I-Gardnerellez kubantu besifazane - isifo esithathelwanayo esithinta i-dysbacteriosis yesimiso sezilwane, ngokuhambisana ne-gardnerella ephakeme kakhulu kanye nokungabi khona / ukwehla okuphawulekayo ebantwini bama-bacterium lactic acid. I-gardnerellez engapheli iholela ezifweni ezivuthayo ezithombeni zomzimba, isiswini, i-endometritis, kubhekwa njengento ebalulekile ekuthuthukiseni i-adnexitis (inqubo yokuvuvukala emathangeni we-fallopian and ovaries), izinkinga ezinkulu ngesikhathi sokubeletha nokukhulelwa.
I-Gardnerella kwabesifazane: izimbangela
I-Gardnerella vaginalis (i-class of anaerobes ehlakaniphile) ngezinga elincani lihlala likhona kwi-microflora yesifazane, ngaphandle kokubangela ukunganaki nezimpawu ze-gardnerellez. Abathwali baseGarnnerella vaginalis bangama-25-45% abesifazane abaphilile abanamaqembu ahlukene. Ukuphindaphindwa okuqhubekayo kwe-gardnerella ngaphansi kwethonya lezici ezingapheli / ezingavamile ukuholela ekuhambeni kwe-lactobacilli nokushintshwa kwezihlahla ezivamile zaseGarnnerella vaginalis. Ngenxa yalokho, ukuphazamiseka kwe-disbiotic ye-mucosa iqhubekela phambili, izindawo zayo zokuzivikela nezinqubo kumaseli we-vaginal epithelium shintsho. I-Gardnerella ikhiqiza ama-amino acids amaningi kanye ne-asidi pyruvic, okudingekayo ezinhlobonhlobo ze-pathogenic zokudla nokudla komzimba. Phakathi ne-decarboxylation yama-amino acids emiginini yesisu, ama-amine anenkungu elimnandi lezinhlanzi ezibolile akhululwa.
I-Etiology ye-gardnerellez:
- isisindo esivamile (ukuhlanza i-lactobacilli);
- ukusetshenziswa kwama-antiseptics anama-chlorine (Miramistin, Gibitan);
- ukusetshenziswa kwezinto zokubeletha eziqukethe i-9-nonoxinol (amakhandlela i-Patentex, i-Nonoxinol);
- ukuziphatha kabi ngokobulili;
- ukungenisa okungenangqondo kwemithi elwa namagciwane;
- izifo zesistimu ye-urogenital;
- ukuvezwa kwemisebe yesikhathi eside;
- i-dysbiosis yamathumbu;
- ukuhluleka kwe-hormonal. Umsebenzi wama-ovari ukhetha umsebenzi wokukhiqiza i-lactoflora. Ingxenye ye-hormonal ku-etiology ye-gardnerellosis ichaza ukuthi lesi sifo asivamise ukutholakala ekukhuleni (iminyaka engu-14-18) nangesikhathi sokuya esikhathini;
- ukunciphisa amandla okuzivikela omzimba kumasosha aphethwe;
- ukwamukela ama-antidepressants, amalungiselelo e-hormonal.
I-Gardnerella kwabesifazane: izimpawu
Isici esiyinhloko se-pathology ukungabikho kwemibonakude yangaphandle yokuvuvukala kwezindonga zangasese, ku-50% wezigulini ze-gardnerellez ziyaqhubeka nezimpawu ezigcwala. Ukuhlolwa kwe-colposcopic kwembula ukuchithwa kwe-dystrophic ngokuhambisana nezinqubo ezingavamile emtholampilo. Ngezinye izikhathi kunenkinga yokukhubazeka yalesi sifo - ukungabi khona okuphelele kwezibonakaliso zemitholampilo ngemuva kwesivivinyo sokuhlola okuhle kwama-laboratory. Izimpawu ezicacile ze-gardnerelleza: ukugcwala okwephuzi oluphuzi oluhlaza okwesibhakabhaka, iphunga lezinhlanzi ezibolile, ubuhlungu / ukuhlambalaza nge-coitus.
I-Gardnerella kwabesifazane: ukwelashwa nokuxilongwa
Ukuxilongwa kwe "gardnerellez" kusekelwe ku-anamnesis, idatha yokwelapha kanye nokuhlola - i-pH-metry (ukuzwela 80-99%) futhi i-aminotest. Uma kuhlolwa i-gardnerellosis, ukuhlolwa okungeziwe kuyadingeka kakhulu ukukhipha izifo ezithathelwana ngocansi - herpes womzimba, i-gonorrhea, i-trichomoniasis.
Uhlelo lwezokwelapha luqukethe izigaba ezimbili:
- Ukuqeda ukutheleleka nokuvuvukala okuhambisanayo. Ama-Gardnerelles ayamelana ne-kaminoglikozidam, i-sulfonamides, i-tetracyclines, i-cephalosporins; uzwela ku-cClindamycin naku-ampicillin. Izidakamizwa ezizikhethela yi-Clindamycin ne-Metronidazole. Ukusheshisa inqubo yokutakula, i-immunotherapy yenziwa. Kunconywa ukuba ubaleke ucansi ngaphandle kokusebenzisa amakhondomu ngesikhathi sokuthatha imithi.
- Ukubuyiselwa kwe-microbiocenosis ejwayelekile yesisu. Bhala i-eubiotics (i-Bifidumbacterin, i-Acilactum, i-Lactobacterin), ekhuthaza ukukhula kwe-lactoflora yemvelo kanye negalelo ekunciphiseni inani lokubuyiselwa kwesifo.
Gardnerella ekukhulelwe
Lesi sifo sitholwa ngo-15-25% wabomama abalindele. Ukuthuthukiswa kokutheleleka kwe-intrauterine ngesikhathi sokukhulelwa akuyona isici - izindlela zokuzivikela zomzimba womama zivikela umntfwana ekutheleleni, kodwa izinga lokuvikela igciwane lingakhusela izifo ezihlukahlukene, ukuzalwa kwangaphambi kwesikhathi, isisu se-postpartum, i-chorionamionitis. Uma i-gardnerella itholakale ekuhlaziyweni, kubalulekile ukuthi uqale ukwelapha ngokushesha nge-Trichopolum, i-Ornidazole, i-Metrogil noma i-Metronidazole futhi uthathe ama-probiotics. Uhlelo oluhle lukhethwa ngudokotela oya khona ngokuqondile.
I-Gardnerella kwabesifazane: ukwelashwa ekhaya
Ngaphambi kokuqala ukwelashwa ngosizo lwamakhambi omuntu, kunconywa ukuba uthintane nodokotela ukuze ugweme izinkinga nemiphumela emibi. Ukwelapha kufanele kwenziwe ngaphansi kokuqondiswa kwezokwelapha nge-laboratory ukuhlolwa kwesimo sezempilo samanje sesiguli. Ukuzivocavoca kungaba yingozi!
Umhluzi ovela kuma-phytospores:
- uthatha isilinganiso esilingana nomsuka we-althaea, utshani obunamanzi, i-clover elimnandi, amaqabunga enambuzane, ama-blueberries, izimbali ze-lavender, i-pine buds. Izinkezo ezintathu ezinkulu zokuqoqa iqoqo ngetitha lamanzi abilayo, ubilise ukushisa okulinganisela imizuzu engu-10-15, uthele ematheni, uphike amahora angu-10-12. Sebenzisa amalitha angu-120 emaminithini angu-30-40 ngaphambi kokudla emini;
- ukuhlanganisa ngokulingana okufanayo utshani lwama-mint, i-wintergreen, i-eye-eyed, amaqabunga e-eucalyptus, umama nomama wesifazane, i-bearberry, izimbali ze-clover, i-tansy, impande ye-badana. Thela izipuni ezintathu zeqoqo ngetitha lamanzi abilayo, ubilise imizuzu engu-10-15, ubambelele emahoreni angu-10-12, uthathe amamitha angu-120 ngaphambi kokudla emini.
Amathoni:
- lungiselela isisombululo se-apula cider uviniga (isipuni) kanye nejuroti juice (isipuni), faka emgodini we-gauze, faka emgodini imizuzu engu-20-25;
- lungiselela ingxube ye-sea-buckthorn / amafutha omnqumo kanye nejusi le-aloe (1: 1), faka kwi-swab ye-gauze, faka emkhathini amahora 10-12.
Ukucwilisa ukugeza okudlulayo:
- izimbali ze-marigold, i-chamomile, amaqabunga ama-walnut, i-oak bark.
Itiza zokwelapha ukuqinisa ingculazi:
- i-quince (i-1 piece), i-lemon (i-1 piece), i-garlic (ama-7-9 amazinyo), i-cherry fresh (2 izinkomishi), ama-apula (izingcezu ezimbili), amanzi (2.5 amalitha). Izithako ziwaqede, mix, uthele amanzi abilayo. Phuza izikhathi eziyi-100-120 milliliters izikhathi 4-5 ngosuku.
Ukuvimbela i-gardnerelleza kwabesifazane:
- ukuba khona komlingani owodwa wezocansi, impilo yokulala ngocansi;
- ukuqedwa kobulili obungavamile;
- ukugcinwa kohlanzekile obuseduze, ukushintshwa njalo kwamapayipi / amathoni ngesikhathi sokuya esikhathini;
- ukuqinisa ukuzivikela;
- ukugqoka izingubo zangaphansi ezenziwe ngezinto zokwakha;
- ukwelashwa okufika ngesikhathi ngezifo ezivuthayo ezithombeni zomzimba.
I-Gardnerella kumadoda
Ukwelashwa komuntu ngokuyinhloko kwenzeka ngesikhathi se-coitus ne-carrier ye-gardnerella. Indlela yokuxhumana yokudlulisela ukutheleleka (nge-handshake, kiss, ku-sauna / okugeza) ayifakiwe. Izici zokudalwa kwe-gardnerellosis emadodeni yizi: izifo ezihambisana nezidakamizwa zesistimu ye-genitourinary, ukwelashwa kwe-antibacterial, ukusetshenziswa kwama-immunosuppressants, ukwehla kwemisebenzi yokuzivikela emzimbeni ngokumelene nesimo sokucindezeleka ngokomzimba / ngokomzwelo. Emzimbeni womzimba we-gardnerella abahlali isikhathi eside abakwazi - bahoxiswa izinsuku ezingu 2-3 emva kokushaya. Ezingama-7-10% zamacala, ama-anaerobes agxila ezintweni ezinengqondo - kuhlanganiswa ne-gardnerella balanoposthitis (nonspecific urethritis).
I-Gardnerlellosis emadodeni: izimpawu
Ezimweni eziningi, ukoloni lwezitho zangasese yiGadnerella aluniki uphawu oluphawulekayo. Ngokuvamile kakhulu lesi sifo sibonakala ngokushisa / ukunganaki ngesikhathi sokuvuthwa, okuyimfihlo yokugcina imfucumfucu enomfutho wezinhlanzi ezincane.
Izinkinga:
- i-prostatitis;
- vesiculitis (ukuvuvukala kwama-vesicles omzimba);
- i-urethritis (inqubo yokuvuvukala e-urethra).
Ukuxilongwa nokuphathwa kokwelashwa kwe-gardnerellosis emadodeni
Izinyathelo zokuhlola zihlanganisa: ukutadisha kwe-ejaculate, umchamo, ukufihla kwe-prostate, ukukhipha u-polymerase chain reaction (ukucacisa 98%). Umgomo wokwelashwa ukhethwe ngabanye, ucabange ukukhona / ukungabikho kwezifo ezithintekayo kanye nokuphikiswa kwe-agent causative emikhiqizweni yokwelapha. Bhala iLevofloxacin, i-Clindamycin noma i-Doxycycline. Phakathi nesikhathi sokuthatha imithi, kunconywa ukuba ulandele ukudla okusho ukulahla utshwala, amafutha, ukubhema, izitsha ezibabayo. Ezimweni ezibonakalayo ezibucayi zesifo, kusetshenziselwa ukuguquka kwamagciwane ukuze kuvuselelwe i-mucosa futhi kwandiswe impendulo yomzimba womzimba. Ngokwezinkomba zichazwe izidakamizwa eziphikisayo, izinkimbinkimbi zama microelements namavithamini. Ukuze ugweme ukutheleleka okuphindaphindiwe nge-gardnerella, kubalulekile ukulandela izinyathelo zokuvimbela: ugweme ukuya ocansini nowesifazane oya esikhathini, sebenzisa ikhondomu ngesikhathi sokulala nomlingani ongatholakali.
I-Gardnerelosis yabesifazane iyisifo esivamile sokuphila kwesisu, okudinga ukuxilongwa ngekhwalithi nokuphathwa okuphelele. Uma ukwephulwa kwe-microflora wesifazane kutholakala, kuyadingeka ukuba uthole ukwelashwa okufanele - lokhu kuzosiza ukugwema ukucindezeleka ngesikhathi sokukhulelwa nokubeletha, ukulondoloza impilo yokuzala isikhathi eside, nokuthuthukisa ikhwalithi yokuphila.