Yini swabs zithathwa phakathi nenkathi yokukhulelwa? Zingaki izikhathi? unhlangothi Bad ngesikhathi sokukhulelwa

Yilowo nalowo owesifazane osuke enakekela impilo yakhe, njalo saziso kufanele ayevame ukuvakashela udokotela wezifo zabesifazane kanye ovivinyweni olubangelwa kunesidingo. Phakathi ukuzalwa nesimo microflora lwesitho sangasese sowesifazane kubaluleke ngokukhethekile. Smear ekukhulelweni ivumela ukwenza isithombe kweqiniso impilo abesifazane futhi kuqedwe ukuthuthukiswa izifo ezingathi sína kwababhemayo. Kuwufanele sihlolisise lolu hlobo Ihlahlubo Imiphumela kungenzeka yokuhlaziya.

Ukubaluleka ukuhlaziywa

microflora lwesitho sangasese sowesifazane kakhulu siqukethe lactobacilli, okuyinto ukukhiqiza acidosis acid adingekayo ukuvikela umzimba ekulweni ingress kwamagciwane. Ukunciphisa inani acidosis acid amagciwane eziholela kakhulu ukwanda kwezindawo bacterium "okubi" kanye nokuthuthukiswa isifo.

Ukukhulelwa - isikhathi lapho kudingeka ngokukhethekile ukuba banake impilo, njengoba lokhu kuzoya ukuthuthukiswa evamile umntwana utero. Kufanele kuqondwe ukuthi iyiphi ukuvuvukala ezingapheli zingayilimaza ukufihla fetus. Swabs esithweni sangasese ngesikhathi sokukhulelwa, kufanele athathe owesifazane, ngisho nalapho engekho izimpawu. Ukutheleleka ungakwazi akusho ukuzibonakalisa isikhathi eside, kodwa umama okhulelwe kuyoba ukweseka kwakhe. Uma ngesikhathi luhlolo elilandelayo udokotela uthola kwezinso kumiphumela yokuhlaziya, owesifazane bangathola ukwelashwa okufanele futhi ukuvimbela ukutheleleka kwengane ngesikhathi sokubeletha.

Smear uma ukhulelwe: bangaki izikhathi udinga ukuthatha?

Ukuhlolelwa igciwane lesandulela ngculazi lokuqala esiyisibopho microflora lwesitho sangasese sowesifazane okhulelwe sihamba phakathi ukunakekelwa kokuqala kwangaphambi kokubeletha ukubhaliswa. Imiphumela sizobonisa isimo ebusweni lwesitho sangasese sowesifazane, khona kuhle futhi microflora pathogenic (ibhalansi) nobumsulwa. Phezu ukuthola namagciwane abangela izifo bayonikezwa ukwelashwa mnene, kulandelwa okwengeziwe pass smear ukuqinisekisa.

Ngokusho esimisweni izifundo ezikhombisa okhulelweyo, engxenyeni yezinyanga ezintathu zokugcina futhi kufanele ihlonzwe microflora lwesitho sangasese sowesifazane. Imivimbo kumaviki awu 30 esesibelethweni kufanele kwenziwe njalo saziso ukuze kuqinisekiswe impilo umama okhulelwe nengane. Ngeziphambeko kusukela kuyinsakavukela emabangeni yokugcina ngokuvamile kukhona ngokwanele ukuthi buyingozi ezingenzeka embungwini futhi igcwele nemiphumela engathandeki.

Ngaphandle kokulinda ukuba isiqondiso esilandelayo inhlolovo, abesifazane kufanele bahlolelwe ukuthola engahlelelwe izimpawu ezifana ukulunywa, esivuthayo, ukubukeka osenyameni esindayo kusukela ipheshana zangasese. Lezi zimpawu zivame ukuhambisana izifo eziyingozi ukuthi zisho engathandeki esikhathini sokukhulelwa.

"Flora Good" - kusho ukuthini?

I microflora iqoqo amagciwane ahlukene abahlala njalo esithweni sakho sangasese. In the state enhle zempilo lapho bangamaRoma lactobacilli - Doderlein coli ekukhiqizeni ewusizo acidosis acid. Uma esanele labaminyaka Amagciwane abanandlela ukusinda imvelo esidi sangasese.

Phakathi nenkathi yokukhulelwa ukuhlolwa nemingcele eziningana kwashintsha. Isibalo amaseli epithelium sowesifazane sangasese kakhulu anda, okuyinto enomthelela ukunqwabelana glycogen balindzeleke kwekutsi bakhicite acidosis acid Doderlein izinti. Ukulondoloza efanele acid-base ibhalansi (pH 3,3-4,5) phakathi nokukhulelwa, ngenxa microflora ezinhle kuyasiza ukuvimba ukuthuthukiswa namagciwane abangela izifo futhi ukuvimbela ukutheleleka we-embryo (noma fetus).

Ubungozi kwephulwe microflora?

Kaningi, abesifazane ubhekene nesimo lapho, ukuba smear lidlule ngesikhathi sokukhulelwa, ziyokwazi ukuthi banayo - kokunikezwa kwe-microflora lwesitho sangasese sowesifazane. Ukunciphisa inani acidosis acid amagciwane kakhulu engathandeki kule nkathi ebucayi, ngakho-ke kubalulekile ukuba kutholakale imbangela isimo pathogenic. nezilwanyana ezincane ngentuba, yebo, ekhona sangasese njalo omama abanempilo, kodwa inani labo kufanele kube encane. Uma isibalo amagciwane amabi kwandisa, khona-ke ucala kutfutfukisa dysbiosis, ngokuvamile abangela candidiasis yesitho sowesifazane sangasese (thrush).

Ukuze uthole ukusazi ngokunembile isifo esikuphethe kubalulekile ukuze nginikeze smear. Phakathi nenkathi yokukhulelwa, kusaqalwa, lesi sifo ongase aphathwe yisifo ku isizinda ukungatheleleki encishisiwe. Noma yimuphi ukuphambuka kusuka amanani evamile kuyingozi, ikakhulukazi lembuzi kanye ukuqhubeka ukukhulelwa.

Lapho kufanele Ngibheka microflora?

Ezigabeni zokuqala zokukhulelwa owesifazane kubalulekile ukuqapha amasignali zomzimba. Funa usizo lodokotela uma kunesidingo:

• Kwakubonakala Ukulunywa endaweni zangasese.
• osenyameni kwesitho sangasese steel esindayo futhi ube ukungaguquguquki nokunjengoshizi.
• Ngemva ukuchama evutha isasasa.
• Spin abe iphunga okunoshukela.
• Ngezikhathi kukhona izinhlungu ukubelesela esiswini.

Lezi izimpawu zibonisa ukuthuthukiswa ukuvuvukala futhi isidingo sokwelashwa esiphuthumayo. Smear ku izitshalo kuyabaveza uhlobo lwegciwane, kodwa kwezinye izimo ukutheleleka kungaba ezifihliwe. Kulokhu, kudingeka kudlule ukuhlolwa eyengeziwe.

izinhlobo imivimbo

Lapho nokubhalisa ku yabakhulelwe emtholampilo omama uyazibuza ukuthi swabs zithathwa ngesikhathi sokukhulelwa futhi ukuthi uyidinga ngempela yini. Kufanele ngokushesha kuqashelwe ukuthi ukuhlola isimo empilweni yabesifazane ekukhulelweni ekuseni kubaluleke ngokukhethekile udokotela. ukuhlola kuphela ukubonisa isithombe kweqiniso futhi kuqedwe usongo ukukhipha izisu.

Ngo umkhuba izifo zabesifazane, kukhona izinhlobo eziningana imivimbo, ekuboniseni isimo zomama. Faka kusigaba kubo kanje:

• Smear ku izitshalo - lembula Ukungadli lokuhle nokubi microflora lwesitho sangasese sowesifazane. Ukuhlaziywa libonisa inombolo igazi amangqamuzana abomvu, amangqamuzana amhlophe egazi ne amangqamuzana afile EPITHELIAL. Ngokusho imiphumela ukulinganisa degree of ubumsulwa smear;
• I smear Cytology - izinguquko ezidingekayo ukuze kuhlonzwe lamaseli wesibeletho;
• Smear ku inzalo - uqokwa ukunquma indlela yokwakheka microflora lwesitho sangasese sowesifazane, kuyasiza ukubona ukuphambuka ngemuva kwama-hormone;
• Smear ku izifo esicashile - PCR uphethwe kubaluleke kakhulu ngesikhathi sokukhulelwa. Indlela ivumela ukuthola izifo asichazi smear ku flora.

izifo urogenital yingozi enkulu empilweni kanye nentuthuko evamile fetus. Ngakho-ke, esamukele kokuqondisa udokotela ukuba khona ukuxilonga izifo ezifihliwe, umama okhulelwe akufanele alibale ukudlula inhlolovo.

izifo zangasese

Smear ngesikhathi sokukhulelwa yizifo - izifo, izifo ezithathelwana ngocansi - kufanele athathe nsuku saziso. Izifo ezifana ureplazmoz, i-herpes, i-chlamydia, toxoplasmosis, cytomegalovirus akusho ngaso sonke isikhathi kube nomthelela, kodwa akusho ukuthi abawona eziyingozi.

ukutheleleka esicashile kungatholakala by PCR zokuxilonga, kanye seeding indlela Gram staining ngokuqamba amanga. Enye indlela ethandwayo kuyinto -enzyme immunoassay serum.

ukuhlaziywa sokuqonda

Imiphumela yokuhlaziya phezu microflora lwesitho sangasese sowesifazane zingatholakala izinkomba ezilandelayo:

• White egazi - Ukwenyuka kwesilinganiso ikhombisa ukuthuthukiswa ukuvuvukala. Ngo sangasese, kufanele kube 10-15 emkhakheni buka ku urethra - hhayi ngaphezulu kuka-5, futhi wesibeletho - 5.
• Epithelium - evamile, lesi silinganiso akufanele bube ngaphezu kuka-10 emehlweni.
• Gram-HIV amagciwane - the main okuyingxenye (90%) siqukethe lactobacilli.
• amagciwane Gram-negative - microflora pathogenic ngokuvamile engekho ngokuphelele.
• Slime - imivimbo ngesikhathi sokukhulelwa sivumele noma inani elimaphakathi isikhwehlela e sangasese kanye wesibeletho.
• Fungus bohlobo lwe-Candida - avunyelwe esincane esithweni sowesifazane, kodwa urethra futhi wesibeletho ngokuvamile engekho ngokuphelele.
• Cocci - ngokuvamile kube streptococci samanje, staphylococci futhi enterococci e esincane. Ukuba khona Neisseria gonorrhoeae kusikisela ukuthuthukiswa isipatsholo.
• Trichomonas - endaweni smear okuhle bengekho.

Amangqamuzana amhlophe egazi kuleli smear

Leukocyte - egazi amhlophe ayingxenye izivikeli mzimba. Esikhathini esiyiminyaka yokukhulelwa kubaluleke ngokukhethekile ukuqapha inani labaminyaka endaweni smear ku izitshalo, ngoba ngisho noshintsho oluncane nje kungase kubonise ukuthuthukiswa ukuvuvukala. Injongo eyinhloko leukocyte - ukuvikela umzimba futhi ulwe namagciwane abangela izifo. Ngakho-ke, asikho isidingo sokukhathazeka mayelana nokuthola esincane amaseli zokuzivikela ayikho imiphumela yokuhlolwa. Ukuze abesifazane e isikhundla ngesilinganiso leukocyte smear ungaphakathi uhla 15-20 emehlweni.

Inombolo anda leukocyte smear

Smear ngesikhathi sokukhulelwa kuyindlela ebalulekile zokuxilonga ukuthi kuthola ukuphambuka kancane kusukela amagugu evamile. A ukwanda kancane isibalo amangqamuzana amhlophe egazi ngesikhathi yokuzala kwamukelekile ngempela. Uma inani amayunithi ezingaphezu kuka-20 emkhakheni buka, kufanele kube khona uphethwe eyengeziwe kanye imbangela isimo pathogenic. Inombolo anda amangqamuzana amhlophe egazi kubonisa khona ukuvuvukala emzimbeni kamama esizayo.

unhlangothi Bad ngesikhathi sokukhulelwa kungaba nomthelela wokukhula kwengane esiswini. Ngakho-ke kubalulekile ukuba ngokushesha ukuthola ngeziphambeko imiphumela yokuhlolwa futhi wamukele ukwelashwa okufanele. Njalo izimbangela nesanda leukocyte ku smear kuphuma abakhulelwe candidiasis (thrush), vaginosis, ukuvuvukala lwesitho sangasese sowesifazane mucosa ebusweni izifo (mycoplasmosis, isipatsholo, ureplazmoz).

'Uhlanzekile "

Lolu cwaningo esikalini a izinkomba laboratory ezifana iphunga viscosity impahla sitholakale. Kuye izinkomba eziphilayo pathogenic, engase iqukathe imivimbo ngesikhathi sokukhulelwa, izazi zisanda kuhlola ubumsulwa. Zonke lezi degrees ezine:

• degree Okokuqala ukhuluma mayelana smear ekahle phezu flora. Isibalo acidosis acid amagciwane ifinyelela 95%, okhombisa efanele acid-base ibhalansi kanye ukuvikeleka okuhle emelene ukuthuthukiswa isifo.
• Izinga lesibili ibekwa icala, uma inani elincane okunemibandela microflora pathogenic kwaphawuleka kule smear, kodwa kukhona la amagugu ngaphakathi kwemikhawulo evamile. Inombolo lactobacilli, njengoba ezingeni lokuqala, kumelwe BUSA nezinye futhi ezingeni 90%.
• degree Okwesithathu kubonisa ukuthuthukiswa dysbiosis (vaginosis webhaktheriya). Doderlein izinduku endaweni smear ezinjalo esingaphansi ezidingekile izitshalo esimweni esejwayelekile. Ziyanda amagciwane igramu-HIV.
• Izinga lesine kuyisici sobuntu lezinkinobho. Lokhu smear evelele naphakathi ane-alikhali, kukhona esengeziwe amangqamuzana amhlophe egazi, epithelium. unhlangothi Bad ngesikhathi sokukhulelwa kukhona imbangela ezidlulisela kabusha uphenyo.

Kanjani ukuze ulungiselele ukuhlaziywa?

Ukuze uthole imiphumela olunembile, ukutadisha flora lwesitho sangasese sowesifazane kumele uzilungiselele ngaphambi ukulethwa yokuhlaziya. Okokuqala kubalulekile ukuze senqabele ubuhlobo bobulili izinsuku 2-3 ngaphambi iqoqo impahla. Futhi, kufanele ukhiphe ukusetshenziswa suppositories lwesitho sangasese sowesifazane, okhilimu kanye yokugcoba. Umphumela kungathinta amakhambi ngenkasa, soda. Ngakho-ke, olufana manipulation inhlolovo azivumelekile.

Ukuze izinqubo yokuhlanzeka kufanele asebenzise izindlela ezikhethekile: insipho obuseduze noma ijeli. Ukwakheka kwazo ngokwama is eziklanyelwe ukuhlangabezana izici acid-base ukulingana insikazi uhlelo zokuzala. Ukusetshenziswa insipho yezimonyo ezivamile obuhlanekezela isimo microflora lwesitho sangasese sowesifazane kanye nomthelela omubi isimo Izitho zangasese zangaphandle, okubangela esivuthayo ukulunywa kweqiniso.

Indlela esiphatha ngayo?

unhlangothi Kubi ekuqaleni ekukhulelweni kungaholela ebunayo umbungu noma ukuphuphuma kwesisu. Ngakho-ke, ngakho-ke kubalulekile ukuba kuthola usizo sekuhambe sokubhaliswa kanye ukuhlolwa odlulayo. Ukwelashwa kuzoya ngohlobo lwegciwane kanye nokukhulelwa. ukwelashwa Isikimu kufanele bakhethe kuphela onguchwepheshe ngaphambilini sokunquma nozwela nezilwanyana ezincane pathogenic ukuba amalungiselelo medicamentous. Ngezinye izigaba kamuva yokuphathwa Kuyadingeka, ngoba isifo kungalimaza ezenzeka ulwelwesi kanye ngegciwane somntwana ongakazalwa.