Cov kab mob vaginosis, los yog gardnerellosis, yog ib qho kab mob ntawm qhov chaw mos, uas yog tus cwj pwm los ntawm kev ua txhaum ntawm ib txwm muaj pes tsawg leeg ntawm microflora. Raws li qhov tshwm sim, qhov no ua rau muaj cov kab mob loj tshaj plaws, uas tsis tau pom ib txwm.
Tus kab mob ua rau tus kab mob yog kab mob anaerobic. Nws yog ib qho tseem ceeb heev kom paub txog cov tsos mob raws sij hawm thiab kho lawv kom thiaj li tshem tau tus kab mob.
Tus yam ntxwv ntawm tus kab mob
Nyob rau hauv cov microflora ntawm qhov chaw mos nyob cov kab mob lactic acid uas ua rau cov kab mob, suav nrog gardnerella, hauv lub xeev tsis muaj zog. Lub deterioration ntawm kev tiv thaiv provokes loj hlob ntawm fungi, kab mob thiab anaerobes. Raws li qhov tshwm sim ntawm kev ua txhaum ntawm microflora ntawm qhov chaw mos, cov poj niam muaj cov tsos mob tsis zoo.
Tus kab mob anaerobic gardnerella muaj nyob rau hauv me me hauv qhov chaw mos ntawm tus poj niam noj qab haus huv. Tsuas yog nws txoj kev loj hlob sai thiab qhov tau txais cov khoom muaj zog ua rau muaj qhov pib ntawm tus kab mob.
Kev tshwm sim
VimGardnerellosis yog kab mob uas kis tau los ntawm kev sib deev. Txawm li cas los xij, nws yuav tsum tsis txhob raug ntaus nqi rau cov kab mob venereal. Txawm tias muaj tseeb hais tias feem ntau txoj kev ntawm kev sib deev yog kev sib deev, lwm yam provoking yam yuav tsum tsis txhob raug cais tawm. Qhov tshwm sim ntawm cov kab mob vaginosis yog ua tau rau cov laj thawj xws li:
- txo qis kev tiv thaiv;
- kev kho tshuaj tua kab mob ntev;
- hormonal tsis ua haujlwm, menopause, cev xeeb tub;
- kab mob urinary tract;
- noj tshuaj hormonal contraceptives;
- ntshav qab zib thiab lwm yam kab mob endocrine;
- tsis zoo txaus kev nyiam huv;
- nquag douching nrog tshuaj tua kab mob.
Cov kab mob vaginosis feem ntau tshwm sim hauv cov poj niam uas nquag hloov cov neeg sib deev thiab tsis siv hnab looj tes. Qhov no ua rau muaj kev pheej hmoo loj heev ntawm kev sib kis nrog ntau tus kab mob.
Cov tsos mob tseem ceeb
Lub sijhawm incubation ntawm gardnerellosis hauv cov poj niam yog 4-10 hnub. Thawj cov tsos mob ntawm tus kab mob yog qhov tsos ntawm ib qho tsis kaj siab tsw ntawm qhov chaw mos thiab tawm me ntsis.
Tus ntxhiab tsw ua rau tsis xis nyob thiab yuam kom koj ntxuav 5-6 zaug hauv ib hnub. Txawm li cas los xij, alkaline ib puag ncig ntawm xab npum tsuas yog exacerbates qhov xwm txheej. Cov ntxhiab tsw ntau dua, thiab lub sijhawm ntawm kev huv yuav luv dua. Tag nrho cov no yog tshwm sim los ntawm kev tawg ntawm amines. Nov yog cov khoom pov tseg ntawm gardnerella.
Pib ntawm qhov tshwm simkab mob vaginosis yog txuam nrog kev loj hlob ntawm ntau lwm yam kab mob. Yog li ntawd, thaum thawj cov tsos mob ntawm tus kab mob tshwm sim, koj yuav tsum tam sim ntawd mus ntsib ib tug gynecologist. Kev loj hlob ntawm gardnerellosis ua rau cov tsos mob xws li:
- khaus thiab kub hnyiab hauv perineum;
- mob plab plab;
- mob thaum sib deev;
- zoo li creamy tawm;
- cim qhia ntawm cystitis.
Symptomatology nce ntxiv tom qab kev sib deev, txij li cov phev, uas muaj cov tshuaj tiv thaiv alkaline, tsim ib puag ncig rau kev tsim cov kab mob. Nws tsis tuaj yeem kuaj pom tus kab mob tsuas yog raws li cov cim muaj. Feem ntau, kab mob vaginosis tshwm sim nrog rau candidiasis thiab feem ntau nrog gonococcus thiab trichomonas.
Diagnostics
Ua ntej pib kho tus mob gardnerellosis, tus kws kho mob yuav tsum kuaj xyuas qhov tseeb. Thaum pib, tus kws kho mob sau ib qho anamnesis, thiab tom qab ntawd muab qhov chaw mos zais cia rau kev tshawb fawb.
Smear pab txheeb xyuas gardnerella thiab suav nws tus lej. Kev ntsuas pH ntawm qhov chaw mos kuj tseem yuav tsum tau, vim nws nce thaum lub sijhawm muaj tus kabmob. Isonitrile kuaj pom cov kab mob loj.
Txoj kev kho mob
Txhawm rau tshem tawm tag nrho cov tsos mob ntawm gardnerella, kev kho mob yuav tsum pib tam sim tom qab kuaj mob. Nws yog ib qho tseem ceeb kom ua tiav kev kho mob ua ntej kev hloov pauv ntawm tus kab mob mus rau theem ntev. Cov chav kawm theem pib yog raws li kev tshem tawm cov kab mob uas siv tshuaj tua kab mob. Txhawm rau kom tau txais txiaj ntsig sai dua, kev siv cov tshuaj hauv lub cev thiab cov tshuaj hauv zos yuav tsum tau ua. Lawv tab tom khawsnruj me ntsis rau tus kheej, nws tag nrho nyob ntawm qhov muaj qhia thiab contraindications.
Tom qab ntawd, nws yog qhov yuav tsum tau kho cov microflora ntawm qhov chaw mos thiab tshem tawm dysbacteriosis.
Tsuas yog kws kho mob tuaj yeem hais raws nraim qhov twg gardnerella tshwm rau cov poj niam, thiab nws xaiv cov kev kho mob coj mus rau hauv tus account cov tsos mob uas twb muaj lawm thiab cov kab mob. Nws yog txwv tsis pub noj tshuaj rau tus kheej, vim cov kab mob no tiv taus cov tshuaj tua kab mob feem ntau.
Nws yog ib qho tseem ceeb kom ua tiav cov theem ntawm kev kho mob raws li kev tshem tawm cov kab mob hauv qhov chaw mos thiab kho cov microflora ib txwm. Txhawm rau tshem tawm cov kab mob, koj yuav tsum siv tshuaj tua kab mob. Lawv yog siv nyob rau hauv daim ntawv ntawm gels, tshuaj pleev, ntsiav tshuaj los yog qhov chaw mos suppositories. Cov chav kawm ntawm kev kho mob feem ntau yog 10 hnub. Restoration ntawm microflora ntawm qhov chaw mos yog nqa tawm nrog kev pab los ntawm cov kab mob npaj. Rau qhov no, suppositories nrog lactobacilli yog sau. Tsis tas li ntawd, thaum kho, tshuaj xws li:
- immunomodulators;
- tshuaj tiv thaiv kab mob;
- vaginal suppositories kom tshem tawm qhov mob.
Ua ke nrog cov kab mob vaginosis, tej zaum yuav muaj plab hnyuv dysbacteriosis. Hauv qhov no, probiotics tau sau tseg. Thaum rov tshwm sim, nws feem ntau nyob ntawm hom kev kho. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tag nrho cov lus pom zoo ntawm tus kws kho mob thiab tsis yog tshuaj rau tus kheej.
Kev kho mob
Yuav kom kev kho mob ntawm gardnerella hauv cov poj niam kom ua tau zoo, cov tshuaj thiab tshuaj rau kev kho yuav tsum raug xaiv nkaus xwbkws kho mob, vim nws yog ib qho tseem ceeb kom muab cov tshuaj kom raug. Qhov no feem ntau nyob ntawm tus kab mob.
Thaum kho gardnerella nrog tshuaj hauv cov poj niam, kev kho mob yuav tsum suav nrog Clindamycin cream 2%. Nkag mus rau nws 5 g thaum hmo ntuj tob rau hauv qhov chaw mos. Koj tuaj yeem siv 5 g ntawm Metronidazole gel.
Cov kev kho mob rau kev kho mob ntawm gardnerella hauv cov poj niam uas siv tshuaj yuav tsum muaj cov tshuaj tua kab mob. Metronidazole ntsiav tshuaj tau ua pov thawj lawv tus kheej zoo. Koj yuav tsum noj 500 g ob zaug ib hnub. Qee tus kws kho mob tau sau 300 mg ntawm "Clindamycin" 2 zaug hauv ib hnub.
kev kho kab mob pib nrog kev siv cov tshuaj hauv zos. Yog tias lawv tsis muab cov txiaj ntsig xav tau, ces cov tshuaj npaj tau raug sau tseg.
Yuav siv tshuaj dab tsi?
Teb cov lus nug ntawm yuav ua li cas kom tshem tau gardnerella mus ib txhis, kuv yuav tsum hais tias nws yog tsis yooj yim sua ua li no, txij li thaum nws muaj nyob rau hauv lub microflora ntawm txawm ib tug tag nrho noj qab nyob zoo poj niam. Txawm li cas los xij, nws cov kab mob pathogenic tuaj yeem txo qis. Yuav tsum muaj tshuaj tua kab mob. Txawm li cas los xij, koj yuav tsum xub mus kuaj kom tiav los txiav txim siab tag nrho cov kab mob uas muaj thiab xyuas lawv cov rhiab heev rau cov tshuaj tua kab mob. Tsuas yog nyob rau hauv txoj kev no koj tuaj yeem rov zoo sai heev thiab tiv thaiv kev rov qab los. Cov tshuaj tua kab mob zoo yog:
- "Metronidazole";
- "Tinidazole";
- Clindamycin;
- McMiror.
Metronidazole rhuav tshem cov kab mob. Cov tshuaj no yog muab rau hauv cov chav kawm. Kev noj tshuaj txhua hnub ntawm 500 mg yuav tsum tau muab faib ua ob zaug. Kev kho mob txuas ntxiv rau 10 hnub.
Tshuaj tua kab mob "Tinidazole" muaj txiaj ntsig zoo heev. Kev mob tshwm sim nrog nws siv yog pom tsis tshua muaj. Cov no suav nrog kev nce siab ntawm lub cev, kiv taub hau, nrog rau me ntsis disorientation hauv qhov chaw. Nws raug sau 1 ntsiav tshuaj ob zaug ib hnub. Kev kho mob yog qhov pib 7 hnub.
Tshuaj "Tiberal" yog tsom rau kev puas tsuaj ntawm gardnerella. Rau txoj kev kho nyuaj, 1 ntsiav tshuaj yog muab ob zaug ib hnub. Cov chav kawm kho mob yog 7-10 hnub. Cov tshuaj no yuav ua rau muaj kev fab tshuaj, xeev siab, qaug zog, lossis tsaug zog ntau ntxiv.
Macmirror los ntawm gardnerella yog qhov zoo heev. Nws rhuav tshem cov kab mob pathogenic microflora thiab tiv thaiv qhov tshwm sim ntawm thrush. Rau 8 hnub, cov tshuaj yuav tsum tau txhaj rau hauv qhov chaw mos.
Ntau tus kws kho mob tau sau tshuaj Clindamycin tawm tsam gardnerella. Nws yog ib tug dav spectrum antibacterial neeg sawv cev. Muaj raws li cov tshuaj pleev ib ce, tshuaj pleev qhov chaw mos thiab tshuaj.
Cov tshuaj "Vilprafen" los ntawm gardnerella yog tshuaj tua kab mob los ntawm pawg macrolides. Nws zoo heev tiv thaiv ntau cov kab mob. Nws yog siv yog tias gardnerellosis tshwm sim tawm tsam keeb kwm ntawm lwm yam kab mob, tshwj xeeb, xws li gonorrhea, chlamydia, trichomoniasis. Ua ntej siv nws, yuav tsum tau ntsib kws kho mob, vim tias cov tshuaj muaj pes tsawg leeg yog tshuaj lom.
Ntau tus xav paub tias "Trichopol" yog dab tsi thiab nws puas kho cov kab mob vaginosis? Cov tshuaj no suav hais tias yog tshuaj tua kab mob zoo, txhawm rau tshem tawm ntau yam kab mob thiab ntau lwm yam kab mob provoked los ntawm protozoa.
"Trichopol" yog dab tsi? Nws kho cov kab mob vaginitis zoo heev. Nkag mus rau hauv DNA qauv ntawm cov kab mob, cov tshuaj nquag ua rau nws yooj yim rhuav tshem, txwv kev loj hlob ntawm cov kab mob. Kev siv cov tshuaj yuav tsum tau ua raws li txhua tus kws kho mob cov tshuaj. Tsis tas li ntawd, koj yuav tsum xav txog tias muaj qee yam contraindications.
Yuav luag tib yam khoom muaj los ntawm "Klindacin" los ntawm gardnerella. Nws pab ua kom cov kab mob sai sai thiab tshem tawm cov tsos mob tsis zoo.
Qee zaum, yuav tsum muaj kev kho nyuaj. Lawv muaj nyob rau hauv lawv cov kev sib xyaw ua ke ntawm cov tshuaj los ntawm ntau pawg kws tshuaj, txhua tus uas pab tiv thaiv tus kab mob zoo. Ntawm tag nrho cov tshuaj, cov kws kho mob nyiam cov tshuaj "Terzhinan" los ntawm gardnerella. Nws suav nrog:
- ternidazole;
- neomycin;
- nystatin;
- prednisolone.
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj ntawm qhov chaw mos. Ua ntej siv, lawv yuav tsum tau tuav hauv dej rau 20-30 vib nas this. Siv 1 zaug hauv ib hnub thaum hmo ntuj. Cov chav kawm kho mob yog 1.5 lub lis piam. Ntawm cov kev mob tshwm sim, nws yog ib qho tsim nyog los qhia txog kev ua xua, nrog rau kub hnyiab tam sim tom qab noj tshuaj.
Cov tshuaj tua kab mob hauv zos muaj cov tshuaj tiv thaiv kab mob, tab sis tib lub sijhawmtsis cuam tshuam rau lub cev nqaij daim tawv. Txoj kev kho mob rau gardnerella nyob rau hauv cov poj niam uas muaj tshuaj muaj xws li kev siv ntawm qhov chaw mos suppositories.
Hexicon tau siv zoo hauv kev kho. Nws rhuav tshem cov kab mob, thiab tseem muaj cov nyhuv bacteriostatic, inhibiting kev loj hlob thiab kev loj hlob ntawm cov kab mob. Qhov kev kho no muaj txiaj ntsig zoo hauv kev mob vaginitis ntev. Muab "Hexicon" 1 tswm ciab 2 zaug hauv ib hnub. Hoob no kav 3 lub lis piam.
Ntxiv rau, cov nyiaj tswj hwm kev tiv thaiv hauv zos raug siv. Kev siv cov tshuaj suppositories hauv qhov chaw mos ua kom cov txheej txheem kho mob, txhawb kev tiv thaiv, thiab ua rau lub cev tiv thaiv kab mob microflora.
"Genferon" txhawb lub cev tiv thaiv kab mob, txhawb kev rov ua kom cov hlwb puas los ntawm cov kab mob. Cov tshuaj loog uas muaj nyob rau hauv muaj pes tsawg leeg tshem tawm tsis xis nyob. Nws yog siv rau cov kab mob vaginitis, provoked los ntawm ntau yam pathogenic microflora. Rau kev kho mob ntawm theem mob ntawm tus kab mob, kev tswj hwm ntawm 1 suppository ob zaug ib hnub yog muab. Kev kho mob kav li ntawm 1.5 lub lis piam mus rau 3 lub hlis.
Yog hais tias thrush ntxiv, ces tshuaj pleev los ntawm gardnerella "Pimafucin" yog tshuaj. Qhov no yog ib qho yooj yim-rau-siv thiab siv tau zoo uas yuav pab kom tshem tau cov teeb meem sai sai.
Thaum dysbiosis xav tau cov nyiaj uas rov qab qhov qub tshuav ntawm microflora hauv lub cev. Cov no suav nrog xws li Laktozhinal, Bifidumbacterin, Lactacid.
Kev kho mob thaum cev xeeb tub
Gardnerellosis tuaj yeem ua rau mobcev xeeb tub los yog tsis muaj zog ntawm kev tiv thaiv hauv zos. Kev kho tus kab mob tuaj yeem ua tsis tau ntxov dua li peb lub hlis thib ob. Qhov no yog vim cov tshuaj tua kab mob uas ua rau cov kab mob txaus ntshai heev rau tus menyuam hauv plab. Hauv thawj peb lub hlis twg, kev tso tawm ntawm lub cev thiab lub cev tshwm sim, yog li cov txiaj ntsig tsis zoo ntawm cov tshuaj tau tshaj tawm.
Thaum kho, tus kws kho mob tuaj yeem sau tshuaj Clindamycin cream, gel, lossis Metronidazole ntsiav tshuaj. Douching yog contraindicated thaum lub sij hawm kho, raws li nws ntxuav tawm cov microflora ib txwm thiab ua rau tus mob ntau dua.
prophylaxis
Txhawm rau tiv thaiv qhov pib ntawm tus kab mob, nws yog ib qho tsim nyog yuav tsum ua kom muaj kev tiv thaiv zoo. Nws suav nrog:
- kev tu cev;
- tshuaj xyuas kev tiv thaiv ob zaug hauv ib xyoos;
- khoom noj zoo;
- zam kev ntxhov siab;
- kev tiv thaiv kab mob;
- kho raws sijhawm ntawm cov kab mob ntev thiab cov kab mob hormonal;
- siv hnab looj tes thaum sib deev.
Nws yog ib qho tseem ceeb uas yuav tsum tau ntxuav ob zaug hauv ib hnub nrog cov khoom nruab nrab pH, kom tso tseg cov tshuaj deodorants. Tight ris thiab ris tsho hauv qab hluavtaws tsis pom zoo.
Gardnerellosis yog ib yam kab mob hnyav heev uas yuav tsum tau kho kom raws sijhawm. Cov tshuaj siv pab kom normalize microflora ntawm qhov chaw mos.
