Kodi swabs akutengedwa pa mimba? Kangati? zikwapu zoipa pa mimba

Mkazi aliyense amene amasamalira umoyo wake, pa maziko kuvomerezedwa ayenera ankakonda kukacheza gynecologist ndi mayesero kutero. Pa wobereka mkhalidwe wa microflora ukazi ndi zofunika makamaka. Pakani mimba amalola kupanga chithunzi chenicheni cha moyo wa azimayi ndi kuthetsa chitukuko cha matenda aakulu. M'pofunikanso tione mtundu wa matenda ndi zotsatira zotheka a kuwunika.

Kufunika kwa kusanthula

microflora ukazi kwakukulukulu tichipeza lactobacilli, imene chakudya asidi lactic kofunika kuteteza thupi ndi ingress wa tizilombo toyambitsa matenda. Kuchepetsa chiwerengero cha tizilombo lactic asidi kukhala ndi kuchuluka kwa tizilombo "zoipa" ndi chitukuko cha matenda.

Mimba - nthawi pamene kuli kofunikira makamaka kulabadira thanzi, monga izi kudzadalira kukula wabwinobwino wa mwanayo utero. Iwo ayenera kumvetsa kuti aliyense ndondomeko yotupa kungam'lepheretse yoopsa kusunga. Swabs ku nyini pa mimba atenge mkazi, ngakhale sitili zizindikiro. Infection akhoza alibe kuonekera kwa nthawi yaitali, koma mayi woyembekezerayo adzakhala anthu ake. Ngati kuona lotsatira dokotala wapeza kuvutika mu zotsatira za kuwunika, mkazi akhoza kulandira chithandizo choyenera ndi matenda a mwanayo pa ntchito.

Smears pa mimba: kangati muyenera kuchita?

The kuvomerezedwa kuyezetsa loyamba la chikazi microflora mayi woyembekezera akudutsa pa chisamaliro koyamba antenatal kuti kalembera. Zotsatira adzakusonyezani boma la padziko ukazi, pamaso pa zabwino ndi tizilombo microflora (moyenera) ndi ungwiro. Pa kudziwika tizilombo toyambitsa matenda nkhani chithandizo wofatsa, kenako zina chikudutsa chopaka kwa yachinsinsi.

Malinga ndi ndandanda wa maphunziro kusonyeza mkazi wapakati, mu trimester otsiriza ayenera matenda microflora ukazi. Zikwapu ndi masabata 30 a gestation zizichitidwa tsiku ndi kuvomerezedwa pofuna thanzi la mayi woyembekezera ndi mwana. Zolakwika ku ponseponse mu masiteji otsiriza kawirikawiri zokwanira kuti chimaika pangozi kwa mwana wosabadwayo ndipo ana amakumana ndi mavuto osafunika.

Popanda kuyembekezera malangizo lotsatira la kafukufuku, akazi ayenera kuyesedwa posakonzekera kudziwika zizindikiro monga kuyabwa, moto, maonekedwe a kumaliseche katundu kwa mundawo maliseche. Zizindikiro zimenezi nthawi zambiri limodzi ndi matenda oopsa amene oipa kwambiri mu nthawi ya gestation.

"Good zomera" - zikutanthauza chiyani?

The microflora ndi mndandanda wa mabakiteriya osiyanasiyana zokhala zonse nyini. M'chigawo abwino thanzi pali ambiri lactobacilli - Doderlein coli kutulutsa zofunika asidi lactic. Ngati zokwanira wa iwo ku tizilombo toyambitsa matenda alibe mwayi kupulumuka mu malo acidic la nyini.

Pa mayesero mimba magawo angapo yasinthika. chiwerengero cha maselo a epithelium ukazi kwambiri kuchuluka, lomwe limathandiza kuti pakhale glycogen chofunika kubala asidi lactic Doderlein timitengo. Kukhalabe yoyenera asidi-m'munsi bwino (pH 3,3-4,5) mu mimba, chifukwa microflora kumathandiza kuti asalalikire chitukuko cha tizilombo toyambitsa matenda ndi matenda a mwana wosabadwayo (kapena mwana wosabadwayo).

Chiopsezo kuphwanya microflora?

Nthawi zambiri, akazi akukumana ndi vuto kumene, ndi smears zapita woyembekezera, iwo adzadziwa kuti ali - kuphwanya microflora ukazi. Kuchepetsa chiwerengero cha tizilombo lactic asidi ndi osafunika kwambiri nthawi yovuta imeneyi choncho m'pofunika kukhazikitsa chifukwa cha chikhalidwe tizilombo. tizilombo osadziwika, ndithudi, alipo mkazi aliyense nyini wathanzi, koma chiwerengero chawo ayenera kukhala laling'ono. Ngati chiwerengero cha tizilombo zoipa kumawonjezera, ndiye iwo amayamba kukhala dysbiosis, nthawi zambiri kuchititsa ukazi candidiasis (thrush).

Kuti matenda zolondola m'pofunika kuti akapereke smears. Woyembekezera, mu magawo oyambirira, matenda angathe pa maziko a chitetezo chokwanira yafupika. kupatuka aliyense ku mfundo wabwinobwino ndi woopsa makamaka mwana ndi chitukuko zina mimbayo.

Kodi ndafika microflora?

Mu magawo oyambirira mimba mkazi n'kofunika kuyan'ana chizindikiro cha thupi. Pitani kuchipatala ngati n'koyenera:

• Zikuoneka kuyabwa m'dera zoberekera.
• Zotuluka ku maliseche kwa mkazi zitsulo olemera ndi kusasinthika wowumitsa.
• Pambuyo pokodza moto zotengeka.
• Sapota ndi fungo Fungo lamphamvu lamankhwala.
• Nthawi pali zowawa kulongolola m'mimba.

zizindikiro zimenezi zimasonyeza kukula kwa mchitidwe yotupa ndi chithandizo mwadzidzidzi. Pakani pa zomera kumathandiza kudziwa mtundu tizilomboto, koma nthawi zina matenda akhoza kukhala chobisika. Pankhaniyi, muyenera mayeso zina.

mitundu ya zikwapu

Pamene boma mu antenatal Moms chipatala akudabwa chimene swabs akutengedwa pa mimba ndipo ngati kuli kwenikweni. Iwo ayenera yomweyo kudziŵika kuti Kuphunzira ukupeza akazi mimba oyambirira n'kofunika makamaka kwa dokotala. diagnostics okha kusonyeza chithunzi thunzi cheni kuthetsa kuopseza kuchotsa mimbayo.

Zochita matenda, pali mitundu ingapo ya zikwapu, kusonyeza chikhalidwe cha umoyo wa amayi. M'kagulu motere:

• Pakani pa zomera za - zimasonyeza vutoli zabwino ndi zoipa ukazi microflora. Analysis limasonyeza chiwerengero cha maselo ofiira, maselo oyera ndi maselo akufa zaminyewa. Malinga ndi zotsatira amanena mlingo wa chiyero cha Pakani;
• The kuipitsa mbiri cytology - kusintha kwa matenda a maselo khomo lachiberekero;
• Pakani pa sterility - amasankhidwa kudziwa zikuchokera kwa microflora ukazi, zimathandiza kuona kupatuka pa maziko m'thupi;
• Pakani pa matenda zobisika - PCR matenda ndi zofunika kwambiri pa mimba. njira walola kuti azindikire matenda amene si kumasulila chopaka pa zomera.

matenda Urogenital angabweretse ngozi moyo ndi chitukuko wabwinobwino wa mwana wosabadwayo. Choncho, popeza ndalandira kwa malangizo a dokotala kupezeka matenda matenda chobisika, mayi woyembekezera ayenera musazengereze Ndime ya kafukufukuyu.

matenda maliseche

Smears pa mimba ndi matenda - matenda, matenda opatsirana pogonana - ayenera kutenga tsiku ndi kuvomerezedwa. Matenda monga ureplazmoz, nsungu, chlamydia, toxoplasmosis, cytomegalovirus sikuti kumukhudwitsa, koma sizikutanthauza kuti iwo si owopsa.

matenda zobisika angathe kuonedwa ndi matenda PCR, ndi seeding njira galamu kudetsa wa kuipitsa mbiri. njira ina yotchuka ndi puloteni immunoassay seramu.

chinawathandiza kumvetsa n'chakuti kusanthula

The zotsatira za kuwunika pa microflora ndi ukazi angapezeke zizindikiro zotsatirazi:

• maselo oyera - kuwonjezeka mlingo limasonyeza chitukuko cha kutupa. Mu nyini, pazikhala 10-15 m'munda wa view mu mkodzo - osapitirira 5, ndi khomo lachiberekero - 5.
• Epithelium - zambiri, phindu siziyenera kukhala oposa 10 pamaso.
• Galamu HIV mabakiteriya - gawo lalikulu (90%) tichipeza lactobacilli.
• Galamu alibe tizilombo - tizilombo microflora zambiri kwathunthu kwina.
• Amatope - zikwapu pa mimba asamapite kapena zolimbitsa kuchuluka kwa ntchofu ku nyini ndi khomo pachibelekeropo.
• Bowa wa mtundu candida - analola pang'ono mu nyini, koma mu mkodzo ndi khomo pachibelekeropo ndi zambiri kwina kwathunthu.
• Cocci - zambiri kupezeka streptococci, staphylococci ndi enterococci mu pang'ono. Pamaso pa Neisseria gonorrhoeae zikusonyeza chitukuko chinzonono.
• Trichomonas - mu kuipitsa mbiri yabwino ali kwina.

maselo oyera mu Pakani

Leukocytes - maselo oyera amene ali mbali ya chitetezo cha m'thupi. Mu nthawi ya mimba ndi bwino kuwayang'anira chiwerengero cha iwo mu chopaka pa zomera, chifukwa ngakhale kusintha zingasonyeze chitukuko cha ndondomeko yotupa. Cholinga cha leukocytes - kuteteza thupi kulimbana ndi tizilombo toyambitsa matenda. Choncho, nkhawa kupeza pang'ono maselo zoteteza si zotsatira mayeso. Kwa amayi mu malo a mlingo wa leukocyte kuipitsa mbiri ndi mu osiyanasiyana 15-20 pamaso.

Chinawonjezeka chiwerengero cha leukocytes Pakani

Smears pa mimba ndi yofunika matenda njira kuti detects kupatuka pang'ono kuchokera mfundo yachibadwa. A kuwonjezeka pang'ono chiwerengero cha maselo oyera pa kubala alandiridwa ndithu. Ngati mtengo ndi mayunitsi oposa 20 m'munda wa view, payenera kukhala matenda zina ndi kudziwa chifukwa cha chikhalidwe tizilombo. Chinawonjezeka chiwerengero cha maselo oyera limasonyeza pamaso kutupa mu thupi la mayi m'tsogolo.

zikwapu zoipa pa mimba kungakusokonezereni chitukuko yoopsa. Choncho n'kofunika mwamsanga kudziwa zolakwika mu zotsatira ndi kulandira chithandizo choyenera. Kawirikawiri zimayambitsa kuenjezera leukocytes mu kuipitsa mbiri pakati mutuluka candidiasis (thrush), vaginosis, kutupa kwa nyini matenda mucosa padziko (mycoplasmosis, chinzonono, ureplazmoz).

"Oyera"

Phunziro ayesedwa mu zizindikiro ndi zasayansi monga fungo ndi kukhuthala matenda zakuthupi. Malinga ndi zizindikiro za tizilombo toyambitsa matenda, amene anyamula zikwapu woyembekezera, akatswiri amanena chiyero. Zonsezi ndi madigiri anayi:

• digiri yoyamba amalankhula za kuipitsa mbiri yabwino pa zomera ndi. chiwerengero cha tizilombo lactic asidi ukufika 95%, zimene zikusonyeza yake asidi-m'munsi bwino ndi chitetezo chabwino ndi chitukuko matenda.
• Mlingo wachiwiri aikidwa mu choncho, ngati pang'ono makonzedwe tizilombo microflora unkachitika mu Pakani, koma mfundo izi ndi malire yachibadwa. Chiwerengero cha lactobacilli, monga mwa mlingo woyamba, ayenera kugonjetsa ena ndi kukhala pa mlingo wa 90%.
• digiri Chachitatu limasonyeza chitukuko cha dysbiosis (bakiteriya vaginosis). Doderlein ndodo mu chopaka amenewa n'komwe koyenera kuti zomera yachibadwa boma. Ambiri mabakiteriya galamu-negative.
• Mlingo chinayi khalidwe la vaginitis. kupaka chimaposa sing'anga zamchere, pali ndalama kuchuluka kwa maselo oyera, epithelium. zikwapu zoipa pa mimba ndi chifukwa kudutsa kukonzanso kufufuza.

Kodi kukonzekera kuwunika?

Kuti mulandire zotsatira zolondola, kuphunzira zomera ukazi ayenera sanakonzekere isanafike yobereka kuwunika. Choyamba m'pofunika kukana kugonana masiku 2-3 isanafike deta zakuthupi. Komanso, tiyenera kukusalani ntchito suppositories ukazi, creams ndi zodzola. Zotsatira zake zingakhudze zitsamba ulimi wothirira, koloko. Choncho, ofanana mpheto za kafukufukuyu saloledwa.

Pakuti njira za ukhondo ayenera kugwiritsa ntchito njira yapadera: sopo wapamtima kapena gel osakaniza. Kapangidwe awo unapangidwa kukumana ndi makhalidwe a muyezo asidi-m'munsi mwa ziwalo zoberekera wamkazi. Ntchito ochiritsira sopo zodzikongoletsera kupotoza boma oona za microflora ukazi ndi kungasokoneze boma la maliseche kunja, kuchititsa yoyaka ndi kuyabwa.

Kodi kuchitira?

Osauka zikwapu oyambirira mimba zingachititse kuti kuchepa mphamvu ya mluza kapena kupita padera. Choncho, choncho n'kofunika kupeza thandizo antenatal kuti kalembera ndi mayesero akudutsa. Chithandizo kudzadalira mtundu wa tizilomboto ndi mimba. Chiwembu mankhwala ayenera kusankha yekha katswiri kale kudziŵa tilinazo tizilombo toyambitsa matenda kuti kukonzekera medicamentous. Pamisinkhu pambuyo mankhwala n'kofunika, pakuti matenda ingawononge kuthamanga kwa nembanemba ndi kupatsira mwana wosabadwa.