Ukuhlolwa Femoflor - ntoni na? Amalungiselelo kuhlalutyo wenziwe, zokucazulula

Ukuba kuyimfuneko, uhlolisiso qualitative ukuze bafumane uvavanyo Injongo eqhelekileyo microflora yayintsholongwane eyosulela kwisiqwenga enzala koogqirha ababhinqileyo ukumisela zokuhlola femoflor. Yintoni na nendlela kuhlahlelo, makwazeke uninzi lwabafazi mihla: isifo isekelwe kumgaqo-PCR njengenxalenye ye-time. Ngenxa ugqirha wesifundo uyakwazi ukunika inkcazelo ebanzi ubume ubuninzi nobulunga le izihluma bacteria.

Le microflora amalungu zangasese

Njengoko yaziwa, loo biocoenosis le iphecana enzala kwabasetyhini yingqokelela kubekho izinto ezincinane awayengabemi inkqubo genitourinary kwaye ezinxulumene kubudlelwane ezithile. Le flora iintsholongwane kwinxenye yelungu lobufazi kwabasetyhini kunye esebenzayo nenkqubo ekuzaleni yaye njalo njalo. E. Are yokuzala, ngokuyinene elungeleleneyo, oko inkqubo ezinzileyo kwaye iqulathe malunga amakhulu zizidalwa ezincinane. Inxalenye eyinhloko kubo iibhaktheriya acid lactic, ukuba sibamba ngazibini kubo ukuba abasetyhini abasempilweni flora langoku eyanelisayo.

Intsingiselo lactobacilli kunye nokuziphatha zokuhlola femoflor

Lactobacilli zidlala indima ebalulekileyo ekuqinisekiseni pH eqhelekileyo kwinxenye yelungu lobufazi. Sebenzisa lactic acid eziveliswe kwaye inqanaba iperoksayidi yehidrojeni kufikelela yayo cala 4.0-4.5. Ekubeni indawo asidi ithembisa ukuba ukukhula iintsholongwane acid lactic kuphela, ukuveliswa kunye nokukhula olusebenzayo kwezinye izinto akwenzeki. Ukongeza, ezi zidalwa lactic obungabonakaliyo negalelo ekomelezeni sifo yasekuhlaleni.

Lweeprogram ezingezoze - isithintelo zendalo ngendlela yeentlawulo kwinkqubo enzala yabafazi kwamagciwane buphindwe ngokugqithiseleyo. Kodwa ngaphandle kwabo, lobufazi kukho ezinye iintsholongwane, yaye ezinye zazo akukho luncedo. Ingcinezelo nomngundo lactobacilli igwele, staphylococcus, iStreptococcus kunye nezinye izifo aqale ukwanda ngamandla, nto leyo inokukhokelela kwezinye yokuphazamiseka kwinkqubo enzala yabafazi. Age, indlela yokuphila, izifo elidlulileyo - zonke esinokufumana kakhulu imeko microflora.

Ngexesha femoflor ukuhlolwa (ntoni na nokuba yintoni na ekufuneka udlule kuyo, makhe siqwalasele inkcukacha ngezantsi) iya kunceda ukuphelisa esi sifo, kunye ukhe, nokuthintela kukuvela iingxaki. Ngoko ke, xa zincinane kwaye eyona ingabalulekanga kwi ukuphazamiseka emehlweni kuqala, ngaphambi kokuba ukuvela kweempawu engasi igciwane, kufuneka ubone ugqirha.

Umgaqo we uhlalutyo microflora

Femoflor-16 ayibobuchule mihla ngakumbi evumela ukwenza uhlalutyo enenkcukacha. Olu viwo ethile iye kwinqanaba uvakalelo oluphezulu ovumela inkqubo ubhaqo iintsholongwane ezinzima anaerobic. iingcali bacebisa femoflor behlolwa ibhaqe i ukungalingani iintsholongwane, lwalukumanqanaba alo kophuhliso kunye nohlobo ngokubanzi microflora. Yintoni na? Ucalulo okhethekileyo ngokusekelwe iziphumo apho oogqirha ithuba lokwenza inkqubo kakhulu nezinyangayo.

Le ndlela unique yenziwa ngexesha lenene. Abaxhamla kule phando, njengoko senditshilo, kukho iqela le-PCR-12. I-Polymerase Chain Reaction ivumela ngaphandle ngobuciko ingundoqo iziphumo ukungathembeki (zombini lobuxoki HIV).

Izinto eziluncedo zokufunda: ukuba ukuhlolwa sikuvumela ukuba ubone ugqirha?

Ekubeni femoflor-screen uyakwazi ukufumanisa ubukho iphecana nemazi enzala iintsholongwane ezahlukeneyo (iintsholongwane, iintsholongwane, umngundo kunye lenyama), loo nto yenza kube lula ukwenza izigqibo malunga ukwakhiwa kwawo kunye nemigangatho yazo. Iziphumo zohlalutyo ayimfuneko ukuze ugqirha ukuba wenze oku kulandelayo:

1. Nakweyiphi na imeko ukuchonga amagciwane (inani neentlobo iintsholongwane, lenyama, iintsholongwane besukelana 7).
2. Vavanya imfuno sokuhluza yeekhrayitheriya womchamo-14.
3. Bonisa inani elipheleleyo iintsholongwane eziqhelekileyo, iqondo asuleleke, kwakunye kwamagciwane ichele.
4. Ukuze ufumanise ukuba oonobangela zenkqubo yokukrala kwindawo enzala.
5. Khetha le ndlela unyango kakhulu efanelekileyo.
6. Lawula Dynamics kwakhona nokuzinziswa a microflora esempilweni.
7. Elibanzi ukugqiba iziphumo zonyango.

ukuchana High kunye nesantya neempendulo - esinye plus ethile yale ndlela kokuxilongwa. Ngelo xesha, ekuqhubeni iinkqubo uphando kufuneka lwandulelwe isampuli ezilawulwa leengcali izinto eziphilayo.

Kungenjalo, iziphumo zophando ukuze elala neli ivuke neliya. Kwathi ukuhlolwa femoflor (ezifana ukuthatha izinto, nendlela nenkqubo ngokwayo, ugqirha kufuneka akuxelele ukuba umguli, kunye nokwenza izindululo ezifanelekileyo ekulungiseleleni), umfazi kufuneka ilungiswe kakuhle.

Iintlobo femoflor-luhlola

ngokuvavanywa qualitative yokuqhubekileyo kunye neenkcukacha zamanani PCR biomass ivumela femoflor-screen phantsi kolawulo ucingo lwesampulu lwezonyango. Ukuthiya izifundo ngokuyimfuneko iqulethe index yamanani nto ixhomekeke kwi-arhente esikhethiweyo esebenzayo ezigunyazisiweyo Iziphumo zohlalutyo phambi okanye ukungabikho iintsholongwane ezithile. Umzekelo, 16-femoflor lwenza cala ukumisa nokuvavanya ukwakhiwa ezisemgangathweni kunye neenkcukacha zamanani kweentlobo 16 ezincinane ezahlukeneyo oluqhelekileyo, kwaye ichele izifo. Ngenxa yoko, ubuncinane kunqabile ezimiselweyo kunye nezinye izifundo. Kakhulu ndandingohlukani femoflor-13 zokuhlola femoflor-8 no-4-femoflor.

Umhlaba wokuhlahlelwa iphecana enzala kwabasetyhini kunceda iingcali umahluko ukungalingani kunye nezityalo eziqhelekileyo. Lonke uhlobo kwilebhu loxilongo bezonyango belo kwisigaba enzala female inika intabalala data impilo ixhomekeke ngqo kwisiqalo kwegciwane phecana yakhe enzala.

Yeyiphi kunceda ukuchonga iintsholongwane femoflor-isifundo?

Iziphumo zohlalutyo, ngokutsho iingcali, ukunika iimpendulo kwimibuzo emininzi. femoflor Extended ukuhlolwa (leyo ifakiwe entsonkothileyo diagnostic inokufumaneka ngezantsi) yenza kube lula ukufumanisa ubunzima elipheleleyo eziphilayo nokubunjwa kwayo ubunjani kunye neenkcukacha zamanani, nto leyo iquka:

• iintsholongwane eqhelekileyo;
• gardnerella;
• ureaplasma;
• Candida;
• Mycoplasma (zangasese);
• Trichomonas;
• iintlobo zabantu herpes simplex virus 1.2;
• ukuvuza ngaphantsi;
• cytomegalovirus;
• chlamydia.

Unobangela kweenkqubo ezininzi zophendlo lwezifo baniqunga intsalela microflora. utshintsho Minor kwi ekwakhiweni yebhaktiriya kuya kuvumela ukufumanisa ukuba yintoni amgibile isimo esinjalo. Kwimeko iimpawu ezithile into yokuqala ukuyenza - kukubona yincutshe.

Ngubani kufuneka zingenele ukuhlalutywa ukuba amisele ukwakhiwa esemgangathweni microflora?

iimpawu ezicacileyo zokugxojwa imvelaphi kwegciwane kwisiqwenga enzala ze isigulane kungaba:

• evuthayo kuyabuya;
• ukurhawuzelela rhoqo kwiLibia bangaphandle lobufazi;
• utshintsho amandla kunye netuwa zendalo luninzi nemazi;
• kabi kule ndawo zangasese.

Kwimeko ubuncinane enye kwezi mpawu zingasentla emva zintsholongwane ixesha elide okanye unyango hormone ingakumbi ebalulekileyo femoflor zokuhlola. Yintoni na, njani uhlalutyo, kwakunye ukulungiselela ngokucokisekileyo kuyo, kufuneka ukuba uyabazi abafazi abathi:

• uceba ukukhulelwa;
• belungiselela neqanda;
• Kwixa elizayo uya utyando enyama zangasese;
• avavanywe uxilongo onzulu efumanise kwezifo phambi kwezi mpawu zingasentla;
• ubunzima kwiinkqubo progression dysbiotic rapid;
• Siye unyango angasebenzi.

Yintoni kuchaphazela iziphumo zomsebenzi femoflor-screen?

Abasetyhini uxilongwe "nenzalo" kufuneka bapase isifundo ukuzoba up iirejimeni. Kwimeko apho kokuphazamiseka yendalo abakhulelweyo alandelelenayo ezineenkcukacha ukufunda imo kwenkqubo sokuzala idlala indima ebalulekileyo. Kuba zokungathotyelwa kunye uxilongo ngokwenene iimpawu isigulane unokunikwa femoflor-screen. Iziphumo zovavanyo ziya ukuqinisekisa imeko yangoku okanye isifo entsha.

Kuchaphazela flora iintsholongwane kwi enzala kwisiqwenga imo yamabhinqa ekwazi ukusetyenziswa ixesha elide iipilisi zokulawula wazala hormone-based. Kuqala kunganobungozi kuRhulumente lokuncitshiswa microflora kwinani estrogen. Ngenxa yezizathu ezifanayo, yanyhashwa ngemvelaphi "live" ummandla enzala ziquka ukusetyenziswa kwezixhobo intrauterine esezantsi-umgangatho, yokunkcenkceshela rhoqo kakhulu.

bavavanywa njani?

Umgangatho zokufunda kuthathwa idlala indima enkulu xa kuhlalutywa. Yimeko ezibaluleke kakhulu kwimpumelelo yale hlobo ubuchule diagnostic ingabizwa isampuli elichanekileyo lezinto eziphilayo apho ngokuthatha scrapings evela:

• urethra;
• cervix;
• sangasese.

Okufunayo sokuhluza zilungiselelwa idla usebenzisa izixhobo engenazintsholongwane ezilahlwayo ezifana tsitobrasha. ndlovu Further clinical obekwe kwi ityhubhu uzilungiselele - eppendorf. osemqoka yaso phambi imeko efanelekileyo ukuthutha. Xa ibekwe ngaphakathi izinto lwezonyango ileyibhile igutyana, ebonisa iinkcukacha yomguli, umhla kunye negama zohlalutyo.

Ekumiseleni imigangatho kunye analysis yokusebenza kokuhlaziya

index kuqhutywa inkqubo olungenamiqathango isampulu ilungelo kuthathwa ukuba imali eyaneleyo DNA genomic kwisampula, apho umthombo zibe ziiseli epithelial. Xa kuthathwa kakuhle scrapings baya kusoloko ibekhona kwi izixhobo elebhu kunye achitha femoflor-screen. ISithethe edlala (ukuthatha izinto ulawulo), ngokuqhelekileyo imela iiyunithi 105. Kwimeko index elincinci yeziphumo Uxilongo kungaba ukubala zabekwa ukuthatha neenkqubo zophando sicatshulwa yesibini.

Ukuba kuxoxa ngokuxabiseka kunobukhulu zizonke iintsholongwane, eyona ndlela ibhetele neyona lula kuthathwa femoflor ukuhluza uviwo. Ezama WSO ngamaxabiso kwi units 106-108. Uthi malunga nenani ifanelekileyo ezincinane eziphilayo. Kwimeko yokudlula amaxabiso data, t. E. Ubukho agqithisile iintsholongwane, kusenokwenzeka ukuba iinkqubo atrophic ngokwaneleyo nomonde enkulu phezu kokufumana antibiotics.

Akukho Isalathisi kangako Bionorm kwisiqwenga enzala ze eziliqela lactobacilli. Ngokwesiqhelo, inani Ilabhoratri malunga 106-108 iiyunithi. Ngelo xesha, ukungabikho olu hlobo izidalwa eziphilayo lubonisa ukuba microflora na izifo. Kunye ngokuchonga lactobacilli ivavanye floras ezincinane aerobic kunye anaerobic abahlala t. H. The mycoplasmas, Candida, Ureaplasma kunye nezinye.

Ziqonde iimpendulo femoflor-ukufunda, ugqirha uyakwazi ukunika uluvo malunga imeko microflora. terminal Medical ngokutsho lokuvandlakanya lunokuba enye yezi ngongoma zilandelayo:

• normotsenoz;
• disbioz Uhlobo ngokulinganisela;
• dysbiosis libizwe.

Njengoko main Imathiriyeli izifundo usebenzisa PCR na sisusa iiseli epithelial, kubaluleke kakhulu ukuba ulungiselelo isigulane kwesifo nokuqhuba. VCRs enikezwe ukuze uphephe iziphumo zobuxoki ezimbi kunokwenzeka. Kwimeko zophando wafikelela amaxabiso ka-10 ^ 4 iimpendulo zixhomekeke ukutyhilwa ziingcali. Xa ngaba isiphumo ngaphantsi kwe eli nani kufuneka asiphinde isifundo.

Njengoko umfazi ukulungiselela le nkqubo?

Kwimeko Ucwaningo neenkqubo eziyimfuneko ukuze ukuchonga biotypes eziliqela ukwenza izakhi ixesha ngalinye, sibambe ityhubhu zovavanyo ezintsha kunye probe kube nokuphepha.

Njengoko kunjalo kunye namanye iinkqubo yamanina ngaphandle izenzo phambi ayikwazi ukwenza femoflor zokuhlola yesiqhelo. Ukulungiselela acalulwe ucingo biomaterial umele usuku phambi kokuba ngqo yimida ethile:

1. Phambi manipulation mfazi kufuneka asebenzise isepha ngokuhambisana ngococeko, ukuze afeze okunkcenkceshela.
2. Kwiveki phambi kokuba inkqubo, awukwazi ukuthatha naziphi na antibiotics.
3. Akwenzeki ukuba baqhube uphando kwixesha sexesheni, kwaye iintsuku ezi-5 emva koko.
4. kwiintsuku ezi-3 phambi kulingwa bayinikele umva ukusetyenziswa amacwecwe zocwangciso kwilungu lobufazi, suppositories, ijel kunye like. D.
5. Kwangaxeshanye, kungakuhle ukuba ayeke kobuhlobo zesini.
6. Ukuze isibini kwiiyure ezithile phambi kokuba kokuphalwa esisiso ayikwazi ukuchama.
7. Ingakumbi imeko ebalulekileyo umlomo izinto kucingo emva PCR Colposcopy.

Yintoni enokubangela ukungaqheleki lwe enzala phecana microflora?

Dysbiosis e abafazi kwenzeka phantse nazimpawu. Noko ke, oko kukhokelela kwiingxaki kakhulu ekusebenzeni kwenkqubo lokuzala nokunciphisa umgangatho yesigulane yobomi.

Ukunqanda kukuvela ezimbi ezinxulumene ne ukungalingani yingenelo kunye neentsholongwane eziyingozi, kuyimfuneko ukuba esweni ngokusondeleyo impilo kwenkqubo genitourinary. Ingakumbi ingqalelo ubukho izinto ezinokuba ababethwele isoyikiso empilweni yabasetyhini:

• utshintsho hormone okubangelwa ubomi mgaqweni ngesondo, ukukhulelwa, ukuzalwa, ukuqhomfa isisu, ukuya exesheni, ukusetyenziswa izicwangcisi hormone;
• nokugcina indlela idla, utshintsho rhoqo nabo ngesondo;
• imisiwe unyango lezifo;
• unyango lwexesha elide kunye antibiotics;
• izifo ezingapheliyo ye amathumbu kunye dysbacteriosis;
• ukugxojwa okanye ucoceko engafanele;
• kwiimeko ezibangela;
• ukutshintsha ommandla kwemozulu.