Neisseria gonorrhoeae: izici, izimbangela kanye nokwelashwa

Neisseria gonorrhoeae kudala izifo, okuyinto abantu eyaziwa kusukela ezikhathini zasendulo. Akekho owaziyo ukuthi ubani igama kwakhe ngalezo zinsuku, kodwa manje isifo eyaziwa ngokuthi isipatsholo. Lokhu ukutheleleka ukhona eceleni inkanuko, uthando, ukukhangwa okungazelelwe noma njalo zifunana emizweni ezintsha. Kodwa kungakhathaliseki ukuthi umuntu ngihlangane naye ngelinye ilanga, kulandela interlocutor lakhe liqinisekile ukuba udokotela.

isipatsholo

isipatsholo Neisseria kuyinto double round amaseli ukuthi ingcoliswe aniline udayi e pink umbala. It has a obukhulu emithathu ungqimba udonga futhi izinqubo ngentambo-like ukuqinisekisa ukuthi okunamathiselwe okuphephile ngaphakathi emzimbeni.

Ngemva ukushaya Neisseria fixed ngaphakathi emzimbeni ku ikhodi bese lwamafinyila noma seep ngabo. Kodwa isimiso somzimba sokuzivikela akusho ukulala. Esikhundleni isingeniso umbu- leukocyte futhi neutrophil nama sebeqala "ukudla" ejenti angaphandle. Kodwa amagciwane abafi, kodwa kunalokho, ama-macrophage ngaphakathi uzizwa ukahle, nande sikhuthaze ukuthuthukiswa ukuvuvukala. Fallen e ukungalingani impi neutrophil anqwabelene excreted ngesimo ubomvu.

Njengoba isikhathi siqhubeka, lymph ukutheleleka okudlulela ngowokuqala izitho eseduze, bese wonke umzimba. Gonococci izinze kakhulu emzimbeni womuntu. Sinenkosi okuthile ukuze balwisane isenzo izidakamizwa. Ama-bacterium siguqulelwa i L-ukuma, okuyinto uyakwazi isikhathi eside ukuqhubeka ephila ngaphansi kwezimo nobutha. Kodwa endaweni Neisseria eyesikhashana. Besaba omiswe, abilayo, kanye insipho.

Zindlela ukuwudlulisa bayashintshana ekufukameleni inkathi

isipatsholo Neisseria uyakwazi isikhathi eside akazange ukuzibonakalisa emva ukutheleleka ukuze umthombo ukutheleleka ngokuvamile umuntu esicashile isifo Yiqiniso. Kunezindlela eziningana ukuze batheleleke:

1. indlela ngokobulili ezivamile kubantu abadala. I-bacterium zidluliselwa umlingani ucansi ngemva kokuthintana ungazivikele. Kodwa amathuba Esimeni esinjalo akuyona amaphesenti ayikhulu. Le ndoda ibe nethuba batheleleke nge owesifazane ogulayo amaphesenti amabili kuphela, kodwa indlela abobulili fair siphela izibalo ephambene - amaphesenti angu-80 ukuthi ubuhlobo bobulili olungavikelekile isithwali ekupheleni gonococcal venereologist ukuvakashelwa.
2. indlela ongathintwa-yasendlini. Uma ikhaya zisebenzisa amathawula ezivamile, washcloths futhi elinemishwe, ukuthi angaphansi kwamaphesenti omunye izimo, kungenzeka ukungcoliswa ngephutha. Amagciwane angabasizi ezimbalwa kakhulu bukhoma ngaphandle komzimba womuntu.
3. indlela mpo. Owesifazane okhulelwe nge isipatsholo ngesikhathi sokubeletha kungathelela umntanakhe. Lokhu iyobonakaliswa isifo samehlo, mucosa ngomlomo noma izitho zangasese.

Inkathi asymptomatic Neisseria ukukhiqizwa kabusha ingahlala kusuka amahora 12 kuya ezinsukwini ezimbalwa noma ngisho amasonto. Isikhathi eside kunazo zonke emtholampilo kubika - izinyanga 3. ukushintshashintsha okunjalo ububanzi lihlotshaniswa izici amasosha omzimba, reactivity yayo nempilo jikelele. Njengomthetho, amadoda, lesi sifo kubonakala ngokusebenzisa izinsuku ezine post-ngculazi, futhi abesifazane - ngezinsuku eziyishumi. ukutheleleka Clinical noma laboratory ngeke ibonakale, kodwa ngalesi sikhathi umuntu kuyingozi nomlingani wakho.

izinhlobo isipatsholo

Izimpawu kanye nokwelashwa isipatsholo incike singakanani isikhathi sesiphelile kusukela ukutheleleka ingena emzimbeni. Kukhona izinhlobo ezintathu zesifo:

1. isipatsholo Fresh. Bhalisiwe kufika ezinyangeni ezimbili lapho kuqala izimpawu. Lesi simo singenzeka kunoma acute, subacute noma ifomu torpid. Ukuze ifomu acute elinesimo kuqala okusheshayo, nobukhali ukubonakaliswa yomtholampilo, semali ubomvu kanye ukubukeka ukukhubazeka esikhumbeni futhi nolwelwesi lwamafinyila. Phakathi subacute izinhlobo unezimpawu ezikahle, kodwa ubuhlungu sisekhona. ifomu Torpid libhekene ukungabi khona kuwukubonakaliswa.
2. isipatsholo Okungalapheki. Amasosha omzimba Akukho lutho olusele futhi ayisekho simelane ukunwetshwa gonococcal. Kamuva amagciwane zitholakala emangqamuzaneni omzimba isikhathi eside futhi ulinde uma umzimba ozivikela buthaka ngokuqondile ukuzibonakalisa futhi. Nokucupha isici kungaba abandayo, ukucindezeleka noma ukuhlinzwa. Izimpawu kuleli fomu anganawo noma ngingekho ngokuphelele.
3. isipatsholo esicashile. Kuyinto evamile ngaphezulu abesifazane. Owesifazane othwala namagciwane lwaluvelaphi, kodwa umzimba ozivikela ungathathi ngamawala ukuze ama-bacterium, ngakho akukho izimpawu.

Gonorrhoea ezingabantu: izimpawu, izimpawu, ukwelashwa

Isimanga siwukuthi kodwa isithombe basemtholampilo isipatsholo kwabesifazane nabesilisa kuhluke.

Neisseria isipatsholo ezingabantu kubangela yisishiso ngokujulile epithelium mucosal we urethra. Izimpawu ukuletha ukungakhululeki, futhi cishe ngokushesha ukuya kudokotela. Ukuze isifo libhekene ezinye inhlanganisela zimpawu:

• Urethritis, ebonakaliswa ukunwetshwa capillary, okwandisa ukugeleza kwegazi futhi yakhe izicubu edema. Ubuhlungu ukulunywa esangweni emnyango lengculaza phakathi ukubonakaliswa yokuqala isipatsholo. Ubuhlungu livela ekuseni, kanti ukuchama kuqala kubangela ebukhali ubuhlungu esivuthayo.
• Urethral. Ngaphandle uketshezi bokuphila, t. E. umchamo livela ubomvu obukhulu ophuzi noma ensundu. Uma inqubo uye babi kakhulu, kungase kuvele futhi inani elincane legazi.
• Futhi uphawu lokugcina esingokwemvelo noma iyiphi impendulo ukuvuvukala nokwanda lokushisa ukuze subfebrile noma eyi febrile. Lapho yezinkinga imfiva kungenzeka kuze kufinyelele ku-40 °. Ngemva kwezinsuku ezintathu, zonke izimpawu iyanyamalala kancane kancane, futhi ukutheleleka ingena subacute noma ifomu torpid.

Izimpawu kubantu besifazane

Neisseria isipatsholo kwabesifazane akakubangeli ezithile eziphawulekayo. eyodwa kuphela okweshumi kwakho abesifazane bengena iqembu ingozi, ukuya kudokotela ukuze uthole usizo noma iseluleko. Ochwepheshe batusa ukuxilonga uma umyeni noma umlingani has wawubonakalisa fresh isipatsholo.

Ezimweni ezingavamile, lesi sifo kubonakala uketshezi lwamafinyila noma ubovu ipheshana zangasese ekuseni nezimpawu ukuvuvukala urethra / emomozini noma ukubusa pruritus, evutha ukuzwa ngesikhathi sokuya ocansini noma ukuchama. Ngenxa yalokhu, kungase kwandise izinga lokushisa emzimbeni ukuze subfebrile.

Ukubonakaliswa sifo izinsana

isipatsholo Neisseria ezinsaneni ezinyangeni zokuqala zokuphila kungathinta amehlo, ikhala, urethra futhi sangasese, kanye avuse ukuthuthukiswa sepsis. Lokhu kwenzeka uma umama ngesikhathi sokuzalwa ube nohlobo fresh isipatsholo.

emva kwezinsuku 3-5 lokuzalwa, izingane babenokuyaluza, akudle, ukulala kahle. Sinenkosi osenyameni normal emehlweni noma ipheshana zangasese kungenzeka. Njengoba abesifazane kungenzeka isifo asymptomatic, nokuvinjelwa zonke izinsana iqhutshwe ngendlela instillation singene amehlo kanye nekhala "Albucidum".

umonakalo isitho yilona uhlelo zokuzala

Ngaphezu izitho okhalo e besifazane kanye namadoda, kungenzeka ukuhlola yesibili lwegciwane ngomzimba. Amasayithi kuthinta isipatsholo:

1. Isikhumba. Lena inkinga ezingavamile ukuthi kungenzeka lapho amagciwane engena evulekile isilonda ebusweni. Esikhundleni ukwethulwa ekuthuthukiseni impendulo ukuvuvukala: isilonda encane (kufika ku-2 cm ububanzi), ubuhlungu. kwasendaweni ejwayelekile - ezinqulwini ukuxhuma.
2. Eyes. Ukwahluleka okuthobela nanoma inhlanzeko yomuntu siqu ngemva kokusebenzisa indlu yangasese kungaholela ukungcoliswa emehlweni Neisseria. Lesi simo kuthiwa i conjunctivitis gonococcal. It kubonakala ngesimo ububomvu amehlo, ukopha, ukuvuvukala kanye ubomvu kusuka kokuphela conjunctiva, photophobia, futhi lacrimation. Uma inqubo unganakwa, kungaholela ukubukeka izilonda ku-cornea.
3. Womphimbo nomlomo. Ngokuvamile asymptomatic kungenzeka. Ochwepheshe phawula ububomvu kancane, ukuvuvukala amalaka pharyngeal, khona uqwembe ugodo ephuzi. Mhlawumbe ukubonakala izimpawu zokuba gingivitis kanye stomatitis, kodwa zonke iziguli ngokuvamile musa nabo ngezinkomba isipatsholo.
4. Ingemuva. Kwande abesifazane ngenxa izici isakhi perineum. ukuqunjelwa kubonakala nesifiso sokufuna zamanga ukuba azikhulula, ukulunywa nokusha ku ingquza, khona esithweni okungavamile ezifana igazi ubomvu.

ukuhlola

Neisseria isipatsholo noma gonococcus, kubangela isifo, ogama uphethwe esikhathini acute ulula. Uma udokotela ngokuphumelelayo eqoqwe umlando futhi laliphathwa nguye ukuhlola okudingekile, esiphethweni akuthathi isikhathi eside. Kodwa ngokusho protocol, Izifo Venereal kufanele ngaso sonke isikhathi ukwaziswa ucwaningo esibangelwe igciwane, bese ucela isiguli ukuletha reception esilandelayo naye ubulili.

Kusukela laboratory ukuhlolwa ingasetshenziswa:

• swab we urethra (ngezinye izikhathi kwakudingeka avuse kuya lwegciwane wakhululwa amaseli bese uvele mafutha anciphisa isikhala esingaphakathi we urethra);
• inoculation of isiko abezindaba;
• PCR (ukuthola Neisseria gonorrhoeae DNA egazini);

Sicasulwa kungaba kwenziwe ngezindlela eziningana:

1. Isingeniso wokugoma gonococcal.
2. Irrigation urethra isixazululo Lugol sika.
3. urethra bougienage.
4. Ukudla ukudla okunongwe noma anosawoti.

ukwelashwa

Ukwelashwa nokuvikelwa isipatsholo ezingabantu futhi abesifazane ukuchitha okufanayo. Konke kuya reception izidakamizwa elwa namagciwane, okuyinto ebucayi kule ejenti. Ngokuvamile, lokhu cephalosporins 3-4 izizukulwane futhi penicillins evikelwe. Zingasetshenziswa kokubili ngokwehlukana futhi ndawonye.

Uma kungekho uxhumano nezinye izifo zocansi noma flora fungal ke lokhu kwelashwa uphela. Udokotela uqhuba amasampula test amasonto amabili ngemuva Ukuqalwa yokwelapha.