
• ana ndi kachilombo gonococci pobereka;
• atsikana angathe osakhala kugwilizana ndi ziwalo ukhondo mkodzo (chinzonono "potting");
• maso gonokokki manja analowa (pali ophthalmia);
• chinzonono akhoza mwalowa ntchito zapakhomo ndi manja yakuda mu kamwa (gonococcal pharyngitis, stomatitis).

Mu malo onse (kusamba, anthunzi otulutsirako thukuta, kusambira dziwe), pansi pa ntchito munthu wa zinthu ukhondo mosavuta matenda a chinzonono ndi otsika kuti amaona kuti ziro.

Gawo

Kodi mwamsanga akufotokozera kudwala? Kodi siteji ali chinzonono? Nthawi, kapena gawo la matenda, pali zotsatirazi:

• mwatsopano (pachimake), imene matenda wadutsa kuchokera ku nthawi mpaka miyezi 2;
• aakulu, analimbikira kwa zaka.

Poyamba kumenya akazi nembanemba mucous kumaliseche, ndi amuna - pa mutu wa mbolo, gonococci kufalitsa zina pamodzi ziwalo mkodzo, kuchititsa kutupa awo ndi mitundu yonse ya mavuto, kuphatikizapo osabereka ndi padera. Izi ndi chinzonono owopsa. Mitundu ya matenda ndi izi:

• maliseche;
• extragenital;
• metastatic.

Chinzonono maliseche monga matenda a ziwalo zoberekera ndi madipatimenti awo. Mu akazi, izi oophoritis (kutupa thumba losunga mazira ndi chiberekero) ndi cervicitis (kutupa khomo pachibelekeropo).

Atsikana gonokokki parasitize yekha nyini ndi m'chiberekero ndi zokhudzana chiyani mkatikati.

Anthu, ndi prostatitis, urethritis, vizekulit (kuvutika ndi vesicle seminal).

Ndi matenda extragenital chinzonono monga ziwalo nonsexual chifukwa cha gonococcus. Kuwonjezera pa maso pamwamba gonoreynyh ndi matenda mkamwa, zingakhale proctitis (matenda thumbo), cystitis, chinzonono aimpso, gonokokkemiya (mafupa chidwi khungu) ndi sepsis. Izo ziyenera ananena kuti gonococci sindimakonda magazi seramu wakupha iwo masekondi. Choncho, magazi kwa ziwalo iwo akutsatiridwa a dongosolo genitourinary. Koma nthawi zina odwala akukumana kukana kuti michere seramu. Mu milandu gonococci siumafa, ndi kufalikira mu thupi.

Metastatic chinzonono - vuto ndi aggravation ya m'mbuyomu awiri.

Kodi matenda a chinzonono amayi ndi atsikana

Amazing ndi woopsa kwambiri mbali ya matenda ndi kuti mwina miyezi kapena zaka zambiri zimachokeradi. Izi amapezeka pafupifupi 10% ya anthu ndi 80% akazi. Pankhaniyi, onse odwala awa ndi mabakiteriya zonyamulira. Nthawi makulitsidwe a chinzonono pachimake ukhoza 1 tsiku 1 pasanathe mwezi kuchokera tsiku kuipitsidwa ananena. Kumapeto kwa nthawi makulitsidwe, akazi ena amaganiza ndi kumva kulasalasa pokonzekera nyini ndi chotulukira (ndi proctitis), nthawi zina sakhalitsa ululu pamene akukodza komanso Kugawilidwa kwanthaka zindikirani neobilnye mu mawonekedwe a zingwe. Pambuyo kukhudzana ndi Neisseria gonorrhoeae mkamwa ochepa a akazi ndi pang'ono kutupa kwa tonsils ndi pakhosi mkwiyo. Chifukwa wamng'ono akuwonekera chinzonono, chithandizo kwa akazi mu magawo oyambirira a matenda n'zochepa. Nthawi zambiri, zizindikiro wofatsa ndipo musati ngofunika kupirira mankhwala awa kunyumba.

Atsikana chinzonono kumaonekeranso mwa kuyabwa ndi kutupa kwa kumaliseche ndi mucous kumaliseche purulent. General chikhalidwe cha odwala mu magawo oyambirira a matenda ndi zonse bwinobwino.

Chiwonetsero cha matenda a chinzonono amuna

Amphamvu theka la anthu msanga amaona kuti kachitidwe kawo genitourinary kuti chinachake chalakwika. Zizindikiro zoyambirira za matenda a chinzonono anthu yaifupi moyo ululu pokodza, purulent (nthawizina smelly) secretions, pang'ono redness ndi kutupa pang'ono mutu mbolo. Popeza anthu gonococci mwamsanga pambuyo matenda likulowerera mu mkodzo, izo zimakhala kuvutika, kapena otchedwa urethritis. Poyamba zizindikiro anali wothira mafuta. M'mawa, odwala ndikuzindikira ena soreness mwamsanga kudutsa woyaka kutengeka pamene kukodza. The mkodzo ndi lomveka bwino, purulent ulusi mu izo pang'ono kwambiri. Zizindikiro zosasangalatsa kuvutika pambuyo kugonana, mowa ndi zakudya zina. Mu masabata atatu kutchulidwa zizindikiro za kuwola, ndi matenda amakhala aakulu - ndi nthawi ya chikhululukiro ndi muyambirenso - siteji.

diagnostics

Ena "wochenjera" kupeza mafinya kuchokera kumaliseche wake, dokotala sanatenge nthawi ndi kupita kugula "mapiritsi a chinzonono." Izi kawirikawiri zimabweretsa chakuti munthu alandira mankhwala zosafunika mongoyembekezera amachotsa zizindikiro zosasangalatsa matenda ndi anamasuliridwa mu gawo aakulu, imene gonococci ingaloŵe thupi. Chithandizo kuti azigwira, onetsetsani kuti matenda. Pamafunikanso:

• zachipatala Kupenda;
• urinalysis;
• kuvomerezedwa Pap;
• bakposev (akuti kukonzekera mlungu umodzi, koma apatsa 100% molondola zotsatira za);
• PCR kusanthula (makamaka ogwira pakalibe zizindikiro kutchulidwa).

Analysis magazi amaganiziridwa chinzonono Sadadzipangire. Matenda okhazikika udzakhazikitsidwe kokha pamene detects mu bakposeve kapena Neisseria gonorrhoeae kuipitsa mbiri.

chithandizo

Chinzonono mankhwala pa outpatient maziko kapena kozhvendispanserah kumene kumatsimikizira matenda venereal. kungapezeke wodwala kuchipatala ndi mavuto zotheka matenda ndi kuchizemba mankhwala zawo pa outpatient maziko. Ngati ndinu wotsimikiza mwamtheradi matenda "chinzonono", mankhwala a akazi ndi amuna kubala penicillin gulu la mankhwala ( "Oxacillin" "Amoxicillin" ndi ena). Mwatsoka, kuchokera gonococcal motalika ndiyotani pakuchotsa njira izi kuti mabakiteriya anayamba kukana kuti iwo ali kale pa mlingo wake chibadwa. Osaya Amowabu tilinazo gonococci ndi tetracycline, ampicillin, magulu spektinomitsinovoy mankhwala. Mwa njira makamaka Hardy mabakiteriya ntchito "Ceftriaxone" kapena "Rocephin". mankhwala awa akhoza kulowa mu zimakhala aliyense ndi ziwalo. Ngati munthu, amaganiziridwa mwa Iye yekha chinzonono, nthawi yomweyo dokotala, mankhwala akhoza kukhala mofulumira. Kukhala ndi kamodzi mtsempha jekeseni wa "Rocephin" kuchuluka kwa 250 mg.

njira Traditional wa ndiyotani pakuchotsa chinzonono kulibe. Chinthu chokha chimene inu tingalandire nsonga ochiritsa monga adjunct kuti mankhwala - kutsuka maliseche mankhwala, relieves kutupa (decoction wa chamomile, celandine, dandelion ndi zitsamba zina mizu). Nkosafuna kunena kuti njira zimenezi ndi chabe enaake kuti terpenes zachipatala.

zosokonezeka

Luso azolowere ndi kukana mankhwala gonokokkov kuti n'komwe matenda venereal poika mankhwala. Pamene munthu chinkhoswe kudzipatsa medicate, ndipo akugwiritsa ntchito ndi "mankhwala a chinzonono" malangizo a abwenzi, nthawi anati zosokonezeka. Iwo, komanso matenda chachikulu zimapezeka nthawi yomweyo. Nthawi yoyamba wodwala afika kuganiza kuti iye ali atachitidwa. Kwa amayi, mavuto a chinzonono ndi zinadzala ndi osabereka, mimba ectopic, padera. matenda ena oopsa chifukwa cha Popanda kuchitapo kanthu kapena undertreated chinzonono - ndi hydrosalpinx. Pa kudwala izi mu chubu mazira amasonkhana mafinya kunja chithunzi akufanana chotupa. Mkazi akukumana mutu ndi ululu kumbuyo, malungo. Ngati chitoliro wathyoka, ndi mafinya akuyenda ku dera m'chiuno, akuyamba pelvioperitonit, amene ana amakumana ndi mavuto oopsa.

No zochepa oopsa ndipo Bartolini (purulent kutupa zopangitsa za vestibular).

Mu amuna, zotsatira owopsa a chinzonono - ndi prostatitis zimene zingachititse kuti kusabala, ndi epididymitis (kutupa machende a) zomwe zimabweretsa osabereka.

Zofunika! Aliyense opatsirana matenda, chinzonono ndi kuphatikizapo musataye chitetezo chokwanira, kotero iwo matenda ndi chiwerengero wopandamalire nthawi.

kupewa

njira yeniyeni kufala kwa matenda a chinzonono kudziwa miyeso njira ndi matenda. Mu malo oyamba pa mndandanda ndi kugwiritsa ntchito makondomu panthawi yogonana milandu onse, ngati palibe chidaliro 100% mu mnzanuyo. Pa tsiku lachiwiri - munthu ukhondo.

Mfundo ina yofunika ndi Katswiri venereologist m'miyezi 3 pambuyo pa mapeto a mankhwala ndi yobereka nkhani kulamulira.