'Lelo mākou e pili ana i nā flora polymorphic ke hōʻike nā moʻomeheu olaola i kekahi mau bacteria ʻokoʻa i loko o kahi wai i kālailai ʻia (mimi, nā mea huehue, sputum, stool, a pēlā aku.). ʻAʻohe mea e hopohopo ai ke pili ʻia me ka ʻole o nā hunaola keokeo.

Nui nā microorganism (bacteria) i maʻa mau i loko a i ʻole i ke kino o ke kanaka o nā kumuhana olakino. ʻAʻole like me nā bacteria pathogenic (nā kuleana no nā maʻi), ke komo pū nei kēia mau koʻohune commensal (e noho nei i ka symbiosis me ke kino o ke kanaka) i ka pale o ka meaola, ka hana a me ke kūlana maikaʻi o nā membrane mucous.

Hiki ke hoʻokaʻawale ʻia kēia mau koʻohune commensal i 4 flora nui:

• ʻili (ʻili),
• hanu (lāʻau hanu),
• ke kino,
• ʻūlū kino

Ma waena o nā flora paʻakikī, ka mea o ka digestive tract e lawe mau ai ma kahi o 100 biliona bacteria i loaʻa ma ka kolona.

Hoʻokomo ʻia kahi kanaka 10¹⁴ nā hunaola koʻohune mau.

"No laila he mea maʻamau ka loaʻa ʻana o kekahi mau typologies o nā koʻohune i ka wā o ka moʻomeheu ninaninau i kahi wai, inā ma ka ʻili, ka puni ENT, ka ʻōnaehana digestive a i ʻole ka ʻōpala", hōʻoia ʻo Professor Franck Bruyère, Urological surgeon. . Akā i ka pōʻaiapili o kahi ʻimi no ka maʻi, pono e hiki ke hoʻomaopopo a helu iā lākou ”.

Hiki iā mākou ke ʻōlelo e pili ana i nā flora polymorphic inā loaʻa kekahi mau bacteria i kahi hoʻokolohua hoʻokolohua hoʻokolohua. ʻO kēia pinepine ka hihia ma ECBU (urinary cytobacteriological examination); akā i loko nō o nā moʻomeheu kaola (stool Sampels), nā ʻili ʻili, nā pēpē a i ʻole nā ​​sputum examinations (ECBC).

I ka moʻomeheu maʻamau, i ka pāpaho maʻamau maʻamau, e like me ka mimi, ke kū ʻana o kahi flora polymorphic i kahi ECBU, no ka laʻana, hōʻike i ka hoʻowahāwahā ʻia o ka hāpana me nā bacteria waho a i ʻole kahi maʻi.

"Inā ʻaʻohe hōʻailona o ka mea maʻi a hoʻi mai kā lākou ECBU polymorphic a i ʻole poly-bacterial, ʻaʻole ia he kumu e hopohopo ai. He maʻa mau ia: i ka manawa o ka hāpana, ua pili paha ka mimi i ka vulva, ka meatus urethral a i ʻole nā ​​manamana lima a i ʻole ipu ʻole ka ipu. A ʻo kahi hopena, ua ulu nā ʻōpala ”. I loaʻa nā hopena hilinaʻi, pono e hōʻiliʻili i ka mimi ma lalo o nā kūlana kūlohelohe.

"I ka hoʻohālikelike ʻana, i ka mea maʻi me ka fiva a me ka kānalua ʻia no ka maʻi, ʻoi aku ka pilikia o kahi ECBU me ka flora polymorphic. Pono ke kauka e ʻike i nā ʻōpala i loaʻa i ka wai i ka wikiwiki o 1000 mau bacteria i ka milliliter i mea e kuhikuhi pono ʻia ai ka lāʻau lapaʻau i hōʻike ʻia.

E noi ke kauka i ka microbiologist e hoʻomaopopo i nā grob e hoʻohana nei i kahi antibiogram: hiki i kēia ʻano hana ke hoʻāʻo i ka makaʻala o kahi maʻi bacteria i kekahi mau lāʻau ʻino.

ʻO ka noho like ʻana o nā g germ (polymorphic flora) a me nā hunaola keʻokeʻo (leukocyturia) i ka mimi e hōʻike ana i ke ola o kahi maʻi urinary tract. A laila pono e hana hou i kahi ECBU.

I kekahi mau hihia, hiki i ka alo o flora polymorphic ke lilo i pilikia. "Eia kekahi laʻana, he mea maʻamau ka noi ʻana iā ECBU i kekahi mau lā ma mua o ke kaʻina hana kahi e makaʻu ai ka UTI e like me ka prostate resection, bladder resection a hemo ʻana i kahi pōhaku i kahi puʻupaʻa. Inā hoʻi mai ka ECBU me kahi flora polymorphic, ʻaʻohe manawa e moʻomeheu hou ai, a he 3 mau lā ka lōʻihi. E noi mākou no kahi kānana pololei, me ka mahi ʻole ʻana i mea e nānā ai i nā pilikia ”.

E ʻae ka antibiogram i ke kauka e koho i ka hoʻomaʻemaʻe lāʻau antibiotic ponoʻī loa e kūʻē i ka maʻi bacteria i kuleana no ka maʻi.