Cervicitis ndi njira yowonjezera yotenga kachilombo ka HIV, kuphatikizapo kutupa kwa mucosa ndi kutupa kwa mimba ya chiberekero cha chiberekero. Cervicitis nthawi zambiri salipatali, m'zaka 75 mpaka 80%, matendawa amaphatikizidwa ndi matenda omwe ali pafupi - vaginitis ndi endometritis. Kuthamanga kwa cervicitis kungayambitse kutentha kwa chiberekero, mapangidwe a polyps mu chiberekero cha uterine, kuwonongeka koipa kwa ma chipinda a chiberekero, kusabereka.
Cervicitis: zimayambitsa
Amayamba chifukwa cholowera mumtsinje wa streptococci, staphylococci, E. coli, kawirikawiri - mavairasi, trichomonads. An anaobobic microflora ndi chlamydia amathandizira kuchitika kwa cervicitis. Cervicitis ya etiology kapena syllitic etiology ndi yosavuta.
Zosowa:
- nthawi yamakono;
- kupweteka kwa chiberekero ndi mankhwala / makina opatsirana;
- Kufooka kwa chitetezo, kutaya chiberekero;
- kupweteketsa kobweretsa (zochuluka zowonongeka);
- ectopia ya chiberekero, kuchotsa opaleshoni ya mimba.
Mitundu yosiyanasiyana ya matenda
- Viral cervicitis. Wothandizira mankhwalawa ndi kachilombo koyambitsa matenda m'thupi - HIV, herpes simplex, papillomavirus ya munthu. Viral cervicitis amadziwonetsera momveka bwino - zowawa panthawi ya kukodza, kuyabwa kwambiri mu ziwalo zoberekera zakunja, kupweteka m'mimba pamunsi.
- Purulent cervicitis. "Zimayambira" motsatira mliri wa matenda oopsa, omwe amadziwika ndi kuwonjezereka kwa chiwombankhanga cha chiberekero ndi kutupa kwa maselo a cylindrical epithelium. Mphungu yotchedwa cervicitis imachititsa kuti ziwalo zina za ziwalo zoberekera zikhale zotupa, zimateteza mwanayo, ndipo zimayambitsa matenda osokoneza bongo.
- Bakiteriya cervicitis. Zimabwera chifukwa cha ntchito ya tizilombo toyambitsa matenda. Matendawa amayamba chifukwa cha matendawa, chiwindi, chiwerewere.
- Atrophic cervicitis. Zimachokera ku kulowa kwa kachilombo nthawi yomwe sizitetezedwa kapena kumayambira pambuyo pochotsa mimba molakwika ndi kuchiza matenda.
- Wokondedwa cervicitis. Matenda omwe amagwiritsidwa ntchito ndi nkhuku za Candida m'kati mwa chiberekero.
- Kuthetsa cervicitis. Matenda omwe amafalikira m'mimba mwa chiberekero.
Zovuta cervicitis: zizindikiro ndi mankhwala
Pachiyambi choyamba, mucosa wa khola lachiberekero umakhudzidwa ndi kuwonjezeka kwina mu njira yokhala ndi matenda a stroma. Mtundu wapatali wa cervicitis umadziwika ndi kuwonjezeka kwa mitsempha ya mitsempha, kuwonjezeka kwa leukocyte pafupi ndi glands ndi zotengera, perigendulary / perivascular abcess abscesses. Odwala amakhudzidwa ndi kupweteka pang'ono m'mimba, kutenthetsa mukazi, kutuluka kwa chiberekero kapena purulent kuchokera ku chiwalo cha chiberekero, kutuluka kwa magazi pambuyo pake, kukakamiza kukodza. Pamene kuyesa kwa amayi kumasonyeza kudzikuza, kubwezeretsedwa kwa mucosa wa chiberekero cha chiberekero, zizindikiro za kutentha kwachinyengo kapena "kutentha kwabwino."
Matenda a "acute cervicitis" amachokera kumayendedwe ka chiberekero mothandizidwa ndi colposcope ndi magalasi a m'mimba, an anamnesis, kuyeza kachipatala kamene kali ndi kachilombo ka HIV. Matenda a tizilombo oterewa, conjunctivitis, kutentha thupi - nthawi ya kufufuza kwa virological. Mankhwalawa amachitidwa poganizira siteji ya matenda, zomwe zimaphatikizapo matendawa, mtundu wa tizilombo toyambitsa matenda. Gwiritsani ntchito mankhwala a lactic acid, mankhwala a lactic acid, mankhwala a chamomile, antibiotic kapena sulfonamides (bakiteriya C), tetracycline ndi Doxycycline (chlamydial C), metronidazole (anaerobic microflora), leukocyte interferon kukonzekera (tizilombo C).
Cervicitis - zovuta zovuta:
- ndondomeko yochiritsira yochitika nthawi zonse mu ziwalo za dongosolo la genitourinary;
- "Kuyamba" kwa njira zolakwika: kutentha kwa khola lachiberekero - dysplasia - oncology;
- mapiritsi pa chiberekero ndi mu uterine;
- kuwonongeka koopsa (malungo) a ma chipinda a chiberekero;
- kutaya pathupi, kusabereka.
Matenda a cervicitis: zizindikiro, matenda, matenda
Gawo lachilendo la matendawa ndi chifukwa cha kusagwedezeka kovuta kwa cervicitis. Wodziwika ndi wodwala mucopurulent kapena purulent umaliseche kuchokera kumaliseche, edema ndi miyeso yaing'ono ya chiberekero.
Zizindikiro zamaganizo za matenda aakulu:
- Zomwe zimapangitsa kuti thupi liziyenda;
- Kuchokera m'magawo amtunduwu kumakula kwa masiku 1-2 pambuyo pa kutha kwa msambo;
- kachilombo ka chiberekero kachilombo kachilombo kaye, kukanidwa kwa epithelium sikuchotsedwa;
- Chiberekero ndi hypertrophied ndi chophatikizidwa;
- Epithelium yapadera imalowetsamo cylindrical epithelium; metaplasia ya epithelium mwachiwonekere;
- pali infiltrates ndi cysts.
Zosokoneza
Kuzindikira matenda aakulu a cervicitis nthawi zambiri kumakhala kovuta chifukwa cha zizindikiro zowonongeka, zomwe zimawathandiza kuchipatala mwamsanga komanso kusintha kwa matendawa mpaka kalekale komwe kumachitika zovuta, zovuta kuyankha mankhwala ozunguza bongo.
Kusanthula kosiyana kwa matenda a cervicitis:
- Kusanthula mosamala anamnesis ndi nkhani yokhudza ntchito yosamutsidwa ndi ntchito za amayi;
- kuwunika kwa chithunzi cha clinic;
- Kuyezetsa kachilombo ka HIV ndi kachilombo ka khola ndi chithandizo cha magalasi;
- kuphunzira za zotsatira za cytology, kufufuza kwa microbiological.
Mayesero ofunikira:
- zojambula zamkati za umuna, urethra, khola lachiberekero pa zomera zabakiteriya;
- smear on oncocytology;
- chikhalidwe cha mabakiteriya ndi kudzipatula kwa tizilombo toyambitsa matenda, kuzindikira kuti timamva mankhwala ophera antibacterial;
- kusanthula kwakukulu kwa mkodzo, magazi;
- kuyesa kachilombo ka HIV ndi chirombo, kufesa pa gonococcus;
- colposcopy (kudziwika kwa zigawo zopunduka zomwe zimasiyana mozungulira, mtundu, kapangidwe kuchokera pamwamba);
- matenda a ureaplasma, mycoplasmal, chlamydial, papillomavirus, matenda opatsirana.
Chithandizo cha matenda aakulu a cervicitis
- Kuchetsa (kuchotsa) mankhwala opatsirana. Kukonzekera kwakukulu ndi mankhwala a antibacterial, antiprotozoal, antimycotic (Tantum Rose, Terzhinan, Polizinaks) amagwiritsidwa ntchito. Pamaso pa ureaplasma, matenda a chlamydial, trichomoniasis, candidiasis, mankhwala am'deralo amathandizidwa ndi mankhwala opatsirana.
- Kuchotsa foci ya ectopia (kutsekemera kwa nthaka). Matenda achilombo ndi chlamydial amatanthauza kugwiritsa ntchito njira zamankhwala zamankhwala (mankhwala opangira mankhwala, laseraporapisation, electroconjuration). Pochita chiwonongeko cha exocervix yosinthidwa, kukhalapo kwa kutupa kumaganiziridwa. Ngati sizingatheke kukwaniritsa zotsatira zabwino zowonongeka, chidziwitso chodziwika bwino sichidzawonedwa pa chilonda pamwamba pa chiberekero kwa nthawi yayitali, zomwe zingayambitse kupweteka kwa exocervix, endometriosis ya chiberekero, ndi maonekedwe a ma cysts ambiri.
- Kukonzekera kwa ma microbiocenosis. Pakuti immunocorrection amagwiritsanso ntchito magulu a corridor immuno-correction (Imudon) ndi eubiotics (Hilak-forte).
Kukonzekera kuchiza cervicitis:
- Doxycycline (0,2 g pa tsiku lonse);
- Acyclovir (200 mg kasanu pa tsiku kwa masiku asanu);
- Kuphatikizidwa (mlingo umodzi, mlingo umatsimikiziridwa ndi dokotala yemwe akupezekapo malinga ndi mtundu wa tizilombo toyambitsa matenda);
- Valtrex (kawiri pa tsiku 500 mg kwa masiku asanu);
- Terzhinan (imodzi yoperekera tsiku, mkati mwa masiku 10-12);
- Tarium (kamodzi piritsi 2);
- Maksakvin (kamodzi patsiku kwa 400 mg, nthawi yobvomerezedwa ndi dokotala);
- Erythromycin (nthawi ya maphunziro / mlingo imatsimikiziridwa ndi dokotala malinga ndi mtundu wa tizilombo toyambitsa matenda).
Makandulo ochokera kwa cervicitis
Kukonzekera mwa mawonekedwe a suppositories (suppositories) amagwiritsidwa ntchito kwambiri mu zovuta za matenda aakulu a cerebrovascular disease. Ntchito yawo imawathandiza kuti awonetsere ma immunopathogenesis a kutupa kwa kubwezeretsanso matenda osokoneza bongo. Chiŵerengero chabwino kwambiri cha zigawo zikuluzikulu m'zinthu zowonjezera zimapangitsa kuti thupi lachiberekero likhale labwino komanso likhale labwino.
Terzhinan. Makandulo a antitifayal ndi antibacterial, omwe amatsutsana ndi mabakiteriya a pyogenic, trichomonads, zomera za anaerobic, fungi Candida. Khalani ndi zotsatira zotsutsana ndi zotupa. Zida zothandizira ma kandulo zimakhalabe zokhazokha m'magulu opatsirana opatsirana, pH balance balance.
Polizhinaks. Mankhwala osakaniza, omwe amadziwika ndi antifungal, bactericidal, antibacterial effect. Zochita zogwirira Polizhinaksa (polymyxin, neomycin) zimapangitsa kuti tizilombo toyambitsa matenda a Gram-positive / Gram-negative, tiyende bwino mu ntchentche ya vagin.
Betadine. Mankhwala opatsirana pogwiritsa ntchito maantimicrobial othandiza kwambiri, amagwira ntchito motsutsana ndi mavairasi, bowa, mabakiteriya, mwamsanga kubwezeretsanso kachilombo ka HIV.
Makina a Macmirror. Makandulo ndi mbali ya gulu la antiseptics ndi antibiotic. Iwo amadziwika kuti antifungal, antibacterial, antiprotozoal effect. Musagwirizane ndi zomera za thupi, kubwezeretsanso normocenosis ya vagin.
Cervicitis mimba
Vuto la cervicitis limakhala lofunika makamaka pa mimba. Kukhalapo kwa anamnesis wa matenda a "cervicitis" kumatanthawuza kukhala ndi mwayi waukulu wa kubadwa msinkhu, zovuta zowonongeka, zopweteka za m'mimba za fetus. Ku Russia, kuchuluka kwa matenda a intrauterine kumasiyanasiyana pakati pa 6-50%, kufika 75% pakati pa ana oyambirira. Chiwerengero cha anthu omwe amwalira chifukwa cha kufala kwa matendawa akusiyana ndi 3% mpaka 65%. Pali njira zisanu zolowera mkati mwa wodwala opatsirana kulowa mu thupi la mayi wapakati: kutsika, kukwera, kusakaniza, kusintha, kutaya magazi. Choopsa kwambiri ndicho kukwera, kumene matendawa amalowa m'chiberekero kudzera mumtsinje wa chiberekero. Kuwoneka kosalekeza kwakamwa lachiberekero kumakhala ngati "zitseko" zosavuta za mavairasi ndi mabakiteriya. Ngati matenda a intrauterine achitika panthawi yoyamba ya mimba, embryopathies imapangidwira kukhumudwa kwapadera komanso kubereka kwapachiyambi - izi zimabweretsa mimba yopanda chitukuko ndi zolakwika.
Kugonjera kumayendedwe pang'ono kumaphatikizidwa ndi kuchepetsa kukula kwa fetus, zilonda zapachilombo / zapachiyambi za mwana wosabadwa, kupanga mapangidwe osowa mobwerezabwereza. Mitundu yambiri ya matenda imakhalapo m'miyezi itatu yoyamba ya mimba, pamene mwanayo satha kuzindikira kutentha. Mu semesita yachitatu, kusinthasintha kwa kutupa kumayambitsa kutseka (kutseka) kapena kutseketsa kwakukulu kwa malo otseguka, omwe amachititsa kuti ziwonongeke za hydronephrosis ndi hydrocephalus. Pa nthawi yogonana (chiwerengero cha masabata onse ogonana), chiberekero chimateteza dzira la fetus ndi chiberekero cha uterine kuchokera ku tizilombo toyambitsa matenda, zomwe zimapangitsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Cervicitis amachititsa kuti msana usakhalenso ndi mimba chifukwa cha matenda a embryo, placenta, amniotic fluid, fetus.
Kutengeka kwa madzi ndi zipolopolo ndi kotheka ndi matenda okwera. Tizilombo toyambitsa matenda timalowa mkati mwa fetal fluid, timasunthira pakati pa nembanemba ndikufika pamtunda wa basal, kumene amawerengedwa ndi leukocyte kulowerera. Mofanana ndi amniotic madzi, nthenda ya matenda imayikidwa, yomwe imayambitsa imfa ya fetus.
Cervicitis: mankhwala pa nthawi ya mimba
Cervicitis pa nthawi ya mimba amafunikanso kufufuza mwatsatanetsatane komanso kumvetsa zovuta. Ikani mankhwala osokoneza bongo, antitifungal, antibacterial drugs, opatsidwa mtundu wa mankhwala opatsirana ndi kukana mankhwala. Mankhwala otetezeka kwambiri komanso othandiza kwambiri pa chithandizo cha cervicitis mwa amayi apakati ndi ofunika. Zimakhazikitsidwa bwino pochiza macoplasmal, ureaplasma, matenda a chlamydial. Kuphatikizidwa (yogwira ntchito - azistromycin) kumapitirizabe kuganizira za kutupa kwa masiku asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi atatu (8), zomwe zimapangitsa madokotala kukhala ndi nthawi yayitali (masiku atatu) ndi otetezeka ku madokotala oyembekezera. Thandizo labwino komanso laling'ono la matendawa lingathe kuchepetsa mavuto omwe amakhudzidwa ndi mimba, ndipo amachititsa kuti pakhale mwayi wambiri wopereka.
Chithandizo cha cervicitis ndi mankhwala ochiritsira
Maphikidwe a mankhwala amachiritso a cervicitis angagwiritsidwe ntchito pokhapokha "mogwirizana" ndi njira zachikhalidwe ndipo atangokambirana ndi madokotala. Kudzipiritsa kungachititse mavuto aakulu.
Broths kwa douching:
- Tengani mofanana mofanana udzu spores, masamba a ulonda wa masamba atatu, mizu ya elecampane, zipatso za fennel, thumba la mbusa m'busa. Mipuni ikuluikulu ikuluikulu yokonzekera kudzaza ndi mamililita 500 a madzi owiritsa, kuti igwiritse ntchito pa moto wofooka wa mphindi 10-15, kuti ukhale wozizira. Gwiritsani ntchito mawonekedwe ofunda;
- Tengani mofanana mofanana ndi makungwa a msondodzi woyera, masamba a amayi ndi azimayi opeza, birch, mbalame chitumbuwa, udzu wa nettle, mizu ya juniper, mbewu za caraway, udzu wa oats. Ma supuni awiri a zokolola (zazikulu) amathira madzi mamililita 500 a madzi otentha, osakaniza bwino, ozizira. Ikani mu mawonekedwe ofunda;
- Gwirizanitsani plantain, Icelandic moss, Goose's goatee, sage, woodruff, lilac maluwa, chicory mizu. Thirani supuni ziwiri za youma zosakaniza ndi lita imodzi ya madzi otentha, imani 10-15 mphindi, kukhetsa. Gwiritsani ntchito kutentha.
Mafuta:
- Tengani mizu ya njoka zam'mlengalenga, dandelion, mbewu za fulakesi, masamba a birch, kipreja, udzu wa celandine, chitsamba chowawa, maluwa, maluwa a lilac. Pangani ufa wokwana magalamu 50, kutsanulira 500 milliliters a madzi oyera, wiritsani mu kusamba madzi muwiri. Onjezerani batala kwa msuzi (50 milliliters), wiritsani kwa mphindi 20, onjezani glycerin (50 milliliters), ozizira bwino;
- Chi Icelandic moss, calendula, clover, juniper pine, chomera, mbewu za fulakesi, nyanja ya buckthorn, mahatchi, masewera. Zosakanikirana, perekani madzi milliliters 500, wiritsani kawiri, wonjezerani batala (50 milliliters) ndi glycerin (50 milliliters). Wiritsani mphindi 20, ozizira. Ikani mabampu a bandage.
Infusions kwa kayendedwe ka mawu:
- Tengani zofanana zofanana ndi zowawa, mandimu, udzu, chitsamba chowawa, tsamba la masamba atatu, blueberries. Zosakaniza bwino zitha, zisakanikirana. Supuni ya tiyi ya misonkhanowu kuti idzaze ndi mamililita 250 a madzi otentha, ikani maola 2-3, kukhetsa. Kumwa kulowetsedwa pambuyo pa mphindi 20-25 mutatha kudya;
- kugwirizanitsa goatee ndi tsekwe, tansy, chitowe mbewu, masamba a celandine, kuwongolera, geranium. Gaya, wouma, dulani supuni ya supuni 350 milliliters ya madzi otentha. Gwiritsani ntchito maola 1.5-2 mutatha kudya;
- Tengani masamba a birch, raspberries, St. John's wort, horsetail munda, timbewu, chitsamba chowawa (mofanana muyeso). Supuni ya zitsamba zopangira madzi mamililita 250 otentha, imati, fyuluta. Imwani katatu pa tsiku kwa mphindi 20-30 musanadye.
Kupewa kwa cervicitis:
- kafukufuku wokhazikika pa katswiri wapadera;
- chithandizo cha matenda oyambitsa ukodzo, matenda oopsa;
- kulimbikitsa chitetezo;
- Kutulutsa mimba kumayambiriro kwa nthawi yobereka.
Cervicitis ndi matenda akuluakulu omwe angayambitse kusabereka, choncho n'zosatheka kunyalanyaza "mabelu oyambirira" omwe amasonyeza kukhalapo kwa kachilombo ka HIV. Matenda oyenera komanso oyenera panthaŵi yake amakulepheretsani kupeŵa mavuto ambiri azaumoyo ndi mavuto okhudzana ndi kutenga pakati ndi kubereka mwana.