Ureaplasma spp. - Ndi chiyani icho? Zizindikiro, chithandizo ndi zotsatirapo

Masiku ano, nkomwe aliyense akumvetsera kuwapempha dokotala ndipo amatanthauza mabungwe kuchipatala okha kafukufukuyu. Monga ulamuliro, kupita ku chipatala pokhapokha zosayembekezereka wa mulibe matenda alionse ndipo ena a iwo Zikatero amakonda kudziletsa chithandizo. Motero munthu sagwira khalidwe lokonda umoyo wawo angathe kubweretsa mavuto. Ndipo Mukaganizira kuti ambiri a matenda pa siteji oyambirira sizimawoneka, zodzitetezera kukhala wofunika kwambiri. Choncho, nthawi kudziwa pamaso pa Ureaplasma spp. Izo matenda ambiri a amuna ndi kugonana chilungamo m'chiuno. Ndipo ngati angapo zaka zapitazo ureaplasmosis, malinga ndi akatswiri, si owopsa thanzi, koma lero amaona kuti chimayambitsa matenda ambiri a dongosolo genitourinary.

Ulendowu zinthu zakale

Pa chiyambi cha ureaplasma atumwi wotsiriza wapezeka anthu, iwo alibe chifukwa mantha pakati akatswiri sankaoneka ngati imodzi mwa mitundu ya mycoplasmas chosaopsa. Koma pa nthawi ndi maphunziro angapo asonyeza kuti mtundu uwu wa bakiteriya ali ndi mphamvu kuti ureolizu ndipo, chotero, ndi wothandizila causative matenda ambiri. Mpaka 1958 ankaganiza kuti ureaplasmosis amuna sangakhale, popeza yekha matenda wamkazi, koma zikuonekeratu kuti panali kukana.

Kodi aliyense ayenera adziwe ureaplasma ndi?

Funso loyamba lomwe likutuluka pa anthu kupeza Ureaplasma spp - ndichiyani? Koopsa ndi matenda ndi mmene tiyenera kuchitira izo? Mafunso onse awa ndi mayankho.

Kotero, chinthu choyamba muyenera kudziwa: mtundu wa yaying'ono-zamoyo pano pafupifupi munthu aliyense, ndipo mukhoza mosavuta gwirizana ndi mabakiteriya ena angamuponyere. Koma zimenezi sizikutanthauza kuti matenda a kukhalapo za "bwenzi zoweta" Sikuti. Pambuyo owonjezera pang'ono mabakiteriya deta mphambu molumikizana ndi munthu chamoyo zingachititse anachita matenda misa.

Chachiwiri, muyenera kudziwa kuti kodi Ureaplasma spp. Kodi amatha katswiri aliyense. Kotero ife timachitcha gulu la yeniyeni yaying'ono-zamoyo, koma chifukwa kalembedwe awo enieni chofunika kupenda. Only matenda yowonjezera adzaona ndi amayanjana mabakiteriya wapezeka mu imodzi mwa mitundu iwiri alipo ndi mphambu awo enieni. Only pambuyo pake, adokotala kusankha yoyenera mankhwala mankhwala ndi chithandizo mankhwala.

Mitundu Ureaplasmas spensis

Pakali pano, asayansi kudziwika 14 serotypes wa Ureaplasma, omwe analekana ndi katundu ndi tizilombo mu mitundu ikuluikulu iwiri: parvum ndi urealyticum. Origin zikuphatikizapo 1, 3, 6 ndi 14 serotypes. Monga mmene ankaganizira poyamba, kuti angathe kuyambitsa sanali gonococcal urethritis anthu, pamene lachiwiri amachititsa njira yotupa a dongosolo genitourinary amai ndi kusintha nthenda mu akhanda. Komabe, deta kwa zaka za kafukufuku ndi mchitidwe sizinachitike anatsimikizira, kotero asayansi kupitiriza kuphunzira Ureaplasma spp, parvum, urealyticum (t960).

Njira matenda

Popeza ureaplasmosis amatanthauza matenda a dongosolo genitourinary, njira yofala HIV ndi mosadziteteza kugonana nawo. Monga ulamuliro, ngati mwamuna kapena mkazi ali ndi thanzi labwino chitetezo, mpata wa matenda ndi chitukuko cha matenda ndi m'malo waung'ono, koma alipo. Anthu ndi chitetezo wofooka, chiopsezo kumawonjezera kangapo.

Njira ya chiwiri ya kufalitsa Ureaplasma spp. (Parvum, urealyticum) ndi otchedwa ofukula njira kwa mayi kwa ana akhanda. Focus ayenera chakuti njira imeneyi matenda ali masikimu angapo kuchepa.

1. magawo oyambirira mimba - thumba amniotic malinga matenda intrauterine. Zikatero, ureaplasma ali waikamo mu mapapo wosabadwayo, kenako anayamba zikupitiriza ndi woyesetsa mmene tizilombo pa mwana wosabadwayo.

2. Kwa mimba ndi matenda akhoza kulowa mu thupi la mwana wosabadwayo ndi hematogenous: pogwiritsa latuluka kapena kudzera zipangizo za mchombo umbilical. matenda yoopsa zingachititse chorioamnionitis, kufalitsa tizilombo toyambitsa matenda ziwalo zina ndi chibayo kobadwa nako.

3. Infection akhoza kumachitika nthawi ndimeyi mwana ndi mayi njira generic. Zikatero, pali kulamulira tizilombo pa khungu la ana akhanda, komanso pa nembanemba wa nembanemba wa mucous ndi kapepala kupuma.

4. chatha koma imodzi mwa njira zina kusamutsa DNA Ureaplasma spp., Achiritsa limba kupatsa. Ngakhale mosamala bwino ndi chiphasochi, mwatsoka, Zikatero ali kale.

diagnostics

Ureaplasma kudziwa kwake mu thupi la munthu tsopano akhoza kugwiritsa ntchito 5 zilipo njira yodziwira. Woyamba ndi zofala kwambiri ntchito - ndi bacteriological seeding. Tsiku ndi tsiku, ntchito kutchedwa chopaka. Amatengedwa ku nyini kapena mkodzo. Njira imeneyi imagwira wa Kupeza Vuto zophweka kwambiri ndi ndalama, koma si bwino kwambiri. Inde, pamaso pa ureaplasma kapepala kakuti urogenital sasamalira yeniyeni matenda chithunzi cha chitukuko ndi pathogenicity wa wothandizila izi mu thupi. Koma ngati zotsatira za kuwunika uyu anali wotsimikiza, ayenera kupenda ndi njira Mkhalidwe matenda. Kuti tichite zimenezi, madokotala amalangiza kutsatira zasayansi ndi kuyesedwa kwa zimene immunofluorescence mwachindunji kapena mozungulira. Ngati dotolo amakhulupirira kuti kwambiri nkhani matenda njira, ndi bwino pochitika Elisa kapena PCR ndondomeko. The chifukwa cha phunziro lino osati anatsimikizira pamaso pa Ureaplasma spp (Qual.) DNA mu thupi, komanso kupereka uthenga kukula kwa kufala kwa matenda. Ndipo zimenezo, adokotala athe molondola kwambiri kusankha mankhwala.

The owopsa ureaplasma pa mimba?

Popeza mtundu wa tizilomboto mokwanira kufufuza, pali zambiri zosiyansiyana maganizo a akatswiri pa momwe bwanji Inde mimba ureaplasma. Komabe, kuyambira zokambirana lonse asayansi dziko tikuona ochepa maganizo ofanana zotsatira za mtundu wa tizilombo pa thupi la mayi woyembekezera ndi mwana.

Woyamba anatsimikizira mfundo zikusonyeza kuti Ureaplasma urealyticum mwachindunji ndi kusintha pathological wa Ukalawu ndipo kwambiri kumaonjezera ngozi ya mimba ectopic.

Koma zochitika, ureaplasma spensis chifukwa cha chorioamnionitis, ndi moyenera, asanakwane ntchito mimba mochedwa ndi mimba mu trimester. Nthawi za anthu odziwika bwino pambuyo partum endometritis ngakhale pambuyo gawo cesarean. Koma Dziwani kuti mavuto amenewa pangabuke pokhapokha ngati intrauterine matenda ureaplasmas osati kulamulira ukazi ndi mabakiteriya.

Madokotala ena zimachitika masiku ano tizilombo toyambitsa matenda ndi otsika kubadwa kulemera mwana. Nthawi zambiri za akhanda masekeli zosakwana 2.5 makilogalamu, ndipo zikuoneka Ureaplasma spp. Ndi chiyani icho - anakhazikitsa ndi kutsimikiziridwa mfundo kapena maganizo mpaka sitingathe kunena Akatswiri.

Kukula kwa matenda thupi

Childs, matenda ndi chulutsa ureaplasmas thupi asymptomatic kwathunthu, koma zimenezi zikugwira ntchito ndi anthu athanzi. N'chifukwa chake anthu ambiri amaganiza, zotsatira «Ureaplasma spp.», Kuti ndi mtundu wina wa kulakwitsa kapena nthabwala zoipa. Komabe, mfundo ndi wankhanza kwambiri, ndipo ngati dotolo akuonetsa mankhwala, muyenera yomweyo kuyamba chithandizo mpaka tizilombo ndiribe anayamba kuwononga thanzi.

Mosakayikira, munthu ndi chitetezo chokwanira amphamvu angathe kukhala nthawi yaitali osati kudziwa za matendawa. Komabe, pa wonongeka pang'ono mu chitetezo cha m'thupi mwa maonekedwe loyamba Ureaplasma ndi matenda a kugwira ntchito genitourinary satenga nthawi yaitali kudikira.

Mawonetseredwe ureaplasmosis amuna

Mu amuna, mawonetseredwe loyamba ureaplasmas kuchita zinthu zolimba zambiri urethritis ndi zimasonyeza kutupa mu mkodzo ndi. Poyamba, amapereka kusapeza kukomoka pamene akukodza, yomwe ingathe kukhala lakuthwa woyaka kutengeka ndi ululu kwa masiku angapo. Komanso kuoneka mucous madzi kumaliseche kwa mkodzo pamodzi ndi zizindikiro khalidwe prostatitis, zikusonyeza kupitirira kwa matenda. Ngati ayi mwamsanga anayamba chithandizo, kudzakhala kovuta kwambiri kubwezeretsa magwiridwe a ziwalo zoberekera zimenezo. Popeza mankhwala zofunika munthu anamuopseza mpheto ndi osabereka.

Monga akuwonetseredwa mu akazi ureaplasmas

Pamene azimayi chitukuko cha ureaplasma mu thupi lawo ndi ofanana. Poyamba, ululu akuwonetseredwa mu mkodzo, ndiye amaoneka kumaliseche mucous ku fungo lakuthwa ammonia. Panthawi yogonana mkazi angamve osati wovuta, komanso chisoni chifukwa cha kutupa mucosa chinawonjezeka kudziwa amadza makina. Anasonyeza pang'ono, ululu pamimba m'munsi limasonyeza kufala kwa matenda chiberekero, tingayambe endometritis ndi adnexitis.

ureaplasmas chithandizo

Popeza mankhwala, musaiwale kuti ndi Ureaplasma spp. Kuti kwambiri moti, inu adzatiuza dokotala nawo. Iye anafotokoza kuti ureaplasma - ndi matenda a onse awiri. Choncho, aliyense adzakhala ofuna kudutsa ndi matenda mabuku kwa mukulemba tizilombo ndi kudziwika-matenda Co. Pambuyo pake, dokotala mankhwala munthu chithandizo chakudya. Mu nthawi ya kumwa mankhwala n'kofunika kukana kwathunthu kwa kugonana, ngakhale ntchito chotchinga kulera.

Monga ulamuliro, ureaplasmosis anatumizidwa mankhwala opha tizilombo, koma pali nsomba. Chinthu ndi tizilombo n'zosavuta kwambiri kuti azolowere mankhwala, kotero mphamvu ya mankhwala ndi zina zochepa ziro, ngakhale atalandira maphunziro angapo a mankhwala. Kupewa mtundu uwu vuto, ayenera kuyesedwa kwa kudziwa mankhwala ureaplasmas. Ndipo pokhapokha odwala akhoza mankhwala mankhwala Tetracycline "Doxycycline", "Tetracycline" macrolides "Vilprafen", "Azithromycin" kapena fluoroquinolones "pefloksatsina", "Ofloxacin".