Ukugqithiswa kwe-microflora yesini: izizathu kunye neempawu

Ukuphululwa kwe-microflora yobundlobhinqa ubuncinane kanye kwimeko yobomi obuphazamise nayiphi na ibhinqa. Esi sifo sibhekene neentombazana ezingakaze ziphile ubomi besondo. Esi sifo sinobunzima, kodwa singabangela imiphumo emibi kakhulu, ihamba kunye nenkqubo yokuvuvukala. Izazi ze-gynecologists zibiza i-pathology dysbiosis okanye i-dysbacteriosis.

Yintoni i-dysbiosis?

I-Dysbiosis ichazwa njengophula umthetho we-microflora ye-vaginal environment. Ukuba akaphilwanga, lesi sifo siya kuqhubeka, kubangele ezinye zeziphumo ezibi kakhulu.

Ukuphulwa kwe-microflora yesini kwisigaba sokuqala nangayiphi na indlela ayibonakali. Utshintshe kuphela kwiqondo elincinci lokukhuphela. Kwimeko eqhelekileyo, abakho kumfazi, kwaye ukuba ngaba kunjalo, ngoko kwincinci. Nge-microflora enempilo, akukho zicucu, iintlungu, ukuvumba, ukuvutha komsindo, ukomama ngexesha lokulala nokungahambi kakuhle.

Iphunga elingathandekiyo, ukwanda kwenani lokutshatyalaliswa okwesibhakabhaka kuluhlaza kubonisa ubukho bentsholongwane njengophulaphula i-microflora yamanzi. Kutheni oku kwenzekayo? Oku kuya kuxutyushwa kamva.

I-microflora eqhelekileyo i-90% yenziwe nge-lactobacilli kunye ne-9% ye-bifidobacteria. Ama-1% asele awela kwiimeko ezincinci ze-pathogenic, ezinqabile ukuba ziphi na izifo. Izinguqu ezincinci kumzimba womfazi uyazinyamezela, ngokukodwa ngokuzikhusela kakuhle. Kwiingxaki ezinzulu, apho inani le- lactobacilli kunye ne-bifidobacteria linciphisa, kwaye ipesenti yamachiza ezincinci zikhula, inkqubo yokuzala ingaphumeleli. Ngenxa yoko, ukuphindaphinda kweebhaktheriya ezinobungozi njengefungus, gardnerella, streptococcus, proteus, E. coli, chlamydia, njl. Kukho i-dysbacteriosis yesini kwaye, ngenxa yoko, inqubo yokuvuvukala. Amasosha omzimba aqhubeka elwa neebhaktheriya ze-pathogenic, kodwa ekungabikho unyango, imisebenzi yokukhusela yomzimba ayisayi kuvelisa umphumo oyifunayo.

Iintlobo eziqhelekileyo zezifo ziquka:

• I-bacterium vaginosis;
• Candidiasis;
• Thrush.

Ukuba i-dysbacteriosis iqhubeka ngendlela efihlakeleyo, ngoko i-symptomatology eboniswayo ibonwa ngokungaqhelekanga. Ngaphandle kohlalutyo noviwo logqirha, kunzima ukuqonda isifo kule fomu. Ngoko ke, aphakanyiswa ngabasetyhini ukuba batyelele i-gynecologist kabini ngonyaka.

Izizathu zokuphulwa kwe-microflora yesini

Izinto ezichaphazela ukubonakala kwe-dysbiosis zibeke:

• I-hypothermia engatshatanga neyohlala isigxina, eyanciphisa ukukhusela kwaye ikhuthaza ukuphuhliswa kwe-dysbiosis.
• Ukutshintsha imvelaphi yehommoni. Ubomi bezesondo obungenasiphelo, ukukhulelwa kwesisu, ukukhulelwa, ukubeletha, ukukhupha isisu, isitenxo somnxeba, njl.
• Utshintsho lweendawo ze-climo.
• Iimeko ezinzima.
• Ubomi bezocansi. Utshintsho oluqhelekileyo lwabahlobo bezesondo. Ukungahoyi iindlela zokukhusela.
• Izifo ezivuthayo kunye nezifo ezithathelwanayo zeeplavis.
• Izifo ezitholakalayo emva kokulala ngesondo.
• Ukunyanga ixesha elide kunye namayeza.
• Izifo zesisu.
• Isingeniso esingalunganga kunye nokusetyenziswa kweetamponi zokuya esikhathini.

Zonke ezi zinto kunye nezinye izimbangela zidala ukuphulwa kwe-microflora yesini.

Iimpawu zesifo

Uncedo ngexesha lokubona ukuphulwa kwe-microflora yezibonakaliso zesini sesifo. Nangona kunjalo kwiimeko ezininzi, ngokukodwa kwisigaba sokuqala sesi sifo, azikho nje. Ukuba i-bacteriosis isiqalile ukuqhubela phambili, oku kulandelayo kuya kubonwa:

• Ukukhethwa kwamhlophe kunye nophuzi;
• Iphunga elimnandi;
• Ukungahambi kakuhle kwindawo yesini;
• Yomisa ngexesha lesini;
• Ukuvutha, ukubetha kunye nentlungu kwindawo yesini.

Le yimiqondiso ephambili yokuphulwa kwe-microflora yesini. Ukuba ukuphazamiseka kwengqondo akuphilwanga, ke i-endometritis, ukuvuvukala kwezixhobo, iindlovu okanye iindonga zesisu zingenzeka. Ukuba inkqubo yokusuleleka iye yachaphazela izitho zesisu kunye ne-urethra, ngoko, njengomthetho, ivelisa i-cystitis okanye i-urethritis.

Ukuphululwa kwe-microflora yesini ngexesha lokukhulelwa nangemva kokubeleka

Ukukhulelwa, utshintsho kwimvelaphi ye-hormonal inokukhupha isigaba esichukumisayo se-vagin dysbiosis. Ngethuba lexesha lesigxina, i-symptomatology yesifo iyancipha. Kukho ininzi yeemfihlo, ukuphazamisa ukuvutha okungajabulisayo, ukuvutha kunye nokuvutha komzimba kwindawo yesini, ukuvakalelwa kwintlungu kuvela ngexesha lesini.

Abasetyhini ngexesha lokukhulelwa, ezininzi iziyobisi ziphikisana, ngoko ke uncedo olupheleleyo apha alukwazi. Zonke izenzo zijoliswe kuphela ekuphelisweni kwexeshana kwexeshana, kwaye unyango olufunekayo kunye namayeza asebenzayo emva kokuziswa.

Kukho ukuphulwa kwe-microflora yesini emva kokubeleka. Indlela yokunyanga isigulane kule meko? Lo mbuzo ugqityiwe kuphela ngugqirha. Amaxesha amancinci amancinci afunyaniswa ukuba ane-thrush, ebangela i-fungus ye-leaven ye-Candida. Le nqubo ithonyelwe ukutshintsha kwe-hormones kumzimba, kunye nenani leziyobisi ozalelwa ngalo umfazi.

Kule meko, unyango luqhutyelwa ngama-agent antifungal kunye neprobiotics, enefuthe elihle kwi-microflora yobundlobongela kunye nokukhusela ukubonakala kweso sifo.

I-Dysbacteriosis yesini kunye nomlingani wesini

Ngokuqhelekileyo, ukuphulwa komlinganiselo we-microflora wesini akuthinteli ubomi bentlobano yesini kwaye akukho nto ibangela ukuba iqabane lezesondo zikhethekileyo iingxaki. Ukwahlukana kwinqanaba eliphambili le-dysbiosis. Kule meko, umntu unokuhlakulela iimpawu ze-balanoposthitis okanye i-urethritis engabonakaliyo, kwaye ke kuphela xa ilungu lezesondo elinamandla linomdla wesifo.

Njengomthetho, izifo zesiganeko zesini esithintekayo zesithandani asithinteli kwiindawo eziziphetheyo zesini, ngokuqinisekileyo, asikhulumi ngezifo ezithathelwana ngesondo.

Ukunyangwa kwe- vagin dysbiosis kwenziwa kuphela kubafazi, ngaphandle kokubandakanyeka kweqabane, ngaphandle kokuba ukukhubazeka kubangelwa usulelo lwezesondo.

Ukuba kukho ii-STD, zihamba kunye ne-dysbacteriosis. Ubangele ukungalingani kummandla wobundlobongela. Ukuvuselela ukubonakala kwenkqubo yokuvuvukala nokuphazamisa i-microflora yesini. Nangona kunjalo, akukho zimo apho kuphela isifo soxhatshazwa ngesondo kuphela. Isifo soloko sihamba kunye neenguqu ezimbi kwi microflora. Oku kufuneka kuthathelwe ingqalelo ekulwa nesifo. Apha, ukuthatha i-antibiotics ethile ayinakunceda ukunceda, kuba ayibuyiselanga izinga eliqhelekileyo le-microflora.

Njalo ikhosi yonyango kufuneka iphele nge-priobotics, ukubuyisela imeko yangasese. Ingxaki ezinzulu ezibangelwa yi-chlamydia kunye ne-Trichomonas, zixazululwa ngonyango olwaphulo-mthetho, emva koko kubalulekile ukubuyisela i-microflora. Ezi zifundo mazihlukane kwaye zigcinwe emva komnye.

Kwiimeko apho isifo sinendlela elula, kuyimfuneko ukwenza uvavanyo lwe-urogenital. Kwaye ukubuyisela imvelaphi efunekayo kunokubakho kunye nokupheliswa kosulelo lwezesondo.

Dysbacteriosis kumantombazana

Ukuphululwa kwe-microflora yesini kubonakala nakumantombazana angakaze alalane ngesondo. Izinto ezahlukeneyo zichaphazela apha. Utshintsho lwama-hormone emzimbeni ngexesha lokukhulelwa, kunye neempawu zesakhiwo se-hymen, nokungahambisani nococeko (kubandakanywa ukuhlamba okungafanelekanga kwezitho zangasese), kunye nokusetyenziswa kwamagciwane kunye nezinye iziyobisi. Izizathu kulo mzekelo zifana neemeko ezibangela ukuphuhliswa kwe-dysbiosis kwabasetyhini abaphila ngokulala ngokwesini. Kodwa kukho iimeko ezinobunzima.

Ngokungafani nabasetyhini, amantombazana ayenakunqwenela ukugcina imfihlo, kuba i-hymen iwavimbela ukuba bashiye isisu ngokugcwele. Inxalenye ethile yabo iqokelela kwi-pelvis encinci, ebangela inkqubo yokuvuvukala. Kwakhona ekuqaleni kophuhliso lobomi bezesondo kumantombazana ininzi ibhaktheriya ivela kwisisu ukuya kwi-urethra, engabangela "i-cystitis ye-honeymoon".

Ulwaphulo lwe-dysbacteriosis ezintombi luyinkimbinkimbi, kuba i-hymen ayivumeli unyango olululo lwezesini. Kwezinye iimeko, nokuba i-hymenectomy iboniswa, apho kukho ukuphulwa.

Ukuphuhliswa kwe-dysbiosis kunye nomzimba wamathumbu

Ngokuqhelekileyo, ezinye izifo zesisu kunye namathumbu zikhokelela ekuphazamiseni i-microflora zombini kwiindonga zamathumbu nasemzimbeni.

I-rectum inxulumene ngokusondeleyo kunye nesigxina sesisu, ngenxa yoko ibhakteria idlulayo ingaphendulwanga ngeendonga zamalungu. Xa i-intestinal dysbacteriosis ikhula kwaye iqhubela phambili, iibhaktheriya (E. coli, enterococci, njl.) Ezibangela ukuba esi sifo siphumelele kalula kwiindonga zesini, apho siphula khona imvelaphi. Yintoni enokuyenza kule meko? Ngokuqinisekileyo, ukubonisana neengcali, kungabikho na into eyenza "ukuzenzela" kunye noluncedo lwabantu.

Ukunyangwa kwephulo le-microflora yesini kwimeko enzima, ekubeni ukusuleleka kosulelo olutsha luphezulu kakhulu. Ulwaphulo olufanayo kunye nolwamathumbu kufuneka lwenziwa apha. Olu luhlobo olubi kakhulu lwe-dysbiosis.

Ukuxilongwa kwe-dysbiosis

Ukuze unyango lusebenze, kufuneka uhlolisise eso sifo ngokuchanekileyo. Okokuqala, ukuhlolwa komzimba kweso sigulane kwenziwa. Emva koko, ukuhlaziywa kunikwa. Ngokuqhelekileyo, oku kuku:

• I-PCR-diagnostics, eyenza sikwazi ukuqinisekisa ukungabikho okanye ubukho besifo socansi;
• I-smear kwi-flora, ekhuluma ngesimo se-microflora ye-vaginal;
• Ukuhlwaya kokukhulelwa kwamanzi;
• Ububele besigulane kumagciwane azimisele.

Idatha efunyenweyo yee-laboratory izifundo ivumela ukusekwa kwesizathu sesifo kunye nesantya sobunzima bayo.

Unyango lwe-dysbiosis

Amanyathelo okwelapha ukubuyisela i-microflora yesisini ihlukaniswe ngamanyathelo athile:

• Ukutshatyalaliswa kweebhaktheriya ze-pathogenic ezibangelwa esi sifo.
• Ukubuyiselwa kwe-microflora yamanzi.
• Ukukhutshwa komzimba.

Ukuba i-dysbacteriosis ivela ngenxa yokusuleleka ngokwesondo, ngokokuqala ikhuphe i-pathogen ngokumisela ikhosi ye-antibiotics. Ukuba ukuphulwa kwe-microflora yesini kubangelwa enye imbangela, i-antibiotics ayinakusetyenziswa. Yaye ukuba bayayilawula unyango olunjalo, ngoko ixesha elingadlulanga iintsuku ezintlanu.

Kubaluleke kakhulu ukuba i-dysbiosis iphumelele ngaphandle. Ezi zihlambulukileyo zokuhlamba kunye neetamponi. Amanyathelo anjalo awanciphisa ukuphuhliswa kwee-microorganisms ze-pathogenic nokubuyisela umlwelwe. Ukunyangwa kweengxaki ze-microflora zesini kunye ne-antiseptics - kule meko zisetyenziselwa i-topical - zisebenza kakhulu kuneziza-antibiotics, kwaye indawo yempembelelo inkulu kakhulu. Phantse zonke iibhaktheriya zithinteka kwimiphumo yazo. Iingxube ze-antiseptic zikunceda ukuhlakulela ukukhuseleka kweendonga zesini kunye nokwenza i-microflora yayo imise. Ukuhlawulela ukuphindaphinda kweebhaktheriya ze-pathogenic.

Ifom ye-dysbiosis inzima ukuphilisa kuphela nge-immunomodulatory therapy, apha ngaphezu koko, i-antibiotics ihlala ichongiwe.

Ukulungiselela unyango lwe-dysbiosis

Ukuphulwa kwe-microflora yesini (amalungiselelo, njengommiselo, ukhethe ngendlela yeoli, ama-suppositories, iipilisi zamanzi kunye ne-creams) - isifo esiyinkimbinkimbi esaneleyo apho kufuneka khona indlela enzima.

Ngokuqhelekileyo kusetyenziselwa unyango lwe-dysbacteriosis cream "i-Dalatsin", eyinto yokulwa neengxaki ezinokuthi zininzi. Isithako esisebenzayo siyi-clindamycin phosphate 2%. Ngokunyanisekileyo kuyathinta i-microflora yesisu. Ngempumelelo ngokubuyisela imvelaphi kwi-pathology efana nokuphulwa kwe-microflora ye-vagina, ikhandlela "iDalacin." Zine-100 mg ye-antibiotic.

Isiphumo esihle nge-vaginal dysbiosis sinikwe iiflegi "I-Flagil". Isilwanyana sisetyenziswa kanye ngosuku, ebusuku. Kwakhona ukunyangwa kwesi sifo, oogqirha batusa ukusebenzisa "iHexicon" - ezi zikhandlela nge-chlorhexidine. Zifakwe kwi-vaginal cavity kanye ngosuku. Ikhosi iintsuku ezili-10.

Ukunyanga i-dysbiosis yesini, abaninzi namhlanje bakhethe "Betadin" kunye ne "Terzhinan". Umphumo omhle unikezwa yi-gel "iMetronidazole".

Ukuba eso sifo siphucukisiwe, kwaye kuphela amalungiselelo eengqungquthela angeke ahanjiswe kunye, ngoko afuneka ukuba athathe ipilisi ngaphakathi. Ezi zi:

• Ornidazole.
• "Naxojin."
• "Meratin".
• ITiber.
• "Tinidazole."
• "Trichopol" okanye "Metronidazole".
• "Clindamycin".

Amayeza athathwe ngeveki. Kufuneka kukhunjulwe ukuba xa usebenzisa iindlela zomlomo, ukusetyenziswa kotywala kunqatshelwe. Ikhathazekile ngokukhethekileyo "iTrochopol".

Ukudibanisa namanye amayeza, Linex, Probiophore, Bifidumbacterin, Bifiform, Bifidin, okanye iBifiliz imiselwe ukuba imise i microflora. Ukwandisa inani le-lactobacilli kwiimeko zobundlobongela, misela "i-Acilact", "uLactobacterin", "I-Acepol", njl njl. Isizabisi sinconywa ukuba siphuze ikhosi, ukuqala ngosuku lwesibini lokuthatha iziyobisi ezichasayo. Kwakhona imali ekhethiweyo yokugcina imfutho - "Immunal", "Cycloferon", njl.

Ukuba imbangela yokuphulwa kwe-microflora iye yaxubusha ngoxhatshazo ngokwesini, ngoko kufuneka uhlolisise kwaye uphathe umlingane wakho wesini, naye.

Malunga namanyathelo okukhusela

Unyango lwe-dysbiosis ungathatha iiveki ezine. Ukulumkisa esi sifo kwiimeko ezininzi kunzima, kuba imbangela yangempela eyabangela ukuba isifo sibe nzima ukwenza. Into eyenzekayo yintombi iqinisa amandla omzimba kwaye igcine imimiselo efanelekileyo yohlambululo.

Emva kokubuyiselwa kwe-microflora yangasese, i-gynecologist ifanele ihanjiswe nganye inyanga ezintathu kulo nyaka. Oku kuyimfuneko ukwenzela ukuba kuchaneke ngexesha lokubuyela kwakhona kwaye kuthathe amanyathelo afanelekileyo. Kwixesha elizayo, phantsi kweemeko eziqhelekileyo, ugqirha unokuqhagamshelana kanye ngonyaka.