Ngati nthendayi imapezeka mu ndondomeko yambiri yomwe imapezeka pamtunda, chithandizochi chiyenera kuyamba nthawi yomweyo. Matenda omwe amabwera chifukwa cha kubereka kwazilombozi zingayambitse matenda aakulu komanso khansa.
Cocci mu zifukwa - zifukwa:
- Kugwiritsira ntchito mankhwala osokoneza bongo nthawi yaitali popanda kusankha dokotala komanso kumwa mankhwala oteteza microflora.
- Kuyeretsa kokwanira kapena kolakwika.
- Kugonana kosatetezeka.
- Moyo wosasinthasintha wa kugonana.
- Kusinthasintha kaŵirikaŵiri.
- Kuvala zovala zosasangalatsa kapena zopangidwa zopangidwa ndi zipangizo zopangira.
- Kuyamba kumene kwa kugonana.
- Kugwiritsira ntchito zinthu zopanda mankhwala opatsirana pogonana kapena manja otukwana pogwiritsa ntchito maliseche.
- Kugonana ndi abambo ndi abambo ndi wokondedwa.
Cocci mu smear - zizindikiro:
- kuwonjezeka kwa chiwerengero cha mankhwala achinsinsi;
- kuonjezera mamasukidwe akayendedwe ndi kutayika kwa madzi;
- kusintha mtundu wa ntchentche kuchokera kuonekera poyera kapena kobiri;
- kukhalapo kwa fungo loipa kwambiri;
- kuyabwa kapena kuyaka, kumakhala kosalekeza nthawi zonse.
Kodi kubereka kwa cocci kumachitika bwanji?
Mu njira yachilendo ya microflora pali:
- chochepa cha peptostreptococci;
- acidophilic lactobacilli;
- bifidumbacterium.
Pamene malirewo akuphwanyidwa, timadzi timene timakhala timene timakhala timchere. Katemera wothandizidwa ndi gram ndiwonjezeredwa ku lacto- ndi bifidumbacteria ndipo zinthu zamtundu wa peptostreptococci mumaselo zimapezeka mu smear. Pang'onopang'ono acidophilic lactobacillus imatha, sing'anga mu mucous membrane salowerera kapena pang'ono acidic. Izi zimabweretsa kuwonjezeka kwa mabakiteriya ndi kutupa njira zosiyana.
Cocci mu smear - chizoloŵezi ndi kupotoka
Kawirikawiri, kafukufukuyo ayenera kusonyeza zazikulu za lactobacilli ndi Dodderlein - 95%. Kokki ndi leukocyte mu smear sayenera kukhala oposa 5% kapena zimachitika mwaokha m'munda wa masomphenya. Maselo a epithelial amapezedwanso pang'onopang'ono. Zomwe zimachitika ndi sing'onoting'ono ndi zowonongeka, mtengo wa pH sumapitirira 4.5.
Kawirikawiri nkhukuyi imapereka umboni wokhudzana ndi kutukusira komanso kupezeka kwa tizilombo toyambitsa matenda. Pa nthawi yomweyo, kuchuluka kwa ma leukocyte ndi maselo ambiri a epithelial amapezeka. Zomwe zimachitikira sing'anga zingakhale za mitundu itatu:
- Salowerera, phindu la ph lifika ku 5.0.
- Low pH, mpaka 7.0.
- Alkaline, chiwerengero chap chifika pa 7.5.
Kokki mu smear kuchokera mphuno ndi pharynx
Nkhumba zamatenda za nasopharynx zimakhala zikuwonekera nthawi zonse ku matenda opatsirana. Ndi matenda aakulu opweteka kwambiri omwe amatha kutentha m'mwamba, smear imagwiritsidwa ntchito ku zomera kummero kapena mphuno. Kuzindikira kwa matenda a coccal kumasonyeza kufunika kokhala mankhwala oletsa antibacterial (antibiotic) ndi kuyambitsa mankhwala opatsirana pogonana (quartz, inhalation, rinsing).
Kutanthauzira kwathunthu kwa kufufuza kofiira pa flora ndi cocci kungapangidwe ndi dokotala yemwe akupezekapo. Ngakhale zizindikiro zowonjezereka zimavomerezedwa, ziwalo zonse zimakhala zapamwamba komanso zoposa ziwerengero zina za nkhuku sizikutanthauza kuti matenda kapena matenda opatsirana. Poyambitsa matendawa, chiwerengero cha zigawo zina za microflora, chiŵerengero chawo, ndi chiyero choyenera cha acid-basing balance amalingalira.