Nyob rau hauv tsab xov xwm no, peb yuav saib cov tsos mob thiab kev kho mob ntawm gardnerella ntawm cov poj niam.
Qhov no yog lub npe ntawm qhov tshwm sim ntawm tus kab mob sib kis nrog rau qhov chaw mos dysbacteriosis, uas yog nrog los ntawm kev nce ntxiv ntawm gardnerella, thiab tib lub sijhawm tsis muaj lossis ntau dhau ntawm cov kab mob lactic acid. Daim ntawv mob ntev ntawm gardnerellosis ua rau cov kab mob inflammatory ntawm qhov chaw mos, thiab ntxiv rau, rau endometritis. Yog li ntawd, nws tseem ceeb heev uas yuav tsum tau ua raws li kev kho mob raws sijhawm.
Gardnerella tuaj ntawm cov poj niam nyob qhov twg? Cov tsos mob no yog qhov yuav tsum tau ua ua ntej rau kev loj hlob ntawm adnexitis, uas yog, vim nws, cov txheej txheem inflammatory tuaj yeem tshwm sim hauv zes qe menyuam lossis hauv cov hlab ntsha.
Cov teeb meem hnyav thaum yug menyuam lossis thaum cev xeeb tub tsis raug txiav tawm. Kab mob ntawm ib tug txiv neej feem ntau tshwm sim thaum muaj kev sib deev nrog ib tug poj niam uas yog tus cab ntawm gardnerella. Xav txog cov tsos mob dab tsi uas tib neeg tau ntsib nrog keeb kwm yav dhau los no.kab mob. Thiab kuj nrhiav seb yuav kho gardnerella li cas rau txiv neej thiab poj niam.
Dab tsi yog vim li cas rau qhov nce siab ntawm gardnerella hauv cov poj niam?
Gardnerellas yog ib pab pawg ntawm facultative anaerobes, lawv niaj hnub tam sim no nyob rau hauv me me hauv qhov chaw mos microflora thiab tsis ua rau muaj kev tsis xis nyob thiab cov tsos mob ntawm gardnerellosis. Kwv yees li plaub caug tsib feem pua ntawm cov poj niam noj qab haus huv ntawm ntau pawg hnub nyoog yog cov nqa ntawm lawv.
Cov txheej txheem nquag ntawm kev yug me nyuam ntawm gardnerella nyob rau hauv kev cuam tshuam ntawm endogenous yam ua rau kev hloov pauv ntawm lactobacilli. Nyob rau hauv cov ntaub ntawv no, lub qub flora yog hloov. Raws li qhov tshwm sim ntawm cov txheej txheem no, dysbiotic cuam tshuam ntawm mucosa nquag nce, nws cov khoom tiv thaiv hloov pauv, thiab tib lub sijhawm cov hlwb ntawm qhov chaw mos epithelium.
Qhov ua rau thiab kev kho mob ntawm gardnerella hauv cov poj niam yog qhov txaus siab rau ntau tus.
Cov anaerobes no muaj peev xwm tsim tau ntau cov amino acids xav tau los ntawm cov kab mob pathogenic rau cov metabolism thiab khoom noj khoom haus. Nyob rau hauv tus txheej txheem ntawm decarboxylation ntawm amino acids, amines raug tso rau hauv qhov chaw mos secretion, uas muaj ib tug tsis kaj siab tsw zoo li rotten ntses. Cov laj thawj rau qhov txheej txheem no feem ntau yog cov hauv qab no:
- Kev ua kom nquag plias, raws li qhov tshwm sim ntawm cov lactobacilli tau ntxuav tawm.
- Kev siv cov tshuaj chlorine uas muaj tshuaj tua kab mob hauv daim ntawv, piv txwv li, Miramistin lossis Gibitan.
- Siv cov tshuaj tiv thaiv kab mob uas muaj nonoxynol, xws li tshuaj xws li Patentex lossis Nonoxynol.
- Cov poj niam uas cev xeeb tubhu rau.
- siv tshuaj tua kab mob tsis raug cai.
- Kev muaj kab mob ntawm cov kab mob genitourinary.
- Kev tawm ntawm lub cev mus rau lub sijhawm ntev raug hluav taws xob.
- Kev txhim kho plab hnyuv dysbacteriosis.
- Kev tshwm sim ntawm hormonal tsis ua haujlwm. Lub luag haujlwm ntawm zes qe menyuam txiav txim siab qhov kev ua ntawm kev yug me nyuam ntawm lactobacilli flora. Cov tshuaj hormonal nyob rau hauv etiology ntawm gardnerellosis piav qhia qhov tseeb tias tus kab mob no tsis tshua kuaj pom thaum hluas (los ntawm kaum plaub mus rau kaum yim xyoo) thiab thaum cev xeeb tub.
- Txoj kev tiv thaiv tsis muaj zog rau ntau yam kab mob.
- Kho nrog tshuaj tiv thaiv kev ntxhov siab, tshuaj hormonal thiab lwm yam.
Tom ntej, xav txog cov tsos mob dab tsi tshwm sim hauv cov poj niam tiv thaiv keeb kwm ntawm tus kab mob no. Peb yuav hloov mus rau qhov kev piav qhia ntawm kev kho mob ntawm gardnerella tom qab.
Cov tsos mob ntawm tus kab mob hauv poj niam
Lub ntsiab feature ntawm no pathology yog tsis muaj lwm yam tshwm sim ntawm o ntawm qhov chaw mos phab ntsa. Hauv tsib caug feem pua ntawm cov poj niam, tus kab mob tuaj yeem tshwm sim nrog cov tsos mob tsis pom kev. Thaum lub sij hawm kuaj colcoscopic, dystrophic deformities raug kuaj pom ua ke nrog cov txheej txheem txawv txav hauv lub ncauj tsev menyuam.
Qee lub sij hawm muaj cov kab mob asymptomatic kiag li nyob rau hauv daim ntawv ntawm qhov tsis muaj tag nrho cov tsos mob tshwm sim thaum lub sij hawm kuaj. Cov tsos mob pom tseeb ntawm kev nce siab ntawm gardnerella yog cov paug daj ntau, uas muaj cov creamy sib xws. Nyob tom qabQhov no muaj tus ntxhiab tsw ntawm cov ntses lwj nrog rau qhov mob thiab khaus ntawm kev sib deev.
Qhov no xav tau kev kho mob.
Cov poj niam tau gardnerella los ntawm qhov twg? Raws li txoj cai, lawv parasitize nyob rau hauv lub mucous daim nyias nyias ntawm lub paum phab ntsa. Tus kab mob no tuaj yeem tshwm sim nws tus kheej raws li tus mob ntawm cov kab mob vaginitis uas tsis yog tshwj xeeb, uas nyob rau hauv rooj plaub no yog ib qho kev mob tshwm sim ntawm gardnerellosis. Tawm tsam keeb kwm ntawm tus kab mob no, qhov sib npaug ntawm microflora cuam tshuam loj heev. Cov tsos mob ntawm gardnerella yog qhov txawv ntawm cov kab mob hauv qab no ntawm tus poj niam genitourinary kheej kheej:
- Pom qhov o ntawm mucosa.
- Kev txhim kho ntawm qhov chaw hyperemia.
- Ntawm khaus khaus.
- Qhov tshwm sim ntawm qhov zais cia. Nyob rau tib lub sijhawm, lawv yuav muaj kev siv zog siab lossis, qhov sib txawv, tsis tuaj yeem kiag li.
- Qhov muaj ntxhiab tsw tsw qab.
- Tshuaj mob thaum sib deev.
Cov tsos mob thiab kev kho mob ntawm gardnerella muaj kev cuam tshuam. Tsuas yog kev tshawb fawb hauv chaw soj nstuam ntawm tus neeg mob cov khoom siv roj ntsha tau coj los ntawm qhov chaw ntawm mucosa ua rau nws muaj peev xwm txheeb xyuas tus neeg sawv cev ntawm cov kab mob. Nyob rau hauv cov ntaub ntawv no, feem ntau yuav, lub xub ntiag ntawm ib tug ntau ntawm cov active daim ntawv ntawm gardnerella yuav tshwm sim. Smear kab lis kev cai kuj tseem tuaj yeem ua nrog rau kev tshuaj ntsuam xyuas qib siab los ntawm cov tshuaj tiv thaiv polymerase saw.
Kev kho mob rau gardnerella yog dab tsi?
Kev kho mob thiab kuaj mob ntawm cov poj niam
Gardnerellosis raug kuaj pom raws li kev sau cov ncauj lus kom ntxawsanamnesis, thiab ntxiv rau, raws li cov ntaub ntawv ntawm kev kho mob, kev tshuaj ntsuam xyuas thiab aminotest. Thaum lub sij hawm soj ntsuam txog qhov ua tau gardnerellosis hauv cov poj niam, nws raug nquahu kom kuaj xyuas ntxiv txhawm rau txhawm rau tshem tawm cov kab mob sib kis, xws li qhov chaw mos herpes, gonorrhea, trichomoniasis, thiab lwm yam. Kev kho mob ntawm ureaplasma thiab gardnerella yog qhov zoo sib xws. Txoj kev kho mob feem ntau muaj ob kauj ruam hauv qab no:
- Kev tshem tawm cov kab mob thiab nrog rau qhov mob. Gardnerella tiv taus cov tshuaj xws li aminoglycosides, sulfonamides, tetracyclines thiab cephalosporins, tab sis muaj rhiab heev rau clindamycin thiab ampicillin. Yog li, cov kws kho mob tshwj xeeb xaiv Clindamycin lossis Metronidazole. Txhawm rau kom rov ua kom rov zoo, immunotherapy yog ua. Rau lub sijhawm ntawm kev kho mob ntawm gardnerella thiab noj tshuaj, cov kws kho mob pom zoo kom tsis txhob muaj kev sib deev yam tsis tau siv hnab looj tes.
- Restoring ib tug noj qab nyob zoo microbiocenosis nyob rau hauv qhov chaw mos. Rau qhov no, eubiotics tau sau rau hauv daim ntawv ntawm "Bifidumbacterin", "Acilact" thiab "Lactobacterin", stimulating kev loj hlob ntawm lub ntuj lactobacilli flora, pab txo tus naj npawb ntawm relapses ntawm tus kab mob.
Xav txog qhov ua rau thiab kev kho mob ntawm gardnerella hauv cov poj niam thaum cev xeeb tub.
Gardnerella thaum cev xeeb tub
Thaum lub sijhawm loj hlob thiab kev loj hlob ntawm lub embryo, tus poj niam lub cev tau dhau los ntawm ntau yam kev hloov pauv uas cuam tshuam nrog kev hloov kho ntawm cov tshuaj hormonal tom qab, uas ua rau cov tsos ntawm ntau cov txheej txheem zais cia, ntawm uas yog heevfeem ntau kuaj thiab gardnerella. Cov xwm txheej zoo li no tsis ua rau muaj kev phom sij loj heev rau lub embryo, txij li cov placental barrier ruaj khov tiv thaiv kev nkag mus ntawm qee yam kab mob mus rau hauv lub zais zis ntawm fetal. Tsis tas li ntawd, txoj kev hla tus me nyuam los ntawm tus kwj dej yug me nyuam ntawm leej niam muaj kev nyab xeeb tag nrho yog tias nws tau kuaj pom tus kab mob no. Lawv tsis yog cov kab mob loj heev, yog vim li cas.
Kev kho mob ntawm gardnerellosis thaum cev xeeb tub muaj qee qhov kev txwv, uas cuam tshuam nrog kev ua tsis tau zoo ntawm kev siv tshuaj tua kab mob dav dav. Kev kho mob muaj xws li kev siv cov tshuaj suppositories nrog rau cov dej ntawm cov phab ntsa ntawm qhov chaw mos nrog cov tshuaj daws teeb meem uas inhibit qhov kev loj hlob ntawm cov kab mob. Yog tias kev kho mob ntawm gardnerellosis tsis muaj txiaj ntsig, cov kws kho mob siv cov tshuaj tua kab mob thaum lub sijhawm cev xeeb tub, txij li thaum lub sijhawm cev xeeb tub, yog tias muaj kev xav tau ceev, nws tseem tso cai rau siv cov tshuaj tiv thaiv kab mob hauv kev kho mob. ntawm Gardnerella.
Kev kho mob hauv tsev
Ua ntej pib kev kho mob siv pej xeem txoj kev, nws raug nquahu kom koom tes nrog koj tus kws kho mob kom tsis txhob muaj teeb meem tshwm sim thiab qhov tshwm sim tsis zoo. Xws li kev kho mob yuav tsum tau ua nyob rau hauv kev saib xyuas kev kho mob nrog rau kev soj ntsuam kuaj ntawm tus neeg mob tam sim no. Nws yuav tsum tau nco ntsoov tias kev noj tshuaj rau tus kheej tuaj yeem ua rau muaj kev phom sij. Yog li, pej xeem txoj kev nyob rau hauv lub xub ntiag ntawm ib tug nce concentration ntawm gardnerella nyob rau hauv cov poj niam lub cevhais kom siv decoctions los ntawm cov nqi hauv qab no:
- Hauv qhov sib npaug sib npaug siv cov hauv paus marshmallow, cudweed, qab zib clover, nettle, blueberry, lavender, thiab ntoo thuv buds. Peb tablespoons ntawm sau yog brewed nrog boiling dej, tom qab uas lawv yog boiled tshaj qis cua sov rau txog kaum tsib feeb. Tom qab ntawd cov khoom yog nchuav rau hauv ib lub thermos, insisting nws rau kaum teev. Siv cov tshuaj uas tshwm sim yuav tsum yog 120 milliliters plaub caug feeb ua ntej noj mov.
- Muab cov sib npaug sib npaug mint, yasnotka, eucalyptus, coltsfoot, bearberry, clover, tansy thiab bergenia cag. Ncuav peb tablespoons ntawm sau nrog ib liter ntawm boiling dej thiab boil cov tshuaj rau txog kaum tsib feeb. Tsis tas li ntawd, cov khoom yuav tsum tau muab tso rau hauv ib lub thermos rau kaum ob teev. Tom qab ntawd cov tshuaj tau noj 120 milliliters ua ntej noj mov.
Raws li ib feem ntawm kev kho mob, koj tuaj yeem siv cov tampons tshwj xeeb, uas tau npaj raws li cov zaub mov hauv qab no:
- Cov tshuaj yog tsim los ntawm ib diav ntawm kua cider vinegar thiab kua txiv kab ntxwv. Cov khoom xyaw yog tov thiab siv rau ib daim ntaub qhwv, uas yuav tsum tau muab tso rau hauv qhov chaw mos rau nees nkaum feeb.
- Npaj sib tov ntawm hiav txwv buckthorn roj thiab kua txiv aloe. Nws yog siv rau ib daim ntaub qhwv thiab muab tso rau hauv qhov chaw mos rau nees nkaum feeb.
Siv hauv kev kho mob thiab soothing da dej ntawm paj ntawm cov nroj tsuag xws li calendula, chamomile, ntoo qhib tawv ntoo thiab nplooj walnut kuj ntxiv. Rau ib qho kev ntxiv dag zog rau kev tiv thaiv kab mob, tshuaj yej tshuaj yej ua los ntawm quince, txiv qaub, qej, tshiab cherries thiab txiv apples yog haum. Tag nrho cov khoom xyaw yog huv si crushed thiab sib tov, tom qab uas lawv yog poured nrog boiling dej. Lawv haus tshuaj yej120 milliliters txog tsib zaug ib hnub twg.
prophylaxis
Rau kev tiv thaiv ntawm gardnerellosis hauv cov poj niam, koj yuav tsum ua raws li cov lus pom zoo hauv qab no:
- Koj yuav tsum muaj ib tus khub sib deev xwb, thiab tib lub sijhawm ua rau lub neej sib deev.
- Yuav tsum zam kom tsis txhob sib deev.
- Nws yog ib qho tseem ceeb heev uas yuav tsum tau saib xyuas kev nyiam huv. Thaum lub sijhawm koj lub sijhawm, koj yuav tsum hloov koj cov ntaub qhwv lossis tampons tsis tu ncua.
- Kev tiv thaiv yuav tsum muaj zog.
- Koj tsuas yog hnav ris tsho hauv qab uas ua los ntawm cov khoom ntuj.
- Nws yuav tsum tau ua raws li kev kho mob raws sijhawm ntawm ntau yam kab mob ntawm lub plab hnyuv, nrog rau kev kho mob ntawm ureaplasma hauv cov poj niam.
Gardnerella hauv txiv neej
Kev kis tus txiv neej feem ntau tshwm sim thaum sib cuag nrog tus poj niam uas yog tus cab gardnerella. Txoj kev sib cuag-tsev neeg ntawm kev kis tus kabmob no, piv txwv li, thaum tuav tes, hauv chav sauna lossis thaum hnia, tsis suav nrog tag nrho.
Predisposing yam rau cov tsos ntawm gardnerellosis nyob rau hauv cov txiv neej muaj xws li concomitant los yog tsis ntev los no cov kab mob ntawm lub genitourinary system, antibacterial kev kho mob, kev siv ntawm immunosuppressants, raws li zoo raws li ib tug txo nyob rau hauv kev tiv thaiv kab mob raws li ib tug tshwm sim ntawm lub cev los yog lub siab xav.
Hauv txiv neej lub cev, gardnerella tsis tuaj yeem nyob ntev thiab, raws li txoj cai, raug tso tawm peb hnub tom qab raug ntaus. Hauv kaum feem pua ntawm cov neeg mob, anaerobestuaj yeem nyob hauv cov ntaub so ntswg urological. Nyob rau hauv rooj plaub no, gardnerella-associated balanoposthitis tshwm, uas tseem hu ua nonspecific urethritis.
Cov tsos mob ntawm Gardnerellosis hauv txiv neej
Nyob rau hauv feem coob ntawm cov xwm txheej, colonization ntawm cov txiv neej cov kab mob ntawm qhov chaw mos los ntawm gardnerella tsis pom cov tsos mob hnyav. Tsis tshua muaj, qhov pathology no tshwm sim los ntawm kev kub hnyiab lossis tsis xis nyob thaum tso zis. Qee lub sij hawm, ib qho nyias nyias, cov paug tawm nrog cov yam ntxwv tsis hnov tsw ntawm cov ntses rotten kuj ua tau, tab sis, raws li twb tau sau tseg, qhov no tsis tshua muaj heev. Gardnerella tuaj yeem ua rau muaj teeb meem nyob rau hauv daim ntawv ntawm prostatitis, vesiculitis, uas yog, o ntawm lub plab vesicles, thiab nyob rau hauv daim ntawv ntawm urethritis, ib tug pathological txheej txheem nyob rau hauv lub urethra.
Kev kho mob thiab kuaj mob hauv cov txiv neej
Kev ntsuas ntsuas tawm tsam keeb kwm ntawm tus kab mob no hauv cov txiv neej koom nrog kev tshawb fawb ntawm cov zis, ejaculation, prostate secretion, thiab ntxiv rau, khawb tawm ntawm cov zis los ntawm kev ua cov tshuaj tiv thaiv polymerase saw.
Cov kev kho mob raug xaiv ib tus zuj zus, suav nrog kev muaj lossis tsis muaj tus kab mob sib kis thiab kev tiv thaiv kab mob rau cov tshuaj. Raws li txoj cai, cov txiv neej nrog gardnerella yog cov tshuaj ntsiav tshuaj xws li Levofloxacin, Clindamycin lossis Doxycycline. Thaum noj tshuaj, nws yog ib qho tsim nyog yuav tsum tau ua raws li kev noj haus uas qhia txog kev tsis lees paub tag nrho ntawm cawv, rog, haus luam yeeb thiab ntsim zaub mov.
Yog hais tias muaj qhov qhia tau hais tias kho mobCov kab mob tau kho nrog cov tshuaj immunostimulants uas kho cov mucosa thiab ua kom muaj peev xwm tiv thaiv lub cev tiv thaiv kab mob. Raws li cov lus qhia, cov tshuaj antiallergic yog tshuaj nrog rau cov complexes ntawm ntau yam kab kawm thiab cov vitamins. Txhawm rau kom tsis txhob rov kis kab mob nrog gardnerella, nws yog ib qho tseem ceeb heev uas cov txiv neej ua raws li kev tiv thaiv. Piv txwv li, cov kev ntsuas no suav nrog kev zam kev sib deev nrog tus poj niam cev xeeb tub thiab siv cov hnab looj tes thaum pw ua ke, tshwj xeeb tshaj yog thaum muaj kev sib txuas nrog tus khub tsis tau lees paub.
Dab tsi yog kev kho mob ntawm gardnerella ntawm cov poj niam thiab txiv neej?
txhais tau tias siv
Yuav tsum kho gardnerella li cas? Cov tshuaj ntau yam uas cuam tshuam rau kev loj hlob ntawm cov kab mob thiab tshem tawm nws tag nrho suav nrog cov tshuaj tua kab mob hauv qab no rau kev kho mob ntawm gardnerella hauv cov poj niam thiab cov txiv neej:
- Kho nrog Ornidazole. Cov tshuaj no muaj kev cuam tshuam sai thiab ntev ntawm gardnerella. Nws cov active tivthaiv nkag mus rau hauv lub microbial cell, interacting nrog nws genetic qauv, vim hais tias cov replication ntawm nucleic acids yog suppressed.
- Kev siv "Clindamycin" hauv kev kho mob gardnerella hauv cov poj niam. Cov tshuaj no kuj muaj zog tiv thaiv gardnerella. Rau kev kho mob hauv zos ntawm gardnerella hauv cov txiv neej, ib qho tshuaj nplaum yog siv, thiab rau cov poj niam, cov tshuaj suppositories muaj rau kev tswj xyuas qhov chaw mos.
- Kev kho mob nrog Metronidazole. Lub active tivthaiv ntawm tus neeg sawv cev no tuaj yeem nkag mus tob rau hauv cov qauv ntawm cov kab mob pathogenic.microorganism, ua rau nws lub hauv paus caj ces. Yog li, cov tshuaj no muab kev ua haujlwm siab hauv kev kho mob gardnerellosis. Nws yuav tsum tsis txhob ua ke nrog cawv, vim qhov no yuav ua rau kom intoxication.
Gardnerellosis hauv cov txiv neej thiab poj niam yog ib qho kab mob sib kis uas yuav tsum tau kuaj xyuas kom zoo thiab kho tau zoo. Yog tias kuaj pom tias muaj kev ua txhaum cai ntawm microflora, nws yog qhov yuav tsum tau ua raws li kev kho mob tsim nyog, uas yuav pab kom tsis txhob muaj ntau yam teeb meem, khaws cia kev noj qab haus huv ntawm cov menyuam mus ntev thiab txhim kho lub neej zoo.
Peb tau saib cov tsos mob thiab kev kho mob ntawm gardnerella ntawm cov poj niam thiab txiv neej.
