Gynecological haukaʻe i: transcript. Kūmau a me haiahū kūmau

Ka mea nui wale iaoiaeii o kaʻike, ma ka gynecology mea he gynecological haukaʻe i ma luna o flora. E hana haʻawina kahińuli i ka urethra, ka vaginal mucosa a me ka cervix. Ua hana ka mea hiki ke noiʻi i ka pathogenic microflora o ka urogenital'ōnaehana a loiloi i kona kulana.

Haukaʻe i ma ka flora lawe i gynecologist no kēlā me ka hookipaia ana o na wahine a me ka manawa o ka nana. OAXA kumu no ka kuka nei lakou i na hoopii o abdominal eha, kaʻawaʻawa loa maneo a me ke ahi i loko o ka vagina, profuse hookuuia, e hoike ana i ke alo o ka li nui. I ka hoʻolala i ka hāpai keiki, ma hope o ka papa o antibiotic Inc a me keia study ua paipai.

Like pono ia gynecological haukaʻe i? Ma keia hope.

Na rula swab no flora

E hoʻoikaika 'ike Ka Ikepili hualoaʻa, e pono e hoʻokō' ia kekahi mau kumu:

• i kekahi mau lā ma mua i ke ao, e hoole ke keka;
• ʻAʻole e hoʻohana vaginal suppositories, lubricants a me nā mea,ʻaʻole douche a kakau i kou nui, haalele na bato;
• e kipa i kekahi gynecologist, e koho i ka wā o ka menstrual kalapona, ka wāʻaʻole hoʻi he kahe ana ke koko.

Ma ka lā e hoʻopaʻi ana naʻe i ka gynecologist vulva holoi ke kopa a me ka ua hoʻokoe 'ē aʻe detergents. Ua UaʻAʻole pono i ka hemo o no 2-3 hola mua e lawe i ka Ka Ikepili.

Haukaʻe i ma ka flora ia sterile mau mea (spatula, forceps a me tweezers) o ekolu mau wahi: ka cervical Canal, ka vaginal paia, a me ka urethra.

I ka hana o ka lawe smears o kekahi o ka 'inikua manipulations gynecologist, e like me ka rula, ia mea loa painless. mea i apono 'i ka hooponopono ana o ka' inikua lapaʻau.

Gynecological haukaʻe i flora: ka kūmau a me deviations mai ia

95% o kahi o ka vaginal flora o ola na wahine e lactobacilli, nona ka papa kuhikuhi hana -? Iecaianoaaiiuo o lacticʻakika koi 'ia e malama i ka makemakeʻakika, genitourinary nā loko pale' ana i nā wāhine ma luna o ka anal o infectious konohiki.

He oi loa nui ia e ka haukaʻe i ma flora hapai, e like me ka helu ana o lacticʻakika koʻohune emi i hāpai keiki, a ho'ēmi i kā ke kino o maoli pale aku ia lakou, a, me ia i kaʻilihune,ʻo ia nā mea palahēhē pinepine.

Ka maʻamau flora o ka urogenital'ōnaehana, i hou i ka lactobacilli, kekahi mau dala uuku o nā anakahi iki-meaola e like me Gardnerella a me Candida. Aie i ka hoemiia'ōnaehana paleʻea iho, a nō ka kumu o ka luhi, 'ehaʻeha o stress, hāpai keiki a maʻi likeʻole, Gardnerella a me Candida hiki hōʻeleu i kā lākou'ōlelo, e alakai ai i ka muli o Gardnerella a me Candida. A pehea informative gynecological haukaʻe.

Normal Hawaiʻi i loko o ka haukaʻe o ka makua wahine, e ia i ke kēia:

1. Ka helu o squamous epithelial aeee e e like me 15 i loko o ke kula o ka Hawaii. Ke mahuahua ma keia helu Hōʻike li nui. A emi - o hormonal kāna hana.
2. Ke alo aku o ke keʻokeʻo koko keena ma ka haukaʻe i mea maʻamau, no ka mea, ua olelo mai ia i ke kino hakakā nā mea palahēhē. Akā, aole loa no auanei he oi aku 10 ma ka vagina a me ka urethra, a i hou aku 30 i loko o ka cervical māhele 'āina.
3. Ma ka haukaʻe i loko o ka wahine pono e ike Dederleyna ka laau, a me ka nui mea. Inā mau lactobacilli iki, laila loa paha, ke microflora ka mea i haki.
4. Oluolu uuku ka nui o mucus i loko o ka haukaʻe.

Inā ka Ikepili o ke alo o Candida fungi, uuku ua mau laau la, cocci, Trichomonas, gonococci, hoʻoneʻe 'ia paha, e loaʻa i ka maʻi. A laila, e ia i ke ao a me kaʻoi e koi lapaau.

Deciphering ka haukaʻe i ma luna o nā flora

Health mālama pūnaewele i hoʻolauna i ke ano o ka hua h ÷ ailona a me na palapala o ka Hawaiʻi hoʻohana e wehewehe i ka Ikepili o nā hoailona.

No ka laʻana, ka haukaʻe i mea hōʻikeʻikeʻuʻuku mau wahi i hoʻokohu 'ia penei:

• V - vagina - o Roma no ka "vagina".
• U - uretra - urethra.
• C o cervix - cervical Canal.
• O ka L - keʻokeʻo koko keena - ka ai-kapa keʻokeʻo koko keena, kā lākou mea ulu Hōʻike i ke alo o ka li nui.
• Gn - gonococcus.
• "Pl. . EP "- squamous epithelium.
• Trich - trichomonas.

Ke alo o mucus i loko o ka haukaʻe i - nui i anakahi o ka pH o ka vaginal kaiapuni. Akā, i ka i ka mea a pau transcript o ka hahau ana.

Helu o ka loli iki ana flora hōʻike i ka "+" hoailona.

a pau i 4 waeʻano:

• "+" - i ka helu o ka poe liilii, anakahi;
• "++" - i ka helu o ka lōpū inideka;
• "+++" - mahuahua helu anakahi;
• "++++" - ua höʻike pü (excessive) dala.
• «ABS» - «ole» - i kākau ai i loko o ka wa e kaawale aku o kekahi o na nā hoailona.

He aha ka ka coccal flora i loko o ka haukaʻe i?

Nā koʻohune ma ke ano o ke kala i kapaia cocci. Maʻamau i loaʻa i loko o smears hoʻokahi cocci. Ma ka hoemi i ka nui o ka e hoʻonele kokkobatsillyarnoy flora ma smears, piʻi pū. e maheleia Cocci i l + (maikaʻi) a me kaʻole (io) E hoomanao i ka mea like ma waena o lākou.

Ma microbiology no ka piha ano o koʻohune, ma ka hou ana i ka hoike ole aku i ko lakou ano, nui like 'ole a me nā' ano, he mea kekahi ano o ka "Gram kohu.". Smears malalo i ka kūikawā 'ia nā pōpō o ka la hoomalolo. Microorganisms i koe ma hope o holoi i ka i kohuia haukaʻe i kapaia Gram-maikaʻi (+ c), ua discolored ma ka holoi - gram (ʻole). Ka loa, he pono ole gram-oluʻolu microorganisms nā, no kekahi laʻana, staphylococci, streptococci, enterococci a me ka lactobacilli. Proteus, gonococci a me E. coli i Gram-io.

Haukaʻe i loko o hāpai keiki

Pehea ka hahau ana haʻawina ma hapai nā wāhine?

I loko o kēia wā ka mea, ua hua mai la i ka nui mea hōmona progesterone paipai 'ia ka māhuahuaʻana o ka lactobacilli (kekahi manawa, i hiki i 10 mau manawa). Penei, na mea maoli ia i malama i ka unborn keiki, mai kekahi mau nā mea palahēhē. No laila, hoʻolalaʻo ia he keiki ka mea nui e eʻoiaʻiʻo i ka mea, aole li nui o ka vagina.

Iloko o ke kakau ana o ka hāpai keiki i loko o nā wāhine e lawe i ka haukaʻe i ma luna o nā flora. No ka Loiloi i ka moku'āina o microflora ma gynecology hoʻohana i ka makahiki "degere o aku o ka vagina." Inā ua nele i ka ike a kanaka hoʻoponopono wahine ma hāpai keiki, no ka mea 30 a me 38 pule ua hai haukaʻe i ma luna o flora.

Degere o vaginal maemae

Gynecologists i eha degere o vaginal Hoʻomaʻemaʻe.

• Grade 1 - olakino wahine loa. Ke microflora maupaʻa lactobacillus i 95%, imua o kanaka epithelial keena a me leukocytes.
• Ma ka 2 minuke aku i loko o ka haukaʻe i kānāwai conditionally pathogenic microorganisms i loko o ka uuku dala.
• 3rd maemae wehewehe aku ma ka lehulehu opportunistic microorganisms ma mua o Doderlein laau.
• 4th ka pololei: e haukaʻe i ka hailona o keʻokeʻo koko keena, epithelial a me nā mea koʻohune flora. Lactobacillusʻuʻuku, a me ka mea, e mai nei.

No ka mea 1 ke ala kūpono a me ka 2 Makalu degere o ka maemae ua wehewehe aku ma ka loaʻakika 'ia, oiai ka 3-4th pH hoʻololi ai, i kona'ākilikai.

Ka Ikepili gynecological haukaʻe i: ho omńkalakala i nā hualoaʻa

Ka Ikepili gynecological haukaʻe i leie oi pololeiʻike, o ka maʻi, a, e kūkulu i ka iapaau ana laina.

No ka laʻana, he nui helu o leukocytes a me epithelial lilo i ka hoailona o ka huʻi a maʻi li nui. Ka loaʻaʻana o loko o ka urethra mucus, i mea ole ma ka pono ana, e hōʻike li nui o ka urinary'ōnaehana kaha.

Ke alo aku o ka nui loa o ka cocci i loko o ka haukaʻe i kekahi Hōʻike i ke alo o ka li nui o ka wahine, ua hakumakuma vaginal Hoʻomaʻemaʻe. Maʻamau coccal flora ma ka urethra mea,ʻaʻole i loaʻa, a me ka wale he mau o ko lākou helu ia i loko o ka vagina.

Ma ka loaʻaʻana o ka gonococci i loko o ka haukaʻe i hoomanawanui diagnosed me "gonorrhea". Ke alo o Trichomonas gardnerellas, a hōʻike i ke alo o ka wahine i mea koʻohune vaginosis a me ka trichomoniasis. Ma ka loli o ke degere o ka maemae a me ka dysbiosis kekahi Hōʻike ulu o ka fungi Candida genus, a ua ana pu ia e kekahi mea uuku nui Doderlein laau.

E manao i ka mea ma luna, ua hiki ke olelo ia gynecological haukaʻe i microscopy Hōʻike ka moku'āina o ka'ōnaehana paleʻea nenoaiu, ia mea nui ka peni mäka i loko o kaʻike, o ka moku'āina o ka genitourinary'ōnaehana a me ka maʻi nā mea palahēhē.