Бак посев отделяемого из цервикального канала на инфекции мочевых путей (OYRON WELL D-ONE)
Kod:19014
Tahlil ma'lumotlari
Tadqiqot usuli
—
Kutilayotgan natija topshirish vaqti
1–2 kun
Maxsus tayyorlik
- Schedule collection before menstruation or 2–3 days after it ends.
- Avoid vaginal products for 3 days before sampling, including suppositories, creams/ointments, spermicides, and tampons.
- Wait at least 48 hours after a transvaginal ultrasound, colposcopy, or biopsy before specimen collection.
- Abstain from sexual intercourse for 24 hours prior to the test.
- Do not perform vaginal douching the day before or the day of collection.
- Do not urinate for 1.5–2 hours before the specimen is obtained.
- Cleanse the external genitalia immediately before sampling using water only; do not use antiseptics or antibacterial soaps.
- In the days prior to testing, discontinue antibiotics and anti‑inflammatory medications only after discussing with the treating clinician.
Qanday foydalanish
Qin, bachadon bo‘yni va uretra surtmalarining (urogenital flora) mikroskopik baholashi odatda Gram bo‘yashdan (bakterioskopiya) so‘ng yorug‘lik mikroskopiyasi yordamida ayol genital trakti mikrobiotasini tavsiflash uchun qo‘llaniladi. Test bakterial vaginoz diagnostikasini qo‘llab-quvvatlaydi va surtma orqali aniqlanishi mumkin bo‘lgan ayrim jinsiy yo‘l bilan yuqadigan infeksiyalarni, jumladan kandidoz, trixomoniaz va gonoreyani aniqlashi mumkin. Shuningdek, jinsiy va siydik tizimlariga oid kasalliklarning differensial diagnostikasiga yordam beradi hamda urogenital infeksiyalarni davolash samaradorligini monitoring qilishda qo‘llaniladi. Reproduktiv yordamda ushbu tahlil homiladorlikni rejalashtirishdan oldingi baholashda va homiladorlikning odatiy tekshiruvlarida — odatda dastlabki antenatal ro‘yxatdan o‘tishda va 30 hamda 36 haftalarda — shuningdek bepushtlik va takroriy homila yo‘qotishlarini tekshirishda qo‘llaniladi.
Cheklovlar
Ayol genitourinar traktining normal mikroflorasi taxminan 40 xil mikroorganizmlar turidan iborat. Reproduktiv yoshdagi ayollarda laktobatsillalar ustun bo‘lib, odatda qin florasining 95–98% ini tashkil etadi. Qolgan 2–3% shartli patogen mikroorganizmlardan iborat bo‘lib, ular qatoriga stafilokokklar, streptokokklar, korinebakteriyalar, klebsiellalar, Escherichia coli, Gardnerella va anaeroblar (jumladan bacteroides, prevotella, mikrokokklar, Mobiluncus vibrios, enterokokklar, peptokokklar, peptostreptokokklar, veillonellae, klostridiyalar, eubakteriyalar, kampilobakter va fusobakteriyalar) kiradi. Candida jinsiga mansub xamirturushsimon zamburug‘lar kam miqdorda bo‘lishi mumkin. Laktobatsillalar vodorod peroksidi va sut kislotasini hosil qilish orqali shilliq qavat himoyasini qo‘llab-quvvatlaydi; glikogen mavjudligida ular kislotali muhitni (pH 3.8–4.5) saqlab turadi. Ushbu kislotalilik opportunistik organizmlar haddan tashqari ko‘payishini cheklaydi va patogen turlarni bostiradi. Xo‘jayin yoki atrof-muhit omillaridagi o‘zgarishlar — masalan, immunitetning pasayishi, stress, metabolik buzilishlar, keng ta’sir doirasiga ega antibiotiklar, yallig‘lanishga qarshi, immunosupressiv yoki gormonal terapiyalar qo‘llanilishi, fiziologik gormonal o‘tish davrlari (hayz siklining yo‘lga qo‘yilishi, homiladorlik, menopauza, tug‘ruqdan keyingi va abortdan keyingi davrlar) hamda shaxsiy gigiyenaning sustligi — bu muvozanatni buzib, opportunistlarning tez ko‘payishiga va kasallik namoyon bo‘lishiga olib kelishi mumkin. Laktobatsillalar kamayishi opportunistik mikroblarning kengayishi bilan kechadigan disbiozni keltirib chiqarishi mumkin; o‘z vaqtida davolanmasa, bu nomuvozanat tashqi va ichki jinsiy a’zolarning yallig‘lanish kasalliklariga (masalan, endometrit, salpingit, ooforit), homiladorlikning asoratlanishiga, tushik (spontan abort)ga hissa qo‘shishi va bepushtlik sabablaridan biri bo‘lishi mumkin. Ayollarning urogenital surtmalari mikroskopik tekshiruvi qin, bachadon bo‘yni va uretra bo‘ylab umumiy mikrob yuklamasini yarim‑kvantitativ baholaydi; mikroflora tarkibini aniqlaydi; jinsiy yo‘l bilan yuqadigan infeksiyalar bilan bog‘liq ayrim patogenlarni (masalan, trixomoniaz va gonoreya) identifikatsiya qiladi; vaginal epiteliy holatini baholaydi; va yallig‘lanishning mavjudligi hamda darajasini leykotsitar javob orqali ko‘rsatadi. Surtmalar organizmlarni gram‑musbat yoki gram‑manfiy guruhlarga tezda tasniflash uchun Gram usuli bilan bo‘yaladi; ginekologik namunalar uchun normal flora asosan laktobatsillalarni ifodalovchi gram‑musbat tayoqchalar (laktomorfotiplar) bilan xarakterlanadi.
| Referens oraliq | — |
|---|---|
| Ko'rsatmalar | Preventive screening for inflammatory conditions of the female genital tract., Evaluation of vulvovaginal symptoms: lower abdominal or pelvic pain, dysuria, dyspareunia, abnormal vaginal discharge (curd-like or purulent), and vulvar pruritus., Suspected vaginal dysbiosis following exposure to systemic antibiotics, hormonal therapy, or immunosuppressive agents., Preoperative assessment before pelvic surgery and gynecologic procedures (cervical cauterization of ectopy, polypectomy, endometrial curettage, or intrauterine device placement)., Preconception evaluation when planning pregnancy. |
Namunangiz talablari
| Namunangiz | Surtma |
|---|---|
| Container | Eyms transport muhitidagi tampon |