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“Chlamydia Trachomatis”-iT gamowveuli ginekologiuri infeqciebis ...

“Chlamydia Trachomatis”-iT gamowveuli ginekologiuri infeqciebis ...

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menjis Rrus anTeb<strong>iT</strong>i daavadeba (mad)<br />

ojaxis eqimis praqtikaSi menjis Rrus anTeb<strong>iT</strong>i daavadebisTvis<br />

damaxasiaTebeli Civilebi xSiria axalgazrda qalebs Soris. 25 welze<br />

axalgazrda qalebSi yovel 45 qalze modis menjis Rrus anTeb<strong>iT</strong>i<br />

daavadebis 1 diagnostirebuli SemTxveva 10 .<br />

menjis Rrus anTeb<strong>iT</strong> daavadebaSi moiazreba falopis milebis,<br />

sakvercxeebisa da mis irgvliv mdebare qsovilebis anTeb<strong>iT</strong>i dazianeba.<br />

misi mizezia meoradi infeqcia, romelic vrceldeba aRmavali gz<strong>iT</strong><br />

saSodan, cervikaluri arxidan saSvilosnos gavl<strong>iT</strong>. mad-is qveS<br />

igulisxmeba: endometriti, salpingiti, tuboovariuli abscesi da<br />

pelvioperitoniti.<br />

did britaneTSi menjis Rrus anTeb<strong>iT</strong>i daavadebis uxSiresi<br />

gamomwvevebia: qt-i da Neisseria gonorrhoeae. Tumca aRniSnuli paTologi<strong>iT</strong><br />

qalTa 50%-Si arc erTi maTgani ar iqna gamovlenili. mraval qveyanaSi<br />

qt-i 5-jer ufro xSirad gvxvdeba, vidre Neisseria gonorrhoeae.<br />

cervikaluri da ureTruli qlamidiuri infeqcia xSirad asimptomurad<br />

mimdinareobs.<br />

mniSvnelovania, rom:<br />

mkurnalobis dawyebis dagvianeba zrdis uSvilobis da<br />

eqtopiuri orsulobis risks.<br />

diagnozi dafuZnebulia klinikur monacemebze, Tumca xSiria<br />

hiperdiagnostika da an hipodiagnostika, rameTu anamnezi da<br />

fizikuri kvleva ar warmoadgens sakmarisad maRalspecifikur da<br />

maRalsensitiur kvlevebs. Tumca, mkurnaloba aucilebelia,<br />

radgan antibiotikTerapiis sargeblianoba aRemateba anTeb<strong>iT</strong>i<br />

daavadeb<strong>iT</strong> gamowveul garTulebaTa risks.<br />

adreuli antibiotikoTerapia amcirebs uSvilobis, eqtopiuri<br />

orsulobisa da qronikuli muclis tkivilis ganv<strong>iT</strong>arebis risks.<br />

menjis anTeb<strong>iT</strong>i daavadebis erTi epizodis gadatanis Semdeg<br />

qalTa 10% Si SesaZloa ganv<strong>iT</strong>ardes milismieri uSviloba.<br />

menjis Rrus anTeb<strong>iT</strong>i daavadebis dros mkurnalobis dagvianeb<strong>iT</strong><br />

dawyeba 3 dR<strong>iT</strong> an met<strong>iT</strong> T<strong>iT</strong>qmis 3-jer zrdis Svilosnobis<br />

unaris Semcirebas.<br />

qalis seqsualuri partnioris erTdrouli mkurnaloba<br />

warmoadgens marTvis ganuyofel nawils.<br />

ramdenime faqtori, romelic zrdis menjis Rrus anTeb<strong>iT</strong>i daavadebis<br />

ganv<strong>iT</strong>arebis risks:<br />

axalgazrda asaki;<br />

dabali social-ekonomikuri statusi;<br />

ganaTlebis dabali done (xelmisawvodmobis problema);<br />

axali seqsualuri partniori;<br />

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