Gardnerella nyob rau hauv cov poj niam thiab cov txiv neej: ua, cov tsos mob, kev kho mob

Gardnerellez rau cov poj niam - tus kab mob uas kis nrog dysbacteriosis ntawm qhov chaw ecosystem nrog, nrog rau kev siab tshaj plaws ntawm gardnerella thiab tsis tuaj / tseem ceeb hauv cov pej xeem ntawm cov kab mob lactic acid. Mob gardnerellez ua rau cov kab mob ntawm cov hlab ntaws pelvic, qhov chaw mos, endometritis, yog qhov tseem ceeb tshaj rau txoj kev loj hlob ntawm adnexitis (kev ywj pheej ntawm cov hlab ntaws thiab zes qe menyuam), muaj teeb meem loj thaum yug me nyuam thiab cev xeeb tub.

Gardnerella rau cov poj niam: qhov ua rau ntawm

Gardnerella vaginalis (ib chav kawm ntawm kev sib ntsib hauv nruab nrab) muaj tsawg heev nyob rau hauv lub microflora ntawm lub paum, yog tias tsis ua rau tsis xis nyob thiab cov tsos mob ntawm gardnerellez. Cov nqa khoom ntawm Gardnerella vaginalis yog 25-45% ntawm cov poj niam uas muaj hnub nyoog txawv. Ua kom dhia sib npaug ntawm cov kab mob gardnerella nyob rau hauv kev cuam tshuam ntawm endogenous / exogenous yam ua rau cov tawm ntawm lactobacilli thiab hloov ntawm qhov qub mob ntawm Gardnerella vaginalis. Vim li ntawd, qhov kev mob plawv ntawm kev mob plab hnyuv loj, nws cov khoom tiv thaiv thiab kev ua haujlwm hauv cov qog ntawm qhov chaw mos ntawm epithelium hloov. Gardnerella tsim ntau cov amino acids thiab pyruvic acid, uas tsim nyog rau cov kab mob pathogenic rau cov khoom noj thiab cov metabolism hauv lub sij hawm decarboxylation ntawm cov amino acids nyob rau hauv qhov chaw mos secretions, Amines nrog tsis hnov ​​tsw tsw ntawm cov ntses lwj.

Etiology ntawm gardnerellez:

• nquag txhaj koob tshuaj (ntxuav tawm ntawm lactobacilli);
• daim ntawv thov chlorine-muaj antiseptics (Miramistin, Gibitan);
• kev siv cov tshuaj tiv thaiv uas muaj 9-nonoxinol (tswm ciab Patentex, Nonoxinol);
• kev cog lus hauv kev sib deev;
• tsis tsim nyog txais cov tshuaj tua kab mob;
• kab mob ntawm cov kab mob urogenital;
• ntev raug hluav taws xob;
• plab hnyuv dysbiosis;
• hormonal failures. Qhov kev ua ntawm cov zes qe menyuam tau txiav txim qhov kev ua haujlwm ntawm kev luam ntawm lactoflora. Cov tshuaj hormonal nyob rau hauv etiology ntawm gardnerellosis piav txog qhov tseeb tias tus kab mob tsis tshua pom nyob rau thaum tiav hluas (14-18 xyoo) thiab thaum lub cev ntas;
• txo cov kev tiv thaiv kab mob rau cov neeg mob lwm tus;
• kev txais tos ntawm kev noj tshuaj antidepressants, hormonal preparations.

Gardnerella rau cov pojniam: Cov tsos mob

Qhov tseem ceeb ntawm cov pathology yog qhov qhaj ntawv ntawm sab nraud tshwm sim ntawm qhov mob ntawm cov paum phab ntsa, nyob rau hauv 50% ntawm cov neeg mob gardnerellez proceeds nrog cov tsos mob lubricated. Ib qho kev soj ntsuam colposcopic qhia txog dystrophic deformations nrog kev txawv txav hauv lub ncauj tsev menyuam. Qee lub sij hawm muaj cov kab mob asymptomatic ntawm tus kab mob - ua tsis tiav cov kev qhia txog kab mob ntawm cov keeb kwm yav dhau los ntawm kev kuaj kev kuaj mob. Cov kab mob tshwm sim ntawm gardnerelleza: ntau grayish-daj tawm ntawm creamy sib xws, qhov tsis hnov ​​tsw ntawm cov ntses lwj, mob / khaus ntawm coitus.

Gardnerella rau cov poj niam: kev kho mob thiab kuaj mob

Tus kab mob ntawm "gardnerellez" yog raws li cov ntaub ntawv anamnesis, soj ntsuam thiab soj ntsuam - pH-metry (rhiab heev 80-99%) thiab aminotest. Thaum kuaj tau tus kab mob gardnerellosis, kev kuaj ntxiv yog tsim nyog kom tshem tawm cov kab mob sib kis los ntawm kev sib deev - qhov chaw mos herpes, gonorrhea, trichomoniasis.

Cov tswv yim kho muaj ob theem:

1. Tshaj tawm tus kab mob thiab tus kab mob ua rau mob. Gardnerelles yog cov kab mob kaminoglikozidam, sulfonamides, tetracyclines, cephalosporins; rhiab rau cClindamycin thiab ampicillin. Cov tshuaj xaiv yog Clindamycin thiab Metronidazole. Txhawm rau kom rov ua kom tiav, kev tiv thaiv kab mob hauv lub cev yog ua kom tiav. Nws raug nquahu kom tsis txhob muaj kev sib deev nrog kev siv cov hnab yas looj rau lub sijhawm noj tshuaj.
2. Restoration ntawm qhov chaw mos mob microbiocenosis. Hais txog eubiotics (Bifidumbacterin, Acilactum, Lactobacterin), uas txhawb kev loj hlob ntawm natural lactoflora thiab ua rau txo cov kab mob rov huam mob ntawm tus kab mob.

Gardnerella thaum cev xeeb tub

Tus kab mob no tau kuaj pom 15-25% ntawm leej niam leej txiv. Txoj kev loj hlob ntawm tus mob intrauterine thaum lub sij hawm muaj menyuam hauv plab tsis yog tus cwj pwm - cov niam txiv lub cev tiv thaiv fetus ntawm tus kab mob, tab sis gardnerelles suppress cellular tiv thaiv, uas tuaj yeem ua rau muaj ntau yam teeb meem: yug ntxov, tom qab pob ntseg, chorionamionitis. Yog tias gardnerella pom nyob rau hauv qhov kev ntsuam xyuas, nws yuav tsum pib kho tam sim ntawd nrog Trichopolum, Ornidazole, Metrogil los yog Metronidazole thiab noj cov tshuaj probiotics. Cov tswv yim pom zoo yog xaiv los ntawm tus kws kho mob uas mob siab rau ntawm tus kheej.

Gardnerella rau cov poj niam: kev kho mob hauv tsev

Ua ntej pib kev kho mob nrog kev pabcuam pejxeem, nws raug nquahu kom nrog tus kws kho mob tham kom tsis txhob muaj teebmeem thiab mob tshwm sim. Txoj kev kho yuav tsum tau ua raws li kev saib xyuas kev kho mob nrog rau kev ntsuam xyuas tus neeg mob txoj kev noj qab haus huv tam sim no. Kev noj tshuaj rau yus tus kheej yuav ua teeb meem!

1. Broth los ntawm phytospores:

   • noj nyob rau hauv vaj huam sib luag proportions hauv paus ntawm lub althaea, nyom ntawm lub cudweed, Sweet clover, nettle nplooj, blueberries, lavender paj, Pine buds. Peb loj spoons ntawm sau brew nrog ib liter ntawm boiling dej, boil on sim kub rau 10-15 feeb, ncuav rau hauv ib lub thawv, hais tias 10-12 xuab moos. Siv 120 milliliters rau 30-40 feeb ua ntej noj mov thaum nruab hnub;
   • mus ua ke nyob rau hauv tib lub proportions cov nyom ntawm mint, wintergreen, clear-eyed, eucalyptus nplooj, niam-thiab-stepmother, bearberry, clover paj, tansy, paus ntawm badana. Ncuav peb diav ntawm cov khoom sau nrog ib lim dej npau npau, ncuav 10-15 feeb, ntim hauv lub thawv 10-12 hnub, noj 120 milliliter ua ntej noj mov thaum nruab hnub.

2. Tampons:

   • npaj cov kua txiv hmab txiv ntoo (teaspoon) thiab kua txiv hmab txiv ntoo (tablespoon), siv rau ntawm lub qhov ncauj, ntxig rau hauv qhov chaw mos mus li 20-25 feeb;
   • npaj cov dej hiav txwv-buckthorn / txiv roj roj thiab aloe kua txiv (1: 1), tso rau hauv ib lub qhov ntswg, ntxig rau hauv qhov chaw mos 10-12 xuab moos.

3. Lub sijhawm da dej nyob rau hauv:

   • paj ntawm marigold, chamomile, Walnut nplooj, Oak bark.

4. Medicinal tshuaj yej kom ntxiv dag zog rau:

   • quince (1 daim), txiv qaub (1 daim), qej (7-9 hniav), tshiab cherry (2 khob), apples (2 pieces), dej (2.5 liters). Cov khoom xyaw kom chop, mix, ncuav boiling dej. Haus 100-120 milliliters 4-5 zaug ib hnub twg.

Kev tiv thaiv gardnerelleza rau cov poj niam:

• kev kuaj pom ib tus neeg sib deev, ib tus neeg tau hais kom sib deev;
• tshem tawm kev sib deev xws li;
• kev txhim kho ntawm kev nyiam huv, kev hloov ntawm cov pawm / lub raj tshuaj thaum lub caij nyoog;
• txhawb kev tiv thaiv;
• hnav ris tsho hauv qab ntawm cov ntaub ntawv tsim;
• raws sij hawm kev kho mob ntawm inflammatory kab mob ntawm pelvic plab hnyuv siab raum.

Gardnerella nyob rau hauv cov txiv neej

Kev kis tus kab mob ntawm cov txiv neej feem ntau tshwm sim thaum lub sij hawm coitus nrog ib tug poj niam carrier ntawm gardnerella. Kev tiv thaiv-tsev neeg txoj kev kis mob (nrog rau kev sib tuav tes, hnia, hauv chav da dej / da dej) tsis suav. Cov yam ntxwv ua rau neeg muaj tus kab mob gardnerellosis yog: nrog / sib pauv kab mob ntawm cov kab mob genitourinary, antibacterial therapy, kev siv immunosuppressants, txo qis hauv kev tiv thaiv kab mob tiv thaiv tsis tau cov keeb kwm ntawm lub cev / kev xav ntxhov siab. Nyob rau hauv lub cev gardnerella txiv neej coexist rau ib ntev lub sij hawm tsis tau - yog withdrawn 2-3 hnub tom qab ntaus. Hauv 7-10% ntawm tus neeg mob, txoj kev ua lag luam nyob hauv cov ntaub so ntswg - muaj kev txuam nrog gardnerella balanoposthitis (tsis muaj hlab ntws).

Gardnerlellosis txiv neej: cov tsos mob

Hauv feem ntau ntawm cov mob, txoj hnyuv ntawm lub plab hnyuv siab raum los ntawm Gardnerella tsis muab ib qho kev mob tshwm sim tseem ceeb. Tsawg heev tus kab mob no ua rau nws tus kheej los ntawm qhov mob hlawv / tsis xis nyob thaum tso zis, nrog kua lean secretions nrog tus cwj pwm tsis hnov ​​tsw ntawm ntses ntses.

Cov teeb meem:

• prostatitis;
• vesiculitis (mob ntawm cov hlwv ntswg);
• mob hlab ntub (mob txheej txheem rau hauv qhov zis).

Kev kuaj mob thiab kev kho mob rau kev ua haujlwm rau cov txiv neej gardnerellosis

Diagnostic ntsuas muaj xws li: txoj kev tshawb ntawm ejaculate, zis, tso kua mis ntawm prostate, scraping ntawm qhov zis los ntawm polymerase chain reaction (yam 98%). Txoj kev kho tus kabmob yog xaiv ib tus zuj zus, suav nyiaj rau kev kuaj mob / tsis tuaj yeem ua mob rau tus kabmob thiab tus neeg ua haujlwm ntawm tus neeg mob cov tshuaj lom neeg. Sau Levofloxacin, Clindamycin lossis Doxycycline. Thaum lub sij hawm noj tshuaj, nws pom zoo kom ua raws li kev noj haus uas yog hais txog kev tsis haus dej cawv, rog, smoked, ntsim ncauj nplej. Nyob rau hauv mob hnyav heev tshwm sim ntawm tus kab mob, immunostimulants yog siv los kho lub qog thiab nce lub cev lub cev tsis muaj zog. Raws li cov kev taw qhia yog cov tshuaj tiv thaiv anti-allergic tshuaj, cov khoom ntawm microelements thiab cov vitamins. Kom tsis txhob rov ua mob nrog tus kab mob gardnerella, nws tseem ceeb heev kom ua raws li cov kev tiv thaiv: tsis txhob sib deev nrog poj niam laus, siv hnab looj thaum pw ua ke nrog ib tus neeg tsis tau pom.

Gardnerelosis nyob rau hauv cov poj niam yog ib hom kab mob ntawm cov kab mob hauv chaw mos, uas yuav tsum tau kuaj thiab kho mob. Yog tias muaj kev ua txhaum ntawm qhov microflora ntawm qhov chaw mos, nws yuav tsum muaj kev kho kom tsim nyog - qhov no yuav pab kom tsis txhob muaj teeb meem thaum cev xeeb tub thiab yug menyuam, khaws kev kho mob me me ntev, thiab txhim kho lub neej zoo.