Ukuvuza ngaphantsi - ntoni na? Inkcazelo sifo, iimpawu, unyango

Kukholelwa ukuba izifo ezidluliselwa ngeentlobano zesini abakho ehlabathini ngelo xesha naloo mntu. Umzekelo, ukuvuza ngaphantsi ukufumana iimbekiselo ukuba iBhayibhile kwaye nkqu azibhala kubaphandi zamandulo zamaGrike. Eyesibini into eyaziwa igama kwesi sifo - ukuvuza ngaphantsi. Abantu abaninzi bakholelwa ukuba ukubamba esi magciwane ngesondo kuphela, yaye wazi ngaphezulu okanye ngaphantsi oko: ukuvuza ngaphantsi. Yintoni ophthalmia, urethritis, cervicitis, proctitis, ukwazi oko akubantwini bonke. Ngelo xesha, zonke ezi zinto kunye izifo eziyingozi elinesibini yaba neziphumo ezibi zinakho ngelithi: ukuvuza ngaphantsi, kuba oko indlela yabo, kwaqala.

Portrait lwegciwane

Kwanabo azi ukuba kukho ezinjengezifo ezidluliselwa ngeentlobano zesini - ukuvuza ngaphantsi, yintoni gonokokk ebangela ukuba ubuthathaka. Siya kuzama ukuba ukuzalisa umsantsa. Kukho ezininzi iintsholongwane, irhorho emntwini kwaye ngamanye amaxesha ngubani oya kukhupha ukuba engcwabeni. Enye yazo i gram diploid ye sodidi Neisseria gonococcus - i-arhente causative of: ukuvuza ngaphantsi. Ezi zilwanyana ziyelelene kumabala yekofu okanye iimbotyi, bahlala ngababini kutheni ibizwa diploid. Igama elithi "gram-HIV" iintsholongwane-to-weight ratio akafuni kuthetha ukuba akukho ukutshintsha umbala wawo xa edyojiweyo Igram indlela nzulu. Neisseria uhlobo ibizwa imbeko Scientist lwabo discoverer Albert Neisser. Misila gonococci babe estate kangako yokwenene. Villi, nokuba niyasela, nganye kuzo ingqongwe, kodwa ukuhamba, yaye ukuba xhuma yangaphakathi. Le ntsholongwane bahlala kumathanga ezaqala kakuhle smear malunga nesigulane eso.

Properties kokusingqongileyo lwangaphandle

Ukuvuza ngaphantsi uziva ekhululekile kuphela kumajelo zizondlo, ingakumbi xa kukho oyinzalelwane (hayi modified) protein yabantu, yaye le ndoda ngokwayo. Kwimeko-bume ye nokubanakho esezantsi. Ngenxa yoko, gonococci kwimizuzwana kufa kumxube isepha eqhelekileyo, afe ngokukhawuleza phantsi amanyathelo noba ebulala ibuthathaka (iityuwa zesilivere, betadine, utywala, njalo-njalo), ukufa njengoko wokwaphusa yencindi yomlomo kunye ubofu apho zikhona. Lo msebenzi osemqoka uluncedo kakhulu ukuba abantu kwaye isetyenziswa nothintelo: ukuvuza ngaphantsi. Noko ke, kwakukho amatyala apho ngokukhuselekileyo kuphela gonococci khona, kodwa yakhulela kuyo, kuyenze epithelial ngokuthi zingene iimpahla umaleko, igazi kunye nkovu ngaphakathi.

Iimpawu iintsholongwane ezihlala emzimbeni womntu

umfutho fantastic kunye Ukungaqiniseki virulence - ukuba yintoni na ukuvuza ngaphantsi yingozi. Yintoni na le gonococci kwindawo efanekileyo ebanika inkuthazo kubo? Oku izidalwa cwaka ngasese, yokubulala banyebeleza, ngenxa yokuba, ukuba zingene umzimba ixhoba (umntu), kaninzi baba ixesha elide musa injezu umsebenzi wabo zempilo-angatshabalalisi. abantu abagulayo ngisho nokuwabona phambi kugula iyaqhubeka ukosulela abanye. Gonokokk kweso eyandisa amathanga abo, ebamba intsimi entsha kwaye siqala yangaphakathi (kwindawo ephambili intshayelelo) zibe izibilini. Ukuyohlala kwindawo entsha yokuhlala, ezi iintsholongwane eziyingozi ukuvelisa enzayimi beta-lactamase, ebakhusela iziyobisi. Umzimba womntu uzama ukulwa nxamnye abahlaseli esihlasela kuwo bacteriophages. Kodwa gonococci na enamandla kangangokuba akazange nje ukuba ufe, idliwe, kodwa qhubeka phinda. Enye indlela eya ukuphila kwabo - ukukwazi ngokwanda, ukudala i L-ezimilise, imithi emininzi musa ukusebenza kuyo.

"Ababehamba" of: ukuvuza ngaphantsi

Asinguye wonke umntu aqonde: ukuvuza ngaphantsi njani obungena. Yintoni ngokuncedisana izinto eziphilayo, ngaba iyaziwa wonke. Kwakhona Gonokokki ifomu ngokuncedisana nabanye amaphelo - Trichomonas lobufazi. Yenza itrichomoniasisi kwande ngokungaqhelekanga kulo lonke ihlabathi, ngoko ukubamba ngoxa-ukungathotyelwa umfanekiso. Le Trichomonas ngasentla gonococcal noko ezinkulu kwaye ngokulula ukufunxa kubo. Xa ngaphakathi, iibhaktheriya: ukuvuza ngaphantsi kuqhubeka ukuze nande, kodwa ngokugqibeleleyo ikhuselwe nxamnye antibiotics. Ngaphezu koko, gonococci amaninzi zifumaneka kunye mucosal chlamydia, Treponema pallidum (negcushuwa pathogen), amakhowa - Candida, iintsholongwane herpes, leyo nzima uxilongo. Emva unyango ukuvuza ngaphantsi gazi ezinxulumene zisaqhubeka komtshiso oko ngakumbi.

Iindlela usulelo

Kuba kucingwa ukuba ezinjengezifo ezidluliselwa ngeentlobano zesini : ukuvuza ngaphantsi, izizathu zalo ukwenzeka kakhulu ezinxulumene nobomi ngesondo womntu. Noko ke, kukho iindlela zemihla ngemihla zosulelo. Ngoko ke, ukuvuza ngaphantsi into ethathwa:

• izenzo ngesondo sex (ezomlomo, lobufazi, ezimpundu);
• sebenzisa ihambisana isigulane sheets itawuli eqhelekileyo, washcloths;
• abantwana abosulelwe yi-gonococci ngexesha lokuzalwa komntwana;
• amantombi ukuphuhlisa-non ukuthotyelwa amalungu yococeko womchamo (ukuvuza ngaphantsi "potting");
• amehlo izandla gonokokki wangena (ophthalmia khona);
• ukuvuza ngaphantsi nayo wangena kusetyenziswa indlu ngezandla ezimdaka emlonyeni (pharyngitis gonococcal, stomatitis).

Kwiindawo zoluntu (ibhafu, yokugquma, okuqubha), ngokuxhomekeka ekubeni ukusetyenziswa ngamnye izinto nococeko amathuba osulelo: ukuvuza ngaphantsi iphantsi kangangokuba kucingwa ukuba nothi.

ngezigaba

Indlela ngokukhawuleza okhula zokugula? Yintoni sigaba na ukuvuza ngaphantsi? Amaxesha, okanye kwisigaba esi sifo, kukho le ilandelayo:

• fresh (yondele), apho usulelo udlule ukusuka kwixesha ukuya kwiinyanga ezi-2;
• ezondeleyo, ozingisa iminyaka.

Ekuqaleni embetha abafazi phezu kwiinwebu kwinxenye yelungu lobufazi, kwaye namadoda - emantloko lobudoda, gonococci ingahlakazeki ngakumbi ecaleni amalungu wokuchama, ibangela ukudumba yazo zonke iintlobo iingxaki, kuquka ubudlolo kwakunye kwezisu. Le: ukuvuza ngaphantsi kakhulu yingozi. Forms ze zesifo oku kulandelayo:

• zangasese;
• extragenital;
• kuwenza.

Kuba: ukuvuza ngaphantsi angasese ziquka izifo amalungu esini kunye kumasebe abo. Kwabasetyhini, oku oophoritis (ukudumba zamaqanda kunye tubes) kunye cervicitis (ukudumba umlomo wesibeleko).

Amantombazana gonokokki parasitize kuphela lobufazi kwaye kungena wesibeleko kunye ezihlobene musa ukungena.

Xa abantu, oko prostatitis, urethritis, vizekulit (kunokutshiseka vesicle ZakwaLizwi).

Xa isifo ukuvuza ngaphantsi extragenital zibandakanya amalungu nonsexual okubangelwa gonococcus. Ngaphandle amehlo gonoreynyh ngasentla kunye nesifo emlonyeni, kunokuba proctitis (isifo efakwa), Ngokuzimela, gonorrhoea sezintso, gonokokkemiya (amalungu wachukumiseka, isikhumba) kunye nokudumba. Kufuneka wathi gonococci musa ungathanda serum yegazi ubulala kubo kwimizuzwana. Ngoko ke, igazi liya amalungu ukuba yenziwa kwinkqubo genitourinary. Kodwa ngamanye amaxesha izigulane abafumana ukuxhathisa enqanda serum. Kule meko gonococci abafi, wawaneka emzimbeni.

ukuvuza ngaphantsi kuwenza - kwingxaki kunye ukuqhubela phambili kwale emibini edlulileyo.

wenza njani ukuvuza ngaphantsi xa abasetyhini namantombazana

uphawu Amazing kwaye iyingozi kakhulu kwesi sifo kukuba ibe iinyanga okanye iminyaka ngokubanzi lungenzeki. Oku kwenzeka ngo-10% amadoda nama-80% abasetyhini. Kulo mzekelo, zonke ezi izigulane ntsholongwane egazini. Ithuba elisuke for ukuvuza ngaphantsi etsolo unokuthatha ukusuka ngomhla-1 ukuya ku-1 kwinyanga emva komhla kungcoliseko isityholo. Ekupheleni kwethuba sokukhulisa, abanye abafazi baziva ukuluma zokulindela lobufazi kwaye empundu (kunye proctitis), maxa wambi intlungu elifutshane elide xa uchama kunye nokwabiwa isaziso neobilnye ngohlobo kweekhebhile. Emva wadibana Neisseria gonorrhoeae emlonyeni ipesenti encinane abasetyhini ukudumba kancinane le tonsils kunye usi. Ngenxa yokuba ingako ibonakalisiwe gonorrhoea, unyango ngenxa amabhinqa nisaqala sifo zinqabile. Kwiimeko ezininzi, uneempawu eziphakathi kwaye baqhoboshele ukubaluleka ukumelana la mayeza ekhaya.

Amantombazana: ukuvuza ngaphantsi wawubonisa yi ukurhawuzelela kunye iindumbisa esini ukubhobhoza ubovu yangaphakathi. imeko Jikelele izigulane nisaqala esi sifo isoloko eqhelekileyo.

Ibonakalisa ukuvuza ngaphantsi ngabantu

isiqingatha olomeleleyo lobuntu ngokukhawuleza ephawula ukuba inkqubo yabo genitourinary ukuba kukho into engalunganga. Iimpawu zokuqala: ukuvuza ngaphantsi xa abantu nelifutshane-owayehlala iintlungu ngexesha ukuchama, ubovu (ngamanye amaxesha onukayo) netuwa, ububomvu okuncinci kunye Ukudumba kancinane yentloko lobudoda. Ekubeni abantu gonococci ngokukhawuleza kakhulu emva kokuba ingene sifo kulo urethra, kuba bazitshisekisayo, okanye ekuthiwa urethritis. Ekuqaleni iimpawu ziye eninzi. Ngentsasa elandelayo, izigulane uqaphele ukuqaqamba yaye ngokukhawuleza edlula, yakhawuleza ukutshisa xa uchama. Umchamo icacile, ubovu imisonto kulo encinane kakhulu. Iimpawu ezingemnandi ziya emva neentlobano zesini, ukusela utywala kunye nokutya okuthile. Kwiiveki ezintathu zomlomo iimpawu yokubola, yaye esi sifo kuba ezingapheliyo - kunye nexesha kuxolelwe kunye zingabuyi - eqongeni.

ekuxilongweni

Abanye "clever" ukufumana ukulahlwa ubovu evela ubuntu bakhe, ugqirha akazange athathe ixesha uye kuthenga i "ipilisi ye ukuvuza ngaphantsi." Oku kudla ngokukhokelela ekubeni into yokuba umntu wamkela antibiotics ezingeyomfuneko, ususa okwethutyana iimpawu engasi sifo kwaye ichaza nqanaba ezingapheliyo, ngexesha apho gonococci zinokungena nzulu emzimbeni. Unyango ukuba siphumelele, qiniseka ukuba isifo ngokuxilonga. Oku kuquka:

• ukuxilongwa kwezempilo;
• urinalysis;
• Ipap sesevisi;
• bakposev (ukulungela elide malunga iveki, kodwa 100% ukuchaneka japan);
• Uhlalutyo PCR (ingakumbi sisebenzayo ukungabikho kweempawu zomlomo).

Uhlalutyo igazi: ukuvuza ngaphantsi olukrokrelwayo elingazange lithathwe. Uxilongo esichazayo kuzinza kuphela xa sibona in bakposeve okanye Neisseria gonorrhoeae smear.

unyango

Ukuvuza ngaphantsi iphathwa qho kwesibhedlele okanye kozhvendispanserah egqiba isifo neegcushuwa. udluliselwe nomonde esibhedlele iingxaki kwesi sifo kwaye aloluhlobo unyango lwabo qho kwesibhedlele. Ukuba uqinisekile ngokupheleleyo uxilongo "gonorrhoea", ukuphathwa kwamabhinqa namadoda bavelisa iqela penicillin i-ntsholongwane ( "Oxacillin" "Amoxicillin" kunye nabanye). Ngelishwa, ukususela gonococcal elide kangaka ndahlukane yezi ndlela ukuba iintsholongwane ukumelana nabo sele kumgangatho yayo yemfuza. Nzulu gonococci ophawulekayo ubuntununtunu kunye tetracycline, ampicillin, amaqela spektinomitsinovoy iziyobisi. Ngokungenisa iifom ingakumbi Hardy iintsholongwane sebenzisa "Ceftriaxone" okanye "Rocephin". Ezi antibiotics ingangena kuyo nayiphi ancedisana amalungu. Ukuba umntu, eko ngokwakhe: ukuvuza ngaphantsi, ngoko nangoko udibane nogqirha, unyango kunokuba ekhawulezileyo. Kuza kufuneka ngexesha elinye-inaliti efakwa of "Rocephin"-mali ka-250 mg.

ayisekho kwiindlela zakudala ndahlukane: ukuvuza ngaphantsi. Inye kuphela Ungathatha ingqalelo ezi ngcebiso yamaxhwele njengoko njengesongezelelo amayeza, - behlamba amachiza zokuzala, nokuphelisa ukudumba (decoction of chamomile, celandine, edandelion kunye nezinye imifuno iingcambu). Akubuzwa ukuba iinkqubo ezinjalo isongezelelo kuphela terpenes zonyango.

ukungaphili

Ukukwazi ukuziqhelanisa kunye nokumelana iziyobisi gonokokkov kufuneka zithathelwe ingqalelo nezifo ezifana neegcushuwa ekuqeshweni amayeza. Xa umntu waziphatha self-medicate, yaye lamkele "ipilisi ye ukuvuza ngaphantsi" ngengcebiso abahlobo, phantse lonke waphawula iingxaki. Bona, kwakunye nesifo ephambili azibonakalisa nangoko. Ixesha lokuqala isigulane ufumana ingcamango ukuba wachacha ngokupheleleyo. Kuba namankazana, iingxaki: ukuvuza ngaphantsi izaliswe nenzalo, pregnancy, kwezisu. Enye sifo eyingozi ebangelwa: ukuvuza ngaphantsi alunyangwanga okanye undertreated - is hydrosalpinx. Kule ngezifo kwi ityhubhu Imibhobho oluhlala ubofu picture lwangaphandle kufana ithumba. Umfazi luhlangabezana ebuhlungu kunye iqolo, nomkhuhlane. Ukuba inqawe yaphulwe, kwaye ubomvu aqukuqela kummandla zangasese, iqala pelvioperitonit, nto leyo naxa ingumbandela ozaliswe ziziphumo ezibulalayo.

Akukho yingozi kangako kunye Bartolini (ubovu nokudumba kwamadlala vestibular).

Xa abantu, imiphumo ingozi: ukuvuza ngaphantsi - a prostatitis nga ezikhokelela namandla, kwaye epididymitis (ukudumba amasende), nto leyo eyenza ukuba iinkunzi.

Okubalulekileyo! Nayiphi ezinjengezifo ezidluliselwa ngeentlobano zesini, ukuvuza ngaphantsi yaye kubandakanywa ungamniki sifo, ngoko ke angaba ne inani olungenasiphelo amaxesha.

ukuvimbela

iindlela ezithile ukudluliselwa: ukuvuza ngaphantsi amisele amanyathelo othintelo esi sifo. Kwindawo yokuqala kuluhlu lo ukusebenzisa iikhondom ngexesha neentlobano zesini kuzo zonke iimeko, ukuba akukho 100% nentembelo kwiqabane lakho. Ngomhla wesibini - siqu kuphela.

Enye ingongoma ebalulekileyo mkhanya kwi venereologist zingadlulanga iinyanga ezi-3 emva kokuphela unyango kunye nokuziswa wohlalutyo yolawulo.