I-Mycoplasma hominis yenye yeentlobo ezili-16 ze-mycoplasmas ezinokufunyanwa emzimbeni. Ukubhekisela kwimeko ye-pathogenic, kodwa phantsi kweemeko ezithile kunokususa i-pathology - i- mycoplasmosis , enyango olwenziwe ngonyango. Cinga ngezizathu, iimpawu, iindlela zokulwa ne-pathogen.
I-Mycoplasmosis - Iingxaki
I-Mycoplasma yabasetyhini ikhona kwi-microflora ye-vaginal rhoqo. Ingcamango yayo incinci ukudala izifo. Ngenxa yokungonakaliswa kokungakhuselekanga kwendawo, ukuphuhliswa kwenkqubo yokuvuvukala, kukho ukukhula okwandisiwe nokuphindaphinda kwesi sibonakaliso esincinci kakhulu. Ezi zi gulane zilandelelwe kwi-mycoplasmosis:
- abafazi abanezenzo eziphezulu zesondo;
- ukuba ne-orogenital pathologies edibeneyo - i-trichomoniasis, i-gonorrhea;
- abafazi abakhulelweyo.
I-Mycoplasma hominis ine-pathogenicity encinane kunezinye iintlobo. Kodwa i-microorganism ivame ukufumaneka kwi-smear xa kukho ezinye izifo ze-genitourinary system: urethritis, cystitis, pyelonephritis. Ngokukhawuleza, ezo zifo zibizwa ngokuba zizigulane njenge-agent agent, edala ukukhula ngokukhawuleza kwe-microflora ye-pathogenic.
I-mycoplasma hominis ihanjiswa njani?
Ukusuleleka kwe-primarycopyma nge-mycoplasma kwenzeka ngexesha lokubeletha. Ngethuba lokunyuka komntwana ngokukhusela komama, ophethe ummandla we-microorganism, ukungena kwe-pathogen kwi-urrogenital tract yamantombazana kuphawulwe. Ukongezelela, ukusuleleka kwe-intrauterine kunokwenzeka, nge-placenta (inqabile kakhulu). Ukuqwalasela i-mycoplasma hominis, indlela yokudluliselwa kwe-pathogen, oogqirha kwindawo yokuqala bafaka phambili indlela yesondo. Ubundlobongela obukhuselekanga kunye nomthwali we-microorganism lukhokelela ekusulelekeni. Iimeko eziphambili zilandelayo:
- utshintsho oluqhelekileyo lwezentsebenziswano zesondo;
- ukuziphatha okubi ngokwesondo.
I-Mycoplasma kubasetyhini - iimpawu
I-Mycoplasmosis yabasetyhini, iimpawu zazo zibizwa ngezantsi, zinomjikelezo ophucukileyo. Ngenxa yoko, abafazi bayaqatshelwa ngenxa yobukho besifo emva kwexesha elithile emva kokusuleleka. Ngokuqhelekileyo i-microorganism ibangela ezinye izifo zesiganeko se-urrogen, ekuxilongweni apho i-mycoplasmas ifumaneka khona. Ezi zixhobo ezincinci zivuthayo:
- urethritis ;
- i-cystitis ;
- ukuvuvukala kwesibeleko kunye nezixhobo;
- ibhakteria vaginosis ;
- pyelonephritis.
Izibonakaliso ngokuthe ngqo zezi zifo zihlala zibonisa i-mycoplasmosis. I-Mycoplasmosis, iimpawu ezingabonakali kwangoko emva kokusuleleka, zihamba kunye nezikhumbiso ezikhuselekileyo ukusuka kwindlela yokuzala. Le nto ibangela ukuvutha komlilo, okomelezwa ngexesha lokucoca. Ukuphazamiseka nokungahambi kakuhle kunokuhamba kunye noqhagamshelwano lwezesondo. Isici sesi sifo esibangelwa i-mycoplasma hominis kukuba ubukho bexesha lokuxolelwa - xa i-symptomatology yanyamalala ixesha elide kwaye ivela kwakhona.
I-Mycoplasmosis - ixesha lokunyusa
I-Mycoplasmosis yabasetyhini ibonakalisa iintsuku ezingama-3-55. Eli xesha elide lokuxubusha lichaza ubunzima bokuxilonga kwesi sifo ekuqaleni. Izibonakaliso zesifo zibhekiselele kumadoda. Ngokuqhelekileyo, i-pathology iyafunyanwa ngokuhlolwa ngokubambisana kwabatshatileyo, ngaphambi kokucwangcisa ukukhulelwa. Iimpawu ezicacileyo zesifo kubasetyhini zivela kuphela ngexesha lokuxhatshazwa kwezifo ezivuthayo ze-genitourinary system. Abanye abafazi abanokubaluleka ukutshisa ixesha ngaphandle kokufuna uncedo lwezonyango.
Ulwabiwo kwi-mycoplasmosis
Ukuzaliswa kwindlela yokuzala inambuzane efana ne-mycoplasma, iimpawu zesifo zikhankanywe ngasentla, zihamba kunye nokubonakala kweemfihlo ezingenakuvulwa. Kule meko, uhlobo lwabo luyahluka. Ngokuqhelekileyo kukukhutshwa kwamanzi, umthamo omncinci. Ukunyamalala kwabo ngokuzimeleyo kwithuba elincinci kubangela ingqondo yokukhohlisa. Ukubonakala kokugqithwa kwezilwanyana kwiiveki ezingama-2-3 kwivolumu enkulu kubangela ukuba intombazana iphendule kwi-gynecologist.
I-Mycoplasma hominis - ukuxilongwa
Ukuxilongwa kwe-pathology kuyinkimbinkimbi. Uhlalutyo lwe-mycoplasmosis luvumela ukuvelisa i-pathogen nakwiqondo eliphantsi. I-swab ithathwa kwisisu, isibeleko kunye nesifo. Le mviwo ilandelwa ngumbono wesifazane kwisihlalo somzimba, apho ugqirha angayibona inguqu kwicandelo lombeleko wesibeleko. Ngokukhawuleza, olu tshintsho luba sisihlandlo soviwo olupheleleyo lwesigulane.
Uhlalutyo lwama-Mycoplasma
Ukuhluma kwi-mycoplasma kwenziwa ngefowuni yezinto ezivela kwi-urethra, isondo, isibeleko. Emva kokuthabatha impahla, i-microscopized and evaluated. Inkqubo eyongezelelweyo yokuxilongwa kwezilwanyana, ekunceda ukuchonga i-pathogen kwiindawo eziphantsi, yi-PCR. Le mpendulo ibonisa ubukho be-DNA ye-pathogen kwi-sampuli yegazi, ngoko ke kunokwenzeka ukuba uhlolisise i-pathology nangona kungabikho kwezibonakaliso zempilo zesifo.
I-Mycoplasma iyinto evamile
I-smear kwi-mycoplasma inqumanisa ubukho be-microorganism. Nangona kunjalo, inani elincinci lazo livumelekile kwaye liqhelekile. Ngenxa yoko, xa ufumanisa i-gynecologist, ingqwalasela ithathwa kwi-concentration ye-mycoplasmas kwimiphumo yokuhlalutya. Imimiselo yomda wesiqhelo ngu-104 CFU / ml. Xa uqhuba i-PCR, isigulane sithola umphumo omuhle - i-mycoplasmas ikhona kwigazi (isithwala okanye isigaba esicacileyo se-mycoplasmosis) kwaye ayibi. Olu hlalutyo lusetyenziswa njengongezelelweyo.
I-Mycoplasma - unyango
I-Mycoplasma yabasetyhini, iimpawu kunye nenkatho zonyango zixhomekeke ngokuthe ngqo kumhlobo we-pathogen, idlalwa rhoqo kwixesha elide. Oku kubangela unyango lwexesha elide. Isiseko sokonyango kwezidakamizwa, izikhokelo zokunciphisa ukukhula kunye nophuhliso lwe-pathogen. Ukukhetha iziyobisi ngokuqonda, ngoko ukuqeshwa kuqhutyelwa ngokwemiqathango yeemvavanyo zebhubhoratri.
Ukukhuphela i-mycoplasma hominis, unyango lwenziwe ngendlela enzima. Kufuneka uhambe phakathi kwamaqabane omabini. Ukongeza kwii-antibiotics, iinkqubo ze-physiotherapy, amaqela alandelayo asetyenziswayo kunyango lwe-mycoplasmosis:
- immunomodulators;
- i-antifungal;
- antiprotozoal.
I-Mycoplasmosis - unyango, iziyobisi
Isicwangciso sokonyangwa kwe-mycoplasmosis sisungulwe ngabanye. Xa kuqeshwe ikhosi, oogqirha baqwalasela ubunzima besifo, isigaba salo, ubukho be-patrougism gynecological pathologies. Ngaphambi kokuba uphathe i-mycoplasmosis inqume uhlobo lwe-pathogen. Isiseko sonyango nguTetracycline:
- Tetracycline;
- Doxycycline .
Ukuphumelela ekulwa ne-mycoplasma kunye ne-macrolides, equka:
- Clarithromycin;
- Azithromycin.
Njengamanye ama-antibacterial agents, oogqirha bahlala bebala i-fluoroquinolones:
- Ciprofloxacin;
- Ofloxacin.
Ikhosi ye-antibiotics ithatha iintsuku ezingama-3-7. Ngexesha elifanayo, izidakamizwa ezikhuselekileyo zimiselwe ukuba zikhusele ukukhula kunye nokuveliswa kwamafungulu, oku ngenxa yokudla ixesha elide lamagciwane. Kule meko, khetha:
- Clotrimazole;
- Nystatin.
Kwinqanaba lokugqibela, ukubuyisela nokumisela i-microflora yesini, sebenzisa:
- Vagilak;
- Gynoflora.
I-Mycoplasmosis - iziphumo kubafazi
Ayifumananga ngokukhawuleza i-mycoplasma hominis yabasetyhini iyakwazi ukuphazamisa izifo ze-urrogenital system. Ngenxa yokungabikho kwesifo esicacileyo xa i-mycoplasma isifo se-hominis, i-agent causative ifunyenwe ekuxilongweni kwesifo se-system esele ikhona. Ngokuqhelekileyo, i-mycoplasmosis efihliweyo ibangela ukuphulwa okunjalo kwinkqubo yokuzala, njenge:
- Inkqubo yokubambelela kwi-pelvis encinci;
- endometritis yokugqibela;
- ukukhulelwa kwe-ectopic;
- ukungabikho.
Kufuneka kuqatshelwe ukuba lesi sifo asiqhelwanga ngokuzimela. I-Mycoplasmosis ifunyanwe ngexesha lokuxilongwa kwezifo zesondo, phakathi kwazo:
- herpes;
- chlamydia;
- ureaplasmosis;
- gonorrhea.
I-Mycoplasma xa ukhulelwa
I-Mycoplasmosis ekukhulelwe ingabangela iingxaki kwiinkqubo zokufeza umntwana. Ngelo xesha, ukungena kwe-microorganisms nge-barrical barrier kuyinto engavumelekanga. Ingozi yokukhulelwa yinkqubo echanekileyo yokukhupha ingavusa ukubeleka kwangaphambi kwexesha elizayo okanye ukukhupha isisu ngokukhawuleza ekuqalekeni kwesigxina.
Unyango luyenziwa ngamachiza akhethekileyo, apho uJosamine esetyenziswa rhoqo. Ulwaphulo olunzima luquka ukusetyenziswa kwee-antibacterial agents kwiqondo eliphantsi. Unyango lwe-mycoplasmosis kwabasetyhini kwi-trimester yokuqala ayenziwanga. Ukuqinisa ukukhuselwa komzimba, ezi zi yobisi zilandelayo:
- Galavit;
- Phytomax eyongezelelweyo.