Neisseria gonorrhoeae: features, zvinobvira zvinokonzera uye kurapwa

Neisseria gonorrhoeae chinokonzera chirwere, rinozikamwa vanhu kubva kare. Hapana anoziva zita rakanga naye mumazuva iwayo, asi zvino chirwere kuzivikanwa mwandabvu. chirwere ichi chiripo padivi kutsva, rudo, pakarepo uchikwezvwa kana kugara kutsvaka nezvekufadza zvitsva. Asi pasinei munhu akasangana naye, vachitevera interlocutor wake chokwadi kuva chiremba.

mwandabvu

Neisseria mwandabvu iri miviri yakapoteredza masero kuti akasvibiswa aniline madhayi vari ruvara vaaleanpunainen. It ane gobvu-rukoko matatu rusvingo uye neshinda-zvakadai pezvakaitwa kuitira nayo yakachengeteka chaizvo mukati mumuviri.

Pashure kurova Neisseria wakaiswa mukati mutumbi bumbiro uye mucous kana kunyange seep kuburikidza navo. Asi rokuzvidzivirira asingadi kurara. In nzvimbo okutanga pakarepo kuuya leukocytes uye neutrophils, uye vari kutanga "kudya" wokumwe nevamiririri. Asi utachiona havafi, asi, mukati macrophages kunzwa zvakanaka, muwande zvinoita kukura chokutsva. Rawa mu dzisakarurama muhondo neutrophils vaunganidza uye yabudiswa muchimiro pus.

Nguva sezvainofamba, kuti node midziyo utachiona rinopararira kutanga pedyo nhengo, uye ipapo yose muviri. Gonococci vari chaizvo kugadzikana mumuviri womunhu. Vane chinhu kuti tidzivise zvinodhaka chiito. Utachiona tinoshandurirwa imwe L-chimiro, iyo inokwanisa refu kurarama mu mamiriro ezvinhu akaoma. Asi zvakatipoteredza Neisseria pfupi-akararama. Vanotya nokuomesa, dzokubikira, uyewo sipo.

Modes kuti hutachiwana uye incubation nguva

Neisseria mwandabvu anokwanisa kwenguva refu nguva haana unooneka mushure chirwere, saka kazhinji anokonzera chirwere munhu ane kosi Isimba rakadini rinogona kubudiswa chirwere. Pane nzira dzakawanda kuva hweHIV:

1. Sexual nzira inonyanya chinoremedza vanhu vakuru. Utachiona vari kune imwe zvepabonde naye pashure usina kuzvidzivirira kuonana. Asi mukana wokuti Muchiitiko akadaro haasi zana muzana. Murume ane mukana wokuva utachiona nomukadzi anorwara muzana chete maviri, asi nokuda vakanaka pabonde anopesana nhamba - 80 muzana kuti kudzivirirwa kumborara mutakuri gonococcal magumo venereologist kushanya.
2. Contact-mhuri nzira. Kana musha vanoshandisa nevakawanda matauro, washcloths uye linens, kuti asingasviki chimwe muzana kacho, zvinogoneka netsaona utsanana. Mabhakitiriya shoma chaizvo mhenyu kunze dzemuviri.
3. Vertical nzira. A pamuviri woman mwandabvu pakusununguka anogona kutapura mwana wake. Izvi zvichakurukurwa akaratidza chirwere ziso, nomumukanwa mucosa kana sikarudzi.

Period asymptomatic Neisseria kubereka hunogara kubva maawa 12 kusvika mazuva akawanda kana kuti mavhiki. The chakarebesa akaora kushumwa kumwedzi - 3 months. kushanduka yakafara kwakadaro chokuita zvinoitwa kutapata, ayo reactivity uye kunopindirana utano. Kazhinji, vanhu, chirwere kunoratidzwa kuburikidza mazuva mana post-utachiona, uye vakadzi - pamazuva gumi. Clinical kana rabhoritari chirwere hazvigoni kuzivikanwa, asi iri nguva munhu ngozi mumwe wako.

siyana mwandabvu

Zviratidzo uye Mabatirwo mwandabvu kunoenderana sei zvikuru nguva yakapfuura kubva utachiona anopinda muviri. Kune zvitatu siyana chirwere:

1. Fresh mwandabvu. Vakanyoresa kusvika mwedzi miviri pashure kutanga zviratidzo. Zvinogona kuitika mune chakasimba, subacute kana torpid chimiro. For chenjera chimiro dzinoratidzwa nokukurumidza kutanga, nekuomarara kurapwa kuratidzwa, yakawanda pus uye chitarisiko urema pamusoro ganda uye mucous membranes. Panguva subacute marudzi vanyoro zviratidzo, asi kusagadzikana uchiripo. Torpid chimiro kunoratidzwa asipo kuratidzwa zvose.
2. Chisingaperi mwandabvu. The rokuzvidzivirira iri kwezvinoshandiswa uye handichisiri kudzivisa gonococcal kuwedzera. Utachiona inowanikwa mumasero omuviri kwenguva refu uye vakamirira apo muviri dzokuzvidzivirira simba zvakajeka kuzviita zvakare. Triggering chinhu kunogona kuva chando, mupfungwa kana kuvhiya. Zviratidzo chimiro ichi vari munyoro kana ndisipo zvachose.
3. Isimba rakadini rinogona kubudiswa mwandabvu. Inonyanya kubata vakadzi. Mukadzi ari mutakuri chirwere uye kwarwakabva, asi muviri kuzvidzivirira handifaniri kuti utachiona, saka hapana zviratidzo.

Mwandabvu nevanhu: zviratidzo, zviratidzo, kurapwa

Oddly zvakakwana, asi kurapwa mufananidzo navarandakadzi mwandabvu kusiyana.

Neisseria mwandabvu nevanhu kunokonzera kusachengeteka kukuru kuzvimba mucosal epithelium yacho urethra. Zviratidzo kununura kusanzwa, uye vanogona kukurumidza kuenda kwachiremba. Nokuti chirwere inozivikanwa nevamwe wemishonga zviratidzo:

• Urethritis, akaratidza Kuwedzera capillaries, kuwedzera ropa kuyerera uye tishu edema. Marwadzo uye kuvaviwa pasuo pasuwo chirwere vari pakati kuratidzwa mwandabvu rokutanga. Kurwadziwa rinowanikwa mangwanani, uye wokutanga weti kunokonzera rakapinza marwadzo unopfuta.
• Urethral. Kunze vasiri secretions, t. E. The weti rinowanika gobvu yero kana shava pus. Kana muitiro rabuda kure, zvingaita sokuti uye shoma ropa.
• Uye yokupedzisira Chiratidzo yokusafa chero anogumbura mhinduro iri kuwedzera tembiricha kuti subfebrile kana febrile digits. Kana matambudziko zvichiita fivha kusvika 40 inegumi. Mazuva matatu gare gare, zvose zviratidzo zvishoma zvapfuura, uye utachiona achipinda subacute kana torpid chimiro.

Zviratidzo vakadzi

Neisseria mwandabvu vakadzi haakonzeri akasiyana zviratidzo. chimwe chete chegumi vakadzi kupinda boka pangozi, enda chiremba rubatsiro kana zano. Nyanzvi vanokurudzira rokuongorora kana murume kana mumwe ane yakachena nokuratidzwa mwandabvu.

Mune zvisingawanzoitiki Muzviitiko, chirwere pachena pachayo mucous kana purulent secretions dzokubereka turakiti mangwanani uye zviratidzo kuzvimba urethra / nyinyo kana accession pruritus, ichipfuta manzwiro pabonde kana weti. Against ichi nechekumashure, zvinogona kuwedzera tembiricha muviri kuti subfebrile.

Nekuratidza chirwere vachangoberekwa

Neisseria mwandabvu mu vacheche mumwedzi upenyu chokutanga kunogona kukanganisa maziso, mhuno, urethra uye nyinyo, uyewo kutsamwisa kukura sepsis. Izvi zvinoitika kana amai panguva yokuberekwa vane yakachena muchimiro mwandabvu.

Mazuva 3-5 aberekwa, vana vanova mukuchema, kudya, kurara zvisina kutsarukana. Vane zvemamiriro zvinoerera kubva pameso kana dzokubereka turakiti zvingaitika. Sezvo vakadzi vangava asymptomatic chirwere, kudzivirirwa vachangoberekwa zvose ichiitwa muchimiro instillation kupinda maziso uye mhuno "Albucidum".

kukuvara Nhengo ndiyo dzokubereka nadzo

Kuwedzera kune pelvic mapazi vakadzi nevarume, mukana yechipiri screenings pakati nayo utachiona nomuviri. Sites chokuita mwandabvu:

1. Leather. Ichi isingawanzowanikwi kuomesa kuti zvingaitika kana utachiona anopinda pachena ronda pemvura. In panzvimbo okusuma vatanga anogumbura mhinduro: chiduku urikanwi (kusvika 2 cm mu dhayamita), kunorwadza. Typical localization - muhudyu crotch.
2. Eyes. Kutadza kutevedza utsanana pashure kushandisa chimbuzi kungaita kuti kusvibiswa meso Neisseria. Ichi chirwere anonzi gonococcal conjunctivitis. Kunoratidza pacharo muchimiro meso akatsvuka, ropa, kuzvimba uye pus kubva yapfuura kubva conjunctiva, photophobia, uye lacrimation. Kana muitiro uyu kuteerera, izvozvo zvinogona kuguma chimiro nemaronda pamusoro cornea.
3. Huro uye muromo. Kazhinji asymptomatic zvinobvira. Nyanzvi dzinoti zvishoma akatsvuka, kuzvimba pharyngeal tonsils, pamberi rakachenuruka tsvuku Dombo. Zvichida kuonekwa zviratidzo gingivitis uye stomatitis, asi varwere kakawanda havadyidzani navo mwandabvu.
4. Mugaranhoko. More nevakawanda vakadzi nokuda STRUCTURAL zviri perineum. Akaratidza kupatirwa chido wenhema defecate, kuvaviwa uye ichipfuta ari horo, kuvapo kanganisika discharges akadai ropa uye pus.

Diagnostics

Neisseria mwandabvu, kana gonococcus, hunokonzera chirwere, ane chirwere ari rikwanise munguva iri nyore. Kana chiremba nounyanzvi vakaunganidza nhoroondo uye aiva anodiwa rokuongorora, mhedziso haatori refu. Asi maererano dzakati, venereal zvirwere vanofanira nguva dzose kutora mashoko kwemabhakitiriya tsvakurudzo, uye kumbira murwere kuunza inotevera kugamuchira kwavo dzepabonde nemumwe.

Kubva murabhoritari nemiedzo angashandiswa:

• swab of urethra (dzimwe nguva aida rakamutsa kuna nayo utachiona akasunungurwa kubva mumasero uye akazviratidza lumen pamusoro urethra);
• inoculation tsika zvenhau;
• PCR (kuziva miedzo Neisseria gonorrhoeae DNA muropa);

Kutsamwa anogona kuitwa nenzira dzakawanda:

1. Nhanganyaya gonococcal mushonga.
2. Irrigation urethra Lugol anogadzirisa.
3. bougienage urethra.
4. Kudya Spicy kana wakawanda zvokudya.

mabatiro

Mabatirwo mwandabvu nevanhu nevakadzi vanopedza chete. Zvose anoburuka kusvikira negashiro antibacterial zvinodhaka, inova inonyatsoziva mumiririri uyu. Kazhinji, izvi cephalosporins zvizvarwa 3-4 uye akadzivirira penicillins. Vanogona kushandiswa zvese yoga uye pamwe chete.

Kana pasina kubatana nedzimwe zvirwere zvepabonde kana fungal kasvisto, ipapo kurapwa ichi yaguma. Chiremba inoitisa bvunzo ivhu mavhiki maviri pashure mharuro mushonga.