Gonococcus yog cov kab mob kis tau ntau tshaj plaws. Gonorrhea yog hu ua "nrov tshaj plaws" kab mob sib deev hauv peb lub sijhawm. Lub hauv paus chiv keeb ntawm tus kab mob mus txog peb los ntawm lub sij hawm biblical. Hippocrates hauv nws cov ntawv sau tau piav qhia txog kab mob uas muaj cov tsos mob zoo sib xws.
Kab mob
Gonorrhea (gonorrhoea) yog ib yam kab mob tshwm sim los ntawm cov kab mob Neisseria gonorrhoeae. Cov kab mob no tsuas pom muaj nyob hauv tib neeg xwb. Kev kis kab mob hauv 90% ntawm cov neeg mob tshwm sim los ntawm kev sib deev, hauv 10% - los ntawm kev sib cuag hauv tsev (daim phuam, ris tsho hauv qab), tab sis qhov no tsis tshua muaj, vim tias cov kab mob tsis zoo tuaj yeem tuag thaum nws nyob sab nraum tib neeg lub cev, nyob rau hauv lub hnub ci, thaum kho nrog tshuaj tua kab mob.
Qhov tshwm sim ntawm kev kis tus kabmob thaum tsis muaj kev tiv thaiv txog 70% yog tias tus khub kis tus kabmob. Qhov feem pua ntawm cov kab mob gonococcal muaj ntau qhov sib piv nrog lwm cov kab mob sib deev. Cov kab mob feem ntau cuam tshuam rau cov mucous daim nyias nyias ntawm lub genitourinary system.
Symptoms
Smears raugonorrhea, raws li txoj cai, raug tshuaj los ntawm kws kho mob thaum tus neeg mob hu. Feem ntau, cov tsos mob pom tseeb ntawm tus kab mob gonococcal tuaj yeem ua rau koj mus ntsib kws kho mob:
- mob thaum sib deev;
- tawm paug tawm;
- mob plab plab;
- dysuria;
- muaj ntxhiab tsw tsw qab.
Tom qab kis tus kab mob, tus poj niam hnov qhov kub hnyiab thiab mob thaum tso zis, thaum lawv nquag thiab mob heev. Yog tias tus kab mob tsis kho, nws tuaj yeem ua rau muaj tus kab mob loj - tsis muaj menyuam, ob leeg poj niam thiab txiv neej. Hauv cov txiv neej, gonorrhea ua rau purulent urethritis. Yog hais tias tus kab mob no zuj zus, nws yog fraught nrog cov kab mob ntxiv, xws li prostatitis.
Yog tias tus kab mob tau mob ntev, nws nyuaj rau kev kuaj mob. Hauv 80% ntawm cov neeg mob, tus kab mob no asymptomatic, los yog lawv yuav tsawg heev.
Lub sij hawm incubation ntawm tus kab mob kav li ntawm 3 mus rau 15 hnub.
Diagnosis
Kev kuaj mob ntawm kev sib deev muaj ntau txoj hauv kev thiab ntau txoj hauv kev txhawm rau txhawm rau kuaj tus kab mob:
- Kev kuaj mob ntawm qhov chaw mos los ntawm kws kho mob.
- Bacterioscopy (ib txoj kev tshawb fawb bacteriological los cais cov kab mob ua rau tus kab mob gonorrhea).
- kab lis kev cai microbiological nrog tshuaj tua kab mob tiv thaiv kab mob.
- Smear microscopy.
- Kev txiav txim siab ntawm tus kab mob los ntawm PCR (polymer saw cov tshuaj tiv thaiv).
- Immunoassay method (ELISA).
- Ultrasound ntawm lub plab pelvic.
Smears rau gonorrhea,swab indication:
- kev muaj menyuam;
- spontaneous rho menyuam;
- mob urogenital kab mob;
- mob plab;
- Kev sib txuas lus nrog tus khub kis tus kab mob.
Kev npaj
Kev Npaj ua ntej noj smear:
- tsis suav nrog kev sib deev 1-2 hnub ua ntej kuaj smear;
- tsis txhob siv cov khoom siv tu cev alkaline 1 hnub ua ntej thiab tam sim rau hnub kuaj;
- koj tuaj yeem ntxuav nrog dej sov;
- tsis txhob siv cov khoom siv hluavtaws;
- tsis txhob douche lossis siv qhov chaw mos suppositories;
- Tsis txhob tso zis 2-3 teev ua ntej noj smear.
Smears rau gonorrhea tsis muab thaum cev xeeb tub. Nws yog qhov zoo dua los soj ntsuam 2-3 hnub tom qab qhov kawg ntawm kev coj khaub ncaws los yog ua ntej pib lub cev ntas.
Yuav ua li cas swb
Kev kuaj kab mob ntawm cov kab mob stained rau cov nroj tsuag yog coj los ntawm tus kws kho mob gynecologist los ntawm peb qhov chaw:
- vagina;
- cervix;
- urethra.
Rau kev tshawb fawb, ib qho me me ntawm cov hnoos qeev yog muab los ntawm cov chaw saum toj no.
Tam sim ua ntej qhov no, tus kws kho mob ntxig ib qho hnoos qeev rau hauv qhov chaw mos kom thawb cov phab ntsa sib nrug. Qhov loj ntawm daim iav yog xaiv rau txhua tus neeg mob ib tus zuj zus. Cov txheej txheem no tsis txaus siab, thiab txhawm rau ua kom pom qhov tsawg kawg nkaus, tus neeg mob yuav tsum tau so cov leeg thiab ua pa tob tob thiab sib npaug.
Biomaterial yog noj nrog tshwj xeeb tsis muaj menyuamsojntsuam thiab siv rau lub khob tshwj xeeb. Tom qab ntawd, lub khob yog qhuav ntawm chav tsev kub thiab xa mus rau qhov chaw kuaj xyuas. Hauv chav kuaj, slides nrog smears yog stained thiab saib nyob rau hauv ib lub tshuab tsom. Cov txiaj ntsig smear feem ntau yog npaj tau hauv 2-3 hnub tom qab kuaj.
Tam sim tom qab noj smear, tus poj niam yuav hnov qhov tsis xis nyob hauv plab, mob thiab saib pom. Nws tsis txaus ntshai, cov tsos mob feem ntau ploj mus tom qab ob peb teev.
Nyob qhov twg los swab
Thaum cov tsos mob tshwm sim, tus poj niam tuaj yeem kuaj pom tus kab mob tsis raug. Nws tuaj yeem ua yuam kev yooj yim rau thrush, thiab hlawv thaum tso zis rau cystitis. Nws tsis yog qhov nyuaj rau tus ntxhais kom pom tias nws kis tau thaum nws tus khub muaj kab mob gonorrhea. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tau hu rau ib tug gynecologist nyob rau hauv lub sij hawm thiab dhau qhov kev ntsuam xyuas tsim nyog.
Kev kuaj xyuas, kev sib tham thiab kev pleev xim, koj tuaj yeem mus rau lub tsev kho mob venereal ntawm qhov chaw nyob. Tab sis muaj lwm txoj kev.
Nws muaj peev xwm mus kuaj kab mob gonorrhea ntawm txhua lub tsev kho mob antenatal. Tus kws kho mob gynecologist yuav ua qhov kev ntsuam xyuas thiab, yog tias tsim nyog, tuaj yeem xaj cov kev sim ntxiv, xws li colposcopy, oncocytology, lossis kev sim ntxiv txhawm rau txhawm rau kuaj kab mob.
Cov txiv neej tuaj yeem kuaj tau thaum hu rau tus kws kho mob venereologist, kws kho mob urologist, hauv ib qho chaw kuaj mob them nyiaj lossis hauv chaw kho mob dermatovenerologic dispensary.
Dermatovenerological dispensary muab ntau yam kev pabcuam rau cov neeg mob. Feem ntau ntawm lawv tuaj yeem tau txaispub dawb raws li CHI txoj cai.
Result
Deciphering a smear for gonorrhea yog ua los ntawm venereologist. Raws li qhov tshwm sim ntawm kev tshuaj xyuas, nws yuav raug cuam tshuam seb gonococcus puas kuaj pom lossis tsis tau. Qee zaum, nws tau sau txog qhov muaj (lossis tsis) ntawm gram-negative diplococci, qhov no kuj yog pov thawj ntawm qhov muaj tus kab mob gonococcal.
Koj yuav tsum tsis txhob txhais cov txiaj ntsig ntawm koj tus kheej, nws raug nquahu kom hu rau tus kws kho mob tshwj xeeb kom muaj peev xwm txhais lus, txhais cov kev ntsuam xyuas thiab ntsuas qhov tseeb.
Zoo kawg
Nws yog ib qho tseem ceeb kom tau txais Pap smears rau tus kab mob gonorrhea, txawm tias koj tsis muaj tsos mob, vim kab mob gonorrhea thiab ntau lwm yam kab mob tuaj yeem ua rau asymptomatic.
Kev tshuaj xyuas tsis tu ncua thiab kev kuaj xyuas kev tiv thaiv tsis siv sijhawm ntau, tab sis ua tsaug rau lawv, koj tsis tuaj yeem kuaj pom txhua yam kab mob hauv lub sijhawm thiab pib kho, tab sis kuj tshem tawm qhov kev pheej hmoo ntawm qhov tshwm sim.
