txheej txheem mob hauv cov zis hauv cov txiv neej yog qhov tshwm sim heev. Urethritis tshwm sim tsis hais hnub nyoog li cas, yog li nws yog ib qho tseem ceeb heev uas yuav tau mus ntsib kws kho mob ntawm thawj cov tsos mob ntawm tus kab mob ntawm lub genitourinary system. Cov kev ntsuas no yuav ua rau nws muaj peev xwm txheeb xyuas qhov teeb meem raws sij hawm thiab sau ntawv kho kom raug. Muaj ntau ntau yam kab mob no, suav nrog gonococcal urethritis, uas yuav tham tom qab.
Kev piav qhia
hom kab mob urethritis no yog ib yam kab mob sib deev los ntawm cov kab mob phem xws li gonococci thiab neisseria. Thaum tsis muaj kev tiv thaiv kev sib deev, tus neeg sawv cev ntawm tus kab mob tshwm sim ntawm daim nyias nyias ntawm tus txiv neej urethra thiab pib active reproduction. Cov txheej txheem no maj mam rhuav tshem cov mucous membrane, nws yog deformed, thiab yav tom ntej, pathological hloov nyob rau hauvfabrics.
Cov txheej txheem inflammatory maj mam npog cov ntaub so ntswg subepithelial thiab submucosal, uas tau piav qhia los ntawm kev txav ntawm cov kab mob pathogenic mus rau sab nraum qab ntawm cov urethra. Cov kab mob nyob rau tib lub sij hawm nquag sib faib thiab muaj kev puas tsuaj rau cov zis. Cov txheej txheem inflammatory yuav tshwm sim ntau dua pib txij hnub thib peb tom qab kis kab mob.
Kev faib tawm
Muaj ntau yam ntawm gonococcal urethritis. Cov tseem ceeb yog raws li nram no:
- Spicy. Nrog mob thiab kub hnyiab thaum tso zis. Vim yog qhov lwj ntawm cov mucous daim nyias nyias thiab cov ntaub so ntswg, cov kua paug tshwm, uas tawm thaum tso zis thiab muaj xim grey.
- Ntawm. Qhov ntau yam no tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev tsis saib xyuas tus kab mob lossis thaum kho tsis tau zoo. Raws li txoj cai, daim ntawv mob urethritis yog hu ua kab mob uas kav ntev tshaj li ob lub hlis, tsis muaj cov tsos mob tshwm sim. Mob syndrome ntawm ib tug me me degree ntawm kev siv, tso tawm nyob rau hauv me me kom muaj nuj nqis los yog kiag li tsis tuaj. Canal qog yog cuam tshuam nyob rau hauv daim ntawv ntev ntawm urethritis. Cov txheej txheem inflammatory nyob rau hauv cov ntaub ntawv no muaj ib tug focal cim. Tsis tas li ntawd, cov kab mob gonorrheal urethritis ntev yog tshwm sim los ntawm cov tsos ntawm cov mos mos thiab tawv infiltrates, uas tom qab hloov los ntawm nti. Ib qho tshwm sim zoo sib xws tom qab dhau los ua qhov ua rau qhov nqaim ntawm cov urethra thiab tshwm sim ntawm cov hlwv.
- Lam. Nws tshwm sim yam tsis muaj tsos mob hnyav. ATFeem ntau, ib tug neeg tsis paub txog tus kab mob thiab kis mus rau tus khub los ntawm kev sib deev. Gonococci yog tenacious, raws li lawv muaj zog tiv thaiv tej yam tsis zoo ib puag ncig. Lawv tuaj yeem nyob twj ywm hauv ib hnub thaum nyob hauv tsev.
Tus kab mob gonococcal urethritis tau muab faib ua ob peb hom:
- infiltrative;
- granulation;
- urethral adenitis;
- desquamative.
Yog vim li cas
Gonococcal urethritis hauv cov txiv neej tuaj yeem tshwm sim rau ntau yam. Qhov tseem ceeb ua ntej rau kev txhim kho tus kab mob yog muaj gonococci nyob rau hauv lub mucous daim nyias nyias ntawm lub urethra, uas pib mus multiply. Hauv feem coob ntawm cov neeg mob (kwv yees li 90%), kev kis kab mob tshwm sim thaum muaj kev sib deev. Ntxiv mus, yog hais tias tus kab mob nyob rau hauv ib tug txiv neej pib nyob rau hauv ib tug latent daim ntawv, nws tej zaum yuav, vim tsis muaj cov tsos mob, yuav tsis paub txog lub xub ntiag ntawm pathology thiab yog ib tug cab kuj ntawm cov kab mob phem.
Nyob rau ib feem peb ntawm cov neeg mob, tus kab mob tsis tshwm sim nws tus kheej rau ob peb lub hlis. Txij li thaum gonococci tuaj yeem nyob rau qee lub sijhawm sab nraum tus tswv lub cev, kev kis mob tuaj yeem tshwm sim txawm tias los ntawm kev sib cuag tsis ncaj. Piv txwv li, thaum siv cov khoom siv tu tus kheej, xws li cov phuam da dej, daim txhuam cev, lossis cov ntaub pua tsev. Nws kuj tseem muaj peev xwm kis tau tus kab mob gonococci thaum siv da dej sib koom lossis chav dej.
Symptoms
Ib lub lis piam tom qab kis kab mobThawj cov cim qhia ntawm gonococcal urethritis tshwm sim. Qee zaum, lub sijhawm incubation tuaj yeem siv li ob peb lub lis piam. Qhov no ncaj qha nyob ntawm seb qhov twg ntawm cov urethra raug cuam tshuam los ntawm gonococci thiab qhov twg cov txheej txheem inflammatory yog nyob hauv zos. Thaum cov kwj dej sab nrauv raug cuam tshuam, tsis tshua muaj mob. Nyob rau hauv cov ntaub ntawv ntawm localization ntawm o nyob rau hauv lub rov qab kwj dej, tus neeg mob lub cev kub tuaj yeem nce siab heev, mus txog 39 degrees. Qhov mob syndrome tsis muaj lub cim qhia. Ib tug txiv neej feem ntau raug kev kub nyhiab hauv kwj dej thaum tso zis.
mob tso zis
Lub cim tseem ceeb ntawm urethritis yog mob thaum tso zis. Qhov mob yuav ntse, tab sis luv luv. Yog tias muaj qhov tso zis ntev ntev, tus txiv neej pib muaj qhov tsis xis nyob. Nyob rau hauv thawj feem ntawm cov zis, purulent grey impurity yuav tshwm sim, nrog rau cov urethral threads. Cov zis muaj xim daj.
Yog tias peb tham txog cov mob gonorrheal urethritis, ces qhov tsos ntawm cov ntshav tso zis kuj ua tau. Mob mob haunts ib tug txiv neej thaum ejaculation. Kuj tseem muaj cov ntshav txhaws hauv cov phev. Yuav ua li cas kuaj kab mob STDs rau cov txiv neej los txheeb xyuas tus kab mob no?
Diagnosis
Ua ntej sau tshuaj kho mob, tus kws kho mob tshwj xeeb qhia tus neeg mob kom kuaj xyuas kom ntxaws. Qhov no yog qhov tsim nyog los qhia meej txog qhov kev kuaj mob thiab xaiv txoj kev kho kom raug. Kev kuaj STD rau cov txiv neej suav nrogcov txheej txheem hauv qab no:
- kuaj ntshav thiab zis.
- Ib lub urethral swab los txiav txim qhov muaj thiab hom kab mob.
- Scrotum thiab prostate kuaj.
- Kev tshawb nrhiav qog nqaij hlav qog nqaij hlav.
- tso zis tsom xam raws li Nechiporenko.
- PCR.
Deciphering the analysis for gonococci with microscopy zoo li no:
- Yog tias qhov tshwm sim zoo, detritus, hnoos qeev (1+), epithelium, leukocytes, ib txwm lossis hloov kho tuaj yeem kuaj pom hauv cov khoom.
- Kab mob tshwm sim yog tias pom 3-5 leukocytes, thiab tus lej ntawm 10 lossis ntau dua qhia tau hais tias muaj cov txheej txheem inflammatory.
- Gram-negative bacteria diplococci (Neisser's gonococcus) tuaj yeem kuaj pom los ntawm Gram stain.
- Ib smear rau gonococci yog suav tias yog ib txwm yog tias tsis muaj Neisser gonococci hauv cov khoom kuaj.
Raws li txoj cai, raws li cov kev ntsuas saum toj no, kev kuaj mob tau tsim thiab kho tshuaj tua kab mob. Cov tshuaj tua kab mob raug xaiv raws li cov kab mob uas ua rau cov kab mob urethritis. Cov kab mob gonococcal raug cuam tshuam los ntawm ntau pawg tshuaj tua kab mob, suav nrog penicillins thiab tetracyclines. Xav txog cov kev npaj ua kom ntxaws.
Tshuaj tua kab mob penicillins thiab tetracyclines
Muaj ntau cov tshuaj penicillin uas qhia tias muaj zog tiv thaiv gonococci. Qhov nrov tshaj plaws ntawm lawv yog:
- "Benzylpenicillin". Nws yog noj nyob rau hauv ib chav kawm ntawm ib koob ntawm 3, 4lab units
- "Ampioks". Nws tau noj rau ob hnub ntawm 0.5 grams txog tsib zaug hauv ib hnub ntawm qhov sib npaug.
- "Levomycetin". Nws yog noj nyob rau hauv ib chav kawm ntawm 6 grams. Cov kws kho mob pom zoo kom noj cov tshuaj ua ke nrog cov vitamins B thiab ascorbic acid, uas yuav txo qis cov kev mob tshwm sim ntawm cov tshuaj tua kab mob.
Tshuaj tua kab mob feem ntau ua rau muaj kev fab tshuaj, qhov no yuav tsum tau muab rau hauv tus account.
Yog hais tias tus kab mob gonorrheal urethritis tau dhau los ua mob ntev, kev kho tshuaj tua kab mob yog ua nrog rau cov kab mob urethral bougienage. Instillations kuj tau ua nrog kev daws nrog collargol thiab nyiaj nitrate.
Ntawm cov tshuaj los ntawm pawg tetracycline, cov hauv qab no sawv tawm:
- "Erythromycin". Noj ntawm ib koob ntawm 10 lab units ib teev ua ntej noj mov.
- "Klafran". Nws yog siv rau intramuscularly ob zaug ib hnub twg, 1 gram txhua.
- "Ketocef". Tsim los rau kev txhaj tshuaj ntawm 1.5 grams ib hnub ib zaug.
- Raws li cov lus qhia rau kev siv rau Oletetrin ntsiav tshuaj, qhov no yog cov tshuaj tua kab mob ua ke nrog ntau qhov kev ua haujlwm raws li tetracycline thiab oleandomycin. Capsules feem ntau yog tshuaj rau kev kis kab mob ntawm cov kab mob genitourinary. Qhov koob tshuaj rau cov neeg laus yog 250 mg 4 zaug ib hnub twg. Duration ntawm kev kho mob - los ntawm tsib mus rau kaum hnub.
Cov lus qhia rau kev siv cov ntsiav tshuaj Oletetrin yuav tsum tau ua nruj me ntsis.
Immune therapy
Gonococcal urethritis muaj zog tiv thaiv tib neeg. Yog li ntawd, nrog rau nojCov tshuaj tua kab mob (penicillins thiab tetracyclines), cov neeg mob feem ntau kuj tau sau tshuaj immunostimulating. Qhov zoo tshaj plaws yog:
- "Potassium Orotate". Noj mus txog plaub zaug ib hnub twg, 0.5 grams.
- "Methyluracil". Nws muaj ib tug pronounced anti-inflammatory nyhuv. Nws yog noj ntawm 0.5 grams thaum sawv ntxov thiab yav tsaus ntuj. Kev kho mob yog mus txog ob lub lis piam.
- Y "Glyceram". Noj rau kaum hnub ntawm 0.005 grams peb zaug ib hnub.
- Aloe extract tuaj yeem muab tshuaj subcutaneously ntawm 1 mg rau ib hlis.
Ntxiv rau, kev kho mob urethritis suav nrog kev siv ntau yam enzyme npaj:
- "Trypsin". Siv tshuaj intramuscularly rau tsib hnub thaum sawv ntxov thiab yav tsaus ntuj.
- "Plasma". Tsim los rau kev txhaj tshuaj subcutaneous ntawm 1 mg rau 10 hnub.
Kev Tiv Thaiv
Kev muaj peev xwm ntawm gonococci thaum tso rau hauv ib puag ncig yog mus txog ib hnub. Txhawm rau kom tsis txhob kis tus kab mob, nws tsuas yog yuav tsum siv cov phuam da dej, khau khiab thiab lwm yam khoom siv tu cev. Ib qho kev ceev faj yog kho cov khoom ntawm tus neeg mob nrog cov tshuaj tua kab mob. Koj tuaj yeem ntxuav lawv ntawm qhov kub ntawm tsawg kawg 60 degrees, thiab qhuav hauv tshav ntuj ncaj qha. Raws li cov xwm txheej no, gonococci tuag.
Feem ntau, gonococci kis tau los ntawm kev sib deev tsis muaj kev tiv thaiv. Qee lub sij hawm tus kab mob no nyob tsis tau tsuas yog nyob rau hauv lub urethra, tab sis kuj nyob rau hauv lub nasopharynx thiab lub qhov quav. Qhov no tuaj yeem yog qhov tshwm sim ntawm qhov quav lossis qhov ncauj nrog tus neeg nqa khoom ntawm tus kabmob. Vim li no, nws raug nquahu kom siv cov txheej txheem tiv thaiv kev tiv thaiv ib txwm.
Yog tias tsis muaj kev tiv thaiv kev sib deev tau tshwm sim, koj yuav tsum kho qhov chaw mos thiab cov zis hauv cov txiv neej nrog kev daws teeb meem raws li chlorhexidine lossis miramistin. Qhov no yuav tsum tau ua tsis pub dhau ob teev tom qab kev sib deev.
