Sikhuluma ngezitshalo ze-polymorphic lapho amasiko ebhayoloji embula amagciwane amaningana ahlukene oketshezini oluhlaziyiwe (umchamo, amasampula esitho sangasese sowesifazane, isikhwehlela, indle, njll.). Akukho okumele ukhathazeke ngakho uma kuhlotshaniswa nokungabikho kwamangqamuzana amhlophe egazi.

Ama-microorganisms amaningi (amabhaktheriya) avame ukuba khona noma emzimbeni womuntu wezifundo ezinempilo. Ngokungafani namabhaktheriya e-pathogenic (abhekene nezifo), lawa mabhaktheriya e-commensal (ahlala ku-symbiosis nomzimba womuntu) ahlanganyela ngenkuthalo ekuvikeleni umzimba, ukusebenza kwawo kanye nesimo esihle solwelwesi lwamafinyila.

Lawa mabhaktheriya e-commensal angahlukaniswa abe yizitshalo ezi-4 eziyinhloko:

• isikhumba (isikhumba),
• ukuphefumula (isihlahla sokuphefumula),
• isitho sangasese,
• yokugaya ukudla.

Phakathi kwezitshalo eziyinkimbinkimbi kakhulu, lezo zomgudu wokugaya ukudla zithwala unomphela cishe amagciwane ayizigidi eziyizinkulungwane eziyi-100 ikakhulukazi atholakala kukholoni.

Ngakho-ke umuntu uhlala 10¹⁴ amangqamuzana amagciwane njalo.

"Ngakho-ke kuvamile ukuthola izinhlobo eziningana zamabhaktheriya ngesikhathi sokuhlolwa kwesiko loketshezi, kungakhathaliseki ukuthi kusesikhumbeni, i-ENT sphere, i-digestive tract noma ngisho nangasese", kuqinisekisa uProfesa Franck Bruyère, udokotela ohlinzayo we-Urological. . Kepha kumongo wokusesha ukutheleleka, kuyadingeka ukuthi ukwazi ukuzibona futhi uzilinganise ”.

Ngakho singakhuluma ngezitshalo ze-polymorphic uma amabhaktheriya amaningana ekhona ekuhlolweni kokuhlaziywa kwezinto eziphilayo. Lokhu kuvame ukuvela ku-ECBU (ukuhlolwa kwe-urinary cytobacteriological); kodwa futhi nasezindleleni zendle (amasampula endle), ama-smear esikhumba, ama-vaginal smear noma ukuhlolwa kwesikhwehlela (ECBC).

Ngokwesiko elijwayelekile, emithonjeni yezindaba ngokuvamile eyinyumba, njengasemchamweni, ukuba khona kwesitshalo se-polymorphic ku-ECBU, isibonelo, kubonisa ukungcoliswa kwesampula ngamagciwane angaphandle noma ukutheleleka.

“Uma isiguli singenazo izimpawu futhi i-ECBU yaso ibuya i-polymorphic noma i-poly-bacterial, lokho akusona isizathu sokukhathazeka. Ngokuvamile kuba ibala: ngesikhathi sesampula, umchamo kungenzeka ukuthi uthinte i-vulva, i-urethral meatus noma iminwe noma i-vial yokuqoqwa yayingenanyumba. Ngenxa yalokho, amagciwane asethuthukile ”. Ukuze kube nemiphumela ethembekile, umchamo kufanele uqoqwe ngaphansi kwezimo eziphelele zokuhlanzeka.

“Ngokuphambene, esigulini esinomkhuhlane futhi okusolwa ukuthi sinesifo, i-ECBU ene-polymorphic flora iyinkinga kakhulu. Udokotela udinga ukwazi ukuthi yimaphi amagciwane atholakala oketshezini ngenani lamagciwane angaphezu kwe-1000 ngemililitha ngayinye ukuze acacise ukwelashwa okukhonjiswa kakhulu ”.

Udokotela uzobe esecela isazi sezinto ezincane eziphilayo ukuthi sihlonze amagciwane sisebenzisa i-antibiogram: le nqubo yenza kube nokwenzeka ukuhlola ukuzwela kohlobo lwebhaktheriya kuma-antibiotic amaningana.

Ukuba khona ngasikhathi sinye kwamagciwane (i-polymorphic flora) namangqamuzana amhlophe egazi (i-leukocyturia) emchameni kukhombisa ukuba khona kokutheleleka komgudu womchamo. Khona-ke kuyadingeka ukwenza kabusha i-ECBU.

Kwezinye izimo, ukuba khona kwe-polymorphic flora kungaba yinkinga. “Ngokwesibonelo, kuvamile ukucela i-ECBU ezinsukwini ezimbalwa ngaphambi kwenqubo lapho kunobungozi be-UTI njengokukhishwa kwe-prostate, ukukhishwa kwesinye noma ukukhishwa kwetshe ezinso. Uma i-ECBU ibuya ne-polymorphic flora, asikho isikhathi sokwenza kabusha isiko, okuvame ukuthatha izinsuku ezingu-3. Sizobe sesicela ukuhlaziya okuqondile, ngaphandle kokutshala ukuze sihlole ubungozi ”.

I-antibiogram izovumela udokotela ukuthi akhethe ukwelashwa okungcono kakhulu komuntu ngamunye ngokumelene nohlobo lwebhaktheriya olubangela ukutheleleka.