Kutsimikizira Matenda ndi Zowonjezera Zina
Vuto lalikulu kwambiri loti apeze bacterial vaginosis (BV) ndilokuti ambiri mwa iwo sangakhale ndi zizindikiro, malinga ndi lipoti la Centers for Disease Control and Prevention. Ngati matendawa akugwiriridwa, matendawa angapangidwe ndi mayesero omwe amawoneka kuti akugwiritsira ntchito mabakiteriya. Kuwunika kudzaphatikizanso kuyezetsa magazi, kusanthula kusungidwa kwa amayi, ndi kuyesa kwa pH kuti ayang'ane ubongo wamaliseche.
Kuphatikiza pa mayesero a labu, pali makina odziyesa okha omwe amakulolani kuti muwone mawere anu a pH ndi zizindikiro zina zotupa kunyumba.
Mayesero a Panyumba
Mabakiteriya vaginosis amadziwika ndi zizindikiro za umaliseche, kutentha, kuyaka, ndi fungo la "fishy". Zizindikiro zikhoza kulakwitsa mosavuta chifukwa cha matenda a yisiti ndipo nthawi zambiri zimakhala zosayenera.
Posiyanitsa, amayi ena adziyesera okha pogwiritsa ntchito mayeso apanyumba atagulidwa pa intaneti kapena ku sitolo yogulitsa mankhwala. Chiyeso, chomwe chapezeka pamsanayi kuyambira chaka cha 2001, chiri cholondola ndipo chikhoza kupereka umboni wokwanira kuti upeze chitsimikizo chotsimikizika ndi mankhwala kuchokera kuchipatala.
Ndikunenedwa kuti, mayesero omwe alipo alipo samayesa BV. M'malo mwake, amayang'ana kusintha kwa chikhalidwe cha m'mimba komanso mankhwala a BV. Mayesowa amachitika m'magulu awiri:
- Chiyeso choyambirira chimafuna umboni wa pH wokwera kwambiri. Ngakhale kuti pH yapamwamba imakhala chizindikiro chodziwika bwino cha matenda, chingayambidwe ndi zifukwa zina, kuphatikizapo trichomoniasis .
- Chiyeso chachiwiri chimayang'ana mchere wotchedwa sialidase, umene umawoneka ndi BV ndi mitundu ina ya vaginitis .
Pamene kuyesedwa koyipa ndi chitsimikizo chabwino kuti mulibe BV, sikuyenera kuonedwa ngati yotsimikizika. Pamapeto pake, ngati muli ndi zizindikiro zitatu za BV , muyenera kuwona dokotala, makamaka ngati ali ovuta, olimbikira, kapena obwerezabwereza.
Ngakhale kuyesedwa kwapakhomo kungakupatseni chinsinsi ndikusamala, mumatha kukhala okwera mtengo pafupifupi $ 100 pa kitayi.
Mapulogalamu ndi Mayesero
Kupezeka kwa bacterial vaginosis kumakhala ndi magawo anayi:
- Mbiri yanu yachipatala idzayankhidwa kuti muwone ngati mwakhala mukudwala matenda opatsirana, kuphatikizapo opatsirana pogonana.
- Kuyezetsa magazi kumachitika pofuna kuyang'ana zizindikiro za matenda.
- Kuyezetsa pH, kumagwiritsidwa ntchito ndi chipepala choyesera mapepala, chikhoza kugwiritsidwa ntchito poyeza kuyera kwa m'mimba. PH yapakati pa 4.5 ndizowoneka bwino za matenda a bakiteriya.
- Mitsempha yamagetsi idzafufuzidwa pansi pa microscope kuti ayang'anire "maselo ozindikiritsa" kapena kutsimikizira kukhalapo kwa mabakiteriya ena pogwiritsa ntchito mabala a magalamu .
Maselo Othandiza ndi Gram Staining
Maselo othandizira amafotokoza maselo a m'mimba omwe, akawona pansi pa microscope, ali ndi kachilombo ka bakiteriya. Pachifukwa ichi, adokotala akhoza kuyang'anitsitsa pa maselo a epithelial (mtundu umenewo ndi ziwalo zosazindikira). Ngati pali kachilombo ka bakiteriya, m'mphepete mwa maselowa akhoza kukhala ndi mabakiteriya. Kuwoneka kwawo koopsa kumapangitsa kuti "zizindikiro" zikhale zofunikira kuti zithetse.
Kuwonjezera apo, kuyesera kwa galasi ndi njira yodziwika kuti imasiyanitsa pakati pa magulu a mabakiteriya.
Ndi BV, mabakiteriya ena "abwino" amayenera kukhala otsika (makamaka lactobacilli), pamene mabakiteriya ena "oipa" angakhale ochulukirapo (kawirikawiri amagulu a Gardnerella kapena Mobiluncus ). Posiyanitsa mabakiteriyawa ndi dyes ndikuyesa kuchuluka kwa chiwerengero cha microscope, madokotala amatha kudziwa ngati ali ndi kachilombo ka HIV.
Zotsatira zachipatala
Dokotala akhoza kupanga chitsimikizo chotsimikizirika cha bacterial vaginosis ndi chimodzi mwa magawo awiri ofunika: njira ya Amsel kapena galasi yolemba.
Cholinga cha Amsel chimawerengera zotsatira zomwe zimapezeka pamodzi ndi zotsatira za mayesero.
Pansi pa izi, BV ikhoza kutsimikiziridwa pamene zinthu zinayi zikutsatiridwa:
- Pali kukhuta koyera kapena kofiira kumaliseche.
- Maselo othandizira amawoneka pansi pa microscope.
- Ukazi wa pH ndi waukulu kuposa 4.5.
- Pali kumasulidwa kwa fungo la nsomba pamene njira yowonjezera imaphatikizidwa ku zobisika za m'mimba.
Kuwonongeka kwa gram ndi njira ina yomwe mtundu ndi kuchuluka kwa mabakiteriya amagwiritsidwa ntchito kutsimikizira kuti matendawa ndi otani. Matendawa amachokera ku sukulu zotsatirazi:
- Gawo 1: kawirikawiri timakhala tizilombo toyambitsa matenda
- Kalasi 2: lactobacilli yokhazikika ndi Gardnerella ndi / kapena Mobiluncus mabakiteriya
- Kalasi 3: ochepa lactobacilli ndipo makamaka Gardnerella ndi / kapena Mobiluncus
Kalasi 3 ingaganizidwe kuti ndi yeniyeni yeniyeni ya bacterial vaginosis.
Kusanthula Kusiyanasiyana
Chifukwa zizindikiro za bakiteriya vaginosis ndizofanana ndi matenda ena, madokotala akhoza kufufuza zifukwa zina ngati zotsatira za mayeso ndi borderline kapena zizindikiro za matenda sizimveka.
Mavuto osiyanasiyana a BV angaphatikizepo:
- Aerobic vaginitis (chikhalidwe chofanana ndi BV koma choyambitsa mabakiteriya omwe si amayi, kuphatikizapo Staphylococcus aureus ndi Escherichia coli )
- Candidiasis (matenda a yisiti omwe amayamba ndi bokosi la Candida )
- Cervicitis (kutupa kwa chiberekero chomwe chimayambitsa matenda opatsirana komanso osachiza)
- Vuto la Herpes simplex (HSV) la mazira
- Trichomoniasis (matenda opatsirana pogonana omwe amachititsidwa ndi Trichomonas vaginalis )
- Matenda ena opatsirana pogonana monga chlamydia kapena gonorrhea
> Zotsatira:
> Zomwe Zingathetsere Kudwala ndi Kuteteza Matenda (CDC). "Zizindikiro za Bacterial Vaginosis (BV): Mabakiteriya vaginosis ndi kachilombo kawirikawiri kwa amayi a zaka zapakati pa 15-44." Atlanta, Georgia; zasinthidwa pa December 17, 2015.
> Hainer, B. ndi Gibson, M. "Vaginitis: Kuzindikira ndi Chithandizo." Am Phys Physician. 2011; 83 (7): 807-815.
> Huppert, J .. Hesse, E .; Bernard, M. et al. "Kulondola komanso kudalira kudziyesera kwa bacterial vaginosis." J Adolesc Health . 2012; 51 (4): 400-5. DOI: 10.1016 / j.jadohealth.2012.01.017.
> Mohammedzadeh, F .; Dolatian, M ;; ndi Jorjani, M. "Kuzindikira Kufunika kwa Amsel's Clinic Criteria kwa Kuzindikira kwa Bakiteriya Vaginosis." Glob J Health Sci. 2015; 7 (3): 8-14. DOI: 10.5539 / gjhs.v7n3p8.