Kwayar cuta ta jiki: cututtuka, ganewar asali, hanyoyin kulawa

Kwayar cuta ta hanyar cututtuka - ilimin halitta na yanayin halitta, wanda hakan ya haifar da cigaba da ciwon kwayoyin anaerobic (mycoplasmas, peptococci, gardnerell). Hanyar ƙin ƙusarwa ba ta nan. Ana nuna nau'i nau'i nau'i mai tsabta da yawa, wanda ba a gano magungunan microhoganic (trichomonads, gonococci) ba. Girman yaduwa (girma) na alkama mai haɗuwa yana haɗuwa da asarar lactobacilli na al'ada da ke cike da microflora mai banƙyama, yin aikin wani shãmaki mai karewa game da shiga cikin pathogens daga waje. Wannan ya haifar da kyakkyawar ƙasa don cigaba da cigaba da cututtuka na cututtukan ƙwayoyin ƙwayoyin cuta.

Jigilar kwayoyin cutar: haddasawa

Kwayoyin cuta na farko sune kwayoyin anaerobic (Mycoplasma hominis, Mobiluncus spp, Gardnerella vaginalis). Tare da kwayar cutar vaginosis, haɗarsu ta taso ne ta hanyoyi da yawa, wanda yawancin yawan lactobacilli ke ragewa, yawan adadin lactic acid da acidity na abinda ke ciki ya rage. Magungunan kwayar cutar shine ciwo mai yawa wanda zai jagoranci aikin damuwa na microflora na farfadowa wanda ya haifar da tasiri na cututtuka da ƙananan dalilai na cutar:

• cututtukan endocrin, farfadowa na cutar anti-bacterial;
• canje-canje a cikin jihar rigakafi;
• Cututtuka masu rikitarwa / gurguntaccen cututtuka na jikin mata na asali na asali;
• Ɗaukakawa ta yau da kullum zuwa radiation radiation;
• amfani da maganin hana haihuwa (cututtukan jini, intrauterine, na baka);
• sau biyu;
• bincike / tsoma baki;
• dysbacteriosis na hanji, rashin lafiyar miyagun ƙwayoyi.

Ta yaya kwayar cutar vaginosis ta ruwaito

Kwayar cuta ta jiki shine yawanci ana danganta da cututtukan cututtuka. Gaskiya guda biyu sun tabbatar da wannan gaskiyar. Na farko shi ne babban kashi na sake koma baya tsakanin matan da aka warkar da wadanda ba a taɓa magance ma'aurata ba. Na biyu - lokuttan da ke dauke da cututtuka na mata masu lafiya bayan kulawa tare da maza, nazarin abin da ke nuna alamun kwayoyin anaerobic.

Magungunan kwayar cutar a cikin maza

A cikin maza, an gano cutar ta sau da yawa fiye da mata. Yawancin lokuta kwayoyin anaerobic sun rabu da su tare da nau'o'in kwayoyin cuta. Hanyar ƙwayar cutar ta shafi kuren mai baya, hoto na asibiti na namiji na sinadaran kwayar cutar an lubricated, ba tare da tsananin cututtuka ba, kuma a wasu lokuta an lura da suturar daɗaɗɗen ƙuƙwalwa. Hakanan, ci gaba da rikitarwa (pyelonephritis, epididymitis, cystitis, gardnerelleous prostatitis) yana yiwuwa, amma a aikace sukan kasance masu rare (1-2%). Mutanen da ke fama da cututtuka na asymptomatic / cututtuka na cutar suna zama tushen tushen kamuwa da mata.

Bayyanar cututtuka na kwayar cutar ta jiki a cikin mata

Bayyana bayyanar cututtuka na kwayoyin cuta ba su da siffofin halayya, kawai alamar bayyanar ita ce kasancewa mai yawa mai fitarwa, wanda yana da ƙanshi maras kyau na kifi. A mataki na farko sune launin toka ko fari, tare da tsari na ci gaba na samun samfuri mai launin rawaya kuma ya zama mai kara. Maganar ƙonewa (hyperemia, puffiness) ba su kasance ba, a lokacin nazarin gynecology ya bayyana nau'o'in cututtuka na ciwon zuciya - cervicitis , yashwa, cicatricial formation. 50% na marasa lafiya suna damuwa game da ƙwaƙwalwa a gefen yanayin jinin jiki, ciwo a cikin perineum, rashin ciwon zubar da ciki, yin haila.

Digiri na kwayan cuta vaginosis

1. An biya. An nuna shi ta wurin babu cikakkiyar microflora lactobacillary a cikin "Kwayoyin halitta" a cikin abubuwan da ke binciken. Yanayin ba ya nunawa ga masu bincike, amma yana nuna yiwuwar kwayoyin anaerobic da ke samar da wani abu mai banƙyama tare da maye gurbin nauyin vaginosis.
2. An karɓa. An halin da ragu mai yawa a lactobacilli, bayyanar maɓallin kullun a kan bayanan mikiya na leukocytosis.
3. Ya karɓa. Magungunan na kwayoyin cutar sun bayyana cewa: akwai alamun cutar da kwayar cutar kwayoyin da anaerobes ta wakilta, babu lactobacilli.

Matakan bincike

Darajar mahimmanci a cikin ganewar asali na kwayar cutar kwayar cutar an bada su zuwa hanyoyin nazarin binciken - Aminotest tare da bayani na potassium hydroxide (10%) da kuma pH-metry. Yayinda ake yin glycogen na epithelium na farfajiyar a lokacin lakabacillus metabolism, an kafa acid lactic acid. Idan an keta shinge, mutuwar lactobacillus ya faru kuma pH ya shiga cikin alkaline reaction vector, wanda ke haifar da karuwa a cikin anaerobes. Kyakkyawar gwajin amine mai kyau shine bayyanar ƙanshin kifi "ɓataccen" a yayin da ake haɗuwa da wani bayani na potassium hydroxide da kuma ɗan fatar.

Alamun asibiti da kuma kwayoyin halittu, bisa tushen abin da aka gano na kwayar cutar kwayar cutar:

• m homogeneous farji sallama tare da m wari;
• gwajin amine mai kyau;
• karuwa a cikin pH na rashawa na iska ya fi girma sama da 4.5;
• Kasancewar babban ƙungiyar epitheliocytes na farji; "Kwayoyin Kwayoyin" (anaerobes);
• cikakken babu / muhimmanci karuwa a lactobacilli;
• rare gaban / babu polynucleated leukocytes;
• gaban babban adadin Fusobacterium spp, Bacteroides spp, Gardnerella vaginalis.

Kwayar cuta ta jiki, magani

Tsarin BV na ci gaba ya dogara ne da maganin da ya dace, da kuma cikakkiyar magani, wanda shine ma'anar gyarawa na microflora na al'ada, don dakatar da haifar da kwayoyin halitta wadanda basu da mahimmanci ga microcenosis. Har zuwa yau, magani na BV yana ci gaba da aiki mai banƙyama, wanda ya haifar da rashin amfani da kwayoyi da kuma sake dawo da cutar.

Ƙwararren ƙwayar maganin pathogenetic biyu da kuma etiotropic

1. Kashewa na pathogens na kwayan cutar vaginosis

   Magunguna na zabi - magani akan abubuwa anaerobic na microflora na banji. Abubuwan da suka shafi asibiti sun kai 87-95%. A cikin layi ɗaya, an yi amfani da prophylaxis na tsari na zahiri. Sakamakon mafi kyau a cikin maganin BV shine Metronidazole (Trichopol, Metrogil), wanda shine ɓangare na ƙungiyar maganin rigakafi dauke da nau'in imidazole. Yana shiga cikin kwayar halitta, ta ɗaura zuwa DNA, tana kwantar da magungunan nucleic acid. An yi amfani da shiroko Metronidazol a wasu magunguna daban-daban, amma sau da yawa yakan haifar da halayen halayen halayensa - cututtuka da ƙwayoyin cuta, ƙwayar cuta, dandano mai kyau a bakin. Hanya mafi kyau da ake so shine gwamnati.

   Don maganin gida, likitoci sukan yi amfani da Clindamycin. Da miyagun ƙwayoyi yana da karfi na aikin antibacterial, neutralizing sunadaran gina jiki a cikin kwayar halitta. Zai yiwu a gabatar da aikace-aikace na baki da kuma na baki na Clindamycin. Hanyar gefen: girma na yisti-kamar fungi, rashin lafiyan halayen.

2. Maidowa na rayayyun halittu

   Ana gudanar da shi ne saboda aikace-aikacen gida na kayan shafawa - Bifidumbacterin, Acilacta, Lactobacterin. Wadannan kwayoyi suna taimakawa ci gaba da lactoflora na halitta, don taimakawa wajen rage adadin magungunan kwayar cutar ta jiki ta hanyar kara yawan halayen na farji.

Ja'idoji don tasirin magani:

• Dynamic na asibiti bayyanar cututtuka na cutar;
• bacewar tunanin hankali;
• gyare-gyare na ma'auni na dakin gwaje-gwaje.

Kwanan magani na kimanin 10-14 days bayan kammala karatun. An bada shawarar yin amfani da hanyoyin da ake hana jigilar ciki a cikin lokacin jiyya.

Shirye-shirye don lura da kwayoyin cutar vaginosis:

• Lactagel (gel). Daidaita pH na farji, mayar da microflora na halitta, samar da kyakkyawan yanayi don ci gaban microflora mai lafiya. Taimaka don cire yawan secretions, m wari, rashin tausayi;
• Femilex (zane-zane na al'ada). A cewar tsarin aikin, Femilex yayi kama da Lactagel. A cikin 5-10% na lokuta, zai iya haifar da ƙwaƙwalwar ƙarewa a cikin farji. Contraindications: thrush, ciki, lactation;

• Gwaran-G (allunan bango). Rage pH na farjin, ya hana ci gaban kwayoyin cutarwa, ya sake farfado da furotin na bango. An dakatar da shi, a cikin lokuta masu ban mamaki na iya haifar da tartsatsi / konewa a cikin farji, ƙara yawan ƙarami na mucous. Contraindicated tare da tarihin thrush;
• Acylact (ƙananan tunani). Ya ƙunshi rayuka masu rai, wanda ke kawar da kwayoyin anaerobic, yana taimakawa wajen mayar da rigakafi. An haramta yin amfani dashi;
• Clindamycin (nau'in haɓaka). Mai wakiltar antibacterial don yin amfani da su. Da sauri ya lalatar da kwayoyin cututtuka, yana daidaita al'amuran al'ada. Hanyoyi na lalacewa: ciwon kai, damuwa, ƙwaƙwalwa, ciwo na ciki, cuta mai narkewa;
• Bifidumbacterin (zane-zane na al'ada). Ya sake daidaita ma'auni na microflora na farji, ya lalata kwayoyin anaerobic;
• Trichopolum (allunan bango). Yana inganta yanayin yau da kullum, rage adadin secretions, ya kawar da ƙanshi mai ban sha'awa, ya sake gina furo na al'ada na farji. Contraindications: ciki, hanta hanta. Sakamako na gefen: saurin urination, motsa jiki, bushe baki, candidiasis (raguwa).

Ta yaya kwayar cutar vaginosis ke bi da magunguna?

Kafin a fara magungunan, an bada shawara ka tuntubi likita don kauce wa rikitarwa da tasiri. Tare da hanyar da ta dace, yin amfani da girke-girke na gari yana taimakawa wajen kawar da bayyanar cututtuka kuma mayar da lafiya microflora mai lafiya.

1. Ayyuka don syringing:

   • dauka furanni na magani na chamomile da Goose fuzz (daya cakuda), zuba lita na ruwan zãfi, nace na tsawon minti 30-40, ya yi amfani da shi a cikin dumi;
   • dauka a daidai rabbai tushen angelica, badana, chicory, Dandelion, calendula ganye, ganye na uwa da uwar rana, thyme. Gudu, Mix, auna nau'i biyu na tarin, daga ciki tare da lita na ruwan zãfi, nacewa 10-12 hours, shafi a cikin dumi tsari;
   • A tablespoon na crushed haushi na itacen oak don zuwa tare da 250 milliliters na ruwa mai tsarki, ya dauki a cikin wani ruwa mai bath na 10-15 minutes, don nace 3-4 hours. Kafin yin shinge jiko, sanyi da damuwa;
   • dauki wani tablespoon na ceri 'ya'yan itace, tafasa a kan wuta matsakaici na 20-25 minutes, sanyi, magudana. Amfani don wanke farjin.

2. Soothing wanka:

   • jiƙa 250 grams na itacen oak haushi a cikin ruwa mai sanyi, bar don 2-3 hours, Mix da cakuda tafasa, ƙara zuwa riga tattalin wanka. Harkokin warkewa yana kawar da kumburi, yana inganta warkarwa mai rauni;
   • hada gyada ganye, oat bambaro, berries juniper, chamomile, itacen oak haushi. Tafasa don minti 30-40 kan zafi mai zafi, ƙara broth a shiryeccen wanka. Da miyagun ƙwayoyi yana da antimicrobial, antiviral, antifungal aiki.

Jigilar cutar ta jiki a ciki

Rashin ƙananan microflora na ciki a lokacin daukar ciki shine ƙaddamar da kamuwa da kamuwa da cutar tayi da kuma rikitarwa na mahaifa cikin mahaifiyar. Akwai dangantaka ta kai tsaye tsakanin tsananin kwayar cutar da kuma yanayin rikitarwa na ciki. Lalaci na kwayar cutar zai iya haifar da mummunar rashin hasara, haihuwa ba tare da haihuwa ba, rashin jin dadi na rashin ruwa, mahaifa, chorioamnionitis (ƙwayar cuta). Raunin ciki game da bayanan maganin ƙwayoyin maganin ƙwaƙwalwar ƙwayar cuta yana da rikitarwa ta hanyar ciwo mai tasowa na ciwon tayi - jinkirta cikin ci gaban intrauterine, rashin cin nasara na tsarin jijiyoyin jini, hypoxia.

Far of bacterial vaginosis a cikin mata masu ciki

Babban jagorancin magani - yin amfani da kwayoyi ko na gida wanda ke da tasirin maganin antianaerobic:

• Clindamycin. Sanya daya daga cikin siffofin maganin miyagun ƙwayoyi: cream Invavaginally sau ɗaya a rana don kwanaki 6, allunan bango 100 MG ba tare da ɓarna ba sau ɗaya a rana don kwana 3;
• Hexicon. An yi amfani da shi a matsayin kyandir, ya samar da microflora mai lafiya na farji, ya hana ci gaba da matakai masu ciwo da cututtukan ƙwayoyin ƙwayoyin cuta a cikin jigilar postpartum;
• Metronidazole. Kada ka sanya a farkon farkon shekaru uku na ciki saboda mummunar tasiri akan tayin, ana gudanar da hanyar magani Metronidazole bayan mako ashirin. Lokacin da yake ciki, yana da kyau a yi amfani da magani a kamannin kyandir. Hanyar hanyar farfajiya da BV ba ta da muni fiye da maganin maganganu, kuma a wasu lokuta har ma ya wuce shi. Tare da aikace-aikacen saman, abu mai mahimmanci ya shiga cikin ɓangaren cututtukan cututtuka - wannan yana kawar da tasirin da ya shafi tsarin lafiya, ya rage yiwuwar mummunan halayen;
• Limafucine. An bayyana shi da aiki mai karfi a gida, yana aiki a kan microflora anaerobic, ba zai cutar da tayin ba.

Zan iya samun ciki tare da kwayar cutar ta jiki? Kuna iya, kasancewar cutar ciki ba ta ware. Amma bai dace da lafiyar lafiyarka da lafiyar jaririn gaba ba. Tare da matsalar BV, kashi 10-35% na mata suna cikin matakan tsarawa. Abin baƙin cikin shine, bayyanarwar bayyanar cututtuka ta haifar da gaskiyar cewa an gano alamun ta hanyar hadari. Dole ne a kawar da jabu na kwayar cutar kafin a yi ciki - wannan zai taimaka wajen kauce wa matsaloli masu tsanani a lokacin haihuwa da haihuwa.

Yin rigakafi na sake dawowa da kuma faruwar kwayar cutar vaginosis:

• m abinci mai mahimmanci, riƙe da al'ada aiki na hanji;
• daidai cin abinci na antibacterial;
• kula da tsabta na dacewa ga al'ada ta al'ada;
• Yin amfani da maganin hana rigakafin da aka hana shi a lokacin ganawar jima'i tare da abokin tarayya marar iyaka.

Jigilar cutar ta hanyar sinadaran abu ne mai mahimmanci na yanayin halitta, wanda yake buƙatar cikakken farfadowa. Rashin magani na dacewa yana taimakawa wajen aiwatar da tsari, fitowar cututtuka na tsarin haihuwa, ci gaba da rikitarwa a lokacin daukar ciki da haihuwar haihuwa. Masanan sunyi shawara idan wasu alamu masu shakka (fitarwa, fitarwa / ciwa, ciwon ciki a cikin ƙananan ciki) ya bayyana, kammala cikakken jarrabawa kuma, idan ya cancanta, hanya ta magani wanda take ɗaukar kwanaki 12-14.