Chlamydia mumbwa

Chlamydia muImbwa: Zvinokosha

1. Chlamydia mumbwa inokonzerwa neutachiona hudiki hunoita sehutachiona.

2. Zviratidzo zvinogona kunge zvakasiyana-siyana uye zvinoenderana nechimiro chechirwere chechirwere, chinonyanya kuzivikanwa chinosanganisira kubuda kubva mumaziso nemhino, kukosora.

3. Kazhinji, chlamydia mumbwa haina zviratidzo zvekiriniki uye inoenderera yakavanzika.

4. Kurapa kunosanganisira antibiotic therapy nekosi yakareba, gadziriro dzemunharaunda antiseptic, madonhwe, mafuta.

5. Chirwere ichi chinogona kuva nengozi kuvanhu, kunyanya kune vanhu vasina immunocompromised uye vakadzi vane pamuviri.

Zvinokonzera chirwere

Mhedziso huru yehutachiona hwechlamydial ishiri dzemuguta, kazhinji njiva. Nzira dzekutapurirana kweChlamidia Psittaci dziri mumhepo uye nemhepo. Imbwa dzinowanzoratidza zviratidzo zvechirwere mushure mekukwenya tsvina uye zvitunha zveshiri dzine chirwere chechlamydia. Alimentary infection, kureva, kuburikidza nekudya zvokudya zvine utachiona, zvinogonekawo, asi zvishoma. Imbwa dzinonyanya kubatwa nehutachiona. Utachiona hweChlamydia Abortus hunonyanya kuitika pabonde panguva yekubatana, uye hunogona kuitika kuburikidza nekudyisa imbwa nyama isina kunyatsogadzirwa. Uyezve, kutapurirwa kwechlamydia mumbwa kunowanzoitika kubva kuna amai kuenda kumwana. Pane humbowo hwekuti hutachiona hunogoneka kuburikidza nekurumwa kwezvipembenene zvinoyamwa ropa (umhutu, nhunzi, zvikwekwe).

Ko chlamydia inotapukirwa sei?

Chlamydia inhengo yakasarudzika yeparasitic, muchimiro chayo iri pakati pemavhairasi nemabhakitiriya. Inorondedzerwa sehutachiona nehutachiona hwehutachiona mukati memasero ezvisikwa zvinotakura, uye chlamydia haikwanisiwo kuzvimiririra kubereka ATP (adenosine triphosphate) uye inodyisa simba resero, iro rinoparadza zvachose. Chlamydia inoreva kuvapo kwesero wall, iyo inobvumira kushandiswa kwemishonga inorwisa mabhakitiriya kurwisana nayo. Chlamydia inosiyaniswawo kubva kune mamwe mabhakitiriya nehupenyu hwayo hunokosha, hunobva mukutapukirwa kwemasero anotapukira nephagocytosis.

Kupinda mumuviri, chlamydia inokwanisa kugara mumhando mbiri: yekutanga uye reticular miviri. Elementary body is spore-like form uye ine goko rakasimba. Iri goko rinovaita kuti vanzwe zvishoma nezvekuita kwemishonga inorwisa mabhakitiriya. Mune iyi fomu, chlamydia iripo munzvimbo yekunze. Panguva ino, chlamydia haikonzeri zviratidzo zvekliniki zvakajeka uye iripo muchimiro chisingaperi chechirwere chechirwere. Kuparadzaniswa kwesero kunononoka, kusunungurwa kwemapuroteni akasiyana-siyana kunoderedzwa.

Reticular miviri ndiyo intracellular nhanho yekufamba kwechirwere. Panguva ino, chlamydia inova nehanya nekuita kwemishonga inorwisa mabhakitiriya. Mumuviri, inonamatira kune inonangwa maseru (kazhinji masero e conjunctiva, nhengo dzesikarudzi). Sero rinoputira utachiona nephagocytosis. Mukati mesero, chlamydia inogadzira koloni uye inodya simba resero. Chlamydia inoparadzanisa, inobuda musero risina chinhu, uye yobva yapinda musero idzva, uye kutenderera kunodzokorora. Kutenderera kwekukura kunogona kutora mazuva maviri kana matatu, panguva iyo mazana emaparasite matsva anozvarwa.

Zvakare, chlamydia inogona kuumba yakakosha L-maumbirwo. Mune iyi fomu, chlamydia haina chikamu kana yese yesero madziro ayo. Nemhaka yeizvi, zvakaoma kuigadzirisa nerubatsiro rwemishonga inorwisa mabhakitiriya, mishonga yekuuraya utachiona uye zvinhu zvemuviri (kupisa, ultraviolet). Mune chimiro ichi, chlamydia inokwanisa kurarama kwenguva yakareba munharaunda uye mukati mehupenyu hwehupenyu uye yakaoma kurapa.

Mumamiriro ekunze, iyo causative agent ye chlamydia mumbwa haina kugadzikana:

• Pakupisa kwe20-22 degrees, chlamydia inorarama kwemazuva maviri, pamusoro pezai reshiri - mazuva matatu, mumarara - mwedzi mina;

• Kana yakaomeswa nechando kusvika -20 madhigirii, chlamydia inoramba ichirarama kusvika kumwedzi mitanhatu, pa -6 madhigirii inogara kusvika gore kana kupfuura;

• Kupisa kwakanyanya kunokurumidza kuuraya mabhakitiriya. Pamadhigirii makumi matanhatu, chlamydia inofa mumaminitsi gumi, pakupisa kwepamusoro - inenge pakarepo;

• Kuti isaite chlamydia, nzira dzakasiyana-siyana dzemuviri nemakemikari dzinogona kushandiswa: ultraviolet nemwaranzi, quartzization, disinfectants (2% chloramine inoonekwa seyakanyanya kushanda).

Zviratidzo zveChlamydia muImbwa

Muzviitiko zvakawanda, chlamydia mumbwa inononoka, kureva kuti, haina zviratidzo zvechipatara, asi imbwa inogona kuva mutakuri wehutachiona uye inotapukira vamwe. Zviratidzo zvechlamydia mumbwa zvinogona kutanga kuonekwa nekuderera kwekudzivirira kana kuwedzerwa kwehumwe hutachiona. Uyewo, chiyero chekuratidzwa kwezviratidzo zvekliniki zvinoenderana nenzvimbo yekuiswa kwechlamydia mumuviri, zvimwe zvirwere zviripo, kusanganisira zvisingaperi. Mamiriro ehupenyu husina kunaka, kusagadzikana kusingaperi kunewo activators yehutachiona.

Chlamydia inogona kukanganisa nhengo dzekufema, nhengo dzesikarudzi, nhengo dzeurinary system uye kuona. Rarer kuratidzwa kwechlamydia mumbwa kunosanganisira kukuvadzwa kwenzeve, moyo uye nervous system. Kana hurongwa hwekufema huchikanganiswa, conjunctivitis (kuzvimba kwemucous membrane yemaziso), rhinitis (kuzvimba kwemhino mucosa), tracheobronchitis (kuzvimba panguva imwe chete yetrachea uye bronchi), bronchopneumonia (kuzvimba panguva imwe chete yebronchi uye mapapu tishu) kazhinji kazhinji inogona kuongororwa. Kana nhengo dzesikarudzi dzakatapukirwa nevarume, orchitis (kuzvimba kwechende), epididymitis (kuzvimba kwezviputi zvemachende), prostatitis (kuzvimba kweprostatic gland). Muzvipembenene - vaginitis (kuzvimba kwemukadzi), endometritis (kuzvimba kweuterine mucosa). Kurwisana nemamiriro ehutachiona, zviitiko zvekushaya mbereko zvinowanzoitika. Vakadzi vane pamuviri vanogona kubvisa pamuviri. Vana vanozvarwa vakaneta, vane hurema hweanatomical, kufa kwavo kamwe kamwe kunoonekwa.

Iyo incubation nguva yechlamydia muimbwa muchiitiko chehutachiona kubva pamazuva manomwe kusvika ku7, neavhareji yemavhiki maviri. Munguva iyi, kuiswa kwebhakitiriya mumuviri kunoitika panzvimbo yesuwo rekupinda (kazhinji mucous membrane yemaziso, mhino, nhengo dzepabonde). Kushanda kupatsanurwa kwechlamydia uye kufa kwesero kunotanga, chepfu inoburitswa. Panguva ino, zviratidzo zvekutanga zvekliniki zvinoonekwa. Zvinogona kusanganisira zvose zviratidzo zvakananga uye zvakajairwa (kusasimba, kunonoka kudya, kusada kufamba).

Zvakananga zviratidzo zvinosanganisira:

• Kuwedzera kwekushisa kwemuviri kusvika ku40-41 degrees;

• Muscular (myalgia) uye majoini (arthralgia) kurwadziwa;

• kunzwa kuda kurutsa, kurutsa;

• Kusununguka kubva pameso nemhino (kubva mucous kusvika kune purulent);

• kukosora, kuhotsira;

• Kutsvuka kwevachena vemaziso (jekiseni yemidziyo ye sclera);

• Kubuda mubeche muvarume uye kubva mubeche mumukadzi (white-yellow to brown).

Munguva iyi, masero enhengo dzakanangwa anobatwa, mamiriro ekudzikira ekudzivirira anoitika, uye autoimmune reactions inoumbwa. Zvose izvi zvinobatsira kuvapo kwenguva refu kwebhakitiriya mumuviri mumatanho akasiyana (reticular uye yekutanga miviri, L-mafomu). Nenguva isipi, flora yechitatu (mycoplasmosis, herpesvirus, mabhakitiriya akasiyana-siyana anowanikwa) anotanga kushanda, zviratidzo zvekliniki zvinowedzera kusiyana. Kune kuzvimba kwemajoini, lymph nodes, chiropa, tsinga dzeropa, membranes yemoyo, nerve tishu.

Muchiitiko chechirwere chisingaperi, panogona kuva nekubuda kwepanguva kubva pameso nemhino, kuderera kwekubereka (kukwanisa kuita vana) kana kusakwanisa kutsungirira uye kubereka vana vane utano.

Kuongororwa kwechlamydia

Kuongororwa kwechlamydia mumbwa kwakaoma. Zvichipa zvakasiyana-siyana zvekuratidzwa kwekliniki, kuongororwa kunogona kuva kwakaoma. Panguva yekurapa kwekutanga, nhoroondo yakadzama inounganidzwa, mukana wekuti imbwa ibatane nemadonhwe ane utachiona kana shiri, kudya nyama mbishi, uye kusangana pabonde nembwa dzisina kuongororwa kunotariswa. General kiriniki uye biochemical ropa kuongororwa kunoitwa. Mukuongororwa kwekliniki yeropa, leukocytosis, lymphopenia inogona kuonekwa. Iko hakuna hunhu hunochinja mukuongorora kwebiochemical, asi mune yakakomba mamiriro, kutsauka kweiyo electrolyte kuumbwa uye kuderera kwealbumin kunogona kuonekwa.

Kusimbisa kuongororwa kwechlamydia mumbwa, kuongororwa kwePCR kunoitwa. Mune fomu yekufema, swab inotorwa kubva kune mucous membrane yeziso, mhino kana huro. Ne urogenital - kubva kune mucous membrane ye preputial sac muvarume kana bonde muvakadzi. Iyo smear inofanira kuitwa uchishandisa cytobrush, nyoro yekotoni swab haina kukodzera izvi. Izvi zvinokonzerwa nekuti chlamydia iri mukati memasero, uye kwete pamusoro pavo, uye kuti ione, masero kubva pamusoro pemucosa anofanira "kuputirwa". Zvakare, kusimbisa chlamydia mumbwa, bvunzo yetsika inogona kuitwa, yakakosha yekukura svikiro inoshandiswa kudyara. Pamidhiya yakajairwa, iyo inoshandiswa kune dzakawanda tsika, chlamydia haina kukura.

NeArthritis, puncture ye intraarticular fluid (synovia) inoitwa, kuongorora kwayo cytological, mbeu yechlamydia. Kana iwe uchifungidzira chironda chenhengo dzomukati, zvakakosha kuti uite ultrasound scan, iyo iwe unogona kuziva chiyero chekukuvara kwechiropa, lymph nodes yakakura, mamiriro echibereko, prostate, testes. Kana zvichidikanwa, imaging resonance imaging kana computed tomography inogona kurongerwa.

Zvimiro zvekurapa kwechlamydia mumbwa

Hapana nyaya iwe unofanira kutanga kurapa imbwa yechlamydia iwe pachako. Kuongororwa mune imwe neimwe nyaya kunofanirwa kusimbiswa nerabhoritari. Kurapa kunogona kurebesa uye kuve nemhedzisiro, saka kunofanirwa kugara kuchiitwa pasi pekutariswa nachiremba.

Chinangwa chekurapa kwechlamydia ndechekubvisa bhakitiriya kubva mumuviri wembwa; mune zvimwe zviitiko, zvinongokwanisika kuwana shanduko kubva kune yakaomesesa kuenda kune isingaperi. Zvakare, kurapwa kuchave kwakanangana nekugadzirisa basa renhengo dzemukati uye masisitimu, kuwedzera kusadzivirirwa uye kudzivirira zvinhu zvemuviri.

Etiotropic kurapwa, kureva, yakanangana nekuparadzwa kwechlamydia, inosanganisira antibiotic therapy. Mishonga inorwisa mabhakitiriya kubva kuboka re tetracyclines (doxycycline), fluoroquinolones (ciprofloxacin, enrofloxacin, marbofloxacin), macrolides (josamycin, azithromycin) inoshandiswa. Nguva yekubvumirwa kazhinji inenge mavhiki matatu, kutora kwenguva pfupi kunogona kutyisidzira kudzoka kwehutachiona. Chiyero uye kusarudzwa kwemushonga zvinoenderana nezera remhuka, kuoma kwemaitiro, zvirwere zvechipiri zviripo, kushivirira kwekurapa kumhuka.

Muhupo hwehuputi hwakanyanya, maziso ane utsanana lotions, emunharaunda antiseptic kana antibacterial madonhwe anogona kurongerwa. Muchiitiko chekuonekwa kwerhinitis uye kubuda kwakanyanya kubva mumhino, kushambidza kwemhino yemhino nesaline solutions inoshandiswa, kushandiswa kwemadonhwe evasoconstrictor kunogona kuratidzwa. Kana chikosoro chikaonekwa, sputum thinners iyo inodzivisa chikosoro reflex inogona kukurudzirwa. Nezvakavanzika kubva kunhengo dzesikarudzi, douching ine antiseptic solution inorayirwa.

Muzviitiko zvakakomba zve chlamydia mumbwa, kutarisa kwakamira kwemamiriro echipfuwo kunogona kuratidzwa, kana zvichidikanwa, mvura-electrolyte fluid inoshandiswa nenzira yekudonha, zviratidzo zvakakosha zvinotariswa (tembiricha, BP, kufema kwekufema kunoyerwa, electrocardiography inotaridzwa. yakaitwa, mazinga e electrolyte anoyerwa uye magasi eropa).

Ko chlamydia ine ngozi kuvanhu?

Chlamydia inogona kutapukira kuvanhu. Imbwa yakakanganiswa ndiyo inogona kukonzera utachiona hwevanhu neChlamydia Psittaci. Muvanhu, chirwere chechlamydia chinogonawo kunzi psittacosis (psittacosis). Inogona kunyanya kuva nengozi kune vakadzi vane pamuviri, utachiona hunotyisidzira nemigumisiro yakakomba: kuparara kwepamuviri, kusabereka, kukanganisa kwe fetus. Kune vamwe vanhu, kunyanya vanhu vane kuderedzwa kwekudzivirira uye vakwegura, chlamydia ine ngozi zvakare, inogona kukonzera kusingaperi kuzvimba kwenhengo dzesikarudzi, arthritis. Paunenge uchishanda nembwa inorwara uye uchiichengeta, iva nechokwadi chekutevedzera zvese zvinogoneka zvekudzivirira: shandisa midziyo yekudzivirira, chengetedza hutsanana hwemunhu, uye kana paine zviratidzo, nekukurumidza bvunza chiremba uye ongorora.

4 May 2021

Yakagadziridzwa: Chikunguru 24, 2021