. , . 1 105 108 /, , 5:1 10:1.
, . , :
- ;
- , . 4,8-3,8;
- , , , .
95-98% 105106 /. 3-5% , 20 (. 1).
1
S. Faro, 1989 | . , 1988 | H. Hammill, 1989 | .. , 1998 | .. , 1996 | |
Streptococcus sp. | + | + | + | + | + |
St. B | + | + | + | ||
St. D | + | + | + | ||
Non-hemolyt. streptococcus | + | + | + | ||
a-Hemolyt. streptococcus | + | + | + | ||
b-Hemolyt. streptococcus | + | + | + | ||
Enterococcus | + | + | + | + | + |
Staphylococcus epidermidis | + | + | + | + | + |
S. aureus | + | + | + | + | + |
Escherichia coli | + | + | + | + | + |
Enterobacter sp. | + | + | + | ||
Klebsiella pneum. | + | + | + | + | |
Proteus sp. | + | + | + | + | |
Diphteroides | + | + | + | ||
Lactobacillus sp. | + | + | + | + | + |
Gardnerella vaginalis | + | + | + | + | + |
Lactobacillus sp. () | + | + | |||
Propionibacterium sp. | + | ||||
Eubacterium sp. | + | + | |||
Bifidobacterium sp. | + | + | |||
Bacteroides sp. | + | + | + | + | + |
B. bivius | + | + | |||
B. fragilis | + | + | |||
B. melaninogenicus | + | + | |||
B. disions | + | + | |||
B. distasonis | + | + | |||
Peptococcus sp. | + | + | + | + | + |
Peptostreptococcus sp. | + | + | + | + | |
Fusobacterium | + | + | + | + | |
P. magnus | + | ||||
P. anaerobius | + | ||||
Clostridium sp. | + | + | + | ||
Veilonella | + | + | + | ||
Candida albicans | + | + | + |
|
|
, , , St. aureus, Streptococcus B, Enterococcus, Gardnerella vaginalis, Escherichia coli, Bacteroides fragilis , 103104 /.
. , , , , , , , , . . , , .
1985 (. transmissio ) . , , .
(sexually transmissed disease STD), , ϻ.
, ( ). , , , .
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2.
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() |
()
|
|
... , ( .., 1995).
, , 4 61%.
. ( 105 /) , . , 10101011 / , . 100:1 1000:1.
. Prevotella (Bacteroides), Fusobacterium, Peptococcus, Peptostreptococcus, Mobilincus, Gardnerella vaginalis.
, , ( 3).
, (Trichomonas vaginalis, Neisseria gonorrhoeae, Candida albicans).
, (, , , . , ) . , , 70% , , , .
, .
3.
, ( .., 2001 .)
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, :
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|
|
2. / Mobilincus sp. ( , ).
3. >4,5.
4. 10% ( ).
5. .
.
, .
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4
( )
() | 500 2 5 | 500 2 7 | |
500 2 7 | 0,75% | 5 ( ) 2 5 | |
300 2 7 | 2% | 5 ( ) 7 | |
1 2 5 . | |||
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5
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2 |
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|
|
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:
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6
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5 2 3-4 . | 10-14 |
I .
.
.
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:
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, 40-50% . 2 , , 26 45%.
Candida, , . 150 . 95% Candida albicans.
.
, : , , , , , , (, .), .
, , , , , Candida.
|
|
. . , , , 18-40% .
Candida, , 80%, 2-3 . 30-40% . , , . , , , , .
, , . , ( 70%) . .
. , 1,5 .
, 20 2 15%. , , , . , , .
:
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.
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.
, , , .
Candida :
1. , (<104 /), (106108 /).
2. , . Candida (>104 /) (>106 /) .
, / .
3. , . ( ) (>109 /) . , .
.
. , . , .
, .
7 .
7
1 1012 | ||
100000 | 1 14 | |
2-3 1014 | ||
500000 4 1015 | ||
500000 4 1015 | ||
250000 2 14 | ||
() | 100 | 1 4 5 |
100 | 1 6 | |
(30 ) | 2-3 710 | |
() | 100 | 1 1012 |
1% (35 50 ) | 1 5 1-2 612 | |
500 | 1 | |
() | 200 | 1 2 5 |
(1 0,02 ) | 1421 | |
() | (1 0,02 ) 40 | 1/2 4 7-10 |
2% (1 0,02 ) | 5 2 714 | |
200 | 1 1 3 | |
100 | 1 1 7 | |
() | 150 | 1 3 |
1% (78 ) | 1 1014 | |
() | 600 | 1 36 . |
() | 1 (150 ) | |
80 | 1 3 | |
0,8% | 5 3 | |
200 | 1 1 3 | |
( + + + ) | 1 612 | |
( + + + ) | 1 6 | |
( + + + ) | 1 6-12 | |
( + ) | 1 714 | |
- ( + ) | 1 7-14 |
, ( , ). Candida , .
, .
, ( Candida) ( .) , ().
3 :
;
;
.
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: | |||||
+ + + + | + / | / + | + / | ||
+ + + + | + + / | + / | + + + | ||
, | , | ||||
, | () | ||||
() | + + + | / + | |||
/ + | + + + + | + | + / | ||
+ + | + + + | + + + | + + + + | ||
015 | ( 15 ) | 20 | 20 | 20 | |
, | ( ) | + | + tr. vaginalis | ||
+ + + | / + | ||||
+ + + | / + | + + | + | + / | |
3,7 4,5 | 6,0 7,0 | 4,5 5,0 | 4,5 5,5 | 5,0 6,0 | |
. . 1: 103 / | Candida >103 / | >103 / |
: + / ;
/ + .
: I , (, , , , , , , .) . I Candida .
( ) . , .
, , .
, (trichomonas vaginalis). , 70% , . . .
. 3 21 . mensis, 6,06,2, .
, , , , , . , , , . , ( ), , / .
. , tr. vaginalis .
(trichomonas vaginalis) . ʖ (Ж).
. , .
. , . , .
tr. vaginalis (. 9). 2 . 7 .
9
250 3 | 7 | |
500 2 | 57 | |
() | 500 2 | 5 |
, | 2 |
, , :
I .
II .
III .
I ( 20 ) . 500 ´ 2 7 - 1 . 14 .
. , 57 .
: , 1 3 .
1. .. , . , 1997. . 151.
2. .. . // . , 1998. . 7778.
3. .., .. , Candida. // , . 1998. 2. . 1214.
4. .. . , 2001. . 363.
5. .. . // , . . , 19992000 . . 2225.
6. .., .. . , 1977. . 39.