Vaginosis ekukhulelweni: Izimbangela Nezingozi Izimpawu

Isikhathi esining impela, a owesifazane ubeletha umntwana, wadalula pathologies sina, futhi zonke ngoba umzimba wakhe wakhiwa, kudingeka asebenze amabili, ngakho izivikeli mzimba zibe buthaka. Ngokuvamile, laba besifazane babe zokuzala isifo uhlelo, okuyinto, ngaphandle kokwelashwa, kungaholela yisisu. Enye yalezi izifo ubhekwa vaginosis virus. Phakathi nenkathi yokukhulelwa, kuvamile kakhulu futhi zidinga ukwelashwa esiphuthumayo ngaphansi kokuqondisa kukadokotela. Kodwa onjani isifo, indlela yokuphatha kulo, futhi yini izinyathelo ukuthatha?

Kuyini vaginosis?

Vaginosis ekukhulelweni - iyisifo ephelezelwa iziyaluyalu sangasese nge ukwehla ngokushesha inani acidosis acid amagciwane kanye nokwanda okukhulu le microflora pathogenic. Ezimweni ezingavamile, kukhona ukuvuvukala. Lona omunye izifo ezivame kakhulu ayehlangana nabo nabesifazane asebeneminyaka efanele yobudala zokuzala. Ngephutha kungaba ihlonzwe kuphela 30% eziguli, lezo akhononde osenyameni olumhlophe - e-90% amacala, futhi abesifazane abakhulelwe - 35%.

vaginosis Amagcikwane ekukhulelweni, noma njengoba uvame ukubizwa kanjalo, goiter, kuholela yokuthi ukuthi lactobacilli zinyamalale ngokuphelele, okuyinto banesibopho imisebenzi okuvikela umzimba, ngakho lona wesifazane uba sengozini. Phakathi nenkathi yokukhulelwa, amafomu eziphambili kungaholela ekulahlekelweni ezingenzeka embungwini, ngakho-ke kubaluleke kakhulu ukuba ngesikhathi esifanele ukuthola lesi sifo futhi uqale ukwelashwa.

Norma amagciwane sangasese

Esithweni sowesifazane yilowo nalowo wesifazane ukuphila amagciwane ekhethekile ukuvikela uhlelo zokuzala kusukela ukuvuvukala nezinye pathologies. lemali yabo elilungile kufanele kube ngale ndlela:

• Lactobacilli - 95%;
• 2.5-5% - kuyinto kunemibandela flora pathogenic.

Isibalo eziphilayo pathogenic omkhulu kangangokuthi ukusho ngokuthe ngqó ukuthi abaningi babo ngeke baphumelele, njalo intombazane isethi siqu, kodwa kukhona ezinye izinhlobo esihlupha bonke futhi azobonakala, uma iqala dysbiosis. Ikhaya namagciwane - kuyinto Gardnerella vaginalis, njalo kubonakala lapho waqala vaginosis ekukhulelweni. Kuthathwa uhlobo umaka futhi cishe zonke zocwaningo zisekelwe ke.

ngezigaba vaginosis

Ngaphambi uqonde ukubaluleka udaba kwabesifazane abaningi esingayenza ngaphandle kokuthi siphathe vaginosis ekukhulelweni kudingeka wazi kahle ukuthi degree of isifo kobukhulu yilezi:

• 1 degree. It kunqunywa uma microflora ku smear akuyona, futhi kukhona amaseli EPITHELIAL umsulwa futhi usengakwazi onakaliswe namanye amagciwane.
• 2 degree. Kulokhu, ngezinga Doderlein izinduku kuyehla, futhi omuhle futhi igremu-negative flora ukwenyuka igazi wathola ukwanda kancane leukocyte.
• 3 degree. Kulokhu, acidosis acid amagciwane bengekho nhlobo, isithombe emitholampilo ye isifo kusobala.

Izimbangela vaginosis ekukhulelweni

Lapho lactobacilli bayizakhamuzi ezivamile, ayikho into esongela ukuqhubeka yimuphi owesifazane noma sombungu. Baqhubeka ithrekhi kokusele microflora futhi ukukhiqiza acidosis acid, okuyinto igcina i elilungile acid-base balance, liyabulala ukuba Amagciwane kakhulu. Kodwa ngaphansi kwethonya izici ezithile, inani nama-bacterium awusizo kungancipha, kulesi simo kukhona ukwephulwa wesistimu microecological. amazinga aphansi imikhondo lactobacilli ukuba ukwanda okungaqondiswa kwamadolobha amagciwane ayingozi: gardnerellas, Bacteroides, mobilinkusov, peptokokki, mycoplasma, streptococcal.

Nquma ukuthi iyiphi ngempela kuthinta flora kubangele vaginosis ngesikhathi ekhulelwe uyahlukumezeka, kodwa ukusebenza ekunciphiseni isibalo acidosis acid amagciwane kungaba kokubili izici zangaphakathi nezangaphandle:

• imithi elwa namagciwane;
• yokwelapha elwa namagciwane, ama-ejenti ama-hormone antifungal;
• ukuphazamiseka ngemuva kwama-hormone ngemva kokukhipha izisu, ukubeletha noma nokuvuthwa ngokobulili;
• douching lwesitho sangasese sowesifazane;
• ukusetshenziswa ejenti elwa namagciwane e obuseduze inhlanzeko triclosan;
• ukusebenzisa izinto zokuvimbela inzalo ngomlomo;

• ukusetshenziswa spermicides, okuyizinto ingxenye suppositories lwesitho sangasese sowesifazane kanye amaphilisi;
• izifo iguliswa noma endocrine;
• Ukushintsha kwesimo sezulu, nezimo ezicindezelayo;
• Ukungadli emathunjini;
• egqoke izingubo ezenziwe zokwenziwa;
• sokukhulelwa, ikakhulukazi eligeleza yezinkinga;
• ukunganakwa kwenhlanzeko.

Kanjani ukukhulelwa kushintsha ratio amagciwane?

Lactobacilli usizo ikhefu phansi glycogen kumiswa amaseli flat we epithelium lwesitho sangasese sowesifazane, okuyinto edingekayo ukwakha isithiyo ongabonakali. Kodwa la mangqamuzana zisheshe, futhi zonke ngoba umzimba lady ngamunye kushintsha njalo amahomoni, ngaso sonke isikhathi zibe ngcono.

Ngesikhathi lapho owesifazane ubeletha umntwana, ngaphansi kwethonya Corpus luteum inombolo i-hormone lamaseli squamous kwandisa kakhulu. Umphumela uba ukuthi esiqiwini glycogen libanzi, ngakho ezingeni lactobacilli ukwanda kanye degree of microflora pathogenic sinciphile, ngenxa yalokho, i-pH kuba aphansi. Umzimba uzama self-Hlanzani emgudwini wokuzala ukuba isikhathi nokuzikhandla uzohlangana ingane nge microflora enempilo, ababehlala esiswini sakhe.

Uma uthi nhlá kungase kubonakale sengathi konke kufanele kube nje ephelele, kodwa ezimweni eziningi imvelo asidi eningi kangangokuba akukho kuholela yokuthi ezikhulayo uhlobo oluthile izifo lezivakashi, kuhlanganise Candida isikhunta, mycoplasma, ureplazmu, futhi ekugcineni ucala kutfutfukisa vaginosis ekukhulelweni.

Kwenzekani lapho vaginosis?

Ngaphansi kwethonya omunye izindlela izinto eziwusizo is esezokufa. I degree of acidosis acid ngokushesha encishisiwe pH uyanda futhi iqala nokuzala flora pathogenic ka akhathalela ngokuyinhloko gardnerelly, elibuye kuvimbela nama-bacterium awusizo. It kuvela "umjikelezo omubi", lapho lactobacilli bayabulawa ngamanani amakhulu.

Ukuthuthukiswa okusheshayo pathogenic amagciwane kuholela yokuthi abesifazane ukubonakala kwezimpawu ungakhululekile, okubonisa ukuthi kwakukhona vaginosis ekukhulelweni.

Izimpawu kubantu besifazane abakhulelwe

Hhayi ngaso sonke isikhathi kusaqalwa lesi sifo livela okuningi lingaze, kodwa uma isifo siqhubeka, khona-ke kukhona izimpawu zayo:

• abamhlophe luningi kancane greyish, futhi uma ukugula is hhayi ziphathwe eminyakeni, ukudedelwa ingavuthi ogqamile, foamy futhi stringy;
• kukhona iphunga isici okusolisayo, ikakhulukazi it is wezwa ngesikhathi abalingani bezoziphatha;
• kukhona ubuhlungu ngesikhathi sokuya ocansini umuzwa esivuthayo;
• ukungakhululeki lapho esiswini akaphili ngokuthula, ngesikhathi Ucwaningo luthole hypertonicity kwesibeletho;
• ezingemnandi esivuthayo ukuzwa ngesikhathi ukuchama, kodwa uphawu lingandile kangako.

Ngemva izimpawu zokuqala, kunesidingo esiphuthumayo uthintane udokotela wezifo zabesifazane, oyakwenza isivivinyo futhi bakwazi ukuhlola ngokunembile.

izindlela zokuxilonga sokunquma vaginosis

Ngokuvamile zokugula kutholakala ukuthi uphethwe yini, kungathi udokotela kuphela. Ngokuzimela akekho umuntu wesifazane ngeke bakwazi ukutshela onjani ukutheleleka iqhubeka emzimbeni wakhe, njengoba kukhona izinhlobo eziningi zama-bacterium nokukubangela. Isikhathi esiningi nje wazizwa kabi esiswini ephansi kanye sangasese, ngakho kufanele sifune iseluleko udokotela. Yena, uhlola owesifazane enza smear ukuze uthole ukuhlaziya futhi kwenza igazi amasampuli ukuze afeze nezifundo kanye ukumambula onjani ukutheleleka sokucasuka ukuthuthukiswa lesi sifo.

Ngemva enifeza zonke uphenyo oludingekayo kungenziwa ukuqinisekisa ngokunembile noma zingamanga uphethwe futhi kuphela ke uqale ukwelashwa vaginosis ekukhulelweni.

Yeka indlela okuyingozi ukugula uthwele ingane?

Noma yimuphi ukutheleleka ungase udale umonakalo omkhulu empilweni, hhayi kuphela abesifazane, kodwa futhi umntwana wakhe ongakazalwa. Phakathi vaginosis esinyeni ukuvuvukala ulwelwesi singenzeka, okuholela ukuthi kungase kubangele imifantu futhi ngisho ukudabuka. Uma lokhu kwenzeka, khona-ke owesifazane angase aqale preterm zabasebenzi noma ukuphuphuma. Lapho ayangena ukutheleleka angangena amniotic fluid, futhi ekugcineni ingane gciwane.

Lokhu magciwane angaholela ekutheni uthole nemiphumela engathi sína: ukuthuthukiswa umbungu izomiswa noma sepsis.

Ngakho-ke akuyona isikhathi kubalulekile ukuthola vaginosis webhaktheriya ekukhulelweni. Ukwelashwa kufanele waqala ngokushesha emva isiqinisekiso uphethwe futhi noma yiziphi izincomo kumele kwenziwe ngokuqinile.

Vaginosis Ukwelashwa Phakathi Ukukhulelwa

Uma isiguli ukuqinisekisa ukuxilongwa, into yokuqala udokotela watusa ukuba aphuze kude inkambo kwamaphilisi ukuthi ziphephile ukuba owesifazane esikhundleni sakhe.

Kubalulekile ukulandela zonke izincomo udokotela, kusukela ngosuku lokuqala kuze kube usuku lokugcina, kuze izimpawu zinyamalale. Kodwa kuwufanele ukukhumbula ukuthi ukunyamalala izimpawu zingase zibonise ukuthi isifo kudamba, kodwa lapho imithi ukuthatha wayeka, zingase futhi kuboniswe. A Ukuphinda zivamise ukwenzeka nzima kakhulu, futhi ukwelashwa babhekana sibi kakhulu.

Kodwa ngisho noma isiguli kuzohambisana ngokugcwele zonke izincomo - ukuthatha imithi elwa namagciwane, ukubeka amakhandlela vaginosis webhaktheriya ekukhulelweni, kungenzeka ukuthi ukutheleleka kuyoba yesibili.

Cishe ingxenye eyodwa kwezintathu yabesifazane abaye baphathwa, kukhona kabusha ukuvela izimpawu ezinyangeni ezintathu zokuqala emva ukuphuza imithi elwa namagciwane. Ukushiyeka lihlotshaniswa yokuthi ukusetshenziswa kwalezi izidakamizwa wabulala iningi hhayi kuphela namagciwane abangela izifo kodwa kuyasizuzisa. Futhi namanje abazange bathole indlela ezingasenza nama-bacterium awusizo ukuphindaphindeka ngokushesha, ngakho Amagciwane uqhubeke wanda.

Lapho inkinga iphinde lo mshophi, lo wesifazane yokwelapha kabusha ezinqunyiweyo, izidakamizwa akhethiwe ngamunye, ngoba ukuba zenze konke ezingakwenza ukuze uvikele i-fetus. Impendulo ngqo yombuzo main, esingayenza ngaphandle kokuthi siphathe vaginosis webhaktheriya e sokukhulelwa kungabangela ukukhubazeka okukhulu Wabesifazane owazi ngazo zonke izifo zabesifazane kanye kuzothatha zonke izinyathelo ukuze hhayi ukulimaza impilo isiguli futhi umntwana wakhe ongakazalwa.

Indlela ukubuyisela microflora?

Ngemva ukuphuza imithi elwa namagciwane siyabhubha microflora, ngakho-ke kubalulekile ukuba uqale ukuphuza biologics futhi uwasebenzise vaginally. Ngokuvamile, odokotela ayeke izidakamizwa ezifana:

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

Ukuze wenze lokhu, thatha 2 esenikwe izidakamizwa futhi buhlanjululwe 5 ml amanzi nahlanza, swab elina ukwethula ke intravaginally. Inqubo wenziwa kabili ngosuku. Course kufikela kuzinsuku ezingu-10.

Kodwa ngaphambi kokuqala lolu hlobo ukwelashwa, kungcono ucele iseluleko lukadokotela.

Prevention vaginosis

Kuze kube manje, ayizange elicwengwé ngokugcwele, lokho ncamashi kubangela goiter e kwezitho zobulili zesifazane, ukuze ukusho ngokuthe ngqó ukuthi izinyathelo zokuvimbela kuyodingeka yalokho omuhle, akunakwenzeka. Kodwa kunezindlela eziningana ukusiza kancane ukuze kuncishiswe ingozi ukuthi owesifazane ngeke vaginosis webhaktheriya ekukhulelweni yilezi:

• Kubalulekile kakhulu ukulandela imithetho ucansi oluphephile, ikakhulukazi uma ungenaso isiqiniseko we umlingani. Kuyinto ukuthi iyoba yini indima ekuphileni yobulili kungafanele ecacile owesifazane ukubukeka vaginosis, kodwa izibalo zibonisa ukuthi zokugula landile yalezo ziguli nokuba alale nabantu abaningi.
• Kubalulekile ukuyeka ukubhema. Kukholakala ukuthi ukubhema izimbangela anda ingozi yokuba isifo efana vaginosis ekukhulelweni ekuseni.

• Akunakusetshenziswa, douche futhi ugeze sangasese ngamanzi. Futhi, udokotela weluleka hhayi ukusebenzisa izifutho ngoba inhlanzeko yomuntu siqu futhi insipho yokugeza umthondo. Konke lokhu mathuluzi angakusiza ukucasula esele futhi kuholele ukuthuthukiswa microflora pathogenic.

Noma yimuphi isifo ngesikhathi sokukhulelwa kudinga indlela ngokucophelela futhi ukwelashwa ngokucophelela zokugwema izinkinga hhayi ukulimaza ingane.