Kwindlela yokwakhiwa kwe-microflora ye-vaginal kukho, njengeluncedo (i-lactobacilli), ezincinci ezincinci. I-Gardnerella kubasetyhini bangena kwi-microflora eqhelekileyo, kodwa ikhona kwisisini ngesantya esisodwa. Makhe siqwalasele ngokubhekiselele kwisifo esibangela i-gardnerella, unyango lwayo, imbangela, ukubonakaliswa.
I-Gardnerella kubasetyhini - izizathu
I-Gardnerella vaginalis ihlala ikhona kwi-microflora ye-vaginal. Iiseli ezingabodwa zale microorganism zihlala zizinze xa ziqikelela ubuninzi bokungcola kwenkqubo yokuzala. Ngaphantsi kweemeko ezithile, ukukhula okukhulayo kunye nokuveliswa kwale ncithakalo kuya kwenzeka, ngenxa yolu hlobo lwe-gardnerellez lukhula. Phakathi kwezizathu zokugula, oogqirha bahlula:
- ubukho beenkqubo ezithathelwanayo kwinkqubo yokuzala;
- Ukusetyenziswa kwexesha elide leziyobisi ezichasene ne-antibacterial ezitshintsha ukubunjwa kwe-microflora;
- ukusetyenziswa kwe-glucocorticoids, i-immunosuppressants, ukunciphisa umkhuhlane wengingqi;
- isifo sikashukela;
- utshintsho oluqhelekileyo lwabahlobo bezesondo.
Uvela phi i-gardnerella yabasetyhini?
I-Gardnerella kubasetyhini ihlala ikhona kwinkqubo yokuzala. Nangona kunjalo, ingcamango yayo ephantsi ayichaphazeli imeko yowesifazane, ayibangeli iimpawu. Ukukhula okukhawulezileyo nokuphuhliswa kwala majelo athathekayo kuncedwa yiimeko ezithile. Izimo ezahlukileyo zibangela ukuzaliswa kwe-Gardnerella kwabasetyhini, izizathu zezi zinto zilandelayo zilandelayo
- ukwenza ii-douches kunye ne-antiseptics ene-chlorine (i-Miramistin, iGibitan);
- Ukusetyenziswa kweendlela zokukhulelwa eziqulethe i-9-nonoxynol (i-Patentex Oval, Nonoxinol);
- utshintsho lwa kutshanje lwezesondo;
- ukusetyenziswa kweesalathisi zangasese (Polizinaks, Terzhinan, Betadin).
Uhlalutyo lweGarnnerella
I-Gardnerella kubasetyhini abaneziganeko zezintlu zengqondo zingasungula kwiimpawu zonyango kunye neempawu. Iimvavanyo zeLebhu zisetyenziselwa ukuqinisekisa kwaye zifake ukuxilongwa. Isiseko salezi zi-smear ezivela kwisini. Emva kwenkqubo, iincwadi eziqokelelwe zizinto ezincinci, ukuqikelela inani le-gardnerella kwi-microflora. Phakathi kwezinye iindlela zokufumanisa isifo:
- ukuzimisela kwe-pH yesini-xa imeko ye-pathology ishintshelwe kwicala le-alkali;
- i-microscopy ye-excretions apho iiseli ze-epithelial flat zikhoyo kunye ne-pathogenic microorganms ezikuzo.
- PCR.
I-Gardnerella yinto eqhelekileyo
Njengoko sele kuphawuliwe ngasentla, i-gardnerella kwi-smear ikhoyo kwaye iyaqhelekileyo. Nangona kunjalo, ingxinano yayo incinci kangangokuba ayichaphazeli imeko yenkqubo yokuzala. Ngoko oogqirha bathi malunga nokugxininiswa okuvumelekileyo kwale microorganism kwisixa semali engama-2 ukuya ku-5 ye-microflora. I-lactobacilli kufuneka ibe ngama-95-98%. Uhlobo olunjalo luyinto eyahlukileyo kwimiqathango, kwaye ayibangele ukuba oogqirha badityaniswe.
Gardnerella kubasetyhini - iimpawu
Ngaphambi kokunyanga i-gardnerella kwabasetyhini, oogqirha baqhuba ukuxilongwa. Xa ukuxinwa kwe-microorganism efana ne-Gardnerella yanda kwi-vagina, iimpawu azibonakali ngokukhawuleza kwabasetyhini. Njengoko kuboniswa umboniso, ngokuqhelekileyo, ukususela kwixesha lokusuleleka kwisifo sekliniki esicacileyo, uphawu lweempawu luvela kwiintsuku ezi-3 ukuya kwi-10. Kufuneka ixesha elininzi ukuba i-microorganism ikhule kwaye yande, yandisa ikoloni yayo. Emva kwexesha elibonisiweyo, i-gardnerella kubasetyhini ibangela ukuphulwa okulandelayo:
- ukwanda kwimiqulu yokukhulelwa kwamanzi, ukutshintsha ukubonakala kwayo, ukufumana iphunga elimnandi;
- ukungonakaliswa kwintlalo-ntle-ukwanda kwindlubhiso yomzimba, ukubola, ukubonakala kweempawu ezibandayo;
- ukutshisa kunye nokutshisa kwisini;
- i-hyperemia ye-vulva;
- buthathaka;
- ukucola okubuhlungu;
- intlungu ngexesha lokwabelana ngesondo;
- ukuvuvukala kwelabi.
Ukunyusa kwi-gardnerellez kubasetyhini
Ukuthetha nge-gardnerellez, iimpawu zazo ezichazwe ngasentla, phakathi kweempawu ezibonakalayo zokuphulwa kwezilwanyana zezintlu ziqaphele utshintsho kwimeko yemfihlo. Ziyabonakala ngokukhawuleza emva kokuya esikhathini, ukulala ngesondo. Isici sabo sinobuvumba obungathandekiyo, okubangela ukuba umfazi akhathazeke kakhulu. Izigulane zidla ngokuthelekisa neentlanzi zentlanzi entle. Ngokusoloko iqinisa kakhulu emva kokuqhagamshelana ngesondo ngaphandle kwekhondom. I-alkaline sperm imo ikhuthaza ukubunjwa kwama-amine ahlukumezayo. Ukongeza kwiphunga, ukukhutshwa kwinto efanayo ngokuqhelekileyo:
- engavumelekanga;
- ukuhambelana ngokufanayo;
- umthunzi omnyama;
- musa ukushiya umkhondo kwiingubo zangaphantsi.
I-Gardnerella kubafazi - unyango
Emva kokufumana eso sifo njenge-gardnerellez, unyango luqala ngokukhawuleza. Isiseko sonyango sisisifo se-antibacterial. Inkqubo yokonyango iqulethwe ngamagatya a-2: ukuhla kwe-gardnerella kunye nokubuyiselwa kwe-microflora yesiqhelo yesondo. Indlela yokuphatha i-gardnerellez kubagqirha besetyhini inquma umntu ngamnye, ukhethe izidakamizwa eziqwalasela ubunzima besifo, iimpawu, isigaba senkqubo yesifo. Ngokufanayo kunye ne-antibiotic, njengemali eyongezelelweyo ingasetyenziswa:
- ezichasayo;
- immunomodulators.
Unyango lwe-gardnerelleza kubasetyhini - iziyobisi, isicwangciso
Ukwelashwa kwe-gardnerelleza kubasetyhini kusekelwe kwipilisi ye-antibiotic. Ukuphumelela ekulwa nalesi sifo yiziyobisi ezine-metronidazole. Zingasetyenziswa zombini nangaphakathi. Inkqubo yonyango i-gardnerelleza kubasetyhini ibonakala ngathi:
- i-gel - i- Metrogil , i-Flagil, i-Klion-D 100, iziyobisi zijojowe kwisigxina samanzi amaxesha amabini ngosuku malunga neentsuku ezingama-5;
- I-Dalacin - isetyenziswe kanye ngemini, ebusuku ukunyanga isigxina sesisu, inkqubo yokonyango - iintsuku ezingama-7.
Njengamacwecwe aqukethe iMetronidazole, oogqirha bayalula:
- Clion;
- Medazole;
- Trichopol;
- Efloran;
- Metrogil.
Inkqubo yokonyango iphuhliswa ngokwayo. Ngokuqhelekileyo, amabhinqa anqunywe ama-500 mg emachiza kabini ngosuku. Ubungakanani bonyango ubuncinane iintsuku ezi-7. Ngeentlobo ezingapheliyo ze-gardnerellosis, le khosi inokuhlala ide ixesha elide ukuya kwi-10-14 iintsuku. Ukuphumelela kwonyango kuhlolwa ngokusetyenziswa kwe-laboratory diagnostic, ekupheleni kwekhosi
Amakhandlela ase-gardnerelleza kwabasetyhini
Ukuthetha malunga nendlela yokuphatha i-gardnerellez, oogqirha phakathi kwamanye amafayili amayeza abeka phambili i-suppositories. Amakhandlela ase-gardnerellez anceda ukukhawuleza ukususa eso sifo, ukunciphisa iimpawu, ukunciphisa impilo yesigulane. Zinezinto ezinjengeMetronidazole okanye i-Tinidazole. Ama-Suppositories afakwe kwi-vaginal cavity ekuseni nakusihlwa. Inkqubo yokwelapha ingapheli iintsuku ezingama-7. Unyango luqala ngeentsuku ezingama-1-2 emva kokuphela kokuya esikhathini. Phakathi kwee-suppositories eziqhelekileyo zonyango lwe-gardnerelleza:
- Terzhinan ;
- Metrovagin;
- Metrovit;
- Metronidazole.
- Gardnerellez
Phakathi kwemiphumo ebangela i-gardnerella, ukungabikho kokusweleka kweyona nto yintlekele kakhulu kubafazi abaselula. Ukungabikho kwonyango, ukuxilongwa kwangaphambili kwesi sifo kubangela utshintsho olungenakuguquka kwinkqubo yokuzala. Ngokuqhelekileyo i-gardnerella kubasetyhini abaselula bayabangela ukuba:
- adnexitis;
- salpingitis ;
- Iingxaki zokuqala kokukhulelwa - ukuzalwa kwangaphambi kwexesha, ukuthunyelwa kwangaphambili kwipentecenta.
Gardnerella ngexesha lokukhulelwa
I-Gardnerella, ubukho bokuba kusetyenziswe kuphela xa i-pathology ikhula, ifunyanwa rhoqo nangona umntwana ezalwa. Kwiimeko ezinjalo, unyango lwesi sifo luqhutyelwa phantsi kolawulo lwabafazi, ukuphathwa ngokuzimeleyo akuvumelekanga. Iimithi zonyango zichazwe kungekudala kweeveki ezili-14 zesigxina - ngaphambi kolu xesha, oogqirha basebenzisa amaqhinga alindelekileyo. Kwimeko apho impembelelo kunomama engaphezu kweengozi yeengxaki kwi-fetus, sebenzisa i-Ampicillin kwi-trimester yokuqala. I-Metronidazole isetyenziswe kwi-2 ne-3 trimesters.
Gardnerella - ukuthintela
Ukukhusela i-gardnerelleza kubasetyhini kubandakanya inani elithile lemithetho. Ukubalandela kuvimbela ukuphuhliswa kwesifo kwiimeko ezingaphezu kwe-90%.
Phakathi kwemithetho ephambili:
- Ubomi bezesondo kunye nomlingani wesondo oqhelekileyo. Ngaphandle koko, njengendlela yokukhusela, kubalulekile ukusebenzisa ikhondom.
- Ukuthotyelwa kwemimiselo yococeko olusondeleyo.
- Ukuphucula ukukhuselwa komzimba ngokuthatha ii-vitamin complexes.
- Ukuthintela iinkqubo ezithathelwanayo kwinkqubo yokuzala.
- Ukuxilongwa ngokukhawulezileyo kwezifo ezingaphezulu.
- Ukubandakanywa ekudleni kweemveliso zobisi ezivuthiweyo, ezenza ukuba kugcinwe i-microorganisms inzuzo kwisisu.