Ureaplasma spp. - Chii? Zviratidzo, kurapwa uye migumisiro

Mazuvano, kashoma kuti mumwe munhu anoteerera chiremba dzinoenda uye rinoreva yokurapwa masangano chete nokuda ongororo. Kazhinji, enda kuchipatara chete pashure panowanikwa zvinetso zvoutano, uye vamwe vavo vari nyaya dzakadaro vanosarudza kuzviremekedza kurapwa. Akadaro ratyama atinoitwa utano hwavo vanogona kuunza taisireva. Uye paunofunga kuti vazhinji chirwere achiri Danho hariwaniki, matanho unyatsova kukosha. Saka, nguva kuziva pamberi Ureaplasma spp. Zvichaita kudzivisa zvirwere zvizhinji pelvic varume uye akanaka pabonde. Uye kana vaviri emakore apfuura ureaplasmosis, maererano nenyanzvi, hazvina ngozi utano, asi nhasi zviri kuonekwa kunokonzera zvinetso zvakawanda genitourinary hurongwa.

Karwendo kupinda kare

Pakutanga rokupedzisira remakore ureaplasma dzakaonekwa muvanhu, havaiti kukonzera kutya pakati nyanzvi uye vaiona somumwe mhando benign mycoplasmas. Asi pamusoro nenguva zvidzidzo akawanda dzakaratidza kuti ichi mhando microorganism ane anokwanisa ureolizu uye, naizvozvo, ndiro causative mumiririri kuti zvirwere zvakawanda. Kusvikira 1958 zvakafungidzirwa kuti ureaplasmosis vanhu havagoni kuva, sezvo chete munhukadzi chirwere, asi zviri pachena kuti paiva kuramba.

Chii wose anofanira kuziva pamusoro ureaplasma?

mubvunzo wokutanga kuti unovapo muvanhu vari Detective Ureaplasma spp - chii? How ngozi ndiyo chirwere ichi uye sei kurapa nayo? mibvunzo yose iyi vane mhinduro.

Saka, chinhu chokutanga unofanira kuziva: kwakadai Micro-zvinenge aripo anenge ose wenyama, uye anogona zvikuru nyore kuwirirana nevamwe bacteria harmlessly. Asi izvi hazvirevi kuti nechirwere kuvapo vakadaro "wechipfuwo shamwari" haisi zvakakodzera. Mushure kuchangotanga nekumwisa utachiona zvibodzwa mashoko pavanoparidza wacho muviri kunogona kukonzera maitiro vakawanda zvirwere.

Chechipiri, unofanira kuziva kuti chii chinonzi Ureaplasma spp. Chii chinogona kuudza chero nyanzvi. Saka tinoti boka wakananga Micro-zvinenge, asi nokuda kwavo chaiyo achitaipa zvaida tichiongorora. ichi okuwedzera chirwere chete achasarudza kuti chavanopinda utachiona dzakaonekwa mune rimwe huripo mhando mbiri yavo chaiyo zvibozwa. pashure chete kuti, chiremba achasarudza chakakodzera asingaurayiwi kurapwa uye rutsigiro zvinodhaka.

Types Ureaplasmas spensis

To musi, masayendisiti anozivikanwa 14 serotypes pamusoro Ureaplasma, izvo vanoparadzaniswa ne pathogenic ehupfumi kupinda mhando huru mbiri: parvum uye urealyticum. Origin zvinosanganisira 1, 3, 6 uye 14 serotypes. Sepakutanga vakafunga, kuti anogona kukonzera isiri gonococcal urethritis nevanhu, asi wechipiri chinokonzera anogumbura dzinotsanagura genitourinary wemuTesitamende vakadzi uye kanganisika kuchinja achangozvarwa. Zvisinei, mashoko makore pakutsvakurudza uye tsika vasina yasimbiswa saka masayendisiti uchidzidza Ureaplasma spp, parvum, urealyticum (t960).

Nzira chirwere

Sezvo ureaplasmosis anoreva zvirwere zviri genitourinary ino, nzira inonyanya zvinowanzovapo yedzimudzangara kudzivirirwa kurara kuonana. Kazhinji, kana nomumwe ane zvakanaka utano rokuzvidzivirira, mukana neutachiona uye kukura chirwere zviri nani duku, asi nanhasi iripo. Kana vanhu vane simba zvirwere, ngozi kunowedzera kanoverengeka.

nzira The wechipiri kuparadzira Ureaplasma spp. (Parvum, urealyticum) ndiye anonzi wehunyambiri nzira kubva amai achangoberekwa. Focus zvinofanira kuva pamusoro chokwadi kuti nzira iyi chinouraya wandei makaita zvirongwa.

1. tanga pamuviri - iri Líquido saga akapa kuti intrauterine chirwere. Muzviitiko zvakadaro, ureaplasma vari iiswe nemapapu embryo, uye ipapo kutanga kuwanda uye kushanda kwavo pathogenic zvainoita azvarwa.

2. Munguva nhumbu utachiona vanogona kupinda mumuviri mudumbu kubudikidza hematogenous: kana kuburikidza placenta kana kuburikidza nhumbi achiine rukuvhute tambo. fetus chirwere chinogona kukonzera chorioamnionitis, ndokuwarira pamusoro pathogenic zvigare dzimwe nhengo uye vachiberekwa nemabayo.

3. Infection zvinogonawo kuitika munguva ndima mwana namai Generic nzira. Mumamiriro ezvinhu akadaro, hapana Colonisation zvigare pamusoro paganda achangoberekwa, uyewo pamusoro membranes ari mucous membranes uye kufema turakiti.

4. wokupedzisira asi imwe zvisingawanzoitiki nzira uchatamisa DNA Ureaplasma spp., Anoita nhego kuisirwa. Pasinei yakanakisisa zvokungwarira uye inspections, zvinosuwisa, zviitiko zvakadaro vakatobatana wakaiswa.

Diagnostics

Ureaplasma kuona kuvapo ari mumuviri womunhu zvino anogona kushandisa 5 iripo chirwere nzira. Wokutanga uye anowanzodanwa kushandiswa - iri bacteriological seeding. Muupenyu hwezuva nezuva, yaimbonzi ainzi zodzera. Zvinonzi kubva nyinyo kana urethra. Nzira yakadaro kuti diagnosing kupfuura nyore uye mari, asi haisi inonyatsobudirira. Zvechokwadi, kuvapo ureaplasma ari urogenital turakiti haripi zvakananga chirwere mufananidzo pakukura uye pathogenicity kuti vamiririri izvi pamuviri. Asi kana mugumisiro ongororo iyi yaiva yakanaka, zvinofanira kumwe kuongorora munhu Qualitative chirwere nzira. Kuti aite izvi, vanachiremba vanoti kushandisa kuti murabhoritari uye kuongororwa kuti maitiro zvakananga kana zvisina kunanga immunofluorescence. Kana chiremba anotenda kuti yokuongororwa nzira zvavataura, zviri nani kupfuura Elisa kana PCR nzira. Mugumisiro kudzidza ichi kwete chete akasimbisa kuvapo Ureaplasma spp (Qual.) DNA pamuviri, asi anopa mashoko pamusoro Nokuwanda kwakaita kupararira chirwere. Uye maererano, chiremba achakwanisa zvakarurama kusarudza kurapwa.

The ngozi zvikuru ureaplasma panguva pamuviri?

Sezvo uku kwakadai utachiona hwakakura haina zvakazara Akaongorora, pane zvakawanda dzinopikisana zvinofungwa nyanzvi sei kukanganisa nzira pamuviri ureaplasma. Zvisinei, kubva zvose izvi gakava refu masayendisiti venyika vanogona kuona zvishoma pfungwa yakafanana matambudziko ichi mhando mabhakitiriya ari muviri amai vanepamuviri uye mwana.

Wokutanga akasimbisa chokwadi kunoratidza kuti Ureaplasma urealyticum wakabatana zvakananga Kumwe kuchinja kunotanga yacho fallopian sepombi uye yekudyidzana kunowedzera mukana ectopic pamuviri.

Kana tsika, ureaplasma spensis chinokonzera chorioamnionitis, uye maererano, preterm vanobata mukupera pamuviri uye pamuviri rokutanga trimester. Zviitiko inozivikanwa post-partum endometritis kunyange pashure cesarean chikamu. Asi kuziva mutengo kuti matambudziko akadaro anogona simuka chete kana intrauterine chirwere ureaplasmas pane kusangana nekutsi kwemukadzi Colonisation pamwe utachiona.

Vamwe vanachiremba vaiti kuvapo izvi utachiona ane pasi nokuberekwa uremu mwana. Muzviitiko zvizhinji pamusoro achangoberekwa haaremi pane 2.5 makirogiramu, uye chaikonzera Ureaplasma spp. Chii - chokwadi kana zvekungofungira makasimbiswa uye nekusimba kusvikira hatigoni kutaura, sezvo tsvakurudzo mberi.

Kukura mumuviri utachiwana

Kazhinji, chirwere uye chokuwanziridza ureaplasmas muviri zvachose asymptomatic, asi ichi rinoshanda chete vanhu hwakanaka. Ndokusaka vanhu vakawanda vanofunga, kuwana mhinduro «Ureaplasma spp.», Kuti ndiye chikanganiso kana aitamba akaipa dzimwe mhando. Zvisinei, chokwadi ndechokuti utsinye, uye kana chiremba anokurudzira mishonga, unofanira pakarepo kutanga kurapwa kusvikira tusingaoneki havana vakatanga kukuvadza utano.

Pasina mubvunzo, mumwe murume ane simba kutapata kunogona kuva kwenguva refu kwete kuziva chirwere. Zvisinei, kuchangotanga atadze kushanda zvakanaka munyika zvirwere zviri kuratidzwa Ureaplasma uye zvirwere zviri genitourinary basa rokutanga haatori nguva kumirira.

Kuratidzwa ureaplasmosis varume

Varume, kuratidzwa wokutanga kuzvishandisa basa ureaplasmas kazhinji urethritis ndiye anoratidza kuzvimba ari urethra. Pakutanga, rinopa simba kusanzwa apo vanhurume, izvo zvinogona dzikava unopinza rinopfuta manzwiro uye marwadzo nokuda pezvizuva. Uyezve kuzviratidza mucous mvura zvinoerera kubva urethra pamwe zviratidzo maitiro prostatitis, zvichiratidza kuchinja chirwere. Kana kwete kukurumidza kutanga kurapwa, zvichaita chaizvo kudzosa functionality dzokubereka nadzo mumamiriro ezvinhu akadaro. Pasina anodiwa kurapwa murume vaityisidzira kusabetsera uye kushaya mbereko.

Sezvo akaratidza vakadzi ureaplasmas

Sezvo vakadzi, kukura ureaplasma mumuviri wavo rakafanana. Pakutanga, pachena kurwadziwa urethra, ipapo kuzviratidza mucous zvinoerera kubva unopinza amoniya kwakanaka. Panguva pabonde mukadzi anogona kunzwa kwete chete kusagadzikana, asiwo marwadzo kuti zviri kukonzerwa kuzvimba mucosa yakawedzera aikanganiswa zvokuimba zvazvinoita. Akaratidza paya, kurwadziwa rezasi mudumbu rinoratidza kupararira chirwere ari dumbu, izvo zvingaita kuti endometritis uye adnexitis.

ureaplasmas kurapwa

Sezvo kurapwa, musakanganwa kuti Ureaplasma spp. Kuti kwakakomba zvakakwana, iwe uchava kuudza kupinda chiremba. Iye rinotsanangurawo kuti ureaplasma - chirwere vacho vose. Naizvozvo, munhu wose anofanira zvakaitika misoro chirwere nokuti achitaipa zvigare uye kuziva miedzo co-zvirwere. Pashure paizvozvo, chiremba vanonyorera munhu kurapwa zvaiitwa. Panguva yose kunwa mushonga zvakakodzera kuramba zvachose zvepabonde, kunyange nokushandiswa chipingamupinyi pamuviri.

Kazhinji, ureaplasmosis basa asingaurayiwi kurapa, asi pane hove. The ndechokuti tusingaoneki ava nyore chaizvo kuti ajairane zvinodhaka izvi, saka kubudirira kurapwa dzimwe nguva airarama zero, kunyange pashure pakugamuchira akawanda yamabwe mishonga. Kuti tidzivise rokutambudzika mhando iyi, inofanira kuongororwa kuti aikanganiswa nemishonga ureaplasmas. Uye chete pashure kuti varwere vanogona kupiwa mishonga tetracycline "Doxycycline", "Tetracycline" macrolides "Vilprafen", "Azithromycin" kana fluoroquinolones "pefloksatsina", "Ofloxacin".