Abin da swabs aka dauka a lokacin daukar ciki? Sau nawa? Bad shanyewar jiki a lokacin daukar ciki

Kowace mace da suka daukan kula da kiwon lafiya, a kan wani m-akai kamata a kai a kai ziyarci likitan mata da kuma wuce da zama dole gwaje-gwaje. A lokacin haihuwa yanayin farji microflora ne na musamman muhimmancin. Shafa a ciki damar yin gaskiya hoto na kiwon lafiya na mata da kuma kawar da cin gaban tsanani cututtuka. Yana da daraja a kusa look at irin wannan bincike da kuma zai yiwu sakamakon bincike.

Muhimmancin bincike

farji microflora sun fi mayar kunshi lactobacilli, wanda nuna lactic acid dole don kare jiki da ingress na pathogens. Rage yawan lactic acid kwayoyin kai ga wani yaduwa na "bad" kwayoyin da kuma ci gaban da cutar.

Pregnancy - wani lokaci a lokacin da shi wajibi ne musamman domin kula da kiwon lafiya, kamar yadda wannan zai dogara ne a kan al'ada ci gaba da jariri a utero. Ya kamata a fahimci cewa duk wani kumburi tsari iya adversely shafi fetal da mafaka. Swabs daga cikin farji, a lokacin daukar ciki ya dauki mace, ko da a cikin rashi na bayyanar cututtuka. Kamuwa iya ba bayyana kanta ga wani dogon lokaci, amma expectant uwa za ta goyon baya. Idan a gaba jarrabawa likita sami munanan a sakamakon bincike, da wata mace zai iya samun dace magani da kuma rigakafin kamuwa da cutar na baby a lokacin aiki.

Smears a lokacin daukar ciki: sau nawa ka bukatar ka yi?

A farko m gwaji da bakin farji microflora expectant uwa wuce a lokacin da farko antenatal kulawa ga rajista. A sakamakon zai nuna jihar da farji surface, gaban mai kyau da kuma pathogenic microflora (ciyarwarsu) da kuma tsarki. Bayan ganewa na pathogenic kwayoyin cuta za a sanya m magani, bi da a kara izinin shafa don tabbatarwa.

Bisa ga jadawalin na nazarin nuna mace mai ciki, a karshe trimester kuma ya kamata a yi fama da bakin farji microflora. Shanyewar jiki ta 30 makonni na gestation ya kamata a yi a kan wani m-akai domin tabbatar da kiwon lafiya na expectant uwa da jariri. Sabawa daga na kullum a karshe, saukarwa ne sau da yawa isasshen cewa babban mai hadarin da tayin da kuma shi ne fraught da a ke so sakamakon.

Ba tare da jiran na gaba shugabanci na binciken, mata kamata samun gwada unplanned ganewa na bayyanar cututtuka irin su itching, kona, bayyanar nauyi sallama daga al'aura fili. Wadannan cututtuka su ne sau da yawa tare da hatsari cututtuka da cewa suna sosai a ke so a cikin gestation zamani.

"Good Flora" - me ake nufi?

A microflora ne mai tarin daban-daban kwayoyin da zauna kullum farji. A manufa jihar kiwon lafiya akwai yawanci lactobacilli - Doderlein coli samar da wani amfani lactic acid. Idan isa su daga pathogens da wani damar tsira a cikin acidic yanayi daga cikin farji.

A lokacin daukar ciki gwaje-gwaje da dama da sigogi aka canza. Yawan sel da farji epithelium muhimmanci ƙãra, wanda na taimaka wa jari na glycogen ake bukata, don samar da lactic acid Doderlein yan sanduna na cin abinci. Kasancewa ta dace acid-balance tushe (PH 3,3-4,5) cikin ciki, saboda da kyau microflora taimaka wajen toshe ci gaban pathogenic kwayoyin cuta da kuma hana kamuwa da cuta daga tayi (ko tayin).

A hadarin wani take hakkin microflora?

Popular sau da yawa, mata suna fuskantar wani halin da ake ciki inda, da ciwon shige smears a lokacin daukar ciki, za su san cewa suna da - a take hakkin da farji microflora. Rage yawan lactic acid kwayoyin cuta ne sosai a ke so a wannan muhimmin lokaci, kuma haka wajibi ne a tabbatar da dalilin da pathogenic yanayin. Opportunistic kwayoyin, ba shakka, ba a cikin farji kowane lafiya mace, amma da lambar ya zama kananan. Idan yawan bad kwayoyin qara, to, shi zai fara zuwa ci gaba dysbiosis, sau da yawa haddasa bakin farji candidiasis (thrush).

Ga wani cikakken ganewar asali shi wajibi ne don mika smears. A lokacin daukar ciki, a farkon matakai, wannan cuta na iya ci gaba a kan bango na rage rigakafi. Duk wani sabawa daga al'ada dabi'u ne m, musamman ga yaro da kuma kara ci gaba da na ciki.

Yaushe ya kamata in duba microflora?

A farkon matakai na ciki da mace shi ne muhimmanci wajen saka idanu da sakonni na jiki. Kanemi shawara idan ya cancanta:

• Yana bayyana itching a gyambo.
• Farji sallama nauyi karfe da kuma samun cheesy daidaito.
• Bayan urination kona abin mamaki.
• Juya da pungent wari.
• Lokaci-lokaci akwai nagging sha raɗaɗin a ciki.

Wadannan cututtuka nuna ci gaban da kumburi tsari da kuma bukatar gaggawa magani. Shafa a kan Flora taimaka wajen gano pathogen type, amma a wasu lokuta da kamuwa da cuta iya zama boye. A wannan yanayin, kana bukatar ka wuce ƙarin gwaje-gwaje.

iri shanyewar jiki

Lokacin da rijista a cikin antenatal asibitin uwaye suna mamaki da abin da swabs aka dauka a lokacin daukar ciki da kuma ko yana da gaske zama dole. Ya kamata nan da nan a lura da cewa jarrabawa na jihar kiwon lafiya na mata a farkon ciki ne na musamman muhimmancin ga likita. Kawai bincikowa da nuna gaskiya hoto da kuma kawar da barazana da karewa daga ciki.

A gynecological yi, akwai da dama iri shanyewar jiki, da nuna Jihar mata kiwon lafiya. Rarraba su kamar haka:

• Shafa a kan Flora - ya bayyana wani rashin daidaituwa daga mai kyau da kuma mummuna farji microflora. Analysis nuna da yawan ja da maikacin jini, da farin jini Kwayoyin da matattu epithelial Kwayoyin. Bisa ga sakamakon kimanta mataki na tsarki na shafa.
• The shafa cytology - da canje-canje zama dole ga ganewar asali na mahaifa Kwayoyin.
• Shafa a kan sterility - An nada domin sanin abun da ke ciki na bakin farji microflora, yana taimaka ganin karkata a cikin hormonal bango.
• Shafa a kan latent cututtuka - PCR ganewar asali yana da muhimmanci sosai a lokacin daukar ciki. A Hanyar damar gane cututtuka da cewa ba ya ayyana a shafa a kan Flora.

Urogenital cututtuka matsayi mai tsanani hadari ga rayuwa da kuma al'ada ci gaba da tayin. Saboda haka, tun samu daga wajen halartar likita don gane asali boye cututtuka, expectant uwa ya kamata ba jinkirta da nassi daga cikin binciken.

al'aura cututtuka

Smears a lokacin daukar ciki zuwa cututtuka - cututtuka, jima'i cututtuka - tafii a kan wani m-akai. Cututtuka irin ureplazmoz, herpes, chlamydia, toxoplasmosis, cytomegalovirus ba ko da yaushe suna da wani sakamako ba, amma shi ba ya nufin cewa su ba m.

Latent kamuwa da cuta za a iya gano ta hanyar bincike PCR, kuma seeding Hanyar gram batawa na shafa. Wani rare hanya ne wani enzyme immunoassay magani.

deciphering analysis

A sakamakon bincike a kan farji microflora za a iya samu cikin wadannan Manuniya:

• Farin jini Kwayoyin - karuwa a cikin kudi ya nuna ci gaban da kumburi. A cikin farji, a can ya zama 10-15 a filin ra'ayi a cikin mafitsara - ba fiye da 5, da kuma mahaifa - 5.
• Epithelium - kullum, wannan darajar kada ta kasance fiye da 10 a wurin.
• Gram-tabbatacce kwayoyin - babban kashi (game da 90%) kunshi lactobacilli.
• Gram-korau kwayoyin - pathogenic microflora kullum gaba daya fakowa ba.
• Slime - shanyewar jiki a lokacin daukar ciki da damar babu ko matsakaiciya adadin gamsai a cikin farji da kuma cervix.
• Fungi na HALITTAR Candida - yarda a kananan adadin cikin farji, amma a cikin mafitsara da kuma cervix ne kullum gaba daya fakowa ba.
• Cocci - kullum a yanzu streptococci, staphylococci da enterococci a cikin wani karamin adadin. A gaban Neisseria gonorrhoeae nuna kabba da ciwon sanyi ci gaba.
• Trichomonas - a mai kyau shafa su ne mãsu fakowa ba.

Farin jini Kwayoyin a shafa

Leukocytes - farin jini Kwayoyin cewa wani bangare ne na rigakafi da tsarin. A lokacin da ciki yana da muhimmanci musamman wajen saka idanu da yawan su a shafa a kan Flora, domin ko da karamin canji iya nuna ci gaban da kumburi tsari. Babban manufar leukocytes - don kare jiki da kuma yaqi kashe pathogenic kwayoyin. Saboda haka, damu game da gano wani karamin adadin m Kwayoyin ba a kan gwajin sakamakon. Domin mata a matsayi na da kudi na leukocyte shafa ne a cikin kewayon 15-20 a wurin.

A ƙara yawan leukocytes shafa

Smears a lokacin daukar ciki ne wani muhimmin bincike Hanyar cewa tana gano wata 'yar alamar karkata daga al'ada dabi'u. A kadan karuwa a yawan farin jini Kwayoyin a lokacin haihuwa ne quite m. Idan darajar ne fiye da 20 raka'a a filin ra'ayi, a can ya zama wani ƙarin bincike da kuma gano dalilin da pathogenic yanayin. A ƙara yawan farin jini Kwayoyin nuna gaban kumburi a jikinsa na gaba mahaifiyarsa.

Bad shanyewar jiki a lokacin daukar ciki na iya barnatar da shafi fetal ci gaba. Saboda haka yana da muhimmanci ga sauri gane sabawa a cikin gwajin sakamakon da karɓar dace magani. M haddasawa karuwa da leukocytes a shafa ciki protrudes candidiasis (thrush), vaginosis, kumburi daga cikin farji mucosa surface cututtuka (mycoplasmosis, kabba da ciwon sanyi, ureplazmoz).

"Tsarki ya tabbata a"

A binciken da kimanta a cikin wani dakin gwaje-gwaje Manuniya kamar da wari da kuma danko kamu abu. Dangane da Manuniya na pathogenic kwayoyin, wanda zai iya ƙunsar shanyewar jiki a lokacin daukar ciki, kwararru sun kiyasta tsarki. Duk wadannan hudu digiri:

• Da farko mataki yayi magana game da manufa shafa a kan Flora. Yawan lactic acid kwayoyin cuta ya kai 95%, wanda ya nuna da ta dace acid-balance tushe da kuma mai kyau da kariya a kan cutar ci gaba.
• Na biyu digiri da aka sanya a cikin al'amarin, idan karamin adadin matukar pathogenic microflora aka lura a cikin shafa, amma wadannan dabi'u ne a cikin al'ada iyaka. Number of lactobacilli, kamar yadda a farko mataki, dole ne fi a kan sãshe kuma zama a matakin 90%.
• Uku mataki ya nuna ci gaban da dysbiosis (kwayan vaginosis). Doderlein sanduna a cikin irin wannan shafa na kasa da zama dole ga al'ada jihar Flora. An kara yawan gram-korau kwayoyin.
• A karo na hudu mataki ne halayyar vaginitis. Wannan shafa predominates alkaline matsakaici, akwai wani ƙara adadin fari da maikacin jini, epithelium. Bad shanyewar jiki a lokacin daukar ciki ne dalilin wucewa da sake gudanar da bincike.

Yadda za a shirya domin bincike?

Ga cikakken sakamakon, nazarin da bakin farji Flora dole ne a yadda ya kamata shirya kafin isar da bincike. Da farko wajibi ne a ki jima'i kwanaki 2-3 kafin tarin abu. Har ila yau, ya kamata ware da yin amfani da farji suppositories, creams da man shafawa. Sakamakon iya shafar ban ruwa ganye, soda. Saboda haka, kama da magudi da binciken ba su yarda.

Domin hygienic hanyoyin kamata amfani da musamman nufin: m sabulu ko gel. Kila ne musamman tsara su don saduwa da halaye na acid-balance tushe na mata haihuwa tsarin. A amfani na al'ada kwaskwarima sabulu ya tarwatsa yunkurin fahimtar gaskiya jihar na farji microflora da mummunan tasiri a kan jihar na waje genitalia, haddasa konewa da itching.

Yadda za mu bi?

Poor shanyewar jiki a farkon daukar ciki na iya haifar da Fading na wani tayi ko wani ashara. Saboda haka, don haka, yana da muhimmanci su nemi antenatal kulawa ga rajista da kuma wucewa gwaje-gwaje. Jiyya zai dogara ne a kan irin pathogen da ciki. Students far kamata a zabi kawai wani gwani a baya kayyade ji na ƙwarai kwayoyin pathogenic zuwa medicamentous shirye-shirye. A baya matakai na lura shi ne ma wajibi ne, saboda da cutar zai iya lalata Gudun na membranes da kuma harba da ba a haifa ba baby.