Kab mob vazinoz: etiology, manifestation thiab kev kho mob

Kab mob vazinoz - lub feem ntau tus kab mob ntawm cov me nyuam uas nyob rau hauv cov poj niam. Nyob rau hauv kev kho mob voj voog nws yog hu ua "gardnerellezom". Txawm li cas los, tsis muaj teeb meem yuav ua li cas hu ua no pathology, nws essence tsis hloov. Lub ntsiab yog vim li cas rau cov tus kab mob no - dysbiosis qhov chaw mos.

Kab mob vazinoz: Ua

Paum microflora yog fickle. Nws comprises ib tug zoo tus naj npawb ntawm tag nrho ob qho saprophytic thiab pathogenic microorganisms. Tsuas yog thaum physiologically noj qab nyob zoo ib thooj ntawm lub paum microflora yog sawv cev los ntawm lactobacilli. Nws yog lub npe hu hais tias cov kab mob muaj ib tug tiv thaiv luag hauj lwm. Lactobacilli muaj peev xwm tuav glycogen muaj nyob rau hauv lub paum epithelial hlwb nyob rau hauv lactic acid. Xeem cheeb qhov uas cov loj hlob ntawm opportunistic microbes. Txo tus naj npawb ntawm lactobacilli nyob rau hauv qhov chaw mos los txhawb rau lawv tu tub tu kiv. Nws tej zaum yuav, piv txwv li, ntawm Gardnerella vaginalis, uas thiab provokes tus txoj kev loj hlob ntawm cov kab mob vaginosis.

Lub etiology ntawm tus kab mob

Cov kev loj hlob ntawm lub paum dysbiosis provokes ob peb yam tseem ceeb:

- kev siv cov contraceptive cream uas muaj xws li nonoxynol-9;

- tshuaj tua kab mob;

- siv tus intrauterine ntaus ntawv;

- douching;

- ib tug kev hloov ntawm kev sib deev tus khub;

- yuav txo tau immunoresistance kab mob;

- kev siv cov hnab looj qau, uas yog ua los ntawm nonoxynol-9;

- abortions;

- lub caij nyoog siv tampons.

Kab mob vazinoz: Tej yam tshwm sim

Ntes thaum vaginosis thov kom peb txhua tus poj niam muaj ib tug los yog ntau tshaj cov tsos mob yam ntxwv ntawm no pathology. Rau cov kab mob vaginosis yog yus muaj los ntawm ib tug heev unpleasant tsw ntawm lub paum tawm. Feem ntau cov neeg nyob qib qub nrog cov lwj ntses. Tom qab kev sib deev ua cog lus tsis muaj ib tug tiag tiag, tus ntxhiab tsw yog feem ntau enhanced. Nyob rau hauv tas li ntawd, cov neeg mob tsis txaus siab ntawm khaus nyob rau hauv lub puab tais thiab liab ntawm lub paum mucosa. Nws yuav tsum muab sau tseg tias cov kab mob vazinoz ntau heev tshwm sim tsis pom kev soj ntsuam cov tsos mob.

mob ntawm tus kab mob no

Yam ua ntej tus mob kws txawj yuav muab twb thaum lub sij hawm ntsuam xyuas pelvic exam. Yuav kom paub meej tias microscopy yog ua sib cais los ntawm lub posterior fornix ntawm qhov chaw mos. Yog li, tus mob "kab mob vazinoz" yuav raug muab coj los nyob rau hauv lub xub ntiag ntawm lub nram qab no cov tsos mob:

- tus yam ntxwv tsw ntawm lub paum paug;

- pH siab tshaj 4.5 (3.8-4.5 physiological cai);

- zoo aminotest;

- qhia kom paub txog "clue hlwb" (lawv yuav mus rau lub mature epithelial hlwb rau ntawm qhov chaw uas kab mob yog adsorbed).

kev kho mob

Muaj ntau cov kws txawj hais tias qhov zoo tshaj plaws kho nyhuv yog tiav los ntawm kev siv lub zos kho pab ntxiv. Ib tug zoo tshwm sim yog tau los ntawm muab tshuaj los ntawm cov pab pawg neeg uas muaj nitroimidazoles (tshuaj "Teonitrozol", "Metrogil", "Tinidazole," "metronidazole", "Ornidazole", "Trichopolum", "seknidazol" thiab t. D.). Cov tshuaj muab vaginally nyob rau hauv daim ntawv ntawm cov tampons, ntsiav tshuaj los sis suppositories. Tsis ntev los no, thaum cov kev kho mob ntawm vaginitis feem ntau siv ib tug ua ke ntawm cov tshuaj "Ginalgin", "Terzhinan", "Polizhinaks".