????????????? ??????
???? ???????????? ?????? ??? ?????????? ?? ??????????? ??? ???? ????? ???????????????, ??? ???? ????????? ??? ???, ?????? ??? ?????????? ?? ??????????? ??? ?????????? ??? ???????. ???????????, ? ???????? ????? ???????? ????? ???? ???????? ??? ??? ?????????? ?????????, ?? ????????????? ???? ????????????????, ??? ?????????? ???? ????????? ??? ?????? ?????????????, ??????? ??????? pH 4.5. ???? ????????? ???? ??? ??????? ?????? ??? ???? ?????, ?? ???????? ?????????? ?? ???????????. ??????? ???? ????????? ?? ??? ???????? ?????? ????????/???????? ??????????.
????? 9?-7 ??????????????? ?? ?????????? ????????????
??????? ????????? ??? ????????
?? ???????????? ?????????? ??? ????????????? ????? ?????? ?????? ?? ???? ??? ??????????? ?????? ????????????s. ?? ??????? ??????????? ? ??????? ??????????????? ?????? ?? ???????????? ??? ???????? ? ?? ?????????? ??? ?????????????? ???????? ??? ??????? ???????????? ???? ??????????? ?? ????????? ??? ??????? ??????????????.
??????? ?????????? ?????????? ??? ??????????? ???? ???????????? ?????:
????????????
??????? (Candida albicans)
??? ??? ????? ??????
??? ??? ?????????? ?????????
?????????????
???? ? ??????????? ??????????? ??? Candida albicans. ??????? ??????????? ?? ??? ?????, ?????, ????? ??????? ??? ?????? ?? ????????? ?? ?????? ??? ???????. ???? ???????????? ?????????? ??? ???????? ??? ??? ??? ???? ??? ?????? ??? ??????? ????? ??? ?? ??? ????? ??????? ????????????. ???????, ?? ??????? candida ?????? ?? ???????????? ?? ??????????? ??? ??????????? ??????, ??????????? ??? ??????? ??????, ?? ??????????? ?????? ??? ?? ? ????? ??????????. ??-??????? ???????????? ?????????? ????? ?????? (??? ??? ???????? ???????). ???????????? ????????? ???????????? ????? ????? ?????? ??? ???????????? (????????? ????? ??? ???????? ??? ???????? ????????).
Candida may be seen on a scanned LBC slide
????? 9?-8 (?-?). Candida albicans
(a) Typical hyphae of Candida
(b) Candida hyphae and spores
?? ???????????? ???????????? ??? ?? ???????? Trichomonas vaginalis. ???????????? ??????? ?? ??? ??????? ??? ??????? ????????? ???????. ?? ???????? ????? ???? ????? (??????? 15?) ?? ????? ???????? ??? ????? ???? ??????? ?? ???????????! ?? ????????????? ??????? ???????? ?????????? ?????? ??? ? ??????? ????????? ??? ??????. ????? ????????? ? ???????? ??? ???????????? ??????? ????????????? ?? ?????????? ???????????? ????? ??? ? ????????? ??? ???????? ?? ?????? ?????? ?? ?????????.
?? ???????????? ????????? ?????? ????????, ?? ?????????? ????? ??-??????? ???? ???????????? ???? ???????? ???????.
????????? ??? ????????????? ??? ????????? ??????? ?????????? ????.
Immature metaplastic cells and reactive changes due to Trichomonas vaginalis may mimic dyskaryosis if organisms are not seen.
????? 9?-9 (?-?) ????????????? ?????????.
(a) Numerous organisms free and feeding on squamous cells (low-power)
(b) Same field as (a) at high-power.
(c) Immature metaplastic cells with non-specific reactive changes and prominent nucleoli: note Trichomonad attached to cytoplasm of one cell
Bacterial Vaginosis ????? ???????? ?? ??? ???????????? ???????? Gardnerella vaginalis ??? ???????????? ???????? ??????????. ? ??????? ?????? ?? ????? ????????????? ? ?? ????????? ??? ???????/?????? ?????? ??? ??????? ?? ???? ?????? ???????. ????? ??? ??-??????????? ?????????. ????????????? clue cells ??? ??????? ??????? ??????????? ??? ????????? ?? ????????? ???? ??? ???????? ????????.
???????? ?????????
? ?????????? ??? ??? ??????? ?? ??????????? ?? ??? ????? ??? ????? ????????????. ???? ??? ?????????? ????????????? ??? ????????? ?????????????? ?????????? ??? ?????????????? ?? ??? ????????????. ? ?????? ????? ? ??? ??? ?????????? ????????? ??? ?? ????????????? ????????????, ??? ?????????????? ??? ???????? ??????? ?? ??? ???????-?????? ??????? ?????????????? ????????. ? ???????? ????? ? ??? ??? ????? ??????.
Figure 9b-10 Cytopathic effect of human papillomavirus (koilocytosis) reported as LSIL
? ??? ??? ????? ?????? ?????? ?? ????? ????????????? ??? ??????????? ?? ?????????, ????????? ?? ????? ??? ?????? ?????????? ??????, ? ?????? ?? ????????? ??? ?????????? ??????? ????? ??????????.
????? ????????? ? ???????? ??? ????????? ???????? ??????? ?????? ?? ???? ????????? ?????????? ???? ??? ???????? ??? ??????. ? ???????? ??????? ????? ?????? ??? ???????? ???????????? ??? ??????.
?????????????, ?? ????????????? ??????? ?????????? ?? «???? ? ??? ????????? ????????» (???? ??????? ??????)
?????????? ??? ?????????? ???? ?????? (Margination of chromatin in the nuclei)
«???????????» ??? ??????? (Moulding of nuclei)
???????????? (Multinucleation)
? ?????????? ??? ?????????? ??????????? ??? ??? ?????????? ??? ????? ?????????? ???? ??????, ? ????????? ??? ????? ????? ??? ???????????????, ???? ???? ???????? ????????.
?? ???????? «???????????» ????????? ??? ??????? ??? ?? ??????? ????? ????????? ??? ????????????????? ??????? ??? ???????? ?? ????? ?????. ????? ??????? ?? ???????????? ???????? ????????? ?????? ?? «??????? Cowdry».
????? 9?-11 (?-?). ???????? ??????? ??? ???????? (?) ?????????? ??? ?????????? ??? ????????? ???????? ??? ??????? (?) ?????????? ??? ??????????, ????????????, ?????????????? ??? ?????????? ?????????.
?????????????
?? ????????????? ????? gram ??????, ?????????? ?????????? ??? ??????????? ???????????? ?? ????????? ??????????? ???????? ?? ?????????? ???????? (IUCD).
?? ?????????? ????? ?????-???????????? ????????? ??? ???????????? ?? ????? ??????? ??? ??????. ????? ??? ????? ???????? ??? ???????? ?? ?? ?????????????? ‘dust bunny’.
????? 9?-12. ????????? ??? ?????????????