Bakposev le microflora lobukhali nemithi: base ukuhlaziywa izinjongo, sokuqonda

Kwake kwathi ngo-izimo ezikahle (kwezimo ezifanele ezishisayo, imvelo, umswakama, khona ukudla "okuthandwa"), wonke amagciwane sebeqala ikhule futhi wande. Kuyinto wemvelo. Uma lezi izinqubo zenzeka emzimbeni womuntu bedle izinguquko microflora eba isifo noma iyiphi egunjini lokuhlolwa kwezifo. Ukukhomba ejenti, lemali, uhlobo indlela usabheka imithi okungenzeka ekwenzeni bakposev phezu microflora.

Okunye ezintsha ukuhlola ukuthi kungakanani abakwaziyo akuzona njalo bakwazi ukukhomba ngokunembile igciwane, enika imiphumela eyiphutha-HIV noma amanga-HIV. Lezi zihlanganisa polymerase chain reaction, enzyme immunoassay , nezinye izindlela.

Imibandela ukukhula nezilwanyana ezincane

Ngalunye oluphilayo zakwazi webhaktheriya kudinga izimo zokuphila ngawodwana izinga elithile asidi, umswakama, viscosity, izakhiwo osmotic. Ngaphansi kwezimo zelabhorathri ukucacisa ejenti causative, Kuhlwanyelwa ezindaweni ezithile, ikakhulu uma kucatshangelwa umoya, ukudla nokukhiqizwa nezilwanyana ezincane.

Kukhona ezindaweni ezingasetshenziswa nande zikhule izinhlobo eziningana ezahlukene zama-bacterium. Lezi izimo zokuphila abizwa ngokuthi jikelele (Saburo naphakathi thioglycolic). Abanye zenzelwe kuphela eyodwa uhlobo (isib Staphylococcus futhi streptococcus kutshalwe nosawoti noma igazi agar).

Injongo futhi ukubaluleka kwesifo

Nezilwanyana ezincane siwela phezu kwanoma iyiphi nolwelwesi lwamafinyila kanye isikhumba umuntu ukuthi, zingahlukaniswa zibe amaqembu ezilandelayo:

1. Jwayelekile microflora - bacterium yilezo izakhamuzi zaphakade ephephile. Ngaphandle kwawo, umzimba womuntu ayikwazi ukusebenza kahle, ngoba abameleli microflora okujwayelekile ahileleke inqubo ukugaya, synthesize amavithamini kanye enzyme. izinombolo ezinganele microorganism imiphumela ukuthuthukiswa dysbiosis noma vaginosis virus.
2. nezilwanyana ezincane kunemibandela pathogenic - lezi zamagciwane ziphephile ukusetshenziswa womuntu kuphela uma amasosha omzimba enamandla. Uma bahlezi baguqulelwa, ama-bacterium aqala ukuba ngenkuthalo ukhule futhi wande, abangela zokugula noma isifo.
3. Pathogenic (abangela izifo) amagciwane - abazi bahlala umzimba ube nempilo. Uma ukutheleleka ngephutha kubangele ukuthuthukiswa lesi sifo, ngisho nokufa.

Bakposev ku flora luvelo antibiotic indima enkulu ukuhlonza bacterium ohlobo uhlobo. Le ndlela kubalulekile ukuxilongwa of genesis ezithathelwanayo nezifo, nezifo ezithathelwana ngobulili.

izinkomba ngoba

Bakposev phezu e microflora akuyona kwenziwe uhlaziyo ezimele. Its ebekwe udokotela ezimweni lapho kukhona izinsolo engene umzimba wesiguli causative lwegciwane noma kusebenze ukukhula nasekuvezeni izithombo zaso ezintsha zama-bacterium ezingosomathuba.

, Izinyathelo ezilandelayo zokuxilonga:

• bakposev urogenital;
• bakposev kusukela ekhaleni, indlebe, emphinjeni, amehlo;
• bakposev phezu microflora yamanxeba;
• bakposev umchamo, ubisi, Bile, isidoda, indle;
• bakposev ku Staphylococcus, mycoplasma, ureaplasma nezinye Amagciwane.

Indlela wokufunda imiphumela

Emva kokuthola imiphumela Ngifuna ngokushesha ukubazi nabo. Ngezinye okubhala laboratory uthi lokhu okulandelayo:

1. Uhlobo lwegciwane ngesiLatini. Ukuhumusha amagama, ngokuvamile kubangela enkulu nobunzima abafundi ukwazi. Ngemva kokuhlola imiphumela, udokotela uzokutshela ngaphezulu ngendlela pathogen futhi izici esiphelweni salo.
2. Quantitative ukukhula silwanyana. Ezimweni eziningi usebenzisa koloni ukwakha iyunithi amaseli 1 ml impahla. Ngokwesibonelo, bakposev microflora futhi imithi elwa namagciwane ukuzwela umchamo at nemingcele evamile kufanele ibe abafika kwabangu-10 ³ / ml. Ezenye nokusebenza okusezingeni eliphezulu kungenzeka ongabazisayo noma ibonisa ukuvuvukala.
3. Ukucacisa amagciwane abangela izifo. Kuleli qophelo abonisa ukuthi noma lesi silwanyana, kuyinto pathogenic noma ezingena ngentuba ayehlala nolwelwesi lwamafinyila zomzimba womuntu.

Ukunqunywa ezifweni

Endabeni sokunquma uhlobo lesi silwanyana pathogenic, Kuhlwanyelwa kwesibeletho ku naphakathi ngemithi elwa namagciwane. Mayelana nesimo lapho ukukhula kuyoba kulencane noma emibi, ochwepheshe ukwenza amanothi efomini yi. Lezi namagciwane ezibhekwa lapho ekhetha ukwelashwa okuphumelelayo kakhulu ukuvuvukala.

Njengoba bakposev le microflora kunalokho eside (izinsuku ezingu-7), ngokuyinhloko linqume izidakamizwa kokuba anhlobonhlobo izenzo. nezilwanyana ezincane kakhulu amelana eyodwa noma eminye imithi, okusho edonsa kanye ngesonto kungase kuphela ingase ingaphumeleli, kodwa futhi kakhulu hit ephaketheni lesiguli.

Antibiotikogrammy, sokuqonda okuyinto nayo idinga ukuzibandakanya onguchwepheshe, uzoyeka ukukhetha phezu kuphela indlela ephumelelayo. Ifomu laboratory ukhombise lokhu okulandelayo:

• ubunzima uhlobo ejenti, lemali yayo CFU / ml;
• igama antimicrobial eveza uzwela (R, S, mina) kanye esishintshashintshayo.

Antibiotikogrammy (okulotshiweyo Latin izincwadi) uthi lokhu okulandelayo:

• R - lwegciwane amelana umuthi;
• Mina - silwanyana ziphephile ungamele ukumelana;
• S - igciwane nozwelo lo muthi.

Ukulungiselela impahla kocingo

Noma yimuphi uketshezi begazi swabs ethathwe nolwelwesi lwamafinyila, zingaba material for uphethwe. Ngokuvamile smear ku bakposev ukhombe ochwepheshe emkhakheni Urology ukusebenza kwayo nezifo zabesifazane. Ukuze uthole imiphumela lesifanele, udinga kahle ukulungiselela lo impahla kocingo.

Uma ukutshala Kwenziwa ngesisekelo umthamo wegazi lesiguli, a ukuqeqeshwa okukhethekile liyadingeka. Isimo wukuthi ukulethwa yokuhlaziya esiswini esingenalutho. Zezimo Eziphuthumayo ukuthatha igazi emithambo yegazi, ugcine zonke imithetho aseptic kanye isinqandakuvunda.

Imigomo ngokubeka umchamo ukuhluka. Kumuntu ophile kahle kuba esinyeni, ngesimo uketshezi oyinyumba begazi. Nge ukudlula umchamo ku insikazi urethra cocci esincane angase angene ukwaziswa kunakwe ekuqhubeni Ihlahlubo imizwa kubhekwa njengento evamile (Staphylococcus futhi streptococcus, diphtheroids). In amadoda, ukunikezelwa amabhaktheriya umchamo senzeka phambi urethra.

Ukuze kuncishiswe amathuba okuthola ezinye Amagciwane kufanele ihambisane nemithetho elandelayo:

• yangasese owandulelayo umthondo;
• Sebenzisa kwelinye iphuzu phakathi nendawo umchamo;
• ukulethwa laboratory ngaphakathi 2 amahora ukuqoqwa impahla;
• embizeni ukuze uthole ukuhlaziya kumele inzalo noma uthenge okuthile ekhemisi.

Uma lokho kwaziswa ukuze webhaktheriya inoculation elathathwa kusukela ingemuva, urethra, sangasese, wesibeletho, kuthatha indawo ezimweni laboratories yangasese noma izibhedlela. Geza, ukuqhuba douching kanye nokusetshenziswa antiseptics kungavunyelwe, njengoba kuzoba phendulela ukunemba uphethwe.

kala bakposev

Leli pheshana emathunjini has a "izakhamuzi 'unomphela abangekho ahileleke izinqubo of kokudla esiswini, synthesis amavithamini kanye enzyme. Ama-bacterium isilinganiso kuyinto njalo futhi ingase ihluke kancane kwelinye direction noma kwenye.

Ngokunciphisa Amagciwane amabutho mzimba udle noma ekuphathweni ezingamahlalakhona kwamaphilisi kuyinto ukuphazamiseka isilinganiso esivamile. Isibalo lactobacilli futhi bifidobacteria incipha ngokucijile, futhi indawo yabo bangase hlala zamagciwane pathogenic ka Escherichia coli, Proteus, Clostridium, Pseudomonas aeruginosa, imvubelo kanye nezinye isikhunta.

Indle ziqoqwa ngoba uphethwe ngendlela oyinyumba esitsheni ezokuthutha. Umphumela zokutshala okulungiselelwe kusuka 3 kuya 7 izinsuku.

Izitshalo ngesikhathi sokukhulelwa

Phakathi ukuzalwa zokutshala kuyinto indlela esiyisibopho ukuxilongwa futhi wenziwa kabili: ngesikhathi sokubhalisa futhi emasontweni 36. A smear ethathwe ipheshana zangasese kanye nekhala nomphimbo. Ngakho, khona inflammations urogenital futhi ukuthutha of Staphylococcus aureus. Futhi, abesifazane abakhulelwe ukudlula umchamo imbewu inzalo.

A inkathazo ezingaba ukubona, kuyinto E. coli endaweni smear kwabesifazane. Ukwelashwa nokuvikelwa kulesi simo kufanele kube esiphuthumayo. Lokhu kuyiqiniso ikakhulukazi lezo ezimithi, ngoba ukuba khona izinto eziphilayo pathogenic kungabangela isifo ingane ngesikhathi nokuwela emgudwini wokuzala. Uma E. coli itholwa endaweni smear e waphatha abesifazane uqoka wezifo zabesifazane. Isebenzisa inhlanganisela eluhlelweni kanye lendawo yokwelapha izidakamizwa.

Ukucinga luhlobo ngesikhathi yokuzala kukhona chlamydia, isikhunta, mycoplasma, ureaplasma, trichomonas.

isiphetho

Bakposev nge antibiotikogrammy - abalulekile indlela zokuxilonga ukuhlukanisa umsunguli kweqiniso bese ukhetha uhlelo yokwelapha ngempumelelo. Zonke izindlela iqoqo impahla ziphephile futhi ngaphandle kobuhlungu.