I-gonorrhea yabesifazane, izimpawu ezivela ngemva kwesikhashana, kuvamile. Indlela eyinhloko yokudluliselwa kwayo yizocansi. Ake sicabangele ngokuningiliziwe lesi sifo, izimbangela zayo, izimpawu nezindlela zokwelashwa, sizokwazi ukuthi: i-gonorrhea ibonakala kanjani kubesifazane, izindlela zokuxilongwa.
I-Pathogen ye-gonorrhea
I-agent causative yalokhu ukutheleleka ngokocansi yi-gonococcus - i-microorganism ebhethri elihlangene. Ngaphandle, i-pathogen ifana ne-ikhofi yekhofi, ehlangene ngamanye ama-concave. Igama lesiLatini nguNeisseria gonorrhoeae. Leli-agent eliyingozi lichazwe okokuqala ngo-1879, ngumsosayensi waseJalimane uNeiser. Ngokuqondile ngegama lakhe futhi wabiza ngokuthi i-microorganism.
I-pathogen ingaba khona emzimbeni isikhathi eside ngaphandle kokubangela isithombe somtholampilo. Lokhu kubangela ukuhlolwa kwesifo sekusasa - cishe ekuphakameni kwayo. Ukudluliswa kwenzeka ngesikhathi sokulala ngokocansi. Amathuba okutheleleka nge-pathology ngocansi olungalondekile nomlingani othelelekile ufinyelela ku-90%. Ukusebenzisa izindlela zokuvimbela ukuvimbela ukuvimbela ukuvimbela ukukhulelwa.
Izimpawu ze-gonorrhea kwabesifazane
Izimpawu ze-gonorrhea kubantu besifazane zingabonakala ngemva kwesikhathi eside emva kokutheleleka. Lokhu kungenxa yezici ezikhethekile zokuthuthukiswa kwe-pathogen, isimo sesimiso somzimba samasosha omzimba wesifazane. Umfanekiso wesitholampilo wesifo unqunywa kuphela ngendawo yenqubo yokutheleleka. I-gonorrhea enobucayi ivame kakhulu kubantu besifazane abanezimpawu zabo ezifihlekile noma ezigubungele ukuvuvukala kwe-urethra kanye nesistimu yokuzala.
Bangaki abesifazane abathintekayo yi-gonorrhea?
Isikhathi sokuxubha kwe-gonorrhea kubantu besifazane sinqunywa isimo sokuzivikela kwendawo yangakini. Ngakho-ke, ubude bayo kusukela ngesikhathi sokutheleleka ngaphambi kokuvela kwemibonakaliso yokuqala yomtholampilo, kuguquka phakathi kwezinsuku ezingu-5-50. Kulesi simo, ngokuvamile ukukhubazeka akukwazi ukubonakaliswa, owesifazane uzizwa enempilo. I-pathogen itholakala ngokuhlolwa ku-gynecologist, ukulethwa kwama-smears avela ku-vagin kanye ne-urethra. Ukuba khona kwe-gonococcus kubonisa isidingo sokwelashwa okuqondile. I-gonorrhea yabesifazane abasha, izimpawu zazo ezikhonjisiwe kulesi sihloko, zivame kakhulu, ngenxa yokuphila kocansi okusebenzayo.
I-gonorrhea - izimpawu kubesifazane, izimpawu zokuqala
Izimpawu zokuqala ze-gonorrhea kubantu besifazane zivela ezinsukwini ezingu-5-10 emva kokutheleleka (ngesilinganiso). Iziguli zikhononda ngokuzwa okuzumayo okuzumayo, ubuhlungu e-urethra, obukhulu kakhulu ekuqaleni kwesenzo. Kukhona isifiso esiningi sokungena endlini yangasese, nokukhipha isikhathi esiswini. Ukubukeka kwabo kuhambisana no:
- itching;
- ukushisa;
- ukungathandeki emzimbeni;
- ubuhlungu besisu esingaphansi.
Ngezinye izikhathi, esiteji esibucayi se-gonorrhea, izimpawu ezingekho emthethweni zingavela, phakathi kwazo:
- ukushisa komzimba okwandisiwe;
- ubuhlungu emqaleni.
Lapho ehlolwa esihlalweni somzimba seziguli ezine-gonorrhea, umjozi wezifo zogciwane uyaphawula izilonda ezibuhlungu ze-uterine mucosa, ujikeleza ukuvula kwangaphandle kwe-urethra. Kusukela ekukhanyeni komlomo wesibeletho, kuvela ukuphuma kwe-purulent. Ukuze kuqinisekiswe lesi sifo futhi kutholakale ukuxilongwa kokugcina, ukuvivinywa kwama-laboratory wezinto eziphilayo ezithathwe ezithombeni zofuzo zinikezwa.
I-gonorrhea yabesifazane - izimpawu, ukukhishwa
Ukunikezwa kwe-gonorrhea kwabesifazane kuhlanzekile. Umbala wabo ungashintsha, futhi kuxhomeke esiteji senqubo yokwelapha. Ngokuvame ukukhishwa okwesibhakabhaka-okucwebezelayo, okugqinsiwe futhi okune-opaque. Lapho kuhlolwa ukuhlolwa komzimba, ukukhukhumeza nokubuyiselwa kwe-urethra kubhaliwe, okubonisa inqubo yokuvuvukala ohlelweni lwesisu lokuzala.
Lapho i-gonococci ingena ephakeme ohlelweni lwe-urogenital, igazi, ngokuhlanganiswa kwe-pus excretion. Igazi elivela kubo libonakala lapho i-pathogen ihlasela ulwelwesi olunamanzi lomsele womlomo wesibeletho. Ngezinguquko ezinjalo, abesifazane bayaqaphela ukwanda kwezibuhlungu esiswini esingaphansi. Isibeletho ngesikhathi esifanayo sanda ngobukhulu, kuba buhlungu ngisho nangesikhathi sokulunywa ngodonga lwangaphakathi lomzimba.
I-gonorrhea engapheli yabesifazane - izimpawu
Ngenxa yokugeleza okusheshayo, ukungabi khona kwesithombe somtholampilo esicacile, i-gonorrhea engapheli iqala kubafazi. Izifo kuleli fomu zibhekwa inkambo elula. Izimpawu zinyamalala okwesikhashana futhi ziphinde zivele ngemuva kwezinkathi ezimfushane. Izimpawu ezijwayelekile zalesi sifo kubantu besifazane yizi:
- izinzwa ezibuhlungu engxenyeni engezansi yesisu, okuqinisa ngokuya esikhathini;
- i-purulent-mucous, ngezinye izikhathi ibonakale kusuka emzimbeni;
- ukukhathazeka esifundeni se-lumbar;
- umkhuhlane.
Uhlobo olungapheli lokugula lungathinta indlela yokuzala. Ukuqinisekiswa kwalokhu ukuxilongwa kaningi kwe-pathology lapho uhlola owesifazane ngokungafaki. I-Gonococcus iholela ekuguqulweni kwe-endometrium ye-uterine, ama-appendages, ngenxa yokuthi ukukhulelwa kweqanda kuba nzima kakhulu. Ukwelashwa okulungile kungalungisa isimo. Ukwelashwa kwe-gonorrhea engapheli kwabesifazane kuhilela ukwelashwa kwe-antibiotic eside.
Ukuhlaziywa kwe-gonorrhea kwabesifazane
Ngaphambi kokuthatha isisindo somzimba wegonorrhea kwabesifazane, iziguli zinqunywe ukubonisana kwabesifazane. Ngokuqondile ngokuhlolwa komzimba, izinto eziphilayo zithathwa. I-smear kwi-gonorrhea yabesifazane ihlanganisa ucingo lwezinto ezivela kumlenze, urethra, umlomo wesibeletho. Amasampuli afakwa ema-tubes wokuhlola futhi adluliselwa ebhokisatri yokucwaninga. Ukuxilongwa kwe-gonorrhea kwenziwa ngokusebenzisa izindlela ezilandelayo:
- Ukuhlakulela - kuhilela ukuhlwanyela ukukhishwa kwamanzi okwesifazane okuvela emzimbeni kuze kube yimidiya enezakhi. I-colony yama-microorganisms e-pathogenic itshalwe, okungabuye ihlolwe ukuzwela kwezidakamizwa zokulwa nemithi yokwelashwa.
- I-smear microscopy - ukuhlolwa kwezinto eziqoqwe ngaphansi kwe-microscope.
- Ukuphendula kwe-Polymerase-chain (PCR) - kusiza ukuthola i-DNA ye-pathogen kusampula yendaba. Ukhomba lesi sifo ngokungabi khona kwesigaba esicacile.
- Isivivinyo se-ELISA yindlela ekhethekile ehilela ukutholakala kwama-antibodies kanye nama-antigens e-gonococcal kwisampula segazi lesiguli.
Ukwelashwa kwe-gonorrhea kwabesifazane
Ngaphambi kokwelapha i-gonorrhea kwabesifazane, odokotela benza ukuhlolwa okuphelele. Kuvame ukuthi lesi sifo sihambisana nezinye izinqubo ezithinta izinkinga emkhakheni wokuzala. Lesi sifo siphathwa ngezigaba ezimbili: ukubhujiswa kwama-microorganisms we-pathogenic nokubuyiselwa kwe- microflora evamile. Ukwelapha kwe-gonorrhea kwabesifazane ekhaya kuhilela ukusetshenziswa kwezidakamizwa zokulwa nezifo, ezikhethiwe ngabanye. Zingasetshenziswa, njengezidakamizwa zendawo zangasese - uketshezi, ukhilimu, amafutha, namathebhulethi ngomlomo.
Ukwelashwa kwe-gonorrhea kwabesifazane - izidakamizwa, uhlelo
I-gonorrhea yabesifazane, izimpawu zazo ezichazwe ngenhla, zidinga inkambo ngayinye yokwelapha. Ukukhetha amaphilisi avela ku-gonorrhea kwabesifazane, odokotela bacabangela isigaba senqubo yokwelashwa, ubukhulu bezimpawu. Cishe ngamaphesenti ama-30% lesi sifo sihlangene ne-pathology efana ne-chlamydia. Ngenxa yalokhu, inkambo yokwelashwa ihilela ukusebenzisa imithi elwa namagciwane ngokuphumelelayo ne-gonococcus:
- Cefixime - 400 mg ngomlomo, kanye;
- I-Ciprofloxacin - 500 mg, kanye;
- I-Ofloxacin - 400 mg ngomlomo kanye (sebenzisa enye yalezi zidakamizwa).
Ngokumelene ne-chlamydia, izidakamizwa ezilandelayo zisetshenziswa:
- I-Azithromycin - 1 g, kanye;
- I-Doxycycline - 100 mg, kabili ngosuku, izinsuku ezingu-7 zilandelana.
Amakhandlela we-gonorrhea
Ngokucabangela ukwelashwa kwe-gonorrhea kwabesifazane, izidakamizwa akuyona indlela kuphela. Ukwelashwa kungenziwa ngokusetshenziswa kwezidakamizwa ngendlela ye-suppositories. Umuthi onjalo we-gonorrhea kubantu besifazane unomthelela wendawo emzimbeni wesisu, ususe masinyane isifo se-disorder. Izidakamizwa zinqunywe ngabanye, ezikhombisa imvamisa yesicelo, isilinganiso nesilinganiso sokusetshenziswa. Ukwelashwa kwe-gonorrhea ngokuvamile kusetshenziswa:
- I-Hexicon;
- IBetadine;
- I-Metronidazole.
Imiphumela ye-gonorrhea yabesifazane
Uma kungekho ukwelashwa, i-gonorrhea kubantu besifazane iveza izinguquko ohlelweni lokuzala. Ngakho-ke, ukutheleleka okuvela emanzini okugoma kuya esibelethweni, amashubhu. Lokhu kuholela ekwephuleni ubuciko be-tublopian tubes, okwenza ukuthi ukukhulelwa kungenakwenzeka. Masinyane ekuqaliseni izimbangela zokungazalwa, futhi wathola i-gonorrhea. Ukuqoqwa kwe-pus emgodini we-uterine kungabangela ukugula okufana ne-hydrosalpinx. Kuhambisana nokwanda kwesibeletho, ubuhlungu obunzima engxenyeni engezansi yesisu, ukudakwa komzimba jikelele. Phakathi kwezinkinga ezikhona ze-gonorrhea nazo zingabonakala:
- i-pelvioperitonitis - ukuphuluka kwamatayipi noma isisu esibuhlungu ngokukhululwa kokuqukethwe okuhlanzekile emgodini wesisu
- I-Bartholinitis - ukuvuvukala kwezingqungquthela zeBathoholin ngehora lesiswini.