I-Cervicitis iyinkqubo ephelele yokutheleleka emgodini wesibeletho, kufaka phakathi ukuvuvukala kwe-mucosa nokuvuvukala kwe-mucosa yangasese yomlomo wesibeletho. I-Cervicitis ayitholakali yodwa, ku-75-80% yamacala, lesi sifo sihambisana ne-pathologies eseduze - i-vaginitis ne-endometritis. Ukugijima kwe-cervicitis kungaholela ekukhuliseni komlomo wesibeletho, ukwakheka kwama-polyps emgodini we-uterine, ukuwohloka okubi kwezakhi zamaselula zesisu, ukungabi namuntu.
I-Cervicitis: izimbangela
Ivela ngenxa yokungena emgodini wesibeletho se-streptococci, staphylococci, E. coli, kaningi-amagciwane, i-trichomonads. I-microflora ene-anaerobic ne-chlamydia idlala indima ekubanjweni kwe-cervicitis. I-cervicitis ye-syphilitic noma i-etiology enama-tuberculous ayifani neze.
Izici zokudlula:
- isikhathi sokumisa;
- ukucasuka komlomo wesibeletho nge-chemical / mechanical contraception;
- ukubuthakathaka kokuzivikela, ukungabikho kwesibeletho;
- ukulethwa okudabukisayo (ukuhlukunyezwa okuningi komzimba / komlomo);
- i-ectopia yomlomo wesibeletho, ukuphela kokuhlinzwa kokukhulelwa.
Izinhlobo ezihlukahlukene ze-pathology
- I-viral cervicitis. I-agent causative yi-virus ekhona emzimbeni - i-HIV, i-herpes simplex, i-papillomavirus yabantu. I-Viral cervicitis ibonakala ngokucacile - izizwa ezibuhlungu ngesikhathi sokuvuthwa, ukuchiza okukhulu ezingxenyeni zangasese zangaphandle, ukuhlunguphaza esiswini esingaphansi.
- I-cervicitis ene-Purulent. "Iqala" ngokumelene nesizinda sezifo ezithathelwanayo, ezibhekene nokufakwa kwesimo se-sbepithelial of the membrane yomlomo wesibeletho nokuvuvukala kwempahla yeselula ye-epithelium eyindilinga. I-cervicitis ephuthumayo ivuselela izinqubo zokuvuvukala kwezinye izitho zamathuluzi okuzala, ivimbela ukuthatha isisu, futhi kubangele ukukhubazeka kwe-obstetric.
- I-cervicitis yebhaktheriya. Iza ngenxa yomsebenzi wama-bacterium we-pathogenic. I-pathologies ilandelwa yi-gonorrhea, i-trichomoniasis, i-dysbiosis yesiswini.
- I-Atrophic cervicitis. Iphumela ekungeneni kwegciwane ngesikhathi se-coitus engavikelekile noma iqala emva kokukhipha isisu okungalungile nokukhishwa kwesifo.
- I-canderv cervicitis. Izifo ezihlobene ne-parasitism eqhubekayo ye-Candida fungi emlonyeni wesibeletho.
- Ukusabalalisa i-cervicitis. I-pathology eyasakazeka esigabeni sangasese sesisu.
I-cervicitis enamandla: izimpawu kanye nokwelapha
Esigabeni sokuqala, umchamo womsele womlomo wesibeletho uthinteka ekubandakanyekeni okuqhubekayo ohlelweni lwe-pathological stroma. Ifomu eliyingozi le-cervicitis libhekene nokwandiswa kwephethini ye-vascular, ukuqoqwa kwama-leukocytes eduze kwezigqoko kanye nemikhumbi, ama-abscesses amantombazane angama-perigendulary / ngezikhwebu. Iziguli zikhathazeke ngokuhlungu okulinganiselwe esiswini esingaphansi, ukuvutha ngaphakathi kwesisu, ukuphuma kwamanzi okuphuma emzimbeni, ukuphuma kwe-postcoital, isifiso sokuvuthwa njalo. Lapho ukuhlolwa komzimba ngokwemvelo kugcizelela ukukhwabanisa, ukuphindwa kabusha kwe-mucosa yesigaba sangasese somlomo wesibeletho, izibonakaliso zokuguguleka komzimba noma "ukuguguleka okuqhubekayo."
Ukuxilongwa kwe "cervicitis acute" kusekelwe ekuhloleni okubonwayo komlomo wesibeletho ngosizo lwe-colposcope nezibuko zangasese, i-anamnesis, ukuhlolwa kwe-bacteriolog of the canal ehlukanisa umlomo wesibeletho. Ukutheleleka kwegciwane lesandulela ngculazi, ukuguqulwa komzimba, ukushisa komkhuhlane - isenzakalo sokucwaninga nge-virological. Ukwelapha kwenziwa ngokucabangela isigaba sesifo, izifo ezihambisana nazo, uhlobo lwe-pathogen. Nika isisindo se-lactic nesisombululo se-lactic acid, ukumnika ama-chamomile, ama-antibiotic noma ama-sulfonamide (ama-bacterium C), i-tetracycline ne-Doxycycline (chlamydial C), i-metronidazole (i-anaerobic microflora), amalungiselelo e-leukocyte interferon (i-viral C).
I-Cervicitis - izinkinga ezingenzeka:
- inqubo evamile yokutheleleka ezingxenyeni zesistimu ye-genitourinary;
- "Qala" indlela yokwelapha: ukuguguleka komlomo wesibeletho - i-dysplasia - oncology;
- ama-polyps emlonyeni wesibeletho nasesigodini sesisu;
- ukuwohloka okubi (ukulimala) kwezakhi zamaselula zesisu;
- ukukhulelwa kwesisu, ukungabi nalutho.
I-cervicitis engapheli: izimpawu, ukuxilongwa, ukwelashwa
Isigaba esingapheli sesifo siwumphumela we-cervicitis engavuthiwe. Efaniswa nokukhukhuka okunamandla noma okuphuma emzimbeni wesifazane, i-edema nama-hyphenia amancane omlomo wesibeletho.
Izibonakaliso zomzimba zengculaza engapheli:
- Izakhi zamathambo nezixhumeneyo zihilelekile enkambisweni yokuvuvukala;
- Ukuhamba okuvela emthonjeni wesisu kuqiniswe izinsuku ezingu-1-2 emva kokuphela kokuya esikhathini;
- umsele womlomo wesibeletho usulele futhi, ukulahla i-epithelium akukhipha;
- I-cervix i-hypertrophied futhi ihlanganiswe;
- i-epithelium flat iphinda ingene esikhundleni se-cylindrical epithelium; kungenzeka ukuthi i-metaplasia ye-epithelium;
- kukhona ukungena kanye nama-cysts.
Izinyathelo zokuhlola
Ukuthola ukuthi i-cervicitis engapheli ivame ukulukhuni ngenxa yezibonakaliso ezinobisi, okuholela ekwelapheni okungahambi kahle nokuguqulwa kwesifo kuze kube yinkambiso ende eyenzeka ngokukhukhumeza, kunzima ukuphendula ukwelashwa kwezidakamizwa.
Ukuxilongwa kwesahluko se-cervicitis:
- Ukuhlaziywa ngokucophelela kwe-anamnesis nge-akhawunti enesibopho sokusebenza okudlulisiwe kanye nokungenelela kokusebenza kwegazi;
- ukuhlolwa kwesithombe somtholampilo;
- ukuhlolwa komlomo wesibeletho nomsele womlomo wesibeletho ngosizo lwezibuko;
- ukutadisha imiphumela ye-cytology, ucwaningo lwe-microbiological.
Ukuhlolwa okudingekayo:
- i-macroscopy yokukhulelwa kwesisu, i-urethra, umsele womlomo wesibeletho ku-flora;
- smear oncocytology;
- isiko le-bacteriological ne-isolation of the pathogen, ukutholakala kokuzwela kwayo kwezidakamizwa zokulwa ne-antibacterial;
- Ukuhlaziywa okujwayelekile komchamo, igazi;
- ukuhlolwa kwegciwane lesandulela ngculaza kanye nesiphilisi, ukuhlwanyela kwi-gonococcus;
- i-colposcopy (ukutholakala kwezingxenye ezikhubazekile ezihlukene ngesakhiwo semisipha, umbala, isakhiwo kusuka kuwo wonke ubuso);
- ukuxilongwa kwe-ureaplasma, i-mycoplasmal, i-chlamydial, i-papillomavirus, izifo ezithathelwanayo.
Ukwelashwa kwe-cervicitis engapheli
- Ukuqedwa (ukuqedwa) kwe-agent esebenzayo. Amalungiselelo anzima nge-antibacterial, antiprotozoal, antimycotic action (Tantum Rose, Terzhinan, Polizinaks) asetshenziswa. Ngaphambi kokuba ureaplasma, ukutheleleka kwe-chlamydial, i-trichomoniasis, i-candidiasis, ukwelashwa kwendawo kuhlanganiswa nemithi yomlomo.
- Ukususwa kwe-foci ye-ectopia (ukuguguleka komzimba). Ukutheleleka nge-viral kanye ne-chlamydial kusho ukusetshenziselwa izindlela zokwelapha ze-physiosurgical (action cryosurgical, laseraporapisation, electroconjuration). Uma wenza ukubhujiswa kwe-exocervix eguquliwe, ukuba khona kokuvuvukala kucatshangwa ngempela. Uma kungenakwenzeka ukufezekisa umphumela omuhle ngemva kokubhujiswa, i-epithelization evamile ngeke ibonwe kwisilonda somlomo wesibeletho isikhathi eside, okungaholela ekudonsweni okubi kwe-exocervix, i-endometriosis yesisu, nokubonakala kwama-cysts amaningi.
- Ukulungiswa kwe-microbiocenosis yesisu. Ukuze i-immunocorrection isebenzise inhlanganisela ye-immuno-correction (Imudon) ne-eubiotics (i-Hilak-forte).
Ukulungiselela ukwelashwa kwe-cervicitis:
- I-Doxycycline (0.2 g ngosuku ngosuku lonke);
- I-Acyclovir (200 mg kasikhombisa ngosuku ngezinsuku ezingu-5);
- Isingeniso (umthamo owodwa, isilinganiso sinqunywa udokotela oya khona kuye ngokuthi uhlobo lwe-pathogen);
- Valtrex (kabili ngosuku nge-500 mg ngezinsuku ezingu-5);
- I-Terzhinan (i-suppository eyodwa ngosuku, zingakapheli izinsuku ezingu-10-12);
- I-Tarium (kanye namaphilisi amabili);
- Maksakvin (kanye ngosuku nge 400 mg, isikhathi sokwamukelwa sinqunywa udokotela);
- I-Erythromycin (ubude benkambo / umthamo inqunywa udokotela kuye ngokuthi uhlobo lwe-pathogen).
Amakhandlela avela ku-cervicitis
Ukulungiswa ngendlela ye-suppositories (i-suppository) kusetshenziselwa kakhulu ekunakekeleni okuyinkimbinkimbi yesifo esingelapheki se-cerebrovascular. Ukusebenzisa kwabo kwenza kube lula ukukhomba i-immunopathogenesis yenqubo yokuvuvukala ngokuvuselela i-homeostasis ephazamisekile. Ukulinganisa okulinganayo kwezingxenye ezingxenyeni ze-suppository kuqinisekisa ukuxilongwa okusebenzayo kwe-mucosa yomlomo wesibeletho nokubekezela okuhle.
Terzhinan. Amakhandlela antifungal and antibacterial of action eziyinkimbinkimbi, asebenza ngokumelene namagciwane e-pyogenic, i-trichomonads, i-anaerobic flora, i-Candida fungi. Yiba nomthelela wendawo wokulwa nokuvuvukala. Izingxenye ezisizayo zamakhandlela zigcina ubuqotho be-epithelium yangasese ngezifo ezithathelwanayo ezivuvukalayo, kugcina ukulinganisela kwe-pH evamile.
I-Polizhinaks. Isidakamizwa esihlanganisiwe, esibonakala nge-antifungal, i-bactericidal, umphumela we-antibacterial. Izinto ezisebenzayo I-Polizhinaksa (i-polymyxin, i-neomycin) iyanciphisa izinambuzane eziningi ze-Gram-positive / Gram-negative, zithuthukisa izinqubo ze-trophic ku-membrane yamangqamuzana wesifazane.
Betadine. Ama-suppository antimicrobial we-action spectrum, ayasebenza ngokumelene nama-virus, isikhunta, amabhaktheriya, ngokushesha abuyisele i-microflora evamile yesifazane.
I-Macmirror eyinkimbinkimbi. Amakhandlela ayingxenye yeqembu lama-antiseptics nama-antimicrobial. Zine-antifungal, antibacterial, antiprotozoal effect. Ungaphuli izitshalo zomzimba, ubuyisele i-normocenosis yesifazane.
Cervicitis ekukhulelwe
Inkinga ye-cervicitis ibaluleke kakhulu ekukhulelwe. Ukuba khona ku-anamnesis kokuxilongwa kwe-"cervicitis" kubonisa amathuba amakhulu okubeletha ngaphambi kwesikhathi, izinkinga ezingenasifo se-septic, ukutheleleka kwe-intrauterine ye-fetus. ERussia, iphesenti ye-intrauterine izifo ziyahlukahluka phakathi kuka-6-50%, kufinyelela ku-75% phakathi kwezingane ezisencane. Isibalo sokufa kwe-perinatal kulezi zifo zihluka kusuka ku-3% kuya ku-65%. Kunezindlela ezinhlanu zokungena kwe-agent ephathekayo emzimbeni wesifazane okhulelwe: wehla, ekhuphuka, exutshwe, esesidlangalaleni, egcwele igazi. Into eyingozi kakhulu yenyukayo, lapho ukutheleleka kungena khona kwesibeletho ngokusebenzisa umsele womlomo wesibeletho. Ukugxila okungapheli kokuvuvukala emgodini womlomo wesibeletho kusebenza ngokuthi "amasango" alula ama virus we-pathogenic namagciwane. Uma ukutheleleka kwe-intrauterine kwenzeka ezinyangeni zokuqala zokukhulelwa, ama-embryopathies akhiwa abangela ukungaqiniseki kahle kwamapayipi kanye nezinkinga zokuzalwa ezinganeni - lokhu kubangela ukukhulelwa okungathuthukisiwe nokukhubazeka.
Ukutheleleka ezinkathini ezisheshayo kuhambisane nokuthuthukiswa kokubeletha kwe-fetal, izilonda ezijwayelekile / zendawo zengane, ukubunjwa kokuphelelwa amandla okuphazamiseka okuphindaphindiwe. Amafomu ajwayelekile okutheleleka ngokuvamile avame ukuqala ku-trimester yokuqala yokukhulelwa, lapho ingane ingakakwazi ukutholwa ukuvuvukala. Esikhathini semester yesithathu, ukuguquguquka kokuvuvukala kubangela ukuvinjelwa (ukuvinjelwa) noma ukunciphisa okuphawulekayo ukuvuleka / iziteshi, okuholela ekusizeni kwe-organronephrosis ne-hydrocephalus esele isakhiwe. Ngesikhathi sokubeletha (inani lamaviki aphelele wokubeletha), umlomo wesibeletho uvimbela iqanda lomntwana wesisu kanye nesiguli se-uterine kusuka kuma-pathogens angenakuqhathaniswa, okwenza indima yokuvimbela. I-Cervicitis ivusa ukuphela kwesikhathi sokukhulelwa ngaphambi kokukhulelwa kwe-embryo, i-placenta, i-amniotic fluid, i-fetus ngokwayo.
Ukwelashwa kwamanzi namagobolondo kunokwenzeka ngokutheleleka okukhuphuka. Izidakamizwa ze-pathogenic zingene emthonjeni we-fetal, zifuduka phakathi kwezingqimba futhi zifinyelele epulini ye-basal, lapho zihlaselwa khona ukungena kwe-leukocyte. Ngokufana ne-amniotic fluid, i-foci yokutheleleka ihlelekile, ebangela ukufa komntwana.
I-Cervicitis: ukwelashwa ngesikhathi sokukhulelwa
I-Cervicitis ngesikhathi sokukhulelwa kudinga ukuhlolwa okuningiliziwe okuphuthumayo kanye nokwelashwa okunzima. Sebenzisa i-antiviral, i-antifungal, imithi elwa namagciwane, unikezwe uhlobo lwe-agent ephathekayo nokuphikisa kwayo izidakamizwa. Isidakamizwa esiphephile kakhulu futhi esisebenzayo kakhulu sokwelashwa kwe-cervicitis kwabesifazane abakhulelwe kuhlanganiswa. Imiswe kahle ekwelapheni i-mycoplasmal, ureaplasma, izifo ze-chlamydial. I-sumamed (into esebenzayo - i-azistromycin) iqhubeka ekugxilweni okuvuthayo kwezinsuku ezingu-5-8, okuvumela odokotela ukuba bathuthukise imifushane (izinsuku ezingu-3) futhi bavikeleke izifundo zezokwelapha ezikhulelwe. Ukwelapha okwesikhashana futhi okwanele kwalesi sifo kunganciphisa izinkinga ezihlobene nokukhulelwa, futhi kwandisa kakhulu amathuba okulethwa okuvamile.
Ukwelashwa kwe-cervicitis ngamakhambi abantu
Ukupheka kwemithi yendabuko yokwelashwa kwe-cervicitis kungasetshenziswa kuphela "ngokubambisana" nezindlela zendabuko futhi emva kokubonisana nodokotela. Ukuzivocavoca kungaholela ezinkingeni ezinkulu.
Izinwele ze-douching:
- uthatha izinhlamvu ezinotshani ezilinganayo, amaqabunga ewashi lamagatsha amathathu, izimpande ze-elecampane, izithelo ze-fennel, isikhwama somalusi obusatshani. Izipuni ezimbili ezinkulu zeqoqo ukugcwalisa ngamamithalitha angu-500 wamanzi abilisiwe, ukusekela emlilweni obuthakathaka wamaminithi angu-10-15, ukuphoqa, ukupholisa. Sebenzisa ifomu elifudumele;
- uthatha isilinganiso esilingana nesikhwama semhlophe emhlophe, amaqabunga omama nomama, i-birch, i-cherry bird, utshani obushukela, izimpande zomjunipha, imbewu ye-caraway, utshani lwe-oats. Izipuni ezimbili zeqoqo (ezinkulu) zithelela ngamamitha ayizigidi ezingu-500 zamanzi abilayo, zihamba kahle, zipholile. Faka isicelo efomeni elifudumele;
- hlanganisa i-plantain, i-Icelandic moss, i-Goosee ye-Goose, i-sage, i-woodruff, izimbali ze-lilac, izimpande ze-chicory. Thela ama-tablespoons amabili enhlanganisela eyomile ngetitha lamanzi abilayo, gcizelela imizuzu engu-10-15, cwilisa. Sebenzisa esimweni esishisayo.
Amafutha:
- uthathe izimpande zenyoka yezinyoka, i-dandelion, imbewu ye-flax, amaqabunga e-birch, i-kipreja, utshani lwe-celandine, umhlonyane, u-sage, izimbali ze-lilac. Gaya ama-gramu ama-50 amagramu eqoqo, uthele ama-milliliters angu-500 wamanzi ahlanzekile, ubilise ekugezeni kwamanzi ngezikhathi ezimbili. Engeza ubhotela ocibilikile kumhluzi (ama-milliliters angu-50), ubilise imizuzu engu-20, engeza i-glycerin (ama-milliliters angu-50), uphelele kahle;
- I-Icelandic moss, i-calendula, i-clover, i-juniper pine, i-plantain, imbewu ye-flax, i-sea buckthorn, i-horsetail field, i-chamomile. Izithako zokugaya, uthele ama-milliliters angu-500 wamanzi, ubilise kabili, engeza ibhotela (i-milliliters 50) ne-glycerin (ama-milliliters angu-50). Bilisa enye imizuzu engu-20, epholile. Faka isicelo samathangi we-bandage.
Ama-infusions wokuphatha ngomlomo:
- uthatha isilinganiso esilingana nomhlonyane, i-lemon balm, utshani lwefilakisi, umhlonyane, amaqabunga amaqabunga amathathu, ama-blueberries. Izithako zigaye kahle, mix. I-isipuni seqoqo ukugcwalisa ngamamitha angu-250 wamanzi abilayo, gcizelela amahora angu-2-3, ukukhipha. Phuza ukumnika ngemuva kwemizuzu engu-20-25 ngemva kokudla;
- ukuxhuma i-goatee nge-goose, i-tansy, i-cumin imbewu, amaqabunga e-celandine, i-guelder rose, i-geranium. Gaya, womile, uphuze isipuni sokuqoqa ama-milliliters ama-350 wamanzi abilayo. Sebenzisa amahora angu-1.5-2 ngemva kokudla;
- uthathe amaqabunga e-birch, i-raspberries, i-wort yase-St. John, i-horsetail field, i-mint, umhlonyane (ngokulinganisela okulinganako). I isipuni semifino yokuphuza ama-milliliters angu-250 amanzi abilayo, gcizelela, ukuhlunga. Phuza kathathu ngosuku ngemizuzu engu-20-30 ngaphambi kokudla.
Ukuvimbela i-cervicitis:
- ukuhlolwa okuvimbela njalo kuchwepheshe okhethekile;
- ukwelashwa kwezifo zomchamo, izifo ze-venereal;
- ukuqinisa ukuzivikela;
- Ukwelashwa kwe-hormonal ngesikhathi sokuya esikhathini.
I-Cervicitis yi-pathology engathà sina engabangela ukungabi nabantwana, ngakho-ke akunakwenzeka ukungazinaki "izinsimbi zokuqala" ezibonisa ukuthi kukhona ukutheleleka ezithombeni zofuzo. Ukwelashwa okwanele futhi okufika ngesikhathi esifanele kukuvumela ukuba ugweme izinkinga eziningi zempilo nezinkinga ezihlobene nokukhulelwa nokuzala ingane.