Ntau zaus, cov poj niam uas txhawj xeeb txog qhov tsis hnov tsw tsw kis los ntawm perineum, tsis muaj paug lossis nrog nws, tig mus rau gynecologists. Qhov ua rau ntawm tus mob no yog kab mob - gardnerellosis. Nws tau kawm zoo los ntawm kws kho mob. Kev kho mob nyob rau hauv rooj plaub no tsis muaj teeb meem tshwj xeeb, tab sis koj yuav tsum ua raws li cov lus pom zoo ntawm tus kws kho mob tshwj xeeb.
cov ntaub ntawv dav dav
Gardnerellosis, uas provokes cov tsos ntawm cov ntses tsis hnov tsw ntawm paug nyob rau hauv cov poj niam, muaj ib tug lwm txoj lub npe - kab mob vaginosis. Nws yog ib yam kab mob uas kis tau. Nws qhov ua rau yog kev hloov pauv ntawm qhov sib npaug ntawm microflora ntawm qhov chaw mos. Ib qho "aroma" tshwm sim yog tias qhov kev faib ua feem ntawm gardnerella loj hlob hauv nruab nrab. Feem ntau, cov kab mob no yuav tsum muaj nyob rau hauv qhov chaw mos microflora, tab sis lawv muaj tsawg tsawg, cov concentration tseem nyob ruaj khov vim cov txheej txheem ntawm kev tswj tus kheej. Yog tias qhov sib npaug ntawm gardnerella thiab lactobacilli raug cuam tshuam, cov tsos mob ntawm gardnerellosis tshwm.
qhov teeb meem tuaj qhov twg?
Yog vim li cas cov ntses tsis hnov tsw yog gardnerellosis, tshwm sim los ntawm qhov tsis sib xws hauv ib puag ncig hauv cheeb tsam hauv lub cev xeeb tub. Qhov no feem ntau pom yog tias tus poj niam lub neej intimate yog chaotic, nws muaj ntau tus neeg koom tes. Muaj qhov ua tau zoo li no yog tias tus poj niam siv panty liners txhua hnub. Rau gardnerellosis ua rau tsis txaus ua raws li kev cai huv si thaum lub sij hawm los ntshav txhua hli. Yog tias tus poj niam hloov nws cov ntaub qhwv lub sijhawm, yog tias qhov zaus ntawm kev hloov tampons cuam tshuam, qhov tshwm sim ntawm microflora imbalance yog siab heev.
Qhov ua rau tus kab mob tuaj yeem ua rau hormonal tsis txaus. Qhov no tau pom thaum lub sijhawm puberty, feem ntau ntawm cov poj niam uas nqa tus menyuam. Feem ntau, gardnerellosis txhawj xeeb cov neeg uas siv cov ris tsho hauv qab nruj ua los ntawm cov khoom siv hluavtaws. Cov teeb meem zoo sib xws tshwm sim nrog plab hnyuv dysbacteriosis, tawm tsam keeb kwm yav dhau los ntawm cov tshuaj tua kab mob ntev, nrog kev tiv thaiv tsis muaj zog.
yam tseem ceeb
Qee lub sij hawm tus ntxhiab tsw tsw thab koj vim yog yam sab hauv, qee zaum sab nraud. Kev phem ecology thiab kev ua qias tuaj ntawm ib puag ncig uas tus poj niam nyob ua lub luag haujlwm. Feem ntau muaj kev sib deev kev sib deev tsis nrog kev siv tshuaj tiv thaiv kab mob, qhov kev pheej hmoo siab ntawm qhov tsis txaus ntawm microflora hauv qhov chaw mos. Yog tias tus poj niam noj tsis raug, tsis txaus, tsis sib npaug, yog tias nws raug yuam kom ua raws li kev noj haus uas ua rau cov khoom noj khoom haus lactic acid tsawg, qhov kev pheej hmoo ntawm gardnerellosis yog siab dua qhov nruab nrab. Ua kom muaj feem yuav mob thiab siv ntau dhautshuaj tua kab mob, siv cov tshuaj intrauterine contraceptives. Raws li kws kho mob, ntau zaus tus poj niam siv cov tshuaj tiv thaiv kab mob (ib qho twg), qhov kev pheej hmoo ntawm microflora tsis txaus.
Txhua yam txuas nrog
Tus ntxhiab tsw ntxhiab feem ntau txhawj xeeb rau cov neeg uas muaj STDs thiab lwm yam kab mob hauv zos hauv cov kab mob genitourinary. Qhov tshwm sim ntawm kev tsim teeb meem tawm tsam keeb kwm yav dhau los ntawm cov kab mob plab hnyuv siab dua yog siab dua. Gardnerellosis hem cov neeg txom nyem los ntawm cov kab mob endocrine, tshwj xeeb tshaj yog nyob rau hauv cov neeg mob ntshav qab zib. Vim yog kev ua txhaum ntawm cov piam thaj hauv cov ntshav, cov alkaline sib npaug hauv zos hloov pauv, yog li cov kab mob pathogenic microflora tau txais lub sijhawm los txhim kho. Nws muaj peev xwm ua rau cov ntses tsis hnov tsw yuav cuam tshuam yog tias tus poj niam raug mob los ntawm cov kab mob neurological, yog tias nws muaj kab mob tiv thaiv kab mob.
Yuav ceeb toom li cas?
Ib qho cim qhia ntawm gardnerellosis yog ib qho paug tawm nrog cov ntxhiab tsw tsw. Qhov ntim ntawm cov khoom tso tawm yog qhov loj. Cov paug tawm yog homogeneous, nyob rau hauv xim - dawb nrog ib tug grey undertone, nyob rau hauv ib co nws yog daj me ntsis. Tus cwj pwm tshwj xeeb tsis hnov tsw yog qhov ua ntej ntawm tag nrho ua rau nws muaj peev xwm xav tias yam kab mob ua rau lawv zoo li cas.
Ntawm qhov nruab nrab, txhua tus poj niam thib ob tsim qhov chaw mos tawm tsam keeb kwm ntawm gardnerellosis, uas yog, qhov chaw mos ua rau thaj tsam ntawm thaj chaw ntawm kev tsom mus rau qhov mob. Xws li ib qho teeb meem qhia nws tus kheej los ntawm kev kub hnyiab, khaus hauv zos. Kev xav ua kom muaj zog thaum tso zis tso quav, sib cuag nrog.
Pom tus yam ntxwv cov tsos mob, koj yuav tsum tau muskws kho mob. Kev noj tshuaj rau tus kheej tsis raug tso cai thiab tsis ua rau muaj txiaj ntsig zoo. Yog tias kev kho tsis tau pib raws sijhawm, muaj kev pheej hmoo siab ntawm vaginitis, colpitis, thiab lwm yam pathologies ntawm lub cev xeeb tub.
Kuv puas tuaj yeem kis tau los ntawm tus khub?
Txiv neej tsis xav tau tshuaj tsw qab. Gardnerellosis yog ib yam kab mob uas tshwm sim thiab tsuas yog rau cov poj niam xwb. Nyob rau hauv cov ntaub ntawv ntawm intimate kev sib cuag, tus kab mob tuaj yeem nkag mus rau hauv cov zis. Qhov no yog kev hem thawj rau cov neeg uas tsis muaj zog tiv thaiv kab mob. Qhov xwm txheej yog nrog los ntawm kev pheej hmoo ntawm urethritis, qhia nws tus kheej los ntawm kev kub hnyiab, khaus thaum lub zais zis khoob. Yog tias kev tiv thaiv tsis zoo, tab sis cov kab mob tau nkag mus rau hauv lub cev, tus neeg yuav dhau los ua tus neeg nqa khoom. Txhua qhov kev sib raug zoo nrog tus neeg no yog nrog los ntawm kev pheej hmoo kis mob. Yog hais tias ib tug poj niam sau ntau zaus rov tshwm sim ntawm gardnerellosis, nws yuav tsum tuaj ntsib kws kho mob gynecologist, thiab nug nws tus khub mus cuag kws kho mob urologist. Tus txiv neej kuj yuav tau mus kho mob.
Qhia meej txog kev kuaj mob
Pom pom tus ntxhiab tsw los ntawm qhov chaw sib raug zoo, tus poj niam yuav tsum hu rau tus kws kho mob gynecologist. Tus kws kho mob sau cov kev tshawb fawb los txiav txim qhov ua rau. Txoj kev tshawb no qhia tau hais tias ib feem tsib ntawm tag nrho cov muaj pes tsawg leeg yog "tseem ceeb" hlwb. Cov theem ntawm acidity ntawm nruab nrab yog ntau tshaj 4.5 units, cov paug yog homogeneous thiab zoo li ib tug qab zib. Kev xeem 10% KOH muab qhov txiaj ntsig zoo.
Hauv kev kuaj mob, kev tshawb fawb microbiological mus kom ze, PCR, RIF tau xyaum. Thawj lo lus sawv cev rau cov tshuaj tiv thaiv kab mob polymerase. Qhov thib ob abbreviationsawv cev rau cov tshuaj tiv thaiv immunofluorescence. Hauv kev xyaum, feem ntau cov qauv tshuaj lom neeg tau txais los ntawm tus neeg mob tau kuaj xyuas hauv lub tshuab kuaj kab mob, cov ntaub ntawv tau stained nrog ntsuab ntsuab, kev tshuaj ntsuam tau ua raws li Gram's thev naus laus zis, nrog rau RIF.
Diagnosis nuances
Yog vim li cas thiaj mus ntsib kws kho mob yog ntses tsw qab, ib tug poj niam yuav tsum tau npaj rau qhov tseeb hais tias tus gynecologist yuav xa mus rau lub chaw soj nstuam mus kuaj kab mob, uas yuav tsum tau soj ntsuam los ntawm lub yav tas los txoj kev. Raws li cov khoom siv rau kev kuaj xyuas, cov kwj dej hauv ncauj tsev menyuam, cov qauv ntawm cov phab ntsa ntawm qhov chaw mos, arches raug coj mus. Koj yuav tsum tau tso zis me me. Tus kws kho mob yuav massage lub urethra, tom qab uas nws yuav siv ib tug me me npaum li cas ntawm secretions. Rau kev ua haujlwm, siv rab diav Volkman lossis ib qho kev sojntsuam tshwj xeeb. Cov zis yog muab tso rau hauv ib lub raj kuaj los yog tau siv lub catheter sterile. Tweezers yuav tsum tau txais cov qauv ntawm lub ncauj tsev menyuam.
Yuav ua li cas sib ntaus?
Nyob rau hauv cov ntaub ntawv ntawm cov ntses tsis hnov tsw los ntawm lub intimate cheeb tsam, nws yog zoo dua mus tso siab rau kev kho mob rau tus kws kho mob. Tus kws kho mob yuav sau cov tshuaj uas txaus ntshai rau gardnerella. Txhawm rau ua kom muaj txiaj ntsig ntawm chav kawm, lawv tseem yuav pom zoo kom noj cov tshuaj uas muaj lactobacilli uas muaj txiaj ntsig zoo rau tus poj niam mob. Chav kawm tshuaj muaj ob kauj ruam. Lawv ob leeg yuav tsum tau. Ua ntej, txoj kev loj hlob ntawm cov kab mob opportunistic yog suppressed. Feem ntau yog siv tshuaj tua kab mob. Clindamycin, Metronidazole yog qhov tshwj xeeb tshaj plaws. Lawv raug sau tseg rau kev tswj hwm hauv zos: suppositories, gels. Qee zaum tus kws kho mob txiav txim siab sau ntawvcov tshuaj muaj mob rau cov kab mob hauv lub cev. Lub sijhawm ntawm kev kho mob txawv ntawm ib lub lis piam mus rau kaum hnub.
Tus kws kho mob piav qhia yuav ua li cas kom tshem tau cov ntses tsis hnov tsw, tseem yuav qhia rau koj txog kev kho mob thib ob. Cov theem no ntawm qhov kev zov me nyuam raug txiav txim siab los ntawm ntau qhov nyuaj dua li kev noj tshuaj tua kab mob. Nws yog ib qho tsim nyog kom populate qhov chaw mos ntawm qhov chaw mos nrog cov kab mob zoo. Ua ntej koj pib siv cov tshuaj uas txhim kho qhov sib npaug ntawm microflora, koj yuav tsum tau kuaj xyuas ntxiv, uas yuav paub meej tias qhov ua tau zoo ntawm thawj kauj ruam ntawm kev kho mob. Nws yog ib qho tseem ceeb kom kuaj xyuas tus mob candidiasis, feem ntau vim yog siv cov tshuaj tua kab mob. Rau kev siv hauv zos, tshuaj "Lactobacterin", "Laktonorm" yog siv. Cov tshuaj "Acilact" muaj lub koob npe nrov. Ntxiv nrog rau cov tshuaj suppositories, tus kws kho mob yuav sau tshuaj rau qhov ncauj. Ntau zaus lawv sau tawm "Laktonorm plus", "Lactobacterin".
Nuances andefficiency
Txhawm rau tshem tawm cov ntxhiab tsw los ntawm qhov chaw mos kom zoo thiab sai, kev noj zaub mov nruj yuav tsum tau ua raws li lub sijhawm kho. Nws raug nquahu kom tsis suav nrog cawv los ntawm kev noj zaub mov thiab muab ntsim, seasonings, txuj lom. Fried zaub mov tsis zoo. Cov khoom siv uas muaj cov kab mob lactic acid. Koj tuaj yeem noj kefir npaj hauv tsev nrog cov kab lis kev cai tshwj xeeb pib, tshwj xeeb yogurts ntxiv nrog lactobacilli thiab kefirs muag hauv khw.
Yog hais tias tus ntxhiab tsw los ntawm qhov chaw mos los ua qhov laj thawj ntawm kev mus ntsib kws kho mob, tus kws kho mob yuav tsis tsuas kuaj mob gardnerellosis, tab sis kuj ntsuas qhov kev pheej hmoo ntawm plab hnyuv dysbacteriosis. Feem ntau cov neeg mob raug tshuajntxiv txhais tau tias tiv thaiv tus kab mob no. Prebiotics yog qhov zoo tshaj plaws. Lawv tuaj yeem pom hauv txhua lub tsev muag tshuaj - cov no yog Linex thiab Normoflorin. Feem ntau, cov kws kho mob pom zoo kom Bifidumbacterin, paub txog nws cov txiaj ntsig zoo.
Multifaceted approach
Feem ntau yog cov ntxhiab tsw los ntawm qhov chaw sib raug zoo txhawj xeeb cov poj niam uas muaj lub cev tsis muaj zog. Yog tias gardnerellosis raug kuaj pom, nws raug nquahu kom qhia cov tshuaj rau hauv cov kev pab cuam tshuaj uas ua rau kom lub cev tiv thaiv kab mob. Txhawm rau tshem tawm qhov tsis muaj zog ntawm lub cev tiv thaiv kab mob, cov khoom siv tshuaj uas hloov kho cov haujlwm ntawm cov kab ke no tau sau tseg. Muaj txiaj ntsig multivitamin complexes. Ntawm cov tshuaj nquag, nws tsim nyog sau Vitrum, Biomax. Tsis tshua muaj txiaj ntsig yog cov tshuaj ua los ntawm cov khoom siv tshuaj ntsuab - rho tawm, concentrates ntawm magnolia vine, echinacea.
Yuav ua li cas tshwm sim?
Thaum tab tom kho mob gardnerellosis, uas ua rau muaj ntxhiab tsw ntxhiab los ntawm thaj chaw sib raug zoo, nws yog qhov tsim nyog kom tsis txhob muaj kev sib deev kom txog rau thaum lub sijhawm rov ua tiav. Yog tias vim li cas qhov no tsis tuaj yeem ua tau, tib txoj kev ntawm kev tiv thaiv kev xav tsis xav tau rau lub sijhawm muaj mob yog qhov teeb meem. Kev tshuaj xyuas qhov ua tau zoo ntawm qhov kev xaiv tau ua tiav ib lub lim tiam tom qab kawm tiav ntawm cov tshuaj thiab kev pab ntawm txhua qhov tshwj xeeb tshwm sim ntawm tus kab mob. Ib hlis lossis ib hlis thiab ib nrab tom qab ntawd, nws raug nquahu kom ua kev soj ntsuam xyuas.
Tsis txhob sim tiv tus kab mob ntawm koj tus kheej. Yog tias koj txhawj xeeb txog cov yam ntxwv ntsestsis hnov tsw, koj yuav tsum mus ntsib kws kho mob. Kev kho mob yuav ua los ntawm gynecologist. Pathology tsis yog kis tau, tsis raug cais raws li tus kab mob STD, tsis suav tias yog kis kab mob los ntawm kev sib deev. Yog li ntawd, mus ntsib ib tug venereologist yuav zam tau. Feem ntau, nws raug nquahu kom sab laj nrog kws kho mob gastroenterologist. Qhov no yog qhov tseem ceeb tshwj xeeb tshaj yog tias, tawm tsam keeb kwm ntawm gardnerellosis, plab hnyuv dysbacteriosis cuam tshuam.
Kuv tuaj yeem ceeb toom koj?
Txhawm rau tshem tawm txoj kev loj hlob ntawm pathology, nws yog ib qho tsim nyog yuav tsum kawm txog yam uas ua rau muaj kev loj hlob ntawm tus kab mob, thiab tshem tawm lawv cov txiaj ntsig ntawm lub cev. Yog tias tus kab mob tau tshwm sim lawm, koj yuav tsum tau ntsuas kev tiv thaiv kom tsis txhob rov tshwm sim. Kev tiv thaiv zoo tshaj plaws tiv thaiv qhov tshwm sim tsis zoo thiab muaj mob yog muab los ntawm kev noj zaub mov kom raug thiab siv cov tshuaj nruj me ntsis raws li kws kho mob tau sau tseg. Thaum siv cov tshuaj tiv thaiv kab mob, koj yuav tsum xub sab laj nrog koj tus kws kho mob. Nws yog tsis yooj yim sua kom siv qhov chaw mos suppositories, ntsiav tshuaj yam tsis tau kuaj ua ntej los ntawm gynecologist.
Vim tias muaj feem ntau dua ntawm microflora tsis txaus yog tias tus poj niam ua rau lub neej tsis zoo ntawm kev sib deev, kev cais tawm ntawm cov neeg sib cuag yog ib qho kev txhim khu kev qha rau kev tiv thaiv kab mob. Yog tias ua tau, txhua qhov kev sib cuag yuav tsum tau nrog kev siv tshuaj tiv thaiv kab mob. Qhov ncauj formulations, intrauterine txoj kev tswj kev yug me nyuam tsis tiv thaiv kev phom sij.
Yuav ua li cas saib?
Ib yam tseem ceeb ntawm kev tiv thaiv yog ua kom nyob twj ywm nyob rau txhua qhov xwm txheej. Cov poj niam yuav tsum raug cais tawmmuaj kev ntxhov siab, lub sijhawm txaus ntshai ntawm koj lub neej. Kev ntxhov siab ntxhov siab ua rau muaj ntau yam teeb meem hauv lub cev, suav nrog kev ua kom rov ua dua tshiab ntawm opportunistic microflora.
Qhov tseem ceeb ntawm lub neej niaj hnub uas tso cai rau koj tshem tawm gardnerellosis yog lub luag haujlwm coj tus cwj pwm kom huv thiab zoo, pw tsaug zog ntev. Koj yuav tsum tswj cov zaub mov, noj kom sib npaug, tag nrho. Nrog zaub mov, tus poj niam yuav tsum tau txais tag nrho cov zaub mov tseem ceeb, cov vitamins. Nws yog ib qho tseem ceeb uas yuav tsum tsis tu ncua suav nrog cov kua mis fermented hauv kev noj haus, muab kev nyiam rau cov uas muaj cov kab mob uas muaj txiaj ntsig zoo.
Yooj yim thiab ntseeg tau
Yuav kom tsis txhob ntsib teeb meem ntawm qhov tsis hnov tsw ntawm qhov ncauj, koj yuav tsum tshuaj xyuas koj lub wardrobe thiab tshem tawm cov ris tsho hauv qab, tshwj xeeb tshaj yog nruj nruj. Txhawm rau hloov nws, koj yuav tsum xaiv cov khoom siv paj rwb uas haum rau qhov ntev ntawm lub cev.
Koj yuav tsum ua tus cwj pwm taug kev sab nraud txhua hnub.
Yog tias koj muaj tus kab mob gardnerellosis thiab tus kab mob tau kho tau zoo, tus kws kho mob yuav muab cov lus pom zoo los tiv thaiv kev rov qab los, pib los ntawm qhov ua rau muaj teeb meem. Txhawm rau tshem tawm qhov kev txhim kho ntawm cov kab mob rov tshwm sim, koj yuav tsum ua raws nws cov lus qhia kom ntxaws.
Nco thiab tsis zoo
Tsis txhob ntshai yog tias koj pom cov paug tawm ntawm koj cov ris tsho hauv qab lossis panty liners. Hauv ib qho me me, txhua tus poj niam muaj xws li. Qhov nruab nrab, lawv yog kwv yees li 4 ml ib hnub. Cov ntim tshwj xeeb yog txiav txim los ntawm lub hnub nyoog, kev ua me nyuam, thiab muaj cov kab mob. Ntau yam nyob ntawm qhov degree ntawm kev sib deevkev xav. Lub sijhawm tam sim no ntawm kev coj khaub ncaws ua si nws lub luag haujlwm. Qhov tshwj xeeb tsis hnov tsw ntawm cov ntses lwj tshwm vim tsis muaj amines. Cov tshuaj no yog cov khoom pov tseg ntawm cov kab mob pathogenic microflora, uas nquag rov tsim dua yog tias cov colony ntawm lactobacilli raug tsim txom. Qee tus poj niam sim ua kom lub ntsej muag zoo li no los ntawm kev siv deodorants. Cov tshuaj no tsis muaj txiaj ntsig thiab tsis coj cov txiaj ntsig, qhov xwm txheej tsuas yog zuj zus vim yog cov khoom siv tshuaj lom neeg ntawm cov khoom siv tu cev.
