Abaningi abakhulelwe bayamangala, bathi, kungani bawabela ukuhlolwa kwezifo zocansi? Kungani kufanele ngivuseleleke uma konke kulungile? Ngeshwa, esikhathini sethu lezi zifo zivame ukujwayele futhi zivame ukuziqeda. Kodwa kunezinye zazo ezingaba nomthelela omubi endleleni yokukhulelwa, inqubo yokulethwa kanye nempilo yengane. Okuyingozi kakhulu kule ndaba yi-chlamydia, umthelela ekukhulelweni njalo awunakulinganiswa futhi ngezinye izikhathi isimo siphela kabi kakhulu. Yingakho lesi sifo sifanelwe ingxoxo ehlukile.
Kuyini lesi sifo?
I-Chlamydia yisifo esithathelwanayo esibangelwa i-chlamydia. Lezi zinxusa ezibangelwa i-causative zinezinto zombili zegciwane kanye nama-bacteria, ngaphezu kwalokho, zinomjikelezo owunzima kakhulu wokuthuthukiswa ngaphakathi kweseli nangaphandle kwawo. I-Chlamydia ingangena kalula amangqamuzana omzimba futhi ibhubhise, ibangele ukusabela okunamandla okuvuvukala okuholela ekutheni ukunamathela nokuncipha okubukhali esimisweni somzimba sokuzivikela.
Ngenxa yale nqubo ethize ye-chlamydia yokukhiqiza, ukwelashwa ngama-antibiotic alula akukwazi ukuqeda ngokuphelele ukutheleleka. Ukutheleleka okuyinhloko, ngaphezu kwalokho, ngokuvamile kwenzeka kaningi ngaphandle kwezimpawu futhi kungenzeka ukuthi kuholela ekugezeni kwesifo zibe ifomu elingapheli. Ngezinye izikhathi, emva kokwelashwa okungalungile, ukuphikelela okuqhubekayo, okungukuthi, ukutheleleka "kokulala" kuyaqhubeka ngezikhathi ezithile. Isifo esinjalo sibangela izinhlobo eziguqukayo ze-pathogen, ukumelana nesenzo sama-antibiotic. Imiphumela esemqoka ye-chlamydia yinkimbinkimbi yezifo ezivuvukalayo zesistimu ye-genitourinary kwabesifazane nabesilisa, ukuthuthukisa ukungabikho komzimba, kanye ne-arthritis, i-conjunctivitis, i-pneumonia kanye nokulimala kwenhliziyo.
Ithonya endleleni yokukhulelwa.
I-Chlamydia ivame ukuholela ekuhlulekeni ukukhuthazelela ukukhulelwa - ukuhlukumeza okuzenzakalelayo kuyaphindwa. Kodwa ngisho noma ukukhulelwa kuqhubeka, ukutheleleka kwe-intrauterine ye-fetus ngokuvamile kwenzeka, noma, ngenxa yalokho, ukutheleleka kwezingane ezisanda kuzalwa. Phakathi kwadokotela, kunezimvo ezehlukene mayelana nezinkinga ezingenzeka emntwaneni ngemuva kokutheleleka komama ka-chlamydial. Abanye bakholelwa ukuthi umthelela omubi ekukhulelweni nesimo se-fetal kuyinto encane, ngoba ingane yakho ivikelwe isithwathwa se-fetoplacental, abanye - ukuthi kungenzeka ukuthuthukiswa kwezinkinga ezinkulu.
Kunombono wokuthi i-chlamydia iholela ekwakhiweni kokukhubazeka kokufelwa ngesikhathi sokutheleleka okuyisisekelo noma ukukhushulwa kwenkambiso esithathelwanayo ekuthomeni kokuqala kokukhulelwa. Futhi, lesi sifo sakha ukungakwazi kahle kwe-placental-placental, ukutheleleka - engxenyeni yesibili yokukhulelwa. Imiphumela ye-chlamydia ngesikhathi sokubeleka ingaba: ukukhishwa kokuqala kwe-amniotic fluid, ubuthakathaka bempi yokuzalwa.
Izindlela zokuxilonga.
Kuphelele kukhona izindlela eziningana zokuxilongwa komtholampilo we-chlamydia. Zihlanganisa:
• izitshalo noma indlela yamasiko;
• Ukuxilongwa kwe-molecular kuvumela ukwembulwa izakhi ze-DNA ye-pathogen ezifundweni ezikude ngaphansi kokucwaninga;
• ukutholakala kwama-antibodies egazini (enzyme immunoassay);
• Ukuhlolwa kokuhlunga usebenzisa i-microscope ye-fluorescence nokuthola i-antigen, kule chlamydia.
Lezi zindlela ziyindlela evumelana nayo yonke indawo emhlabeni wonke, kodwa ngezinye izikhathi kubangela ukungabaza. Lokhu kubangelwa ukukhiqizwa kwabo okuphezulu kanye nezindleko, ngezidingo zokuhambisana ngokuqinile nazo zonke izindinganiso zangasese nezokuhlanzeka (ukufakwa kwe-multiple air, uhlobo oluthile lwama-laboratory, imishini engenakunqotshwa kanye nezingubo zabasebenzi bezokwelapha, njll), nama-reagents abizayo angenisiwe. Ngakho-ke, ukungalungi okuncane kakhulu kwezobuchwepheshe ngezinye izikhathi kubangela umphumela omuhle wamanga, izindlela ezingafanele zokuphathwa. Kuyafana nokuhlaziywa kwezitshalo ze-chlamydia: uma ubuchwepheshe obudingekayo abulandelwa, futhi ngezinye izikhathi banikeza amaphesenti athile wemiphumela engalungile, kuphela ngokuphindaphindiwe okungamanga amanga.
Ngokusho kweningi labachwepheshe abasebenza ngezifo ezithathelwana ngocansi, amaphesenti aphezulu okufaneleka nokuthembeka kocwaningo kuphumela ekusebenziseni ngesikhathi esisodwa izindlela ezimbili eziziwa, ezingabizi futhi ezisetshenziswa kabanzi zokuxilongwa. Lena indlela yokuzivikela okuqondile ngokusekelwe kwe-chlamydia emanzini wesisu kanye ne-enzyme immunoassay enquma ama-antibodies kuma-infectious agents egazini. Ngenxa yalokhu, igazi elivela emthanjeni linikezwa. Zombili lezi zindlela zihlanganisa ezinye zeziphambeko ezenziwa ngabanye ngabanye. Ibuye inikeze ulwazi oluwusizo kudokotela mayelana nobukhulu nobude bezinqubo ezithathelwanayo emzimbeni wesiguli. Amaqhinga okwelashwa ancike kulokhu esikhathini esizayo.
Ukwelapha.
Naphezu kokuthi ukukhulelwa kungathinteka kakhulu yi-chlamydia, akufanelekile ukuphazamisa ngemuva kokuthola lesi sifo. Ngisho noma i-clamidiosis itholakale ekuqaleni kwezinyathelo zokukhulelwa. Kuyiqiniso, kuzodinga ukwelashwa okuphoqelekile ngokwendlela ekhethekile yokwamukela uhlelo. Ifomu elingapheli le-chlamydia (lapho ama-antibodies ohlobo lwe-G etholakala egazini) aphathwa emavikini angu-20 no-30 okukhulelwa. Inqubo enzima (uma ama-antibodies of uhlobo M etholakala egazini), ukwelashwa kwenziwa emva kwamasonto angu-12 okukhulelwa.
Odokotela bezinye izizwe banamathele emibonweni yokuthi uma kungekho ukubonakaliswa kwemitholampilo (izici ezikhishwayo, ubuhlungu, njll) kanye nokusebenza kokutheleleka ngesikhathi sokuhlolwa kwelabhorethri, azikho izizathu zokumisela i-antibiotic owesifazane okhulelwe. Phela, umuntu ngamunye uyithwala yezinambuzane eziningi ze-pathogenic nezimo eziphilayo. Ukuthatha akuyona njalo inkomba yokwelashwa. Ukusebenza okubonakalayo kokutheleleka kuphela kungenza ukwelashwa okufanele kwenziwe.
Lapho ukwelashwa kwe-chlamydial, ama-antibiotics weqembu le-tetracycline asetshenziswa. Ngesikhathi sokukhulelwa okuthandwayo kunikezwa i-ofloxacin nama-macrolides wesizukulwane sokugcina. Kubalulekile futhi ukulungisa isimo somzimba wokuzivikela, kuyilapho ubuchwepheshe bokutheleleka bulokhu bucatshangelwa.
Muva nje, isidakamizwa esisha sithandwa kakhulu - i-antichlamydia yomuntu i-immunoglobulin. Iqukethe ama-antibodies ngokumelene ne-chlamydia, ngakho-ke i-clamidiosis yokukhulelwa inomphumela omncane. Ngesikhathi ukwelashwa konke, kubalulekile ukuthatha imithi esekela umsebenzi wesibindi, futhi nokuvimbela ukugqashuka kwesifo sofuba sangaphandle. Ngezinye izikhathi kunesidingo sokwengeza ukwelashwa nge-enzyme, bese ubuyisela i-microflora ukuthatha i-eubiotics - lactobacilli ne-bifidobacteria.