PENGARUH PEMBERIAN GLUCOMANNAN HYDROLYSATES (GMH) DAN LACTIC ACID (LA) TERHADAP PENINGKATAN JUMLAH KOLONI BAKTERI LACTOBACILLUS spp PADA BACTERIAL VAGINOSIS WANITA USIA SUBUR

Miftakhul Mahfirah Ermadona, Indah Mauludiyah
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Abstract

Bacterial Vaginosis (BV) is an infection caused by an imbalance in the normal vaginal flora where lactobacillus spp., producing hydrogen peroxidase (H2O2) is replaced by anaerobic bacteria such as Gardnerella vaginalis, Mobiluncus spp., Prevotella spp., Bacterides, and Mycoplasma sp., which are generally occurs in women of childbearing age (WUS). Substitution of Lactobacillus spp., this causes a decrease in H2O2 which is generally characterized by the production of a lot of vaginal secretions, gray to yellow, thin, homogeneous, has a fishy odor, and there is an increase in pH. Glucomannan Hydrolysates (GMH) as a prebiotic is expected to provide nutrition to Lactobacillus spp so that it can multiply and increase in number, while BV gel containing Lactic Acid (LA) can reduce vaginal pH to become acidic so that pathogenic bacteria are not suitable for growing in an acidic environment. The type of research used is true experiment pretest - posttest. Respondents in the study totaled 28 people and were grouped into 4, namely 1) Given metronidazole antibiotics. 2) Given Antibiotics + GMH. 3) Given LA. 4) Given LA+GMH. The number of bacterial colonies through the streak plate method. Giving LA+GMH to BV women of childbearing age has a significant effect on increasing the number of Lactobacillus spp bacterial colonies. Therefore giving LA+GMH is useful in treating BV.
细菌性阴道病(BV)是一种由正常阴道菌群失衡引起的感染,产生过氧化氢酶(H2O2)的乳酸杆菌被阴道加德纳菌、Mobiluncus菌、普雷沃氏菌、杆菌和支原体等厌氧菌所取代,通常发生在育龄妇女(WUS)中。替代乳酸菌(Lactobacillus spp),导致H2O2减少,通常表现为产生大量阴道分泌物,灰色到黄色,薄,均匀,有鱼腥味,ph值增加。葡甘露聚糖水解物(GMH)作为益生元有望为乳酸菌提供营养,使其繁殖和数量增加。而含有乳酸(LA)的BV凝胶可以降低阴道pH值,使其呈酸性,使致病菌不适合在酸性环境中生长。使用的研究类型是真正的实验前测-后测。调查对象共28人,分为4组,即1)给予甲硝唑类抗生素。2)给予抗生素+ GMH。3)洛杉矶。4)给定LA+GMH。通过条纹板法测定细菌菌落的数量。育龄BV妇女给予LA+GMH对增加乳酸菌菌落数量有显著作用。因此给予LA+GMH治疗BV是有效的。
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