Kufufuza kwa Chlamydia

Chlamydiosis urogenital ndi matenda opatsirana omwe amafalitsidwa makamaka pogonana ndikupereka kwa mkazi mavuto ambiri. Pa 10-15% ya milandu, matendawa amabisika, ndipo mkazi sangaganize kuti ali ndi matenda a chlamydia. Kufunika kofufuza za chlamydia mwa amayi kungabwere chifukwa chopeza chifukwa cha kusabereka, ectopic pregnancy kapena mimba nthawi zonse. Tidzayesa kulingalira mwatsatanetsatane mayesero omwe amalembedwa kwa chlamydia ndi momwe angatengere.

Ali kuti chlamydia?

Pofuna kusanthula mwazi pa chlamydia, magazi amachokera ku mitsempha amagwiritsidwa ntchito kuchokera kwa wodwala ndi mimba yopanda kanthu. Kuchokera m'magazi amagazi, njira zotsatirazi zingagwiritsidwe ntchito:

1. Mayeso a magazi a ELISA (enzyme immunoassay). Pothandizidwa ndi izo, ma antibodies (IgA, IgM, IgG) atsimikiziridwa ndi chlamydia. Malinga ndi chiwerengero cha ma antibodies ena, ndizotheka kudziwa kuti matendawa ndi otani (ovuta, aakulu, okhululukidwa). Mankhwala a chlamydia amayamba kuchokera sabata lachiwiri mutangoyamba kumene.
2. RIF (immunofluorescence reaction) Chlamydia yofufuza ndi imodzi mwa yolondola kwambiri (mpaka 80%). Kulungama kwa phunziro ili kumadalira pa ntchito zamakatswiri a labotale.
3. Kufufuza kwa PCR (polymerase chain reaction) ndiyeso yeniyeni yolondola ya chlamydia. Zotsatira za kusanthula zimachokera ku kuzindikira kwa malo omwe ali ndi chlamydia.

Pofuna kutsimikizira kuti ali ndi matenda otani, dokotala akhoza kutenga kachilombo koyambitsa chiberekero ndikugwiritsa ntchito njira ya PCR kuti adziwe zidutswa za DNA zomwe zili mkati mwake. Kusanthula koteroko kwa chlamydia ndi phunziro lapadera lodziwitsa. Pakuyesa kupuma kwapakati pa microscope, matenda a chlamydial angapezeke kokha pa 10-15%.

Kusinkhasinkha kwa mitsempha pa chlamydia sikunayankhidwa kawirikawiri, ndipo mkazi amachenjezedwa kusasamba ndi kusamba kwa maola awiri asanayese. Muchitsanzo cha mkodzo, zigawo za nucleic acid (DNA ndi RNA) za chlamydia zimatsimikizika.

Tiyeneranso kutchulidwa kuti pali mayesero ofulumira kwa chlamydia, omwe angagulidwe pa pharmacy. Komabe, chifukwa cha zomwe zili zochepa zowonjezera, sizikupezeka zambiri.

Mayeso a magazi a chlamydia - zolembedwa

Kujambula kafukufuku wa labotale kumayendetsedwa ndi katswiri wodziŵa ma laboratory pogwiritsa ntchito zipangizo zamakono ndi ma reagents. Wodwala amapatsidwa zotsatira zowonongeka pa chlamydia, pomwe zotsatira zowoneka kapena zoipa zimayikidwa, ndipo ngati n'kotheka (ELISA) ndi titetezo.

1. Pa chiwopsezo cha matendawa, chomwe chatangoyamba (masiku asanu oyambirira kuchokera kuchiyambi cha matendawa), Ig Ig yoyamba
2. Wachiwiri m'magazi a wodwala ndi chlamydia akuwonekera Ig A, akuti matendawa akukulirakulira.
3. Ig G imawoneka ndi sabata lachitatu la matendawa, zomwe zimasonyeza kuti matendawa adutsa kale.
4. Chifukwa cha kuchuluka kwa chlamydia m'magazi a mkazi, njira ya chitetezo cha mthupi imatsimikizira kukula kwa Ig G ndi Ig M. Poyesa kuchuluka kwa maselo a immunoglobulins mwa njira yofufuzira, ndizotheka kufufuza momwe chithandizo cha chlamydia chimathandizira.
5. Mu mankhwala, palinso chinthu monga anti-titer titer, ndiko kuti, kuchuluka kwa gawo lina. Choncho, IgG imaika pachilombo cha matendawa idzakhala 1: 100 - 1: 6400, ndipo muyeso 1:50.

Sikoyenera kupereka ndi kutanthauzira chlomidia kwa mkazi. Njira yeniyeni yowunikira ndi chithandizo cha matenda a chlamydial ingakhale dokotala wodziwa bwino. Ntchito ya mkazi mwiniyo ndikutulukira zizindikiro zomwe zimapezeka m'mthupi ndipo nthawi yomweyo pitani kuchipatala.