Microflora e phetseng hantle ea botšehali e emeloa ke mefuta e mengata ea likokoana-hloko, boholo ba tsona ke lactobacilli - libaktheria tse sebetsang tse bolokang e tloaelehileng pH (3.8-4.5) le ho hlahisa hydrogen peroxide. "Mosebetsi" oa lactobacilli o reretsoe ho thibela limela tse nang le likokoana-hloko, tse teng 'meleng oa mosali ea phetseng hantle o nang le staphylococci e nyenyane, E. coli, streptococci, bacteria ea anaerobic, gardnerella le mobilunculus.
Ho etsahala'ng ka dysbiosis?
Ka dysbiosis, lenane la lactobacilli ea bohlokoa le fokotsehile, 'me limela tsa pathogenic li hlaha, haholo-holo gardnerella, kahoo dysbiosis ea botšehali e amahanngoa le "gardnerellez".
Tse ling tsa mabaka a kotsi ke:
- ho phekola (ka metsi kapa li-antiseptics tse nang le chlorine, mohlala, Gibitane, Miramistin);
- tšebeliso ea lithibela-pelehi, tse nang le 9-nonoxynol (mohlala, likerese "Nonoxinol", "Patentex Oval", likhohlopo tse nang le spermicide lubricant);
- phetoho khafetsa ea balekane;
- mokhoa oa phekolo ka lithibela-mafu tse pharaletseng;
- mokhoa oa phekolo ka litšebeletso tsa botšehali tsa botšehali, mohlala: Terzhinanom, Poliginaksom, Betadinom.
Ho thibela dysbiosis ea botšehali ke ho qoba lisosa tsa kotsi: pele u noa meriana ho ea ngakeng, khetha mofuta o sireletsehileng ka ho fetisisa oa thibelo ea bokhachane, u se ke ua kena moeeng o sa sireletsang le batho bao u sa ba tsebeng.
Matšoao a botšehali ba dysbiosis
Matšoao a tsamaeang le dysbiosis ea botšehali a hlahisoa ka li-secretions tse ts'oanang le tse sa thabiseng (ho hopotsa monko oa litlhapi tse bolileng), setsi sa metsi le mebala e mosoeu.
Hangata, kamora ho kopanela liphate, monko o sa thabiseng oa likhukhuni o eketseha, kaha peō e eketsa tlhahiso ea amine e fokolang ka lebaka la pH ea alkaline.
Litšenyehelo tse tsamaeang le bothata ba botšehali ba botšehali (Gardnerella) ha li tlohele mekhoa ea liaparo tsa ka tlaase 'me li shebile ha li fapane haholo le ho tlosoa ho tloaelehileng.
Tsela ea ho phekola dysbiosis ea botšehali?
Hangata, bakeng sa phekolo ea botšehali ba dysbiosis, litokisetso tsa sebaka sa motse (li-vaginal suppositories, matlapa) le tsamaiso ea kahare li laeloa. Har'a bona:
- li-gels tse thehiloeng metronidazole (Flagil, Metrogil, Klion-D 100);
- tranelate e thehiloeng ho clindamycin (Dalacin);
- litokisetso tsa molomo tse thehiloeng metronidazole (Clion, Medazol, Metronidazole, Metrogil, Trichopol, Efloran);
- litokisetso tsa molomo tse thehiloeng ho clindamycin (Dalacin, Clindamycin, Klimitsin).
Bakeng sa katleho e kholoanyane, phekolo ea botšehali ba dysbiosis (gardnerellez) e tlatsitsoe ka immunotherapy, lithethefatsi tse tsosolosang, physiotherapy.
Ke kotsi efe ea botšehali ea dysbiosis?
Hangata matšoao a botšehali ba dysbiosis ha a arabeloe hoo e ka bang beke hamorao. Ka lebaka lena, e ne e le maikutlo a hore lefu lena ha le kotsi. Leha ho le joalo, kajeno lingaka li eletsoa ka letšoao la pele la lipuisano tse potlakileng. Ho ikoetlisa ho bontša: dysbiosis ea botšehali ho basali, bao phekolo ea bona e sa utloiseng bohloko ebile e bonolo, ntle le phekolo e nepahetseng e ka baka ho ruruha ha li-appter, mathata nakong ea bokhachane le ho beleha, ho se be le bana.
Ho tobana le lefu lena, le 'mè oa ka moso, empa ka bokhachane dysbiosis ea botšehali ke ntho e thata ho e phekola. Phekolo e fanoa feela ke lingaka - meriana ea setso (clindamycin, metronidazole) e hanyetsanoa ho basali ba immeli!