Mixed chirwere: kuongorora chirwere uye kurapwa

Complex zviitiko pakubhadhara vakavhengana zvirwere zvakaoma rokuongorora uye kunyange zvakaipa zvakawanda kudaro. Nekuti anogumbura maitiro aya ndiwo kuratidzwa vakavhengana noutachiona vana. Pasi zita iri rinoreva nhamba nemavhairasi uye utachiona, ichipa mawa yakawiriranwa rokuchinja hutano mwana.

Nokuti mumwe nomumwe vakavhengana Chirwere vakatanga nzira unokosha Analyses. Mixed chirwere dzinoratidzwa isiriyo inofananidza uchishandisa Elisa uye PCR nzira. Kakawanda unofanira abhadhare zviratidzo utachiona kana utachiona, kuti mberi kune wechipiri kurapwa.

Dambudziko zvakavhenganiswa nemavhairasi uye utachiona

Pakati akakurumbira chepabonde utachiona, dzinounzwa kwemabhakitiriya vakavhengana zvirwere, iyo kurapa iri kuoma nemhaka dzakasiyana siyana:

• chlamydia;
• ureaplasmas;
• gardnerellas;
• mycoplasma;
• gonococcal nemavhairasi;
• Candida;
• Trichomonas.

Pakazosvika kuratidzwa kwemabhakitiriya nemavhairasi anowedzerwa, ivo vanofanira kufungwa pakusarudza zvaimirirwa zvakaoma kurapa uye mhando zvinodhaka. Wrong yokusvika nechirwere kuchaita kuti dzenhema akanaka kana nhema nemigumisiro yakaipa. On pavo vakabatwa, pashure pacho pachava kudzokazve.

Pfungwa iri vanobhadharwa zviitiko apo dzakaonekwa yakavhenganiswa utachiona vana. Mukomana muviri inonyatsoziva simba nemishonga, uye kamwe kugamuchira zvinodhaka havafaniri. Panguva utano nemiedzo chirwere raitongwa pamusoro refu mazita wanda.

Chii chinoitika kana musanganiswa utachiona uye mavhairasi?

Mixed chirwere ari mwana anogona inoumbwa nokusanganisa zvinotevera maviri:

• Mabhakitiriya - mabhakitiriya;
• Mabhakitiriya - nemavhairasi;
• nemavhairasi - nemavhairasi;
• Tupukanana - Mabhakitiriya;
• tupukanana - tupukanana;
• tupukanana - nemavhairasi;
• zvikuru kunzwisisa nomukaka.

Kana monoinfection kare akadzidza empirically akasimbisa dzinokosha zviratidzo chirwere, wakasanganiswa chirwere kungazviratidza sezvo chinhu. Marudzi anotevera miedzo:

• kwakadaro chirwere kungava mwoyo kubatsira mumwe uye tora zvose asymptomatic uye pasina matambudziko;
• mubatanidzwa kunzwisisa kuti nemavhairasi, mabhakitiriya uye tupukanana kukonzera itsva inoti, kwete rokuongorora;
• chinovhiringidza pamusoro chenjera zviratidzo zvinozarurwa panguva monoinfection kunoitika kuburikidza masero zvirwere mauto muviri unimodal;
• Kazhinji pane nokukurumidza pave kwazvo zviratidzo, kungowira kuti vazvidavirire nokuda mawa negashiro yakawanda zvinodhaka.

Chii kutarisira pashure vaiitawo mabhakitiriya uye mavhairasi?

Somugumisiro anofambidzana yakaoma, kunyange kusanganisira mhando mbiri zvigare, itsva dzaiumbwa yakavhenganiswa chirwere. Kutsunga zviratidzo kunotanga diagnosing mukuru mamiriro nhengo. Mumwe munhu achava zviratidzo kuzvimba yavo mushure chirwere.

Kwazvo zviratidzo kuitika chete vashoma vanhu vamwe kuzvimba kunoitika ataurwa yavo. Asi interrelation zvirwere kana zvichibvira duku mukana wokuburitsa kuitika chinovhiringidza kana ikure chakasimba ezvinhu. Saka, kusunungurwa kutapukirwa vakavhengana kuti mukwanisi mumwe:

• gwirikwiti, diphtheria;
• meningococcal chirwere + besa;
• streptococcus uye TB;
• paratyphoid + fivha.

Zvisinei, kuwedzera zviratidzo hariwanikwi munhu nyore kuwedzera mutemo, uye nokusingaperi-yekushandura muzvarirwo okukura. Izvi zvinoomesa paumbwe nhamba zvirwere uye neimwe nyaya zvinoberekwa nomumwe ainoita murwere hanya.

Triple musanganiswa mabhakitiriya

yakavhenganiswa chirwere rinowanzoshandiswa kuumbwa pasi pokudzora:

• ureaplasmas;
• chlamydia;
• mycoplasmas.

Izvi mhando nhatu utachiona vari nyore pabonde pakati pavakadzi nevarume. Ivo kukanganisa nemamiriro mudumbu vakadzi vane pamuviri uye vanogona kuenda mwana nezveramangwana pavaizvarwa.

Chirwere pamuviri vanofanira kuva nechokwadi kuti ichisanganisira rakakura mazita nezvirwere, kudzivisa kukura yematambudziko. Mhando idzi mabhakitiriya vari dzinenge nguva dzose achiperekedzwa Candida uye vakadzi gardnerellami. Treatment vakatanga nokuparadzwa wokupedzisira zvigare, yezwi nemishonga akasimba akanga akatakurwa kunze gare gare.

Mhando Mixed mabhakitiriya uye mavhairasi ave asingazivikanwi siyana kuti kuonekwa zviratidzo itsva. Migumisiro ezvinhu akadaro anenge nguva yava chinotevera wava kusvutazve. Kutapata kuti kurwiswa nekatatu kazhinji kusagadzikana.

Kutapurirana utachiona tupukanana

The nzvimbo munyika nemiriwo gobvu kuchamhembe vari akawandisa vanhu vakambova chikwata yakavhenganiswa chirwere: Streptococcus pneumoniae, meningoencephalitis pamuShuramiti borreliosis. zvirwere izvi vatatu chirwere panguva dzakadaro zvakaoma nokuda ibatanidzo duku zviitiko inoitwa zvaanorumbidza varwere chakasimba ezvinhu. chete vamwe vavo;

• Kukura kushoma kunoitika nokukurumidza, nezviratidzo nefivha.
• Kazhinji akaumba lesion pamusoro articular munyama.
• Fever achiperekedzwa nomusoro uye kurutsa.

In wakasanganiswa mhando kuti chirwere pamwe nenhamba yakarurama hazvibviri. Treatment anotanga kunyanya kurapa, kusanganisira zvinodhaka pamusoro utachiona zvose. Picture of chirwere hunobuda mazuva chete pashure 14.

nokusanganisa nemavhairasi

zvinoderedza simba kutapata muvana kuitika, kana pane zvakasiyana-herpetic chirwere. Kuongorora varwere akanga kuitwa nezvemarudzi maviri nemavhairasi:

• Epstein-Barr + cytomegalovirus.
• Epstein-Barr + herpes simplex mhando.

Two nemhando nemavhairasi vakasimbisa monoinfections zviratidzo. Panguva zvakawanika kuziva huru chakasimba ezvinhu:

• Abnormalities muuropi, kukura chepfungwa zviratidzo vana.
• Pane matambudziko kusimukira lymphocytes.
• Mikana kutenga zvimwe nemavhairasi uye utachiona. The muviri rinova simba kurwisa dzimwe tusingaoneki.
• The chidzoke zvinetso womukati munyika zvomudumbu ino: kutanga kukura nemaronda, erosions yomukati masvingo zvomukati.
• Inosimudzira kakawanda herpes zvirwere wava kusvutazve.
• Mikana yokumusoro zvirwere kufema turakiti.
• Kutyorwa mwoyo uye nechepakati tsinga.
• Uyewo, pane dambudziko racho ropa masero machena.

Mixed hweHIV herpes nemavhairasi ngozi kwazvo kuvakadzi vane mimba uye vanhu vane zvirwere zvirwere. Zvisinei, zhinji zvaanorumbidza dzakatangwa kurapa kunobudirira akapa yakarurama zvawanikwa.

Matambudziko ari kufema turakiti

Kunopiwa yakavhenganiswa chirwere nemabayo + notumwe (mbiriso kana Mouldy) kana mubatanidzwa nevamwe tusingaoneki. Chirwere uye nemavhairasi zvinokonzera nyonganyonga mune zvimwe zviitiko, kuti yakawiriranwa chinovhiringidza zviratidzo, apo munhu akaparadzana rudzi kwaizounza zvakawanda chakasimba ezvinhu.

Nokudaro, kwakajairika chikosoro pamwe yokunyatsoongorora kungava muzvizhinji pakati mabhakitiriya anokuvadza, izvo zvinofanira kuparadzwa asati kukura kupfuura akatekeshera utachiona. Ngozi dzinovhiringidza ndedzinotevera mhando nemavhairasi, mabhakitiriya:

• nechirwere chenjera kufema nemavhairasi chirwere;
• akawana chlamydia ari bapu;
• vanozivikanwa zvatichiri nemabayo ;
• Toxoplasma.

Nokusanganisa zvose izvi ezvinhu zvinouraya. For kurapwa vakasarudzwa zvishoma nezvishoma kukanganisa zvikuru kushingaira chezvinonhuwira kwenguva nenguva apiwa vanogara nemiedzo kuti utachiona. Nzira idzi dzinowanzopiwa asina kwakabatsira, uye vana akaumba inorema migumisiro vakavhengana zvirwere:

• rakapinza kuwedzera kupisa pamusoro madhigirii 39;
• kurutsa, kuda kurutsa, kupfupika mweya;
• manyoka alternated pamwe kupatira;
• vaichengeta zvatichiri maronda vaikudzwa kufema turakiti;
• Kumwe kuchinja kunotanga mu zvomukati.

vakavhengana utachiona uye mavhairasi chirwere dambudziko

Panguva monoinfections vakaratidza zviratidzo rokuongorora kudiwa zvose zvinogoneka utachiona. Asi nzira pakuongorora varwere akadaro anokosha chaizvo uye havasi vose vanogona kuchitenga. In tsika, kazhinji ushandiswe nemiedzo kuti nemavhairasi zvikuru uye utachiona. Dzimwe nguva anobvisa mukana parasitic yematambudziko pasina mumarabhoritari nzira.

Somugumisiro, mumwe kwawakananga kurapwa mune rusarura rimwe rudzi ari utachiona hwakakura kwevanhu mune ramangwana kune inodzokororwa kuzvimba nenzira yakaoma chimiro. To musi, zvakavhenganiswa chirwere vasina kudzidza zvakazara, pamusoro munda uyu mushonga kunge asi kutarisana mhando itsva nemavhairasi shamwari, mabhakitiriya uye tupukanana.

Mixed etiology muvana

Dambudziko zvakavhenganiswa zvirwere kunonyanya chakasimba pakurapa vana vachangoberekwa. Pfungwa rwakabhadharwa kuna kudzidza muviri mamiriro zvakawanda zvichiitika muchero. Intrauterine chirwere kunotungamirira wemigumisiro inosuruvarisa kuvakadzi vane mimba. Vana vanova akaderera, vane chirwere vari kukura kwavo.

Zvinokonzera kufa vachangozvarwa inofambidzana zvisakakwana achivhara kuti utachiona ane mamiriro chirwere. kurapwa ari kwaiwanzoitwa pamusoro kupfuura yokuvamba utachiona uye mavhairasi pasina dzimwe nyaya yakawiriranwa simba. Govera systemic wakurukura pavarwere vane vakavhengana noutachiona akaumba zvinotevera marudzi nevamiririri:

• herpes simplex nemavhairasi + cytomegalovirus;
• herpes simplex nemavhairasi + Epstein-Barr + cytomegalovirus.

Izvi anofambidzana Zvirwere vanopfuura 50% kubva vachangoberekwa.

Yakarurama kusvika kurapwa

Siya pathological yematambudziko vana zvinobvira chete misoro kuongorora pamusoro kuwanda utachiona. A chirwere nzira inosanganisira marudzi anoverengeka bvunzo kwakadaro chirwere. Re-Kuongorora inoitwa imwe nzvimbo kwakawanikwa yakanaka. Izvi zvinodiwa vanachiremba vanofanira kubvisa zviratidzo zvenhema.

Nzira kurapwa inovakwa kufungisisa zvinotevera:

• mishonga yakawiriranwa rokuchinja mumwe;
• kushandiswa antibacterial uye antiviral zvinodhaka, precluding ikawanda nemishonga;
• mabatiro zvikuru vanoshingaira siyana, zvichiteverwa nokudzokorora ane pamusoro dzakaonekwa zvirwere.