Ukukhulelwa emva kwonyango lokukhukhula komlomo

Ukutshatyalaliswa komzimba wesibeleko kuyinkqubo yobunzima obangela isiphako kwi-epithelium yesibeleko ukusuka kwicala lomfazi. Iimpawu zesifo asikwazi ukubonakaliswa ixesha elide.

Nangona kunjalo, kunokucingelwa ukuba kukho ukukhukuliseka komlomo wesibeleko, ukuba umfazi uyakhalaza intlungu ngexesha lokulala, ukuba kukho igazi elimnyama (elibomvu okanye elincinci) ephuma kumfazi.

Diagnostics

Ibhinqa ngalinye lifuna ubuncinane kanye isiqingatha sonyaka ukuba lihlolwe ngokunyanga, ukuze i-diagnostic ingenziwa ngexesha. Ugqirha uhlola umlomo wesibeleko kwaye, ukuba kuyimfuneko, wenza i-colposcopy.

Ukuze kulungiswe unyango oluchanekileyo, ingcali kufuneka ifumene isizathu sokugula. Kukulungele ukuqhuba izifundo ezilandelayo:

1) Smear ukufumana isilinganiselo sokuhlanzeka kwesini. I-smear inokubona ukuvuvukala kwesini, okwandisa umngcipheko wokukhukhula komlomo wesibeleko.

2) Uhlalutyo lubonisa ii-STD, ezidla ngokubakho ukuphuhliswa kwesi sifo (urogenital chlamydia, trichomoniasis, i-mycoplasmosis kunye ne-ureaplasmosis, i-gonorrhea, isifo se-papillomavirus, i-herpe yomzimba, njl.).

Ukuba ukuxilongwa kuqinisekisiweyo, kufuneka kwenziwe uphando olongezelelweyo, okwenza kube lula ukukhupha umhlaza wesibeleko. Uviwo lwe-cytological kunye ne-biopsy yomlomo yenziwa.

Ukukhulelwa komzimba kunye nokuguguleka komzimba we-cervix

I-membrane ye-mucous ibeka umlomo wesibeleko kwaye iquka iintlobo ezimbini zeeseli: i-epithelium ye-prismatic, eqhelekileyo isalathini somlomo kunye ne-epithelium eplethiyamu kwinqanaba le-brevix.

Kwabesetyhini abaselula, kunye nalawo aphezulu amanqanaba e-estrogen ayenyuka, ukuguguleka kwamathambo kungenzeka, ukuphuma kwe-epithelium ye-prismatic ukuya kwi-membrane ye-vagin. Ukuba i-hormonal dysfunctions, kunye neenkqubo zokuvuvukala kwiintlobo zeefowuni azikho, oogqirha kwiimeko ezininzi banomlinganiselo wokujonga yonke isigqibo sonyaka kunye nokuhlolwa kwe-cytological.

Ukuguguleka kwenene, njengommiselo, ufumane. Isisombululo sakhe sinokuba yi-STD, i-vaginitis, i-colpitis, ukulimala komlomo wesibeleko.

Izinto ezifaka isandla ekuphuhliseni ukukhukuliseka komlomo wesibeleko zi: ukukhulelwa komzimba, ukuziphatha ngokwesondo kunye nokuqala kwayo, ukuphazamiseka kwe-hormonal.

Unyango lwentsholongwane yomkhuhlane

Ukuba ukukhulelwa kumfazi kusalokhu, kuyimfuneko ukufikelela kumbandela wokhetho lwenyango yokukhushulwa komlomo wesibeleko ngokunyanisekileyo.

Ngokwalo, esi sifo asithinteli ukukhulelwa. Nangona kunjalo, ukuguguleka kwamanzi kungaba ngumthombo wentsholongwane kunye nomhlaba wokuzalanisa i-microbes, okubandakanya umngcipheko wokusuleleka komntwana.

Kubasetyhini abanesi sifo ngexesha lobetho, ukuphuka kwentamo kubakho ngenxa ye-inferiority of tisses.

Ngoko ke, kungcono ukucwangcisa ukukhulelwa emva kokuba unyango lwentliziyo lukhuphe.

Mhlawumbi unyango lweziyobisi . Ukusetyenziswa kwezidakamizwa ezichasayo kukunceda ukutshabalalisa imbangela yokukhukhula komlomo wesibeleko. Emva kokuphilisa izifo ezithathelwanayo (i-mycoplasmosis, ureaplasmosis, chlamydia, trichomoniasis, njl.), Kwezinye iimeko, enye inokuphelisa ukukhukhula.

Ugqirha-gynecologist ngesiseko soviwo kunye nohlalutyo angenza isigqibo sokusebenzisa indlela yokwenza i-coagulation yonyango ukwenzela unyango lwendalo.

Phakathi kwezinye iindlela - uSolkovagin. Eli seziyobisi lisetyenziswe kwinqanaba lokukhukhula, ngenxa yoko iiseli ezonakalisiweyo zifa, kwaye indawo yazo ihlala ngamaseli enempilo. Ngokuqhelekileyo uSolkovagin uyasetyenziswa kwiziganeko zokuguguleka.

I-Vagotil - isicatshulwa esibangela ukufa kweeseli "ezigulayo" ze-mucosa kunye negalelo ekutshintsheni iiseli zabo eziphilileyo. Esi sidakamizwa sitshabalalisa ibhaktheriya ye-pathogenic kwisibeleko somlomo.

Indlela yokusetyenziswa kweziyobisi yiyona nto inokwenza. Kukhuselekile kwaye xa umfazi engazange azalwe kunye nezicwangciso zokuphila ngokugcwele ngexesha lokukhulelwa emva kokonyangwa kwengqondo yomkhuhlane.

Ukunganyangeki kweziyobisi kuquka ukusetyenziswa kwesinye seendlela ezilandelayo.

Ukukhutshwa komlilo okanye iqhwa lomkhuhlane womlomo wesibeleko. Le ndlela iqukethe isenzo se-nitrojeni egazini, esichazwa ngubushushu obuphantsi kakhulu, kumthombo wokukhukhula. Njengomphumo wale nkqubo, iiseli ezonakalisiweyo ziyafa, kodwa abaphilileyo abachaphazelekayo.

Le ndlela ayibuhlungu. Ngenxa yokusetyenziswa kwayo, iinkohlakalo kunye nokukhubazeka komlomo akubonakali.

I-laser coagulation yindlela ekuphilisa ngayo i-laser cauterization. I-laser ibhubhisa iiseli "ezigulayo," zingene kwizityalo ezithile. Amaseli anempilo asondelene ahlala ehleli.

Le nkqubo ayishiyi inqabile kwaye ayitshintshi isimo somlomo wesibeleko, esibalulekileyo, ukuba emva kokunyanga kokukhulelwa komlomo, ukukhulelwa kucetywayo.

I-Diathermocoagulation yindlela ekhethekileyo kunye neyobuhlungu . Ukutshatyalaliswa komzimba wesibeleko kubangelwa ukusetyenziswa kwamandla kagesi, okubangelwa ukufa kweeseli ezonakalisiweyo. Le nkqubo inxibelelanisa nje ukuphakama komhlaba, kodwa kwakhona inxalenye engezantsi yomsele womlomo wesibeleko. Ukuphilisa kwenzeka kwiiveki ezi-6-7. Olu unyango lukhokelela ekunciphiseni umsele wentsholongwane, umjikelezo wesini unokuphazamiseka.

Le ndlela ayifuni ukufaka isicelo se-nulliparous. Ngaphandle koko, ukubeka iliso ngokucokisekileyo komlomo wesibeleko ngaphambi kokunikezelwa kuyimfuneko. Emva kokunyangwa ngu-diathermocoagulation, izibazi ezigqithisileyo zengculaza ziyakwenzeka, ezinokubangela ukuthotywa kwezabasebenzi, ukulimala komntwana, ukuphuka kwentamo. Umlomo wesibeleko kufuneka ulungiselelwe iiveki ezimbini ngaphambi kokuzalwa, kwaye usebenzise i-antispasmodic ekuzalweni. Kwezinye iimeko, ukuzalwa kwemvelo emva kwe-diathermocoagulation akunakwenzeka, kubalulekile ukuba usebenzise indawo yeKesareya.

Enye yeendlela ezitsha kunomtsalane omsakazo, oqulethwe kwintsebenzo yomsakazo kumatshini awonakele. Le ndlela yintlungu. Ukuphulukiswa ngokupheleleyo kuqhubeka ngexesha elifutshane. Ukukhulelwa emva kokunyangwa ngale ndlela kungenziwa kucwangciswe kumjikelezo olandelayo.

Kufuneka kukhunjulwe ukuba ukuguguleka komlomo wesibeleko kufuneka kuphiliswe, njengoko kwandisa ingozi yomhlaza wesibeleko.