Chlamydiosis urogenital chirwere chinotapukira chinoparidzirwa zvikuru kuburikidza nekuita zvepabonde uye chinopa mukadzi kuti ave nezvinetso zvakawanda. Muna 10-15% yematambudziko iyo chirwere chechirwere chakavanzwa, uye mukadzi angasafungira kuti ane utachiona hwechlamydia. Chido chekuongororwa kwechlamydia kuvakadzi kunogona kubuda pakutsvaga chikonzero chekushaya vana, ectopic pamuviri kana nguva dzose kubvisa pamuviri. Tichaedza kuongorora zvakadzama izvo zviyero zvakatemerwa chlamydia uye kuti ungazvitora sei.
Vanotora kupi chlamydia?
Kana kuongorora ropa ku chlamydia, ropa kubva mumupfu rinoshandiswa, iro rinotorwa kubva kumurwere pane isina chinhu mudumbu. Kubva muropa rakazara, nzira dzinotevera dzinogona kushandiswa:
- Kuongorora kweropa kweE ELISA (enzyme immunoassay). Nekubatsirwa kwaro, zvirwere (IgA, IgM, IgG) zvakagadzirirwa chlamydia. Maererano nehuwandu (nhamba) yehumwe hutachiona, zvinokwanisika kuziva kuti chikamu chei chirwere chacho chiri (acute, chisingaperi, kuregererwa). Zvirwere zvekare kune chlamydia zvinoonekwa kubva pavhiki yechipiri mushure mokutanga kwechirwere.
- RIF (immunofluorescence reaction) Chlamydia kuongorora ndeimwe yeiyo yakarurama (kusvika ku80%). Kururama kwechidzidzo ichi kunobva pane unyanzvi hweyanyanzvi ye laboratori.
- PCR analysis (polymerase chain reaction) ndiyo yakanyatsonyatsoongororwa ye chlamydia. Chigumisiro chekutsvaga kunobva pakuonekwa kwemazamu ezvinyorwa zve chlamydia.
Kuti asimbise kuongororwa, chiremba anogona kutora smear kubva kumucheto uye anoshandisa nzira yePCR kuti aone zvikamu zveDNA mune zviri mukati. Kuongororwa kwakadaro kwe smear pa chlamydia kunewo ruzivo rwekuongorora kuongorora. Paunenge uchiongorora smear pasi pekroscope, chlamydial utachiona hunogona kuwanikwa chete mu10-15% yematambudziko.
Urine kuongorora chlamydia hakuwanzogadziriswa, uye mukadzi anonyeverwa kuti asashamba uye ovhare kwemaawa maviri asati atora muedzo. Muchikamu chemuti, zvikamu zve nucleic acids (DNA neRNA) ye chlamydia zvakatemwa.
Inofanirawo kutaurwa kuvepo kwekuedzwa kwakakurumidza kwechlamydia, iyo inogona kutengwa pamishonga. Zvisinei, zvichienderana nehuwandu hwehutano hwehuwandu hwemashoko, hauna kuwana huwandu hwekushanda.
Kuongororwa kweropa kwechlamydia - kunyorwa
Kugadziriswa kwema laboratory inoshandiswa kunoitwa neyanyanzvi rera laboratory achishandisa midziyo chaiyo uye reagents. Murwere anopiwa mugumisiro wekutsvaga pane chlamydia, apo chiitiko chakanaka kana chakaipa chinorayirwa, uye kana zvichibvira (ELISA) uye antibodies titers.
- Muchikamu chakaoma chechirwere, icho chachangotanga (mazuva mashanu okutanga kubva pakutanga kwechirwere), yekutanga Ig M
- Yechipiri muropa remurwere ane chlamydia inowanikwa Ig A, vanoti denda riri kufambira mberi.
- Ig G inoonekwa nevhiki yechitatu yechirwere, iyo inoratidza kuti chirwere chacho chapfuura muchigarire chisingaperi.
- Nekuwedzera kwechlamydia muropa remukadzi, nzira yekuzvidzivirira-immune inotarisa kuwedzera kwakasimba kweG Ig G ne Ig M. Pakuongorora huwandu hwema immunoglobulin nenzira iyi yekuongorora,
zvinokwanisika kuongorora kubudirira kwehutano hwe chlamydia. - Muchirapa, kuchine chimwe chinhu chakadai semunhu anonzi anti-titer, kureva, chiyero mune imwe chikamu. Nokudaro, IgG inowanikwa muchikamu chakaoma chechirwere ichichava 1: 100 - 1: 6400, uye muchikamu chekuvandudza 1:50.
Hazvina kukodzera kuti tibatsire uye tududzire kuongororwa kune chlomidia kumukadzi. Nzira yakarurama yekuongororwa uye kurapwa kwechlamydial utachiona ingangova chiremba ane ruzivo chete. Basa remukadzi pachedu nderokuziva maitiro echipatara zviratidzo mumuviri uye nokukurumidza kutsvaka rubatsiro rwechiremba.