Gonorrhoea - kuyini? Incazelo lesi sifo, izimpawu, ukwelashwa

Kukholakala ukuthi izifo ezithathelwana ngobulili avele emhlabeni ngesikhathi esifanayo nomuntu. Ngokwesibonelo, isipatsholo ungathola izinkomba iBhayibheli ngisho azibhala isazi yamaGreki asendulo. Eyesibili Kudume igama aziwa lesi sifo - isipatsholo. Abaningi bakholelwa ukuthi ukubamba lokhu ukutheleleka can ngokobulili kuphela, futhi ucishe uyazi yini isipatsholo. Kuyini ophthalmia, urethritis, cervicitis, proctitis, akubona bonke uyazi. Phakathi naleso sikhathi, konke lokhu futhi abambalwa izifo eziyingozi kanye nemiphumela enqala kungenziwa eyabizwa ngokuthi isipatsholo, ngoba indlela yabo nokucupha.

Portrait lwegciwane

Ngisho labo bazi ukuthi kukhona izifo ezithathelwana ngobulili - isipatsholo, lokho gonokokk nokukubangela ababuthakathaka. Sizozama ukugcwalisa lokhu igebe. Kunenqwaba amagciwane eziwuhlupho kumuntu futhi ngezinye izikhathi ngubani ukuxhumana ke kuze kube sekufeni. Omunye wabo igremu diploid bohlobo lwe-Neisseria gonococcus - agent causative of isipatsholo. Lezi yizilwanyana eziwuhlupho abukeka afana ngezizathu ikhofi noma ubhontshisi, bahlala ngazimbili kungani bebizwa diploid. Isilinganiso elithi "igramu-negative" bacterium-to-isisindo kungaqali kusho ukuthi musa ukushintsha umbala walo lapho ongcoliswe Gram indlela nososayensi. Neisseria bohlobo is ogama lakhe behlonipha owathola usosayensi yabo Albert Neisser. Flagella gonococci abanalutho olutheni ngokwezinto ingcebo. Villi, noma niphuza, okuyinto ngamunye wabo uzungezwe, akuzona ukuhambisa, futhi babiza lwamafinyila. Lezi amabhaktheriya bahlala emakoloni usukela kahle smear isiguli.

Properties e imvelo yangaphandle

Gonorrhoea azizwa akhululeke kuphela abezindaba izakhi, ikakhulukazi uma kukhona lwendabuko (iyishintshangwa) amaprotheni womuntu, futhi umuntu ngokwakhe. Ngo imvelo ukusebenza yayo ongaphakeme. Ngakho, gonococci ngemizuzwana afele isixazululo insipho ezivamile, sifo iyafa ngokushesha ngaphansi isenzo ngisho antiseptics ababuthakathaka (nosawoti esiliva, betadine, utshwala, njll), afe njengoMesiya omiswe isikhwehlela futhi ubomvu lapho kukhona. Lesi sici ziwusizo kakhulu ukuba abantu futhi lisetshenziswa njengendlela isipatsholo zokuvimbela. Nokho, kwaba nezigameko lapho hhayi ngokuphepha kuphela gonococci yayikhona, kodwa futhi ezifuywa ezindaweni EPITHELIAL ngu engena phakathi elingaphakathi izingqimba, igazi lymph izitsha.

I izakhiwo zama-bacterium ezihlala emzimbeni womuntu

ubungqabavu Mangalisayo futhi Ukungaqiniseki virulence - yilokho isipatsholo yingozi. Uyini gonococci e indawo eyeseka kubo? Lokhu izidalwa ethule onezimfihlo ukubulala ngobuqili, ngoba, engena phakathi nomzimba we isisulu (umuntu), ngokuvamile kakhulu zingabantu isikhathi eside ungabukisi umsebenzi wabo wezempilo-echithayo. Abantu abagulayo ngisho nokuwabona ukuba khona ngenxa yokugula futhi uyaqhubeka ukuthelela abanye. Gonokokk Okwamanje sandise inkonzo amakoloni zabo, bayawuqhwaga insimu entsha futhi elisukela lwamafinyila (indawo eyinhloko isingeniso) ku kwezitho zangaphakathi. Ukuthola endaweni entsha yokuhlala, lezi amagciwane ayingozi ukukhiqiza i-enzyme i-beta-lactamase, ebavikela izidakamizwa. Umzimba womuntu uzama ukulwa abahlaseli futhi sihlasela nabo bacteriophages. Kodwa gonococci kukhona olukhuni ukuze hhayi nje kuphela wafa, edliwa, kodwa futhi siqhubeke wande. Enye indlela ukuze basinde - ikhono ziphenduke, ukudala i L emise, lapho imithi elwa namagciwane amaningi azanele.

"Ababehamba" ka isipatsholo

Akuwona wonke umuntu ingafinyelela isipatsholo kanjani esikhohlisayo. Kuyini a Symbiosis of eziphilayo, it is kuwo wonke umuntu ezaziwayo. Gonokokki lwakha Symbiosis namanye amagciwane - Trichomonas lwesitho sangasese sowesifazane. Kubangela trichomoniasis okwandile ngokungavamile emhlabeni wonke, ngakho ukubamba kwabo ngenkathi non-ukuhambisana kweso. I Trichomonas ngenhla gonococcal kancane emikhulu futhi kalula ukuncela kubo. Uma usuphakathi kuso, amabhaktheriya isipatsholo uqhubeke wanda, kodwa avikelekile kahle ngokumelene antibiotic. Ngaphezu kwalokho, gonococci ngokuvamile atholakala ngokuhlanganyela mucosal chlamydia, Treponema pallidum (ugcunsula lwegciwane), amakhowe - Candida, herpes amagciwane, okuyinto nzima uphethwe. Ngemva ukwelashwa isipatsholo izimuncagazi ezihlobene zisaqhubeka ukuvuvukala olwengeziwe.

Izindlela ukutheleleka

Ngoba kubhekwa isifo esithathelwana ngobulili isipatsholo, lapho ivela khona izizathu ikakhulu ezihlobene nokuphila ngokobulili yomuntu. Nokho, zikhona izindlela kwansuku ukutheleleka. Ngakho, isipatsholo kungenziwa Yezwakala:

• yezenzo zocansi olungavikelekile (temlomo, isitho sangasese somuntu wesifazane, ubulili bendunu nobulili);
• ukusebenzisa ngokuhlanganyela isiguli ezivamile ithawula amashidi, washcloths;
• Ezinganeni ezitheleleke nge gonococci ngesikhathi sokubeletha;
• amantombazane ingaqala non-ukuhambisana inhlanzeko urinary izitho (isipatsholo "potting");
• amehlo izandla gonokokki langena (lapho ophthalmia);
• isipatsholo kungabuye langena usebenzisa yasendlini ngezandla ezingcolile emlonyeni (pharyngitis gonococcal, stomatitis).

Ezindaweni zomphakathi (okugeza, sauna, yokubhukuda), kuncike ukusetshenziswa ngabanye kwenhlanzeko izinto amathuba isipatsholo ukutheleleka uphansi kangangokuthi ubhekwa zero.

ngezigaba

Kanjani ngokushesha eba zokugula? Yini isigaba has isipatsholo? Isikhathi, noma isigaba lesi sifo, kukhona lokhu okulandelayo:

• fresh (acute), lapho ukutheleleka isidlulile kusukela ngesikhathi kufika ezinyangeni 2;
• ezingalapheki, ngokuphikelela iminyaka.

Ekuqaleni ukushaya abesifazane ku nolwelwesi lwamafinyila sangasese, kanti amaduna - ngasekhanda wenduku, gonococci ukusakaza eminye kanye izitho urinary, okubangela ukuvuvukala yabo futhi zonke izinhlobo izinkinga ngemva kokuhlinzwa, kuhlanganise nenzalo kanye yisisu. Lona isipatsholo esiyingozi kakhulu. Amafomu zesifo kukhona okulandelayo:

• zangasese;
• extragenital;
• metastatic.

Ukuze isipatsholo zangasese zihlanganisa izifo kwezitho zobulili nemiNyango yawo. Ngo abesifazane, lokhu oophoritis (ukuvuvukala ezikhiqiza amaqanda futhi amashubhu fallopian) kanye cervicitis (ukuvuvukala wesibeletho).

Girls gonokokki parasitize kuphela sangasese kanye esibelethweni kanye ezihlobene musa ukungena.

In amadoda, kuba prostatitis, urethritis, vizekulit (abavusa le vesicle kwesidoda).

Ngu extragenital isipatsholo isifo zihlanganisa izitho nonsexual kubangelwa gonococcus. Ngaphandle okungenhla gonoreynyh amehlo futhi izifo zomlomo, kungaba proctitis (isifo rectal), cystitis, isipatsholo kwezinso, gonokokkemiya (amalunga omzimba umxhwele, isikhumba) kanye sepsis. Kumele kuthiwe gonococci ungathandi igazi serum ukuthi ubulala kubo ngemizuzwana. Ngakho-ke, igazi ligeleze ezithweni iyathwalwa erherhweni genitourinary. Kodwa ngezinye izikhathi iziguli uhlangabezana ukumelana serum enzyme. Kulezi zimo gonococci abafi, weneka emzimbeni.

isipatsholo Metastatic - kwetintfo kanye okubi kakhulu ezandulele ezimbili.

Kanjani isipatsholo e abesifazane namantombazane

sici Amazing futhi iyingozi kakhulu lesi sifo ukuze kube izinyanga noma ngisho neminyaka ngokuvamile ingekho. Lokhu kwenzeka ngo-10% abesilisa kanye 80% abesifazane. Kulokhu, zonke lezi iziguli amagciwane egazini. Isikhathi bayashintshana ekufukameleni ngoba isipatsholo acute ingahlala kusuka 1 usuku 1 inyanga ngemuva kosuku ukungcola okucatshangelwayo. Ekupheleni kwesikhathi bayashintshana ekufukameleni, abanye abesifazane bazizwe ukuluma ilindele sangasese kanye ingquza (nge proctitis), ngezinye izikhathi ubuhlungu esifushane uma uchama nesaziso neobilnye Kwabiwa uhlobo izintambo. Ngemva contact nge Neisseria gonorrhoeae emlonyeni inani elincane lomphakathi wabo abesifazane babe ukuvuvukala kancane amalaka nomphimbo ukucasuka. Ngenxa yokuthi kuncane kakhulu kubonakala isipatsholo, impatho kwabesifazane kusaqalwa zesifo awavamile. Ezimweni eziningi, izimpawu mnene futhi musa unamathisele ukubaluleka ukuze ubhekane nalezi amakhambi ekhaya.

Girls isipatsholo futhi owabonakaliswa ukulunywa futhi ukuvuvukala umthondo nge ubovu osenyameni lwamafinyila. isimo Jikelele iziguli kusaqalwa lesi sifo njalo evamile.

Ukubonakaliswa isipatsholo ezingabantu

isigamu Namandla lwesintu ngokushesha uqaphela ukuthi uhlelo lwabo genitourinary ukuthi kukhona okungalungile. Izimpawu yokuqala isipatsholo ezingabantu zimi eyesikhashana ubuhlungu ngesikhathi ukuchama, ubovu (ngezinye izikhathi esinuka) uketshezi, ububomvu kancane nokuvuvukala kancane ikhanda umthondo. Njengoba amadoda gonococci ngokushesha okukhulu emva kokutheleleka lingena singene urethra, aba abavusa, noma okuthiwa urethritis. Ekuqaleni, izimpawu egwinya. Ekuseni, iziguli uqaphela ezinye soreness futhi ngokushesha odlulayo umuzwa esivuthayo uma uchama. I umchamo ucacile, ubovu izindikimba kuwo kancane kakhulu. izimpawu ezingemnandi sibe sibi emva kokuya ocansini, ukuphuza kanye ukudla okuthile. Emasontweni amathathu liphinyiselwe izimpawu zokuwohloka, futhi lesi sifo kuba amahlala khona - ne izinkathi ukuthethelelwa futhi lokubuya kwesifo - esiteji.

ukuhlola

Abanye "elihlakaniphile" ukuthola ubovu osenyameni kusukela ubuntu bakhe, udokotela akazange athathe isikhathi uhambe ukuthenga "iphilisi i isipatsholo." Lokhu ngokuvamile kuholela yokuthi umuntu uthola imithi elwa namagciwane ezingadingekile, kususa okwesikhashana izimpawu ezingemnandi lesi sifo futhi uhumusha esigabeni okungamahlalakhona, phakathi kwesikhathi lapho gonococci zijule zidlule umzimba. Ukwelashwa ukuba siphumelele, qiniseka lokwenza ukuxilongwa. Kuhlanganisa:

• ngihlolwa;
• urinalysis;
• Pap saziso;
• bakposev (ukulungela eside cishe isonto, kodwa linikeza 100% Ukunemba yi Chile);
• PCR ukuhlaziywa (ngempumelelo ikakhulukazi ukungabi khona izimpawu liphinyiselwe).

Ukuhlaziya igazi esolwa isipatsholo ingathathwa. Imiphumela yaloku kuhlola okungenhla esichazayo Kumiswa kuphela uma ithola e smear bakposeve noma Neisseria gonorrhoeae.

ukwelashwa

Gonorrhoea iphathwa esigulini esingalalisiwe esibhedlela noma kozhvendispanserah ukuthi inquma isifo Venereal. yokudluliselwa isiguli esibhedlela nge yezinkinga kungenzeka lesi sifo futhi ngibalekela yokwelapha zabo esigulini esingalalisiwe esibhedlela. Uma ngokuphelele ukuthi uphethwe "isipatsholo", ukuphathwa ngendlela abesifazane namadoda athile ukukhiqiza iqembu penicillin akuzange kusize kwamaphilisi ( "Oxacillin" "Amoxicillin" kanye nabanye). Ngeshwa, kusuka gonococcal eside kangaka ukususa lezi izindlela ukuthi leli gciwane zafunda ukumelana nabo isivele ezingeni zaso zofuzo. Ephansi wawubona ukuzwela gonococci ne-tetracycline, ampicillin, amaqembu spektinomitsinovoy izidakamizwa. Ngu amafomu ikakhulukazi eziqinile-bacterium zisebenzisa "Ceftriaxone" noma "Rocephin". Lezi imithi elwa namagciwane ukungena yimuphi izicubu kanye izitho. Uma umuntu, okusolakala yena isipatsholo, ngokushesha kudokotela, ukwelapha kungaba okusheshayo. Ingabe kudingeka wesikhathi esisodwa umjovo emthanjeni of "Rocephin" in inani 250 mg.

izindlela beNdabuko ukususa isipatsholo alikho. Into kuphela ungakwazi ukusizakala amathiphu abelaphi njengenhlangano adjunct nemithi, - ukugeza umthondo izidakamizwa, aqede ukuvuvukala (decoction of chamomile, celandine, dandelion nezinye amakhambi izimpande). Akubuzwa ukuthi lezo zinqubo kuphela ibhekwa terpenes wezokwelapha.

yezinkinga

Ikhono ukujwayela futhi simelane gonokokkov izidakamizwa kufanele kucatshangelwe Venereal isifo ekumisweni nemithi. Lapho sifundela umuntu othile wahlanganyela self-medicate, futhi antjintje "iphilisi i isipatsholo" ngeseluleko abangane, cishe ngaso sonke isikhathi waphawula ukuxakeka. Bona, kanye nesifo eyinhloko azibonakali ngokushesha. Okokuqala isiguli uthola umqondo wokuthi uyahlanganyela wasimama ngokugcwele. Ukuze abesifazane, ngenxa yezinkinga isipatsholo zigcwele ukungazali, ukhulela ethunjini, libangela ukuphuphuma kwezisu. Esinye isifo esiyingozi kubangelwa isipatsholo ingelashwa noma undertreated - kuyinto hydrosalpinx. Ngalesi zokugula tube fallopian aqoqana ubomvu isithombe yangaphandle sifana lwesimila. Owesifazane ihlangabezana ikhanda yobuhlungu beqolo, imfiva. Uma ipayipi siyaphola, ubomvu ageleza kule ndawo okhalo, iqala pelvioperitonit, okuyinto igcwele kuholele ekufeni.

No kancane esiyingozi futhi Bartolini (ubovu ukuvuvukala nezindlala vestibular).

In amadoda, nemiphumela eyingozi kakhulu isipatsholo - a prostatitis engaholela ubuthakathaka, futhi epididymitis (ukuvuvukala amasende), elibangela nenzalo.

Okubalulekile! Noma yimuphi ngobulili, isipatsholo futhi kuhlanganise unganikeli amasosha omzimba, ukuze bakwazi itheleleke nge isibalo esingapheliyo izikhathi.

zokuvimbela

izindlela ezithile okufanele ukudluliswa isipatsholo ukucacisa izinyathelo zokuvimbela ngokumelene sifo. Endaweni yokuqala ohlwini kuyinto ukusetshenziswa kwamakhondomu ngesikhathi sokuya ocansini kuzo zonke izimo, uma kungekho ithemba 100% umlingani wakho. On the yesibili - inhlanzeko yomuntu siqu.

Elinye iphuzu elibalulekile kuyinto okwashiwo ngaleso venereologist ezinyangeni ezingu 3 ngemuva kokuphela ukwelashwa kanye ukulethwa control cwaningo.