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HE EPEAEC OOBM TEM. ...

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B acoee pe oepao, o B ec peyao ca cocae aepao op o opax, poypyx epocay, aoa opo accoa, coepax poopa cox oepax, oope pecae aapoa, aepoa, eocpeooa, pyo oyyc, apepeo, oaa. o oce a, yypa G. vaginalis eec y 45-98% e c B y 16-48% opox e, eocpeoo, cooeceo, y 29-63% y 5-27% opo, Micoplasma hominis-y 58-76% y 20% opo, oyyc 51% 0%. B o e pe aoa ee y 9-38% e c B y 68-90% opox e. aoa, ee epocay, ae 6% cyae B y 96% opox e. Aapoe aoa, e ee epocay, oapye 36% cyae B oo 4% op.

B acoee pe B pa aco cpeac aoeae. Xo ocyce caapx aocecx pepe apye yee eo eoo, ocao, o B cpeaec y 15% e oe oy, y 10-30% epeex, 5-25% oox e opace 20- e. B ax eepecx oee B cpeaec y 12-61% aeo.

Oep ec ee, o B e ec .

O 1/3 o 3/4 e c B (50%) e ee coo aoea. Oco coo c ee aaa, oope cpeac ae, e y. Heoope ae oy oea ep aax ee, oop ycaec oce oooo oaa. p ocope e ee ocac a eoae, coopae ooe, ooee (opa cepe eepoe), aco oo e oac peep. e papae pae ee, e p pxooae aoe. ao B ocoa a xapaepce ee, a cooo pH (oee 4,5), ao(po) aaxe p oae ee c ao o (10% OH), ex eo, oope c ea ea co yco ooee aep, o x pa paac c pyo. e aaoo e c eo oeco aep o paa e o paccapac a ee. Hecop a epoy po aapoo oo aoea, e eoxooc ee x eoo yyp. Tae e ee aoceco aoc eee yyp G. vaginalis aax ee.

B aoce B oe cooaa poco aax ee, opaex o pay. aeo c B oeaec oa ceaa aepaa opa eoo aoa. co pa ee e. opox e aep ao, a opy aoa. aeoo ca aeo poco aa e poeyo poop. x aeo ooo pae B, a p eo a-coaoe opoee. p poco ee, opaex o pay, c e aoc B e p a aep:

aoa, e a oe pa-ooee ao;

Gardnerella Bacteroides-aee pa-opaee apaee o opace ao;

Mobiluncus-oye pa-opaee apaee o opace ao. Meo ee yceoc 62-100% ooey poocecy eoc 76-100%.

eee. Peoeye pe: epoao 500 a e 7 e.

Ceye o, o ae oe oepac o yopee aoo eee ee 24 aca oce eo aepe. poe eeoc-78-96%.

Aepae pe:

epoao 2,0 oopao. poe eeoc cocae 72-84%.

a (aa) pe 2% 5,0 (o o aaop) o aae epe co eee 7 e. poe eeoc cocae 78-94%.

epoao e 0,75% 5,0 (o o aaop) o aae a e eee 5 e. poe eeoc-87%.

a 300 epe po a e eee 7 e. poe eeoc 94%.

eee oooo appa e c B e peoeyec, .. e e a ypoe pea aoea. Mepoao e ceye aaa ep pecp epeeoc, oa ceye peoec eee peo aa. B oee oe cpo epeeoc oyco eee eoo, o peoe ec ecoe eee. eee ox c B ee e oaec o caapoo. eoo eoa peypee B e cyecye. epeex ae B oae pc peepeeoo oooox o, peepeex poo, oceoepaox ocepoox eox ocoe. Oao oa o ee (16-26 ee) yye cxoo epeeoc ocac eoaao. Bee eee B eecoopao y epeex c co pco peepeex poo (aae, ece poe). Py cp eee B p eocoo eee epeeoc e peoeyec. eepeex B ca c oee pca OBMT.

eee B epe poeee cycceoo aopa I pecpe epeeoc cyeceo cao acoy OBMT oce aopa.

POEHE HE, EPEAEC OOBM TEM ATEP Chlamydia trachomatis Neisseria gonorrhaeae Gardnerella vaginalis Treponema pallidum eoece cpeoo py B Haemophilus ducreyi Calymmatobacterium granulomatosis Shigella spp MOAM Ureaplasma urealyticum Mycoplasma hominis APAT Sarcoptes scabiei Phthirus pubis BPC Herpes simplex ( 1 2 ) Papillomavirus ea A oeaopyc B ( 1 2 ) T - eoa ee ( 1 ) POCTEE Entamoeba histolytica Giardia lamblia Trichomonas vaginalis P Candida albicans POEHE PEOMEHA O EEH CCA 1. ep op cc Peoeye peu: ea e G (ce, peape) 2,4 . e. / oopao.

pu aepuu neuuuy ( eepeex ): eee 2 ee per os oc 100 2 paa cy Tepa 500 4 paa cy ppo 500 4 paa cy 2. ae cc Peoeye peu:

Pa ae cc ( eee 1 oa ) - ea e G 2,4 .

e. / oopao o ae cc ( oee 1 oa ) - ea e G eeeeo pxpao / o 2,4 . e. o oe o 7,2 . e.

pu aepuu neuuuy ( eepeex ): eee 2 ee p pae, eee 4 ee p oe aeo cce oc 100 2 paa Tepa 500 4 paa cy.

3. o cc Peoeye peu ( e epocca ): ea e eeeeo pxpao / o 2,4 . e. o oe o 7,2 . e.

pu aepuu neuuuy: o e, o oeo aeoo cca.

4. Hepocc Peoeye peu: o pacop pcaecoo ea G oe 12 - 24 .e. cy, o ae 4 aca / o 2 - 4 . e. 10 14 e.

Amepamu peu ( opopyex aeo ): poa e / eeeo o 2,4 . e. poee o 500 4 paa e per os eee 10 - 14 e.

5. Cc p epeeoc Peoeye peu: eee cex ca cca pooc oo eo. Oee ceac peoey ooeoe eee e opo e ea ea / oe 2,4 . e. epe ee oce epo e. o ocoeo ao e, aax eee III pecpe, ex, y oopx o pe epeeoc pac op cc.

p aep ey epeee o po ececa oy eee eo.

6. Cc y B - poax aeo pu nepuo u mopuo cuuuce peoeyec / eee 2,4 .

e. ea ea. Oee ceac peoey oope e ea, a p oe cce. p aep ey ceye poec ececa aa eee eo.

pu amemo cuuuce opax peyaax cceoa coooo oc peoeyec eee ea eo oe oe 7,2 . e., paeo a p ee o 2,4 . e.

eeeeo.

POEHE ACCA B HE aeop o coepa eca aeop C 4 ( + ) T - oo A B C oee 500 / - oee 29% A1 B1 C 200 - 499 / - 14 - 28% A2 B2 C eee 200 / - eee 14% A3 B3 C eca aeop A: ocpa (epa) B e, epccpya eepaoaa oaeoa, ae e coo B - e eca aeop B: coe coco, cpeaec p B poa, o e coco, xoe aeop A C ao y aaa: epccpy, ac, yco ee ao pooo ca e a yepea ea oe co: xopaa oee 38,5* ooc, ec oee 1 ec eoa ooccx ace ea, pa epec: a oee oa aa oee 1 epaoa oaeca poooeeca ypypa cepo ocaee aoea aoo aa, ocoeo, ocoee yo oapa acecco epepeca epoa eca aeop C: coco, yaae a C ao poxo, paxe, ex ao eoa a pa e a oooo pacpocpaee eeoe pooo eeo pocopo xpoec e (oee 1 ec) oeaopyca e, poe ee, ceee oyo oeaopyc pe c oepe pe eaoa epec: xpoece (oee 1 ec), opae poxo,ex, eoa coaoc pacpocpae eeo ocopac xpoec e (oee 1 ec) capoa ao oa ypa oa yoaceca oa oa, epa yepye o oaa eoca eo eo opaa popeccpya oecea eoeaoa caoee opa, cee ocoao oa cpo ycaoc POEHE paece peoea o ee B e (yepce oa Xoca, CA, a 1997 .) oa aa eee:

ocpa B e: ocpo epoe eee 6 ecoo epoa cepooepc, xpoeca B e: p ypoe PH B oee 10 c. o/ ce C 4 (+) oo eee 500 /3.

C eo aa eee:

1. peoea cxea (oaaa aoee coa paea apyca aoc y oca ox) - 2 HOT (yeo op opao pacpa): . ay;

. ao;

. aa;

ay ao co cayo ao-y opo poea (peop, ap, eap).

2. Aepaa cxea (eee ea, e peoea - 2 HOT coea c epao.

poooaao: ooepa peapao, a ae . co cayo, ao c aao, aa co cayo.

oa e cxey ee:

p eeoc ee: ypoe PH B oee 500 o/ epe 4-6 ec. o aaa ee.

cyae ococ eepeococ eapcex peapao.

p oe ox, oee ex eapcex peapao.

a e cxey ee p eo eeoc:

pe cxea Hoa cxea (a oee ox peapao) 2 HOT c opo 2 ox HOT c o opo poea poea (e e peap a ap) 2 ox HOT c epao Ho HOT, o op poea, epa 2 ox opa poea HOT 2 HOT c epao 2 ox HOT c opo poea 2 HOT 2 ox HOT c opo poea epao.

Peoeyea epaypa 1. Ayepco. o pe. . Hcaepa, A. aca (ep. a.).-1999 .

2. c. A., oeopc . A. aepae e oa oopoeoo (ep. a.).-M., 1987 .

3. eca aoo epeeoc oopoeoo. o pe. M. H.

o,. . epa, . . paya (ep. a.).-M., 1986 .

4. Heeca e: epec. o pe. . H. Xaxaa.-Coec, 1997 .

5. Pepoyoe opoe. o pe. .. ea,. C. epepa, . A.

eaa (ep. a.).-1988 .

6. Complications of pregnancy: Medical, Surgical, Gynecologic, Psychosocial and Perinatal.-4th edition.-Ed. by Sh. H. Cherry, I. R. Merkatz.-1991.

7. Sweet R. L., Gibbs R. S. Infectious deseases of the female genital tract.-3rd edition.-1995.

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