Kev soj ntsuam ntawm qhov chaw mos yog ua los ntawm lub sijhawm los saib xyuas lub xeev kev noj qab haus huv, yog tias muaj kev tsis txaus siab ntawm khaus thiab kub hauv qhov chaw mos, thaum cev xeeb tub lossis thaum cev xeeb tub. Cov txiaj ntsig tau tso cai rau kev soj ntsuam lub hom phiaj ntawm tus lej thiab feem pua ntawm cov kab mob pathogenic thiab cov kab mob kis tau zoo.
YMicroflora hauv qhov chaw mos
Ib smear ntawm cov nroj tsuag hauv cov poj niam yog ib qho kev soj ntsuam uas tso cai rau koj los soj ntsuam qhov tshwm sim ntawm cov txheej txheem pathological hauv cov txheej txheem kev xeeb tub. Hauv kev tsom xam, squamous epithelial hlwb, cocci, Dederlein lactobacilli, leukocytes thiab lwm yam kab mob tuaj yeem kuaj pom. Cov microflora tuaj yeem sib txawv, nruab nrab, sib xyaw lossis ntau. Yog tias cov microflora hauv qhov chaw mos tsis zoo, ces tsuas yog Dederlein sticks txiav txim siab, cov no yog cov muaj txiaj ntsig lactobacilli.
Nrog rau qhov nruab nrab, cov cheeb tsam loj ntawm cov pas nrig thiab 7-10 leukocytes yuav poob rau hauv qhov kev pom ntawm tus kws kuaj mob. Yog hais txogsib xyaw microflora, nyob rau hauv ib tug smear nyob rau hauv cov poj niam, 15-30 leukocytes pom, ib tug me me ntawm Dederlein sticks, cocci yog spherical pathological kab mob. Qhov tshwm sim "muaj microflora" txhais tau hais tias cov phab ntsa sab hauv ntawm qhov chaw mos yog them nrog leukocytes thaum tsis muaj lactobacilli. Qhov no provokes ib qho tsis kaj siab tsw thiab tso tawm ib tug tseem ceeb npaum li cas ntawm mucus.
Vim li cas ho muab swab rau flora
Tus kws kho mob gynecologist ua ib qho piv txwv ntawm cov khoom siv lom neeg los ntawm qhov chaw mos (sab rau cov nroj tsuag) hauv cov poj niam txhawm rau txheeb xyuas qhov muaj cov kab mob microflora thiab txiav txim siab muaj kab mob. Thaum tsis muaj kev tsis txaus siab, cov kws kho mob yav dhau los tau pom zoo los tshuaj xyuas txhua xyoo, tab sis tam sim no American Congress of Obstetricians thiab Gynecologists tau tshaj tawm cov cai tshiab. Kev kuaj Pap yuav tsum muaj hnub nyoog 21 txog 65 xyoos txhua peb xyoos.
Ntau zaus, kev kuaj mob yog ua nyob rau hauv qhov muaj kev tsis txaus siab: kub los yog khaus hauv qhov chaw mos, mob hauv plab plab, hloov pauv hauv qhov sib xws, xim lossis tsis hnov tsw tawm. Kev tsom xam yuav tsum tau ua thaum cev xeeb tub, kev poob siab ntawm kev loj hlob ntawm gynecological pathologies, menopause. Cov kws tshaj lij pom zoo kom noj smear tom qab koj tso tseg cov tshuaj hormonal uas tuaj yeem cuam tshuam rau qib acid, thiab mus ntsib kws kho mob gynecologist tsis tu ncua.
Npaj rau kev tshuaj ntsuam
Ib lub lis piam ua ntej kuaj qhov chaw mos, nws raug nquahu kom tsis txhob noj tshuaj tua kab mob thiab lwm yam tshuaj uas tuaj yeem cuam tshuam rau qhov tshwm sim smear. Yog tias nws tsis tuaj yeem tsis kam lees cov tshuaj, koj yuav tsum qhia tus kws kho mob txog nws. Ib hnubUa ntej kev soj ntsuam, douching thiab kho nrog tshuaj suppositories los yog tshuaj rau qhov chaw mos yuav tsum tau nres.
Yuav pom dab tsi hauv smear
txhawm rau kuaj xyuas cov kab mob pathological, tus kws kho mob feem ntau yuav siv tshuaj pleev tsis yog los ntawm qhov chaw mos, tab sis kuj los ntawm cov kwj dej hauv tsev menyuam thiab cov zis. Technically, cov no yog cov txheej txheem sib txawv kiag li, tab sis cov khoom siv feem ntau yog sau ib zaug xwb. Thaum lub sij hawm kuaj kab mob microscopic, tus kws kuaj mob tuaj yeem kuaj pom squamous epithelium, hnoos qeev, Doderlein sticks, leukocytes hauv smear.
Sab hauv ntawm qhov chaw mos thiab lub ncauj tsev menyuam kwj dej yog tsim los ntawm squamous epithelium. Lub xub ntiag ntawm ntau lub hlwb ntawm hom no qhia tau hais tias kev loj hlob ntawm urethritis lossis vaginitis. Qhov tsis muaj cov hlwb squamous qhia tias tsis txaus tso tawm ntawm progesterone, ib yam tshuaj uas tsim nyog rau kev xeeb tub thiab cev xeeb tub.
Leukocytes tsim nyog rau lub cev tiv thaiv kab mob kab mob. Feem ntau, cov hlwb hauv qhov chaw mos tsis pub tshaj 10, nyob rau hauv caj dab - 30. Ib tug siab concentration ntawm leukocytes feem ntau qhia tau hais tias muaj ib tug inflammatory txheej txheem ntawm kev ua me nyuam (vaginitis, cervicitis), nrog rau phagocytosis.
Mucus yog tsim los ntawm qhov chaw mos thiab lub ncauj tsev menyuam. Nyob rau hauv lub smear, tus nqi ntawm cov mucus yuav tsum nyob nruab nrab. Kev tso tawm ntau (tus kws kho mob kuj tseem yuav ntsuas qhov pom ntawm qhov kev kuaj xyuas) yuav qhia tau tias qhov chaw mos dysbacteriosis. Doderlein's sticks tsim cov microflora ib txwm, cov no yog cov hlwb gram-zoo. Tsis muaj sticks nyob rau hauv feem ntauqhia txog kev loj hlob ntawm cov kab mob vaginosis.
sib xyaws
Yog tias pom muaj cov nroj tsuag sib xyaw hauv kev tshuaj ntsuam, nws txhais li cas? Qhov teeb meem tseem ceeb rau cov poj niam feem ntau, thiab yog li ntawd yuav tsum tau them nyiaj tshwj xeeb rau nws. Lub xub ntiag ntawm ib hom kev sib xyaw ntawm cov nroj tsuag hauv cov smear qhia qhov sib npaug ntawm cov kab mob ib txwm muaj thiab cov kab mob pathogenic. Nrog rau qhov tshwm sim no, squamous epithelium, leukocytes, Doderlein lactobacilli thiab lwm yam kab mob muaj nyob hauv cov khoom siv lom neeg.
Thaum tsis muaj cov txheej txheem inflammatory, tus naj npawb ntawm lactobacilli predominates (kwv yees li 90-95%). Qhov seem 5% yog cov kab mob kis tau zoo, uas suav nrog cov pas nrig thiab cocci. Cov kab mob uas muaj peev xwm txaus ntshai tsis ua mob rau lub cev, tab sis raws li lawv cov lej nce, kev hem thawj ntawm kev tsim kab mob nce ntxiv.
Muaj kev pheej hmoo ntawm kev tsim kab mob nrog ntau cov nroj tsuag sib xyaw hauv cov smear thaum cev xeeb tub. Kev yug me nyuam feem ntau yog ib qho mob tshwj xeeb ntawm poj niam lub cev, uas cov kab mob uas twb muaj lawm yuav ua rau mob hnyav dua lossis teeb meem tshiab tuaj yeem tshwm sim. Tej zaum nws yuav tsim nyog tau txais kev kho mob kom tsis txhob muaj kev tswj xyuas kev tsim tawm ntawm cov kab mob pathogenic.
Degrees of flora content
Cov khoom siv roj ntsha uas tau coj los ntawm qhov chaw mos yog muab qib ntawm purity thaum lub sijhawm tshuaj xyuas. Qhov ntsuas no qhia tias muaj cov kab mob thiab qib acidity ntawm microflora. Thawj qhov degree yog ib qho xwm txheej nyob rau hauv uas opportunisticmicroorganisms thiab lactobacilli nyob rau hauv lub xeev ntawm kev sib npaug, qhov kev tso cai txwv tsis raug ua txhaum cai. Qhov thib ob degree yog tus txheeb ze tus qauv. Tib lub sijhawm, feem pua ntawm cov kab mob pathogenic tau nce me ntsis, tab sis tsis ua rau muaj kev phom sij rau kev noj qab haus huv.
Qhov thib peb ntawm purity implies ib tug loj npaum li cas ntawm cov nroj tsuag sib tov nyob rau hauv smear. Nyob rau tib lub sijhawm, tus naj npawb ntawm cov kab mob kis tau zoo tshaj Doderlein's sticks, uas muaj nyob rau hauv ib txwm tso tawm hauv ntau qhov ntau. Tseeb tiag peb tab tom tham txog pathology, yog tias cov txiaj ntsig tau pom plaub qib ntawm purity ntawm qhov chaw mos. Cov kab mob no yog tus cwj pwm los ntawm qhov tseem ceeb ntawm squamous epithelium, kab mob pathogenic thiab leukocytes.
Cov nroj tsuag sib xyaw hauv cov neeg coob coob feem ntau qhia tias muaj cov txheej txheem pathological hauv lub tsev menyuam. Nyob rau tib lub sijhawm, kev tshuaj xyuas microscopic ntawm cov khoom siv roj ntsha qhia tau tias muaj ntau ntawm cov hnoos qeev thiab squamous epithelium, txheej ntawm MPE hlwb, cov qe ntshav, thiab muaj cov kab mob phagocytosis. Cov kab mob pathological yog kho nrog qhov chaw mos suppositories uas inhibit kev ua haujlwm ntawm cov kab mob thiab rov ua kom lub cev pH.
Y Coccobacillary microflora
Cov nroj tsuag sib xyaw hauv cov khoom me me yog cov kab mob pathological. Yog hais tias lub smear yog dominated los ntawm coccobacilli (ib yam dab tsi ntawm cov cocci thiab bacilli), feem ntau cov gynecologist kuaj pom muaj gardnerella vaginalis, Haemophilus influenzae los yog chlamydia. Nce tus naj npawb ntawm cov kab mob pathogenicyuav ua rau muaj kab mob fungal, vaginitis thiab kab mob vaginosis.
Ua rau muaj kev cuam tshuam ntawm flora cuam tshuam
Scanty mixed flora hauv smear tuaj yeem kuaj pom tom qab noj tshuaj tua kab mob uas cuam tshuam rau lub cev tiv thaiv kab mob, tsim cov kab mob rau kev loj hlob ntawm cov kab mob pathogenic. Kev siv cov tshuaj tiv thaiv hormonal tuaj yeem ua rau muaj kev cuam tshuam hauv kev sib npaug ntawm microflora. Nyob rau tib lub sijhawm, tus lej ntawm lactobacilli thiab leukocytes feem ntau nce hauv nruab nrab.
Cov poj niam lawv tus kheej ua rau muaj qhov tsis txaus ntseeg los ntawm kev tiv thaiv lawv tus kheej los ntawm kev xeeb menyuam tsis xav tau. Cov txiaj ntsig tsis zoo rau cov nroj tsuag feem ntau tau txais los ntawm cov neeg mob uas tau teeb tsa lub cev hauv lub cev. Cov tshuaj tiv thaiv kab mob no ua rau muaj qhov tsis txaus ntseeg tsim nyog rau kev loj hlob ntawm coccobacilli.
Provokes tus me nyuam ntawm pathogenic microflora thiab ntxuav tawm cov ntsiab lus ntawm qhov chaw mos nquag douching. Yog li ntawd, kev nyiam huv huv yuav tsum yog nruab nrab. Kev ntxuav txhua hnub kom txaus nrog dej dawb (tsawg kawg ib zaug hauv ib hnub, qhov siab tshaj plaws - tom qab txhua zaus mus rau chav dej lossis hloov cov khoom siv tu cev thaum cev xeeb tub). Qhov chaw mos yog ib qho kev ntxuav tus kheej, yog li tsis tas yuav muaj cov txheej txheem tu cev ntau dhau. Nws yog undesirable siv aggression txhais tau tias rau intimate tu cev. Nws yog qhov zoo dua los xaiv cov gels nrog pH nruab nrab, tsis muaj dyes thiab flavors.
Yuav tsum kho li cas
Txoj kev sib xyaw hauv cov smear yuav tsum tau qhia meej txog kev kuaj mob,vim txoj kev kho tsis tas yuav tsum tau nyob rau txhua kis. Nyob rau hauv lub xub ntiag ntawm erosion, cauterization yog muab, tab sis ib co hom ntawm cov kab mob tsis xav tau kev kho mob (tsuas yog ib txwm saib xyuas). Gonorrhea, mycoplasmosis, chlamydia, trichomoniasis thiab cov kab mob zoo sib xws tau kho nrog cov khoom tshwj xeeb uas muaj cov khoom siv los tiv thaiv qee cov kab mob.
Nrog kev hloov pauv me ntsis hauv microflora, chav kawm ntawm qhov chaw mos lossis tshuaj pleev yog txaus. Tom qab qhov kawg ntawm kev kho mob, koj yuav tsum dhau qhov kev tshuaj ntsuam dua. Yog tias cov txiaj ntsig tau rov nthuav tawm cov kab mob pathological hauv cov neeg coob thiab cov nroj tsuag sib xyaw hauv cov smear (hauv cov poj niam, qhov no yuav yog qhov tshwm sim ntawm kev noj qee yam tshuaj), koj yuav tsum tau kho nrog cov tshuaj muaj zog.
Tus kws kho mob gynecologist tuaj yeem pom zoo rau kev kuaj mob ntxiv rau tus neeg mob, uas yuav tshem tawm qhov ua tsis tau zoo (rov tshuaj ntsuam xyuas tom qab qee qhov kev npaj, piv txwv li, qhov kawg ntawm cov tshuaj tua kab mob lossis tsis kam noj tshuaj hormonal, ultrasound ntawm lub cev nqaij daim tawv, kev txheeb xyuas cov kua roj ntsha, thiab lwm yam). Nws yog qhov zoo dua los mloog tus kws kho mob cov lus qhia tam sim ntawd kom paub meej qhov kev kuaj mob tam sim.
Ntawm thaum cev xeeb tub
Microflora sib xyaw feem ntau pom muaj nyob rau hauv smear hauv cov poj niam cev xeeb tub. Cov poj niam nyob rau hauv txoj hauj lwm dhau qhov kev tshuaj ntsuam no tsawg kawg peb zaug: thaum muab daim npav pauv thiab sau npe, txog li peb caug lub lis piam thiab nyob rau hauv peb lub hlis twg, tsis ntev ua ntej yug me nyuam, uas yog, ntawm peb caug-rau rau peb caug-xya.lub lis piam. Qee lub sij hawm yuav xav tau kev kuaj ntxiv: yog tias muaj kev tsis txaus siab ntawm khaus, hloov pauv ntawm tus nqi, hnov tsw lossis tsis sib xws ntawm kev tso tawm, kub hnyiab.
Ib qho kev ua tiav ntawm kev xeeb tub ua ntej lub sijhawm tsis nco qab yog qhov hloov pauv ntawm qhov chaw mos tawm. Thaum lub sij hawm implantation, kev tiv thaiv yog me ntsis txo, vim hais tias lub fetal qe feem ntau pom los ntawm lub cev raws li ib tug txawv teb chaws khoom. Cov poj niam cev xeeb tub feem ntau muaj thrush. Nws yog ib qho tseem ceeb kom tshem tawm cov tsos mob ntawm tus kab mob no ua ntej yug me nyuam, vim hais tias tus me nyuam yuav kis tau tus kab mob thaum kis los ntawm leej niam lub genitals.
Yog tias cov nroj tsuag sib xyaw nrog cov mob hnyav, tus kws kho mob tuaj yeem pom zoo kom txiav cev xeeb tub. Qhov tseeb yog tias ntau yam tshuaj raug txwv tsis pub thaum lub sijhawm cev xeeb tub, thiab qhov tsis muaj kev kho mob tuaj yeem ua rau muaj kab mob intrauterine thiab tuag ntawm embryo. Yog li, cov kws tshaj lij pom zoo kom ua qhov kev tshuaj ntsuam xyuas thiab kev kho mob nyob rau theem ntawm kev npaj cev xeeb tub.
Txhua yam kab mob yog yooj yim dua los tiv thaiv dua li tshem tawm (tshwj xeeb yog tias koj yuav tsum tau kho thaum cev xeeb tub). Mixed flora nyob rau hauv ib tug smear nyob rau hauv cov poj niam yog tsis muaj kev zam. Tsis txhob hnov qab txog kev tiv thaiv cov kab mob ntawm cov kab mob ntawm cov me nyuam thiab tsis tu ncua mus ntsib ib tug gynecologist. Kev ua raws li cov cai yooj yim yuav tsis tsuas yog tiv thaiv kab mob gynecological xwb, tab sis kuj muaj tus menyuam noj qab nyob zoo.
