I-Gardnerellez kubasetyhini-isifo esithathelwanayo esine-dysbacteriosis yesimo sesisu, sihamba kunye ne-concentration yardnerella kunye nokungabikho / ukuhla okubonakalayo kubantu be-bacticia ye-lactic acid. I-gard gardeerelez Chronic iholele kwizifo ezivuthayo zenyama ye-pelvic, i-vagina, i-endometritis, ithathwa njengento eyimfuneko yokuphuhliswa kwe-adnexitis (inkqubo yokuvuvukala kwii-tublopian tubes kunye nama-ovari), iingxaki ezinzima ngexesha lokubeleka nokukhulelwa.
I-Gardnerella kubasetyhini: ezibangela
I-Gardnerella vaginalis (iklasi ye-anaerobes enezixhobo) ngexabiso elincinci lihlala likhona kwi-microflora yesini, ngaphandle kokubangela ukungazinzi kunye neempawu ze-gardnerellez. Abaphathi be-Gardnerella vaginalis bangama-25-45% amabhinqa aphilileyo ahlukeneyo. Ukuphindaphinda ngokuqhubekayo kwe-gardnerella phantsi kweempembelelo zezinto ezinokuphela / eziqhelekileyo zikhokelela ekuhambeni kwe-lactobacilli kunye nokutshintshwa kweentyityalo eziqhelekileyo zaseGarnnerella vaginalis. Ngenxa yoko, ukuphazamiseka kwezidakamizwa ze-mucosa nkqubela, iipropati zayo zokukhusela kunye neenkqubo kwiiseli ze-vaginal epithelium shintsho. I-Gardnerella ivelisa ezininzi i-amino acid kunye ne-pyruvic acid, eziyimfuneko kwizilwanyana zepathogenic zokutya kunye nesetabolism. Ngethuba le-decarboxylation yama-amino acids kwiimfihlo zobunqunu, i-amines kunye nevumba elimnandi leentlanzi ezibolileyo zikhutshwa.
I-Etiology ye-gardnerellez:
- ukutshiza rhoqo (ukuhlamba i-lactobacilli);
- Ukusetyenziswa kwe-chlorine ene-antiseptics (i-Miramistin, iGibitan);
- Ukusetyenziswa kwezicathulo zokukhusela eziqulethe i-9-nonoxinol (ikhandlela i-Patentex, i-Nonoxinol);
- ukuziphatha okubi ngokwesini;
- ukungenangqiqo kwemithi ye-antibiotic;
- izifo ze-urrogenital system;
- ukutyalwa kweemitha zangexesha elide;
- emathunjini amathumbu;
- ukusilela kwemodon. Umsebenzi wama-ovari unquma umsebenzi wokuvelisa i-lactoflora. Icandelo le-hormone kwi-etiology ye-gardnerellosis ichaza ukuba isi sifo asiqhelwanga ukuba siselula (kwiminyaka eyi-14-18) kunye nexesha lokuyeka umva;
- ukunciphisa amandla okukhusela amajoni omzimba kumayeza atshabayo;
- ukumkela izidandlululo, izilungiso ze-hormonal.
I-Gardnerella kubasetyhini: iimpawu
Into ephambili ye-pathology kukungabikho kwembonakalo yangaphandle yokuvuvukala kweendonga zesisu, kwi-50% yezigulane ze-gardnerellez ziyaqhubeka kunye neempawu ezinobumba. Uvavanyo lwe-colposcopic lubonisa ukuchithwa kwe-dystrophic inxaxheba kunye neenkqubo ezingaqhelekanga kwisibeleko somlomo. Ngamanye amaxesha kukho inkqubela yesifo-ukusilela ngokupheleleyo kweempawu zekliniki kwimvelaphi yeemvavanyo zelabhoratri ezilungileyo. Iimpawu ezicacileyo ze-gardnerelleza: ukugqithisa okwesibhakabhaka okwesibhakabhaka kokuhamba okuluhlaza, iphunga leentlanzi ezibolile, intlungu / ukubetha kwi-coitus.
I-Gardnerella kwabasetyhini: unyango kunye nokuxilongwa
Ukuxilongwa kwe "gardnerellez" kusekelwe kwi-anamnesis, idatha yekliniki kunye nokuhlola - i-pH-metry (uvakalelo 80-99%) kwaye ayikho nto. Xa kuhlolwa i-gardnerellosis, ukuhlolwa okongeziweyo kuyimfuneko kakhulu ukukhuphela izifo ezithathelwana ngesondo - i-herpes yomzimba, i-gonorrhea, i-trichomoniasis.
Isicwangciso sokunyanga sinezigaba ezimbini:
- Ukupheliswa kosulelo kunye nokuqhaqha. I-Gardnerelles ayimelana ne-kaminoglikozidam, i-sulphonamides, i-tetracyclines, i-cephalosporins; i-cClindamycin kunye ne-ampicillin. Iziyobisi ezikhethiweyo yiClindamycin kunye neMetronidazole. Ukukhawulezisa inkqubo yokubuyisela, i-immunotherapy isenziwa. Kunconywa ukuba uyeke ukulala ngesondo ngaphandle kokusetyenziswa kweikhondom ngexesha lokuthatha amayeza.
- Ukubuyiselwa kwe-microbiocenosis yesiqhelo esiswini. Nika i-eubiotics (iBifidumbacterin, Acilactum, iLactobacterin), ekhuthaza ukukhula kwe-lactoflora yemvelo kunye negalelo ekunciphiseni inani lokubuyela kwakhona kwesi sifo.
Gardnerella ekukhulelweni
Isifo sifumaneka kwi-15-25% yabamama abalindeleyo. Ukuphuhliswa kwesifo sengqondo ngexesha lokukhulelwa akulona uphawu - iindlela zokukhusela zomzimba womama zikhusela umntwana kwisifo, kodwa i-gardnerelles inqanda ukukhuselwa kwamagciwane, oku kunokukhokelela kwiinkathazo ezahlukeneyo: ukuzalwa kwangaphambi kokuzalwa, emva kwe-postpartum sepsis, i-chorionamionitis. Ukuba i-gardnerella itholakala kuhlalutyo, kuyimfuneko ukuba uqalise unyango ngokukhawuleza nge-Trichopolum, i-Ornidazole, i-Metrogil okanye i-Metronidazole kunye nokuthatha i-probiotics. Isikimu esiphezulu sikhethwe ngumgqirha oya kwi-individual basis.
I-Gardnerella kwabasetyhini: unyango ekhaya
Ngaphambi kokuqala unyango ngoncedo lwezonyango zabantu, kucetyiswa ukuba udibane nogqirha ukuze ugweme iingxaki kunye nemiphumo emibi. Ulwaphulo lufanele lwenziwe phantsi kolawulo lwezonyango kunye nokuhlolwa kwebhubhoratri kwimoo yezempilo yangoku yezigulane. Ukuzinyonga kunokuba yingozi!
Umhluzi ovela kwi-phytospores:
- uthathe ubungakanani obulinganayo kwingcambu ye-althaea, utshani lwengqayi, i-clover e-sweet, amaqabunga ama-nettle, ama-blueberry, i-lavender, i-pine buds. Iipuni ezintathu ezinkulu zokuqokelela ukuqokelela kunye neyitha yamanzi abilayo, ubilise ukushisa okulinganiselayo imizuzu eyi-10-15, uthele kwi-thermos, ugxininise iiyure eziyi-10-12. Sebenzisa ii-milliliters ezingama-120 ngomzuzu wama-30-40 ngaphambi kokutya emini;
- ukudibanisa inxalenye efanayo nengca ye-mint, i-wintergreen, i-eyed-eyed, amaqabunga ama-eucalyptus, umama-kunye nomama wesibini, i-bearberry, ii-flower clover, i-tansy, ingcambu ye-badana. Phalaza iipunipoyi ezintathu zokuqokelela nge-litre zamanzi abilayo, ubilise imizuzu eyi-10-15, ugxininise kwi-thermos ama-10-12 iiyure, uthathe ii-milliliters ezili-120 phambi kokutya emini.
Tampons:
- ukulungiselela isisombululo se-aple cider iviniga (ithispoon) kunye nejusi ye-carrot (isipuni), faka kwi-padze pad, faka kwi-vaginal imizuzu engama-20-25;
- lungise umxube we-buckthorn yolwandle / ioli yeoli kunye nejusi ye-aloe (1: 1), faka kwi-swab ye-gauze, faka kwi-vagina ngeeyure eziyi-10-12.
Ukuhlambalaza ukuhlamba
- iintyatyambo ze-marigold, i-chamomile, amaqabunga ama-walnut, i-oak bark.
Itiza yokwelapha ukuqinisa ukukhuselwa komzimba:
- i-quince (i-1 piece), i-lemon (i-1 piece), i-garlic (ama-7-9 amazinyo), i-cherry (i-2 cups), ii-apula (iziqhezu ezi-2), amanzi (2.5 ilitha). Izithako ngokucoca, kuxuba, uthele amanzi abilayo. Phuza i-100-120 milliliters 4-5 amaxesha ngosuku.
Ukukhusela i-gardnerelleza kwabasetyhini:
- ubukho bomlingani omnye wesini, ubomi obunqununu bokulala ngokwesondo;
- ukupheliswa kwesondo;
- ukugcina ucoceko olusenyongweni, ukutshintshwa rhoqo kweepads / tampons ngexesha lokuya esikhathini;
- kuqinisa u khuselo;
- ukugqoka iingubo zangaphantsi ezenziwe ngezinto eziphathekayo;
- unyango olusifike ngexesha lezitho ezivuzayo zezitho zeplavic.
Gardnerella kumadoda
Ukukhulelwa komntu okwenzeka ngokukodwa ngexesha le-coitus kunye ne-female carrier ye-gardnerella. Indlela yokunxibelelana nokusulelwa kwintsholongwane (kunye nokuxhaphaza, ukubanga, kwi-sauna / ibhafu) ayifakiwe. Izidalwa ze-gardnerellosis kumadoda zilandelayo: izihambelane / ezidluliswe izifo ze-genitourinary system, i-antibacterial therapy, ukusetyenziswa kwe-immunosuppressants, ukwehla kwimisebenzi ye-immunological ngokumalunga nemvelaphi yokuxinzezeleka ngokomzimba / ngokomzwelo. Kwimizimba yomzimba ye-gardnerella ihlala ixesha elide ayikwazi - ihoxiswa iintsuku ezintathu emva kokushaya. Kwi-7-10% yamatyala, ii-anaerobes zihlala ezinxeneni ezinobomi - zidibene ne-gardnerella balanoposthitis (i-nonspecific urethritis).
Gardnerlellosis kumadoda: iimpawu
Kwinkoliso yamaninzi, ukulungiswa kweentlobo zesini ngokobuGadnerella akunikezi uphawu oluphawulekayo. Inqabile kakhulu isifo sibonakalisa ngokutshisa / ukuphazamiseka ngexesha lokucoca, kunye nemfihlo yokuxhamla emanzini kunye neentlobo zeentlanzi ezihambayo.
Iingxaki:
- iprotatitis;
- i-vesiculitis (ukuvuvukala kwimizimba yesisu);
- urethritis (inkqubo yokuvuvukala kwi-urethra).
Ukuxilongwa kunye neyeza zonyango kwi-gardnerellosis kubantu
Amanyathelo okuxilonga afaka: ukufundwa kwe-ejaculate, umchamo, ukufihla kweprotate, ukususa kwi-urethra nge-polymerase chain reaction (ubuncinane 98%). I-regimen yokwelapha ikhethwe ngabanye, ngokuqwalasela ubukho / ukungabikho kwezifo ezithintekayo kunye nokuxhatshazwa kwe-arhente ekwenzeni iyeza kwiimveliso zonyango. Nika iLevofloxacin, Clindamycin okanye i-Doxycycline. Ngexesha lokuthatha iyeza, kunconywa ukuba kulandele ukutya okuthetha ukugatywa kotywala, inqatha, ukutshaya, izitya ezicocekileyo. Kwiimpawu ezibonakalayo ezinzulu zesifo, ukusetyenziswa kwe-immunostimulants kusetyenziswa ukubuyisela i-mucosa kunye nokwandisa iimpendulo zomzimba zomzimba. Ngokwezalathisi zichazwe iziyobisi ezichasayo, izixube ze-microelements kunye namavithamini. Ukuze ugweme ukusuleleka kwi-gardnerella, kubalulekile ukulandela amanyathelo okukhusela: ukuyeka ukulala ngesini kunye nomfazi osesikhathini, sebenzisa ikhondom ngexesha lesini kunye nomlingane ongeyena.
I-Gardnerelosis yabasetyhini i-pathology eqhelekileyo yendalo yesisu, efuna ukuxilongwa ngokufanelekileyo kunye nokunyango olupheleleyo. Ukuba ukuphulwa kwe-microflora yobundlobongela kufunyenwe, kuyimfuneko ukufumana unyango olufanelekileyo - oku kuya kunceda ukuphepha iingxaki ngexesha lokukhulelwa nokuzala, ulondoloze impilo yokuzala ixesha elide kwaye uphucule umgangatho wobomi.