Ka tloaelo, likokoana-hloko tse fapa-fapaneng tsa anaerobic le aerobic li lula holim'a lehare la botšehali, le fapaneng ka lilemo tse fapaneng.
Li-microflora tse tloaelehileng tsa botšehali
Lipalesa tse tloaelehileng tsa botšehali tsa banana li atisa ho ba le lactobacilli, ha ho qala ho kopanela liphate ho fetoha 'me ho na le li-microflora tse ling. Li-microflora tsa botšehali ha li sebidobacteria feela le lactobacilli , empa li boetse li na le peptostreptococci, clostridia, propionobacteria, mobilunculuses - tsena tsohle ke maemo a pathogenic microflora e sa bakeng maloetse ho mosali ea phetseng hantle.
Tlhekefetso ea microflora ea botšehali
Ka tloaelo, ka botlalo ba botšehali ba mosali ea phetseng hantle o fumana:
- epithelium e pharaletseng ea marako a botšehali, empa ha ho na lisele tse nang le bokooa;
- lekocytes ho isa lisele tse 15 tšimong ea pono;
- ponahalo ea Staphylococcus aureus ka bongata;
- li-lactobacilli, li arabelloa ke li-acidic;
- ka linako tse ling ho na le mucus ka chelete e nyane;
- nakong ea nako, lisele tse khubelu tsa mali li hlaha.
Le mafu a sa tšoaneng, li-microflora tsa botšehali li ka khathatsoa - li-leucocyte li hlaha ka bongata, gardnerella, li-fungus, leptorrhises, mobbels, Trichomonas kapa gonococcus. Ponahalo ea likokoana-hloko tse kang tsena tse phelang li bontša hore ho na le mafu a ho kopanela liphate kapa maloetse a mang a bakoang ke ho ruruha. Haeba mosali a nka lithibela-mafu ka nako e telele, joale limela tsa baktheria li senyeha 'me ke tsona feela tse setseng.
Kalafo ea tlhekefetso ea microflora ea botšehali
Ho qala ho hlaphoheloa ha microflora ea botšehali, u lokela ho etsa sesepa sa botšehali mme u fumane hore na mosali o na le mofuta ofe oa botšehali ba dysbiosis.
- Haeba lekocyte e fumanoa ka smear ka palo e kholo, haholo-holo 100 kapa ho feta - joale sena se bontša mosebetsi o phahameng oa mokhoa oa ho ruruha.
- Haeba palo ea Staphylococcus aureus e eketseha, joale e ba sesosa sa ho ruruha, 'me ntlafatso ea microflora ea botšehali e qala ka tšebeliso ea lithibela-mafu tse pharaletseng.
- Haeba gardnerella e fumanoa smear, ke pontšo ea baktheria vaginosis, empa lithethefatsi tse tloaelehileng tsa antibacteria ha li sebelisetsoe ho tsosolosa microflora ea botšehali. Sebelisa phekolo ea lehae feela - li-suppositories tsa basali le lipilisi ho ntlafatsa microflora, tse nang le clindamycin, ampicillin, metronidazole, ho ila thobalano nakong ea phekolo.
- Haeba gonorrhea e fumanoa ho smear, phekolo e tloaelehileng ea gonorrhea e nang le lithibela-mafu ea line ea penicillin, gonovaccines e laeloa, 'me tabeng ea ho ruruha ho sa foleng, ho kenngoa lisebelisoa tsa nitrate ea silevera kapa potassium permanganate.
- Li-candidiasis, mahlahana a mabeli a maholo le a sebakeng seo a laeloa hore a tsosolose li-microflora tsa botšehali tse nang le nystatin, pimafucin le fluconazole. Lithethefatsi tsa lehae tse tsosolosang microflora ke li-suppository tsa botona le botšehali, tse nang le lithethefatsi tse tšoanang tseo mosali a li buang ka molomo.
- Haeba ho fumanoa ka smear Trichomonad ha ho fanoe feela ka metsoako ea imidazole (metronidazole, ornidazole) bakeng sa kalafo e tloaelehileng, empa hape le litšebelisano tsa botona le botšehali ka lithethefatsi tsena
ho fihlela matsatsing a 7-10 ho ntlafatsa microflora ea botšehali.
Kaha basali ba tloaetse ho smear, ba lokela ho laoloa ke bifidobacteria le lactobacilli, ebe hangata li sebelisoa hammoho le litokisetso tsa ho felisa microflora ea likokoana-hloko ho tsosolosa li-microflora tsa botšehali tsa botšehali tse nang le lisele tse nang le lyophilized ka bongata bo bongata ba li-bifido le lactobacilli (Acilactum, Bifidumbacterin, Lactobacterin).
Joaloka phekolo ea ts'ebeliso e sebelisoang ke li-biostimulants, livithamine. Bakeng sa thibelo ea dysbiosis ho hlokahala hore u boloke melao ea bohloeki, le litsela tsa ho sireletsa khahlanong le mafu a tšoaetsanoang ka thobalano.