I-Cervicitis yinkqubo epheleleyo yokusuleleka kwintsholongwane, kuquka ukuvuvukala kwe-mucosa kunye nokuvuvukala kwe-vaginal mucosa yomlomo wesibeleko. I-Cervicitis ayidla ngokukhawuleza, kwi-75-80% yamatyala, eso sifo sihamba kunye ne-pathologies esondeleyo-i-vaginitis kunye ne-endometritis. Ukuqhuba i-cervicitis kunokukhokelela ekukhuliseni umlomo wesibeleko, ukubunjwa kweeplitshi kwisibilini se-uterine, ukuchithwa kakubi kwezakhiwo zamaselula zesisu, ukungabikho komntwana.
Cervicitis: izizathu
Ikhula ngenxa yokungena kwi-canal ye-cervix ye-streptococci, staphylococci, uE-coli, ngokuthe rhoqo-iintsholongwane, i-trichomonads. I-anaerobic microflora kunye ne-chlamydia idlala indima ekuqhubeni kwe-cervicitis. I-Cervicitis ye-syphilitic okanye i-etiology enamaqabunga ibonakala ingavumelekanga.
Izinto zokubeka
- ixesha elide;
- ukucaphuka komlomo wesibeleko ngekhemikhali / ukukhulelwa komzimba;
- ukubuthathaka kwe-immunity, ukungaphumeleli kwesisu;
- ukuhanjiswa kwezinto ezibuhlungu (ininzi ye-perinal / cervical rupture);
- i-ectopia yomlomo wesibeleko, ukupheliswa kokugqithwa kokukhulelwa.
Iintlobo ezahlukeneyo zentsholongwane
- Viral cervicitis. I-agent causative yintsholongwane yomzimba-i-HIV, i-herpes simplex, i-papillomavirus yabantu. I-viral cervicitis ibonakalisa ngokucacileyo - ivakalelo ezibuhlungu ngethuba lokucoca, ukugqithisa kakhulu kwizitho zangasese zomzimba, ukuhlunguphazeleka kwintlungu esezantsi.
- I-prervent cervicitis. "Uqala" ngokumalunga nemvelaphi yezifo ze-venereal, ezibonakaliswe ukongezwa kwe-sbepithelial deformation ye membrane yomlomo wesibeleko kunye nokuvuvukala kwezinto zeselula ze-epithelium yeclindrical. I-prervent cervicitis ikhupha iinkqubo zokuvuvukala kwezinye izitho zamathuluzi okuzala, zivimbela ukuthwala kwe-fetus, kwaye zibangele i-obstetric pathology.
- I-bacterium cervicitis. Iza ngenxa yesenzo se-bacteria ye-pathogenic. I-pathologies ilandelwa yi-gonorrhea, i-trichomoniasis, i-dysbiosis yesisu.
- Atrophic cervicitis. Iphumela ekungeneni kwintsholongwane ngexesha le-coitus engakhuselekanga okanye ikhula emva kokukhipha isisu okungalunganga kunye nokuhluthwa kwe-diagnostic.
- Canderv cervicitis. Izifo ezinxulumene ne-parasitism ende ye-Candida fungi kwisibeleko.
- Ukusasaza i-cervicitis. I-pathology eyasasazeka kwicandelo lobufazi lesisu.
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Kwinqanaba lokuqala, i-mucosa yomngcingo wesibeleko ichaphazelekayo ngokubandakanyeka ngakumbi kwinkqubo ye-pathological stroma. Ifomu ephawulekayo ye-cervicitis ibonakaliswe ngokunyuka kweprotected vascular, ukuqokelela kwama-leukocyte kufuphi neengqungquthela kunye neempahla, i-perigendulary / perivascular childhood abscesses. Izigulane zixhala malunga neentlungu ezisezingeni eliphantsi kwisisu esezantsi, ukutshiswa kwisisu, ukukhutshwa kwamanzi okanye i-purulent discharge kwi-genital tract, i-postcoital bleeding, inqweno yokuvota. Xa ukuhlolwa komzimba kubonakalisa ubuqhophololo, ukubuyiswa kwe-mucosa yesigxina se-vagvi yomlomo wesibeleko, iimpawu zokuguguleka komzimba okanye "ukuguguleka kokuqhubekayo."
Ukuxilongwa "kwe-acervicitis citis" kusekelwe ekuhlolweni kokubonwa komlomo wesibeleko ngoncedo lwe-colposcope kunye nezibuko zangasese, i-anamnesis, i-bacteriolog examination of the canal ehlukanisa umlomo wesibeleko. Ukusuleleka kwintsholongwane ye-virus, conjunctivitis, umkhuhlane-sisihlandlo sophando lwe-virological. Ulwaphulo lwenziwa ngokuqwalasela isigaba sesi sifo, i-pathologies ehambayo, uhlobo lwe-pathogen. Ukunikezela nge-lactic acid isisombululo se-lactic acid, ukunyuswa kwe-chamomile, i-antibiotics okanye i-sulfonamides (i-bacterium C), i-tetracycline kunye ne-Doxycycline (chlamydial C), i-metronidazole (i-anaerobic microflora), i-leukocyte interferon (preparations).
Cervicitis - iingxaki ezinokwenzeka:
- inkqubo yokusuleleka kwintsholongwane kwiinkqubo ze-genitourinary system;
- "Qala" kwindlela yokuguqula umzimba: ukukhulelwa komlomo wesibeleko - i-dysplasia - oncology;
- ii-polyps emlonyeni wesibeleko kunye nasesigodini sesisu;
- ukuchithwa kakubi (ukulimala) kwezakhiwo zamaselula zesisu;
- ukukhulelwa kwesisu, ukungabikho.
I-cervicitis engapheliyo: iimpawu, ukuxilongwa, unyango
Isigaba esingapheliyo sesi sifo sisiphumo se-cervicitis esingahambi Efanelwe ngumfutho ococekileyo okanye ococekileyo kwi-vagina, i-edema kunye ne-hypermia encinci yomlomo wesibeleko.
Izibonakaliso ze-morphological of cirricitis engapheliyo:
- Izakhi ze-muscular kunye nezixhumo ezibandakanyekayo zibandakanyeka kwinkqubo yokuvuvukala;
- ukukhutshwa kwindlela yokuhlukumeza isondo kuya kwandiswa 1-2 iintsuku emva kokuphela kwexesha lokuya esikhathini;
- umsele wentsholongwane usulelekile, ukugatywa kwe-epithelium akukhatywanga;
- Umlomo wesibeleko uhlambulukile kwaye uhambelana;
- i-flat epithelium iyingxenye ye-epithelium ye-cylindric; i-metaplasia ye-epithelium inokwenzeka;
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Amanyathelo okuchonga
Ukuxilongwa kwe-cervicitis engapheliyo kunzima ngenxa yeempawu ezinobisi, ezikhokelela ekuthatyeleni unyango olungalindelekanga kunye nokuguquka kwesi sifo kwinkqubo ende eyenzeka ngokuxhatshazwa, kunzima ukuphendula unyango lweziyobisi.
Ukuxilongwa ngokuhlukileyo kokuhlukana kwe-cervicitis:
- Uhlalutyo oluchanekileyo lwe-anamnesis kunye ne-akhawunti enyanzelekileyo yomsebenzi ogqithiselweyo kunye nokunyanzeliswa kokusebenza kwabantwana;
- ukuphononongwa komfanekiso wekliniki;
- Ukuhlolwa komlomo wesibeleko kunye nomsele wesibeleko ngoncedo lwezibuko;
- ukufundisisa iziphumo ze-cytology, uphando lwe-microbiological.
Iimvavanyo eziyimfuneko:
- i-macroscopy ye-vaginal discharge, urethra, isalathisi somlomo wesiqhelo kwi-flora;
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- inkcubeko ye-bacteriological kunye nokwakheka kwe-pathogen, ukufumanisa ukuqonda kwayo kwiziyobisi zokulwa ne-antibacterial;
- Ukuhlalutya ngokubanzi umchamo, igazi;
- uvavanyo lwe-HIV kunye ne-syphilis, ukuhlwayela i-gonococcus;
- i-colposcopy (ukufunyanwa kwamagqabi aphosakeleyo ahluke kwisakhiwo se-vascular, umbala, isakhiwo esivela kuwo wonke umhlaba);
- ukuxilongwa kwe-ureaplasma, i-mycoplasmal, i-chlamydial, i-papillomavirus, izifo ezithintekayo.
Unyango lwe-cervicitis engapheliyo
- Ukuqedwa (ukupheliswa) kwe-arhente echaphazelayo. Amalungiselelo enkqubela kunye ne-antibacterial, antiprotozoal, action antimycotic (iTantum Rose, Terzhinan, Polizinaks) isetyenziswe. Ekubeni kwe-ureaplasma, usulelo lwe-chlamydial, i-trichomoniasis, i-candidiasis, unyango lwengingqi longezelelwe ngamachiza omlomo.
- Ukususwa kwe-foci ye-ectopia (ukuguguleka kwamanzi). Iintsholongwane zentsholongwane kunye ne-chlamydial zithetha ukusetyenziswa kweendlela zokwenza unyango (i-cryosurgical action, laseraporapisation, electroconjuration). Xa wenza ukutshatyalaliswa kwe-exocervix eguquliwe, ubukho bokuvuvukala kuthathwa ingqalelo. Ukuba akunakwenzeka ukuphumeza umphumo omhle emva kokutshabalalisa, i-epithelization eqhelekileyo ayiyi kuphawulwa kwinqama yomlomo wesibeleko ixesha elide, ezinokubangela ukuba kubekho ukubola kwe-exocervix, i-endometriosis yesisu, kunye nokubonakala kwama-cyst.
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Ukulungiselela unyango lwe-cervicitis:
- I-Doxycycline (0.2 g ngosuku ngosuku lwekhosi);
- I-acyclovir (200 mg amahlanu ngamalanga iintsuku ezi-5);
- I-Sumamed (idosi enye, i-dosage imiselwe ugqirha oya kwii-dependence kuye ngohlobo lwe-pathogen);
- Valtrex (kabini ngosuku nge-500 mg iintsuku ezingama-5);
- I-Terzhinan (i-suppository enye ngosuku, kwiintsuku eziyi-10-12);
- I-Tarium (kanye neepilisi ezimbini);
- Maksakvin (kanye ngosuku ngosuku lwama 400 mg, ubude besikhathi sokwamkelwa kugqitywa ngugqirha);
- U-Erythromycin (ubude bekhosi / umyinge wugqirha ugqirha ngokuxhomekeke kwindlela yokulwa ne-pathogen).
Amakhandlela avela kwi-cervicitis
Ukulungiselela ngendlela ye-suppositories (i-suppositories) isetyenziswa ngokubanzi kwiinkqubo eziyinkimbinkimbi zezifo ezingapheliyo. Ukusetyenziswa kwabo kwenza kube lula ukukhomba i-immunopathogenesis yenkqubo yokuvuvukala ngokuvuselela i-homeostasis ephazamisayo. Umlinganiselo ophezulu wamacandelo kwi-suppositories uqinisekisa ukunyusa okusebenzayo kwe-mucosa yesibeleko nokunyamezela.
Terzhinan. Amakhandlela antifungal and antibacterial of action complex, asebenza ngokumelene ne-bacyoia ye-pyogenic, i-trichomonads, i-anaerobic flora, i-Candida fungi. Hisque hisquequeque his hisquequequequequequequequequequeque following following produits followingque followingquequequej his following | following following hisque hisquequequeque ?que his following produits hisque produitsquequeque Izixhobo ezincedisayo zamakhandlela zigcina ingqibelelo ye-epithelium yesiswini kwizifo ezithintekayo, ugcine ukulinganisela kwe-pH ibhalansi.
Polizhinaks. Isidakamizwa esidibeneyo, esibonakaliswe yi-antifungal, i-bactericidal, i-antibacterial effect. Izinto ezisetyenziswayo I-Polizhinaksa (i-polymyxin, neomycin) iyanciphisa amaninzi ama-gram-positive / Gram-negative microorganisms, ukuphucula iinkqubo ze-trophic kwi-membrane ye-vaginal.
Betadine. Ukuxhaswa kwe-antimicrobial of a wide range of action, zisebenza ngokumalunga neentsholongwane, i-fungi, iibhaktheriya, ngokukhawuleza ubuyisele i-microflora eqhelekileyo yobundlobongela.
Macmirror complex. Amakhandlela ayingxenye yeqela le-antiseptics kunye nee-antibiotic. Ziye zatsho i-antifungal, antibacterial, antiprotozoal effect. Musa ukuphula i-flora yemvelo, ubuyisele i-normocenosis yesini.
Cervicitis xa ukhulelwa
Ingxaki ye-cervicitis ibaluleke kakhulu xa ukhulelwa. Ubukho kwi-anamnesis bokuxilongwa "kwe-cervicitis" bubonisa ukuphakama okuphezulu kokubeleka kwangaphambi kokuzalwa, iingxaki ezinobungqina obuthathaka, ukusuleleka kwintsholongwane yomntwana. ERashiya, ipesenti ye-intrauterine izifo ziyahluka phakathi kwama-6-50%, zifikelela kuma-75% phakathi kweentsana zokuqala. Iziganeko zokufa kwezilwanyana zangasese ezivela kwi-pathology zihluka kwi-3% ukuya kwi-65%. Kukho iindlela ezinhlanu zokungena kwi-arhente echaphazelayo emzimbeni wesifazane okhulelweyo: wehla, ekhuphuka, edibeneyo, ehamba ngokukhawuleza. Into eyingozi kakhulu yenyukayo, apho usulelo lungena khona kwisibeletho ngomlomo wesibeleko somlomo wesibeleko. Ingqwalasela engapheliyo yokuvuvukala kwinqanawa yomlomo isebenza nje "ngamasango" alungeleyo kwii-virus ze-pathogenic kunye neebhaktheriya. Ukuba ukusuleleka kwe-intruterine kwenzeka kumanyathelo okuqala okukhulelwa, i-embryopathies yenziwe ibangele ukungabi nakwaneleyo kweeplenti kunye nokungazalanga komntwana-oku kubangela ukukhulelwa okungaphuthunyanga kunye nokulahleka komzimba.
Usulelo olusondeleyo kumanyathelo alandelayo luhambelana nokuphuculwa kwentuthuko ye-fetal, izilonda eziqhelekileyo / zengingqi zomntwana, ukusetyenzwa kwezinto ezingapheliyo. Iifom eziqhelekileyo zentsholongwane zihlala zikhula kwi-trimester yokuqala yokukhulelwa, xa umntwana engakakwazi ukufumana ukutshabalala. Kwi-semester yesithathu, ukuguqulwa komsindo kubangelwa ukuvalwa (ukucinywa) okanye ukunciphisa ngokubanzi ukuvula / iziteshi, ezikhokelela ekungabikho komonakalo we-organronephrosis kunye ne-hydrocephalus. Ngethuba lokugaya (inani leeveki ezipheleleyo), umlomo wesibeleko ukhusela iqanda lomntwana kunye nesigxina se-uterine kwii-pathogens ezingaqhelekanga, ukwenza indima yokukhawulela. I-Cervicitis ivuselela ukuphela kokukhawuleza kokukhulelwa ngenxa yokusulelwa kwintsholongwane, i-placenta, i-amniotic fluid, i-fetus ngokwayo.
Ukunyanga kwamanzi kunye neengqungquthela kunokwenzeka ngokukhupha isifo. Izidalwa ze-Pathogenic ziyangena kwi-fetal fluid, zifudukela phakathi kweembrane kwaye ziya kufakwa kwi-plateal basal, apho zihlaselwa yi-leukocyte yokungena. Ukufana ne-amniotic fluid, i-foci yentsholongwane ihlelwe, ebangela ukufa komntwana.
I-Cervicitis: unyango ngexesha lokukhulelwa
I-Cervicitis ngexesha lokukhulelwa kudinga uviwo olunzulu olukhawulezileyo kunye neyonyango oluyinkimbinkimbi. Faka isicelo se-anti-virus, i-antifungal, i-antibacterial drugs, enikwa uhlobo lwe-arhente echaphazelayo kunye nokuxhathisa kwayo iziyobisi. Isiza esiphephile nesona sisebenzayo kakhulu kunyango lwe-cervicitis kwabasetyhini abakhulelweyo. Kuchanekile ngokunyanga kwe-mycoplasmal, ureaplasma, i-chlamydial infections. I-Sumamed (into esebenzayo - i-azistromycin) iqhubeka ijolise ekugxininiseni kweentsuku ezingama-5-8, ezivumela oogqirha ukuba bakhulise iifutshane (iintsuku ezi-3) kwaye bakhuselekile kwizifundo zempilo ezikhulelweyo. Ukwelashwa ngexesha elifanelekileyo kunye nelaneleyo nesifo kunokunciphisa iingxaki ezinxulumene nokukhulelwa, kwaye kwandisa kakhulu amathuba okuziswa okuqhelekileyo.
Unyango lwe-cervicitis kunye nezilwanyana zomntu
Ukupheka kwamachiza endabuko unyango lwe-cervicitis lusetyenziswa kuphela "ngokubambisana" kunye neendlela zendabuko kwaye emva kokubonisana noogqirha. Quequeque hisqueque hisquequequequequequequequeque his hisque hisqueque hisquequeque his his his hisqueque followingquequeque his followingqueque hisquequeque produitsquequequequequequeque
Broths for douching:
- uthathe ubungakanani obulinganayo neentlobo zeengca, amaqabunga omlindo omathathu, iingcambu ze-elecampane, iziqhamo ze-fennel, isikhwama somalusi wengca. Iipuni ezimbini ezinkulu zeqoqo ukuzalisa nge-500 milliliters zamanzi abilisiwe, ukugcina umlilo obuthathaka kwemizuzu eyi-10-15, ukugxininisa, ukupholisa. Sebenzisa kwifom efudumeleyo;
- uthatha ubungakanani obulinganayo kunye neengcongolo ze-white willow, amaqabunga omama nomama, i-birch, i-cherry yenyoni, ingcambu ye-nettle, izimpande zemijunipha, imbewu ye-caraway, uhlobo lwe-oats. Iipunipoli ezimbini zokuqokelela (ezinkulu) zityhala ama-milliliters ama-500 amanzi abilayo, ukunyamekela ngokucophelela, ukupholisa. Faka isicelo kwifom efudumeleyo;
- ukudibanisa i-plantain, i-Icelandic moss, i-goosee ye-Goose, i-sage, i-woodruff, iillac, izimbali ze-chicory. Thela ezimbini iipunipoon zomxube owomileyo ne litre yamanzi abilayo, gxininisa imizuzu 10-15, cima. Sebenzisa kwindawo efudumeleyo.
Mafutha:
- uthathe iingcambu zeentaba zeenyoka, i-dandelion, imbewu yefleks, amaqabunga e-birch, i-kipreja, utshani lwe-celandine, umhlonyane, i-sage, izimbali ze-lilac. Gweba ube yimpompo ye-50 grams yokuqokelela, uthele i-500 milliliters yamanzi ahlambulukileyo, ubilise kwindawo yokuhlamba amanzi ngamanzi amaxesha amabini. Yongeza ubhotela obuncibilikile kumhluzi (50 milliliters), ubilise imizuzu engama-20, wongeza i-glycerin (50 milliliters), epholile kakuhle;
- I-Icelandic moss, i-calendula, i-clover, i-juniper ipine, i-plantain, imbewu yefleksi, i-buckthorn yolwandle, i-horsetailtail, i-chamomile. Izithako zokucoca, uthele ama-milliliters ama-500 wamanzi, ubilise kabini, ungeze ibhotela (i-milliliters 50) kunye ne-glycerin (50 milliliters). Bilisa enye imizuzu engama-20, epholile. Faka isicelo seetampu zebhanki.
Ukuxhatshazwa ngokulawula komlomo:
- uthathe inani elilinganayo lomhlonyane, i-lemon balm, i-flax utshani, umhlonyane, amaqabunga amaqabunga amathathu, ama-blueberries. Izithako zigaya, zidibanisa. I-thispoon yokuqokelela ukuzalisa ama-milliliters ama-250 wamanzi abilisayo, ugxininise iiyure ezingama-2-3, ukucoca. Phuza ukumnika emva kwemizuzu engama-20-25 emva kokutya;
- ukuxhuma i-goatee ne-goose, i-tansy, imbewu ye-cumin, amaqabunga e-celandine, i-guelder rose, i-geranium. Gaya, yomile, yenza i-tablespoon yokuqokelela i-350 milliliters yamanzi abilayo. Sebenzisa ii-1.5-2 iiyure emva kokutya;
- kuthatha amaqabunga e-birch, i-raspberries, i-St. John's wort, i-horsetailtail yintsimi, isintsi, umhlonyane (ngokulinganayo). I-tablespoon yamacube okuzalela ama-milliliters ama-250 wamanzi abilayo, gxi ninisa, ifayile. Phuza kathathu ngosuku ngemini engama-20-30 ngaphambi kokutya.
Ukuthintela i-cervicitis:
- iimviwo ezikhuselekileyo rhoqo kwizodwa ezizodwa;
- unyango lwezonyango zomchamo, izifo ze-venereal;
- kuqinisa u khuselo;
- ukukhulelwa kwe-hormonal ngexesha lokusuka kwindoda.
I-Cervicitis yintsholongwane enokuthi ingakhokelela ekungabikho komntwana, ngoko ke akunakwenzeka ukungazihoyili "iintsimbi zokuqala" ezibonisa ukuba kukho ukusuleleka kwiintsholongwane zomzimba. Ukunyanga okwaneleyo nokufikeleleka kwesi sifo kukuvumela ukuba ugweme iingxaki ezininzi zempilo kunye neengxaki ezinxulumene nokukhulelwa nokuzala umntwana.