Cau 54 : K/nag gay benh cua Lau cau? Phong va dieu tri:

a/ K/nag gay benh:

- Ng la doi tuong cam nhiem duy nhat. Benh lien quan chat che voi hoat dong tinh duc. VK lau gay viem nieu dao cho ca nam va nu. Trieu chung dien hinh la dai mu, dai kho, chay mu nieu dao. O nu trieu chung fuc tap hon. Vi tri benh cua phu nu thuong o co tu cung, tuyen Skene, tuyet Bartholin, co khi toi ca voi tu cung, buong trung.

- Viem truc trang thuong gap o nhung ng dong tinh luyen ai nam nhung ko dien hinh.

- Nhiem lau cau o hong gap o 2 gioi.

- Nhiem lau cau lan toa thuong gap o nhueng ng bi lau nhung ko duoc dieu tri. Bieu hien: Viem khop, viem gan, viem co tim, viem noi tam mac, viem mang nao.

- O tre em thuong bieu hien lau o mat do lay VK lau o me trong thoi ki chu sinh, fo bien nhat la chay mu ket mac sau de. Neu ko dieu tri => mu.

- Mien dich: Vai tro bao ve cua KT lop IgA,IgG vag IgM ko ro rang. Dang chu y la IgM duoc dug de chan doan lau cau ngoai dg SD.

b/ Phong:

- ko dac hieu : Chu yeu la giai quyet nan mai dam, phong cac benh lay do quan he tinh duc. Dieu tri triet de cho ng benh, nhat la fu nu co thai.

c/ Dieu tri:

- Dug KSD de lua chon KS thich hop. Can dieu tri triet de, tranh thanh benh man tinh.

Cau 55: Dinh nghia ho VK dg ruot, cac thanh phan gay benh:

a/ Dinh nghia: Ho VK dg ruot bao gom cac TK gram (-), hieu khi or ki khi tuy tien, ko co men oxydase, len men dg glucose kem theo sinh hoi or ko, khu Nitrat thanh Nitrit. Co the di dong or ko. Neu di dong thi co nhieu long o xung quanh, ko sinh nha bao.

b/ Thanh vien gay benh:

-Samonella( Thuong han)

- Shigella ( VK ly)

- Klebsiella

- E.coli.

- Proteus.

- Enterobacter.

- Serratia.

- Citrobacter.

- Edwardsiella.