Ma microflora wathanzi a abinayi amaimiridwa ndi tizilombo tina tizilombo toyambitsa matenda, omwe ambiri amakhala ndi lactobacilli - mabakiteriya othandiza omwe amakhalabe ovuta pH (3.8-4.5) ndikupanga hydrogen peroxide. "Ntchito" ya lactobacilli imayesetsa kuthetsa zomera zomwe zimakhalapo, zomwe ziripo mu thupi la mkazi wathanzi ali ndi staphylococci, E. coli, streptococci, mabakiteriya anaerobic, gardnerella, ndi mobilunculus.
Kodi chimachitika ndi dysbiosis?
Ndi dysbiosis, chiwerengero cha lactobacilli chothandizira chacheperachepera, ndipo zomera zowonongeka zimayambira, makamaka gardnerella, kotero kuti dysbiosis ya vaginayi ikugwirizana ndi lingaliro la "gardnerellez".
Zina mwazifukwazi ndizo:
- kusinthanitsa (ndi madzi kapena chlorin okhala ndi antiseptics, mwachitsanzo, Gibitane, Miramistin);
- kugwiritsa ntchito njira za kulera, zomwe zili ndi 9-nonoxynol (mwachitsanzo, makandulo "Nonoxinol", "Patentex Oval", kondomu ndi lubermant lubricant);
- kusinthasintha kawirikawiri kwa okondedwa;
- njira yothandizira ndi ma antibayotiki ochuluka;
- njira yamachiritso ndi kukonzekera kumaliseche kwa machitidwe osiyanasiyana, mwachitsanzo: Terzhinanom, Poliginaksom, Betadinom.
Kupewa dysbiosis ya vaginayi ndi kupewa zoopsa: Musanayambe kumwa mankhwala, funsani dokotala, sankhani njira zothandizira kuti musateteze, musagwirizane ndi anthu osagwirizana nawo.
Zisonyezero za umuna wa dysbiosis
Zizindikiro zotsatizana ndi dysbiosis za umaliseche zimapangidwa ndi zofanana ndi zobisika zopanda fungo (kukumbukira kununkhira kwa nsomba yovunda), madzi akuda ndi mtundu woyera.
Kawirikawiri, pambuyo pa kugonana, fungo losasangalatsa la mphulupulu likuwonjezeka, chifukwa umuna umapangitsa kuti mavitamini asasokonezeke chifukwa cha pH.
Zosakanikirana ndi abambo a m'mimba (Gardnerella) sizimasiya zovala zapansi ndi zojambula sizimasiyana kwambiri ndi zomwe zimachitika.
Kodi mungatani kuti muchepetse dysbiosis ya chikazi?
Kawirikawiri, pofuna kuchiza mawere a dysbiosis, kukonzekera kumidzi (kumaliseche, kumapiritsi) ndi machitidwe oyendetsera mkati. Zina mwa izo:
- ma gels ochokera ku metronidazole (Flagil, Metrogil, Klion-D 100);
- kirimu chochokera ku clindamycin (Dalacin);
- Kukonzekera pamlomo pogwiritsa ntchito metronidazole (Clion, Medazol, Metronidazole, Metrogil, Trichopol, Efloran);
- Kukonzekera pakamwa pogwiritsa ntchito clindamycin (Dalacin, Clindamycin, Klimitsin).
Kuti zitheke kwambiri, chithandizo chamankhwala a vaginerese (gardnerellez) chimathandizidwa ndi immunotherapy, mankhwala obwezeretsa, physiotherapy.
Kodi ndi chiwopsezo chanji cha dysbiosis?
Kawirikawiri zizindikiro za ubongo wa dysbiosis sizimasinthidwa patapita sabata. Pachifukwa ichi, nthawi zambiri anthu amakhulupirira kuti matendawa si owopsa. Komabe, lero madokotala akulangizidwa pa chizindikiro choyamba cha kukambirana mwamsanga. Chitani zomwe zikuwonetseratu: dysbiosis ya abambo mwa amai omwe alibe chithandizo chopanda phindu, popanda mankhwala oyenera omwe angayambitse kutupa kwa chiberekero, mavuto pakati pa mimba ndi kubala, kusabereka.
Kulimbana ndi matendawa, ndi mayi wam'mbuyo, koma ndi mimba dysbiosis ya abambo ndi zovuta kwambiri kuchiza. Mankhwalawa amaperekedwa kokha ndi dokotala - mankhwala osokoneza bongo (clindamycin, metronidazole) amatsutsana kwambiri ndi amayi apakati!