Tabbatar da cututtuka vs. wasu dalilai
Babban ƙalubalen da za a binciko kwayar cutar kwayar cuta (BV) ita ce, mafi yawancin lokuta ba su da alamun bayyanar, a cewar wani rahoto daga Cibiyoyin Kula da Cututtuka da Cututtuka. Idan ana tsammanin kamuwa da cuta, ana iya gane ganewar asali tare da gwaje-gwajen da ke duba kwayar cutar kwayar cutar a cikin farji. Binciken zai hada da jarrabawar pelvic, bincike game da ɓoye na bango, da kuma gwajin pH don bincika gashin fata.
Baya ga jarrabawar gwaje-gwajen, akwai kaya na gwajin gwaji wanda ya ba ka izini ka duba pH na fata da sauran alamu na ƙonewa a gida.
Gwaje-gwajen A-Home
Magungunan kwayar cutar ne ke nuna alamun bayyanar cututtuka, tsawa, konewa, da halayen "fishy" wariyar launin fata. Ana iya saurin bayyanar cututtuka don kamuwa da yisti kuma an saba yin la'akari da su yadda ba haka ba.
Don bambanta, wasu mata zasu gwada su ta hanyar yin amfani da jarrabawar gida da aka saya a kan layi ko daga kantin sayar da miyagun ƙwayoyi. Jarabawar, wadda ta kasance a kan tuni tun shekara ta 2001, ta zama daidaicce kuma zai iya samar da cikakken shaida don neman ganewar asali da magani daga asibitin.
Da wannan aka ce, gwajin da aka samu yanzu ba a gwada BV ba. Maimakon haka, suna neman canje-canje na acidity da cututtuka na kamuwa da BV. An gwada gwajin a sassa biyu:
- Binciken na farko ya nema shaidun shaida na pH . Duk da yake babban pH yana dauke da alamar bayyanar kamuwa da cuta, ana iya haifar da wasu wasu yanayi, ciki har da trichomoniasis .
- Binciken na biyu ya dubi wani enzyme, wanda aka sani da sialidase, wanda aka fi gani tare da BV da sauran siffofin vaginitis .
Yayinda gwajin gwaji ya zama kyakkyawar nuni da cewa ba ku da BV, ba kamata a yi la'akari da shi ba. A ƙarshe, idan kana da uku ko fiye da alamun BV , ya kamata ka ga likita, musamman idan sun kasance mai tsanani, ci gaba, ko maimaitawa.
Duk da yake gwajin gida-gida zai iya samar da sirri da iko da kake nema, zai iya zama tsada sosai a kimanin dala 100.
Labs da gwaje-gwaje
Sakamakon ganewar asibiti na kwayoyin cuta yana da alaƙa hudu:
- Za a sake nazarin tarihin likita don bincika ko ka riga ka kamu da cututtuka, ciki har da wadanda aka lalata.
- Za a yi jarrabawar pelvic don duba alamun alamun kamuwa da cuta.
- Za a yi amfani da gwajin pH, tare da jarrabawar jarrabawar takarda, don auna ma'aunin iska. A pH fiye da 4.5 shine mai karfi nuni na kamuwa da cuta na kwayan cuta.
- Bayan haka, za a bincikar asiri na banza a karkashin wani microscope don bincika "kwayoyin halitta" ko don tabbatar da kasancewar wasu kwayoyin tare da yin amfani da suturar gram .
Sakamakon 'Cells vs. Gram Abstraction
Kwayoyi masu ganewa suna bayyana sassan jikin jiki wanda, lokacin da aka lura a karkashin wani microscope, suna da halaye na kamuwa da cutar kwayan cuta. A cikin wannan misali, likita zai fara kallon musamman a jikin kwayoyin halittu (irin wannan sashin layi). Idan akwai kamuwa da cuta na kwayan cuta, to gefen wadannan kwayoyin za su kasance tare da kwayoyin. Hanninsu na tayarwa zai samar da "alamomi" da ake buƙata don taimakawa wajen gane ganewar asali.
Gram tace, ta bambanta, wata hanya ce da ta saba amfani da ita don bambanta tsakanin kungiyoyin kwayoyin cuta.
Tare da BV, wasu kwayoyin "mai kyau" za a sa ran su kasance masu ƙananan (musamman lactobacilli), yayin da wasu kwayoyin "mummunan" zasu kasance masu yawa (yawancin Gardnerella ko Mobiluncus ). Ta hanyar bambanta wadannan kwayoyin tareda yayinda suke kimanta darajar su a ƙarƙashin wani ƙwayoyin microscope, likitoci zasu iya ƙayyade ko sun hadu da ka'idoji don cutar BV.
Binciken Clinical
Dikita zai iya tabbatar da ganewar asalin kwayar cutar ta jiki tare da daya daga cikin matakan kimantawa guda biyu: tsarin Amsel ko ma'auni.
Ka'idodin Amsel suna la'akari da binciken binciken jiki tare da sakamakon gwajin gwajin.
A karkashin wannan ma'auni, ana iya tabbatar da BV a yayin da aka sadu da waɗannan halaye hudu:
- Akwai fitarwa mai tsabta ko rawaya.
- Ana ganin kwayoyin da aka gano a ƙarƙashin microscope.
- Kwangin pH ya fi 4.5.
- Akwai sanarwa na wariyar tsuntsaye lokacin da aka kara maganin alkali zuwa ɓoye na bango.
Tsarin Gram shine wata hanyar da za a yi amfani da shi da kuma irin nau'in kwayoyin amfani don tabbatar da ganewar asali. Sakamakon ganewar asali ya dogara ne a kan maki masu zuwa:
- Darasi na 1: Maganganu na al'ada na kwayoyin halitta
- Darasi 2: lactobacilli gauraye da Gardnerella da / ko Mobiluncus kwayoyin
- Darasi na 3: 'yan lactobacilli da mafi yawa Gardnerella da / ko Mobiluncus
Kashi na 3 za'a iya la'akari da ganewar ganewar asali ga kwayar cutar bacteria.
Bincike daban-daban
Saboda bayyanar cututtuka na kwayoyin cuta suna kama da sauran cututtuka, likitoci zasu iya bincika wasu abubuwan da ke faruwa idan sakamakon gwajin ya kasance iyakoki ko magungunan asibiti ba su da kyau.
Bincike daban-daban don BV na iya haɗawa da:
- Aebicbic vaginitis (yanayin da yayi kama da BV amma tare da cutar kwayoyin cutar zuwa farji, ciki har da Staphylococcus aureus da Escherichia coli )
- Candidiasis (ƙwayar ƙwayar yisti da Candiziasis ke haifarwa)
- Cervicitis (ƙone ciwon daji tare da magungunan ciwon magunguna da marasa ciwo)
- Herpes simplex cutar (HSV) na al'amuran
- Trichomoniasis (cutar ta hanyar jima'i da Trichomonas vaginalis ta haifar)
- Sauran cututtuka irin su chlamydia ko gonorrhea
> Sources:
> Cibiyar Kula da Cututtuka da Cututtuka (CDC). "Kwayoyin cuta ta kwayoyin cutar (BV): Labaran kwayar cutar ita ce mafi yawan kamuwa da cuta a cikin mata 15-44." Atlanta, Jojiya; sabunta Disamba 17, 2015.
> Hainer, B. da Gibson, M. "Vaginitis: Bincike da Kulawa." Kwararren Am Am. 2011; 83 (7): 807-815.
> Huppert, J .. Hesse, E; Bernard, M. et al. "Gaskiya da amincewa da gwajin gwaji na kwayar cutar kwayar cutar." J Adolesc Health . 2012; 51 (4): 400-5. DOI: 10.1016 / j.jadohealth.2012.01.017.
> Mohammedzadeh, F .; Dolatian, M .; da kuma Jorjani, M. "Amfanin Bincike na Amsel na Ciwon Bincike na Ingantaccen Magungunan Ingancin Lafiya." Gbn J Health Sci. 2015; 7 (3): 8-14. DOI: 10.5539 / gjhs.v7n3p8.