Gardnerellez ee haweenka - cudur isqaadsi ah oo la xariira dysbacteriosis ee xayndaabka dabiiciga ah ee hoosta haweenka, oo ay weheliso xoojin sare ee garderella iyo maqnaanshaha / hoos u dhac weyn ee dadweynaha bakteeriyada lactic acid. Garderella wuxuu u horseedi karaa cudurada caabuqa ee xubnaha unugyada, xubinta taranka haweenka, endometritis, waxaa loo tixgeliyaa inay tahay shuruud u ah horumarinta adnexitis (geedi-socodka bararka ee dhuunta dhoobada iyo ugxan-yari), dhibaatooyin daran xilliga dhalmada iyo uurka.
Gardnerella ee haweenka: sababaha
Gardnerella vaginalis (fasal ka mid ah xarumaha qurxinta leh) qadar yar ayaa si joogta ah u joogta microflora ee xubinta taranka, iyada oo aan keenin raaxo la'aan iyo calaamadaha gardnerellez. Gawaarida loo yaqaan 'Gardnerella vaginalis' waa 25-45% dumarka caafimaadka leh ee da'doodu kala duwan tahay. Isku dhufashada firfircoon ee gardnerella ee saameyn ku leh waxyeelada / quwada ka soo baxa waxay keenaysaa barokaca lactobacilis iyo bedelida dhirta caadiga ah ee Gardnerella vaginalis. Natiijadu waxay keentay, dhibaatooyinka xanuunka dhimirka ee horumarka maskaxda, sifooyinka iyo hababka ilaalinta ee unugyada isbeddelka epitelium ee haweenka. Gardnerella waxay soo saartaa amino acids iyo pyruvic acid, taas oo lagama maarmaan u ah noolaha loo yaqaan 'pathogenic organisms' ee nafaqada iyo dheef-shiid kiimikaadka inta lagu jiro decarboxylation amino acids ee dheecaanka siilka, amines leh ur xun oo kalluun jilicsan ayaa la sii daayaa.
Etiology of gardnerellez:
- sirinjin joogta ah (mayridda lactobacilli);
- isticmaalka chlorine-containing antiseptics (Miramistin, Gibitan);
- isticmaalka ka-hortagga uur-qaadidda oo ay ku jirto 9-nonoxinol (shumacyada Patentex, Nonoxinol);
- Mucjisnimo ku saabsan galmada;
- qaadashada aan macquul ahayn ee antibiotics;
- cudurrada nidaamka urojinimada;
- Raadinta shucaaca muddada dheer;
- xinjirta mindhicirka;
- Horumarka hormoonka. Hawlaha ugxansidayaasha ayaa go'aaminaya waxqabadka dhalida lactoflora. Qaybta hoormoonada ee ka mid ah hablaha noolaha ee garderellellosis ayaa sharxaya xaqiiqda ah in cudurku marar dhif ah lagu ogaado qaangaarka (14-18 sano) iyo xilliga dhalmada;
- hoos u dhigidda nidaamyada difaaca jirka ee u nugul wakiilada faafa;
- soo dhaweynta daaweynta niyadjabka, daawooyinka hoormoonka.
Gardnerella dumarka: calaamadaha
Muuqaalka ugu muhiimsan ee cudurku waa maqnaashaha dibadda ee derbiga hoosta haweenka, 50% bukaanada gardnerellez waxay u gudbiyaan calaamadaha la ruxay. Baadhitaanka colposcopic waxa uu muujiyaa deenishka dystrophic oo isku dhafan iyada oo la raacayo hababka aan caadiga ahayn ee makaanka afkiisa. Mararka qaarkood waxaa jira kooras asymptomatic ah cudurka - oo aan dhammaystirnayn calaamadaha kiliinikada ee asalka ah ee baaritaannada shaybaarada. Astaamaha cad ee gardnerelleza: dheecaan jajab-jaale ah oo joogta ah oo isku mid ah, kalluunka kalluunka qallalan, xanuun / cuncun.
Gardnerella ee haweenka: daaweynta iyo baarista
Ciladda "gardnerellez" waxay ku saleysantahay anamnesis, kiliinikada iyo baaritaanka xogta - pH-metry (xasaasiyad 80-99%) iyo aminotest. Marka la baarayo garderellososis, baaritaan dheeraad ah waa mid aad u fiican in laga reebo infekshannada galmada lagu kala qaado - herbeska, jabtada, trichomoniasis.
Qorshaha daaweynta wuxuu ka kooban yahay laba marxaladood:
- Ciribtirka infekshanka iyo caabuqa la xidhiidha. Gardnerelles waxay u adkeysan karaan kaminoglikozidam, sulfonamides, tetracyclines, cephalosporins; Dareenka cClindamycin iyo ampicillin. Daawooyinka doorashada waa Clindamycin iyo Metronidazole. Si loo dedejiyo hannaanka rayshada, difaaca jirka ayaa la sameeyaa. Waxaa lagu talinayaa in la iska ilaaliyo galmada iyada oo aan la isticmaalin cinjirka galmada xilliga qaadashada daawooyinka.
- Dib u soo celinta microbiocenosis siilka caadiga ah. U qori eubiotics (Bifidumbakterin, Dhibbanaha, Lactobacterin), kaas oo kicinaya koritaanka lactoflora dabiiciga ah iyo ka qaybqaata yaraynta tirada soo noqoshada cudurka.
Gardnerella xilliga uurka
Cudurka waxaa lagu ogaadaa 15-25% hooyooyinka uurka leh. Horumarinta infakshanka intrauterin xilliga uurku maaha mid caan u ah - qaababka ilaalinta jirka hooyada ayaa ilaalineysa ilmaha uurjiifka, laakiin garderelladu waxay xakameynayaan difaaca jirka, taas oo horseedi karta dhibaatooyin kala duwan: dhalmada ka hor, dhalmada ka dib, chorionamionitis. Haddii garderella lagu helo falanqaynta, waxaa lagama maarmaan ah in isla markiiba bilawdo daaweynta Trichopolum, Ornidazole, Metrogil ama Metronidazole iyo qaadashada probiotics. Nidaamka ugu fiicani waxa uu doortaa dhakhtarka joogtada ah shakhsiyan.
Gardnerella ee haweenka: daaweynta guriga
Ka hor inta aanad bilaabin daaweynta adoo adeegsanaya daawooyinka dadweynaha, waxaa lagula talinayaa inaad la tashato takhtarka si aad uga fogaato dhibaatooyinka iyo waxyeelada. Daaweyn waa in lagu qabtaa kormeer caafimaad iyadoo la eegayo qiimeynta shaybaarka xaaladda caafimaad ee hadda ee bukaanka. Is-daaweyntu waxay noqon kartaa khatar!
Maraq laga bilaabo phytospores:
- qaadashada is barbardhigga asalka ah ee asalka ah, cawska geedka, dhirta macaan, caleemaha nettle, blueberries, ubendada ubender, burooyinkeeda geed. Saddex malqacadood oo waaweyn oo ka mid ah ururinta ayaa soo dhaansan leh litir biyo karkaraya, karkari kuleyl dhexdhexaad ah 10-15 daqiiqo, ku shub heer darmuus, ku adkeyso 10-12 saacadood. Isticmaal 120 millilitir 30-40 daqiiqo cuntada ka hor inta aanad cunin;
- in la isku daro si isku mid ah cawska cagaaran, jiilaalka, cad-caleemaha, caleemaha eucalyptus, hooyada-iyo-hooyada, caruusadda, ubaxyo dhoobo, tansy, xididka badana. Ku dar saddex qaado oo ka mid ah ururinta oo leh litir biyo ah, karkari 10-15 daqiiqo, ku adkeyso heerkulku 10-12 saacadood, qaado 120 millilitir ka hor cuntada inta lagu jiro maalinta.
Tampons:
- diyaariso xal suuf ah oo saafi ah (shaaha) iyo cabitaanka dabacasaha (qaado), ku dabool faashad faashad ah, gali gudaha siilka 20-25 daqiiqo;
- diyaariso isku-dar ah badda-baalal-saliid / saliid saytuun ah iyo casiirka aloe (1: 1), ku dabool maro faashad faashad ah, gali gudaha hoosta 10-12 saacadood.
Nadiifinta qubeyska suuliga:
- ubax ah marigold, chamomile, caleemaha walnut, maqaar geed leh.
Daawo shaah ah si loo xoojiyo difaaca jirka:
- quince (1 xabbo), liin (1 xabbo), toon (7-9 ilkood), cherry cusub (2 koob), tufaax (2 koob), biyo (2.5 litir). Maaddooyinka si fiican u chop, isku dar, ku shub biyo karkaraya. Cab 100-120 millilitir 4-5 jeer maalintii.
Ka hortagga gardnerelleza ee haweenka:
- joogitaanka lamaane galmo, nolosha galmada amar ku bixisay;
- joojinta jinsiga caadiga ah;
- ilaalinta nadaafadda caadiga ah, beddelka joogtada ah ee suufka / tampons inta lagu jiro xilliga caadada;
- xoojinta difaaca jirka;
- xirashada dharka saxda ah ee laga sameeyay alaabta dabiiciga ah;
- daaweynta waqtigeeda ee cudurrada inflammatory ee xubnaha pelvic.
Gardnerella raga
Caabuqa qofku wuxuu inta badan ku dhacaa inta lagu guda jiro haweenta haweenka garderella. Habka la-xidhiidhka guriga ee faafinta cudurka (oo leh gacan-qabsi, dhunkasho, sauna / qubeys) ayaa laga reebay. Waxyaabaha ugu horreeya ee loo yaqaan 'gardnerellosis' ee ragga waa: cudurada la socda / loona wareejiyo nidaamka jimicsiga, daaweynta bakteeriyada, isticmaalka difaaca jirka, hoos u dhac ku yimaada waxqabadka difaaca oo ka soo horjeeda asalka maskaxda / dareenka. In ragga gardnerella jidhka wada joogaan muddo dheer ma noqon karaan - ayaa la iska joojiyaa 2-3 maalmood kadib garaacid. 7-10% kiisaska, anaerobes waxay ku jirtaa unugyada unugyada jirka - waxaa jira xiriir la leh gardnerella balanoposthitis (nondosecretecturitis).
Gardnerlellosis ragga: calaamadaha
Inta badan kiisaska, gumeysiga xubinta taranka ee Gardnerella maaha calaamado muuqda. Aad ayey u yartahay cudurka uu keeno gubasho / raaxo la'aan inta lagu jiro kaadida, oo leh qaska dareeraha ee dareeraha leh urka dabeecadda kalluunka caadiga ah.
Dhibaatooyinka:
- prostatit;
- vesiculitis (caabuqa jeexjeexyada jilicsan);
- kaadida (firfircoonida bararka).
Ciladeynta iyo daweynta daweynta loogu talagalay garderellosis ragga
Tallaabooyinka cudurka lagu ogaado waxaa ka mid ah: daraasadda kaadida (ejaculate), kaadida, qarsoonaanta prostate-ka, oo ka soo baxday kaadi-mareenka by reactions silsilad polymerase (gaar ah 98%). Nidaamka daaweynta waxaa loo doortaa shaqsiyan, iyadoo la tixgelinayo joogitaanka / maqnaanshaha cudurrada lays qaadsiiyo iyo iska caabinta wakiilka keena alaabta daawooyinka. U qor qoraalka Levofloxacin, Clindamycin ama Doxycycline. Inta lagu jiro mudada qaadashada daawada, waxaa lagula talinayaa in la raaco cunto ah taas oo tusinaysa diiditaanka khamriga, dufanka, sigaarcabka, suufka. Xaaladaha caafimaad ee daran ee cudurka, difaaca jirka ayaa loo isticmaalaa in lagu soo celiyo xajiinta iyo kordhinta jawaabta jirka. Marka loo eego tilmaamaha waxaa lagu soo qoraa daawooyinka xasaasiyadda ka hortagga ah, isku dhafka maadooyinka iyo fitamiinada. Si looga hortago caabuq soo noqnoqda leh garderella, waa muhiim inaad raacdo tallaabooyin ka hortag ah: iska ilaali galmada dumarka caadada ah, isticmaal cinjirka galmada marka lala galmoodo lamaane aan lala joogin.
Gardnerelosis ee haweenku waa cudur wadajir ah oo ka mid ah habka deegaanka siilka, kaas oo u baahan baaritaan tayo leh iyo daaweyn dhameystiran. Haddii jebinta microflora ee xubinta taranka haweenka, waxaa lagama maarmaan ah in la qaato daaweyn ku habboon - taasi waxay ka caawineysaa in laga fogaado dhibaatooyinka xilliga uurka iyo dhalida, ilaalinaya caafimaadka taranka muddo dheer, iyo hagaajinta tayada nolosha.