Golovna - Grasses
So take a smear on. A gynecological smear on the flora is an affordable method for diagnosing females with malaise. Doderlein sticks

Swab for flora in women- laboratory dosage, such as viznachaє vidi bacteria, such as presence in the first place. The most common and simple method of detecting firing and ZPSSH (sickness, which can be transmitted by a state route).

Doslidzhennya is absolutely painless. Vono is carried out for an hour of an extraordinary gynecological examination. Likar took material with a disposable spatula to protect the uterus. Vmist pikhvi (vaginal secret) is applied to the slope. The laboratory material is farmed, in order for the bacteria to become clear.

Meta doslіdzhennya

  • make a stand of microflori pikhvi;
  • find out the status of the infection and the child;
  • viznachiti steps of the ignition process;
  • assess the steps of cleanliness, which is obligatory before further diagnostic preliminaries and gynecological operations - attributable to erosions, visible polyps, viscoblys;
  • assess the health status of women in women.

If the gynecologist takes a smear on the flora?

  • skargi for sverbіzh or seeing from pіkhvi, іnshі symptoms of burning;
  • prophylactic glances;
  • control of the performed treatment;
  • taking hormonal drugs and immunosuppressants;
  • control of microflori on aphids of trivial intake of antibiotics;
  • availability. It is carried out 3 times per visit (when staged on the oblik, on the 30th and 36th).
Dane doslіdzhennya maє bezlіch name: smear for flora, zagalny smear, bacterioscopy, smear for cleanliness. Examine also smears on the flora from the sevipuscal canal and the cervical canal. Call three types of smears to carry out spіlno.

Normal microflora pikhvi

Good women are not sterile. In a new presence, there is a lack of sight of microorganisms, and they are called microorganisms and are called microorganisms. Bacteria are constantly competing among themselves for living on the walls of food and for food products.

Numerous numbers of lactobacilli and bifidobacteria, which are attached to the diet of pichvi. The stench vyroblyayut alcohol, peroxide, lactic acid and іnshі acids, scho to prevent the sour reaction of vaginal secretions. And also lysozyme and other enzymes, which stream the multiplication of other types of bacteria.

Mikroorganizmi, to enter the warehouse of microflori for healthy women

microorganisms Amount of KUO / ml
lactobacilli abo Doderlein sticks Lactobacillus spp 10 7 -10 9
Bifidobacterium Bifidobacterium spp. 10 3 -10 7
Clostridium Clostridium spp. Up to 10 4
Propionibacterium Propionibacterium spp. Up to 10 4
Mobiluncus Mobiluncus spp. Up to 10 4
Peptostreptococcus spp 10 3 -10 4
Corinebacterium Corynebacterium spp. 10 4 -10 5
Staphylococcus Staphylococcus spp. 10 3 -10 4
Streptococcus Streptococcus spp. 10 4 -10 5
enterobacteria Enterobacteriaceae 10 3 -10 4
Bacteroides spp. 10 3 -10 4
Prevoteli Prevotella spp. Up to 10 4
Porphyromonas Porphyromonas spp. Up to 10 3
Fusobacterium Fusobacterium spp. Up to 10 3
Veilonelli Veilonella spp. Up to 10 3
mycoplasmi M.hominis Up to 10 3
ureaplasmi U.urealyticum 10 3
Candida - other mushrooms 10 4

Abbreviation KUO / ml denotation - colonies of supplying units in 1 ml of life-giving center. The skin colonies of those who create one are a whole microorganism, whereby a colony can be established.

The number of bacteria is calculated in dozens of logarithms, in order not to write the number with a great number of zeros.

In the inventory of vaginal microflora, it is often possible to name gram-positive or gram-negative bacteria... The term means that the first bacterium is fought for the method, broken down by the microbiologist Gram, and at the same time it does not change its knowledge.

Gram-positive sticks in a smear Before which lactobacilli are introduced, I will kindly acquaint you. In normі, the stench overwhelms reproductive vitamins in women. In the period of menopause (climax) and postmenopause, gram-negative bacteria occur in the first place.

Regularly consumed in acid bacteria add to

  • aerobny- that is, it is possible to develop with the manifestation of sourness;
  • anaerobic- for the living of those who do not need kissen.
Most healthy women have more anaerobic bacteria 10 8 -10 9

Some / ml.

How to swab a smear on the microflora?

Having taken a smear, go to the gynecologist's office. Also, a woman can go through a course of advancement in a private laboratory.

The procedure includes steps.

  1. A woman grows up in a gynecological oven.
  2. The introduction of sterile gynecological mirrors for the removal of access to the walls of the uterus.
  3. Zbir material from the back wall of pikhvi. The procedure is absolutely painless. Inadvertently, you can be guilty when dosing a spatula to a burned-out dilenka.
  4. Applying material to the subject of the slope. The vaginal secret was spread with dashed rods along the greasy slope with the thinnest possible ball;
  5. The fixation of the smear is necessary, if it is delivered to the laboratory more than 3 years later. The treatment allows to eliminate the deformation of the clitin in case of freezing and the possibility of saving the preparation.
  6. Zabarvlennya smear for gram. Yak barvnik vikorystvutsya methylene blue. It is easier to set up the type of bacteria and visually the microflori warehouse.
  7. Assessment of the result, how to be stored in 3 parts: leukocyte fodder, microflora species warehouse, pikhvi purity assessment.
Most often a smear is taken at once from three points:
  • the opening of the sesovipusal canal and paraurethral passages (vuzka canals, rostasovanih parallel to the urethra);
  • pіkhvi steins;
  • the cervical canal.
The anatomical closeness of the cich dlyanoks is to be produced before the infection and inflammation are connected with each other. For dermal dilyanka, a sterile spatula, a brush or a cotton swab should be used. The material should be applied to 3 sterile specimen slopes, okremo for skin dilenks.
A smear on the flora from pichvi is absolutely not a difficult procedure, as it is allowed, including for vaginal women. Before an hour is taken, the material will not be injured by the material, which is why the procedure is not going to be easy. It is allowed to take a bath, swim, make state contacts, etc.

Yak p_dgotuvatisya to the whole smear?

Make a smear on the flora not earlier than 3 days after the end of menstruation. A smear of menstrual blood smear can help to improve the results. The optimal period is from the 10th to the 20th day of the cycle.
The result of the analysis will be as reliable as possible, as soon as you follow the offensive rules.
  • 14 days before taking antibiotics and anti-fungal drugs;
  • in 2 days, the introduction of any vaginal forms of drugs - rozchiniv, svitchok, tablets, tampons, ointments, creams;
  • in 2-3 add items to utrimatisya;
  • before the procedure, it is not possible to douche і miti in the middle pіkhvi.

Would I show a smear on the microflora of pichvi?

A smear on the microflora shows the manifestation of a number of ailments and pathological conditions.
  • Statements of infection... About them to indicate the presence in the smear of significant quantities of ureaplasma, mycoplasma, gardenella, gonococcus, Trichomonas and other ailment bacteria.
  • ignited pіkhvi(Vaginit, colpit) abo the canal of the cervix(Cervicitis and endocervicitis). Evidence of the ignition process - a large number of leukocytes in a smear.
  • dysbacteriosis pіkhvi... The destruction of the microflori warehouse with the development of the development of the state of the sphere. Dysbacteriosis is diagnosed in that case, if the number of lactobacilli decreases, and if the number of microorganisms is repaired.
  • Candidiasis or thrush. In the norm, single fungi of the genus Candida are permissible. With a fungal infection, the number of pseudomycelium appears in the smear - the threads of the growing cells and cells, which sit on them.
In a smear on flora, the following indicators are assessed:


4 steps of purity

step viyavlenі zmіni Talk about
I Seredovische is sour.
Leukocyte - up to 10.
Epithelial cells - 5-10.
Most microorganisms - lactobacilli (Dederlein sticks). Іnshi bacteria - singly.
Slime - a small amount.
Ideal camp of microflori pikhvi. In the region, it is rare to learn from the women of the old age, how to live the life of the family.
II The sulfur is slightly acidic.
Leukocyte - up to 10.
Epithelial cells 5-10.
Most are Dederlein's sticks. Cookies in a small amount.
Slime in a small amount.
Normal stance. To meet with large healthy women.
III The medulla is neutral.
Leukocyte - ponad 10.
Epithelialnye klitini - monday 10.
Microorganisms in the world for a great number. Present gram-negative and gram-negative sticks and coca. One by one Dederlein sticks.
There are "keys" of the clitini.
Slime - as much as possible.
Firing pikhvi - colpit. Symptoms can be found: creme-like vision from pichvi, sverbіzh, liver, discomfort before the hour of the statutory act.
For young women, the stance is asymptomatic.
IV The medulla is neutral abnormally, pH is 4.5.
Leukocyti - ponad 30, or the whole field of vision.
Epithelial cells - at a great number.
Microorganisms in bulk. Microorganisms are represented by microorganisms. Dederlein's sticks can be seen everywhere.
Much mucus.
Bends of the ignition process. Symptoms: clear vision from pichvi (bili, zhovti, green), often with an unacceptable odor. Swerving, baking, dryness, discomfort. Inadvertently, when the statistic act.

What is the smear norm for microflora?

In the microscopic smear on the flora, the norm is:
  • flat cells of vaginal food - up to 10 in the field;
  • single leukocytes - up to 10 per field;
  • cells of the industrial ball - one by one;
  • "False key" clitini - ridko;
  • a number of microorganisms in the "world", in "great";
  • mucus - in a small amount;
  • In the middle of bacteria, lactobacilli, one of the types of microorganisms, are processed alone, grow rather quickly.
It's innocent of a smear:
  • Zruynovanikh klіtin epіtelіyu u great kіlkostі... It is important to know about the lysis of clitin, which can be trapped in case of abnormal growth of lactobacilli.
  • key cells... The chain of food is small in size with small bacteria.
  • parabasal cells... Klitini of the lower balls of the muck. Oh, I’m talking about the meaning of fired up or atrophy of the mucous membrane.
  • "Massive" number of bacteria, Krim lactobacilli.
  • Drizhdzhovy cells with Pseudocells and blastopores (cellins-nirkami).Їх presence in the case of thrush.
  • Strict anaerobes - Most of them are referred to ailments.
  • races - zbudnikiv gonorrhea.
  • Trichomonas - zbudnik_v trichomoniasis.
  • Atypical cells, I know the precancerous and oncological changes .
Deyakі microorganisms (chlamіdії, іznі viruses) do not appear when looking under a microscope through іх small size. For those who have revealed the necessary blood analysis at the Russian Orthodox Church.

What about talking leukocytes in a smear for the flora?

leukocyte- the price of blood cells, who are clamoring for infection. The stench can go through the wall of the Sudins and oversaturated independently. Leukocytes may develop before phagocytosis - they stink the bacteria and overtravel them. In addition, as the bacterium is digested, the leukocyte collapses. At the same time, there is a sound of speech, like a flicker of fire, it appears to be a lot and to the ears of the muck.
In the norm, the number of leukocytes in the first one is not able to change 10. There is a great number of leukocytes to talk about the heat. If the number of leukocytes is higher, the ignition process is stronger than the bends.

Want to vibrate sensitivity to antibiotics when you have a smear?

Sensitivity to antibiotics abo antibioticogram- reducing the sensitivity of bacteria to antibiotics. Pre-session should be carried out one hour at a time with a smear in case of infection with ailment bacteria, or a case of infection.

There is a great number of antibiotics, but not all of the stench is equally effective in the treatment of small groups of bacteria (antibiotics are not injected on the virus). To eat, while taking the course of antibiotics, the patient didn’t cheer, for the ailment turned through a few days / days. It has become, therefore, for the treatment of boules, antibiotics are weakly infused onto the ailment.
In order to be able to use it as efficiently as possible, it is necessary to have a number of antibiotics:

  • to increase my knowledge of bacterium - an ailment disease;
  • zupinyayut rist zbudnik;
  • do not infuse this bacterium on the living.
On the basis of the previous warehouse antibioticogram... A whole range of antibiotics, up to sensitive bacteria.

How do you look forward to being sensitive to antibiotics?

For that, like a bullet of bacteria, they wicked the ailment, they threw it into a sprinkle of testicles with vital centers. A singing antibiotic is added to the skin test tube. The test tubes are placed in the thermostat, so that they are optimal for their reproduction.

During cultivation (about 7 days), analyze the growth of bacteria in test tubes. There, de bacteria are sensitive to antibiotics, colonies do not pretend. This drug is optimal for the treatment of a patient. In a test tube, the preparation is given, to which antibiotics are insensitive, the growth of bacteria is most intensive. Such a likarskі can’t be a vicar for the treatment of this ailment.

What is also a smear?

inoculation of a smear abo bacteriological culture (bacterial culture) smear- at the same time laboratory monitoring, with each other, help in the living room the middle and create the optimal mind for the growth of bacteria.

tsіlі doslіdzhennya:

  • the name of the institute of infection of articles of organs;
  • set up the steps of the process - the number of bacteria in the first place;
  • kontrolyuvati stan microflori for trivial use of antibiotics, cytostatic drugs. Carried out in 7-10 days after the administration of the drug.
In which vypadku priznachayut a smear?
  • to all vaginal women when staged on the cloud;
  • during ignition processes in the body organs;
  • in a smear, gram-negative diplococcus is detected - for the confirmation of gonococcal infection (gonorrhea);
  • with vulvovaginitis recurrent or chronic.

How is it carried out microbiologically until the end of the day?

The vision of the living will help them to live in the middle of the world - the solution or the zhelepodіbnі masi, in which the living words for the bacteria. For 3-5 days, test tubes and Petri cups are placed in a thermostat, the temperature gradually rises to close to 37 degrees, which is optimal for the propagation of microorganisms.

For cultivation, the laboratory assistant evaluates the results. From the cutaneous microorganism in the process of spreading the viral growth of the colony of bacteria. For її zvnіshnіm viglyadom, the laboratory assistant viznachа the type of zabudnik. And for a number of colonies, one can judge about the concentration of these microorganisms in the past. Dalіvnyuyuyu concentration with normal indicators.
These bacteria are significant, the concentration of which is 10 4 CFU / ml. With a given concentration of microorganisms, the building becomes ill. When such a number of bacteria are detected, the result of the analysis is taken into account positive.

At a visnovka, which seems to be a laboratory, it is necessary to intervene:

  • view microorganism, which is transferred into a smear;
  • pathogenicity microorganism - health of viclikati zhvoryuvannya:
  • Pathogenic - the presence of some kind of viclikano only with ailments.
  • Mind-pathogenic - bacteria, which wick only ailments with a decrease in immunity, with a significant increase in their number.
  • concentration microorganism in pikhva. At the numerical indicator and in the viglyadi verbal characteristics: "bedno", "pirne zrostannya", "ryasny rist".
In the laboratory, the number and growth of bacteria can be characterized by the following steps:
step Features of the growth of bacteria
Ridka zhivilne sredovische Shilna is a life-giving middle
I Zrostannya duzhe mezerny. Growth of bacteria from the day.
II apart from growing Up to 10 colonies of bacteria.
III Ryasniy zrostannya. From 10 to 100 colonies.
IV Massive building. There will be 100 colonies.

I step є the norm. At stage II, talk about the deterioration of microflori pikhvi. III-IV steps to inform about the disease, wicked by this type of bacteria.

The standard change in women with planned vaginosity is to enter a smear on the microflora for a period of time. This analysis allows the assessment of microflora pichvi, shyka and sevipusal canal, as well as revealing the presence of pathogenic bacteria and their sensitivity to antibacterial drugs. At the tsіy statty mi we are free to take a smear and problems of wіn additional help to develop.

A smear on microflora allows the development of infectious and ignition processes of the body organs.

In what situations do women take analysis?

  • a prophylactic examination by a gynecologist once per day;
  • at the appearance of itching, discomfort, or seeing an unacceptable smell from pichvi;
  • for the hour of vaginosti yogo to check the number of times to control the microflora of the state of affairs;
  • with some changes in sexual partners;
  • for a trivial intake of antibacterial agents, hormonal drugs and drugs, which reduce immunity.

What polyaga has training until the end of the day

Obviously, a smear can be created without prior preparation, or, in order to deny the correct result, it is necessary to follow the recommendations of a gynecologist:

  • do not have sex with a stretch of decilkoh dib until a smear;
  • do not douche;
  • do not vikoristovuvati vaginalny svitchki, cream and ointment would like to stretch 2-3 dB before taking the analysis;
  • do not take a smear during menstrual bleeding;
  • taking a smear to carry out a wound toilet of the lasting organs with water without filling the urine, the maximum is simple;
  • before the yak, a smear is taken with a slid utrimatisya vid sechovipuskannya stretching for 1-2 years.

Important! In the ideal, a smear in gynecology is given on the 4-5th day of the end of menstruation, on the 3-5th day of the cycle.

Yak undergo a smear procedure

Before the analysis, the woman is sick, like taking a smear and painful. As a matter of fact, there is nothing special about it. The woman is transferred to the gynecological crucible, and the doctor, with a sterile swab or a special instrument, will take away from three zones:

  • mucus pіkhvi;
  • cervical canal of the cervix;
  • urethra (sechivnik).

Tse doslіdzhennya is painless. Deyaky sensitive women may suffer for slight discomfort, which is more likely for all the dressings for psychological reasons.

A smear on flora is a painless procedure.

Is it normal to be guilty of a smear?

In healthy females, there are a lot of microorganisms, which can be found in a smear from pichvi, - the target of lactobacilli (lactobacilli). The stench is a gram-positive lactic acid bacterium, which in the process of its metabolism can vibrate lactic acid, lysozyme, water peroxide and active speech.

The main function of lactobacilli in females is the growth of acidic middle ground in the first and second stages of the disease as a result of the penetration of ailing agents.

Important! With a decrease in the number of bacteria, dysbacteriosis develops and begins to multiply, the intellectually pathogenic microflora (gut pathogen, staphilo and streptococci). Tse to produce up to the development of ignition zagvoryuvan.

Besides, in normal conditions, there may be a small number of Candida (fungi of the genus Candida) and gardnerel (bacteri). With normal immunity, the organism is streaming the growth of cich bacteria and fungi, albeit with a decrease in the immune response, there is a small amount of effort, thrush (candidiasis) or gardnerellosis.

Deciphering a smear on flora in gynecology

After completing the smear test, the woman will remove the form with the results of the analyzes and suffer from the results of non-sensible abbreviations and very quickly. Clearly, such as the characteristics of the presence in a sniffy brushstroke and how stink means.

The material is taken from three points, so on the form the stench can be signified by three Latin symbols V (vagina - pіkhva), C (cervix - uterine shyka) and U (uretra - sečovalniy canal) or just signs.

leukocyte(L) Spread in the norm in a small amount. During ignition processes їх the number of grows is very high.

flat food or just a drink. The increase in the number of epithelial cells is also a marker of the ignition process.

gonocoque(Gn). Gonorrhea to talk about gonorrhea.

trichomonadi(Trich). Vyavlennya Trichomonas to talk about Trichomoniasis.

slime in the normal presence in the interior of the uterus. Please inform us about the ignition or infectious process.

Norm and pathology of smear on microflora in gynecology.

Keys- a chain of hospitals, on which you can know the bacterium of gardnerella. It’s better to talk about gardnerellosis.

lactobacilli(Doderlein's sticks) - in the norm they are in the great number for the first time. Їх decrease to talk about dysbacteriosis.

Candidi. The norm may have a small number of other fungi. As soon as the number is increased, then it is diagnosed as a thrush.

In addition to the main parameters, in the analysis of the flora, there may be staphilos and streptococci, intestinal sticks and other microorganisms, and the improvement of the number of those who speak about the firing of statues.

Do some labs for the designation of a number of quiet parameters have a "+" sign. Шо він means:

  • small number - "+";
  • pomirna number - "++";
  • indicator of the best - "+++";
  • the value of the indicator is "++++".

Who will show you the steps of purity?

At the end of the day, after a smear was carried out, a verdict about the steps of cleanliness was to be blamed:

  • I - it is not practical to do it;
  • II - the most frequent steps among healthy women;
  • III - in connection with the ignition process;
  • IV - signals about dysbacteriosis, vaginosis, or cases of infection.

Food to the lykar

Nutrition: Yakі dodatkovі analizi help to find out, in which the number of lactobacilli is reduced in the smear.

Suggestion: The decrease in the level of lactobacilli can be tied due to ignited discomforts. Dodatkovo priznachayut analyzes at ІПССШ, і zagalnoklinіchnі analyzes.

Pitannya: Staphylococcus appeared in the smear. I read that there can be a smear of manifestations in a smear in women in the norm. Likuyuchiy lykar, having said that the pathology. Who's right for us?

Suggestion: In the norm, women may have a small number of staphylococks, if they reach 10 5 steps, they are pathological.

Microscopic analysis is the first step on the road to diagnostics of young illnesses in gynecology. When vyavlennі vіdhilen not varto panіkuvati. It is necessary to repeat the analyzes of the doctor's recommendations or to carry out additional follow-ups to joke the problem.

Є One recommendation, like repeating from rock to rock, and women from an independent perspective, ignore. At least once in the case of a dermal representative, it is necessary to see a gynecologist in order to find something especially not a turbine. The drive for such a manifestation of discipline is as small as possible: it is necessary to adapt it to contraception, to adapt it to the manifestation of infection, and to quickly evolve it. In the case of a specific skin type, such is the transmission of smears. For what is the stench needed, and why should you give yourself up for them?

Now a Papanicolaou smear is required

Pap test or Pap smear is called a smear for the presence of atypical cells or for cytology. This test should be given the first place in the middle of the number of prophylactic tests in gynecology. Tsey test for microscopic ryvn allows assessment of budov uterine shyke cells. The head of the whole method is carried out preclinical diagnostics of oncological illnesses.

In the pre-matured way, the method of vicarious treatment is carried out to women for thirty years when they are presumed to have a malignant type of virus of papiloma people. When a pap test is carried out, dysplasia appears, the patient undergoes a special dosage - colposcopy (look at the cervix of the uterus with a microscope). According to the type of food, for the registration of special connections, it is possible to shake down the anterior visnovka, which is pathological in the middle of the uterus and in the very same place. Ale a smear does not appear before the hour of menstruation, and also in times of heat. In the іnshomu vypad otrimaniyu the result will appear pardon. In order to get the analysis done before carrying out the analysis, be sure to have a unique intimacy, not need to use tampons or candles.


Take a gynecological smear from the canal of the cervix of the uterus, or from the sequin. In this way, the number of leukocytes, the balance of the vaginal flora, the fungi of vulvos and pimples, such as fungi of the genus Candida, Trichomonas and gonococci, are found in the pathways. If the leukocytes are too large, allow for the presence of infection, which can be transmitted by a state path, or an ear of the ignition process. In the whole vipadku can not do without additional doslіdzhen.

True, not all cases of increased leukocyte count in a smear become a drive for the patient. The Danish indicator grows in norms for a few days to the ear of a month and immediately after it. So the boom itself is in vipads, if an ectopia (erozia) appears on the shytsi uterus, or a woman starts life for some life. If in a smear on the flora, there are threads of mycelia, which may also be a characteristic symptom of candidiasis (ailments vulva and pichvi, yak viklikane fungi genus thrush). It is important that the day before the visit before the drug user extinguishes about intimate contacts, do not use sperm cream and do not douche.

Flora smear- often referred to by gynecologists analiz. Would you like me to show you some pardons on the thirteenth day?

Daniy analysis can be called "zalny". The price of primary diagnostics, as it allows the doctor to confirm, or to facilitate the appearance of the ignition process in the sinus, urethra, cervical canal, as well as the development of the firing process, as well as the possibility of menopause in children.

Yak is precisely called analysis:

  • microscopic (bacterioscopic) up-to-date smear, shaped according to Gram - the same official name;
  • smear from state organs;
  • bacterioscopy;
  • microscopy.

Vikoristovuyutsya for diagnostics of infectious and ignition processes. Bacterioscopy allows bacteria to appear in the body organs of a woman: the simplest microorganisms - gonococci, which provoke gonorrhea, Trichomonas - the protuberant trichomoniasis. It is also easy to use a microscope to stab the bacteria, fungi (Candida), key cells (signs of bacterial vaginosis). The type of microorganism is based on the form, size, and also to be farmed out by the barvnik chi ni, that is, gram-positive or gram-negative.

In addition, in a smear from the skin point (take from the skin, urethra, cervical canal), a number of leukocytes are collected in the field. Chim їkh more - the stronger the bends, the ignition process. Estimate the number of food and drink. especially rich in women of reproductive age during ovulation - in the middle of the menstrual cycle.

Microscopic view of female body organs - the ability to quickly assess - healthy gynecological woman, and put one of the following diagnoses:

  • vaginal candidiasis (thrush);
  • bacterial vaginosis (previously called gardnerellosis);
  • gonorrhea;
  • trichomoniasis.

There is a clear sign of one of the tsikh zhvoryuvan nemaє, ale smear of rotting, it is carried out to be killed in vivchennya material - vikonuatsya bakseeding.

Reasons for a visit to a seeding in gynecology

  1. As in the smear, the number of leukocytes is high, but the infection does not appear. Thus, when microscopic microorganisms are found, the lower interdependence of microorganisms is: 10 in 4 - 10 in 5 steps.
  2. It’s like a microbe of manifestations, and it’s a matter of sensitivity to antibiotics.
  3. Yaksho є signs of fungal infection. Precisely establish the type of fungi and indicate an effective anti-microcotic drug.

    Deyakі nyznovidy fungi, for example, Candida albicans (Candida albicans - diploidny fungus), are even more important for mothers and may be able to provoke information and early picking of fruit shells.

    The only species of Candida fungi may not be found, as there are no pathological symptoms.

  4. I also know the keys of the cells (signs of BV), altogether, the presence and the inside of the microbes. For identification.

What is the difference between bacterial sowing, a smear on flora and steps of purity?

In the method of advancement. When applying a smear to the bone, the material, applied to the skeleton, is fired with special barvniks and astonished with a microscope. And if the bacteriological (bacteriological, cultural, microbiological) is being used until the end of the day, then one of them "hangs" on the living center. And then, through a few days, marvel at the microscope - a colony of various microorganisms of the growth.

So, if I’m talking about express analysis, I’ll give you a copy only about the number of leukocytes, food and slime. We will not give you a term

Also, with microscopy, you can achieve a very high degree of purity. Here, the drug is only assessed as normal, intellectually pathogenic and pathogenic microflora.

Classical assessment of cleanliness pіkhvi.

updated table

step signs
I Dederlein's sticks, flat epithelium.
II Non-native bacteria. Leukocytes are normal. Diagnosis: negative bacterial colpitis.
III Gnological (staphylococcus, streptococcus, sygnignyna palichka, gonococci, etc.) Microorganisms. High level of leukocytes. Gn_yny bacterial colpitis.
IV Gonorrhea (gonorrhea).
V Trichomoniasis (Trichomonad manifestations).
VI Vaginal candidiasis (detection of fungi).

Do not bother with microscopy

  1. Viability. It’s not important, the smear is not needed and it’s not important, but we will show you the result. It is necessary to create an analysis of blood for hCG, to undergo a gynecological examination at a doctor or to develop an ultrasound scan of the uterus. It is possible to see good gonadotropin in the slaughter, but not in the vision of the state organs!
  2. Cancer of the uterus and cervix. To diagnose a malignant degeneration of endometrium, a necessary histological material, moreover, in a great number. I take it away without the middle of the uterus.

    Cervical cancer and other pathologies (erosions, leukoplacia, atypical cells, etc.) Danish analysis is taken without the middle of the uterus, from the zone of transformation, for the singing methodology using the Papanicolaou method (the name of the analysis is the PAP test). This is also called oncocytology.

  3. Chi does not show such infections (ZPSSH) yak:
    • herpes;
    • chlamidia (chlamidia);
    • mycoplasma (mycoplasmosis);
    • ureaplasma (ureaplasmosis);

First chotiri infections are diagnosed by the PLR ​​method. And visually the appearance of a virus to an immunodeficiency behind a smear with high precision is uncomfortable. It is necessary to create a blood analysis.

Yak is prepared for the analysis and if it is necessary

A smear of liquor is taken from a patient on a gynecological crucible (not even that - vagina won) for an additional special brush or a sterile Volkman spoon. The price is not painful, but rather smart.

It is technically possible to hunt for an ideal smear, as it is possible to use chlorhexidine or miramistin, for example. Ale yaky u tsyomu sense?

To correct a valid smear result, it is not possible 48 years before the date of delivery:

  • douching;
  • have sex;
  • vikoristovuvati be-like vaginalny use hygiens, anti-deodorants, as well as liquids, if the stench did not come from a drug;
  • robotic ultrasound scan with the vaginal sensor;
  • undergo colposcopy.
  • before the examination of the gynecologist or laboratory, for 3 years, do not have to urinate.

Make smears requires the posture of menstrual bleeding. To navigate є just a "muddy" on the last day of the month, more beautiful than the last day of the month, so as the result will be humbly disgusting - a great number of leukocytes will appear.

The fence is mute for taking alcohol.

How can I get a smear when taking antibiotics, or just at once? It is not advisable to take 10 days to get rid of muscular preparations (vaginal) and one month to receive antibacterial drugs in the middle.

Microscopic dosage means:

  • in a planned manner with the appointment of a gynecologist;
  • at the entrance to the gynecological hospital;
  • before EKO;
  • pid hour of vaginosti (especially, as often we will give a nasty smear);
  • like є skargi: non-private vidіlennya, sverbіzh, pelvic bill, etc.

Decoding of the results: you should respect the norm, but you will be pathological in microflora

For the ear, I will propose your uvaz table, in which images are shown of the so-called first step of purity. They have no urethral riddles (I want the material to be taken and to go), as we are talking about gynecological illnesses. Igniting the same process in a sečivnik lykuє urologist.

exponent pikhwu cervical canal
leukocyte 0-10 in field 0-30 in field
epitheliy in the fallowness of the phase of the change. cycle
slime alongside
trichomonadi dumb
gonocoque dumb
Keys dumb
candidi dumb
microflora

gram-positive sticks

Відсутнє

Epithelium - the number of epithelial cells does not matter, as it does not have any diagnostic value. It’s just a wretched bit of food to talk about an atrophic type of smear - wow in women in the period of menopause.

Leukocytes - to get involved in the "field of zoru":

  • not more than 10 - small number;
  • 10-15 - the number is changed;
  • 30-50 - there is a great number of women, in addition to pathological symptoms, and when looking at the diagnosis, an ignition process is detected in the uterus.

Slime (heavy slime)- in the norm, there is a presence, but there is a lot of booze when ignited. In the urethra, the slime is innocent.

Palichkova flora abo gr lactomorphs- the norm, the tsahist pichvi from microbes.

Trichomonas, gonococci and key cells a healthy woman is in the uterus and for the first time it is not guilty. Candidate in the norm is also on the day. At least in terms of number, as it appears during the analysis on the flora.

The addability of the smear is not great. If a woman enters the hospital, then she will take fresh ones right there, at the first glance at the crucifixes.

Call the results for 7-14 days. If you need to go to the hospital before the operation, it will take you 3 days to go to the hospital. We will stay from the signs of analyzes.

Shho vyavlyayut in bakseva

Decipher the result of cultural awareness as best as possible for a gynecologist. Ale and you, if you read the information below, you will randomly figure it out in your analysis.

The number of microorganisms can be twisted around in "chrests":

  • "+" - small number;
  • "++" - the same number;
  • "+++" - great quantity;
  • ++++ - ryasna flora.

More often than not, there are a number of micro flora representatives in the steps. For example: klebsiєlla: 10 in 4 steps. Prior to the speech, there is only one representative of enterobacteria. Gram-negative stick, aerobic microorganism. One of the most not without pathogenic minds, if not mentally pathogenic. All of this is that Klebsiella is resistant (non-removable) to a large extent of antibacterial diseases.

The lower parts of the term are described below, which can be seen in the results of the preliminaries, or you can almost see them from the license.

Soor - tse candidiasis or, in a way, a thrush. Look for antimicotic (antifungal) drugs.

Blastospori and pseudomycelium of other fungi- Candidiasis or even fungal disease, you will get sick in the same way as a yeast infection.

Difteroids - intellectually pathogenic microorganisms, according to the results of the last few weeks, in the majority of women, close to 10% of microorganisms store the same stink, as well as streptococci, staphylococks, intestinal sticks, gardnerel. The flora has been destroyed, and the number is increasing.

A change in flora is a variant of norms, as there are no symptoms of ailments, often leukocytes or a strong malady (40-60-100). 15-20 - variant of the norms, especially for the hour of vaginosti.

Enterococci (Enterococcus)- representatives of the intestinal microflora, which are used for the first time. Koki. About enterococcus faecalis (Enterococcus faecalis) mi. Є more enterococcus coli - intestinal stick. Zvichay to viclikayut unacceptable symptoms at a concentration of 10 in 4 steps.

synogniina stick- gram bacterium. Often hostile to people with low immunity. I have good resistance to antibiotics, which complicates the process of treatment.

polymorphic stick- a typical representative of pikhvi biocenosis. Even though the number of leukocytes is normal and scarg is mute, it is not guilty of turbuvati.

Erythrocytes - can be in a small amount in a smear, especially, when they took an hour to start the process, if there were not large bloody visions.

Coccal abo coccobacillary flora- wake up in case of an infectious process in the first place, for example on the uterus. As a woman has a scarg, it is necessary to have antibacterial treatment - sanation of pikhvi.

Diplococci are a type of bacteria (cociv). Do not bring shkodi for small quantities. For the blame of gonorrhea - zbudnikiv gonorrhea. Її cheer up.

And at the end of the time, we will guide you through the speed, as you write the results of the analyzes on the forms:

  • L - leukocyte;
  • Ep - epithelium;
  • Pl. ep. - flat epitheliy;
  • Gn (gn) -gonococcus, gonorrhea;
  • Trich - Trichomonas, prune to trichomoniasis.

A smear on flora is an obov'yazkova diagnostic procedure, which is carried out within the framework of a gynecological examination.

I will show you the mill of microflora of female statues. The results of the dosage allow you to discard information about the manifestation of the disease.

meta analysis

Regular smear the early diagnosis of ailments, which are transmitted by the state path. Having taken a smear, it is taken to the skin of a gynecologist.

The procedure is painless, ale її cinnamon is important to re-evaluate.

It is especially important to give a smear in the offensive drops:

  • with unacceptable symptoms (sverbіzh, pechinnya, zmіna vіdіlen);
  • taking drugs based on hormones;
  • vagіtnіst abo lactation period;
  • control within the framework of treatment;
  • preparation for diagnostic procedures abo operations.

Poor smear result.

Before an hour of carrying out deyakikh procedures їх presence is not necessary. For example, when the uterine tubes are inverted, contrasting lines can spread the infection throughout the entire area of ​​the small pelvis. Tse hastened by stretching out of the blue.

If you need to add

An hour, a smear is given in the yak, to lay down on its sign. If the material is taken away for prevention, then smear more beautiful than brothers in the interval from 10 to 20 days of the cycle.

Life in a given cycle is allowed to create an analysis in a greater period of time.

Before an hour of vaginosity, the delivery of a smear should be slowed down not less than three times - when the fact of conception is confirmed, on the 8th month or before the canopy.

The remainder of the supply is required, for the infection of an infected child with an infectious disease when passed through childbirth. In front of the material fence can't have sex... Tse can be added to the result.

Do not slid vikoristovuvati for cleansing by the way... Deyakі from them can be injected into the warehouse of microflori pіkhvi.

Preparation before delivery

Correct preparation will ensure that the most accurate results in the analysis are discarded. The analysis is carried out in a single cycle.

Yak gotuvatisya to smear on flora? On the last day of menstruation, it is possible to pass not less than three days... In addition, the blood cells should be consumed in the material, so it is worthwhile to match the pedigree result.

Preparation before the analysis of the main principles:

  • in advance, it is necessary to fix the items of the article - a smear on the flora for sex, you can match the results;
  • zaboneno vikoristovuvati missions, which can be injected into the mill of microflori;
  • two days before the blood sampling, the preparation is taken from the preparation, and the vicorisation is carried out by the method of vaginal administration;
  • two months before the analysis, it is necessary to prescribe with antibiotics and any anti-inflammatory drugs.

It is not possible to open the toilet without access to the gynecologist's office, Do not carry out any kind of hygienic procedures.

At the reception, it is necessary to take with you a one-time pelush and a little swell. In private clients, everything is necessary to nadayut on the miscellaneous.

For some people, it is necessary to repeat the message. You can and those who will have mercy on the result. It is especially important to be quiet in kind, in which the rules are violated.

Algorithm for material sampling

The procedure for taking a smear does not cause any discomfort. Vaughn pass quickly and painlessly.

Taking algorithm:

  • distribution of a patient in a gynecological crucible;
  • the introduction of tools, which expands the number of signs and displays the view of the gynecologist;
  • parkan vid_len from the back of the pikhvi with a medical spatula;
  • fixation of smear on the scle.

Reshta manipulation is carried out without a median in the laboratory... A glimpse of the vision can be framed not only from pichvi, but from the seeding of the abnormal uterus.

step by step

The analysis of the woman's vaginal secret is to be found in the possession of the laboratory.

Sphatku carried out a smear preparation using the Gram method.

For the farbuvannya, methylene blue should be used. The whole process of transferring to the yaknayshvid subdivision of bacteria for different species.

come croc the laboratory assistant is responsible for the health of the skin type clitin.

Assess the number of leukocytes and steps of purity of vaginal secretions.

The state class has triviality vivchennya material for up to seven days, in paid installations, the result of the analysis can be read off as of the next day.

skіlki adjunct

The results of the cutaneous medical dosage have a singular term of adherence.

Flora smear additional ten days for the fence material.

Tse to finish the bordering frames in proportion to the other types of doslіdzhen. An analysis for oncocytology can be done only once per day. Until the end of the day, when the appearance of Candida mushrooms has appeared, it is not possible for a sense to spend more than one time per month.

If the result is rejected, the analysis can be repeated without urahuvannya to establish the terms of accessibility. The frequency of the dosage can be inserted into the course of treatment.

Its effectiveness depends on the dynamism of the smear change. Do not take the advice of the gynecologist, in any case, it is not a matter of course.

Taking a smear is absolutely not a small procedure... Vaughn will allow you to get sick on the very cob of the branch. It is quite worthwhile to spare an hour or a force, as it will bring vitratity to the liking.

 


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