CÁC BỆNH LÂY QUA ĐƯỜNG TÌNH DỤC Nhóm 3 Nguyễn Thị Việt Mỹ ...

CÁC BỆNH LÂY QUA ĐƯỜNG TÌNH DỤC Nhóm 3 Nguyễn Thị Việt Mỹ ...

TRNG I HC DUY TN KHOA DC CC BNH LY TRUYN QUA NG TNH DC Gio vin hng dn: Nguyn Phc Hc NHM 3: HONG TH OANH NGUYN TH VIT M NGUYN TH KIM NGN MAI TH HONG OANH L MINH PHNG I.i cng:

1.Vi nt v cc bnh ly truyn qua ng tnh dc -Thut ng cc bnh ly truyn qua ng tnh dc (sexually Transmitted Diseases-STDs) khng ch mt loi bnh c th no m ch ra. mt nhm cc bnh mc phi qua con ng hot ng tnh dc - Nguyn nhn gy STDs thng gp c th l do : + Siu vi khun: virus ecpet alpha 1 hoc ecpet alpha2, virus ecpet beta 5, virus vim gan B , pox virus ( u mm ly), virus zosterr(zona), HIV - Cc chng nm : canida albicans - Cc ng vt nguyn sinh: trng roi, amip. - Cc k sinh trng: gh,rn mu... II. Cac bnh ly truyn qua ng tinh duc thng gp - cach phong tranh v iu tr:

1.Bnh lu 1.1.i cng: - Bnh lu l mt bnh nhim khun, do song cu G(-) Neissria gonorhoeae gy nn.Bnh thng ly trc tip qua quan h tnh dc khng bo v ng m o , hu mn v sinh dc-ming.M mc bnh lu nu khng c iu tr c th ly nhim cho tr SS khi gy vim kt mc mt. 1.2. Nguyn nhn: - Do lu cu:(Neisseria Gonorrhoeae) l cu Khun G(-) ,nm sng i nn gi l song cu

1.3. Triu chng: C nhiu th lm sng khc nhau gia nam ,n,TE Nam: - Thi gian bnh t 2- 14 ngy sau khi tip xc vi mm bnh - Ming so v sng n ln - M chy ra nhiu t trong niu o , s lng m nhiu, c mu vng hoc xanh. - i but ,i dt: i rt au lm BN i t mt. n: Triu chng khng r rng, thng kn o. - i kh , i but - M chy ra t niu o, c t cung,mu vng c, s lng nhiu, mi hi.

1.3. Bin chng: Gy v sinh do: - Hp ng dn tinh v sau khi vim li so - Tc ng dn trng nn c nguy c cha ngoi d con. - Con sinh ra c th b m la. 1.4.iu tr: 1.4.1.Nguyn tc chung: -iu tr ng thi nhim clamydia.

- iu tr sm , iu tr ng phc ,iu tr c bn tnh. - Tun th ng ch iu tr : khng quan h tnh dc , khng ung ru bia v cht kch thch, khng lm th thut tit niu trong lc iu tr. - Xt nghim huyt thanh giang mai v HIV trc v sau khi iu tr pht hin v sng lc 2 bnh ny. 1.4.2. Phc iu tr lu khng bin chng: -Spectinomycin 2g : tim bp 1 liu duy nht - Ceftriaxon 250mg: tim bp 1 liu duy nht 1.4.3. Phc iu tr lu bin chng: -Ceftriaxon 1g/1 ngy*3-7 ngy. Sau dng Doxycyclin 100mg *2 vin/ngy *7 ngy 2. Bnh Giang mai:

2.1.nh ngha: -Bnh giang mai(Syphilis) l bnh nhim trng kinh din h thng , ly truyn qua ng tnh dc, khun nht , tn khoa hc l Treponema pallidum gy nn. Bnh c th gy tn thng nim mc v nhiu t chc c quan ca c th c, xng khp, tim mch..Bnh ly truyn ch yu qua ng tnh dc v c th ly truyn qua ng mu, ly t m sang con Bnh c th gy hu qu trm trng nh giang mai thn kinh , giang mai bm sinh 2.2.Nguyn nhn: - Do xon khun nht (Treponema pallidum), do Schaudinn v Hofman pht hin ra nm 1905.y l xon khun hnh l xo c 6-10 vng xon.

2.3.Triu chng : - Thi k bnh 3-4 tun sau khi co tip xc vi ngun bnh. 2.3.1. Giang mai thi k 1:(Sng giang mai) Sng giang mai l tn thng ti ni xon khun xm nhp vo c th . Tn thng l mt vt lot nng , nn cng, khng au, khng nga thng b phn sinh dc, khng iu tr vt lot cng t mt i 2.3.2.Giang mai thi k 2:(nhim xon khun huyt). Sau thi k 1 khong 45 ngy , do giang mai lan ta ton thn nn gy tn thng da, nim mc v cc triu chng ton thn nh: o ban giang mai,sn giang mai hu mn ,sinh dc,mn lot ming ,hng,rng tc lm m tng

mng 2.3.3.Giang mai thi k 3: Biu hin tn thng cc c quan. 2.4. Bin chng - Gy tn thng cc ph tng (tim, gan, thn) v thn kinh. Con sinh ra c th mang khuyt tt hoc b d dng bm sinh. 2.4.iu tr

Nguyn tc: -iu tr sm v liu khi bnh , ngn chn ly lan, phng ti pht v di chng. -iu tr ng thi cho c bn tnh ca bnh nhn . -iu tr giang mai thi k 1: + Benzathin penicillin G 2,4 tr v /2 bn mng tim 1 liu duy nht. + procain G : 1tr v/2 ln/ ngy*15 ngy +Benzyl penicllin G :1tr v/ngy, chia nhiu ln. 2-3 h tim mt ln * 30 ngy. +Benzathin penicillin G : 1,2tr v/ngy*5 ngy trong 1 tun tim trong 2 tun. +Benicillin procain G: 1tr v/ 2lan/ngy*15 ngy. +Benzyl penicillin G : 1tr v/ngy chia lm nhiu ln 3h tim mt

ln . Tim trong 30 ngy.2g/ngy*15 ngy iu tr giang mai thi k 2: +Benzathin penicillin G : 1,2tr v/ngy*5 ngy trong 1 tun tim trong 2 tun. +Benicillin procain G: 1tr v/ 2lan/ngy*15 ngy. +Benzyl penicillin G : 1tr v/ngy chia lm nhiu ln 3h tim mt ln . Tim trong 30 ngy. +Nu d ng vi penicillin th thay th Tetracyclin 2g/ngy*15 ngy hoc Erythromycin 2g/ngy*15 ngy. iu tr giang mai thi k 3: +Benzathin penicillin G: 2,4tr v/tun chia u 2 bn mng * 4 tun lin tc +Penicillin procain G: 1tr v/ngy/ 2 ln*30 ngy.

+Benzyl penicillin G:1tr v/ ngy chia lm nhiu ln 3h tim mt ln. Tim trong 30 ngy. 3. Vim m h - m o do Candida 3.1.i cng: Nhim nm ph khoa l mt bnh thng gp n gii, m nguyn nhn chnh l candida albicans(90%). iu kin bnh thng , nm thng trc dng bo t nhng khng gy bnh .Khi c iu kin thun li nh thi tit nng m hoc gay mt cn bng mi trng sinh l m o , nm s pht trin v gy bnh .C 2 hnh thc khc nhau v s din bin ca bnh : Nhim nm cp tnh v nhim nm mn tnh.Vic iu tr vim m o do nm s kh khn hn khi c s suy gim min dch. Candida

albicans hin din trong m o vi mt s lng nh v b ln t bi vi khun c li ca m o. 3.Nguyn nhn: - Vim m o do nm ch yu l Candida albicans (>90%), i khi do candida tropicalis,Candida krusei, Candida stelltoidea...... 3.3.Triu chng: -Ng rt m h , c vt try xc do gi nhiu , c th c i kh hoc i but - Ra nhiu kh h bt hoc nh vng sa , khng hi.

- au khi giao hp -m h vim , sng n.... 3.3. Bin chng: Gy v sinh n nh hng n s pht trin ca thai nhi Khi b vim m o nu khng c iu tr kp thi cn c th dn n vim nhim mt s b phn khc nh: vim vng chu, vim ni mc c t cung, vim c t cung, vim phn ph 3.4. Cch phng trnh v iu tr: Cch phng trnh: i vi c nhn:

- m bo tnh dc an ton - Khng quan h tnh dc ba bi, - S dng bao cao su khi quan h tnh dc. - Trnh quan h tnh dc vi ngi bnh. Phng chng trong cng ng: - Chng nn mi dm, gi im. - Phng nga thi ha try lc, bo v thun phong m tc dn tc. - Gio dc v bnh ly truyn qua ng tnh dc... 3.4.2. iu tr: Nguyn tc: - Khng cn iu cho ph n c nm m o khng triu chng do pht hin ngu nhin( vd: khi lm phin m

o c t cung) - Cn iu tr sm v liu khi bnh , ngn chn ly lan, phng khng thuc v ti pht. - Cn iu tr vng m h , m o bng khng sinh chng nm ( thuc vin v thuc m bi). - iu tr cho ngi v , i vi chng hoc bn tnh, cn trnh giao hp trong thi gian iu tr. - iu tr cho chng hoc bn tnh khi c biu hin triu chng. Xin chn thnh cm n cc bn lng nghe!

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