Usuleleko Ukuxuba: isifo kwaye afumane unyango

iimeko Complex kweentlobo ezahlukeneyo kwezifo ezinzima lokuxilonga nangakumbi ke ngayo. Ngokuba lo hlobo iinkqubo ukudumba ezi mpawu usulelo mixed ebantwaneni. Phantsi eli gama lithetha inani iintsholongwane neebhaktiriya, ukunika impembelelo ngaxeshanye efanayo kwimpilo yomntwana.

Kuba nganye uhlobo olungumxube sifo liphuhlise indlela ekhethekileyo cazululo. usuleleko Ukuxuba luphawulwa amanani egqwethekileyo ngokusebenzisa ELISA kunye PCR iindlela. Ngokufuthi kufuneka ahlawule elo iimpawu yintsholongwane okanye neentsholongwane, ukuze uqhubeke ukuya kunyango lodidi lwesibini.

Ingxaki iintsholongwane ezahlukeneyo kunye neentsholongwane

Phakathi ethandwayo ngeentlobano Ukwasuleleka, izifo ezabelwe yintsholongwane engumxube, apho unyango inzima ngenxa imixube ezahlukeneyo:

• chlamydia;
• ureaplasmas;
• gardnerellas;
• mycoplasma;
• amagciwane gonococcal;
• Candida;
• Trichomonas.

Ngu zokubonisa iintsholongwane ziibhakteriya adityaniswe, kufuneka kwakhona zithathelwe ingqalelo xa ukhetha uhlobo unyango ezimbaxa kunye nohlobo iziyobisi. indlela akulungile ukuba uxilongo kuya kukhokelela kwiziphumo okungamanga okanye bubuxoki ezimbi. On uya baye baphathwa, emva koko apho kuya mkhuba.

ingqalelo ekhethekileyo ihlawulwa apho usulelo kubonakele ugalelwe kwiimeko ebantwaneni. Kumzimba young uvakalelo nemithi eyomeleleyo, yaye akuyomfuneko kanye ezifumana amachiza kwabo. Ngexesha iimvavanyo zempilo diagnostic ukwenziwa uluhlu olude iintsholongwane.

Kwenzeka ntoni xa umxube kwiintsholongwane?

usuleleko ezixutywe umntwana lisekwa ngokuxuba ezi zibini zilandelayo:

• iintsholongwane - bacterium;
• iintsholongwane - virus;
• iintsholongwane - virus;
• Zilwanyana - bacterium;
• zilwanyana - izinambuzane;
• zilwanyana - virus;
• ahlobene enzima kakhulu.

Ukuba monoinfection kudala kufundwe empirically kumiselwa iimpawu ezisisiseko izifo, usulelo axubeneyo ubonakala nje nantoni na. Ezi ndidi zilandelayo meko:

• uhlobo olufanayo usulelo inokuba nempembelelo ngxelo imbi kwi enye nenye kwaye athathe onke nazimpawu ngaphandle iingxaki;
• imidibaniso entsonkothileyo iintsholongwane, iintsholongwane kunye nezinambuzane ezikhokelela kwiimo ezintsha, kungekhona ukubona;
• inhibition kweempawu etsolo ukuba wabonakalaliswa monoinfection kwenzeka ngokuvuselela imikhosi omzimba umzimba unimodal;
• rhoqo kukho luphuhliso olukhawulezayo iimpawu kakhulu, kuchaphazela sobalo ulwamkelo ngaxeshanye isixa esikhulu iziyobisi.

Yintoni lokulindela emva kokuba ukuxuba kwiintsholongwane?

Ngenxa yoko lwendibaniso ezintsonkothileyo, nokuba kuquka iintlobo ezimbini ezincinane, kwakheka usulelo olutsha oluxubeneyo. Ukuzimisela kweempawu iqala zokufumanis imeko jikelele eziphilayo. Umntu ngamnye uya kuba imiqondiso yabo ukudumba emva kokosuleleka.

Iimpawu ezimandundu kwenzeka inani elincinane kuphela abantu abaseleyo komtshiso oko kwenzeka meko yabo. Kodwa izifo interrelation xa kunokwenzeka kunye namathuba encinane yokuzilungiselela kwenzeka inhibition okanye ukukhula ezinzima. Ngoko ke, ukukhululwa lwezifo Indibandiba ezihlobeneyo:

• yimasisi, isifo somqala;
• usuleleko meningococcal + umkhuhlane;
• iStreptococcus kunye nesifo sephepha;
• paratyphoid + esifo.

Noko ke, kongezwe iimpawu akuyonto kwi ayilolongezo elula ngokomthetho, kwaye nohlobo ziguqu-guquka ngenxa zophuhliso. Oku lukhuni izifo amanani ukubunjwa kwimeko nganye eziveliswa indlela ngamnye kukhathalelo nomonde.

umxube kathathu iintsholongwane

usulelo mixed kudla kwasekwa phantsi kweempembelelo:

• ureaplasmas;
• chlamydia;
• mycoplasmas.

Ezi iintlobo ezintathu iintsholongwane lula ezosulela ngesondo phakathi kwabasetyhini kunye namadoda. Kwakhona kuchaphazela isakhiwo osadaleka abasetyhini abakhulelweyo kunye angaya umntwana elizayo ekuzalweni.

Uxilongo lwe ukukhulelwa kufuneka uqinisekise ukuba ufaka uluhlu olubanzi zizifo, ukuthintela kuphuhliso iingxaki. Ezi ntlobo iintsholongwane ziphantse njalo luhambisana Candida kunye nabafazi gardnerellami. Unyango yaqala ekutshatyalalisweni lokugqibela Cya, akulula xa uqeqeshelwa ukuba antibiotics eyomeleleyo kuthwalelwa phandle kamva.

iintlobo exube kwiintsholongwane baba ngeendlela ezingaziwayo ukuba kuvela iimpawu ezintsha. Imiphumo meko phantse lonke uba ukuhluleka elandelayo. Omzimba ehlasela triple isoloko ezingazinzanga.

Ukutshintshelwa amagciwane izinambuzane

Imimandla yomntla lizwe kunye nezityalo ezixineneyo kukho inani elikhulu labantu abaye baba iqela losulelo mixed: iStreptococcus pneumoniae, meningoencephalitis indle borreliosis. Ezi zifo ezintathu abafunyenwe kwezo nzima ngenxa kwindibaniselwano amatyala ezincinane baqhuba kugcinwa ezigulane kunye ezinzima. kuphela ezinye zazo:

• Ukuphuhliswa kwenkqubo yokukrala kwenzeka ngokukhawuleza, iimpawu fever.
• Kudla kwakhiwa sisilonda esidumbileyoesingaphakathi ye emzimbeni articular.
• Fever ekhatshwa intloko ebuhlungu kunye nokugabha.

Xa uhlobo mixed ukwenza isifo kunye yamanani echanekileyo akwenzeki. Unyango uqala unyango ESP, kuquka iziyobisi nxamnye bonke kwamagciwane. Umfanekiso we sifo siyavela iintsuku kuphela emva kwe-14.

ngokuxuba amagciwane

Ukuncitshiswa Strong sifo kubantwana kwenzeka, ukuba kukho usuleleko mixed-herpetic. Ukuhlolisisa izigulane lwaqhutywa yi iintlobo ezimbini iintsholongwane:

• Epstein-Barr + cytomegalovirus.
• Epstein-Barr + uhlobo simplex herpes.

iintlobo ezimbini iintsholongwane bya iimpawu monoinfections. Ngexesha kokuma ziye zachongwa iimeko eziphambili ludlule:

• Ukukhubazeka engqondweni, ekuphuhliseni iimpawu ebuchotsheni ebantwaneni.
• Kukho iingxaki asakhasayo lymphocyte.
• Ukwanda ingozi lokuthenga ezinye iintsholongwane neebhaktiriya. Umzimba ubuthathaka ukuhlasela iintsholongwane amazwe.
• Ukuvela iingxaki zangaphakathi kwinkqubo yokwetyisa: uphuhliso lokuqala izilonda, erosions beendonga angaphakathi amalungu.
• qho zizifo herpes likakade.
• Kwengozi yezifo eliphezulu phecana zemiphunga.
• Ukunyhashwa intliziyo kunye nenkqubo luvo.
• Kwakhona, kukho ingxaki kunye nentshukumo iiseli ezimhlophe zegazi.

usuleleko olungumxube iintsholongwane herpes kuyingozi kakhulu abasetyhini abakhulelweyo kunye nabantu abanezifo kwamajoni omzimba. Noko ke, Imigqaliselo ezininzi ziye zasekwa amayeza ngempumelelo ngaphandle uxilongo echanekileyo.

Iingxaki nesiqephu sokuphefumla

Ngaphandle usulelo inyumoniya elingumxube + fungi (igwele okanye wulahle) okanye zidityaniswe kunye namanye amagciwane. ezibangela bacteria kunye nomthamo ukubhideka kwezinye iimeko, ukuya inhibition sobabini, iimpawu, ngoxa iintlobo ezahlukeneyo kuya kukhokelela iimeko yondele kakhulu.

Ngoko ke, lo ukhohlokhohlo eqhelekileyo kunye neemviwo ngenyameko inokuba ezininzi iintsholongwane eziyingozi, ekufuneka kutshatyalaliswa phambi ekukhuleni zosulelo kakhulu. Ingozi edidayo zezi zilandelayo iintlobo iintsholongwane, iintsholongwane:

• unesifo acute isifo yokuphefumla viral;
• bafumana chlamydia kwi kwemiphunga;
• ezichongiweyo inyumoniya focal ;
• Toxoplasma.

Ukuxuba zonke ezi meko ziyabulala. Kuba unyango olufanelekileyo ezikhethiweyo nefuthe ngokuthe ngcembe kwi component kakhulu etyalike iimvavanyo kwakhona wahlala-ngamaxesha ukuze ngamagciwane. basoloko akamncedisanga Le ndlela, nabantwana uMbumbi imiphumo onzima zifo ezahlukeneyo:

• a Ukunyuka kwamaqondo obushushu ngaphezu degrees 39;
• ukugabha, isicaphucaphu, ukuphelelwa ngumphefumlo;
• urhudo mzuzu nge kwesisu;
• waphawula amanxeba yinqontsonqa yayo iphecana eliphezulu wokuphefumla;
• utshintsho yezifo kwi izibilini.

kwiintsholongwane ingxaki diagnostic ingxubevange

Ngexesha monoinfections wavakalisa iimpawu ukuxilonga imfuno yazo zonke kwamagciwane kunokwenzeka. Kodwa zindlela zeemviwo lwezigulane imali eninzi kakhulu yaye asinguye wonke unako ukuhlawula. Ukuziqhelisa, amaxesha amaninzi emiselweyo iimvavanyo ze iintsholongwane ezinkulu kunye neentsholongwane. Ngamanye amaxesha ishenxisa ithuba iingxaki olwaye lwamfimfitha ngaphandle iindlela elebhu.

Ngenxa yoko, unyango ejolise ngokuphathelele uhlobo omnye pathogen yabantu kwixesha elizayo kukho iphindwe ukudumba ngendlela enzima. Ukuza kuthi ga ngoku, usuleleko mixed engazanga kufundwe ngokupheleleyo, kulo mhlaba amayeza ziye kujamelana nazo iindidi ezintsha kwimibutho iintsholongwane, iintsholongwane kunye gazi.

umyalezo weimeyile Mixed kubantwana

Ingxaki usulelo elingumxube yondele kakhulu unyango iintsana ezisanda kuzalwa. Ingqalelo ihlawulwe isifundo karhulumente lomzimba ngayo isiqhamo ngakumbi asakhasayo. usuleleko intrauterine kukhokelela imiphumo kakhulu ebuhlungu abafazi abakhulelweyo. Abantwana baba kunguhata, ukuba isifo kuphuhliso lwabo.

Izinto ezibangela ukufa kuzalwa iba engaphelelanga ukuvavanyela ngamagciwane lwemo sifo. unyango idla olwenziwe iintsholongwane inkoliso yeemvula ibakho kunye iintsholongwane ngaphandle kokuthatha ingqalelo impembelelo kwabo. Bekela bucala unikezelo ecwangcisiweyo izigulane izifo ezixubeneyo wabumba ezi ntlobo zilandelayo arhente:

• iintsholongwane herpes simplex + cytomegalovirus;
• iintsholongwane herpes simplex + Epstein-Barr + cytomegalovirus.

Ezi zifo anokudityaniswa ngaphezu kwama-50% of kubelekwa.

Indlela echanekileyo unyango

Ngaphandle iingxaki yezifo ebantwaneni kunokwenzeka kuphela uphando olubanzi kwinani elikhulu kwamagciwane. A ubuchule diagnostic ziquka iindidi ezininzi iimvavanyo kuhlobo olufanayo usulelo. Re-zeemviwo kuqhutyelwa kwindawo enye apho kwafunyanwa iziphumo ezihle. Le mfuneko amagqirha kufuneka ukuphelisa izalathi zobuxoki.

Indlela unyango yakhiwe kuthathelwa ingqalelo ezi zinto zilandelayo:

• antibiotics nempembelelo mutual kwi omnye komnye;
• isicelo of antibacterial kunye antiviral iziyobisi, precluding imiphumela emibi kakhulu;
• unyango lwe iifom kakhulu esebenzayo, kulandele ngokuphinda kwi izifo ekhethiwe.