Chlamydia i nā ʻīlio

Chlamydia i nā ʻīlio: nā mea nui

1. ʻO Chlamydia i loko o nā ʻīlio ma muli o nā hua bacteria liʻiliʻi e like me ka maʻi maʻi.

2. Hiki ke ʻano like ʻole nā ​​hōʻailona a hilinaʻi i ke ʻano o ke ʻano o ka maʻi, ʻo ka mea maʻamau ka hoʻokuʻu ʻana mai nā maka a me ka ihu, ka ʻū.

3. ʻO ka pinepine, ʻo ka chlamydia i nā ʻīlio ʻaʻohe hōʻike lapaʻau a hūnā ʻia nā hopena.

4. Hoʻopili ka lāʻau lapaʻau i ka lāʻau antibiotic me kahi papa lōʻihi, nā hoʻomākaukau antiseptic kūloko, hāʻule, ʻaila.

5. He pōʻino paha kēia maʻi no nā kānaka, ʻoi aku hoʻi no ka poʻe immunocompromised a me nā wahine hāpai.

Nā kumu o ka maʻi

ʻO ke kumu nui o ka maʻi chlamydial nā manu o ke kūlanakauhale, ʻo ka pinepine nā nūnū. ʻO nā ala o ka lawe ʻana i ka Chlamidia Psittaci ma ka lewa a me ka lewa. Hōʻike pinepine nā ʻīlio i nā hōʻailona o ka maʻi ma hope o ka honi ʻana i nā kulu a me nā kupapaʻu o nā manu i loaʻa i ka maʻi chlamydia. ʻO ka maʻi ʻai, ʻo ia hoʻi, ma o ka ʻai ʻana i nā meaʻai maʻi, hiki nō hoʻi, akā ʻaʻole maʻamau. Hiki i nā ʻīlio ke maʻalahi i ka maʻi. Loaʻa ka maʻi me Chlamydia Abortus i ka moe kolohe i ka wā o ka male ʻana, a hiki ke loaʻa ma ka hānai ʻana i ka ʻiʻo maikaʻi ʻole i ka ʻīlio. Eia kekahi, ʻo ka hoʻoili ʻana o ka chlamydia i nā ʻīlio e hele pinepine mai ka makuahine i ka pēpē. Aia nā hōʻike e hiki ai i ka maʻi ke hiki ma o ka nahu ʻana o nā parasite omo koko (namu, nalo, ʻaʻa).

Pehea e loaʻa ai ka maʻi chlamydia?

ʻO Chlamydia kahi meaola parasitic kū hoʻokahi, ma kona ʻano ma waena o nā maʻi a me nā maʻi bacteria. Hoʻokaʻawale ʻia ʻo ia ma ke ʻano he virus e ka parasitism i loko o nā keʻena o ka mea hoʻokipa, a ʻaʻole hiki i ka chlamydia ke hana kūʻokoʻa i ka ATP (adenosine triphosphate) a hānai i ka ikehu o ke kelepona, nāna e luku loa iā ia. ʻO Chlamydia e pili ana i ka noho ʻana o kahi pā kelepona, kahi e ʻae ai i ka hoʻohana ʻana i nā lāʻau antibiotic e hakakā iā ia. Hoʻokaʻawale ʻia ʻo Chlamydia mai nā maʻi bacteria ʻē aʻe a pau e kona pōʻai ola kūikawā, ka mea i loaʻa mai ka maʻi ʻana o nā cell host e phagocytosis.

Ke komo i loko o ke kino, hiki i ka chlamydia ke noho ma nā ʻano ʻelua: nā kino elementary a me nā kino reticular. He ʻano like ke kino o ke kula haʻahaʻa a he pūpū ikaika kona. Hoʻopili iki kēia pūpū iā lākou i ka hana a nā lāʻau antibiotic. Ma kēia ʻano, loaʻa ka chlamydia i loko o ka lumi extracellular. I kēia pae, ʻaʻole i hoʻokumu ʻia ka chlamydia i nā hōʻailona maʻi maʻi a aia ma ke ʻano maʻamau o ke ʻano o ka maʻi. Hoʻolohiʻia ka māhele pūnaewele, hoʻemiʻia ka hoʻokuʻuʻana o nā proteins likeʻole.

ʻO nā kino reticular ka pae intracellular o ke ʻano o ka maʻi. I kēia manawa, lilo ka chlamydia i mea maʻalahi i ka hana o nā lāʻau antibiotic. I loko o ke kino, pili ia i nā cell target (ʻo ka pinepine o nā cell o ka conjunctiva, genital organ). Hoʻopili ka cell i ka parasite e ka phagocytosis. I loko o ke kelepona, hana ʻo chlamydia i kahi koloni a hānai i ka ikehu o ke kelepona. Hoʻokaʻawale ʻo Chlamydia, haʻalele i ka cell kaawale, a laila hoʻouka i kahi cell hou, a hoʻi hou ka pōʻai. Hiki i ka pōʻaiapuni o ka hoʻomohala ʻana i ʻelua a ʻekolu mau lā, i ia manawa e hānau ʻia ai nā haneli o nā parasite hou.

Eia kekahi, hiki i ka chlamydia ke hana i nā ʻano L kūikawā. I loko o kēia ʻano, ʻaʻohe hapa a i ʻole nā ​​​​pā āpau o ka chlamydia. Ma muli o kēia, he paʻakikī ke hoʻohuli iā ia me ke kōkua o nā antibiotics, disinfectants a me nā kumu kino (ka mahana, ultraviolet). Ma kēia ʻano, hiki i ka chlamydia ke ola no ka manawa lōʻihi ma ke kaiapuni a i loko o kahi mea ola a paʻakikī ke mālama.

I loko o ke kaiapuni o waho, ua paʻa ke kumu o ka chlamydia i nā ʻīlio:

• Ma kahi mahana wela o 20-22 degere, ola ʻo chlamydia no kahi o 2 mau lā, ma ka ʻili o ka hua manu - 3 mau lā, ma ka litter - 4 mau mahina;

• I ka wā maloʻo a hiki i -20 degere, ola ka chlamydia a hiki i 6 mahina, ma ka -75 degere a hiki i hoʻokahi makahiki a ʻoi aku paha;

• Hoʻopau koke nā wela kiʻekiʻe i ka bacteria. Ma ke 60 degere, make ka chlamydia i nā minuke 10, ma nā mahana kiʻekiʻe - kokoke koke;

• No ka hoʻopau ʻana i ka chlamydia, hiki ke hoʻohana ʻia nā ʻano mea kino a me nā kemika: radiation ultraviolet, quartzization, disinfectants (2% chloramine i manaʻo ʻia ʻo ia ka mea ʻoi loa).

Nā hōʻailona o Chlamydia i nā ʻīlio

I ka hapanui o nā hihia, he latent ka chlamydia i loko o nā ʻīlio, ʻo ia hoʻi, ʻaʻohe ona hōʻailona maʻi, akā hiki i ka ʻīlio ke lawe i ka maʻi a hoʻopili i nā mea ʻē aʻe. Hiki ke ʻike ʻia nā hōʻailona o ka chlamydia i nā ʻīlio me ka emi ʻana o ka pale ʻana a i ʻole ka hoʻohui ʻana o kekahi maʻi ʻē aʻe. Eia kekahi, ʻo ke ʻano o ka hōʻike ʻana o nā hōʻailona maʻi e pili ana i ka wahi o ka hoʻokomo ʻana o chlamydia i loko o ke kino, nā maʻi ʻē aʻe e loaʻa ana, me nā maʻi maʻi. ʻO nā kūlana ola maikaʻi ʻole, ʻo ke koʻikoʻi koʻikoʻi nā mea hoʻoulu o ka maʻi.

Hiki i ka Chlamydia ke hoʻopili i nā kino o ka ʻōnaehana hanu, nā ʻōpū, nā ʻāpana o ka ʻōnaehana urinary a me ka ʻike. ʻO nā hōʻike maʻamau o ka chlamydia i nā ʻīlio e pili ana i ka pōʻino i nā pepeiao, nā puʻuwai a me nā ʻōnaehana nerve. Ke hoʻopilikia ʻia ka ʻōnaehana hanu, conjunctivitis (ka ʻeha o ka mucous membrane o nā maka), rhinitis (ka ʻeha o ka nasal mucosa), tracheobronchitis (ka ʻeha like ʻana o ka trachea a me ka bronchi), bronchopneumonia (ka ʻeha like ʻana o ka bronchi a me ka ʻiʻo māmā) hiki ke ʻike pinepine ʻia. Ke loaʻa ka maʻi o ke kino i nā kāne, hiki mai ka orchitis (ka maʻi o ka ʻāʻī), epididymitis (ka hoʻomā ʻana o nā mea hoʻopili o ka ʻāʻī), prostatitis (ka maʻi o ka prostatic gland). I loko o nā bitches - vaginitis (ka wela o ka ʻōpū), endometritis (ka wela o ka mucosa uterine). E kū'ē i ka hope o ka maʻi, he mea maʻamau nā hihia o ka infertility. Hiki i nā wāhine hāpai ke loaʻa i ka hoʻohemo ʻana. Ua nāwaliwali nā ʻīlio hānau, loaʻa nā deformities anatomical, ʻike ʻia ko lākou make koke.

ʻO ka manawa incubation no chlamydia i nā ʻīlio i ka wā o ka maʻi mai 7 a 21 mau lā, me ka awelika o 2 mau pule. I loko o kēia manawa, hoʻokomo ʻia ka bacteria i loko o ke kino ma ke kahua o ka puka komo (maʻamau ka mucous membrane o nā maka, ihu, genital). Hoʻomaka ka māhele ikaika o ka chlamydia a me ka make cell, hoʻokuʻu ʻia nā toxins. I kēia manawa, ʻike ʻia nā hōʻailona mua. Hiki iā lākou ke hoʻokomo i nā hōʻailona kikoʻī a me nā mea maʻamau (nāwaliwali, makemake ʻole ʻia e hele wāwae).

Loaʻa nā hōʻailona kikoʻī:

• Hoʻonui i ka mahana o ke kino a hiki i 40-41 degere;

• ʻO ka ʻeha o ka ʻiʻo (myalgia) a me ka hui (arthralgia);

• ka manaʻo o ka nausea, ka luaʻi;

• Hoʻokuʻu mai nā maka a me ka ihu (mai ka mucous a purulent);

• ka a'u, ke kihe;

• ʻO ka ʻulaʻula o nā keʻokeʻo o nā maka (injection o nā moku o ka sclera);

• Hoʻokuʻu ʻia mai ka prepuce i nā kāne a mai ka vulva i nā wahine (keʻokeʻo-melemele a ʻeleʻele).

I loko o kēia manawa, hoʻopilikia ʻia nā pūnaewele o nā mea i hoʻopaʻa ʻia, kahi kūlana o ka hoʻohaʻahaʻa i ka pale ʻana, a ua hoʻokumu ʻia nā hopena autoimmune. Hāʻawi kēia mau mea āpau i ka noho lōʻihi o ka bacteria i loko o ke kino i nā pae like ʻole (reticular and elementary body, L-forms). ʻAʻole koke, hoʻomaka ka flora ʻaoʻao ʻekolu (mycoplasmosis, herpesvirus, bacteria opportunistic like ʻole) e hoʻāla, ʻoi aku ka nui o nā hōʻailona maʻi. Aia ka mumū o nā hui, nā lymph nodes, ate, nā kīʻaha koko, nā membrane o ka puʻuwai, nā ʻiʻo nerve.

I ka hihia o kahi kaʻina hana maʻamau, hiki ke hoʻokuʻu ʻia mai nā maka a me ka ihu, ka emi ʻana o ka momona (ka hiki ke loaʻa nā keiki) a i ʻole ka hiki ʻole ke hoʻomanawanui a hānau i nā keiki olakino.

ʻO ka hōʻailona o ka chlamydia

He paʻakikī ka ʻike o ka chlamydia i nā ʻīlio. Hāʻawi ʻia i ka nui o nā hōʻike lapaʻau, hiki ke paʻakikī ke ʻike. I ka wā o ka mālama mua ʻana, hōʻiliʻili ʻia kahi moʻolelo kikoʻī, ʻike ʻia ka pili ʻana o ka ʻīlio me nā ʻōpala a i ʻole nā ​​​​manu, ka ʻai ʻana i ka ʻiʻo maka, a me ka launa pū ʻana me nā ʻīlio i nānā ʻole ʻia. Hana ʻia nā hoʻāʻo koko maʻamau a me ka biochemical. I ka hoʻomaʻamaʻa maʻamau o ke koko, leukocytosis, lymphopenia hiki ke ʻike ʻia. ʻAʻohe ʻano hoʻololi i ka loiloi biochemical, akā i kahi kūlana koʻikoʻi, hiki ke ʻike ʻia nā deviations i ka haku electrolyte a me ka emi ʻana o ka albumin.

No ka hōʻoia ʻana i ka maʻi chlamydia i nā ʻīlio, hana ʻia kahi hoʻokolohua PCR. Ma ke ʻano hanu, lawe ʻia kahi swab mai ka mucous membrane o nā maka, ihu a ʻāʻī paha. Me ka urogenital - mai ka mucous membrane o ka ʻeke preputial i nā kāne a i ʻole ka vagina i nā wahine. Pono e hana ʻia ka smear me ka cytobrush, ʻaʻole kūpono ka pulupulu palupalu no kēia. ʻO kēia ma muli o ka loaʻa ʻana o ka chlamydia i loko o nā cell, ʻaʻole ma luna o ko lākou ʻili, a i mea e ʻike ai, pono e "hui ʻia" nā cell mai ka ʻili o ka mucosa. Eia kekahi, e hōʻoia i ka chlamydia i nā ʻīlio, hiki ke hana i kahi hoʻāʻo moʻomeheu, hoʻohana ʻia kahi ulu ulu kūikawā no ka lūlū. Ma ka media maʻamau, i hoʻohana ʻia no ka hapa nui o nā moʻomeheu, ʻaʻole ulu ka chlamydia.

Me ka arthritis, hana ʻia kahi puncture o ka wai intraarticular (synovia), kāna hoʻokolokolo cytological, seeding no chlamydia. Inā manaʻo ʻoe i kahi lesion o nā ʻōpū o loko, pono ia e hana i kahi scan ultrasound, kahi e hiki ai iā ʻoe ke ʻike i ke kiʻekiʻe o ka pōʻino o ka ate, hoʻonui ʻia nā lymph nodes, ke ʻano o ka ʻōpū, prostate, testes. Inā pono, hiki ke kuhikuhi ʻia ka magnetic resonance imaging a i ʻole computed tomography.

Nā hiʻohiʻona o ka mālama ʻana i ka chlamydia i nā ʻīlio

ʻAʻole pono ʻoe e hoʻomaka e mālama i ka ʻīlio no ka chlamydia iā ʻoe iho. Pono e hōʻoia ʻia ka maʻi maʻi i kēlā me kēia hihia e ka lab. Hiki ke lōʻihi ka mālama ʻana a loaʻa kekahi mau hopena ʻaoʻao, no laila pono e hana mau ʻia ma lalo o ka mākaʻi olakino.

ʻO ka pahuhopu o ka mālama ʻana i ka chlamydia, ʻo ia ka hoʻopau ʻana i ke kino mai ke kino o ka ʻīlio; i kekahi mau hihia, hiki wale ke hoʻokō i kahi hoʻololi mai kahi maʻi koʻikoʻi i kahi maʻi maʻi. Eia kekahi, e kuhikuhi ʻia ka lāʻau lapaʻau i ka normalizing i ka hana o nā ʻāpana o loko a me nā ʻōnaehana, e hoʻonui ai i ka palekana a me nā waiwai pale o ke kino.

ʻO ka lāʻau etiotropic, ʻo ia hoʻi, e kuhikuhi pololei ana i ka luku ʻana i ka chlamydia, e komo pū me ka lāʻau antibiotic. Hoʻohana ʻia nā antibiotic mai ka hui o tetracyclines (doxycycline), fluoroquinolones (ciprofloxacin, enrofloxacin, marbofloxacin), macrolides (josamycin, azithromycin). ʻO ka lōʻihi o ke komo ʻana ma kahi o 3 mau pule, hiki ke hoʻoweliweli i ka lawe ʻana i ka maʻi. ʻO ke ʻano a me ke koho ʻana o ka lāʻau lapaʻau e pili ana i ka makahiki o ka holoholona, ​​ka paʻakikī o ke kaʻina hana, nā maʻi lua e kū nei, ka hoʻomanawanui o ka mālama ʻana i nā holoholona.

I ke alo o ka conjunctivitis koʻikoʻi, hiki ke kuhikuhi ʻia nā mea holoi maka me nā lotions maʻemaʻe, nā antiseptic kūloko a i ʻole antibacterial drops. Inā ʻike ʻia ka rhinitis a me ka hoʻokuʻu nui ʻana mai ka ihu, hoʻohana ʻia ka holoi ʻana o ka lua ihu me nā saline solution, hiki ke kuhikuhi ʻia ka hoʻohana ʻana i nā hāʻule vasoconstrictor. Inā ʻike ʻia ka maʻi ʻaʻa, hiki ke ʻōlelo ʻia nā mea hoʻomaʻemaʻe sputum e kāohi ana i ka reflex cough. Me nā mea huna mai nā ʻāpana genital, ua kuhikuhi ʻia ka douching me nā hopena antiseptic.

I nā hihia koʻikoʻi o ka chlamydia i nā ʻīlio, hiki ke hōʻike ʻia ka nānā ʻana i ke kūlana o ka holoholona, ​​​​inā pono, hoʻohana ʻia nā wai wai-electrolyte i ke ʻano o nā droppers, nānā ʻia nā hōʻailona koʻikoʻi (ka wela, ke koko, ke ana ʻana o ka hanu, electrocardiography. hana ʻia, ana ʻia nā pae electrolyte a me nā kinoea koko).

He pilikia anei ka chlamydia i ke kanaka?

Hiki ke lele ʻo Chlamydia i nā kānaka. ʻO ka ʻīlio i hoʻopilikia ʻia he kumu ia o ka maʻi kanaka me Chlamydia Psittaci. I loko o ke kanaka, hiki ke kapa ʻia ka maʻi chlamydia he psittacosis (psittacosis). Hiki ke pilikia loa i nā wahine hāpai, hoʻoweliweli ka maʻi me nā hopena koʻikoʻi: hāʻule ʻole, infertility, abnormalities fetal. No nā poʻe ʻē aʻe, ʻoi aku ka nui o ka poʻe me ka emi ʻana o ka palekana a me ka poʻe ʻelemakule, ʻo ka chlamydia kekahi mea weliweli, hiki iā ia ke hoʻoulu i ka mumū mau o nā ʻāpana genital, arthritis. I ka hana ʻana me ka ʻīlio maʻi a mālama iā ia, e mālama pono e hahai i nā hana pale āpau: e hoʻohana i nā mea pale, e mālama i ka hoʻomaʻemaʻe pilikino, a inā ʻike ʻia kekahi mau hōʻailona, ​​​​e nīnau koke i ke kauka a hana i nā hoʻokolohua.

4 May 2021

Hōʻano hou ʻia: Iulai 24, 2021