Iinkqubo ezivuthayo, ezikulo mzimba wesibeleko, zenza iindawo ezibalulekileyo zezifo zesini zobunini be-etiology. Ukuxilongwa kwe-endocervicitis ngokuqhelekileyo kufakwe kwizigulana zobuntwa bokuzala (60-65%), ngaphantsi kwexesha lokunyuka kwexesha. Kunzima ukusekwa kwexesha eliqhelekileyo lokusasazeka kwesi sifo, kuba luyingozi kwaye lufunyanwa ngengozi xa ibhinqa idibana nomfazi kwezinye i-syndromes okanye xa ihlelwe yintsholongwane. Endocervicitis yomlomo wesibeleko - yintoni na? I-Endocervicitis - ukuvuvukala kwesiteshi somlomo wesibeleko, kwi-50% yeemeko ezidibene ne-vaginitis kunye ne-vulvitis.
I-Endocervicitis yomlomo wesibeleko: yintoni na, izizathu
I-membrane yamathambo yomlomo wesibeleko isebenza njengesithintelo phakathi kwendawo yangaphandle kunye nenxalenye ephezulu yesigane sokuzalwa, ngokuqhubekayo ibonakala kwimeko ewonakalisayo. Namhlanje, isakhiwo se-etiologic se-pathologies esivuthayo somsele wesibeleko silawulwa yi-endocervicites ezibangelwa yi-herpes simplex virus, i-papillomavirus yabantu, i-trichomonads, i-gonococci, i-enterococci, i-Escherichia coli, i-Chlamydia, i-Candida fungi.
Imiba engozi:
- umonakalo kunye nokulimala okwenziwe ngamalungu entloko;
- ukuxilongwa kwe-analnesis;
- Ukuhanjiswa kweengxaki (inani elikhulu lokuphuka kwangaphakathi);
- izihlamba ezinobungozi / ezinobungozi;
- ukupheliswa kokukhulelwa kokukhulelwa;
- ukusetyenziswa kwesistim ye-intrauterine;
- kuncipha kwiimpendulo zomzimba zomzimba;
- ukukhubazeka okwexeshana komlomo wesibeleko.
I-endocervicitis efanelekileyo yomlomo wesibeleko: yintoni na?
Ukuqwalaselwa ngentsholongwane ye-postpartum (staphylococcus, streptococcus) kunye nosulelo lwe-gonococci. Iziganeko zeMalphological zesifo zizimisele ngokwemilinganiselo yobunzima bokuguqulwa kwamathambo kwizinto eziphambili ze-epithelial ze-cervix uteri, ezizodwa kwiinkqubo zenkqubo. Kwisigaba sokuqala, i-endocervicitis ephawulekayo ibonakaliswa yi-vascular fullness, iziganeko ezigqithiseleyo, utshintsho olunezitsholongwane kwiiseli ze-epithelial. Umyalelo wokubuyisela uhambelana nokubunjwa kwamathambo e-granulation, ukubonakala kweeseli ezijikelezayo kwi-epithelium ezikhutshweyo, apho, njengokuba ukwanda (ukwanda kwamanzi) kwakha i-epithelium eplaslium yamatye. Eyona nto ibonakaliswe ngophuhliso olutsha olutsha nolushukumisayo.
Iimpawu:
- inkunkuma ekhululekileyo esuka kumfazi (amafu, amaqabunga, ahlambulukileyo, anamaqabunga, ahlambulukileyo);
- Iintlungu ezinzima kwisisu esezantsi;
- lokushisa komzimba;
- ukutshisa kunye nokutshitshiswa kwii-genitalia zangaphandle;
- kuphazamiseka ngexesha lokucoca;
- intlungu nge-coition, ukukhutshwa kwamanzi emva kokuba isenzo singenakunyulwa;
- Ukuphuma kwintsholongwane engasebenziyo / ukutyumbela ukukhutshwa komdaka phakathi komjikelezo;
- isifo seentlungu kunye neendawo ezisezantsi ne-sacrum.
Endocervicitis engapheliyo yomlomo wesibeleko: yintoni na?
Ivela ngenxa yokusuleleka kwintsholongwane ngenxa ye-vaginitis. Kukho ukwanda kweengcongolo zomsele womlomo wesibeleko, ubuqhophololo, i-dystrophic altered epithelium yamaselula, ubukho be-detritus evuzayo ("efile"). Ngokuchasene nale mvelaphi, ngokuqhelekileyo ivelisa i-dysplasia yomlomo wesibeleko (i-precancerous state) kunye nomhlaza wesibeleko. Ifomu engapheliyo endocervicitis ibonakaliswa yintlupheko yentlungu, ukwehla kwenani labesifazane abahlukanayo, ukugqitywa kokuphela, okuchazwa ngephutha ngezigulane njengoko kuphuluke ngokupheleleyo. Usulelo luqala ukuhamba ngokukhawuleza, ngokukhawuleza luchithe izicubu zentambo kunye nomlomo wesibeleko.
Ulwaphulo lwemveli lwe-endocervicitis
I-regimen yokwelapha ikhethwe ngokuqwalasela idatha ye-anamnesis, i-microbiological examination, i-laboratory analysis. Ndakanya:
- ukumkela i-antibiotic, i-antibacterial and anti-antibiotics;
- ukungathathi hlangothi kwimiba engaphambili (i-metabolic, i-hormonal, i-immune dismal);
- ukusetyenziswa kwe-antimycotics (kunye nezilonda zefungal);
- unyango lwe-herpes (kunye ne-virus ye-herpes simplex);
- unyango lwe vithamini; ukusebenzisa i-cytostatics, i-interferons, i-immunostimulants;
- ukucocwa kwe-vagina ngoncedo lwee-antiseptic agents;
- ukusetyenziswa kwamagqabi e-vaginal ukubuyisela i-microflora eqhelekileyo;
- Ukusetyenziswa kweendlela zokugqirha (cryotherapy, unyango lwe-laser, electrocautery).
Unyango kunye namanyathelo omntu
Ngaphambi kokuba sisebenzise unyango ngeendlela eziqhelekileyo, kubalulekile ukunxibelelana nogqirha ukuze ugweme imiphumo engathandekiyo kunye neempendulo.
- Hlanganisa i-thyme, i-adonis, umhlonyane, i-mint (1: 1: 1: 1), faka amaqabunga ama-raspberry kunye neziqhamo ze-juniper (iicandelo ezimbini). Ukubunjwa kwe-Physiotherapy kutyunjwe kakuhle, uthele ama-milliliters ama-500 wamanzi abilayo, ukucoca, ukupholisa, ukusebenzisa ngaphakathi kwiiyure ezingama-24 ezizayo.
- Hlanganisa ingcambu ye-elecampane, iifom zeengxowa zeegusha, i-rennels, i-knotweed, amaqabunga omlindo omatshini amathathu kunye neengxowa ezilinganayo. Gweba ukubunjwa okufanayo, ukwahlula ama-gram 10. Phalaza ama-milliliters ama-500 wamanzi abilisiwe, ufakwe kwisitya esivaliweyo, ubeke imizuzu eyi-10-15 kwindawo yokuhlamba amanzi. Ukunyamezela kwindawo epholileyo amahora ama-3-4. Ukusetyenziswa kwee-douches, imodampings, lotions.
Endocervicitis engapheliyo nokukhulelwa
HE ngexesha lokukhulelwa kunokufihla ingozi kumntwana kunye nomama ozayo. Esi sifo sivame ukukhokelela ukukhupha isisu, ukuzala kwangaphambi kokuqala nokukhulelwa okukhuni. Ukongezelela, kukho umngcipheko ophezulu wokusuleleka kwintsholongwane ye-fetus. Ukuba umntwana usulelekile xa edlula kwinqanaba lokuzalwa, isilululent lesion of organ and inner skin. Ingozi kakhulu yimibuzo engapheliyo yokuphela kokukhulelwa - isifo sofesti sithola ifomu epheleleyo, imiphumo yokufa komntwana okanye ukubola komntwana. Ulwaphulo luquka ukuthatha i-antibiotiki kunye neyeza zokubulala izidakamizwa (Azithromycin). Ubuchule bokulondolozwa komntwana bugqitywa ngabanye emva kokuhlolwa kokubeleka. Ukuze ungayi kubuza i-endocervicitis yomlomo wesibeleko-oko kuyimfuneko ukuba ugweme abaqhagamshelana nabo ngokwesondo, ukugcina ucoceko olusenyongweni, ukuhlala rhoqo uviwo oluqhelekileyo kunye nesifo somzimba kunye nokukhetha umgqirha onguchwepheshe onobuchule bokuzalwa ngokufanelekileyo.