I-Chlamydia ezinjeni

I-Chlamydia ezinjeni: Okubalulekile

1. I-Chlamydia ezinjeni ibangelwa amagciwane amancane aziphatha njengegciwane.

2. Izimpawu zingahlukahluka futhi zincike esimweni senkambo yesifo, okuvame kakhulu kufaka phakathi ukuphuma kwamehlo nekhala, ukukhwehlela.

3. Ngokuvamile, i-chlamydia ezinjeni ayinakho ukubonakaliswa kwemitholampilo futhi iqhubeka ifihliwe.

4. Ukwelashwa kuhlanganisa ukwelashwa kwama-antibiotic ngenkambo ende, amalungiselelo e-antiseptic yendawo, amaconsi, amafutha.

5. Lesi sifo singaba yingozi kubantu, ikakhulukazi kubantu abangenawo amandla omzimba kanye nabesifazane abakhulelwe.

Izimbangela zalesi sifo

Umthombo oyinhloko wokutheleleka kwe-chlamydial yizinyoni zasemadolobheni, ngokuvamile amajuba. Izindlela zokudlulisa i-Chlamidia Psittaci zihamba emoyeni futhi zihamba emoyeni. Izinja zivame ukukhombisa izimpawu zokutheleleka ngemva kokuhogela ubulongwe nezidumbu zezinyoni ezingenwe i-chlamydia. Ukutheleleka nge-alimentary, okungukuthi, ngokudla ukudla okunegciwane, nakho kungenzeka, kodwa kungavamile. Izinja zingenwa kalula yizifo. Ukutheleleka nge-Chlamydia Abortus kwenzeka kakhulu ngokocansi ngesikhathi sokukhwelana, futhi kungenzeka ngokuphakela inja inyama engagaywe kahle. Futhi, ukudluliswa kwe-chlamydia ezinjeni kuvame ukuvela kumama kuya ku-fetus. Kunobufakazi bokuthi ukutheleleka kungenzeka ngokulunywa kwezimuncagazi ezimunca igazi (omiyane, izimpukane, imikhaza).

I-chlamydia itheleleka kanjani?

I-Chlamydia iyi-parasitic organism eyingqayizivele, ngesakhiwo sayo iphakathi kwamagciwane nama-bacteria. Ihlukaniswa njengegciwane nge-parasitism ngaphakathi kwamaseli wesilwane esiphethe, futhi i-chlamydia ayikwazi ukukhiqiza ngokuzimela i-ATP (i-adenosine triphosphate) futhi idla amandla eseli, ayibhubhisa ngokuphelele. I-Chlamydia ibhekisela ekubeni khona kodonga lwamaseli, oluvumela ukusetshenziswa kwama-antibiotic ukulwa nalo. I-Chlamydia nayo ihlukaniswa kuwo wonke amanye amagciwane ngomjikelezo wayo wokuphila okhethekile, osuka ekuthelelekeni kwamangqamuzana aphethe nge-phagocytosis.

Ukungena emzimbeni, i-chlamydia iyakwazi ukuhlala ngezindlela ezimbili: imizimba eyisisekelo kanye ne-reticular. Imizimba eyisisekelo iyifomu efana ne-spore futhi inegobolondo eliqinile. Leligobolondo libenza bazizwele kancane esenzweni sama-antibiotic. Kuleli fomu, i-chlamydia ikhona endaweni engaphandle kwamangqamuzana. Kulesi sigaba, i-chlamydia ayibangeli izimpawu zomtholampilo ezikhanyayo futhi ikhona ngendlela engapheli yenkambo yesifo. Ukuhlukaniswa kwamaseli kuncipha, ukukhululwa kwamaprotheni ahlukahlukene kuyancipha.

Imizimba ye-reticular yisigaba se-intracellular senkambo yesifo. Kulesi sigaba, i-chlamydia iyazwela esenzweni sama-antibiotic. Emzimbeni, inamathela kumaseli okuhlosiwe (imvamisa amaseli we-conjunctiva, izitho zangasese). Iseli ligwinya i-parasite nge-phagocytosis. Ngaphakathi kweseli, i-chlamydia idala ikoloni futhi idla amandla eseli. I-Chlamydia iyahlukana, iphume kuseli engenalutho, bese ihlasela iseli elisha, bese umjikelezo uphinda. Umjikelezo wokukhula ungahlala izinsuku ezimbili noma ezintathu, phakathi naleso sikhathi amakhulu ama-parasites amasha azalwa.

Futhi, i-chlamydia ingakha izimo ezikhethekile ze-L. Kuleli fomu, i-chlamydia ayinayo ingxenye noma lonke udonga lwamaseli. Ngenxa yalokhu, kunzima ukuyithonya ngosizo lwama-antibiotics, ama-disinfectants kanye nezici zomzimba (izinga lokushisa, i-ultraviolet). Kuleli fomu, i-chlamydia iyakwazi ukuphila isikhathi eside endaweni ezungezile nangaphakathi kwento ephilayo futhi kunzima ukuyiphatha.

Endaweni yangaphandle, i-agent causative ye-chlamydia ezinjeni izinzile:

• Emazingeni okushisa angama-20-22 degrees, i-chlamydia iphila cishe izinsuku ezimbili, ebusweni beqanda lenyoni - izinsuku ezi-2, kudoti - izinyanga ezi-3;

• Uma iqhwa ukuya ku--20 degrees, i-chlamydia ihlala iphila kuze kube yizinyanga ezingu-6, ku--75 degrees igcina unyaka noma ngaphezulu;

• Amazinga okushisa aphezulu abulala ngokushesha amagciwane. Ngama-degree angu-60, i-chlamydia ifa emaminithini angu-10, emazingeni okushisa aphezulu - cishe ngokushesha;

• Ukwenza i-chlamydia ingasebenzi, izindlela ezihlukahlukene zomzimba namakhemikhali zingasetshenziswa: imisebe ye-ultraviolet, i-quartzization, i-disinfectants (i-chloramine engu-2% ibhekwa njengephumelela kakhulu).

Izimpawu ze-Chlamydia Ezinjeni

Ezimweni eziningi, i-chlamydia ezinjeni ifihlekile, okungukuthi, ayinazo izimpawu zomtholampilo, kodwa inja ingaba umthwali wesifo futhi ithelele abanye. Izimpawu ze-chlamydia ezinjeni zingase ziqale ukuvela ngokuncipha kokuzivikela komzimba noma ukungezwa kwesinye isifo. Futhi, izinga lokubonakaliswa kwezibonakaliso zomtholampilo lincike endaweni yokwethulwa kwe-chlamydia emzimbeni, ezinye izifo ezikhona, kuhlanganise nezingamahlalakhona. Izimo zokuphila ezingezinhle, ukucindezeleka okungapheli nakho kuyizishoshovu zokutheleleka.

I-Chlamydia ingangena ezithweni zokuphefumula, izitho zangasese, izitho zohlelo lomchamo kanye nombono. Ukubonakaliswa okungavamile kwe-chlamydia ezinjeni kuhlanganisa ukulimala ezindlebeni, izinhlelo zenhliziyo nemithambo yegazi. Lapho uhlelo lokuphefumula luthinteka, i-conjunctivitis (ukuvuvukala kolwelwesi lwamafinyila lwamehlo), i-rhinitis (ukuvuvukala kwe-mucosa yamakhala), i-tracheobronchitis (ukuvuvukala kanyekanye kwe-trachea ne-bronchi), i-bronchopneumonia (ukuvuvukala kanyekanye kwe-bronchi nezicubu zamaphaphu) ingatholakala kaningi. Lapho izitho zangasese zitheleleka kwabesilisa, i-orchitis (ukuvuvukala kwamasende), i-epididymitis (ukuvuvukala kwe-appendages yamasende), i-prostatitis (ukuvuvukala kwe-prostatic gland). Kuma-bitches - vaginitis (ukuvuvukala kwesitho sangasese sowesifazane), i-endometritis (ukuvuvukala kwe-mucosa yesibeletho). Ngokumelene nesizinda sokutheleleka, amacala okuzala avamile. Abesifazane abakhulelwe bangase bakhiphe izisu. Imidlwane ezelwe ibuthakathaka, inokukhubazeka kwe-anatomical, ukufa kwayo kungazelelwe kuyabonwa.

Isikhathi sokufukamela se-chlamydia ezinjeni uma kwenzeka ukutheleleka sisuka ezinsukwini ezingu-7 kuya kwezingu-21, nesilinganiso samasonto amabili. Ngalesi sikhathi, ukwethulwa kwamagciwane emzimbeni kwenzeka endaweni yesango lokungena (ngokuvamile ulwelwesi lwamafinyila lwamehlo, ikhala, izitho zangasese). Ukuhlukaniswa okusebenzayo kwe-chlamydia nokufa kweseli kuqala, ubuthi bukhishwa. Ngalesi sikhathi, izimpawu zokuqala zomtholampilo zivela. Zingabandakanya kokubili izimpawu ezithile kanye nezivamile (ubuthakathaka, isifiso sokudla, ukungafuni ukuhamba uhambo).

Izimpawu eziqondile zihlanganisa:

• Ukwanda kokushisa komzimba kuze kufike ku-40-41 degrees;

• Ubuhlungu bemisipha (i-myalgia) kanye ne-joint (arthralgia);

• ukuzwa isicanucanu, ukuhlanza;

• Ukukhishwa kwamehlo nasemakhaleni (kusuka kumafinyila kuya ku-purulent);

• ukukhwehlela, ukuthimula;

• Ububomvu bamehlo amhlophe (umjovo wezitsha ze-sclera);

• Ukuphuma kwe-prepuce kwabesilisa kanye nase-vulva kwabesifazane (omhlophe-ophuzi kuya kunsundu).

Ngalesi sikhathi, amangqamuzana ezitho ezihlosiwe ayathinteka, isimo sokuzivikela esincishisiwe siyenzeka, futhi kwakheka ukusabela kwe-autoimmune. Konke lokhu kunomthelela ebukhoneni besikhathi eside bamagciwane emzimbeni ngezigaba ezahlukahlukene (imizimba ye-reticular kanye nesisekelo, amafomu e-L). Ngokushesha, i-flora yeqembu lesithathu (i-mycoplasmosis, i-herpesvirus, amagciwane ahlukahlukene angosomathuba) iqala ukusebenza, izimpawu zomtholampilo ziba zihlukahlukene. Kukhona ukuvuvukala kwamalunga, ama-lymph nodes, isibindi, imithambo yegazi, ulwelwesi lwenhliziyo, izicubu zezinzwa.

Endabeni yenqubo engapheli, kungase kube nokuphuma ngezikhathi ezithile emehlweni nasemakhaleni, ukuncipha kokuzala (ikhono lokuba nenzalo) noma ukungakwazi ukubekezela nokuzala abantwana abanempilo.

Ukuxilongwa kwe-chlamydia

Ukuxilongwa kwe-chlamydia ezinjeni kuyinkimbinkimbi. Njengoba kunikezwe ukuhlukahluka okubanzi kokubonakaliswa komtholampilo, ukuxilongwa kungase kube nzima. Ngesikhathi sokwelashwa kokuqala, kuqoqwe umlando oningiliziwe, ukuthi kungenzeka ukuthintana kwenja ne-droppings ethelelekile noma izinyoni, ukudla inyama eluhlaza, nokuxhumana kocansi nezinja ezingahloliwe kuyacatshangelwa. Ukuhlolwa kwegazi okujwayelekile komtholampilo kanye ne-biochemical kuyenziwa. Ekuhlaziyweni okujwayelekile komtholampilo kwegazi, i-leukocytosis, i-lymphopenia ingatholwa. Azikho izinguquko zesici ekuhlaziyweni kwamakhemikhali ezinto eziphilayo, kodwa esimweni esibucayi, ukuphambuka ekwakhekeni kwe-electrolyte nokuncipha kwe-albumin kungatholwa.

Ukuqinisekisa ukutholakala kwe-chlamydia ezinjeni, ukuhlolwa kwe-PCR kuyenziwa. Ngendlela yokuphefumula, i-swab ithathwa kulwelwesi lwamafinyila lwamehlo, ikhala noma umphimbo. Nge-urogenital - kusuka kulwelwesi lwamafinyila esaka langaphambi kokuzalwa kwabesilisa noma isitho sangasese sowesifazane kwabesifazane. I-smear kufanele yenziwe kusetshenziswa i-cytobrush, i-cotton swab ethambile ayifanele lokhu. Lokhu kungenxa yokuthi i-chlamydia itholakala ngaphakathi kwamaseli, hhayi ebusweni bawo, futhi ukuze uyibone, amaseli avela ebusweni be-mucosa kufanele "ahlanganiswe". Futhi, ukuqinisekisa i-chlamydia ezinjeni, ukuhlolwa kwesiko kungenziwa, indawo ekhethekile yokukhula isetshenziselwa ukuhlwanyela. Kumithombo yezindaba evamile, esetshenziselwa amasiko amaningi, i-chlamydia ayikhuli.

Nge-arthritis, i-puncture ye-intraarticular fluid (synovia) yenziwa, ukuhlolwa kwayo kwe-cytological, imbewu ye-chlamydia. Uma usola isilonda sezitho zangaphakathi, kuyadingeka ukwenza i-ultrasound scan, ongayibona ngayo izinga lokulimala kwesibindi, ama-lymph nodes akhulisiwe, isimo sesibeletho, i-prostate, ama-testes. Uma kunesidingo, i-imaging resonance magnetic noma i-computed tomography ingase inqunywe.

Izici zokwelashwa kwe-chlamydia ezinjeni

Kungakhathaliseki ukuthi kufanele uqale ukwelapha inja ye-chlamydia ngokwakho. Ukuxilongwa esimweni ngasinye kufanele kuqinisekiswe yilabhorethri. Ukwelashwa kungase kube isikhathi eside futhi kube nemiphumela ethile engemihle, ngakho kufanele ngaso sonke isikhathi kwenziwe ngaphansi kokuqondisa kodokotela.

Umgomo wokwelashwa kwe-chlamydia ukuqeda i-bacterium emzimbeni wenja; kwezinye izimo, kungenzeka kuphela ukufeza ukuguquka kusuka esimweni esibucayi kuya kwesingamahlalakhona. Futhi, ukwelashwa kuzobe kuhloswe ukujwayela umsebenzi wezitho zangaphakathi nezinhlelo, ukwandisa ukungatheleleki kanye nezakhiwo zokuzivikela zomzimba.

Ukwelashwa kwe-Etiotropic, okungukuthi, okuhloswe ngokuqondile ekubhujisweni kwe-chlamydia, kuhlanganisa ukwelashwa kwama-antibiotic. Ama-antibiotics avela eqenjini le-tetracyclines (doxycycline), i-fluoroquinolones (i-ciprofloxacin, i-enrofloxacin, i-marbofloxacin), i-macrolides (i-josamycin, i-azithromycin) isetshenziswa. Isikhathi sokungeniswa ngokuvamile singamaviki angu-3, ​​ukuthatha isikhathi esifushane kungase kusongele ukuphinda ukutheleleka. Umthamo nokukhetha komuthi kuncike eminyakeni yobudala besilwane, ubunzima benqubo, izifo ezikhona zesibili, ukubekezelelana kokwelashwa ezilwaneni.

Lapho kukhona i-conjunctivitis enzima, ama-eyewash ane-lotions ehlanzekile, amaconsi e-antiseptic yendawo noma ama-antibacterial anganqunywa. Uma kwenzeka kutholakala i-rhinitis kanye nokukhishwa okukhulu okuvela ekhaleni, ukuhlanza umgodi wekhala ngezixazululo ze-saline kusetshenziswa, ukusetshenziswa kwamaconsi e-vasoconstrictor kungase kuboniswe. Uma kuphawulwa ukukhwehlela, izinto ezinciphisa isikhwehlela ezivimbela i-reflex yokukhwehlela zingase zinconywe. Ngokufihla okuvela ezithweni zangasese, ukuxubha ngezixazululo ze-antiseptic kunqunyelwe.

Ezimweni ezimbi kakhulu ze-chlamydia ezinjeni, ukuqapha okumile kwesimo sesilwane kungaboniswa, uma kunesidingo, uketshezi lwamanzi-electrolyte lusetshenziswa ngendlela yama-droppers, izimpawu ezibalulekile zibhekwa (izinga lokushisa, umfutho wegazi, izinga lokuphefumula liyalinganiswa, i-electrocardiography kwenziwa, kulinganiswa amazinga e-electrolyte namagesi egazi).

Ingabe i-chlamydia iyingozi kubantu?

I-Chlamydia ingatheleleka kubantu. Inja ethintekile ingumthombo ongaba khona wokutheleleka kwabantu nge-Chlamydia Psittaci. Kubantu, lesi sifo i-chlamydia singabizwa nangokuthi i-psittacosis (psittacosis). Kungaba yingozi ikakhulukazi kwabesifazane abakhulelwe, ukutheleleka kusongela ngemiphumela emibi: ukuphuphuma kwesisu, ukungazali, ukungahambi kahle kwengane. Kwabanye abantu, ikakhulukazi abantu abanokuzivikela okuncishisiwe kanye nasebekhulile, i-chlamydia nayo iyingozi, ingabangela ukuvuvukala okungapheli kwezitho zangasese, i-arthritis. Lapho usebenza nenja egulayo futhi uyinakekela, qiniseka ukuthi ulandela zonke izindlela zokuvimbela: sebenzisa izinto zokuzivikela, gcina inhlanzeko yomuntu siqu, futhi uma kuvela izimpawu, thintana nodokotela ngokushesha futhi uhlole.

4 May 2021

Kubuyekezwe: Julayi 24, 2021