Ichi ndi matenda
Kuti akhale wathanzi (popanda kutaya mphamvu yobereka), mkazi ayenera kukhala pansi pamtunda. Zimapangidwa ndi zigawo zitatu za minofu zomwe zimathandiza kamvekedwe ka ubini ndi anal sphincter, yomwe ili yofunika kwambiri panthawi ya kuvutika. Imodzi mwa njira zatsopano zogwiritsira ntchito matenda opatsirana pogonana masiku ano ndi kufufuza kwa chikhalidwe chapansi. M'dziko lathu, kachipatala kakang'ono kamagwiritsa ntchito njirayi, ngakhale kuti pafupifupi azimayi atatu aliwonse amavutika ndi kuwonongeka kwa minofu imeneyi. Choncho, akatswiri a kuchipatala amasonyeza njira zatsopano zatsopano za ultrasound kuti adziwe momwe zimakhalira pansi ndikuzindikiritsa akazi omwe ali ndi chiopsezo chachikulu chogwira ntchito. Mukamaphunzira bwinobwino, sankhani njira yabwino kwambiri yothandizira opaleshoni.
Chipatala chidzakuthandizani ngati mukupeza: tubal ndi peritoneal infertility (poyambirira - kusakhala kapena kusokoneza ma tubespian tubes, m'chiwiri - kuyanjana pakati pa ovary ndi chubu). Endometriosis (kufalikira kwa ziphuphu zopitirira mu chiwalo cha chiberekero).
Adenomyosis (yotupa njira ndi zotupa mu chiberekero). Myoma kapena uterine fibroids (zilonda zam'thupi mumimba ya chiberekero kapena chiberekero). Hyperplasia ya chiberekero (chikhalidwe cha minofu ya uterine, yomwe imakula, ntchito yake imasokonezeka). Matenda a Polycystic ovary (omwe amatchedwanso kuti Stein-Leventhal syndrome, akuwonetsedwa chifukwa chosowa kapena kuvuta kwa ovulation).
Mphepete (kumadzimadzi okwanira, kuzungulira ndi khoma lochepa kwambiri la kapule, mkati mwa minofu yambiri ya ovary, ikhoza kuphulika katatu, kutuluka ndi kutuluka magazi ngati sikunapangidwe bwino) ndi zotupa za m'mimba. Malingaliro a ziwalo zoberekera zamkati.
Kusankha kwa thupi
Chiwerengero ndi chinthu choumala: m'ntchito zamakono, chiopsezo cha matenda ena achikazi a kubereka chimawonjezereka khumi. Izi zili choncho chifukwa thupi limapweteketsa kwambiri pazochitika zazikulu: zimayesa khama kuchepetsa kupweteka kwapambuyo ndi kupsinjika maganizo, kuchepetsa machitidwe onse. Kodi izi zingapewe bwanji? Gwiritsani ntchito njira yofatsa yomwe imalola mkazi kuti asamangidwe mopanda mavuto ndipo mwamsanga ayambirenso. Izi zikhoza kukhala laparoscopy kapena laparotomy - njira zamakono zopangira opaleshoni zomwe amalola dokotala kugwira ntchito mkati mwa mimba ("laparo" - kuchokera ku chi Greek "mimba"), kupanga mapiritsi - 5-10 mm - nadreziki. Panthawiyi, pazithunzi za zipangizo zamankhwala zamphamvu, mukhoza kuona zomwe zikuchitika mu ziwalo ndi ziphuphu. Mu chipatala "Nadia" chifukwa cha izi pali zipangizo zonse zofunika, zomwe ziri zosiyana kwambiri ndi zipatala zambiri ku Ukraine. Koma chinthu chachikulu ndi chakuti iwo athandizira kupanga chisankho choyenera pa zaumoyo ndi amayi oyembekezera.
Ndinali ndi colpitis , kutupa kwa mukazi wamkati. Koma wokondedwayo analibe mawonetseredwe a matendawo. Kodi izi zikutanthauza kuti iye ndiye wothandizira matenda, ndipo ayenera kupereka mayesero alionse?
Dysbacteriosis, chitetezo chofooka cha m'deralo, kusauka kwina kungayambitse matenda ngakhale kuti mkaziyo ali ndi chiwerewere. Wokondedwa pazochitika zoterezi alibe chochita ndi izo, ndipo mkaziyo ayenera kuchipatala mosasamala. Monga lamulo, mankhwala ophera tizilombo toyambitsa matenda ndi antiseptic omwe amagwiritsidwa ntchito ambiri amachitidwa kuti azitha kuchizidwa. Mankhwala ena amagwiritsidwa ntchito pofuna kuteteza matenda: Pali mafinitori omwe amatha kusokoneza tizilombo toyambitsa matenda ndi mavairasi omwe amatha maola awiri atagonana.
Pa nthawi yomweyo, chifuwachi chimatha chifukwa cha matenda opatsirana pogonana: ureaplasma, mycoplasma, chlamydiosis, trichomoniasis, gardnerella, gonorrhea, papillomavirus ya munthu, yomwe imagwiritsidwa ntchito pogonana. Ngati wolakwayo ndi kachilombo ka HIV, abambowo ayenera kuthandizidwa pamodzi. Apo ayi, atatha kugonana popanda chitetezo adzalandira kachilombo ka HIV, ndipo matendawa akhoza kubwereza. Mwamuna amene ali pambaliyi ayenera kupita kukaonana ndi dokotala wa urologist ndikupatsanso urogenital smear.
Ndinali ndi mtundu wa papillomavirus (HPV) wochuluka kwambiri. Dokotala adanditumizira ku chithunzithunzi cha chiberekero. Pambuyo pake ndinaphunzira kuti ndisanachite ndondomekoyi, ndimayenera kuchita chiberekero cha chiberekero. Kodi kulephera kuli kofunikira bwanji?
Asanayambe kutsekedwa (njira yothandizira matenda a chiberekero pogwiritsira ntchito madzi a nayitrojeni) sizinali zoyenera nthawi zonse. Chowonadi ndi chakuti pambuyo pozindikira mtundu wa coagulated kwambiri wa HPV, colposcopy ya chiberekero ndi cytolo yofufuza za urogenital smear zachitika. Ndipo, ngati zotsatira zawo ziwalola dokotala kuti atsimikizire za kusintha kwakukulu mu epithelium ya chiberekero cha kutsogolo kwa khansara, ndiye iye akufotokoza zovuta. Ngati katswiri sakudandaula, njirayi siikufunika. Ndipotu, biopsy ndi phunziro la kachilombo kaching'ono kamene kamakhalapo chifukwa cha kukhalapo kwa maselo a khansa. Ndipotu, ndi microtrauma, ndipo popanda zifukwa zomveka sizifunika.