Vaginosis mu mimba: zimayambitsa ndi zizindikiro

Kawirikawiri, mayi amene amanyamula mwana, amakhala ndi matenda aakulu, ndipo chifukwa chakuti thupi lake limamangidwanso, ayenera kugwira ntchito ziwiri, kotero chitetezo cha mthupi chifooka. Kawirikawiri, amayi ali ndi matenda oterewa, omwe popanda chithandizo choyenera angapangitse kutaya padera. Chimodzi mwa matendawa ndi bacterial vaginosis. Pakati pa mimba, nthawi zambiri amakumana ndikusowa chithandizo mwamsanga poyang'aniridwa ndi dokotala. Koma ndi matenda otani awa, momwe angachigwiritsire ntchito bwino, ndi njira ziti zothandizira?

Kodi vaginosis ndi chiyani?

Vaginosis mu mimba ndi matenda ophatikizidwa mu umaliseche ndi kuchepa mofulumira kwa chiwerengero cha mabakiteriya a lactic acid ndi kuwonjezeka kwakukulu kwa microflora yowonongeka. Nthawi zambiri, njira yotupa imapezeka. Ichi ndi chimodzi mwa matenda omwe amapezeka kwambiri mwa amayi a msinkhu wobereka. Mwachidziwitso, amatha kupezeka ndi odwala 30 peresenti, omwe amadandaula za kutuluka kwaukhondo - m'mabuku 90%, ndi amayi apakati - mwa 35%.

Mabakiteriya vaginosis pa nthawi ya mimba, kapena, monga momwe amatchulidwira, dysbiosis, amachititsa kuti lactobacilli iwonongeke kwathunthu, yomwe imayang'anira ntchito zotetezera za thupi, kotero mkaziyo amakhala osatetezeka. Pakati pa mimba, mawonekedwe osamalidwa angapangitse kuti mwana asatayike, choncho ndikofunika kuti azindikire matendawa nthawi ndi kuyamba mankhwala.

Chizoloŵezi cha mabakiteriya mu chikazi

Mu chiberekero cha mkazi aliyense pali mabakiteriya apadera omwe amateteza dongosolo la kubereka kuchokera kutukuta ndi matenda ena. Nambala yabwino kwambiri ikhale motere:

• Lactobacillus - 95%;
• 2.5-5% ali ndi mavitamini ovomerezeka.

Chiwerengero cha tizilombo toyambitsa matenda ndi chachikulu kwambiri moti n'zosatheka kunena kuti ndi angati omwe alipo, mtsikana aliyense ali ndi ake ake, koma pali mitundu ina yomwe ilipo mwa aliyense ndipo idzawoneka ngati dysbacteriosis ikuyamba. Kunyumba kuchokera ku mabakiteriya ndi Gardnerella vaginalis, nthawi zonse zimasonyeza ngati vaginosis imayamba pa nthawi ya mimba. Iwo amawoneka ngati mtundu wa zizindikiro ndipo pafupifupi mayesero onse a ma laboratory amachokera pa izo.

Chizindikiro cha vaginosis

Musanayambe kumvetsetsa nkhani yofunikira kwa amayi ambiri, kusiyana ndi kuchiza vaginosis panthawi ya mimba, muyenera kudziwa momwe matendawa alili:

• 1 digiti. Zimatsimikiziridwa ngati palibe microflora mu smear, koma pali maselo oopsa omwe alibe kusintha ndipo kuthekera kwa matendawa ndi mabakiteriya ena amasungidwa.
• 2 digiti. Pachifukwa ichi, mlingo wa ndodo za Doderlein wafupika, ndipo gri-negative ndi zomera zabwino zimakula, kuwonjezeka kochepa mu maselo oyera a magazi kumapezeka m'magazi.
• 3 digiri. Pankhaniyi, lactobacilli sali kwathunthu, chithunzi cha matendawa ndi chowonekera.

Zifukwa za Vaginosis pa Amayi Oyembekezera

Pamene lactobacilli ndi yachilendo, palibe chomwe chimaopseza mkazi kapena mwana wake. Amayang'anitsitsa kuchuluka kwa microflora ndikupanga lactic acid, yomwe imakhala ndi mulingo woyenera kwambiri wa acid, yomwe imayambitsa matenda ambiri a tizilombo. Koma chifukwa cha zinthu zina, chiwerengero cha mabakiteriya opindulitsa akhoza kuchepa, pakali pano pali kuphwanya kwa microecological system. Mafuta otsika a lactobacilli amatsogolera kukula kwa mabakiteriya owopsa: gardnerellas, bacteroides, mobilinkusov, peptococci, mycoplasmas, streptococci.

Kuti mudziwe zomwe zimakhudza kwambiri microflora ndipo zimayambitsa vaginosis panthawi yovuta ndi zovuta, koma zinthu zamkati ndi zakunja zingakhudze kuchepa kwa chiwerengero cha lactobacilli:

• Kutenga antibiotics;
• Chithandizo ndi maantimicrobial, hormonal ndi antitifungal agents;
• Kusokonekera kumayendedwe ka mahomoni pambuyo pochotsa mimba, ntchito kapena kutha msinkhu;
• Vaginal douche;
• Kugwiritsira ntchito mankhwala ophera tizilombo pa nthawi yoyera ndi triclosan;
• Kugwiritsa ntchito njira zothandizira kulera;

• Kugwiritsiridwa ntchito kwa mankhwala a umuna, omwe ali mbali ya makandulo kwa mabaya ndi mapiritsi;
• Matenda a chiwopsezo kapena chikhalidwe cha endocrine;
• Kusintha kwa nyengo, zovuta;
• Kusayenerera m'matumbo;
• Kuvala zovala zopangidwa;
• Mimba, makamaka ndi mavuto;
• Kusanyalanyaza malamulo a ukhondo.

Kodi kuchuluka kwa mabakiteriya kumasintha bwanji pa nthawi ya mimba?

Lactobacillus imathandiza kuthetsa glycogen, yomwe imapangidwa kuchokera ku maselo a flat epithelium a vagin, chomwe chili chofunikira kuti amange chingwe chopanda chitetezo chosaoneka. Koma maselowa samakhala nthawi yayitali, ndipo chifukwa chakuti thupi lonse la mahomoni limasintha nthawi zonse osati nthawi zonse.

Pa nthawi yomwe mayi ali ndi mwana, motengera mahomoni a thupi la chikasu, chiwerengero cha maselo a epithelium apamwamba chimakula kwambiri. Zotsatira zake n'zakuti glycogen ndizokwanira kwambiri, choncho mlingo wa lactobacilli umachuluka, ndipo mlingo wa ma microflora woterewu umachepa ndipo, motero, pH imakhala yochepa. Thupi limayesera kuyeretsa ngalande yokhayokha panthawi yomwe ntchitoyo imayamba ndipo mwanayo amadziwa tizilombo toyambitsa matenda zomwe zimakhala m'mimba mwake.

Poyang'ana koyamba zikuwoneka kuti zonse ziyenera kukhala zangwiro, koma nthawi zambiri zowonongeka zimapangitsa kuti mitundu ina ya matenda otha msinkhu ikule, kuphatikizapo candida fungi, mycoplasma, ureplasm, ndikumaliza kukula kwa vaginosis pa nthawi ya mimba.

Kodi chimachitika ndi chiani?

Pamene njira imodzi imakhudzidwa, kuchuluka kwa zakudya zimakhala pansi. Mlingo wa lactic acid umachepa mofulumira, pH imakula ndipo tizilombo toyambitsa matenda timayamba kuchuluka, choyamba chikukhudza Gardnerella, zomwe zimapangitsa kuti mabakiteriya apindule kwambiri. Izi zimakhala "chozungulira", chifukwa cha lactobacilli amaphedwa ambiri.

Kukula kofulumira kwa tizilombo toyambitsa matenda kumabweretsa mfundo yakuti mkazi ali ndi zizindikiro zosasangalatsa, zomwe zimasonyeza kuti vaginosis imaonekera panthawi yoyembekezera.

Chizindikiro cha amayi oyembekezera

Sikuti nthawi zonse m'mayambiriro a matendawa amasonyeza chizindikiro champhamvu, koma ngati matendawa akupitirira, ndiye kuti pali zizindikiro zotere:

• Kuchuluka kwa mthunzi wa mthunzi wochepa, ndipo ngati matendawa sakhala ochiritsidwa kwa zaka, ndiye kuti secretions ikhoza kukhala yobiriwira, yofiira ndi yosavuta;
• Pali khalidwe lopweteka, makamaka limamveka panthawi yogonana;
• Pali ululu panthawi ya kugonana, kuyaka;
• Kusokonezeka pansi pa mimba sikulola kukhala mwamtendere, pamene kuyesa kukuwunikira kuthamanga kwa chiberekero;
• Kutentha kosasangalatsa pamene mukukodza, koma chizindikiro ichi sichimadziwika kwambiri.

Pambuyo poyambira zizindikiro zoyamba, muyenera nthawi yomweyo kufufuza malangizo kwa azimayi omwe angayambe kufufuza ndikudziwa bwinobwino.

Njira zozindikiritsira zogonana

Kawirikawiri, dokotala yekha ndi amene amatha kupeza matenda. Mwadzidzidzi, palibe mkazi yemwe angakhoze kudziwa mtundu wa matenda omwe ukuyenda mthupi lake, chifukwa pali mitundu yambiri ya mabakiteriya omwe amawapangitsa. Kawirikawiri zimangomva zovuta m'mimba ndi m'mimba, choncho muyenera kupeza malangizo kwa dokotala. Iyenso amafufuza mkazi, amatha kuyesa kuti ayambe kufufuza ndikupanga sampuli ya magazi kuti apange maphunziro ena ndikudziwitsanso kuti ndi matenda otani omwe amachititsa kuti matendawa apitirire.

Pambuyo pochita maphunziro onse ofunikira, mukhoza kutsimikizira molondola kapena kukana matendawa, ndipo atangoyamba kumene chithandizo cha vaginosis pa nthawi ya mimba.

Kodi ndi zoopsa ziti mwana akakhala ndi pakati?

Matenda alionse akhoza kuvulaza kwambiri thanzi la mkazi, koma mwana wake wam'tsogolo. Pakati pa vaginosis, kutupa kwa amniotic madzi kungatheke, chifukwa cha kupweteka kapena kupasuka kungawonekere. Ngati izi zichitika, mayi akhoza kuyamba kubadwa msanga kapena kuchotsa mimba. Ngati nthendayi ikuwonekera, matendawa akhoza kulowa mu amniotic madzi, ndipo pamapeto pake mwanayo atenga kachilomboka.

Matenda oterewa angapangitse zotsatira zoopsa: kukula kwa mwana kumaima kapena sepsis.

Ichi ndi chifukwa chake n'kofunika kuzindikira bacterial vaginosis nthawi yomwe ali ndi mimba. Chithandizo chiyenera kuyambitsidwa mwamsanga chitatsimikizidwe cha matendawa ndipo zonse zoyenera ziyenera kuchitidwa mwamphamvu.

Kuchiza kwa vaginosis pa nthawi ya mimba

Ngati wodwalayo atsimikiziridwa, amamulangiza kuti amwe mankhwala ophera tizilombo omwe ali otetezeka kwa mayiyo.

Ndikofunika kutsatira malangizo onse a dokotala, kuyambira kuyambira woyamba mpaka tsiku lomaliza, mpaka zizindikiro zonse zitatha. Koma ndi bwino kukumbukira kuti kutha kwa zizindikiro kungasonyeze kuti matendawa atha, koma ngati mankhwala atayimitsidwa, amatha kudziwonetsera okha. Ndipo kubwereza nthawi zambiri kumakhala kovuta kwambiri, ndipo mankhwala pa iwo ndi ovuta.

Koma ngakhale wodwalayo atsatira ndondomeko yonse - kutenga mankhwala opha tizilombo, yikani makandulo motsutsana ndi bacterial vaginosis pa nthawi ya mimba, nkotheka kuti matendawa adzawonekera kachiwiri.

Pafupifupi theka la amayi omwe adachiritsidwa amachiritsidwa mobwerezabwereza miyezi itatu yoyamba atatha kumwa mankhwala opha tizilombo. Kubwereranso chifukwa chakuti kumwa mankhwalawa kunaphedwa zambiri osati mabakiteriya okha, komanso zothandiza. Ndipo mpaka pano, palibe njira yomwe yapezeka yomwe ingapangitse mabakiteriya othandiza kuberekana mofulumira, choncho tizilombo toyambitsa matenda timapitiriza kuchulukana.

Ngati kubwezeretsa kumachitika, mkaziyo akulamulidwa kuti abwerere, pamene mankhwalawa amasankhidwa payekha, chifukwa muyenera kuchita zonse zotheka kuteteza mwanayo. Poyankha funso lofunika kwambiri momwe angachiritse bakiteriya vaginosis pa nthawi yomwe ali ndi pakati amatha kudziwa mayi yemwe amadziwa bwino za matenda onse a mkaziyo ndipo amatenga zitsanzo zonse kuti asasokoneze thanzi la mwanayo komanso mwana wake wam'tsogolo.

Kodi mungabwezeretse bwanji microflora?

Mutatha kumwa mankhwala opha tizilombo toyambitsa matenda, microflora imasokonezeka, choncho ndi kofunika kuti muyambe kutenga biologics ndikuigwiritsa ntchito moyenera. Kawirikawiri madokotala amasiya mankhwala awa:

• "Apilak";
• "Wopanda";
• Bifidumbacterin;
• "Lactobacterin" ndi ena.

Kuti muchite izi, tengani mlingo wa mankhwala awiri ndi kuchepetsa 5 ml wa madzi oyeretsedwa, pangani swab ndikuwuwonetseratu. Njirayi ikuchitika kawiri pa tsiku. Maphunzirowa amatha masiku khumi.

Koma musanayambe kumwa mankhwalawa, ndi bwino kupempha malangizo kwa dokotala.

Matenda a vaginosis

Pakalipano, ndipo sizikuwonekera mpaka mapeto, chomwe chimayambitsa dysbiosis mu ziwalo zoberekera za mkazi, kotero n'zosatheka kunena chomwe chingachititse zotsatira zabwino. Koma pali njira zingapo zomwe zingathandizire kuchepetsa chiopsezo kuti mkazi adzakhala ndi bacterial vaginosis pathupi:

• Ndikofunika kwambiri kutsatira malamulo a chiopsezo chotetezeka, makamaka ngati simukudziwa za mnzanuyo. Ngakhale sizikuwonekeratu kuti umoyo wa chiwerewere umakhala wotani pakubereka kwa vaginosis, koma ziwerengero zimati matenda ambiri amapezeka kwa odwala omwe ali ndi zibwenzi zambiri pa nthawi yomweyo.
• Ndikofunika kusiya fodya. Pali lingaliro lakuti kusuta kumabweretsa kuwona kuti chiopsezo chokhala ndi matenda ngati vaginosis kumayambiriro kwa mimba kumawonjezeka.

• Musayambe kutsuka ndi kusamba ndi kusamba kwa madzi. Komanso, dokotala samalangiza kugwiritsa ntchito mankhwala opopera kuti azitsuka kwambiri komanso sopo kuti azitsuka ziwalo. Ndalama zonsezi zimatha kusokoneza ndalama zomwe zimapangitsa kuti pakhale chitukuko cha microflora.

Matenda alionse panthawi yomwe ali ndi mimba amafunika kuyang'anitsitsa njira yabwino komanso chithandizo chowopsa kuti asamapweteke mwanayo.