Hōʻikeʻike Smear - transcript

Ma muli o kēlā me kēia heleʻana o kekahi wahine i kahi kālaiʻike me ka nalu e hoʻoholo ai i keʻano o ka microflora o ka pūnaha genitourinary (me keʻano o ke kīʻaha, gynecological). A i kēia lā, e kamaʻilio mākou e pili ana i keʻano o nā huaʻali ma ka pepa me nā hopena o ka hōʻuluʻuluʻana.

ʻO ka hoʻoholoʻana o ka hoʻopiʻi lāʻau

Hiki i ka nānāʻana a me ka weheweheʻana i ka hopena keʻike i nā maʻi i laweʻia i ke kino, i ka mumū.

No ka noiʻi, ua laweʻia nā kikowaena mai ka pilina, a me ka pūpū a me ka urethra (urethra) me kahi spatula kūikawā. Hoʻopiliʻia nā hua'ōlelo i nā paheʻe me nā notations: ka lōʻihi - "V", urethra - "U", kahe - "C".

I loko o ka hale leka, i ka manawa mua, ka paleʻana o nā pale umauma me nā mea nani (e like me Gram). E nānāʻia ana nā mea ma lalo o kahi microscope.

Hoʻoholoʻia ka weheweheʻana o ka māmala'ōlelo nui o kahi hoʻopiʻi ma muli o nā kuhikuhi:

1. Flat epithelium. Me nā'ōmole maʻamau, aia kahi epithelium (mau pūnaewele e uhi ana i nā pūpū a me nā pūpū). Hoʻololi ka nui o ia mea ma muli o kaʻaneʻane - e hiki i nā pūnaeho he 15 ma ka māheleʻike. Hiki i ka mea hōʻike nui ke kuhikuhi i kahi alamu inflammatory (vaginitis, cervicitis, urethritis). Ināʻaʻole i loaʻa nā pūnaewele o ka epithelium i ka pale -ʻo kēia ka hōʻailona o ka loaʻaʻole o ka estrogen a me ke atroph o nā pūnaewele epithelial.
2. Leukocytes. Hana kēia mau pūnaewele i kahi hana pale i ke kino, e pale ana i ka komoʻana o ka maʻi. Ma keʻano maʻamau,ʻo ka helu o lākou i loko o kaʻokoʻa a me ka urethra - a hiki i ka 10, a ma loko o ka pūpū - a hiki i 30. Inā hoʻoholo ka hoʻololi o ka microscopy mīkini i ka nui o nā leukocytes, he hōʻailona o ka hoʻolālā.
3. ʻO Lactobacilli (Dedalein sticks) he mauʻelele o ka microflora maʻamau o ka pilina. Me nā hōʻailona olakino, pono e nui ka nui o lākou i loko o ka pale. ʻO kahi hapa liʻiliʻi ka hōʻailona o ka uhakiʻana i ka microflora kino.
4. Hoʻokumuʻia ka slime e nā kī o ka pilikino a me ke kahawai o ke kino. ʻO keʻano maʻamau, pono i kahi'āpana liʻiliʻi.
5. ʻO Fungus Candida - kaʻikeʻana i kaʻikeʻana i ka hopena o nā hualoaʻa o kahi kikowaena maʻamau e hōʻike ana i ka'ōpala.
6. Ināʻikeʻia ka hōʻailona kikowaena i ka hikiʻana o nā microorganisms haole (gonococci, nā lāʻau liʻiliʻi, nā trichomonads, nā pūnaewele atypical, a pēlā aku), a laila hōʻike kēia i kahi maʻi.

ʻO Bakposev Smear - Hōʻike

No ka weheweheʻana i ka hōʻailona, ​​pono i kekahi manawa ke hoʻokō i ka moʻomeheu honua. Hōʻike kēia'ānai i ka manaʻo o ka mea hoʻopuka hoʻokipa o ka maʻi i nā lāʻauʻokoʻa. Me kēiaʻano, ua hoʻokumuʻia nā mea i kohoʻia i kahi kumuhana no nā lā 7-15. I ka weheweheʻana i ka hoʻopiʻi hoʻopipipomoʻana, hōʻikeʻia ka helu o nāʻelele o ka mea maʻamau, kūkiko a me ka momona i ka CFU (kolonā i hoʻohuiʻia).

Hoʻomaeho no ka cytology - transcript

ʻO ka hoʻopiʻiʻana i ka cytology (a Pap smear) he mea iʻikeʻia e microscopic e hoʻoholo ai i ka nui, i keʻano, ka helu, a me kahi o nā pūnaewele.

ʻO ka hoʻoholoʻana o ka paʻiʻana ma luna o ka oncocytology penei: ka hopena maikaʻiʻole (ka maʻamau) - nā pūnaewele a pau o ka epithelium ākea a me ka cylindrical me nā hiʻohiʻona; maikaʻi - ka nohoʻana o nā pūnaewele atypical (ʻano likeʻole keʻano, ka nui, kahi pathologically).

ʻO ke kumu o ka hopena maikaʻi e hiki ke lilo i ka wela me ke kukuna, ka hopena o nā maʻi (ka'aleʻa, polyps, a me nā mea'ē aʻe), a me nā maʻi kūikawā (dysplasia) a me ka maʻi kāpili maʻi.

Aia 5 mau papa o keʻano o keʻano o ke kino:

1. ʻO ke kiʻi'ōlohelohe maʻamau.
2. ʻO nā pūnaewele i hoʻololiʻia he hōʻailona o ka'ōnaehana inflammatory o nāʻano o ke kino.
3. ʻO ka nohoʻana o nā pūnaewele atypical (kahi'ē aʻe e pono ai nā hoʻokolohua hou).
4. ʻO ka heleʻana o kahi liʻiliʻi liʻiliʻi o nā pūnaeho maʻi.
5. ʻO kahi nui o nā pūnaeho maʻi maʻi.

Pale mai ka puʻu - ka hua'ōlelo

ʻO ka manawa pinepine, e hanaʻia ka pharynysis o ke koko mai ka pharynx me ka angina, ka maʻi o ka'ōpū hanu nui, ka pertussis, ka maʻi meningococcal, me ka kānalua o ka laweʻana i nā maʻi o kēia maʻi.

Ma keʻano maʻamau,ʻo ka microflora o ka pharynx ka mea i hōʻikeʻia e epidermal staphylococcus, streptococcus green, Neisserias i ka maʻi a me ka pneumococci, a he wahi iki liʻiliʻi o Candida. Hoʻopili pinepineʻia nāʻanoʻanoʻano pathogenic ka Candida albicans, ka'āpana streptococcus A-BH-hemolytic, ka mea nāna e hoʻopuka i nā mea e hoʻopuka ai i ka'āpana, ka diphtheria bacillus.