Njira yotupa, yomwe ili m'kati mwa chiberekero, imayambitsa matenda ambiri a ziwalo zoberekera zachikazi. Kafukufuku wa endocervicitis nthawi zambiri amaikidwa kwa odwala a zaka zobereka (60-65%), nthawi zambiri pakapita nthawi. Zimakhala zovuta kukhazikitsa nthawi yeniyeni ya kufalikira kwa matendawa, chifukwa zimakhala zovuta ndipo zimapezeka mwadzidzidzi pamene mkazi amacheza ndi mkazi kwa syndromes kapena pamene akukonzekera kwa amayi. Endocervicitis ya chiberekero - ndi chiyani? Endocervicitis - kutupa kwa mucous ngalande ya chiberekero, mu 50% ya milandu pamodzi ndi vaginitis ndi vulvitis.
Endocervicitis ya chiberekero: ndi chiyani, zifukwa
Mphungu ya chiberekero imakhala ngati chotchinga pakati pa chilengedwe chapakati ndi gawo lapamwamba la chiwalo chogonana, nthawi zonse kukhala ndi zinthu zovulaza. Masiku ano, mawonekedwe a kutupa kwa chiberekero amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda timayambitsa matenda a herpes simplex, mapiromaviruses a anthu, trichomonads, gonococci, enterococci, Escherichia coli, Chlamydia, Candida fungi.
Zowopsa:
- kuonongeka ndi kuvulala kwamagulu a ziwalo za m'mimba;
- kuchira kwa anamnesis;
- Kupereka kwachisokonezo (kuchuluka kwa ziphuphu zamkati);
- zilonda zam'mimba zoopsa;
- kuchotsedwa kwa mimba;
- kugwiritsa ntchito chipangizo cha intrauterine;
- kuchepetsa chitetezo cha mthupi cha thupi;
- zovuta zachitsulo za chiberekero.
Pachilombo chotchedwa endocervicitis cha chiberekero: ndi chiyani?
Kuwoneka ndi matenda a postpartum (staphylococcus, streptococcus) ndi matenda a gonococci. Zizindikiro za matendawa zimatsimikiziridwa ndi kuchuluka kwa zovuta za matenda m'thupi la stitis / epithelial ya chiberekero cha uteri, zodziwika bwino za njirayi. Kumayambiriro koyambirira, masewera otchedwa endocervicitis amasonyezedwa ndi chidziwitso cha mitsempha, zozizwitsa zowonongeka, kusintha kwa maselo a epithelial. Kubwezeretsa kumaphatikizapo kupanga mapangidwe a granulation, mawonekedwe a maselo osakanikirana a epithelium amalowa m'malo, omwe, monga kuchulukitsa (kufalikira) kumapanga chiphalaphala chokhala ndi mapulogalamu ambiri. Wodziwika ndi chitukuko chotsutsa komanso chopambana chaposachedwapa.
Zizindikiro:
- Zambiri zotuluka kumaliseche (mawonekedwe, mvula, zowonongeka, zowonongeka, zakuda);
- Zowawa zopweteka pamimba pamunsi;
- kutentha kwa thupi;
- kuwotcha ndi kuyabwa mu ziwalo zoberekera zakunja;
- kusokonezeka pamene mukukodza;
- kupwetekedwa ndi chidziwitso, kutaya magazi mwazidzidzidzi mutatha kuchitapo kanthu;
- Kutaya magazi kwachiberekero / kutulutsa kutayika kwa bulauni mkatikati mwa ulendo;
- matenda opweteka ndi kumidzi komwe kumakhala kumbuyo ndi sacrum.
Matenda otchedwa endocervicitis a chiberekero: ndi chiyani?
Zimapezeka chifukwa cha matenda opatsirana pogonana chifukwa cha vaginitis. Pali kuphulika kwa mitsempha ya chiberekero cha mimba, chiwombankhanga, dystrophic altered epithelium, kukhalapo kwa kutukusira detritus ("akufa" organic matter). Malinga ndi chikhalidwe ichi, nthawi zambiri amayamba kervical dysplasia (precancerous state) ndi khansara ya chiberekero. Mapulogalamu apamapeto endocervicitis amachititsa kuti ululu ukhale wochepa, kuchepa kwa chiwerengero cha mazisinkhu, kuti chiwonongeke, chomwe chimamasuliridwa molakwika ndi odwala ngati kuchira kwathunthu. Matendawa amayamba kupitirira pang'onopang'ono, pang'onopang'ono kuwononga matenda a mimba ndi chiberekero.
Chikhalidwe cha endocervicitis
Njira yothandizira odwala imasankhidwa kuganizira deta ya anamnesis, microbiological test, kafukufuku wa labotale. Zimaphatikizapo:
- kulandira antibiotic, antibacterial ndi mankhwala osokoneza bongo;
- Kusagwirizana ndi zinthu zowonongeka (kuchepetsa mphamvu zamadzimadzi, mahomoni, kuperewera kwa chitetezo cha mthupi);
- kugwiritsa ntchito antimycotics (ndi zilonda za fungal);
- anti-herpes therapy (ali ndi kachilombo ka herpes simplex);
- mavitamini; kugwiritsa ntchito cytostatics, interferons, immunostimulants;
- Kusamalira ukhondo wa vagina ndi chithandizo cha antiseptic agents;
- kugwiritsira ntchito mankhwala opatsirana pogonana pofuna kubwezeretsanso kachilombo kofiira;
- kugwiritsa ntchito njira zopaleshoni (cryotherapy, laser therapy, electrocautery).
Chithandizo ndi mankhwala achilendo
Musanayambe kumwa mankhwala osiyanasiyana, muyenera kufunsa dokotala kuti mupewe zotsatira zosautsa komanso kusokonezeka.
- Sakanizani tizilombo toyambitsa matenda, adonis, chitsamba chowawa, timbewu tonunkhira (1: 1: 1: 1), onjezerani masamba a rasipiberi ndi zipatso za juniper (mbali ziwiri). Mankhwalawa amakhetsedwa bwino, kutsanulira madzi mamililita 500 otentha, kukhetsa, ozizira, ntchito mkati mwa maola 24 otsatira.
- Sakanizani muzu wa elecampane, mitsuko ya nkhosa, zitsamba zamtengo wapatali, nsalu, mapepala a ulonda wa katatu ndi makapu ofanana. Gwirani ku mawonekedwe a yunifolomu, yosiyana magalamu 10. Thirani madzi milliliters a madzi owiritsa, muyike mu chidebe chatsekedwa, kuyika kwa mphindi 10-15 mu kusamba madzi. Imani m'malo ozizira kwa maola 3-4. Gwiritsani ntchito zojambula, zochepetsera, zokonda.
Chronic endocervicitis ndi mimba
Mayi pa nthawi yomwe ali ndi mimba akhoza kubisa mwanayo komanso mayi wamtsogolo. Matendawa nthawi zambiri amabweretsa mimba yokhazikika, kubadwa msanga komanso mimba yolimba. Kuonjezera apo, pali chiopsezo chachikulu cha matenda opatsirana a fetus. Ngati mwanayo ali ndi kachilombo koyambitsa matendawa, ziwalo zamkati ndi khungu zikhoza kuchitika. Choopsa kwambiri ndi matenda otchedwa endocervicitis m'zaka zitatu zoyambirira za mimba - Matenda a fetal amatenga mawonekedwe onse, zomwe zimapangitsa kuti munthu asamwalire kapena asamangidwe. Mankhwalawa amatenga mankhwala opha tizilombo komanso mankhwala osokoneza bongo. Zomwe zingatheke kuti mwana asungidwe zimasankhidwa payekha pokhapokha atayesedwa. Kuti asayambe kukayikira endocervicitis ya chiberekero - chomwe chiri, ndikofunikira kupewa osasankha osagwirizana ndi kugonana, kusunga ukhondo wochuluka, nthawi zonse kukayezetsa kachitidwe kazale ndi amayi komanso kusankha munthu wodwala matenda opatsirana kuti azitha kulera bwino.