Ngokujwayelekile, izinambuzane ezihlukahlukene ze-anaerobic ne-aerobic zihlala ezinqenqemeni zamabhinqa, ezihlukile eminyakeni ehlukene.
I-microflora yangasese evamile
Imifino evamile yamanzi yamantombazane ivame ukuba ne-lactobacilli, lapho kuqala ukusebenza kobulili kuyashintsha futhi inabantu abaningi. I-microflora yama-vaginal ayiyona kuphela i- bifidobacteria ne-lactobacilli , kodwa futhi i-peptostreptococci, i-clostridia, i-propionobacteria, i-mobilunculuses - konke lokhu kuyi-microflora engokwemvelo engabangela isifo kumfazi onempilo.
Ukuphulwa kwe-microflora yangasese
Ngokwejwayelekile, ku-smear ye-vaginal yowesifazane onempilo thola:
- i-epithelium flat ezindongeni zesifazane, kodwa azikho amangqamuzana angama-atypical;
- i-leukocytes kuze kufike ku-15 amaseli emkhakheni wokubuka;
- ukubonakala kwe-Staphylococcus aureus ngobuncane;
- i-lactobacilli, ukusabela kuyisicacile;
- ngezinye izikhathi kune-mucus ngesamba esincane;
- phakathi nenkathi yesikhathi, amaseli obomvu avela.
Ngezifo ezihlukahlukene, i-microflora ye-vaginal ingaphazanyiswa - i-leucocytes ivela ezinamba eziningi, i-gardnerella, isikhunta, i-leptorrhises, i-mobbels, i-Trichomonas noma i-gonococcus. Ukubukeka kwe-microflora ezinjalo ze-pathogenic kubonisa ukuthi kukhona ukutheleleka ngokocansi noma ezinye izifo ezivuthayo. Uma owesifazane ethatha ama-antibiotic isikhathi eside, khona-ke isitshalo se-bacterial of the vagina sishabalale kanye nendawo yokuhlala kuphela.
Ukwelashwa kokuphulwa kwe-microflora yesifazane
Ukuqala ukutakula i-microflora yangasese, udinga ukwenza i-swab yangasese wesifazane bese uthola ukuthi ungowesifazane onjani.
- Uma i- leukocyte itholakala ku-smear inamba enkulu, ikakhulukazi 100 noma ngaphezulu-ke lokhu kubonisa umsebenzi ophezulu wenqubo yokuvuvukala.
- Uma inani le-Staphylococcus aureus landa, khona-ke liba imbangela yokuvuvukala, futhi ukuthuthukiswa kwe-microflora yesiswini kuqala ngokusetshenziswa kwama-antibiotics amaningi.
- Uma i-gardnerella itholakale ku-smear, kuyisibonakaliso se-bacterial vaginosis, kodwa izidakamizwa ezijwayelekile zokulwa namagciwane azisebenzisi ukubuyisela i-microflora yangasese. Sebenzisa kuphela ukwelashwa kwendawo - izidakamizwa zangasese namaphilisi ukuze uthuthukise i-microflora, equkethe i-clindamycin, i-ampicillin, i-metronidazole, ukugwema ubulili ngesikhathi sokulashwa.
- Uma i-gonorrhea itholakala ku-smear, ukwelashwa okuvamile kwe-gonorrhea ene-antibiotics yomugqa we-penicillin, i-gonovaccines imisiwe, futhi uma kwenzeka ukuvuvukala okungapheli, kusetshenziselwa ukufakwa kwe-nitrate yesiliva noma i-potassium permanganate.
- Ku-candidiasis, ama-agent antifungal ajwayelekile kanye nendawo anqunyelwe ukubuyisela i-microflora yama-vaginal equkethe i-nystatin, i-pimafucin, ne-fluconazole. Imithi yasendaweni ebuyisela i-microflora i-suppositories yangasese, enezidakamizwa ezifanayo owesifazane ezithatha ngomlomo.
- Uma itholakala ku-smear Trichomonad ayinqunyelwe kuphela izidakamizwa ze-imidazole (metronidazole, ornidazole) yokwelashwa okuvamile, kodwa futhi nezindakamizwa zangasese zinezidakamizwa nalezi zidakamizwa
kuze kube yizinsuku ezingu-7-10 ukuthuthukisa i-microflora yesifazane.
Kusukela ku-smear evamile, abesifazane kufanele balawulwe yi-bifidobacteria ne-lactobacilli, ngakho-ke ama-tampons kanye ne-suppository ngokuvamile asetshenziswa kanye namalungiselelo okuqeda i-microflora ye-pathogenic ukuze ubuyisele ama-microflora angama-vaginal ane-lyophilized mass nenani elikhulu le-bifido-ne-lactobacilli (i-Acilactum, i-Bifidumbacterin, i-Lactobacterin).
Njengokwelashwa okubuyiselayo okusetshenziselwa i-biostimulants, amavithamini. Ukuze kuvikelwe i-dysbiosis kubalulekile ukugcina yonke imithetho yokuhlanzeka komuntu siqu, nezindlela zokuvikela izifo ezithathelwana ngocansi.