- Bakiteriya vaginosis
Chomwe chimayambitsa matenda okhudzidwa ndi ubongo ndi bacterial vaginosis. Amayamba pamene lactobacilli (Dodderlein) imakhalapo m'mimba mwazi, imalowetsedwa ndi mabakiteriya ena. Zomwe zimapangitsa kuti chitukuko cha bacterial vaginosis chisamveke bwinobwino. Komabe, sizichitika kwa odwala amene sanagonane, ndipo nthawi zambiri amadziwika mwa amayi omwe amasamba nthawi zonse (kugwiritsa ntchito douching). Chimodzi mwa zizindikiro za bacterial vaginosis ndi kuchuluka kwa kukhudzidwa kuchokera mukazi, komwe kumakhala koonekera kapena kasupe. Nthawi zambiri amakhala ndi fungo la nsomba ndipo limakhala ndi thovu. Chizindikiro chotsiriza chimabwera chifukwa cha kutulutsa mpweya ndi mabakiteriya omwe amachititsa dysbacteriosis. Mu bacterial vaginosis, kawirikawiri palibe umboni wa kutupa; Kukhalapo kwawo kungasonyeze matenda ena. Palibe chitsimikizo chotsimikizirika kuti bacterial vaginosis imafalitsidwa pogonana, choncho mankhwala a wokondedwa sakhudzidwa ndi kuchuluka kwa kubwereza kachiwiri ndi kuuma kwa zizindikiro. Bacterial vaginosis ndi vuto losasangalatsa ndipo, mobwerezabwereza, amatha kukhumudwitsa mkazi - koma sizimayambitsa vuto lililonse. Amayi ambiri amatha kuyenda popanda zizindikiro. Pambuyo pake, tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda.
Zovuta zovuta
Bacterial vaginosis ikhoza kukhala vuto lalikulu muzochitika ziwiri.
• Ubale pakati pa matenda omwe amabweretsa bacterial vaginosis ndi zina zobadwa msanga kapena kutaya pang'onopang'ono pamasitepe amatha kukhazikitsidwa.
• Palinso mgwirizano wokhazikika pakati pa bakteria vaginosis ndi matenda opweteka a m'mimba omwe amayamba pambuyo poyambitsa intrauterine.
Azimayi akuyang'anitsitsa mabakiteriya vaginosis, makamaka ngati ali ndi mavuto ofanana ndi omwe ali ndi pakati. Mankhwala oletsa antibiotic amathandiza kwambiri. N'zotheka kudziwa matenda a bacterial vaginosis mwakumadziŵa tizilombo toyambitsa matenda m'kati mwa maselo a m'mimba panthawi yofufuza. Mabakiteriya vaginosis akhoza kukayikira ngati kutaya kwa umuna kumachepetsa (acid phosphate) (pH) kapena fungo la nsomba, lomwe limalimbikitsidwa pochita mgwirizano ndi potassium hydroxide ("kuyesa fungo").
- Kuthamanga
Mkaka wa mkaka ukhoza kuyambitsa mitundu yambiri ya bowa ngati bowa. Zonsezi zimapezeka m'deralo. Monga momwe zilili ndi bacterial vaginosis, palibe chisonyezero chodziwika bwino cha njira yokhudza kugonana kwa kachilombo koyambitsa matenda, ndipo chithandizo cha abwenzi sichisonyezedwa, pokhapokha ngati chiri ndi zizindikiro za matendawa. Zikuganiza kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda timatha kupezeka pamtunda ndi m'matumbo, omwe ndi kachilombo ka HIV. Kuchokera pamenepo, ikhoza kufalikira kwa chikazi.
Zizindikiro
Zowonongeka ndi thrush nthawi zambiri zimakhala zobiriwira, zoyera, zonona kapena zachikasu. Nthaŵi zambiri zimakhala zofanana ndi kanyumba tchizi. Amayi ambiri amamva kuyabwa mumaliseche, kusasangalatsa ndi kuphulika kwa ziwalo zoberekera zakunja. Kawirikawiri kuthamanga kumachitika pokhapokha, popanda chifukwa chodziwika, koma akuganiza kuti izi zikhoza kukhala chifukwa cha kugwiritsa ntchito maantibayotiki. Matenda ena, monga matenda a shuga ndi kachilombo ka HIV, angapangitsenso kuwonjezereka. Matendawa ndi osavuta kupeza! pamene maselo a yisiti amapezeka mumtambo wa m'mimba. Komabe, nthawi zina, matendawa amatengedwa pamaziko a zizindikiro zomwe zimakhalapo ndi kusintha kwazomwe mutagwiritsa ntchito mankhwala opatsirana pogonana.
Chithandizo
Azimayi ambiri amadzipenda okha kuti amatha kugula mankhwala ogwiritsira ntchito mankhwala. Tiyenera kukumbukira kuti bacterial vaginosis ndi yowonjezereka kusiyana ndi kutupa ndi kuyezetsa popanda kuyesedwa nthawi zambiri. Mapiritsi odzola, omwe amapangidwa kuti azidya kamodzi kapena kawiri, amakhala othandiza kwambiri. Njira zina zothandizira ndizo:
• Zotsatira za chikhalidwe cha yoghurt - amayi ena amadziwa kusintha ndi kupuma kwa kuyamwa pambuyo pobaya jekeseni "wokhala ndi moyo" mumkazi;
• kukana kugwiritsa ntchito sopo pa ukhondo wamkati, kuphatikizapo poizoni ndi kusamba;
• kuvala zovala zofiira zopangidwa kuchokera ku zipangizo zakuthupi (monga thonje) - zimathandiza kuchepetsa kuopsa kwa zizindikiro kapena kuchuluka kwa kubwereranso.
Ochepa odwala amakula mofulumira nthawi zina, nthawi zina mofanana. Pachifukwa ichi, zingakhale zothandiza kutenga mankhwala opatsirana nthawi zonse musanayambe kuwonjezereka, mkati mwa miyezi 3-6. Azimayi ena amakhala ndi nthendayi yambiri, yomwe imamveka bwino, yopanda phokoso komanso yopanda kuyabwa. Izi zikhoza kupitirira kwa miyezi ingapo kapena zaka popanda zotsatira za antibacterial ndi antitifungal therapy. Zomwe zimayambitsa zozizwitsazi sizodziwika, koma chochititsa chidwi chingakhale kugwiritsa ntchito mankhwala opatsirana pogonana.
- Kutentha kwa chiberekero
Azimayi ena omwe ali pachibelekero amatha kukhala ndi minofu, yomwe nthawi zambiri imapezeka pakhomo lachiberekero. Matendawa amatchedwa kutentha kwa chiberekero. Popeza kuti minofuyi sichitha bwino kusiyana ndi chibadwa chachikazi cha mkodzo, kutentha kwa nthaka kungabweretse ntchentche yomwe ikupita kumaliseche. Chithandizochi chimaphatikizapo kuchotsa minofu yowonongeka pogwiritsa ntchito mvula yoziziritsa kukhosi pansi pa anesthesia kumidzi. Kutenga mapiritsi a kulera poyamba kungayambitse kuwoneka kochulukira, koma mwinamwake kumasulidwa kwachibadwa kuchokera kumaliseche. Izi siziyenera kukhala chifukwa chodera nkhawa. M'chipindalasitiki, kutentha kwakukulu kumagwiritsidwa ntchito kuthetsa matenda osayenera. Njira imeneyi ingagwiritsidwe ntchito pochiza kutentha kwa khola lachiberekero. Kugawidwa komwe kumabwera chifukwa cha kugonana kosatetezeka kumabweretsa zotsatira zoopsa kwambiri kuposa zomwe zimagwiridwa ndi matenda osagonana. Ndikofunika kusamalira chithandizo chawo choyamba ndi chithandizo.
Trichomoniasis
Trichomoniasis amayamba ndi mtundu wosavuta wa Trichomonas vaginalis ndipo umapezeka pambuyo pa kugonana kosatetezeka. Zizindikiro kawirikawiri zimawonekera masabata 1-4 pambuyo pa matendawa ndipo nthawi zambiri zimakhala zobiriwira zachikasu, zobiriwira kapena zoyera zomwe zimakhala zofanana ndi zomwe zimachitika ndi bacterial vaginosis. Makinawa amakhalanso ndi fungo la nsomba ndipo amatha kukhala ndi thovu. Mosiyana ndi mabakiteriya vaginosis, kawirikawiri pali kutupa kwa ziwalo zoberekera ndi zakunja, pamtunda wa pakhosi zing'onozing'ono zimadziwika bwino. Azimayi ambiri amachotsa zizindikiro, ndipo ena alibe zizindikiro.
Chithandizo
Kusanthula kumagwiritsidwa ntchito pogwiritsa ntchito kuyeza kochepa. Mayi ndi mwamuna kapena mkazi wake amafunika njira ya metronidazole ndipo ayenera kupewa kugonana mpaka zizindikiro za kutupa zitatha. Kawirikawiri wothandizira matenda sagwirizana ndi chithandizo chapadera. Mwamwayi, ngakhale kuti trichomoniasis ndi matenda osasangalatsa kwambiri, sizimayambitsa mavuto osasinthika. Ngati STD imodzi imapezeka, mayiyo ali ndi chiopsezo chokhala ndi ena, choncho ndi zofunika kuti odwalawo athe kumaliza maphunziro a urogynecological. Makondomu amathandiza kupewa kufalikira kwa matenda opatsirana pogonana. Osati ma kondomu amachepetsa kuchepa kwa zomwe zimachitika. Kufufuza kwa trichomoniasis kawirikawiri kumachitidwa m'magulu a amayi. Bakiteriya amatha kukhala osakanikirana mu laboratori. Amayi ambiri omwe ali ndi gonorrhea ndi chlamydia samasonyeza zizindikiro za matendawa. Kawirikawiri zimakhala zovuta ndi ululu m'mimba mwazing'ono kapena kutuluka magazi pambuyo pa kugonana. Odwala ochepa amakhala oyeretsedwa bwino kapena achikasu, mwinamwake ndi kusakaniza magazi. Izi ndi zotsatira za matenda a chiberekero, omwe pamayeso amawoneka ofiira ndi otentha. Matenda onsewa amatha kupititsidwa panthawi yogonana popanda chitetezo. Zizindikiro kawirikawiri zimapezeka mkati mwa masabata atatu pambuyo pa matenda. Nthaŵi zina, dokotala angasankhe molakwitsa kuti chifukwa cha kachilomboka ndi khunyu, ndikukayikira kachilombo kena kokha ngati mankhwalawo sagwira ntchito. Matendawa amatsimikiziridwa pa kufufuza kwa urogynecological, ndipo pambuyo pake mankhwala opatsirana amapitirira. Inde, wogonana naye ayenera kupitanso kuchipatala. Ndikofunika kupewa kugonana musanafike pomaliza. Pofuna kudziwa kuti matendawa ndi otani komanso chlamydia, amafunika kuyesera kufufuza, zomwe zimatengedwa ndi kuyeza magazi.
Kusanthula kwakukulu
Kufufuza kwa nthawi imeneyi kwabwino kwambiri, popeza palibe mankhwala, mwinamwake, chitukuko chawo ndi kutukuka kwa ziphuphu ndi ziwalo za thupi, komanso kusabereka. Zomwe zili pamwambapa zikhoza kuchitika kwa ana ndi amayi omwe akudwala matendawa. Komabe, zifukwa zina ndizofala kwambiri m'magulu awa. Mtengo wochepa wa kupanga mahomoni a chiwerewere ndizochitika kawirikawiri.
Mlingo wa mahomoni
Musanakhazikitse nthawi zonse, khoma lakumaliseche ndi lochepa kwambiri ndipo limakhala lochepa kwambiri kuposa anthu akuluakulu, chifukwa cha m'munsi mwa estrogens ndi progestogens (mahomoni aakazi) omwe amazungulira m'magazi. Chimodzi mwa zifukwa za kutupa kwa abambo mu atsikana kungakhoze kuchitidwa ndi thupi lachilendo, lodziwika ndi mwanayo mwiniwake. Ikhoza kukhala chinthu chosasokoneza, monga kutuluka kapena chidole chaching'ono.
Matenda
Kutupa kwa abambo kungalumikizidwe ndi ukhondo wabwino. Nthawi zina zingayambidwe ndi helminths. Kudziwa kwa chinsinsi cha akazi m'mimba kungathetsere makolo chifukwa choopa kutsutsidwa ndi zochita za lecherous, koma madokotala amanena kuti nthawi zambiri vuto limakhala losiyana. Kawirikawiri, katswiri amafunika kuyesa kuti azindikire khungu la matendawa; Mwinanso mungafunikire kufufuza mwatsatanetsatane wa abambo ngati thupi lachilendo liri mkati. Iyenera kutengedwa mosamala - ndikumvetsa chisoni kwa mwanayo. Thandizo lopambana limapezeka mwa kutsatira malamulo a ukhondo komanso nthawi zina mothandizidwa ndi mankhwala ophera tizilombo. Azimayi ambiri amatha kukhala ndi chiwerewere ndipo angapitirize kukhala pachiopsezo chotenga matenda. Komabe, zina, chifukwa chochulukirapo cha zosakaniza m'nthaŵi ino ya moyo ndi chiwonongeko choopsa.
Zimayambitsa
Mwinamwake, matendawa amayamba chifukwa cha kupukuta kwa khoma la vaginja motsutsana ndi kuchepa kwa ma hormoni achikazi pambuyo pa kusamba. Mthendayi imakhala yotenga kachilombo ka tizilombo toyambitsa matenda kamene kali pa khungu. Chiwerengero cha mabakiteriya achibadwa omwe amachititsa chitetezo ndi lactobacilli, zomwe zimawonjezera kukaniza mabakiteriya, zimachepetsanso.
Kuzindikira ndi chithandizo
Mzimayi akhoza kuzindikira kutaya kwa thupi, komanso kutupa kwa mkazi komanso nthawi zina magazi, makamaka atagonana. Chidziwitsochi chinakhazikitsidwa ndi dokotala chifukwa cha kuvomereza pa nthawi ya msinkhu wa ma vaginito. Angapangidwe mankhwala omwe amachititsa ma antibayotiki pamapiritsi kapena mapiritsi. Kawirikawiri timadzi timadzi timadzi timene timagwiritsa ntchito. Khoma lachitini limatha kutetezedwa kwambiri ndi ntchito yowonjezera ya mankhwala (HRT). Akazi achikulire opatsirana pogonana amakhalanso ndi matenda opatsirana pogonana. Mankhwala opatsirana am'madzi otchedwa hormone (HRT) amaphatikizapo kusankhidwa kwa maantirogeni ndi progestogens kuti athetsere vuto la mahomoni ogonana omwe amapezeka m'mayi am'mawopa.