Vaginosis ekukhulelweni: Oonobangela kunye Iimpawu

Amaxesha amaninzi, umfazi azale umntwana, ekucaca ukuba ezimbi kakhulu, kwaye bonke ngenxa yokuba umzimba wakhe wakhiwa, ukuba ukusebenzela ababini, ngoko amajoni omzimba buthathaka. Amaxesha amaninzi, ezi abasetyhini isifo uhlelo zokuzala, leyo, ngaphandle unyango olufanelekileyo, inokukhokelela kwezisu. Enye yezi zifo ithathwa vaginosis yebhaktiriya. Ngexa lokukhulelwa, kuxhaphakile kwaye kufuna unyango engxamisekileyo phantsi kweliso gqirha. Kodwa yintoni uhlobo lwezifo, indlela sibaphathe ngayo, yaye yintoni amanyathelo othintelo ukuthatha?

Yintoni vaginosis?

Vaginosis ekukhulelweni - sisifo sikhatshwa ukuphazamiseka kwinxenye yelungu lobufazi kunye nokuhla ngokukhawuleza inani iintsholongwane acid lactic kunye ukunyuka ngokukhawuleza kwi microflora izifo. Kwiimeko ezinqabe kakhulu, kukho inkqubo arhabaxa. Le yenye izifo ixhaphakileyo nazo namakhosikazi aselekhulile okuzala. Ngengozi kokuba sifo kuphela ngo-30% yezigulane, ezo ukhalaze malunga yokumpompoza ezimhlophe - ngo-90% yamatyala, yaye abafazi abakhulelweyo - 35%.

vaginosis yintsholongwane ekukhulelweni, okanye njengoko kudla kuthiwa, goiter, kukhokelela into yokuba lactobacilli unyamalale ngokupheleleyo, athi abenoxanduva imisebenzi ibakhusela umzimba, ngoko umfazi kuba sengozini. Ngexa lokukhulelwa, iifom advanced kungabangela ukulahlekelwa ndingekazalwa, ngoko ke kubaluleke kakhulu ukuba babone ngexesha isifo kwaye uqale unyango.

UNorma bacterium lobufazi

Into ikuku yonke umfazi ubomi iintsholongwane ezikhethekileyo ekhusela inkqubo okuzala evela ukudumba kunye nezinye izinto ezimbi. imali nesemgangathweni kufuneka ngolu hlobo lulandelayo:

• Lactobacilli - 95%;
• 2.5-5% - na imiqathango flora izifo.

Ukuba namandla, ukuba bathi kanye ukuba bangaphi kubo abayi kuphumelela, zonke intombazana awayo Inani eziphilayo yayintsholongwane eyosulela, kodwa zikhona ezinye iintlobo anokufumaneka bonke yaye baya kubonisa phezulu, xa iqala dysbiosis. Ekhaya yibhaktheriya - yi Gardnerella vaginalis, isoloko kuziveza xa eqala vaginosis ngexesha lokukhulelwa. Oku kugqalwa uhlobo elimakishayo kwaye phantse zonke iimvavanyo elebhu zisekelwe phezu kwalo.

ngezigaba vaginosis

Phambi kokuba uqonde ukubaluleka umba ngenxa abafazi abaninzi, kunokuba ukunyanga vaginosis xa ukhulelwe kufuneka bazi ukuba yintoni na iqondo ubuzaza zezifo:

• 1 degree. Bubungakanani ukuba microflora kwi smear akakho, kwaye kukho iiseli epithelial kwanasemva kwaye abe abosulelekileyo kunye nezinye iintsholongwane.
• 2 isidanga. Kulo mzekelo, isidanga Doderlein iintonga lifinyele, kunye nokunyuka iintyatyambo ezintle gram i-HIV egazini wafumana ukwanda okungephi leukocytes.
• 3 isidanga. Kulo mzekelo, iibhaktheriya acid lactic abangekhoyo ngokupheleleyo, umfanekiso kwezonyango sifo ibonakala.

Izinto ezibangela vaginosis ngexesha lokukhulelwa

Xa lactobacilli eziqhelekileyo, ayikho into esongela nawuphi na umfazi okanye yemveku. Ukuba ungagcina umkhondo eseleyo microflora kwaye bavelisa lactic acid, nto leyo ligcina ngokupheleleyo balance acid-base, liyabulala ukuya ngamagciwane ezininzi. Kodwa phantsi kwempembelelo yeemeko ezithile, inani iintsholongwane luncedo ukuba zancitshiswa, kule meko kukho kukwaphula inkqubo microecological. amazinga aphantsi kukhokelela lactobacilli ekukhuleni kwamalweyile ngendlela iintsholongwane eziyingozi: gardnerellas, Bacteroides, mobilinkusov, peptokokki, mycoplasma, streptococcal.

Ukumisela yintoni kanye echaphazela flora kwaye ibangele vaginosis ngexesha lokukhulelwa kunzima, kodwa ukusebenza ekunciphiseni inani iintsholongwane acid lactic kunokuba zombini kwiimeko zangaphakathi nezangaphandle:

• antibiotics;
• unyango elwa, iiarhente hormone nokubola;
• ukuphazamiseka ngasemva hormone emva kokuba isisu, umsebenzi okanye ekukhuleni ngokwesondo;
• douching zangasese;
• ukusetyenziswa kwe-arhente elwa in olusondeleyo triclosan ngococeko;
• sebenzisa lokucwangcisa ngomlomo;

• ukusetyenziswa spermicides, zona yinxalenye suppositories langasese kunye namacwecwe;
• izifo komzimba okanye ezidalwe;
• utshintsho lwemozulu, iimeko ezibangela;
• ukungalingani ethunjini;
• enxibe iimpahla ezenziwe ezenziwe;
• ukukhulelwa, ingakumbi elibaleka iingxaki;
• indiva nococeko.

Njani utshintsho ukukhulelwa umlinganiselo iintsholongwane?

Lactobacilli uncedo sekhefu phantsi glycogen wambumba zeeseli caba le epithelium kwilungu lobufazi, apho kuyimfuneko ukwakha umqobo ongabonakaliyo. Kodwa ezi iiseli siphila ixesha elifutshane, yaye bonke ngenxa yokuba umzimba lady nganye esoloko itshintsha iihomoni, kungekhona ngenxa ngcono.

Ngelo xesha xa umfazi wazala umntwana, phantsi kwempembelelo corpus luteum hormone inani leeseli carcinomas kwandisa kakhulu. Isiphumo kukuba reserve glycogen mkhulu ngokwaneleyo, ngoko ke inqanaba lusanda lactobacilli kunye neqondo microflora yayintsholongwane eyosulela luyacutheka kwaye, ngenxa yoko, i-pH uba asezantsi. Umzimba izama self-asihlambulule emjelweni wazala ixesha kunye ngokubulaleka kuhlangana usana kunye microflora esempilweni, amiyo nakwa KwaZulu yakhe.

Ngophanya nje lweliso, kusenokubonakala ngathi yonke into kuba nje egqibeleleyo, kodwa ke kwiimeko ezininzi bume asidi kukhokelela kukuba ekhula ezinye uhlobo losulelo ezidlulayo, kuquka ifungi Candida, mycoplasma, ureplazmu, yaye ekugqibeleni uqala ukuphuhlisa vaginosis ngexesha lokukhulelwa.

Kwenzeka ntoni xa vaginosis?

Ngenxa yempembelelo yenye yeendlela kwezinto eziluncedo uncipha. Ubungakanani lactic acid leyo ngokukhawuleza lifinyele ukunyuka pH aze aqalise ngokutsha flora yayintsholongwane eyosulela kakhulu wayeyixhalabele gardnerelly, apho abangaphangeliyo ngakumbi iintsholongwane iyingenelo. Kubonakala i "eqhubekayo", apho lactobacilli bafela amanani amakhulu.

Uphuhliso olukhawulezileyo yayintsholongwane eyosulela micro-eziphilayo kukhokelela kukuba abafazi kuvela iimpawu ungakhululekanga, ebonisa ukuba kukho vaginosis ngexesha lokukhulelwa.

Iimpawu amabhinqa akhulelweyo

Ayisoloko imi zigaba yokuqala sifo ibonakala ibonisa kakhulu, kodwa ukuba isifo siqhubela phambili, ngoko kukho iimpawu zayo:

• abamhlophe intabalala kancinane greyish, kwaye ukuba isigulo eso sithi singanyangwa kule minyaka, lo nobhobhozayo abe ezibuhlazarha, foamy kunye stringy;
• kukho ivumba luphawu kukhona, ngokukodwa ke weva ngexesha amaqabane neentlobano zokuziphatha;
• kukho ubuhlungu xa neentlobano zesini, a ukuzwa ovuthayo;
• kabi kwi esiswini akahlali ngoxolo, xa luvo ifumanise hypertonicity le esizalweni;
• imvakalelo ezingemnandi ukutshisa ngexesha ukuchama, kodwa iliphawu luphela ebantwini kakhulu.

Emva kokuba iimpawu kuqala, kukho imfuno engxamisekileyo adibane ugqirha, oya kwenza iimviwo kwaye uyakwazi ukubona ngokuchanekileyo.

iindlela zokuxilonga ukucacisa vaginosis

Amaninzi pathology bene ukuze ugqirha kuphela. Ngokuzimeleyo akukho mfazi akayi kuba nako ukuxelela uhlobo losulelo siqhuba ntoni emzimbeni wakhe, njengoko kukho iintlobo ezininzi iintsholongwane ezibangela oko. Isikakhulu waziva ubuhlungu nje esiswini ezisezantsi lobufazi, ngoko umele afune ngengcebiso kagqirha. Yena, ke, ehlola umfazi kuthatha smear ze acalulwe yenza isampulu yegazi ukuze ukwenza ezinye izifundo kunye ukutyhila uhlobo losulelo ukumqumbisa zini na ezifunekayo kuphuhliso sifo.

Emva kokwenza yonke uphando oluyimfuneko ukuba ngokuchanekileyo ukuqinisekisa okanye ukuphikisa uxilongo, uze kuphela uqale vaginosis unyango ngexesha lokukhulelwa.

Njani yingozi ukugula ngoxa ephethe usana?

Naluphi na usuleleko inokubangela umonakalo omkhulu kwimpilo, hayi nje kuphela abasetyhini, kodwa kusana olungekazalwa. Ngexesha vaginosis lwesinye ukudumba imifinya zinokwenzeka, okubangela ukuba inokubangela iintanda kunye komsipha. Ukuba oku kuyenzeka, ngoko umfazi baqalise umsebenzi njengokuzalwa okanye kwezisu. Xa usulelo neentanda angangena fluid, yaye ekugqibeleni umntwana yonakaliswe.

Le usulelo kunokukhokelela kwintlekele: uphuhliso olungekazalwa iya kurhoxiswa okanye nokudumba.

Kubalulekile ke ngoko ixesha kubalulekile ukubona vaginosis kwegciwane lokukhulelwa. Unyango kufuneka iqalwe ngoko nangoko emva kokuqinisekisa uxilongo kunye naziphi na iingcebiso kufuneka wenziwe ngokungqongqo.

Vaginosis Treatment ngexesha lokukhulelwa

Ukuba isigulane ukuqinisekisa uxilongo, into yokuqala ugqirha ekucetyiswa ukuba usele kude amachiza ukuba ezikhuselekileyo umfazi wakhe.

Kubalulekile ukulandela zonke izindululo ugqirha, ukususela ngosuku lokuqala ukuya ngomhla wokugqibela, de iimpawu shwaka. Kodwa kubalulekile ukukhumbula ukuba yokuduka iimpawu asenokubonisa ukuba usuleleko sele ingasekho, kodwa xa amayeza ukuthatha iyakuvingca, ukuba kuphinda iboniswe. A ekuphindeni kaninzi zenzeka nzima ngakumbi, kwaye unyango ziphantsi kakhulu.

Kodwa ukuba isigulane eya kungqinelana ngokupheleleyo zonke iingcebiso - ukuthatha nemithi, wabeka amakhandlela kwi vaginosis kwegciwane ekhulelwe, kunokwenzeka ukuba usulelo iya kuba aphakamileyo.

Phantse isinye kwisithathu abafazi abaye baphathwa, kukho kwakhona ukuvela kweempawu kwiinyanga ezintathu zokuqala emva kokuthatha antibiotics. Iphinde linxulunyaniswa into yokuba ukusetyenziswa kwala machiza babulala uninzi kuphela iintsholongwane yayintsholongwane eyosulela, kodwa kuluncedo. Ukanti akukho namnye ngendlela kunokubangela iintsholongwane kuluncedo ukuba wande ngokukhawuleza, ngoko kwamagciwane bayaqhubeka phinda.

Ukuba iphinde yenzeke, umfazi lingaphinda lonyulelwe unyango, kwaye amachiza ekhethiweyo ngamnye, ngokuba benze konke okusemandleni ukukhusela umbungu. Impendulo ngqo kumbuzo engundoqo, kunokunyanga vaginosis kwegciwane nokukhulelwa ugqirha ngubani owaziyo ngazo zonke izifo abasetyhini kwaye iya kuthatha onke amanyathelo ukuze kakubi impilo yomguli kunye nosana lwakhe olungekazalwa.

Indlela ukubuyisela le microflora?

Emva kokuthatha antibiotics kuphazanyiswa microflora, ngoko ke kubalulekile ukuba uqale ukuthatha biologics awasebenzise vaginally. Amaninzi, oogqirha bayeke ukuba iziyobisi ezifana:

• "Apilak";
• "Atsilakt";
• "Bifidumbacterin";
• "Lactobacterin" kunye nabanye.

Ukuze wenze oku, uthathe amathamo 2 iziyobisi exutywe kunye ml 5 amanzi nyulu, swab imanzi nokwazisa ngayo intravaginally. Le nkqubo yenziwa kabini ngemini. Ikhosi ukuya kwiintsuku ezili-10.

Kodwa ngaphambi kokuba siqale olu hlobo lonyango, kungcono ukucela ingcebiso kugqirha.

Prevention vaginosis

Ukuza kuthi ga ngoku, sele ibingekacaciswa kakuhle, yintoni kanye ebangela goiter kwi esini nemazi, ukuze bathi kanye oko amanyathelo othintelo kuya kuba iziphumo ezidibanisayo, akunakwenzeka. Kodwa ke kukho iindlela ezininzi ukunceda kancinci ukunciphisa ingozi yokuba umfazi iya kuba vaginosis kwegciwane lokukhulelwa:

• Kubaluleke kakhulu ukuba ukulandela imigaqo ngesondo okukhuselekileyo, ingakumbi ukuba wena ungaqinisekanga iqabane. Akucaci yintoni indima kubomi ngokwesondo umfazi kwi ukubonakala vaginosis, kodwa manani zibonisa ukuba ngezifo ixhaphake kakhulu kwezo izigulane owabelana nabo ngesondo amaninzi.
• Kubalulekile ukuba ukuyeka ukutshaya. Kukholelwa ukuba oonobangela ukutshaya kakhulu umngcipheko wokuba nesifo vaginosis ekukhulelweni ekuqaleni.

• Xa kungekho tyala, douche uhlambe lobufazi ngamanzi. Kwakhona, ugqirha ucebisa ukuba ukusebenzisa kufafazwa ukuba ucoceko kunye nesepha bahlambe zangasese. Zonke ezi zixhobo ubudlelwane bezinto kwaye kukhokelela kuphuhliso microflora izifo.

Nasiphi na isifo ngexa lokukhulelwa kufuna indlela ngenyameko unyango ngenyameko ukuba siphephe iingxaki, hayi kakubi umntwana.