Matenda obwerawa: matenda ndi mankhwala

nkhani zikuluzikulu mitundu wosanganiza matenda ovuta oterewa ndipo makamaka ankachitira. Kwa mtundu uwu wa ndondomeko yotupa ndi mawonetseredwe matenda wosanganiza ana. Mu dzina izi zikutanthauza chiwerengero cha mavairasi ndi mabakiteriya, kupereka panthawi imodzi mwagwirizana chikoka pa thanzi la mwanayo.

Pakuti aliyense wa mtundu mitundu yosiyanasiyana ya matenda anayamba njira yapadera mu nkhani. matenda obwerawa yodziwika ndi kanjedza olakwika ntchito Elisa ndi PCR njira. Nthawi zambiri muyenera kulipira zizindikiro za HIV kapena mabakiteriya Zitatero mankhwala chachiwiri.

Vuto la mavairasi wosanganiza ndi mabakiteriya

Pakati mwa kugonana matenda otchuka, allocated matenda bakiteriya wosanganiza, amene mankhwala zovuta chifukwa cha ma zosiyanasiyana:

• chlamydia;
• ureaplasmas;
• gardnerellas;
• mycoplasma;
• gonococcal mavairasi;
• candida;
• Trichomonas.

Ndi maonekedwe a mavairasi bakiteriya akuwonjezeka, iwo ayeneranso n'komwe posankha mtundu wa mankhwala zovuta ndi mtundu wa mankhwala. njira zolakwika matenda kungachititse kuti zotsatira zabodza zabwino kapena zonama negative. Pa iwo adzakhala achitiridwa, kenako kudzakhala ayambiranso.

chidwi linaperekedwa pa nthawi imene wapezeka ndi kachilombo wosanganiza ana. Achinyamata chamoyo amakhudzidwa mankhwala amphamvu, ndi kamodzi kulandira mankhwala iwo safuna. Pa mayesero thanzi matenda kutumikiridwa pa mndandanda wa mavairasi.

Kodi chimachitika n'chiyani chisakanizo cha mabakiteriya ndi tizilombo tina?

Obwerawa matenda mwana akhoza kupangidwa mwa kuwasakaniza ndi awiriawiri zotsatirazi:

• mabakiteriya - mabakiteriya,
• mabakiteriya - mavairasi;
• mavairasi - mavairasi;
• Majeremusi - Mabakiteriya;
• majeremusi - majeremusi;
• majeremusi - mavairasi;
• zovuta zambiri zotumphukira.

Ngati monoinfection yaitali afufuza empirically anakhazikitsa zizindikiro zoyamba za matenda, matenda wosanganiza angasonyeze monga chirichonse. Zotsatirazi mitundu ya izi:

• mtundu womwewo wa matenda kungakhale kumafooketsa pa wina ndi mzake ndi kutenga zonse asymptomatic ndi wopanda mavuto;
• ma zovuta za mavairasi, mabakiteriya ndi tizilombo kungadzutse limati, osati matenda;
• chopinga zizindikiro pachimake kuti ali kuwonetseredwa pa monoinfection amapezeka ndi zolimbikitsa thupi mphamvu m'thupi unimodal;
• Nthawi zambiri pali chitukuko mofulumira matenda, bwanji kulongosola kwa phwando munthawi yomweyo wambirimbiri mankhwala.

Kodi mungayembekezere pambuyo kusanganikirana mabakiteriya ndi tizilombo tina?

Chifukwa cha ma zovuta, ngakhalenso mitundu iwiri ya tizilombo, latsopano anapanga matenda losanganikirana. Khama la zizindikiro akuyamba ndi Kupeza Vuto boma ambiri a chamoyo. Munthu aliyense adzayenera zizindikiro zawo kutupa pambuyo matenda.

matenda zimachitika ochepa okha a anthu onse a kutupa udzachitika nkhani zawo. Koma matenda interrelation ngati n'kotheka ndi Mwina yaing'ono amanena kuchitika chopinga kapena kukula kwa zinthu pachimake. Choncho, amasulidwe matenda wosanganiza kuti azigwirizana:

• chikuku, diphtheria;
• meningococcal matenda + chimfine;
• streptococcus ndi chifuwa chachikulu;
• paratyphoid + typhoid.

Komabe, Kuwonjezera zizindikiro zimachokeradi pa Kuwonjezera yosavuta chilamulo, ndi nthawi kusintha chikhalidwe cha chitukuko. Izi complicates matenda mapangidwe ziwerengero ndi pa nkhani iliyonse opangidwa ndi njira payekha chisamaliro mtima.

Patatu chisakanizo cha mabakiteriya

matenda wosanganiza kawirikawiri anapanga mchikakamizo cha:

• ureaplasmas;
• chlamydia;
• mycoplasmas.

Mukuvetsa zimenezi atatu mabakiteriya mosavuta opatsirana pogonana pakati pa amuna ndi akazi. Iwo kusokoneza kapangidwe ka mwana wosabadwayo mu akazi apakati ndi angathe kupita kwa mwanayo tsogolo akangobadwa.

Matenda a mimba ayenera kuonetsetsa kuti monga yaikulu mndandanda wa matenda, kuteteza chitukuko cha matendawo. Izi mitundu mabakiteriya pafupifupi nthawi zonse limodzi ndi candida ndi akazi gardnerellami. Chithandizo anayamba ndi chiwonongeko cha otsiriza tizilombo, tinganene kuti mankhwala amphamvu zinachitikadi ina.

Mitundu yambiri ankapita mabakiteriya ndi tizilombo tina kukhala mitundu osadziwika kuti awonekere zizindikiro latsopano. Zotsatira za zinthu zimenezi nthawi wobwezera muyambirenso lotsatira. Asanazolowere kuukira patatu zambiri osalimba.

Choka mabakiteriya tizilombo

Madera kumpoto kwa dziko ndi zomera wandiweyani ndi chiwerengero chachikulu cha anthu amene anali ndi gulu la matenda wosanganiza: Streptococcus pneumoniae, meningoencephalitis mite borreliosis. matenda awa atatu amapezeka pa zovuta chifukwa osakaniza milandu yaing'ono imachitika kuzipenya odwala ndi zinthu pachimake. okha ena a iwo:

• Kukula kwa ndondomeko yotupa amapezeka mofulumira, ndi zizindikiro za malungo.
• Nthawi zambiri anapanga chotupa wa zimakhala articular.
• Watentha thupi ndi mutu komanso kusanza.

Mu mtundu wosakaniza ndi kupanga matenda ndi zithunzi zolondola sizingatheke. Chithandizo akuyamba ESP mankhwala, kuphatikizapo mankhwala ndi tizilombo toyambitsa matenda onse. Chithunzi cha matenda ukuonekera masiku pokhapokha 14.

kusakaniza mavairasi

Amphamvu kuchepetsa chitetezo chokwanira ana zimachitika, ngati pali matenda losakanizika herpetic. Kupenda odwala zinachitikadi ndi mitundu iwiri ya mavairasi:

• Epstein-Barr + cytomegalovirus.
• Epstein-Barr + nsungu simplex mtundu.

Mitundu iwiri ya mavairasi analimbitsa monoinfections zizindikiro. Pa kuzipenya apeza waukulu zinthu pachimake:

• Kuvutika mu ubongo, kukhala zizindikiro oziziritsa ana.
• Pali mavuto osauka lymphocytes.
• Kuchuluka kugula chiopsezo mavairasi zina ndi mabakiteriya. thupi limakhala lolefuka kuukira tizilombo yachilendo.
• Zikamera wa mavuto mkati mwa dongosolo m'mimba: chitukuko koyamba zilonda, erosions makoma mkati ziwalo.
• Kuchuluka pafupipafupi matenda nsungu kumwa.
• An chiopsezo cha matenda chapamwamba kupuma thirakiti.
• Kupondelezedwa kwa mtima ndi njira chapakati mantha.
• Komanso, pali vuto ndi kayendedwe ka maselo oyera.

Obwerawa matenda a nsungu mavairasi ndi loopsa kwambiri kwa amayi oyembekezera ndi anthu matenda a chitetezo cha m'thupi. Komabe, anthu ambiri akhazikitsidwa njira zothandiza anapereka matenda zolondola.

Zovuta pa mundawo kupuma

Zoperekedwa wosanganiza matenda chibayo + bowa (yisiti kapena yankhungu) kapena osakaniza ndi tizilombo tina. zimayambitsa bakiteriya ndi tizilombo chisokonezo zina, kwa chopinga tonse zizindikiro, pamene osiyana mitundu kungabweretse zinthu zambiri pachimake.

Choncho chifuwa ochiritsira ndi kuunika bwinobwino akhoza kukhala kuchuluka kwa tizilombo toyambitsa matenda, zomwe ziyenera kuwonongeka isanafike kukula kwa matenda ambiri ofala. Kuopsa zosokoneza ndi izi mitundu ya mavairasi, mabakiteriya:

• ndi matenda pachimake kupuma tizilombo;
• anapeza chlamydia mu phapo;
• kuzindikiridwa chibayo focal ;
• Toxoplasma.

Kusakaniza zonse zizichitika amapha. Pakuti mankhwalawa anasankha amadza pang'onopang'ono pa achangu chigawo cha nthawi ya kukonzanso akhale mayeso kwa tizilombo toyambitsa matenda. Njirazi nthawi zambiri sanathandize, ndipo ana anapanga zotsatira waukulu wa matenda wosanganiza:

• nyamuka lakuthwa kutentha kuposa madigiri 39;
• kusanza, kufupika kwa mpweya;
• m'mimba alternated ndi kudzimbidwa;
• anati zotupa focal wa kapepalako chapamwamba kupuma;
• kusintha pathological mu ziwalo mkati.

wosanganiza mabakiteriya ndi tizilombo tina matenda vuto

Pa monoinfections anasonyeza zizindikiro matenda kufunika kwa tizilombo toyambitsa matenda n'kotheka. Koma njira zimenezi kulipenda odwala ndi zokwera mtengo kwambiri ndipo si aliyense angathe kukwanitsa kugula. Zochita zambiri zotchulidwa mayesero kwa mavairasi lalikulu ndi mabakiteriya. Nthawi zina kumatha kuthekera mavuto parasitic popanda njira zasayansi.

Chifukwa cha chithandizo maganizo pankhani ya mtundu umodzi mu tizilomboto anthu m'tsogolo kumeneko akubwerezedwa kutupa mu mawonekedwe zovuta. Pakali pano, matenda wosanganiza sizinachitike anaphunzira zonse, pa munda wa mankhwala kuti komabe kukumana mitundu yatsopano ya mayanjano mavairasi, mabakiteriya ndi tizilombo.

Obwerawa etiology ana

Vuto la matenda wosanganiza makamaka pachimake pa matenda a ana akhanda. Chisamaliro linaperekedwa kwa kuphunzira boma thupi zipatso zambiri kuyambika. matenda Intrauterine zimabweretsa zotsatira kwambiri zomvetsa chisoni kwa amayi apakati. Ana kukhala otsika, ndi matenda pa chitukuko.

Zimayambitsa imfa za ana amakhala chosakwanira kuphimba kwa tizilombo toyambitsa matenda a boma matenda. chithandizo kawirikawiri ikuchitika pa mabakiteriya ambiri zikuchitika ndi mavairasi popanda kutenga nkhani chikoka onse awiri. Kuonetsetsa yobereka zokhudza zonse odwala ndi matenda wosanganiza anapanga mitundu zotsatirazi wothandizila:

• nsungu simplex mavairasi + cytomegalovirus;
• nsungu simplex mavairasi + Epstein-Barr + cytomegalovirus.

Matenda awa osakaniza ndi oposa 50% ya ana.

Njira yolondola mankhwala

Musakhale mavuto pathological ana zimatheka ndi kafukufuku mabuku pa nambala yaikulu tizilombo toyambitsa matenda. njira A matenda monga mitundu yambiri ya mayesero pa yofanana matenda. Re bwinobwino ikuchitikira ku malo zotsatira zabwino anapezeka. Izi madokotala lamulo ayenera kuthetsa zizindikiro zabodza.

Njira ya mankhwala wamangidwa amaganizira zinthu zotsatirazi:

• mankhwala chikoka mwagwirizana pa mzake;
• ntchito antibacterial ndi mavairasi oyambitsa mankhwala, precluding kuchuluka mavuto;
• mankhwala a mitundu achangu, kenako kubwereza pa matenda wapezeka.