Kunezinhlobo ezahlukene zezifo ezithathelwana ngocansi (okuthiwa yi-STD). Esinye salezi zifo yi-gonorrhea (noma i-gonorrhea). Lesi sifo sidluliselwa ikakhulukazi ngokobulili besifazane nesilwane . Ngezinye izikhathi ukutheleleka kwenzeka ngomzila womlomo. Izingane ezizalwa ngokwemvelo futhi ezigulayo nonina nazo zisengozini. Ezimweni zasendlini, i-gonorrhea ayidluliswanga.
Ukuxilongwa kwe-gonorrhea
Wonke umuntu ophila ngokocansi, kuyadingeka ukuba ahlolwe udokotela okungenani kanye ngonyaka, kungcono kaningi. Ngesikhathi sokuhlolwa kokuvimbela ngamunye udokotela uthatha i-swab ye-microflora ezifweni zobulili zokuhlolwa. Ukuba khona kwe-gonococci ku-smear nge-gonorrhea kuyisignali mayelana nokugeleza okusheshayo kwalesi sifo, noma isithwala sayo.
Ubude besikhathi sokugcina sokutheleleka buphakathi kwezinsuku ezingu-3-10. Ngokuvamile lesi sifo sinamandla. Izimpawu eziyinhloko ze-gonorrhea yilezi:
- isifiso esiningi sokuvuthwa;
- ukushisa, ubuhlungu ngenkathi uya endlini yangasese;
- ukukhishwa okumhlophe okwesibhakabhaka kusuka emzimbeni wobulili.
- ngezinye izikhathi ukushisa komzimba kuphakama, umphimbo ubuhlungu.
Ukuthatha ama-smear we-gonorrhea
Ngokuya ngocansi lwesiguli, amasu ahlukene asetshenziselwa ukuthatha ama-swabs we-gonorrhea. Udokotela wamazinyo uthatha ukuhlaziywa kwe-gonococci kwabesifazane abane-mucosa yangasese, i- swab yomlomo wesibeletho kanye ne-urethra. Ngemuva kokuthi inani elithile lezinto ezisetshenziswayo lisetshenziswe eklasini ekhethekile futhi idluliselwe ebhokisatri yokucwaninga. Le nqubo ayenzwanga ngesikhathi sokuya esikhathini.
Ukuthatha i-smear ye-gonorrhea emadodeni kwenzeka kuphela kwi-urethra. Kodwa ukuhlaziywa okunjalo akuthathwe ku-pus ephumayo, kodwa ngokufaka ngaphakathi kwe-urethra iprosethi ekhethekile. Ngaphambi kwalokhu, kunconywa ukusikhipha i-urethra, i-prostate.
Ngaphambi kokuthatha ama-swabs we-gonorrhea, bobabili abesifazane nabesilisa kufanele bayeke ukuthatha ama-antibiotic, benze ucansi, kanye namahora angu-1.5-2 ngaphambi kokuthatha lokho okushiwo, bangayeki endlini yangasese kanye nezinqubo zokuhlanzeka.
Ukuhlaziywa kwe-smear kwi-Neonner ye-gonococcus emtholampilo
Emtholampilo ye-diagnosis ye-gonorrhea esetshenziswa njalo kaningi nge-bacterioscopic kanye ne-bacteriological types of research. Ngezinye izikhathi zisetshenziselwa i-immunofluorescent, i-immuno-enzyme, izindlela zesayensi. Izindlela ezintsha ziyi-PCR ne-LCR.
Ukuhlolwa kwe-bacterioscopic smear ye-gonococci
Kule ndlela yokuhlaziywa kwelabhutrikhi, impahla yokuhlolwa idonswe kwisilayidi. Ngokuvamile, izixazululo ezingu-1% ze-methylene eluhlaza okwesibhakabhaka noma okuhlaza okwesibhakabhaka zisetshenziselwa lokhu. Uma ungcwecwe nge-methylene eluhlaza okwesibhakabhaka, i-gonococci enemibala ivela phakathi kwamaseli aluhlaza okwesibhakabhaka. Kodwa umbala we-bluish unenani elikhulu, ngoba zonke i-cocci zidwetshwe nge-blue.
Isiphetho esiphezulu semiphumela yokuhlaziywa sinikezwa ngokusekelwe kombala wezinto ezikuloluhlelo lweGram. Le ndlela yukuthi i-gonococci discolour evela emiphumeleni yotshwala, kanti i-cocci, engeyona ye-genus Neisseria, ihlale igcizelelwe.
Ukuhlaziywa kwe-bacteriological ye-gonococcal smear
Le ndlela yokuhlaziya i-swabs ye-gonorrhea yenziwa uma i-gonococci ayitholakali ngesikhathi se-bacterioscopy. Ukuhlaziywa kwenziwa ngokuthi "ukuhlwanyela" lokho okushiwo yi-medium ekhethekile. Ukukhiqizwa okusebenzayo kwamagciwane ezincane ze-gonococcal kuyonquma ukuba khona kwesifo.
Ukuhlaziywa kwe-smear ye-gonococci kunqunywa kanje:
- umphumela omuhle - kule ndaba wathola i-gonococci ye-Neisser; kubhekwa njengento emihle lapho ubukhona be-hyperemia ne-infiltration budlula ububanzi buka-5 mm;
- umphumela omubi - i-DNA ye-gonococci ka-Neisser ayitholakalanga kwisampula.
Umphumela omubi ungabangelwa ucingo olubi olubi lwe-biomaterial.