Chlamydial urethritis yog ib qho mob ntawm cov urethra tshwm sim los ntawm kev sib deev kab mob Chlamydia. Edema, o ntawm cov kwj dej tso zis yog tshwm sim los ntawm ntau yam tsos mob, txawm hais tias feem ntau cov kab mob no tshwm sim yam tsis muaj kev kho mob tshwm sim.
Chlamydial urethritis yog ib yam kab mob txaus ntshai uas tuaj yeem cuam tshuam tsis yog rau cov zis xwb, tab sis kuj tseem nyob ze ntawm lub cev, nrog rau cuam tshuam rau qhov muag thiab kev zom zaub mov. Feem ntau, chlamydia tshwm sim tawm tsam keeb kwm ntawm lwm yam pathologies tshwm sim los ntawm cocci, kab mob fungal lossis Trichomonas.
Hom kab mob chlamydial urethritis
Txhua hom kab mob muaj nws tus yam ntxwv thiab sib txawv ntawm lwm yam. Nyob rau hauv daim ntawv mob, lub tsev kho mob, raws li nyob rau hauv tus kab mob gonococcal. Thiab nrog cov tsos mob ntev, lawv tsis tuaj yeem ua tiav lossis hloov nrog txhua qhov exacerbation. Chlamydial urethritis nyob rau hauv txhua tus neeg tshwm sim nws tus kheej txawv, yog li nws feem ntau tsis meej pem nrog lwm yam kab mob.
Ntau yam ntawm pathology ncaj qha nyob ntawmqib ntawm kev puas tsuaj thiab qhov chaw ntawm tus kab mob. Raws li cov txheej txheem no, qhov pom torpid thiab tag nrho ib qho yog qhov txawv. Qee lub sij hawm torpid dhau los ua tag nrho, thiab nyob rau hauv cov mob hnyav heev, cov txiv neej yuav ntsib prostatitis.
ua rau ntawm pathology
Qhov feem ntau ua rau kev loj hlob ntawm tus kab mob yog kev tiv thaiv kev sib deev. Thaum lub sij hawm nws, cov kab mob nkag mus los ntawm cov kab mob uas muaj mob mus rau hauv ib qho kev noj qab haus huv, thiab kev kis kab mob tuaj yeem tshwm sim sib npaug ntawm cov txiv neej thiab poj niam. Nyob rau hauv cov txiv neej, chlamydia nyob rau hauv lub mucous daim nyias nyias ntawm noov, lawv active reproduction pib. Nrog rau lub cev tsis muaj zog, cov kab mob pathogenic nkag mus rau hauv lub epithelium ntawm cov zis, ua rau mob. Thaum lawv lub neej, cov kab mob tso tawm cov co toxins uas cuam tshuam rau cov qauv subepithelial ntawm cov kwj dej.
Chlamydial urethritis tuaj yeem tsis pom tau ntev, ua rau muaj teeb meem loj.
Chlamydia txiv neej chaw kho mob
kab mob chlamydia urinary tract zoo ib yam li lwm hom urethritis.
Lub sij hawm incubation rau kev loj hlob ntawm cov kab mob yog 7-25 hnub, tab sis tuaj yeem sib txawv nce thiab nqis, nyob ntawm tus neeg tiv thaiv.
Feem ntau, chlamydia tshwm sim los ntawm qhov mob thaum kawg tso zis hauv cov poj niam thiab cov txiv neej, nrog rau kev tawm ntawm cov zis ntawm qhov sib txawv. Lawv tuaj yeem ua iav, purulent, ntshav. Feem ntau, tso zis tshwm sim thaum sawv ntxov.
Symptoms in men
Usuallyurethritis nyob rau hauv cov txiv neej nyob rau hauv thaum ntxov theem tsis muaj ib tug tshwm sim, thiab tsuas yog tom qab ob peb lub lis piam ua thawj cov tsos mob ntawm chlamydial urethritis tshwm. Cov kev tshwm sim tseem ceeb suav nrog:
- kub hnyiab, mob hauv qhov quav;
- taub hau ntawm noov ua edematous, hyperemic;
- paj daj tawm hauv kwj dej.
Thaum muaj mob, qhov tsis xis nyob tsuas yog tshwm sim hauv thaj chaw cuam tshuam. Nrog rau txoj kev loj hlob ntawm pathology, cov zis pib tawm hauv me me, ua rau mob. Daim duab kho mob zoo sib xws tsim nrog kab mob gonorrhea: feem ntau cov kab mob no tshwm sim ib txhij thiab nrog cov tsos mob tib yam.
Tsev Kho Mob
Thaum xub thawj, cov poj niam tsis muaj qhov tshwm sim ntawm tus kab mob. Tom qab ntawd, muaj kev hnov qhov tsis xis nyob hauv qhov chaw mos, hnoos qeev. Nrog rau kev nce hauv daim duab kho mob, cov poj niam muaj mob thaum kawg tso zis. Tsis tas li ntawd, lub chaw kho mob ntawm chlamydia tshwm sim los ntawm khaus hauv cov zis, qhov tsos ntawm ib qho tsis kaj siab tsw, mob thiab tsis xis nyob thaum muaj kev sib deev. Nrog rau txoj kev loj hlob ntawm tus kab mob, qhov tshwm sim ntawm qhov paug hloov pauv: thaum xub thawj lawv yog pob tshab, thiab tom qab ntawd lawv tuaj yeem ua purulent, ntshav.
Yog tias kev kho tsis tau pib raws sijhawm, cov kab mob sai sai nce los ntawm cov kab mob genitourinary, ncav cuag lub ncauj tsev menyuam.
Thaum muaj mob, cov phab ntsa sab hauv ntawm lub urethra yog thawj zaug, thiab tom qab ntawd cov tsos mob rov zoo dua. Tom qab ib pliag, nws rov tshwm sim nrog lub zog tshiab. Cov chav kawm no qhia txog kev kis tus kab mob.
Muaj Teeb Meem
Yog tias kev kho tsis tau pib raws sijhawm, pathology yuav nyuaj dua. Nws tuaj yeem ua rau ntau yam kab mob ntawm qhov chaw mos thiab cov kab mob genitourinary, suav nrog hemorrhagic cystitis, epididymitis hauv cov poj niam, thiab cov txiv neej - urethral stricture, seminal vesicles, prostatitis.
Yog kho tsis raug, chlamydia tuaj yeem ua rau impotence. Hauv cov poj niam, lawv ua rau ectopic cev xeeb tub, erosion ntawm lub ncauj tsev menyuam. Cov kab mob tuaj yeem ua rau nchuav menyuam.
Txoj kev kuaj mob
Kev kuaj mob chlamydial urethritis yog ua nyob rau ntau theem. Ua ntej, tus kws kho mob sau cov lus tsis txaus siab, anamnesis, ua qhov kev ntsuam xyuas thawj zaug, thaum lub sij hawm swabs raug coj los tshuaj xyuas. Tsis tas li ntawd, kev pub ntshav thiab tso zis tau raug sau tseg. Tom qab txheeb xyuas tus neeg sawv cev ntawm tus kab mob, qhov ua rau chlamydial urethritis tau tsim. Qhov no yog qhov tsim nyog txhawm rau txheeb xyuas seb leej twg tuaj yeem kis tus neeg mob thiab leej twg nws tuaj yeem kis tau. Cov khub niam txiv tau txais kev kho mob sib koom ua ke: ob tus khub niam txiv yuav tsum tau txais kev kho mob, txwv tsis pub txhua txoj kev kho yuav tuaj tsis zoo tom qab kev sib deev thawj zaug.
Yog xav tias muaj tus kab mob ntev, cov kws kho mob tau sau ntawv ureteroscopy thiab urethrography. Nws yog ib qho yuav tsum tau nqa tawm bakposev ntawm cov kab mob, uas tso cai rau koj kom nkag siab tias cov tshuaj tua kab mob twg kho tau zoo tshaj plaws.
Ultrasound yog sau los txiav txim seb tus mob ntawm cov kab mob urinary sab hauv.
txoj kev kho
Tom qab tau txais cov ntaub ntawv kuaj mob, kev kho mob chlamydial urethritis pib. Txij li tus kab mob no tshwm sim los ntawm cov kab mob, tus kws kho mob xaiv cov tshuaj tua kab mob. Cov no tuaj yeem yog cov tshuaj xws li Ofloxacin, Doxycycline thiab lwm hom tshuaj tua kab mob. Cov tshuaj rau cov poj niam cev xeeb tub raug xaiv nrog kev saib xyuas tshwj xeeb.
Kev kho yog ua los ntawm kev noj tshuaj los ntawm qhov ncauj lossis los ntawm kev qhia rau hauv cov zis. Nyob rau hauv daim ntawv ntev, physiotherapy yog ua. Thaum kev kho mob, kev sib deev lub neej tsis suav nrog tag nrho.
Kev xaiv tshuaj
Rau txoj kev kho tau zoo, cov tshuaj antichlamydial raug xaiv uas muaj peev xwm nkag mus rau hauv cov qauv ntawm tes. Nws tseem tsim nyog xav txog tias chlamydia tshwm sim nrog rau lwm yam pathologies, yog li tus kws kho mob yuav tsum xaiv cov tshuaj uas tuaj yeem cuam tshuam rau txhua hom kab mob, uas yog, ntau qhov kev ua haujlwm.
Tshuaj los ntawm pab pawg hauv qab no yog siv los kho:
- Tetracyclines.
- YFluoroquinolones.
- Aminoglycosides.
- Rifampicins.
- YMacrolides.
- YSulfanilamides.
Tetracyclines
Nyob rau theem pib ntawm pathology, cov txiaj ntsig zoo tau pom los ntawm cov tshuaj tetracycline - cov no yog "Tetracycline", "Doxycycline". Lawv raug sau tseg ib chav kawm ntawm xya hnub mus rau ob lub lis piam. Cov tshuaj no pab daws tau zoo nrog cervicitis, urethritis, thiab zoo nyob rau hauv asymptomatic carriage ntawm chlamydia. Txawm li cas los xij, cov tshuaj hauv pab pawg no tau siv tsis tau.
YMacrolides
Cov tshuaj no suav nrog tshuaj xws li "Erythromycin", "Spiromycin", "Azithromycin" thiab qee qhovlwm tus.
Erythromycin ib zaug tau siv los kho tus mob chlamydia, tab sis cov tshuaj tua kab mob no tau dhau los, niaj hnub no tau hloov los ntawm cov tshuaj tshiab, zoo dua, suav nrog Azithromycin.
"Azithromycin": cov lus qhia
Cov lus qhia rau kev siv Azithromycin capsules hais tias cov tshuaj no muaj ntau yam kev ua. Cov tshuaj muaj zog tiv thaiv kab mob gram-positive thiab gram-negative, qee hom kab mob anaerobic, nrog rau cov kab mob chlamydia.
Thaum noj qhov ncauj, cov tshuaj tua kab mob tau nqus tag nrho los ntawm txoj hnyuv. Thaum noj ib koob tshuaj 500 mg, qhov siab tshaj plaws hauv cov ntshav tau pom tom qab peb teev. Tus neeg sawv cev tshiab nkag mus rau hauv txhua lub hlwb, suav nrog cov tawv nqaij thiab cov ntaub so ntswg. Ntxiv mus, cov tshuaj accumulates nyob rau hauv cov ntaub so ntswg peb caug ntau tshaj nyob rau hauv cov ntshav. Cov ntsuas no yog vim qhov tseeb tias azithromycin xyaum tsis khi rau cov ntshav proteins.
Cov lus qhia rau kev siv cov tshuaj yog kis kab mob thiab inflammatory pathologies tshwm sim los ntawm cov tshuaj tua kab mob-sensitive microorganisms:
- kab mob ENT kab mob;
- kab mob ntawm cov kab mob ua pa, suav nrog SARS;
- urogenital chlamydia;
- kab mob ntawm lub plab zom mov, thiab lwm yam.
Cov lus qhia rau kev siv Azithromycin capsules hais tias cov tshuaj no yog noj ib teev ua ntej noj mov lossis ob teev tom qab noj mov.
Rau cov kab mob urethritis, ib koob tshuaj ntawm cov tshuaj ntsiav yog muab tshuaj ntawm ib koob ntawm 1 g. Rau lub raum tsis ua haujlwm, khokoob tshuaj tsis tas yuav. Nrog rau daim siab mob hnyav, cov tshuaj yuav tsum tau sau nrog ceev faj.
Cov kev mob tshwm sim ntawm cov tshuaj tuaj yeem tshwm sim los ntawm ntau yam kev kuaj mob, suav nrog: kiv taub hau, nephritis, o, mob hauv siab, aggression, pw tsaug zog, gastritis, khaus, qaug zog, hemolytic anemia, arthralgia, thiab lwm yam. ceev faj thaum tsav tsheb thiab lwm lub tsheb, vim tias cov tshuaj cuam tshuam rau lub peev xwm tsav.
Cov khoom lag luam muaj nyob rau hauv cov tshuaj ntsiav, ntim rau hauv 6 daim rau ib qho ntawm tes. Ib lub xov tooj ntawm tes tau ntim rau hauv ib lub thawv ntawv nrog rau cov lus qhia rau kev siv. Cov khoom yog khaws cia ntawm qhov kub tsis tshaj 25 degrees ntawm qhov ncav cuag cov menyuam yaus.
Zoo ib yam tshuaj tua kab mob, Azithromycin tsuas yog muaj los ntawm kev sau ntawv.
YFluoroquinols
tshuaj Fluoroquinol muaj txiaj ntsig zoo tiv thaiv chlamydia. Cov tshuaj tua kab mob ntawm cov pab pawg no, uas tuaj yeem muab tshuaj: "Ofloxacin", "Pefloxacin", "Norfloxacin", "Lomefloxacin" thiab lwm yam. Txawm li cas los xij, kev sim hauv chav sim tau pom tias fluoroquinols ua haujlwm tsis zoo rau tetracyclines thiab macrolides.
Tam sim no, Ofloxacin yog siv los kho cov kab mob. Nws raug sau ob puas milligrams ob zaug hauv ib hnub lossis plaub puas milligrams ib hnub. Txoj kev kho yog noj rau kaum hnub. Yeej tsis muaj kev tiv thaiv ntawm chlamydia rau cov tshuaj no.
Chlamydia tswj
Txhawm rau tiv thaiv kev kis kab mob nrog kev sib deev, tsuas yog kev tiv thaiv kev sib deev thiab mus ntsib kws kho mob raws sijhawm. Cov poj niam thiab cov txiv neej yuav tsum mus ntsib kws kho mob urologist thiab gynecologist tsawg kawg ib xyoos ib zaug rau kev tiv thaiv. Thaum mus ntsib, koj tuaj yeem txheeb xyuas cov kab mob zais, kawm txog cov kab mob uas tshwm sim yam tsis muaj kev kuaj pom pom tseeb, suav nrog chlamydia thiab lwm yam kab mob.
Tsuas yog kws kho mob gynecologist lossis kws kho mob urologist tuaj yeem sau tshuaj kho tus mob chlamydia.
