Usati watora mashoko acho, zvinokurudzirwa kuti uite mitemo inotevera:
- usadya, kunwa kana kupwanya mazino ako kwamaawa maviri;
- echenesa mahwendefa kubva kumucheka accumulations.
Kusakwanisa kutevedzera kugadzirira usati watora smear kubva pa pharynx uye nemapapiro kune microflora kunogona kuita mhinduro dzisingagoneki dzekuongorora.
Nzira yekutora smear kubva mumuromo
Smears inotorwa zvakasiyana kubva pa pharynx nemapumhi kushandiswa kusina michina mitambo ne swab wool swab. Nyaya yacho inotorwa kubva pa pharynx iko kushandisa sora isina tsvina yekusimudzira mudzi werurimi. A sterile loop inowanikwa pamwe nemasvingo ane maratine, matoni, uye mushure kumashure kwepasina. Muchiitiko ichi, zvakakosha kubvisa kubata kwechidziro kune rurimi, mazino uye masvingo emuromo.
Mura laboratory, zvinhu zvakasarudzwa zvinodyarwa kune zvakasiyana-siyana zvenyika. Kana smear kubva pamutsipa ikatorwa kuti ione causative agent ye diphtheria, ipapo chirimwa chinobudiswa paarar-tellurite agar. Muzvinyorwa zvebhakitiriya kuongororwa kwekuonekwa kweimwe hutachiona, hutapwa hutorwa kaviri uye hunoiswa mumutambo wekuedza nemukaka mutsvuku, uyewo pane slide. Zvishandiso pagirazi zvinongororwa pasi microscope, uye zvinyorwa kubva mubhuku rinoiswa kune mamwe mishonga yemiti muzuva (Saburo midimi, ropa uye chocolate chokur, etc.).
Migumisiro ye smear kubva ku pharynx
Chimbofunga izvo smear kubva pa pharynx inoratidza. Kazhinji, microflora ye pharynx ine epidermal staphylococcus, streptococcus yakasvibirira, nhamba shoma ye Candida fungi, uye ne-non-pathogenic Neisseria uye pneumococci.
Zvirwere zvinokonzera zvirwere zvinogona kuonekwa kana kuongorora smear pa microflora kubva pamutsipa:
- β-hemolytic streptococcus yeboka A;
- causative agent of pertussis;
- iyo causative agent we diphtheria ibillillus yaLeffler;
- fungi Candida albikans, nezvimwewo.
A smear kubva ku pharynx ku streptococcus inosarudzwa nokuda kwekufungidzirwa pneumonia, chirwere chehuro chironda, pharyngitis, nezvimwewo. Streptococci zvichiita kuti zvirwere zvakawanda zvevanhu zvive zveboka A (pyogenic).
Zvirwere zve Streptococcal throat zvinowanzoitika. Streptococcal angina inogona kuitika mumamiriro ezvinhu akaoma uye inopisa yakakwirira, uye muine unyoro, kusingazivi. Muchivara chitsvuku, pane zviratidzo zve angina, izvo zvinowirirana nekuputika kweganda.
A smear kubva ku pharynx pane eosinophils inotorwa kuti irege kubvisa kana kuratidza kuti chinokonzerwa nechirwere chacho chinoratidzika sei. Eosinophils inorudzi rweeukocyte inobatanidzwa mune zvinokonzerwa nezvinokonzerwa nemagetsi.
Smear kubva kune fauces kusvika kune fungi inosanganisira kuonekwa kwezvirwere zvakadai se-agranulocytosis, asthma ine simba rinokonzerwa nehutano, etc.
A smear kubva pa pharynx pa staphylococcus inoitwa kuti iongororwe zvirwere zve staphylococcal.
Staphylococcus inorondedzerwa sechirwere chepathogenic bhakitiriya, kureva kuti, iyo inokonzera zvirwere zvinokonzera zvirwere chete mune zvimwe zviitiko (kuderedzwa utachiona, kutadza mavitamini, hypothermia). Zvinenge zvirwere zvose zvinosanganisira staphylococcus zvinoreva
Mabhakitiriya eStapenlococcus anotapurirwa nemadonhwe emhepo, pamwe nekubata chinhu chinotapukira, munhu kana kuti kuburikidza nekudya. Staphylococcus aureus yakasimba kwazvo mumamiriro ekunze, uye kurapwa kwezvirwere zve staphylococcal kunzvimbo yakaoma, aya majekesiti anokurumidze kubudisa hutachiona hwemishonga inorwisa mabhakitiriya. Nokudaro, kunyanya kukosha pakutsvakurudza kwemafuro kubva ku pharynx pa staphylococcus kunopiwa kuonekwa kwekunzwisisika kweizvi kana zvimwe zvinodhaka kuitira chinangwa chokurapa.