Abaninzi abafazi abakhulelweyo bayamangalisa, bathi, kutheni bawanike iimvavanyo zokusuleleka ngesondo? Kutheni kufuneka ndihlaziywe kwakhona xa konke kulungile? Ngelishwa, ngeli xesha izi zifo ziqhelekile kwaye zihlala zingenangqondo. Kodwa kukho ezinye zazo ezinokuchaphazela kakubi indlela yokukhulelwa, inkqubo yokuhanjiswa kunye nempilo yengane. Ingozi kakhulu kule nkalo i-chlamydia, impembelelo ekukhuleleni ihlale ingalindelekanga kwaye ngezinye iimeko imeko iphela kakhulu. Yingakho esi sifo sifanelwe ingxoxo eyahlukileyo.
Yintoni esi sifo?
I-Chlamydia isifo esithathelwanayo esibangelwa yi-chlamydia. Ezi zixhobo zogqirha zinezo zinezifo zentsholongwane kunye neebhaktheriya, ngaphezu koko, zinomjikelezo onzima kakhulu wokuphuhlisa ngaphakathi kweseli nangaphandle kwayo. I-Chlamydia inokungena kalula kwiiseli zomzimba ize ibatshabalalise, kubangele impendulo enamandla ekhokelela ekubanjweni kunye nokunciphisa okubukhali kwi-immune system.
Ngenxa yale nkqubo ye-intracellular yokuvelisa i-chlamydia, unyango nge-antibiotics elula alukwazi ukuphelisa ngokupheleleyo intsholongwane. Usulelo olusisiseko, ngaphezu koko, luvela rhoqo ngaphandle kweempawu kwaye ngokuqinisekileyo lukhokelela ekugqibeleni kwesi sifo sibe yifomu engapheliyo. Ngamanye amaxesha, emva kokunyanga okungafanelekanga, ukuphikelela, okokuthi, ukusuleleka "ukulala" kuqhubeka ngezikhathi ezithile. Isifo esinjalo sibangela iinguqu zezilwanyana ezinokuguqulwa, ezixhatshazwa kwizenzo zamagciwane. Iziphumo eziphambili ze-chlamydia ziyinkimbinkimbi yezifo ezivuthayo ze-genitourinary system kubasetyhini kunye namadoda, ukuhlakulela intswela, kunye ne-arthritis, conjunctivitis, i-pneumonia kunye nemonakalo ye-cardiovascular.
Impembelelo kwikhosi yokukhulelwa.
I-Chlamydia idla ngokukhokelela ekungakwazi ukunyamezela ukukhulelwa - ukuphazamiseka kwamathambo okuphindaphindiweyo. Kodwa nangona ukukhulelwa kuqhubeka, ukusuleleka kwe-intrauterine ye-fetus kubakho rhoqo, okanye, ngenxa yoko, ukusulelwa kwintsana. Phakathi koogqirha, kukho iingcamango ezahlukeneyo malunga neengxaki ezinokwenzeka kumntwana emva kokusuleleka kwe-chlamydial yomama. Abanye bakholelwa ukuba iimpembelelo ezimbi ekukhulelweni kunye ne-fetal status ayimncinci, kuba umntwana okhuselweyo ukhuselwe ngumqobo we-fetoplacental, abanye - ukuba kunokwenzeka ukuphuhliswa kweengxaki ezibi kakhulu.
Kukho uluvo lokuba i-chlamydia ikhokelela ekubunjweni kweengxaki zobungqingili ngexesha lokusuleleka kwintsholongwane okanye ukunyanzeliswa kwenkqubo yokusuleleka kwi-trimester yokuqala yokukhulelwa. Kwakhona, eso sifo senza ukungenakulungelelaniswa kwamaplanga, isifo - kwisiqingatha sesibini sokukhulelwa. Iziphumo ze-chlamydia ngexesha lomsebenzi zingabakho: ukukhulelwa kwangaphambili kwe-amniotic fluid, ubuthathaka bemikhosi yokuzalwa.
Izindlela zokuxilonga.
Ingqikithi kukho iindlela ezininzi ze-laboratory ukuxilongwa kwe-chlamydia. Ziquka:
• izityalo okanye indlela yenkcubeko;
• Ukuxilongwa kwimizimba evumela ukutyhila iziganeko ze-DNA ye-pathogen kwizinto ezikude phantsi kokufunda;
• ukufumanisa i-antibodies egazini (i-enzyme immunoassay);
• Ukuhlolwa kwe-scraping usebenzisa i-microscope ye-fluorescence kunye nokufumanisa i-antigen, kule chlamydia.
Ezi ndlela ziyimigangatho eyamkelwa ngokubanzi emhlabeni jikelele, kodwa ngamanye amaxesha kubangela ukungabaza. Oku kubangelwa ukukhiqizwa kwabo okuphezulu kunye neendleko, kunye neemfuno zokuthotyelwa ngokungqongqo kuyo yonke imilinganiselo yococeko kunye neyococo (ukutshitshiswa komoya okungafaniyo, uhlobo lwebhoratri elincinane, izixhobo ezingenabungozi kunye nezambatho zabasebenzi bezonyango, njl. Ngoko ke, ukungaqondi kakuhle kwetheknoloji ngamanye amaxesha kubangela ukuba kubekho umphumo okhohlakeleyo, iindlela ezingenabulungisa zokonyango. Kuyafana nokuhlalutya kwezityalo ze-chlamydia: ukuba i-teknoloji efunekayo ayilandelwayo, ngamanye amaxesha inikezela ipesenti ethile yeempembelelo ezingalunganga, ngokuphindaphindiweyo kuphela.
Ngokutsho kwesininzi seengcali ezibandakanyekayo kwizifo ezithathelwana ngesondo, ipesenteji ephezulu yokuchaneka nokuthembeka kweziphumo zophando ekusebenziseni ngokufanayo iindlela ezimbini eziyaziwayo, ezingabizi kwaye zisetyenziswa ngokubanzi. Le ndlela yindlela yokuziphatha ngokungafaniyo ngokumalunga nokufumanisa i-chlamydia kwi-scinning vaginal kunye ne-enzyme immunoassay enquma ama-antibodies kuma-anti-infectious agents egazini. Ngenxa yoko, igazi elivela emthanjeni linikezwa. Zombini zale ndlela zihlanganisa ezinye iingxaki ezenziwa ngabanye ngabanye. Ikwabonelela ngolwazi luncedo kumgqirha malunga nobukhulu nobude benkqubo yokusuleleka kumzimba wesigulane. Amaqhinga okonyango axhomekeke kule elizayo.
Unyango.
Nangona ukuba ukukhulelwa kunokuchaphazeleka kakubi yi-chlamydia, akufanelekile ukuphazamisa emva kokufumana isifo. Nangona i-clamidiosis yafunyanwa kwinqanaba lokuqala lokukhulelwa. Enyanisweni, kuya kufuna unyango oluyimfuneko ngokukodwa kwisikimu esikhethekileyo esamkelekileyo. Ifomu engapheliyo ye-chlamydia (xa iintsholongwane ze-G zifumaneka egazini) ziphathwa kwiiveki ezingama-20 neye-30 zokukhulelwa. Kwinkqubo enzima (xa i-antibodies ye-type M ifumaneka egazini), unyango lwenziwe emva kweveki ezili-12 zokukhulelwa.
Oogqirha bangaphandle bahambelana nombono wokuthi ukuba akukho zibonakaliso zeklinikhi (iimpawu ezikhutshwayo, intlungu, njl njl.) Kunye nokusetyenziswa kosulelo kwi-laboratory izifundo, akukho zizathu zokumisela i-antibiotics kumfazi okhulelwe. Emva kwakho konke, umntu ngamnye ngumphathiswa wezilwanyana ezininzi ze-pathogenic kunye nezimo zendalo. Ukuthwala akusoloko kubonakalisa unyango. Kuphela ngokusebenza ngokubonakalayo kwintsholongwane kunokulungiselela unyango olufanelekileyo.
Xa unyango lwe-chlamydial isifo, i-antibiotics yeqela le-tetracycline lisetyenziswe. Ngethuba lokunyulwa kwexesha lokukhulelwa linikezelwa kwi-orloxacin kunye ne-macrolides yesizukulwana sokugqibela. Kwakhona kuyimfuneko ukulungisa imeko ye-immune, ngelixa i-specificity of infection isoloko iqwalaselwa.
Kungekudala, iyeza elitsha liye laziwa-antichlamydia yomntu i-immunoglobulin. Iqulethe antibodies against chlamydia, ngoko i-clamidiosis yokukhulelwa inefuthe elincinci. Ngethuba lolo unyango lonke, kuyimfuneko ukuthatha amayeza axhasa umsebenzi wesibindi, kunye nokukhusela ukuqhambuka kwesifo sobungozi sangaphandle. Ngamanye amaxesha kukho isidingo sokongezelela unyango nge-enzymes, kwaye ukubuyisela i-microflora ithathe i-eubiotics-lactobacilli kunye ne-bifidobacteria.