Tus poj niam qhov chaw mos muaj cov kab mob microflora uas suav nrog lactobacilli thiab cov kab mob kis tau zoo. Rau tag nrho cov kab mob thiab cov kab mob kev loj hlob, cov ntau yam no zoo sib xws nrog ib leeg. Conditionally pathogenic yog tus kab mob Gardnerella vaginalis. Nws muaj nyob rau hauv me me nyob rau hauv qhov chaw mos los yog tsis tuaj rau tag nrho.
Yog tias ib tug poj niam muaj kev sib deev xws li kev sib deev, siv tshuaj tiv thaiv kab mob lossis tshuaj tua kab mob, ces cov kab mob no nquag nquag plias, uas tshem cov lactobacilli los ntawm qhov chaw mos thiab ua rau mob thiab dysbacteriosis.
Ntxhais kab mob
Kab mob vaginosis, lossis gardnerellosis, yog ib qho ntawm cov kab mob gynecological ntau tshaj plaws. Lub hauv paus ntawm kev loj hlob ntawm qhov tshwm sim ntawm tus kab mob yog qhov chaw mos dysbacteriosis. Nyob rau tib lub sijhawm, cov microflora ib txwm muaj, sawv cev los ntawm lactobacilli, txo qis sai heev, thiab muaj kev tsim tawm ntawm cov kab mob uas tsis zoo, suav nrog gardnerella.
Cov kab mob no nquag txuas rau cov txheej txheem epithelial, ua rau lawv cov granularity thiab txhawb kev puas tsuaj. Nyob rau hauv cov xwm txheej zoo, lawv muab ntau zuj zus ntawm cov mucous ntawm cov kab mob ntawm cov kab mob genitourinary.
Cov kab mob ua rau muaj kev tiv thaiv hauv zos thiab ua rau cov leukocytes tuag. Vim li no, cov kab mob tuaj yeem nkag mus rau hauv qhov tob tshaj plaws ntawm cov mucous nto. Raws li kev tshawb fawb, kev loj hlob ntawm gardnerellosis yog cuam tshuam los ntawm mycoplasmas thiab lwm yam anaerobes. Yog li ntawd, tus kab mob no suav hais tias yog ib qho kab mob sib xyaw.
Basic shapes
Cov kws kho mob paub qhov txawv ntau yam ntawm gardnerellosis raws li qhov hnyav ntawm chav kawm, xws li:
- nyiaj pab;
- subcompensated;
- decompensated.
Nrog rau hom kev them nyiaj, qhov kev hloov pauv microflora hloov pauv me me. Subcompensated yog tus cwj pwm los ntawm qhov tseeb tias muaj qhov nce me ntsis ntawm tus nqi ntawm gardnerella. Nrog rau hom decompensated ntawm tus kab mob, muaj qhov yuav luag tag nrho ntawm lactobacilli hloov chaw, hloov pauv hauv epithelium thiab mob hnyav.
Kev tshwm sim
Teb cov lus nug ntawm qhov twg gardnerella los ntawm cov poj niam, nws yuav tsum tau hais tias tus kab mob no muaj nyob rau hauv me me hauv tus poj niam qhov chaw mos, thiab pib ua kom muaj mob thiab ua rau muaj mob tsuas yog thaum raug cuam tshuam los ntawm qhov tshwm sim. Cov laj thawj tseem ceeb yuav tsum muaj xws li:
- siv tshuaj tua kab mob ntev ntev;
- tus kheej douching;
- siv cov tshuaj tua kab mob muaj zog rau douching;
- nquag hloov pauv ntawm cov neeg sib deev;
- siv tshuaj tiv thaiv kab mob;
- kev sib deev tsis muaj kev tiv thaiv;
- kev tiv thaiv kev tiv thaiv.
Ib tug poj niam kis tau los ntawm qhov chaw mos. Ntau yam ua rau muaj kev loj hlob ntawm tus kab mob. Tus cab tus kab mob no yog txiv neej.
Cov tsos mob tseem ceeb
Lub sijhawm incubation ntawm vaginosis me me. Nws yog tsis ntau tshaj 5-10 hnub. Txoj kev ntawm tus kab mob no maj mam zuj zus. Txawm hais tias qhov tseeb tias tus kab mob no tsis suav tias yog qhov txaus ntshai heev thiab tsis ua rau muaj teeb meem loj, nws yuav tsum tau kho sai li sai tau. Gardnerellosis tsis tsuas yog ua rau muaj kev tsis xis nyob, tab sis kuj tuaj yeem kis tau ntawm kev sib deev.
Ntawm cov cim thawj zaug yuav tsum tau muab sau tseg tias qhov tsos ntawm tus ntxhiab tsw thiab tawm ntawm qhov chaw mos. Tus ntxhiab tsw lwj heev. Nws hnyav dua tom qab kev sib deev thiab txawm tias ntxuav, raws li xab npum tsim ib qho chaw alkaline hauv qhov chaw mos. Cov paug tawm tsis muaj zog heev, greyish dawb los yog creamy.
Raws li gardnerellosis zuj zus, cov poj niam muaj cov tsos mob xws li:
- khaus, kub hnyiab thiab tsis xis nyob hauv perineum;
- mob plab plab;
- tsis xis nyob thaum pw ua ke;
- Mob thaum tso zis, tso zis me me.
Vaginosis feem ntau tsim tawm tsam keeb kwm ntawm lwm yam kab mob ntawm cov kab mob genitourinary, tshwj xeebtrichomoniasis, candidiasis, gonorrhea. Hauv qhov no, cov cim qhia ntawm tus kab mob tau raug tshem tawm, uas ua rau muaj kev nyuaj siab heev.
Diagnostics
Tus kab mob no provoked los ntawm cov kab mob gardnerella. Cov tsos mob thiab kev kho mob ntawm cov poj niam tuaj yeem sib txawv, yog li nws muaj peev xwm xaiv txoj kev kho mob tsuas yog tom qab kuaj xyuas. Pathology yog qhov txaus ntshai heev rau nws cov chav kawm asymptomatic. Tus poj niam uas muaj tus kab mob no, tsis paub txog nws tus mob, tuaj yeem kis tau tus neeg sib deev. Yog tias thawj cov tsos mob tshwm sim, ces koj yuav tsum mus ntsib kws kho mob gynecologist.
Nws yog ib qho tseem ceeb uas yuav tsum tau soj ntsuam xyuas thaj chaw urogenital, txhawm rau txheeb xyuas seb puas muaj lwm yam kab mob, thiab cais lawv ntawm gardnerellosis. Tus kws kho mob siv cov txheej txheem kuaj mob xws li:
- tshuaj ntsuam;
- smear rau kev kuaj thiab kuaj kab mob;
- kuaj strips rau kev txiav txim siab qib acidity ntawm qhov chaw mos;
- vaginosis smear;
- kuaj ntshav thiab zis;
- colposcopy;
- PCR kawm.
Ib tug poj niam muaj mob muaj lactobacilli tsawg heev. Tsis tas li ntawd, muaj qhov nce hauv leukocytes, thiab acidic ib puag ncig ntawm qhov chaw mos yog hloov los ntawm ib qho alkaline.
Txoj kev kho mob
Txhawm rau tshem tawm cov tsos mob tsis zoo thiab gardnerella hauv cov poj niam, kev kho mob yuav tsum tau ua tiav thiab xaiv zoo. Ua ntej ntawm tag nrho cov, koj yuav tsum tau tshem tawm cov yam uas provoke qhov pib ntawm tus kab mob. Cov lus qhia tus qauv suav nrog:
- zam kev siv cov tshuaj tua kab mob tsis zoo;
- sexu altiv tauj nrog tus khub tsis tu ncua;
- noj tshuaj tiv thaiv qhov ncauj los ntawm kws kho mob;
- siv hnab looj tes;
- tsis kam douche;
- noj qab nyob zoo thiab sib npaug.
Nws tsim nyog nco ntsoov tias nrog cov kab mob vaginosis nws yog nruj me ntsis txwv tsis pub siv cov tshuaj tua kab mob, nrog rau cov hnab looj tes kho nrog 9-nonoxynol, vim tias cov tshuaj no ua rau alkalization thiab provokes cov kev tsim tawm ntawm cov kab mob.
kev kho mob
Yuav ua li cas kho gardnerellosis hauv cov poj niam? Cov tshuaj thiab lwm yam kev kho mob yuav tsum raug xaiv los ntawm tus kws kho mob tom qab kev kawm. Txoj kev kho mob yog ua nyob rau hauv ntau theem thiab feem ntau yog tsom rau kev puas tsuaj ntawm cov kab mob.
Thaum thawj theem, tus kws kho mob tau sau ntawv "Ornidazole" los ntawm gardnerella 500 mg ob zaug ib hnub. Kev kho mob txuas ntxiv rau 5 hnub. Cov tshuaj no sai sai rhuav tshem cov kab mob thiab yuav luag tsis muaj kev phiv. Nws yog undesirable coj nws nyob rau hauv thawj peb lub hlis twg ntawm cev xeeb tub, raws li zoo raws li nyob rau hauv cov ntaub ntawv ntawm ib tug neeg intolerance, kab mob ntawm daim siab thiab ob lub raum.
Metronidazole 500 mg ob zaug ib hnub kuj yuav tsum tau. Cov tshuaj no tau muab tshuaj rau 7 hnub. Tau ntau xyoo lawm, Metronidazole tseem yog ib qho ntawm cov tshuaj nrov tshaj plaws. Cov tshuaj tua kab mob no muaj ntau yam kev ua. Nws yog active tiv thaiv ntau yam kab mob. Contraindicated nyob rau hauv cov ntaub ntawv ntawm ib tug neeg intolerance, kab mob ntawm lub paj hlwb,cev xeeb tub, mob siab.
Vilprafen ntsiav tshuaj tau ua pov thawj lawv tus kheej zoo los ntawm gardnerella hauv cov poj niam. Lawv yog macrolides. Cov tshuaj feem ntau yog sau rau hauv cov mob hnyav, nrog rau thaum muaj lwm yam kab mob sib kis.
Cov tshuaj "Tinidazole" los ntawm gardnerella tau ua pov thawj nws tus kheej zoo. Nws kuj tseem pab tiv thaiv Trichomonas, uas pib ua kom muaj zog tiv thaiv keeb kwm ntawm dysbacteriosis.
Nws yog ib qho tseem ceeb kom paub yuav ua li cas kho gardnerellosis hauv cov poj niam. Cov tshuaj "Dalacin" yog tshuaj pleev qhov chaw mos. Koj tuaj yeem siv nws nruj me ntsis raws li cov lus qhia lossis hauv cov koob tshuaj uas tau txiav txim los ntawm tus kws kho mob tuaj koom. Koj tuaj yeem siv cov tshuaj "Clindamycin" los ntawm gardnerella. Qhov no yog ib qho cream uas yog siv ib hnub ib zaug. Koj tuaj yeem siv nws li 3 hnub. Tsis tas li ntawd, cov tshuaj muaj nyob rau hauv daim ntawv ntsiav tshuaj. Nws pab kom tsis txhob muaj cov protein synthesis hauv cov kab mob, uas ua rau lawv tuag.
"Macmirror" muaj cov tshuaj tua kab mob muaj zog heev thiab muaj cov tshuaj toxicity tsawg, uas ua rau nws nrov heev. Ntau tus kws kho mob pom zoo kom siv Unidox Solutab los ntawm gardnerella. Nws yog ib qho tshuaj tua kab mob zoo ntawm pab pawg macrolide, uas tau tso cai thaum cev xeeb tub.
Cov tshuaj tiv thaiv kab mob pab tshem tawm qhov kub hnyiab thiab khaus khaus. Tsis tas li ntawd, lawv txo qhov hnyav ntawm qhov tsis xis nyob hauv thaj chaw pelvic. Txhawm rau ua qhov no, xaiv "Indomethacin", "Diclofenac", "Ibuprofen", "Meloxicam"
Immunostimulants yuav pab normalize cov txheej txheem rov qab hauv lub cev. Lub nto moo tshaj plaws txhais tau tias"Immunal", "Viferon", "Amiksin", "Tsitovir" yog suav tias yog.
Nws yog ib qho tseem ceeb heev uas yuav tau xaiv cov tshuaj kom raug. Yuav ua li cas kho gardnerellosis hauv cov poj niam, tus kws kho mob tuaj yeem txiav txim siab tsuas yog tom qab kuaj cov kab mob rhiab heev rau cov tshuaj.
Siv tswm ciab
Rau kev kho mob, tsis yog tsuas yog siv tshuaj kho mob xwb. Yuav ua li cas kho gardnerellosis hauv cov poj niam, tsuas yog tus kws kho mob tuaj koom yuav tsum txiav txim siab. Raws li ib feem ntawm kev kho mob, tus kws kho mob tshwj xeeb feem ntau sau cov tshuaj hauv zos hauv daim ntawv ntawm cov tshuaj douching, suppositories, gels thiab tshuaj pleev. Antibiotic suppositories pab tiv thaiv kev loj hlob ntawm cov kab mob. Txhawm rau ua qhov no, feem ntau siv cov cuab yeej xws li:
- Clindamycin;
- Polygynax;
- "Acilact";
Metronidazole Nyob
Antifungal suppositories tiv thaiv kev txhim kho ntawm fungal microflora thiab tiv thaiv kev tsim ntawm thrush. Txhawm rau ua qhov no, sau tshuaj suppositories xws li:
- "Nystatin";
- "Levorin";
- YClotrimazole;
- Pimafitsun;
- YFlucostat.
Suppositories muaj lactobacilli pab normalize microflora ntawm qhov chaw mos. Cov tshuaj nrov tshaj plaws yog:
- "Lactobacterin";
- Vagilak;
- Lactonorm;
- Lactoginal.
Qee zaum, cov kws kho mob tau sau tshuaj kho mob nkaus xwb, tab sis nws cov txiaj ntsig tau qis dua li kev siv cov tshuaj hauv lub cev.
Khoom noj khoom haus
khoom noj kom raug yog qhov tseem ceeb heevqhov tseem ceeb rau kev noj qab haus huv thiab kev ua haujlwm ntawm txhua lub cev thiab lub cev. Txhawm rau normalize microflora ntawm qhov chaw mos, noj zaub mov yuav tsum muaj cov kab mob lactic acid kom txaus.
Yog li ntawd, cov poj niam yuav tsum tsis tu ncua noj txiv hmab txiv ntoo thiab zaub, pickled cucumbers thiab zaub qhwv, kefir thiab yogurt.
kev kho neeg zoo
Cov tshuaj kho neeg pej xeem tau siv dav los ua kev kho mob ntxiv. Txawm li cas los xij, nws tsim nyog nco ntsoov tias lawv tuaj yeem siv tau tsuas yog thaum tsis muaj cov kab mob sib kis ntawm kev sib deev, nrog rau cov cim qhia ntawm o ntawm cov hlab ntsha, lub tsev menyuam thiab zes qe menyuam. Cov kev kho neeg pej xeem muaj qee yam qhia thiab contraindications uas tseem ceeb rau kev txiav txim siab, thiab tus kws kho mob kev sab laj kuj yuav tsum tau.
Sedentary da dej ua los ntawm decoction ntawm Oak bark tau ua pov thawj lawv tus kheej zoo. Noj 250 g ntawm raw cov ntaub ntawv, ncuav 0.75 liv dej thiab cia nws brew rau 3-4 teev. Tom qab ntawd boil cov kua rau 15 feeb, txias rau chav tsev kub thiab lim. Siv sijhawm pw tsaug zog rau sitz da dej. Lub sijhawm kho yog 10-14 hnub.
Koj tuaj yeem siv tampons nrog kua txiv aloe. Noj 5-10 ml ntawm kua txiv. Soak ib lub paj rwb swab nrog nws. Ntxig rau hauv qhov chaw mos thiab tawm rau 7-8 teev. Cov chav kawm kho mob yog 7 hnub.
Muaj Teeb Meem
Nws yog ib qho tseem ceeb heev kom paub tias yog vim li cas gardnerella txaus ntshai rau cov poj niam. Nws tuaj yeem ua rau muaj teeb meem xws li:
- endometritis;
- pelvicitis;
- bartholinitis;
- Yurethral syndrome;
- teeb meem xeeb tub.
Yog tias muaj teeb meem tshwm sim thaum cev xeeb tub, qhov tshwm sim tuaj yeem ua rau tus menyuam mos loj heev. Nws muaj peev xwm muaj tus menyuam uas muaj qhov hnyav thaum yug los lossis muaj kab mob congenital. Thaum ntxov, kev cuam tshuam ntawm cov kab mob tuaj yeem ua rau lub cev tawg ntawm amniotic.
Nws tuaj yeem zam qhov tsis zoo ntawm qhov tshwm sim ntawm gardnerellosis hauv cov poj niam nrog kev kho kom raug. Koj yuav tsum nyob rau hauv kev saib xyuas ntawm koj tus kws kho mob txhua lub sijhawm.
Huab cua
Qee tus poj niam tsis xav tias nws yog kab mob thiab tos gardnerellosis mus rau nws tus kheej yam tsis muaj tshuaj. Lub microflora ntawm qhov chaw mos tuaj yeem rov qab los ntawm nws tus kheej, tab sis qhov no tshwm sim tsis tshua muaj thiab muaj kev tiv thaiv zoo. Txawm li cas los xij, qhov no yog txheej txheem ntev, thiab nws nyuaj heev rau kev tiv thaiv cov tsos mob ntawm tus kab mob mus ntev.
Tus kab mob no kho tau zoo heev nrog rau kev mus ntsib kws kho mob raws sijhawm. Yog tias tag nrho cov lus pom zoo ntawm tus kws kho mob gynecologist tau ua raws, kev rov qab los sai sai, thiab qhov kev cia siab tau zoo.
prophylaxis
Cov poj niam uas ib txwm muaj tus kab mob no yuav tsum tau ua tib zoo saib xyuas lawv txoj kev tiv thaiv. Txij li thaum feem ntau nws yog nws qhov txo qis uas dhau los ua qhov tseem ceeb ntawm kev ua txhaum ntawm microflora ntawm qhov chaw mos, uas ua rau muaj kev cuam tshuam hormonal tsis tu ncua. Ntawm cov txheej txheem tseem ceeb ntawm kev tiv thaiv, nws yog ib qho tsim nyog yuav tsum tau hais txog xws li:
- khoom noj kom raug;
- kev ua neej nyob;
- ua raws li kev sib raug zookev tu cev;
- pw tsaug zog noj qab nyob zoo;
- muaj tus khub niam txiv mus tas li;
- sijhawm mus ntsib kws kho mob gynecologist.
Nws yog ib qho tseem ceeb uas yuav tau sim noj zaub thiab txiv hmab txiv ntoo kom ntau li ntau tau, haus dej kom ntau, taug kev hauv huab cua ntshiab.
Kab mob vaginosis yog qhov tshwm sim. Kev kho mob raws sij hawm thiab ua raws li kev tiv thaiv yog qhov tseem ceeb.
