Gardnerellez ho basali - lefu lena le tšoaetsanoang le amanang le dysbacteriosis ea tikoloho ea botšehali, e tsamaeang le lekala le phahameng la gardnerella le ho se be teng / ho fokotseha ho hoholo ha batho ba libaktheria tsa lactic acid. Chronicnerellez e isa ho mafu a tšoaetsanoang a litho tsa pelvic, botšehali, endometritis, ho nkoa e le ntho ea bohlokoa bakeng sa ntshetsopele ea adnexitis (ho ruruha ha li-tublopian tubes le mae a bomme), mathata a tebileng nakong ea ho pepa le ho ima.
Gardnerella ho basali: sesosa sa
Gardnerella vaginalis (sehlopha sa banaerobese tse ikemetseng) ka chelete e fokolang e lula e le teng ka microflora ea botšehali, ntle le ho baka khathatso le matšoao a gardnerellez. Bajari ba Gardnerella vaginalis ke 25-45% ea basali ba phetseng hantle ba lihlopha tse fapaneng. Ho atisa ho sebetsa ha gardnerella tlas'a tšusumetso ea lisosa tse sa tsitsang le tse ts'oanang le ho etsa hore ho be le limela tsa lactobacilli le ho nkela limela tse tloaelehileng tsa Gardnerella vaginalis. Ka lebaka leo, mathata a ts'oaetso ea likokoana-hloko tsa mucosa a ntse a tsoela pele, thepa ea oona e sireletsang le lits'ebetso ho lisele tsa phetoho ea sephetho sa botšehali. Gardnerella e hlahisa li-amino acid tse ngata le li-acid tsa pyruvic, tse hlokahalang bakeng sa likokoana-hloko tsa phepo bakeng sa phepo e nepahetseng le metabolism. Nakong ea decarboxylation ea li-amino acid liphiring tsa botšehali, li-amine tse nang le monko o sa thabiseng oa litlhapi tse bolileng li lokolloa.
Etiology ea gardnerellez:
- tloaelo e tloaelehileng (ho hlatsoa ka lactobacilli);
- tšebeliso ea li-antiseptics tse nang le chlorine (Miramistin, Gibitan);
- ho sebelisa lithibela-pelehi tse nang le 9-nonoxinol (likerese tsa Patentex, Nonoxinol);
- ho kopanela liphate likamanong tsa thobalano;
- ho ja ka tsela e sa utloahaleng ea lithibela-mafu;
- mafu a tsamaiso ea urogenital;
- ho pepesa mahlaseli a nako e telele;
- mala a mala a dysbiosis;
- ho hlōleha ha hormonal. Mosebetsi oa mae a bomme o etsa mosebetsi oa ho hlahisa lactoflora. Karolo ea li-hormone e hlalosang li-gardnerellosis e hlalosa hore hangata lefu lena le fumanoa lilemong tsa bocha (lilemong tsa 14-18) le nakong ea ho ipolaea;
- ho fokotsa ts'oaetso ea tsamaiso ea 'mele ea ho itšireletsa mafung ho batho ba tšoaetsanoang;
- kamohelo ea ho imeloa kelellong, litokisetso tsa hormone.
Gardnerella ho basali: matšoao
Ntho e ka sehloohong ea lefu lena ke ho ba sieo ha ponahalo ea ntle ea ho ruruha ha marako, ka 50% ea bakuli gardnerellez e tsoela pele ka matšoao a koahetsoeng. Ho hlahlojoa ha li-colycopic ho senola dystrophic deformations hammoho le mekhoa e sa tloaelehang mokokotlong. Ka linako tse ling ho na le tsela ea ho itšireletsa ea lefu lena - ho hloka thuso ka ho feletseng litabeng tsa bophelo bo botle ka morao ea liteko tse ntle tsa laboratori. Matšoao a hlakileng a gardnerelleza: ho tletse mahlaseli a mosehla a ts'ebetso e tsitsitseng, monko oa litlhapi tse bolileng, bohloko / ho tsosoa ka makhethe.
Gardnerella ho basali: kalafo le kalafo
Ho fumanoa ha "gardnerellez" ho thehiloe ho data ea anamnesis, ea kalafo le ea ho hlahloba - pH-metry (kutloisiso 80-99%) le ho feta. Ha ho hlahlojoa gardnerellosis, tlhahlobo e eketsehileng e lakatsa haholo ho qoba mafu a tšoaetsanoang ka thobalano - herpes ea genital, gonorrhea, trichomoniasis.
Lenaneo la ho phekola le na le mehato e 'meli:
- Ho felisoa ha tšoaetso le ho ruruha ho amanang. Li-gardnerelles li khahlanong le kaminoglikozidam, sulfonamide, tetracyclines, cephalosporins; hloko ho cClindamycin le ampicillin. Meriana ea khethollo ke Clindamycin le Metronidazole. E le ho potlakisa ts'ebetso ea ho fola, ho etsoa immunotherapy. Ho kgothaletswa ho qoba thobalano ntle le ts'ebetso ea likhohlopo bakeng sa nako ea ho noa meriana.
- Ho tsosolosoa ha microbiocenosis e tloaelehileng ea botšehali. Etsa li-eubiotics (Bifidumbacterin, Acilactum, Lactobacterin), e leng se etsang hore kholo ea lactoflora ea tlhaho e be teng 'me e tlatsetsa ho fokotsa palo ea ho khutla ha lefu lena.
Gardnerella nakong ea bokhachane
Lefu lena le fumanoa ka 15-25% ea bo-'mè ba lebeletseng. Tlhahlobo ea tšoaetso ea intrauterine nakong ea bokhachane ha e sebetse - mekhoa e sireletsang ea 'mele oa' mè e sireletsa lesea ho tsoa tšoaetsong, empa li-gardnerelles li thibela ho itšireletsa mafung, e leng se ka lebisang mathateng a fapa-fapaneng: tsoalo pele ho nako, tsoalo ea pelepartum sepsis, chorionamionitis. Haeba gardnerella e fumanoa tlhahlobisong, ho hlokahala hore hang-hang u qale kalafo ka Trichopolum, Ornidazole, Metrogil kapa Metronidazole le ho nka probiotics. Lenane le nepahetseng le khethoa ke ngaka e eang ka ho toba.
Gardnerella ho basali: kalafo lapeng
Pele o qala kalafo ka thuso ea mekhoa ea batho, ho kgothaletswa hore o iteanye le ngaka ho qoba mathata le litla-morao. Phekolo e lokela ho etsoa tlas'a tlhokomelo ea bongaka ka tlhahlobo ea laboratori ea boemo ba hona joale bo botle ba mokuli. Ho iphekola ho ka ba kotsi!
Moro ho tloha ho phytospores:
- nka karolo e lekanang le motso oa althaea, joang bo motsoako, clover e monate, makhasi a nettle, blueberries, lipalesa tsa lavender, pine buds. Likotlolo tse tharo tse kholo tsa pokello ea ho bokella metsi a nang le litha e le nngwe tsa metsi a belang, pheha mocheso o itekanetseng ka metsotso e 10-15, tšela ka thermos, tsitlella lihora tse 10-12. Sebelisa lilithara tse 120 bakeng sa metsotso e 30-40 pele u ja motšehare;
- ho kopanya ka tekanyo e lekanang le joang ba samente, mariha a mariha, mahlo a hlakileng, makhasi a eucalyptus, 'mè le-bo-'mè oa lenyalo la bobeli, lipalesa, lipalesa tsa clover, tansy, motso oa badana. Tšela litepisi tse tharo tsa pokello ka litha e le nngwe tsa metsi a belang, pheha metsotso e 10-15, tsitlella ho thermos lihora tse 10-12, nka lilithara tse 120 pele lijo tsa motšehare.
Tampons:
- itokisa tharollo ea asene ea cider (teaspoon) le lero la karoti (khabapose), e kenyelletsoa ka lesela la mahlakoreng, u kenye botšehaling ka metsotso e 20-25;
- lokisetsa motsoako oa oli-buckthorn / oli ea mohloaare le lero la lekhala (1: 1), kenya sesebeleng sa gauze ho kenya botšehaling bakeng sa lihora tse 10-12.
Ho phomola ho itlhatsoa ka nako e telele:
- lipalesa tsa marigold, chamomile, makhasi a linate, oak bark.
Tee ea meriana e matlafatsang ho itšireletsa mafung:
- quince (1 sekotoana), lemon (sekhahla se le seng), garlic (meno a 7-9), cherry e ncha (2 linoelo), liapole (likotoana tse 2), metsi (2,5 a etsang dilitara tse). Lisebelisoa ka botlalo, senya, kopanya, tšela metsi a belang. Noa makhetlo a 100-120 milliliters 4-5 ka letsatsi.
Ho thibela gardnerelleza ho basali:
- ho ba teng ha molekane e mong oa thobalano, bophelo ba thobalano bo laetsoeng;
- ho felisa thobalano e sa tloaelehang;
- ho boloka bohloeki bo haufi-ufi, ho nkeloa sebaka ka lisebelisoa tsa nakoana nakong ea khoeli;
- ho matlafatsa tšireletso;
- ho apara liaparo tsa ka tlaase tse entsoeng ka thepa ea tlhaho;
- ho phekoloa ka nako e nepahetseng ha mafu a ho ruruha a litho tsa maiketsetso.
Gardnerella ho banna
Ho tšoaetsoa ha motho haholo-holo ho etsahala nakong ea li-coitus le sesebelisoa sa basali sa gardnerella. Tsela ea ho fetisetsa tšoaetsano ea malapeng (ka letsoho la letsoho, ho soma, sauna / bath) ha e kenyelletsoe. Lintho tse hlalosang li-gardnerellosis ke banna: mafu a tsamaisanang le genitourinary system, phekolo ea antibacterial, tšebeliso ea li-immunosuppressants, ho fokotseha ha mosebetsi oa immunological ka lebaka la bothata ba 'mele / khatello ea kelello. 'Meleng, banna ba gardnerella ba phela ka nako e telele ba ke ke ba tlosoa matsatsi a 2-3 ka mor'a ho otla. Ka 7-10% ea linyeoe, banaerobes ba lieha ka lisele tsa li-urological - ho amana le gardnerella balanoposthitis (nonspecific urethritis).
Gardnerlellosis ho banna: matšoao
Maemong a mangata, ho bokolloa ha litho tsa botona kapa botšehali ke Gardnerella ha ho fane ka matšoao a matšoao a bohlokoa. Hangata lefu lena le iponahatsa ka ho chesa / ho khathatseha nakong ea ho tlotsa metsi, ka li-secretions tse se nang metsi tse nang le monko oa litlhapi.
Mathata:
- prostatitis;
- vesiculitis (ho ruruha ha li-seminal vesicles);
- urethritis (ho ruruha mokokotlong).
Ho lemoha le ho alafa bakeng sa gardnerellosis ho banna
Mekhoa ea ho hlahloba e kenyelletsa: ho ithuta ka ejaculate, motsoako, ho khutsisa ha prostate, ho hlakola ho tloha porethra ea polymerase chain reaction (tse khethehileng 98%). Tlhokomelo ea meriana e khethoa ka bomong, ho nahanngoa ka ho ba teng / ho ba sieo ha mafu a khotsofatsang le ho hanyetsa ha moemeli oa causative ho lihlahisoa tsa meriana. Emela Levofloxacin, Clindamycin kapa Doxycycline. Nakong ea ho noa meriana, ho kgothaletswa hore o latele dijo tse hlahisang ho hanela joala, mafura, ho tsuba, lijana tsa linoko. Litšoantšong tse matla tsa lefu lena, li-immunostimulants li sebelisoa ho tsosolosa mucosa le ho eketsa karabo ea 'mele oa' mele. Ho ea ka litlhaloso li behiloe khahlanong le lithethefatsi tse fokolang, li-complexes tsa microelements le livithamine. E le ho qoba ho tšoaetsoa hangnerella, ke habohlokoa ho latela mehato ea thibelo: qoba ho kopanela liphate le mosali ea tsamaya khoeli, sebelisa khohlopo ha u kopanela liphate le molekane ea sa nyalanang.
Gardnerelosis ho basali ke mokhoa o tloaelehileng oa ho fokola ha tikoloho ea botšehali, e hlokang ho hlahlojoa ka mokhoa o nepahetseng le phekolo e feletseng. Haeba ho fumanoa tlhekefetso ea microflora ea botšehali, ho hlokahala hore u fumane phekolo e loketseng - sena se tla thusa ho qoba mathata nakong ea bokhachane le ho beleha, boloka bophelo bo botle ba ho ba le nako e telele, le ho ntlafatsa boleng ba bophelo.