Ekubunjweni kwe-microflora yama-vaginal kukhona, njengelusizo (i-lactobacilli), izinambuzane ezinomthelela kakhulu. I-Gardnerella kwabesifazane ingena kwi-microflora evamile, kodwa ikhona esiswini ngesamba esisodwa. Ake sicabangele ngokuningiliziwe isifo esibangela i-gardnerella, ukwelashwa kwayo, izimbangela, ukubonakaliswa.
Gardnerella kubesifazane - izimbangela
I-Gardnerella vaginalis ihlale ikhona ekubunjweni kwe-microflora yangasese. Amaseli angabodwa aleli microorganism avame ukulungiswa uma kunqunywa izinga lokuhlanzeka kwesistimu yokuzala. Ngaphansi kwezimo ezithile, ukukhula nokukhiqizwa kwe-microorganism kuyanda, ngenxa yalokho i-gardnerellez iqala khona. Phakathi kwezimbangela ze-pathology, odokotela bahlukanisa:
- ukuba khona kwezinqubo ezithathelwanayo ohlelweni lokuzala;
- Ukusebenzisa isikhathi eside izidakamizwa zokulwa nezifo ezishintsha ukubunjwa kwe-microflora;
- ukusetshenziswa kwe-glucocorticoids, ukuzivivinya umzimba, ukunciphisa ingculazi yendawo;
- isifo sikashukela mellitus;
- ushintsho oluvamile labalingani bocansi.
Kuphi lapho i-gardnerella yabesifazane ivela khona?
I-Gardnerella kwabesifazane ihlale ikhona ohlelweni lokuzala. Kodwa-ke, ukuhlushwa kwayo okuphansi akuthinti isimo somuntu wesifazane, akubangeli izimpawu. Ukukhula okusheshayo nokuthuthukiswa kwala ma-agent athile amathuba kunesimo esithile. Izimo ezehlukene zibangela ukukhiqizwa kweGadnerella kwabesifazane, izizathu zalokhu zingaba okulandelayo
- ekwenzeni ama-douches anezinambuzane eziqukethe i-chlorine (i-Miramistin, iGibitan);
- ukusetshenziswa kwezinzalo zokubeletha equkethe i-9-nonoxynol (i-Patentex Oval, i-Nonoxinol);
- ushintsho lwakamuva lomlingani wobulili;
- ukusetshenziswa kwe-suppositories yama-antibacterial vaginal (Polizinaks, Terzhinan, Betadin).
Ukuhlaziywa kwe-Gardnerella
I-Gardnerella kwabesifazane abanamazinyo abanamazinyo angakwazi ukusungula embukisweni owodwa wemitholampilo kanye nezimpawu. Ukuhlola i-laboratory kusetshenziselwa ukuqinisekisa futhi kucabange ukuxilongwa. Isisekelo salezi yi-smear kusuka kwesifazane. Emva kwenkambiso, izinto eziqoqiwe zincane kakhulu, kunquma inani le-gardnerella kule microflora. Phakathi kwezinye izindlela zokuthola lesi sifo:
- ukuzimisela kwe-pH yesifazane - uma kwenzeka ukukhubazeka kugudlulelwa ohlangothini lwe-alkaline;
- microscopy of excretions lapho amaseli epithelial flat akhona ne micro pathogenic microorganms ezikuzo.
- I-PCR.
I-Gardnerella iyinhlangano evamile
Njengoba sekushiwo ngenhla, i-gardnerella ku-smear ikhona futhi evamile. Kodwa-ke, ukuhlushwa kwayo kuncane kakhulu kangangokuthi akuthinti isimo sezokuzala. Ngakho odokotela bathi mayelana nokuvunywa okuvunyelwe kwalesi microorganism ngesamba se-2-5% se-microflora eyakhiwe ngokuphelele. I-lactobacilli kufanele ibe 95-98%. Ukwakheka okunjalo kuyinhlobonhlobo yesimiso, futhi akubangeli odokotela ukusola.
I-Gardnerella kubesifazane - izimpawu
Ngaphambi kokwelapha i-gardnerella kwabesifazane, odokotela bahlalisana kahle. Lapho ukuhlushwa kwe-microorganism efana neGadnerella yanda emkhathini, izimpawu aziveli ngokushesha kwabesifazane. Njengoba ukubonwa kuboniswa, ngokwesilinganiso, kusukela ngesikhathi sokutheleleka emfanekisweni ocacile wemitholampilo, izimpawu zesifo zivela ezinsukwini ezintathu ukuya kwezingu-10. Kusadingeka isikhathi esiningi ukuze i-microorganism ikhule futhi ikhule, yanda ikholoni yayo. Ngemuva kwesikhathi esibonisiwe, i-gardnerella yabesifazane ibangela ukuphulwa okulandelayo:
- ukwandisa umthamo wokukhulelwa kwesisu, ukushintsha ukubonakala kwawo, ukuthola iphunga elimnandi;
- ukuwohloka kwenhlalakahle jikelele - ukukhuphuka kokushisa komzimba, ukubola, ukubonakala kwempawu ezibandayo;
- ukutshaya nokushisa emgodini;
- i-hyperemia ye-vulva;
- ubuthakathaka bemisipha;
- ukuvuthwa okubuhlungu;
- ubuhlungu ngesikhathi socansi;
- ukuvuvukala kwamalabi.
Ukunciphisa in gardnerellez kwabesifazane
Ukukhuluma nge-gardnerellez, izimpawu zazo ezichazwe ngenhla, phakathi kwezibonakaliso ezicacile zokuphulwa kwamagciwane wezinkinga zokubeletha ziphawula ushintsho ngokwemvelo yemfihlo. Bavele ngokushesha ngemuva kokuya esikhathini, ukulala ngokocansi. Isici sabo sinobuhle obungathandeki, okwenza kube mnandi kakhulu kowesifazane. Iziguli ngokwazo zivame ukuziqhathanisa nephunga lezinhlanzi ezingcolile. Kuvame ukuqinisa kakhulu emva kokuxhumana kocansi ngaphandle kwekhondomu. I-alkaline sperm imvelo ivuselela ukwakheka kwama-amine ahlukahlukene. Ngaphezu kokunuka, ukukhishwa kufana nokujwayelekile:
- ingavunyelwe;
- ukuvumelana okuhambisanayo;
- umthunzi omnyama;
- ungashiyi amathrekhi ezembatho zangaphansi.
I-Gardnerella kubesifazane - ukwelashwa
Ngemuva kokuthola isifo esinjengo-gardnerellez, ukwelashwa kuqala ngokushesha. Isisekelo sokwelashwa yizidakamizwa zokulwa ne-antibacterial. Inkambo yokwelapha iqukethe izigaba ezimbili: ukwehla ekuhlungeni kwe-gardnerella kanye nokubuyiselwa kwe-microflora evamile yesifazane. Indlela yokuphatha i-gardnerellez kubadokotela besifazane inquma ukuthi yikuphi, ukhethe izidakamizwa ezicabangela ubukhulu besifo, izimpawu, isigaba senqubo yokugula. Ngesikhathi esifanayo nama-antibiotics, njengoba izimali ezengeziwe zingasetshenziswa:
- anti-inflammatory;
- immunomodulators.
Ukwelashwa gardnerelleza kwabesifazane - izidakamizwa, uhlelo
Ukwelashwa gardnerelleza kwabesifazane kusekelwe ekwelashweni kwama-antibiotic. Ukuphumelela ekulwa nalesi sifo yizidakamizwa ezine-metronidazole. Zingasetshenziswa kokubili ngaphakathi nangaphakathi. Uhlelo lwe-treatment gardnerelleza kwabesifazane lungabonakala kanje:
- i-gel - i- Metrogil , i-Flagil, i-Klion-D 100, izidakamizwa zijojelwa emgodini wesifazane izikhathi ezingu-2 ngosuku izinsuku ezingu-5;
- I-Dalacin - isetshenziselwa kanye ngosuku, ebusuku ukuphatha imithi yesisu, ukwelashwa - izinsuku ezingu-7.
Njengoba amaphilisi aqukethe i-Metronidazole, odokotela bathi:
- I-Clion;
- I-Medazole;
- Trichopol;
- I-Efloran;
- I-Metrogil.
Inkambo yokwelapha yenziwa ngabanye. Ngokuvamile, abesifazane banqunywe ama-500 mg wemithi kabili ngosuku. Isikhathi sokwelapha okungenani izinsuku ezingu-7. Ngezinhlobo ezinganakiwe ze-gardnerellosis, inkambo ingenziwa isikhathi eside kuze kube yizinsuku ezingu-10-14. Ukuphumelela kwalolu cwaningo kuhlolwa ngokuhlola ukuhlolwa kwelabhoratri, ekupheleni kwenkambo
Amakhandlela asuka ku-gardnerelleza kwabesifazane
Ukukhuluma ngendlela yokwelapha i-gardnerellez, odokotela phakathi kwamanye amafomu wezilingo bafaka phambili i-suppositories. Amakhandlela avela ku-gardnerellez asiza ekuqedeni lesi sifo ngokushesha, anciphise izimpawu, alulame inhlalakahle yesiguli. Zinezici ezifana ne-Metronidazole noma i-Tinidazole. Ama-suppositories ajojelwe emgodini wesifazane ekuseni nakusihlwa. Inkambo yokwelapha ihlala izinsuku ezingaphansi kwezinsuku ezingu-7. Ukwelashwa kuqala ngezinsuku ezingu-1-2 emva kokuphela kokuya esikhathini. Phakathi kwezidakamizwa ezivamile zokuphathwa kwe-gardnerelleza:
- Terzhinan ;
- I-Metrovagin;
- I-Metrovit;
- I-Metronidazole.
I-Gardnerellez - imiphumela
Phakathi kwemiphumela eyenza i-gardnerella, ukungabi nabantwana kuyinto engafanele kunazo zonke abesifazane abasha. Ukungatholakali kokwelapha, ukutholakala okungaqondakali kwalesi sifo kuholela ekushintsheni okungenakuguqulwa ohlelweni lokuzala. Ngokuvamile i-gardnerella kwabesifazane abasebasha ibangela:
- i-adnexitis;
- i-salpingitis ;
- Izinkinga zokuqala kokukhulelwa - ukubeletha ngaphambi kwesikhathi, inqola ngaphambi kwesikhathi.
Gardnerella ngesikhathi sokukhulelwa
I-Gardnerella, ubukhona obukhona kuphela lapho i-pathology iqala, ivame ukutholakala ngisho nalapho ingane izalwa. Ezimweni ezinjalo, ukwelashwa kwalesi sifo kuqhutshwa ngaphansi kokuqondiswa kwabesifazane bokubeletha, ukwelashwa okuzimele akumukeleki. Ama-antibiotic ayimiswe ngaphambi kwamasonto angu-14 okubeletha - ngaphambi kwalesi sikhathi, odokotela basebenzisa amaqhinga okulindela. Esikhathini lapho umama umphumela ongaphezu kwengozi yezinkinga ebusweni, sebenzisa i-Ampicillin esikhathini sokuqala ezintathu. I-Metronidazole isetshenziswe ku-3rd trimesters.
I-Gardnerella - ukuvimbela
Ukuvimbela i-gardnerelleza kubesifazane kuhilela inombolo ethile yemithetho. Ukubalandela kuvimbela ukuthuthukiswa kwesifo ngamacala angaphezu kwama-90%.
Phakathi kwemithetho eyisisekelo:
- Ukuphila ngokobulili nomlingani ovamile ocansini. Ngaphandle kwalokho, njengendlela yokuvimbela, kubalulekile ukusebenzisa ikhondomu.
- Ukuhambisana nemithetho yokuhlanzeka.
- Thuthukisa ukuzivikela komzimba ngokuthatha amavithamini ama-complexes.
- Ukuvimbela izinqubo ezithathelwanayo ohlelweni lokuzala.
- Ukuxilongwa kwesikhashana ngezifo ze-extragenital.
- Ukufakwa ekudleni kwemikhiqizo yobisi oluvuthiwe, okufaka isandla ekulondolozeni ukuhlushwa kwezinsizakalo ezincane eziwusizo emzimbeni.