Neisseria gonorrhoeae: zizindikiro zomwe zingayambitse ndi mankhwala

Neisseria gonorrhoeae chimayambitsa matenda, amene amadziwika kuti anthu kuyambira nthawi zakale. Palibe amene akudziwa dzina anali pa iye mu masiku amenewo, koma tsopano matenda, zodziwika ngati chinzonono. matenda amenewa alipo limodzi ndi chilakolako, chikondi, ndi kukopa mwadzidzidzi kapena kufufuza mosalekeza zomverera latsopano. Koma kaya munthu anakumana iye, kutsatira interlocutor wake ndithu kukhala dokotala.

chinzonono

Neisseria chinzonono ndi maselo awiri ozungulira kuti papezeka utoto aniline mu mtundu pinki. Iwo ali wandiweyani atatu wosanjikiza khoma ndipo njira ulusi-ngati kuonetsetsa kuti otetezeka kuphatikana mkati thupi.

Pambuyo kumenya Neisseria atathana m'thupi pa malamulo ndi mucous kapena ngakhale seep kupyolera mwa iwo. Koma chitetezo cha m'thupi Kodi kugona. Mu malo oyamba msanga leukocytes ndi neutrophils, ndipo ayamba "kudya" wothandizira yachilendo. Koma mabakiteriya siumafa, koma mkati macrophages kumva bwino, chulukanani ndi Zimachititsa chitukuko cha kutupa. Nditayamba neutrophils wosiyana nkhondo anadzadza ndipo excreted mu mawonekedwe a mafinya.

M'kupita kwa nthaŵi, matenda ziwiya lymph kufalikira woyamba ziwalo pafupi, ndiyeno thupi lonse. Gonococci ndi khola kwambiri mu thupi la munthu. Chinthu kutsutsa kanthu mankhwala. Mabakiteriya akusinthika mu L-mawonekedwe, chimene chingathe nthawi yaitali kupulumuka mu mapangidwe ankhanza. Koma chilengedwe Neisseria nthaŵi yochepa. Iwo amaziwopa kuyanika, otentha, komanso sopo.

Modes wa HIV ndi makulitsidwe nyengo

Neisseria chinzonono amatha kwa nthawi yaitali sanali kuonekera pambuyo matenda, kotero gwero la matenda nthawi zambiri munthu ndi zobisika Inde matenda. Pali njira zingapo kukhala ndi kachilombo:

1. njira kugonana ndi ambiri mwa akuluakulu. mabakiteriya ndi kunditumiza ku kugonana naye pambuyo kukhudzana mosadziteteza. Koma mosavuta ngati sewero si kwathunthu. Mwamuna ali ndi mwayi kukhala ndi kachilombo ndi odwala mkazi peresenti makumi awiri okha, koma kwa kugonana chilungamo akuthamanga ziwerengero mwake - 80 peresenti ya kugonana kuti mosadziteteza kugonana ndi chonyamulira gonococcal mapeto ulendo venereologist.
2. njira Contact-banja. Ngati nyumba ntchito matawulo wamba, washcloths ndi linens peresenti pasanathe mmodzi wa milandu, nkotheka mwangozi kuipitsidwa. Mabakiteriya ndi ochepa kwambiri moyo kunja kwa thupi.
3. Ofukula njira. Mayi woyembekezera ndi chinzonono pobereka angathe kupatsira mwana wake. Izi idzaonetseredwa matenda diso, m'kamwa mucosa kapena ziwalo zoberekera.

Nthawi asymptomatic Neisseria kubalana ukhoza kwa maola 12 kuti masiku angapo mwinanso masabata. Motalikitsa kukomoka lipoti nyengo - 3 months. Chotero kusintha lonse amagwirizana ndi mbali ya chitetezo chokwanira, reactivity ake ndi thanzi akukhudzidwira. Monga ulamuliro, amuna, matenda akuwonetseredwa mu masiku anayi pambuyo matenda, ndi akazi - mu masiku khumi. matenda matenda kapena choyezera sangathe kuzindikiridwa, koma nthawi imeneyi munthu ndi woopsa mnzanuyo.

mitundu ya chinzonono

Zizindikiro ndi mankhwala a chinzonono zimadalira nthawi yochuluka bwanji yapita kuyambira matenda alowa m'thupi. Pali mitundu itatu ya matenda:

1. Mwatsopano chinzonono. Mwalamulo mpaka miyezi iwiri pambuyo chiyambire matendawa. Iwo angayambe pachimake, subacute kapena mtundu torpid. Pakuti mtundu pachimake yodziwika ndi isanayambike mofulumira, kukula kwa mawonetseredwe matenda, wambirimbiri mafinya ndi maonekedwe vuto pa khungu ndipo zimagwira ntchito zosiyanasiyana mucous. Pa njira subacute zizindikiro wofatsa, koma kusamva ukadali kumeneko. mawonekedwe Torpid amakhala ndi kusapezeka kwa kuwonetseredwa konse.
2. Matenda a chinzonono. chitetezo cha m'thupi ndi zatha osatinso kukana kuwonjezeka gonococcal. mabakiteriya zimapezeka maselo a thupi kwa nthawi yaitali ndipo akuyembekezera pamene chitetezo cha thupi mosavuta definitively kudzionetsa kachiwiri. Kudzipheralo chinthu kungakhale ozizira, nkhawa kapena opaleshoni. Zizindikiro mu mawonekedwe wofatsa kapena kwina palimodzi.
3. Zobisika chinzonono. Ndi ambiri mwa akazi. Mkazi ndi chotengera cha matenda ndipo gwero lake, koma chitetezo cha mthupi samva kuti mabakiteriya, choncho palibe zizindikiro.

Matenda a chinzonono amuna: zizindikiro, zizindikiro, chithandizo

Oddly okwanira, koma chithunzi matenda a amuna ndi akazi chinzonono amasiyana.

Neisseria matenda a chinzonono amuna zimayambitsa pachimake kutukusira kwa mucosal epithelium ya mkodzo ndi. Zizindikiro kupulumutsa kusamva, ndipo mwachidziwikire mwamsanga kupita kwa dokotala. Matenda yodziwika ndi ena kuphatikiza zizindikiro:

• Urethritis, akuwonetseredwa patsogolo capillaries, kuchuluka magazi ndi minofu edema. Kupweteka ndi kuyabwa pakhomo chipata cha matenda ali mwa mawonetseredwe loyamba chinzonono. ululu pamaoneka m'mawa, ndipo madzi woyamba amachititsa lakuthwa ululu moto.
• Urethral. Kuwonjezera secretions thupi, T. E. The mkodzo limapezeka wandiweyani chikasu kapena zofiirira mafinya. Ngati ndondomeko wapita patali, zingaoneke ndi pang'ono magazi.
• Ndipo otsiriza chizindikiro chibadidwe aliyense ayankhe yotupa akuwonjezeka kutentha kwa subfebrile kapena manambala febrile. Pamene mavuto n'zotheka malungo mpaka madigiri 40. Patapita masiku atatu, zizindikiro zonse zayamba kutha, ndi matenda zipita subacute kapena mtundu torpid.

Zizindikiro mu akazi

Neisseria matenda a chinzonono akazi sayambitsa zizindikiro zake zapadera. Only chakhumi pa akazi kulowa gulu chiopsezo, kupita kwa dokotala thandizo kapena malangizo. Akatswiri amalangiza matenda ngati mwamuna kapena bwenzi ali ndi mawonetseredwe atsopano a chinzonono.

Nthawi zina, matenda kumaonekera mucous kapena purulent secretions pa mundawo maliseche m'mawa ndi zizindikiro za kutupa kwa mkodzo / nyini kapena inalowa pruritus, moto kutengeka panthawi yogonana kapena pokodza. Against maziko awa, zikhoza kuwonjezera thupi kutentha kwa subfebrile.

Chiwonetsero cha matenda akhanda

Neisseria chinzonono makanda miyezi choyamba cha moyo zingakhudze maso, mphuno, mkodzo ndi nyini komanso imautsa chitukuko cha sepsis. Izi zimachitika ngati mayi pa nthawi ya kubadwa nawo maonekedwe atsopano a chinzonono.

masiku 3-5 atabadwa, anawo wosakhazikika, kukana kudya, kugona bwino. Ali kumaliseche nthenda kwa maso kapena kapepala zoberekera angagwe. Popeza akazi akhale asymptomatic matenda, kupewa ana onse imachitika mu mawonekedwe a instillation mu maso ndi mphuno "Albucidum".

kuwonongeka limba ndi ziwalo zoberekera

Kuwonjezera ziwalo za m'chiuno mwa amuna ndi akazi, n'zotheka screenings yachiwiri ya tizilomboto m'thupi. Sites imagwira chinzonono:

1. Chikopa. Ichi ndi vuto kawirikawiri kumachitika pamene mabakiteriya umalowa lotseguka bala pamwamba. Mu malo oyamba kukhala ndi yotupa Poyankha: a chilonda ang'onoang'ono (mpaka masentimita 2 awiri), chopweteka. Chitsanzo kutanthauzira - m'chiuno ndipo crotch.
2. Maso. Kulephera kutsatira ukhondo pambuyo pogwiritsa ntchito chimbudzi kungachititse kuti kuipitsidwa wa maso Neisseria. Matenda amatchedwa gonococcal conjunctivitis. Izo kumaonekera mwa mawonekedwe a redness maso, magazi, kutupa ndi mafinya kuchokera atapita conjunctiva ndi, photophobia, ndi lacrimation. Ngati njira sakutchulidwa, likhoza mu maonekedwe a zilonda pa diso la.
3. Pakhosi ndi pakamwa. Nthawi zambiri asymptomatic zotheka. Akatswiri taonani redness pang'ono, kutupa kwa tonsils pharyngeal, pamaso pa wotumbululuka chikasu zolengeza. Mwina maonekedwe a zizindikiro za gingivitis ndi stomatitis, koma odwala samasankha kusonkhana ndi a chinzonono.
4. Rectum. More zofala akazi chifukwa cha maonekedwe structural wa perineum lapansi. Owonetseredwa kudzimbidwa Tisaiwale onyenga defecate, kuyabwa ndi moto mu chotulukira, ndi pamaso pa kukha nthenda monga magazi ndi mafinya.

diagnostics

Neisseria mabomu, kapena gonococcus, amachititsa matenda, amene matenda mu nyengo pachimake ndi wosavuta. Ngati dotolo mwaluso anasonkhana mbiri ndipo anali anayendera zofunika, mapeto satenga nthawi yaitali. Koma malinga ndi protocol ndi, matenda venereal inayenera kutenga mfundo kafukufuku bakiteriya, ndi kufunsa wodwala kubweretsa phwando lotsatira la mnzawo kugonana.

Kuchokera zasayansi mayesero zingagwiritsidwe ntchito:

• swab ya mkodzo ndi (zina ankafunika akatiputa kuti tizilomboto pa anamasulidwa maselo ndi anaonekera mu lumen wa mkodzo ndi);
• inoculation wa atolankhani chikhalidwe;
• PCR (kudziwika Neisseria gonorrhoeae DNA m'magazi);

Akatiputa akhoza kuchitika mu njira zingapo:

1. Mawu Otsogolera gonococcal katemera.
2. ulimi wothirira mkodzo njira Lugol a.
3. bougienage mkodzo.
4. Kudya zokometsera kapena mchere zakudya.

chithandizo

Chithandizo cha matenda a chinzonono amuna ndi akazi nthawi yomweyo. Izo zonse zidzafika ku phwando la mankhwala antibacterial, omwe amakhudzidwa wothandizila izi. Childs, izi cephalosporins mibadwo 3-4 ndi penicillin kutetezedwa. Iwo akhoza kugwiritsidwa ntchito mosiyana ndi limodzi.

Ngati palibe kugwirizana matenda ena kugonana kapena zomera mafangasi ndiye mankhwala ikutha. dokotala amakhala zitsanzo mayeso masabata awiri ukatha mwambo wa mankhwala.