Ureaplasmosis yog ib hom kab mob poj niam ntawm cov kab mob etiology, nrog rau kev mob ntawm cov kab mob hauv nruab nrog cev ntawm cov kab mob genitourinary. Feem ntau nws ua tsis ncaj ncees lawm, tsis muaj cov tsos mob thiab tsis ua rau muaj kev phom sij rau tib neeg kev noj qab haus huv, tab sis nws yog tus neeg nqa khoom thiab kis rau lwm tus. Txoj kev tseem ceeb ntawm kev sib kis yog kev sib deev, thiab cov teeb meem hauv tsev hauv kev kho mob tsis pom zoo. Cov chav kawm ntawm kev kho mob raug xaiv rau txhua tus neeg mob ib tus zuj zus tom qab kev sim tshuaj ntsuam xyuas, nyob ntawm tus neeg mob daim duab kho mob. Cia peb ua tib zoo saib yuav ua li cas kho ureaplasma hauv cov poj niam. Cov tshuaj uas tau tham hauv tsab xov xwm no yog suav tias yog ib qho zoo tshaj plaws rau hnub tim. Txawm li cas los xij, nws tsis pom zoo kom pib noj lawv ntawm koj tus kheej, txij li txhua kis tshwj xeeb yog tus kheej.
cov ntaub ntawv dav dav
Raws li twb tau sau tseg lawm, ureaplasmosis belongs rau pab pawgkab mob kab mob. Nws cov kab mob ua rau muaj kab mob pathogenic microorganisms uas parasitizes hauv cov hlwb ntawm tib neeg lub cev. Nyob rau tib lub sij hawm, pathology tshwm sim nyob rau hauv daim ntawv latent thiab tsis muaj tsos mob. Thawj qhov kev kho mob tshwm sim tshwm sim tom qab cov kab mob nkag mus tob rau hauv cov khoom nruab nrog cev, ua rau nws cov kev hloov pauv thiab cuam tshuam tsis zoo rau kev ua haujlwm.
Dab tsi yog qhov phom sij ntawm ureaplasma hauv cov poj niam? Tso tseg tsis kho rau lub sijhawm ntev, nws tuaj yeem ua rau cov hauv qab no:
- mob ntawm lub tsev menyuam;
- erosion formation;
- nchuav menyuam thaum cev xeeb tub;
- txo qis hauv kev tiv thaiv thiab lub cev tiv thaiv rau lwm cov kab mob pathogenic;
- kev muaj menyuam.
Raws li kev txheeb xyuas kev kho mob, kwv yees li 50% ntawm cov poj niam thoob ntiaj teb muaj ureaplasmosis, tab sis lawv tsis paub txog nws. Tus kab mob no hnyav heev thiab tuaj yeem ua rau muaj ntau yam teeb meem, yog li kev kho yuav tsum pib sai li sai tau.
Symptomatics
Txhawm rau kuaj pom qhov teeb meem hauv lub sijhawm thiab mus rau tsev kho mob, koj yuav tsum paub tias ureaplasma tshwm sim nws tus kheej hauv cov poj niam li cas. Thiab tam sim no cia peb nyob ntawm qhov no hauv kev nthuav dav ntxiv. Ntawm cov tsos mob tseem ceeb yog cov hauv qab no:
- tsis xis nyob thiab mob hauv pliaj;
- tus yam ntxwv ntawm qhov chaw mos;
- kev sib deev dysfunction;
- tso zis ntau ntxiv;
- pseudoangina;
- mob thiab kub hnyiab thaum tso zis.
Cov tsos mob, raws li txoj cai, tshwm sim tom qab theem ntawm kev txhim kho pathology,Thaum cov kab mob pathogenic nkag mus rau hauv lub epithelium rau hauv lub cev thiab cuam tshuam nws txoj haujlwm. Nyob rau theem pib, cov kua paug tawm, uas muaj cov yam ntxwv tsw, yuav ua rau muaj kev txhawj xeeb. Yog tias tus neeg mob pom nws hauv nws tus kheej, koj yuav tsum tam sim ntawd mus rau hauv tsev kho mob kom kuaj xyuas thiab pib kho, vim tias tus kab mob no yooj yim dua los kho thaum ntxov.
Basic diagnostic method
Lawv yog dab tsi thiab lawv qhov tshwj xeeb yog dab tsi? Cov tshuaj niaj hnub no nyob rau theem siab ntawm kev loj hlob, yog li muaj ob peb txoj hauv kev los kuaj xyuas cov kab mob sib deev. Raws li rau tus kab mob nyob rau hauv kev sib tham, feem ntau lawv siv smear rau ureaplasma rau cov poj niam. Hom kev tshuaj ntsuam no yog qhov tseeb thiab cov ntaub ntawv, thiab tseem tso cai rau koj kom tau txais txiaj ntsig sai. Tsis tas li ntawd, cov kev kuaj hauv qab no tuaj yeem siv rau kev kuaj mob:
- polymerase chain reaction;
- enzymatic immunoassay;
- ultrasound.
Raws li txoj cai, kev tshuaj xyuas yog ua los ntawm kev siv ntau txoj hauv kev. Qhov no yog qhov tsim nyog kom tau txais cov ncauj lus kom ntxaws tshaj plaws txog kev txhim kho ntawm tus kab mob, qib kev puas tsuaj rau cov kab mob hauv nruab nrog cev thiab kev npaj cov txheej txheem kho kom zoo thiab nyab xeeb tshaj plaws. Yuav ua li cas kho ureaplasma hauv cov poj niam? Kev npaj yog xaiv los ntawm ib tus kws kho mob tshwj xeeb rau txhua tus neeg mob sib cais, nyob ntawm nws daim duab kho mob.
Txoj Kev Kho Mob
Cia peb mus txog qhov nocia peb nyob hauv kev nthuav dav ntxiv. Tsis zoo li ntau lwm tus kab mob STDs, txoj kev kho mob rau ureaplasma yog tsom tsis tau tsuas yog rau kev sib ntaus cov kab mob pathogenic, tab sis kuj tshem tawm cov tsos mob, nrog rau kev tswj lub cev. Thaum kho, nws yog ib qho tseem ceeb heev los txhawb lub cev tiv thaiv kab mob kom lub cev pib tawm tsam cov kab mob. Conventionally, txoj kev kho mob muab faib ua ob theem. Thawj yog txhawm rau tua cov kab mob thiab cawm tus neeg mob los ntawm kev kho mob tshwm sim los ntawm nws, thiab qhov thib ob yog tsom rau kev rov ua kom lub cev thiab plab hnyuv microflora tom qab noj tshuaj, nrog rau txo qis qhov tshwm sim ntawm qhov teeb meem.
Txoj kev kho mob yog ua tiav hauv qhov nyuaj thiab muaj kev txhawb zog rau lub cev. Hauv qhov no, tsis yog tus poj niam nkaus xwb, tab sis kuj yog nws tus tub hluas yuav tsum tau kho, vim tias yog tias tus khub yog tus neeg nqa khoom, ces tus thib ob kuj yuav kis tau. Qhov no tseem ceeb tshwj xeeb tshaj yog nyob rau theem kev npaj cev xeeb tub. Tus kab mob no feem ntau ua rau nchuav menyuam los yog yug me nyuam nrog ntau yam kev loj hlob tsis taus thiab pathologies.
Cov txheej txheem kev kho mob rau ureaplasma suav nrog cov hauv qab no:
- noj tshuaj tua kab mob;
- kev tswj hwm ntawm qhov chaw mos suppositories nrog cov nyhuv antiseptic;
- ib chav kawm ntawm probiotics tsom rau kev kho cov microflora ntawm txoj hnyuv;
- immunostimulating cov neeg ua haujlwm txhawm rau txhawm rau tiv thaiv lub cev.
Raws li tau hais ntau zaus ua ntej, cov tshuaj tshwj xeeb raug xaiv los ntawm tus kws kho mob rau txhua tus neeg mob ib leeg. Qhov no siv rau hauv tus accountntau yam, tshwj xeeb tshaj yog nyob rau hauv lub xeev ntawm kev noj qab haus huv, muaj kev tsis haum tshuaj thiab concomitant kab mob uas tshwm sim nyob rau hauv ib tug ntev daim ntawv. Nws yog ib qho tsim nyog sau cia tias, txawm tias koj paub yuav ua li cas kho ureaplasma hauv cov poj niam, pib noj tshuaj tsuas yog tom qab kev sib tham ua ntej nrog koj tus kws kho mob. Nyob rau tib lub sijhawm, cov kab mob tsim cov tshuaj tiv thaiv kab mob, uas ua rau nyuaj rau kev tawm tsam. Yog li ntawd, yuav tsum muaj kev ntsuam xyuas zoo, raws li cov txiaj ntsig ntawm tus kws kho mob yuav xaiv cov tshuaj zoo tshaj plaws.
Drug therapy
Nws zoo li cas? Lub hauv paus ntawm kev kho mob rau ureaplasma hauv cov poj niam yog tshuaj tua kab mob. Lawv muab faib ua peb pawg, uas tuaj yeem muab faib ua tus kheej lossis koom ua ke:
- Macrolides yog cov tshuaj siv ntau tshaj plaws uas muaj txiaj ntsig zoo thiab ua rau muaj kev phom sij tsawg rau kev noj qab haus huv. Qee tus ntawm lawv tuaj yeem noj thaum cev xeeb tub.
- Tetracyclines kuj yog cov tshuaj zoo uas tsis cuam tshuam rau plab hnyuv microflora ntau heev. Txawm li cas los xij, vim muaj cov tshuaj lom neeg ntawm cov tshuaj nquag, nws yog contraindicated thaum cev xeeb tub.
- Fluoroquinolones - zoo rau ureaplasma, tab sis kuj tsis xav tau rau cov niam muaj kev cia siab.
Ntau zaus, ua ke nrog cov tshuaj tua kab mob ntawm cov pab pawg tseem ceeb, aminoglycoside aminocyclitols raug tshuaj. Cov tshuaj no muaj cov tshuaj tiv thaiv kab mob siab, uas ua rau kom muaj txiaj ntsig ntawm kev kho mob. Raws li txoj cai, lub sijhawm ntawm kev kho mob yog 2 lub lis piam, tab sis qee qhov kev kawm yuav raug ncua. RauThaum lub sij hawm tag nrho cov kev kho mob, nws yog pom zoo kom tso tseg intimacy, raws li zoo raws li ib tug tshwj xeeb noj cov zaub mov aimed ntawm relieving lub load los ntawm lub digestive system. Txhawm rau txhawb lub cev, cov neeg mob kuj tau sau tseg:
- vitamin complexes;
- probiotics;
- immunostimulating tshuaj.
Yuav ua li cas kho ureaplasma hauv cov poj niam? Kev npaj tsuas yog txiav txim siab los ntawm tus kws tshaj lij tshwj xeeb. Tsis yog txhua tus ntawm lawv xav tias yuav tsum tau muab tshuaj ntxiv, tab sis feem coob yog cov kev xav tias lawv tsim nyog, vim tias lawv txo qhov kev pheej hmoo ntawm kev rov qab los.
Tshuaj tua kab mob
Ua ntej sau tshuaj tshwj xeeb, nws yog ib qho tsim nyog yuav tsum tsim kom muaj cov kab mob pathogenic microorganisms uas cuam tshuam rau lub cev. Ureaplasmosis tuaj yeem tshwm sim los ntawm:
- YUreaplasma Parvum.
- YUreaplasma Urealyticum.
Ob hom kev ua rau muaj tus kab mob, tab sis xav tau txoj hauv kev sib txawv rau kev kho, vim lawv kho tau ntau txoj hauv kev. Raws li kws txawj sau tseg, thawj daim ntawv ntawm pathology yog nyuaj. Cov tshuaj tua kab mob zoo tshaj plaws rau ureaplasma yog:
- "Gentamicin";
- "Doxycycline";
- "Tetracycline";
- "Clindamycin";
- "Ornidazole";
- "Ofloxacin".
Cia peb mus saib txhua yam tshuaj thiab nrhiav seb yam twg koj tuaj yeem ua tau sai thiab muaj kev phom sij tsawg kawg nkaus rau kev noj qab haus huv tau tshem ntawm ureaplasmosis mus ib txhis.
Gentamicin
Tshuaj nyob rau hauv daim ntawv ntawm cov hmoov npaj rau kev npaj cov tshuaj rau intramuscular txhaj. Txhaj tshuaj "Gentamicin" (cov lus qhia rau kev siv yuav tsum tau kawm ua ntej siv) yog cov pab pawg neeg ntawm aminoglycosides nrog ib tug dav spectrum ntawm kev txiav txim. Cov khoom xyaw nquag nkag mus rau hauv daim nyias nyias ntawm cov kab mob pathogenic microorganisms, suppressing lawv cov haujlwm tseem ceeb.
Tshuaj yog siv los kho ntau yam kab mob ntawm ntau lub hauv paus:
- zais zis o;
- mob cholecystitis;
- angiocholitis;
- mob plab ntawm lub raum tubular;
- sepsis;
- purulent pleurisy;
- peritonitis;
- ependymitis;
- kab mob kis ntawm daim tawv nqaij;
- pneumonia;
- folliculitis;
- periungual parania;
- seborrheic dermatitis;
- varicose ulcers.
Raws li cov lus qhia rau kev siv, kev txhaj tshuaj "Gentamicin" yog ua 2 mus rau 4 zaug hauv ib hnub. Qhov ntau npaum yog txiav txim los ntawm tus kws kho mob tshwj xeeb, nyob ntawm daim ntawv thiab qhov hnyav ntawm cov kab mob. Lub sijhawm ntawm kev kho yog ib thiab ib nrab lub lis piam. Cov tshuaj yuav tsum tau siv kom zoo zoo, vim nws tuaj yeem ua rau muaj kev phiv ntau yam.
Nco ntau tshaj yog cov hauv qab no:
- Khxeev siab thiab gagging;
- nce ntshav nce ntxivbilirubin;
- ntshav qab zib;
- txo cov ntshav ntws;
- Yproteinuria;
- raum tsis ua haujlwm;
- drowsy;
- migraines;
- kev sib cav;
- tshuaj tsis haum.
"Gentamicin" yog qhov zoo vim tias nws tau xyaum tsis muaj contraindications. Ntawm cov tseem ceeb yog cev xeeb tub thiab qee cov kab mob raum hnyav.
Doxycycline
Tshuaj tua kab mob, ua rau hauv daim ntawv tshuaj ntsiav nrog lub plhaub sai sai. Cov tshuaj belongs rau cov pab pawg neeg ntawm tetracyclines nrog ib tug dav spectrum ntawm kev txiav txim. Siv los tawm tsam ntau yam kab mob ntawm cov kab mob etiology. Cov lus qhia rau kev siv "Doxycycline" (tus nqi thiab kev tshuaj xyuas yog txaus siab rau cov neeg yuav khoom ntawm cov tshuaj) hais tias koj yuav tsum tsis txhob noj nws hauv cov xwm txheej hauv qab no:
- hypersensitivity rau cov tshuaj nquag;
- thaum cev xeeb tub thiab pub niam mis;
- Cov menyuam yaus hnub nyoog qis dua 8;
- qe ntshav dawb suav;
- muaj cov tshuaj tsis haum rau txhua yam uas yog ib feem ntawm cov tshuaj;
- siab tsis ua hauj lwm;
- kab mob autoimmune.
Kev noj tshuaj tej zaum yuav nrog qee yam kev mob tshwm sim. Ntawm cov tseem ceeb yog:
- Khxeev siab thiab gagging;
- mob plab digestive;
- mob plab;
- ntsepoob phaus;
- dysphagia;
- npaws tus nplaig;
- esophagitis;
- hemolytic anemia;
- pob khaus;
- dysbacteriosis;
- candidiasis.
Ua ntej noj nws pom zoo kom kawm cov lus qhia rau kev siv "Doxycycline". Kev tshuaj xyuas (tus nqi ntawm cov tshuaj yog los ntawm 22 rubles rau 20 tsiav tshuaj) xeev: yog tias cov tshuaj tau muab los ntawm tus kws kho mob tau pom, cov kev mob tshwm sim tsis tshua muaj heev. Cov tshuaj no yog suav tias yog ib qho zoo tshaj plaws niaj hnub no rau kev kho mob ntawm ureaplasmosis, vim nws tuaj yeem noj tau txawm tias thaum cev xeeb tub, thiab tseem tsis ua rau mob hnyav rau kev noj qab haus huv piv rau lwm cov tshuaj niaj hnub.
Tetracycline
Cov tshuaj tua kab mob muaj nyob rau hauv daim ntawv foos zaj duab xis-coated, uas sai sai yaj hauv plab, yog li nws pib ua thaum ntxov li 20 feeb tom qab noj. Zoo li lwm yam tshuaj uas tau tham hauv kab lus no, nws muaj ntau qhov kev ua haujlwm thiab siv los kho ntau tus kab mob ntawm cov kab mob keeb kwm.
"Tetracycline" nrog ureaplasma yog noj 250-500 milligrams txhua 6 teev. Kwv yees li 70% ntawm cov khoom xyaw nquag yog absorbed hauv txoj hnyuv thiab tawm nrog rau cov quav. Ib qho ntxiv ntawm cov tshuaj yog qhov tsawg kawg nkaus ntawm cov kev mob tshwm sim, uas tso cai rau nws siv los kho ntau tus neeg mob. Ntawm cov tseem ceeb yog:
- hepatic dysfunction;
- leucopia;
Ntxiv rau, "Tetracycline" tsis pom zoo rau cov poj niam cev xeeb tub thiabniam laus. Nws tseem tsim nyog sau cia tias yuav luag tag tsis muaj kev phiv. Ntawm cov feem ntau yog kev tsis haum tshuaj thiab plab zom mov, tab sis lawv tsis tshua muaj heev.
Clindamycin
Cov tshuaj no qhov chaw mos no siv tau rau ntau yam kab mob STDs, suav nrog ureaplasmosis. Ua nyob rau hauv cov hlab ntawm 20 thiab 40 grams nrog ib tug active tshuaj concentration ntawm 2 feem pua. Cov tshuaj inhibits lub luag haujlwm tseem ceeb ntawm cov kab mob pathogenic microorganisms, inhibiting synthesis ntawm cov protein. Nrog nws, qhov chaw mos tampons yog tsim, uas tau muab tso rau ob peb teev ua ntej yuav mus pw rau ib lub lis piam. Raws li cov kws tshaj lij thiab cov neeg mob, "Clindamycin" los ntawm ureaplasma yog qhov zoo vim tias cov kev mob tshwm sim tsis tshua muaj tshwm sim. Txawm li cas los xij, qee zaum, tib neeg ntsib lawv.
Nco ntau tshaj yog cov hauv qab no:
- qhov chaw mos candidiasis;
- khaus ntawm cov nqaij mos ntawm qhov chaw mos;
- ntau hom kab mob vaginitis;
- kev coj khaub ncaws tsis ua haujlwm;
- uterine los ntshav;
- tsis xis nyob thiab mob hauv qhov chaw mos;
- kev ua txhaum txoj kev tso zis;
- endometriosis;
- glycosuria;
- Khxeev siab thiab gagging;
- nce roj tsim hauv cov hnyuv;
- quav quav los yog cem quav;
- pob khaus;
- khaus thiab kub hauv pliaj.
Raws li rau contraindications, txhua tus neeg mob tuaj yeem siv cov tshuaj nplaum rau kev kho mob ntawm ureaplasmosis, tshwj tsis yog hauv rooj plaub.ib tug neeg intolerance rau ib yam ntawm cov Cheebtsam uas muaj nyob rau hauv nws muaj pes tsawg leeg.
Ornidazole
Ib tshuaj tiv thaiv kab mob tsim tawm hauv daim ntawv tshuaj ntsiav nrog cov txheej txheem tam sim. "Ornidazole" los ntawm ureaplasma yog suav hais tias yog ib qho ntawm cov tshuaj zoo tshaj plaws uas muaj nyob rau niaj hnub no, vim nws tsis tsuas yog inhibits protein synthesis, tab sis kuj hloov DNA ntawm cov kab mob pathogenic microorganisms. Cov koob tshuaj tuaj yeem sib txawv ntawm 500 txog 2000 milligrams. Nws raug txiav txim los ntawm tus kws kho mob ib leeg rau txhua tus neeg mob, nyob ntawm daim duab kho mob.
Ntawm cov tseem ceeb contraindications rau kev siv yog cov hauv qab no:
- kab mob neurological;
- CNS tsis ua haujlwm;
- ntxov cev xeeb tub;
- pub mis niam;
- hypersensitivity rau cov tshuaj nquag.
Raws li cov ntaub ntawv muab los ntawm cov chaw tsim khoom, kev noj tshuaj tuaj yeem nrog cov kev mob tshwm sim hauv qab no:
- xeev siab thiab ntuav;
- mob plab;
- kev tsis haum;
- siab kub;
- pw tsis tsaug zog;
- kiv taub hau;
- tshee tshee sab sauv;
- kev sib cav;
- migraines;
- peripheral neuropathy.
Yog tias pom muaj kev phiv tshwm sim, koj yuav tsum cuam tshuam kev kho mob tam sim ntawd thiab tiv tauj tus kws kho mob tshwj xeeb rau kev tawm tswv yim thiab kho qhov kev pab cuam kho mob.
Y"Ofloxacin"
Cov tshuaj tua kab mob muaj zog muaj nyob rau hauv cov ntsiav tshuaj coated thiab infusion tov. Cov tshuaj belongs rau cov pab pawg neeg ntawm fluoroquinols nrog ib tug dav spectrum ntawm kev txiav txim. Cov tshuaj nquag absorbed sai sai hauv cov hnyuv thiab pib ua, thaiv cov haujlwm ntawm cov kab mob pathogenic. Ofloxacin 400 ntsiav tshuaj tsis pom zoo siv rau hauv cov xwm txheej hauv qab no:
- rau lub sijhawm cev xeeb tub thiab pub niam mis;
- hnub nyoog qis dua 18;
- hypersensitivity rau active tshuaj;
- siab lossis raum tsis ua haujlwm.
Nws txwv tsis pub pib noj tshuaj ntawm koj tus kheej yam tsis tau ntsib kws kho mob thawj zaug, vim nws muaj ntau yam kev phiv. Ntawm cov feem ntau yog cov hauv qab no:
- mob plab digestive;
- jaundice;
- los ntshav hauv plab;
- ua txhaum ntawm cov txheej txheem metabolic;
- pw tsis tsaug zog;
- mob nkees;
- faus;
- huab cua kev nco qab;
- kev tsis haum;
- hlab ntshav siab;
- qee kis mob plawv;
- mob plawv dhia;
- dysuria;
- hyperpigmentation;
- neurological tsis muaj zog;
- nosebleeds;
- mob plab.
Thiab qhov no tsis yog ib daim ntawv teev tag nrho cov kev mob tshwm sim, yog li ua ntej koj pib noj tshuaj, koj yuav tsum sab laj nrogtus kws kho mob thiab ua tib zoo nyeem cov lus qhia rau cov tshuaj.
Vaginal suppositories
Siv los ua ib qho cuab yeej ntxiv los txhim kho kev ua tau zoo ntawm txoj haujlwm tseem ceeb. Lawv yog tsom rau kev tswj hwm lub cev tiv thaiv kab mob thiab txo qhov kev pheej hmoo ntawm kev tsim kab mob sib kis. Ntawm cov tshuaj suppositories zoo tshaj plaws rau ureaplasma hauv cov poj niam, cov kws txawj paub qhov txawv hauv qab no:
- "Viferon";
- "McMiror";
- "Polygynax";
- "Hexicon";
- "Genferon";
- Y"Polyoxidonium".
Txhua yam ntawm qhov chaw mos suppositories saum toj no muaj kev nyab xeeb, yog li lawv tuaj yeem siv tau txawm tias thaum cev xeeb tub.
Zoo kawg
Kab lus no tau piav qhia meej yuav ua li cas kho ureaplasma mus tas li hauv cov poj niam, nrog rau cov tshuaj twg zoo tshaj plaws rau qhov no. Txawm li cas los xij, nws yog qhov zoo dua kom tsis txhob noj tshuaj rau tus kheej, vim nws tuaj yeem ua rau muaj kev cuam tshuam loj heev. Yog tias koj xav tias muaj kab mob STDs, ces koj yuav tsum hu rau tus kws kho mob tshwj xeeb uas yuav sau tag nrho cov kev ntsuam xyuas tsim nyog thiab xaiv qhov kev kho kom zoo tshaj plaws. Nov yog tib txoj hauv kev kom tshem tau cov kab mob txaus ntshai xws li ureaplasmosis sai sai thiab mus tas li.
