What are the indications for sowing from the cervical canal?
This kind of research can be prescribed by doctors with:
- planned annual survey of the female reproductive system;
- inflammation of the cervix - cervicitis;
- the process of pregnancy planning;
- when detected in a smear on the purity of the vagina of the coccal microflora;
- increase in the number of white blood cells in the smear taken from the vagina;
- relapses of inflammatory diseases of the reproductive system.
How to prepare for the study?
Despite the fact that sowing on the flora during the collection of material from the cervical canal is not a complicated procedure, preparation for its implementation is required. So, a woman should adhere to the following rules:
- Exclusion of intimate communication for 1 day before the analysis;
- abolition of douching, as well as vaginal suppositories (if they were prescribed earlier) within 24 hours.
If this analysis is conducted to determine sensitivity to antibiotics, then these drugs stop taking 10-14 days before the study. Also, the procedure is not carried out on critical days, even if less than 2 days have elapsed since the end of the procedure.
How is the procedure for collecting the material carried out?
The sampling of material for bacteriological examination is carried out with the help of a special sterile probe, which in its appearance resembles a small brush. The depth of its introduction is about 1.5 cm. The collected sample is placed in a test tube with a special medium that is hermetically sealed. After a certain time (usually 3-5 days), specialists conduct microscopy of a sample of material from nutrient media.
How is the result evaluated?
Deciphering the tank. Sowing from the cervical canal should only be done by a doctor. Only he has the opportunity to objectively assess the situation, taking into account the existing symptoms of the disorder, the severity of the clinical picture, which is necessary for the correct diagnosis. According to the established norms, there are no mushrooms in the sample of the collected material. At the same time lactobacilli should be at least 107. Presence of such a conditionally pathogenic microorganism is permissible, but in concentration, not more than 102.
Also in the norm, as a result of the spent tank. sowing from the cervical canal, the sample should be completely absent:
- enterococci and E. coli;
- epidermal and Staphylococcus aureus;
- Proteus;
- gonococci;
gardnerelles; - Trichomonases.
Despite a wide range of research, with the help of bacteriological inoculation it will not be possible to detect such pathogens as ureaplasma, chlamydia, mycoplasma. The thing is that they parasitize directly inside the cells. If they are suspected of being present in the reproductive system, PCR (polymerase chain reaction) is prescribed.
Thus, as can be seen from this article, bacteriological culture from the cervical canal is a fairly broad-based method of investigation, through which many abnormalities of the gynecological nature can be determined.