Ureaplasma SPP. - Kuyini? Izimpawu, ukwelashwa kanye nemiphumela

Namuhla, neze ubani ulalela isincomo udokotela futhi libhekisela nezikhungo zezokwelapha kuphela inhlolovo. Njengomthetho, ukuya emtholampilo kuphela ngemva okuvela awunazo yini izinkinga zempilo, futhi ezinye zazo ezimweni ezinjalo uncamela self-ukwelashwa. Isimo sengqondo esinjalo kokunganaki maqondana nempilo yabo kungaletha asemrarweni. Futhi uma ucabangela ukuthi eziningi isifo ngendlela efanele usaqala aliveli, izinyathelo zokuvimbela tiya ngekubaluleka kakhulu. Ngakho, isikhathi ukuthola ubukhona Ureaplasma SPP. Izovikela izifo eziningi okhalo abesilisa wobulili fair. Futhi uma ambalwa eminyaka adlule ureaplasmosis, ngokusho kongoti, akuyona ingozi empilweni, kodwa namuhla ubhekwa imbangela izifo eziningi kohlelo genitourinary.

Trip ku esidlule

Ekuqaleni zokugcina ureaplasma ekhulwini ezitholakele abantu, abazi zibangele angesabi phakathi ochwepheshe kanye kubhekwa njengento omunye izinhlobo mycoplasmas kungavamile ukuba ingozi. Kodwa ngokuhamba kwesikhathi nezifundo eziningi luye lwabonisa ukuthi lolu hlobo silwanyana ine ikhono ureolizu consequently yilona ejenti causative izifo eziningi. Kuze 1958 kwakucatshangwa ukuthi ureaplasmosis amadoda hhayi kungaba, ngoba siku isifo besifazane, kodwa kuyacaca ukuthi kukhona uyaphika.

Yini bonke abantu kufanele bazi a ureaplasma?

Umbuzo wokuqala ephakama abantu uzingela Ureaplasma SPP - kuyini? Yeka indlela okuyingozi ngempela lesi sifo futhi indlela yokuphatha kulo? Zonke lezi mibuzo izimpendulo.

Ngakho, into yokuqala kufanele wazi: lolu hlobo amagciwane samanje cishe wonke umuntu, futhi kungaba ngempela kalula uthole kanye nabanye amagciwane ngozi. Kodwa lokhu akusho ukuthi sitholakele khona okunjalo "umlingani ezifuywayo" akudingekile. Ngemva ngokweqile kancane amagciwane amaphuzu idatha ngokuhlanganyela umzimba ngamanye kungabangela izifo mass yokusabela.

Okwesibili, kudingeka wazi ngalokho kuba Ureaplasma SPP. Kuyini ikwazi ukukutshela yimuphi uchwepheshe. Ngakho sikubiza iqembu ethize ezincane-eziphilayo, kodwa ukuthayipha yabo ethile edingekayo ukusihlola. Kuphela le uphethwe ezengeziwe ziyonquma sokusebenzisana-bacterium ezitholakele omunye izinhlobo ezimbili ezikhona kanye amaphuzu abo ngqo. Kuphela ngemva kwalokho, udokotela ayoyikhetha ezifanele ngemithi elwa namagciwane ukwelashwa kanye nokwesekwa izidakamizwa.

Izinhlobo Ureaplasmas spensis

Kuze kube manje, ososayensi eyaziwa 14 serotypes ka Ureaplasma, ahlukaniswa a izakhiwo pathogenic zibe izinhlobo ezimbili eziyinhloko: parvum futhi urealyticum. Umsuka kuhlanganisa 1, 3, 6 no-14 serotypes. Njengoba kwakucatshangwa, ukuthi uyakwazi ukubangela non-gonococcal urethritis ezingabantu, kanti eyesibili kubangela izinqubo ukuvuvukala wesistimu genitourinary kwabesifazane kanye nezinguquko okungavamile usana. Nokho, datha kweminyaka yocwaningo kanye umkhuba baye alikaqinisekiswa, ngakho ososayensi basaqhubeka yini nokutadisha Ureaplasma SPP, parvum, urealyticum (t960).

Izindlela ukutheleleka

Njengoba ureaplasmosis libhekisela izifo kohlelo genitourinary, indlela ejwayeleke kakhulu yokudlulisa i engavikelekile ngocansi. Njengomthetho, uma umlingani unesimiso esihle ephilile enamandla, amathuba okutheleleka kanye nokuthuthukiswa isifo kuba kunalokho encane, kodwa isekhona. Kepha abantu buthaka omzimba, ingozi kwandisa izikhathi eziningana.

Eyesibili indlela yokudlulisela Ureaplasma SPP. (Parvum, urealyticum) kuyinto okuthiwa indlela mpo kusuka kumama kuya ezisanda kuzalwa. Kuloku yokuthi le ndlela ukutheleleka has izikimu ikontraga eziningana.

1. Ezigabeni zokuqala zokukhulelwa - esakeni amniotic inqobo ukutheleleka intrauterine. Ezimweni ezinjalo, ureaplasma kuthiwa imali emaphashini umbungu, bese aqale ukwanda futhi kunethonya nomphumela zabo pathogenic embungwini.

2. Kuwo wonke ukukhulelwa ukutheleleka angangena emzimbeni umbungu ngu hematogenous: noma ngokusebenzisa placenta noma ngokusebenzisa izitsha umzanyana. ukutheleleka fetus kungabangela chorioamnionitis, ukusakaza microorganism pathogenic kwezinye izitho kanye nenyumoniya azalwa nako.

3. Ukutheleleka Ungase futhi zenzeka ngesikhathi ukudlula umntwana nonina izindlela ejwayelekile. Ezimweni ezinjalo, kukhona kwenqubo yokwakhiwa kwamakoloni nezilwanyana ezincane esikhumbeni usana, kanye nolwelwesi ka nolwelwesi lwamafinyila kanye ipheshana zokuphefumula.

4. zokugcina kodwa enye yezindlela ezingavamile ukuze uthumele DNA Ureaplasma SPP., Wenza isitho Ukufakelwa. Naphezu izinyathelo engcono ukuhlolwa, ngeshwa, emacala lanjalo kunqunyiwe kakade.

ukuhlola

Ureaplasma ukucacisa khona emzimbeni womuntu manje usebenzisa 5 izindlela zokuxilonga etholakalayo. Esokuqala futhi ngokuvamile ezisetshenziswa - kuyinto zokutshala bacteriological. Ekuphileni kwethu kwansuku zonke, kwakuvame ukuba ngokuthi smear. Uphuzwe avela emomozini noma urethra. Le ndlela ka ekuxilongeni elula kakhulu futhi ukonga, kodwa akuyona ephumelela kunazo. Ngempela, khona ureaplasma esiqeshini urogenital alinikezi ethize isithombe zokuxilonga ukuthuthukiswa kanye pathogenicity kwala magciwane emzimbeni. Kodwa uma walokhu ukuhlaziywa sasikhuthaza, kufanele kube eqhubeka ehlola izindlela qualitative zokuxilonga. Ukuze wenze lokhu, odokotela batusa ukusebenzisa elabhorethri futhi lwahlolwa ukuze ukusabela immunofluorescence ngokuqondile noma ngokungaqondile. Uma udokotela ukholelwa ukuthi indlela ngaphezulu ulwazi zokuxilonga, kungcono badlule ELISA noma i-PCR inqubo. Waba yini umphumela walesi cwaningo hhayi kuphela waqinisekisa khona-DNA Ureaplasma SPP (Qual.) Emzimbeni, kodwa futhi ukunikeza ulwazi mayelana nobukhulu bendawo ukusabalala kwesifo. Futhi ngokunjalo, udokotela uzokwazi kahle ukhethe ukwelashwa.

Eyingozi kakhulu ureaplasma phakathi nenkathi yokukhulelwa?

Njengoba lolu hlobo lwegciwane akuyona kwehlwaywe, kunemibono eminingi engqubuzanayo ochwepheshe sendlela kuthinte Yiqiniso yokukhulelwa ureaplasma. Nokho, kuzo zonke le mpikiswano eside ososayensi emhlabeni singaphetha a imicabango yabantu ezimbalwa ezifanayo umthelela lolu hlobo amagciwane emzimbeni ka umama okhulelwe kanye nengane.

Eyokuqala waqinisekisa iqiniso kusikisela ukuthi Ureaplasma urealyticum kuhlobene izinguquko sokugembula kuzo ngemibhobho fallopian futhi kakhulu kwandisa ingozi ukhulela ethunjini.

Njengoba for umkhuba, ureaplasma spensis siyimbangela chorioamnionitis, futhi ngokufanelekile, preterm zabasebenzi ekukhulelweni sekwephuzile futhi isisu e senyanga yokuqala. Izimo owaziwa post-partum endometritis ngisho nangemva kwesigaba cesarean. Kodwa kuyafaneleka ukuthi izinkinga ezinjalo kungavela kuphela uma intrauterine ukutheleleka ureaplasmas kunokuba ikoloni lwesitho sangasese sowesifazane bacterium.

Abanye odokotela bathi le khona kwalezi Amagciwane nge isisindo sokuzalwa ingane. Ezimweni eziningi olusanda kuzalwa enesisindo esingaphansi 2.5 kg, kanye SPP ibangelwa Ureaplasma. Kuyini - yokuthi osungulwe futhi ezisebenzayo noma ezizathwini kuze asinakusho ukuthi, njengoba ucwaningo uyaqhubeka.

Ukuthuthukiswa ukutheleleka omzimba

Ngokuvamile, ukutheleleka kanye ukubuyabuyelela ureaplasmas umzimba asymptomatic ngokuphelele, kodwa lokhu kwenzeka kuphela kubantu enempilo. Yingakho abantu abaningi abakucabangayo, uthole imiphumela «Ureaplasma SPP.», Lokho unguZiqu-iphutha noma ihlaya ezimbi. Nokho, iqiniso liwukuthi anonya nakakhulu, futhi uma udokotela uncoma imithi, kufanele ngokushesha ngiqale ukwelashwa kuze amagciwane awukaqali ukulimaza impilo.

Ngokungangabazeki, indoda amasosha omzimba enamandla ingaba isikhathi eside yini ukwazi ngalesi sifo. Nokho, ngaleso ukungasebenzi kancane e omzimba ukubonakaliswa yokuqala Ureaplasma nokuphazamiseka komsebenzi genitourinary akuthathi isikhathi eside ukulinda.

Ukubonakaliswa ureaplasmosis amadoda

In amadoda, ukubonakaliswa yokuqala eyingqabavu ureaplasmas umsebenzi ngokuvamile urethritis kuyinkomba ukuvuvukala kule urethra. Ekuqaleni, kumlethela ukungakhululeki eyethile uma uchama, okuyinto iphenduka abukhali esivuthayo ukuzwa futhi ubuhlungu ngoba izinsukwana. Ngaphezu kwalokho bavele lwamafinyila ketshezi osenyameni evela urethra kanye nezimpawu isici prostatitis, okubonisa inchubekelembili ukutheleleka. Uma kungenjalo ngokushesha uqale ukwelashwa, kuyoba nzima kakhulu ukubuyisela ukusebenza kwesimiso sokuzala esimweni esinjalo. In the ukungabikho ukuphathwa ezidingekayo umuntu esongelwa ubuthakathaka kanye nenzalo.

Esiboniswe abesifazane ureaplasmas

Ngokuqondene nabesifazane, ukuthuthukiswa ureaplasma emizimbeni yabo iyefana. Ekuqaleni, ubuhlungu zibonakala urethra ke avele osenyameni lwamafinyila kusukela abukhali ammonia iphunga. Phakathi ubuhlobo bobulili owesifazane angeke uzizwe hhayi kuphela ungakhululekile, kodwa futhi ubuhlungu kubangelwa ukuvuvukala mucosa anda luvelo umthelela lokukhanda. Ebonisa kwesikhashana, ubuhlungu esiswini ephansi ikhombisa ukusabalala ukutheleleka esibelethweni, okungaholela endometritis kanye adnexitis.

ukwelashwa ureaplasmas

Njengoba ekwelapheni, ungakhohlwa ukuthi Ureaplasma SPP. Lokho kusuke kuyisimo esibi ngokwanele, niyakusho udokotela ukuba khona. Wabuye uchaza ukuthi ureaplasma - iyisifo kwabo bobabili abashadile. Ngakho-ke, wonke umuntu kuyodingeka ukuba baphumelele uphethwe esibanzi alinawo nezilwanyana ezincane kanye ukuthola co-izifo. Ngemva kwalokho, lo dokotela imithi umuntu ukwelashwa lwemithi. Ngesikhathi ukuthatha imithi kuyadingeka ukuze senqabele ngokuphelele ayengabi nobuhlobo bobulili ngisho nokusetshenziswa isithiyo nokukhandela imbeleko.

Njengomthetho, ureaplasmosis babelwe yokwelapha ngemithi elwa namagciwane, kodwa kukhona catch. Into wukuthi alawa magciwane okulula kakhulu ukuzivumelanisa lezi izidakamizwa, ngakho ukuphumelela ukwelashwa ngezinye izikhathi encishisiwe kuqanda, ngisho nangemva kokuthola izifundo eziningi imithi. Ukuze ugweme lolu hlobo inkathazo, kufanele ihlolwe ukuze ukuzwela nemithi ureaplasmas. Futhi kuphela emva ukuthi iziguli kungenziwa ebekiwe izidakamizwa tetracycline "Doxycycline", "tetracycline" macrolides "Vilprafen", "Azithromycin" noma fluoroquinolones "pefloksatsina", "Ofloxacin".