Lo lus "erosion" yog Latin keeb kwm thiab txhais tau tias "raug corrode". Qhov no, qhov tseeb, ib qho rwj uas ua rau cov mucous daim nyias nyias ntawm lub cev. Ntxiv nrog rau gynecology, lub cev yaig kuj tuaj yeem tshwm sim hauv lwm qhov chaw. Piv txwv li, nrog nquag regurgitation, kub siab thiab xeev siab, tus neeg mob tuaj yeem kuaj pom tias muaj kev yaig ntawm txoj hlab pas. Qhov no yog qhov xwm txheej thaum, ntawm qhov tsis txaus ntseeg me ntsis, koj yuav tsum nrhiav kev pab tam sim los ntawm kws kho mob, vim tias cov hlwb puas los ntawm kev kis kab mob tuaj yeem mus rau theem tsis zoo. Qhov no siv rau txhua hom kev yaig, nrog rau lub plab. Kev kho erosion yuav tsum ua kom tiav thiab ua raws li kev saib xyuas kev kho mob.
Tab sis thawj yam uas los rau hauv siab thaum lo lus " yaig" yog hais txog lub ncauj tsev menyuam. Qhov no yog ib qho ntawm feem ntau cov kab mob hauv gynecology. Yuav luag txhua tus neeg sawv cev thib peb ntawm kev sib deev tsis muaj zog yog paub txog kev yaig ntawm ncauj tsev menyuam, thiab txhua xyoo cov poj niam uas muaj qhov teeb meem no tau nce ntxiv. Peb yuav tham ntxiv txog cov txheej txheem ntawm kev kho cov erosion hauv kab lus hauv qab no.
Yam kev yaig
Lub ncauj tsev menyuam tuaj yeem raug puas los ntawm kev yaig hauv peb hom:lub teeb, nruab nrab thiab hnyav. Ntau zaus, lo lus "kev yaig" txhais tau hais tias lub npe hu ua pseudo-erosion, nyob rau hauv uas squamous epithelium hloov chaw. Kev pheej hmoo ntawm mob qog noj ntshav nrog pseudo-erosion yog qhov tsawg heev.
Congenital erosion - tshwm sim hauv cov ntxhais ntawm lub hnub nyoog hloov pauv. Feem ntau, cov kab mob no tsis tiv thaiv tus ntxhais los ntawm kev xeeb tub yav tom ntej thiab yuav ploj mus ntawm nws tus kheej thaum cev xeeb tub lossis tom qab yug menyuam.
Nrog qhov tseeb yaig, uas tsis tshua muaj, cov hlwb epithelial exfoliate thiab cov ntshav tawm. Nyob rau hauv cov ntaub ntawv tsis yooj yim ntawm tus kab mob, lub tsev menyuam muaj peev xwm rov qab tau cov hlwb cuam tshuam thiab rov tsim dua yam tsis muaj kev kho ntxiv ntawm kev yaig. Txawm tias cov tsos mob ntawm tus kab mob tshwm sim, yuav tsum tau mus kuaj kom tus kws kho mob kuaj.
Ntxiv rau gynecology, erosion tshwm sim hauv plab hnyuv:
- Erosion of the esophagus. Nyob rau hauv cov ntaub ntawv no, lub mucous daim nyias nyias ntawm lub esophagus puas lawm. Qhov no tshwm sim nyob rau hauv qhov kev txiav txim ntawm gastric kua txiv. Sij hawm dhau mus, cov mucosa corrodes thiab thawj cov tsos mob tshwm sim.
- Kev mob plab. Kev kho tus kab mob no ntev thiab ncaj qha nyob ntawm hom thiab qhov chaw.
Ua rau ntau yam yaig
Cervical erosion tuaj yeem tshwm sim los ntawm ntau yam, xws li:
- papillomaviruses;
- kev raug mob, kua muag;
- cov txheej txheem mob - vaginosis, thrush, thiab lwm yam;
- kab mob sib deev;
- mob syphilis, tuberculosis;
- promiscuous los yog ntxov dhau kev sib deevlub neej;
- Kev raug mob rau lub ncauj tsev menyuam los ntawm kev siv tshuab, piv txwv li, siv tampons tsis raug.
Ntxiv rau qhov saum toj no, kev yaig ntawm ncauj tsev menyuam tuaj yeem tshwm sim thaum lub sijhawm muaj kev tiv thaiv kab mob hauv lub cev (feem cev xeeb tub, qhov hnyav sai sai) thiab tshwm sim los ntawm endocrine ntshawv siab, tshwj xeeb tshaj yog thaum muaj kev ua haujlwm hormonal (kev rho menyuam, nchuav menyuam).
Ua rau erosion ntawm txoj hlab pas:
- mob plab esophageal;
- deformation ntawm tus txha caj qaum;
- tsis muaj rog uas yuav tsum tau qis dua lub diaphragm;
- raug mob;
- tshuaj los yog zaub mov kub ntawm txoj hlab pas;
- mob ntshav qab zib;
- qhov tshwm sim tom qab phais, tsis muaj zog phab ntsa leeg.
Nco ntsoov tias kev yaig ntawm txoj hlab pas tuaj yeem tshwm sim hauv cov neeg uas raug cuam tshuam rau ib puag ncig tsis zoo txhua hnub. Piv txwv li, nqus pa ntawm vuam cov khoom siv, tshuaj lom neeg, cov hlau hnyav.
Ua rau plab zom mov:
- mob ntev;
- kev ua haujlwm ntawm lub plab zom mov;
- kev xav;
- tshuaj thiab zaub mov hlawv;
- lub plawv tsis ua hauj lwm;
- mob ua pa tsis ua haujlwm, vim tias lub cev tsis tau txais oxygen txaus;
- Helicobacter pylori kab mob;
- malignant neoplasms.
Nkag siab qhov ua rau qhov tshwm sim thiab qhov tshwm sim ntawm tus kab mob, tsuas yog tom qab kuaj xyuas tus neeg mob kom zoo.
Yuav ua li cas thiaj paubkab mob. Symptoms
Kev mus ntsib kws kho mob gynecologist tsis tu ncua tsuas yog ib qho tseem ceeb heev vim hais tias lub ncauj tsev menyuam yaig feem ntau tsis tshwm sim nws tus kheej, uas yog, tus kab mob tshwm sim yam tsis muaj tsos mob. Muaj tsawg zaus, tus poj niam yuav yws yws ntawm qhov mob plab, tawm hws tawm, khaus, khaus khaus, tawm xim av, tsis xis nyob thiab tsis xis nyob thaum sib deev.
Yog tias kev kho mob ntawm ncauj tsev menyuam tsis pib, qhov teeb meem loj yuav tshwm sim, xws li los ntshav tsis cuam tshuam nrog kev coj khaub ncaws, kev xeeb tub, mob. Nrog kev kho tsis tau ntev, kev yaig tuaj yeem nkag mus rau theem malignant.
Daim duab kho mob pom hauv esophageal erosion zoo ib yam li gastric erosion. Feem ntau, cov tsos mob ntawm tus kab mob yog qhov muag plooj. Thiab tsis muaj kev tshawb fawb ua ntej nws tsis tuaj yeem ua qhov kev kuaj mob kom raug thiab kho kom raug. Cov tsos mob ntawm erosion ntawm txoj hlab pas thiab plab:
- -hlawv cov kev xav hauv qab plab thiab esophagus.
- Nyuaj noj mov vim mob thiab tsis xis nyob.
- Txhua yam dabtsi yog khoov, tig mus rau sab xis hauv txoj kab rov tav ua rau kub siab.
- Kev siv nyiaj salivation, gagging.
- mob plab thiab mob plab.
- Xav txog qhov hnyav, puv plab hauv plab, uas ploj thaum sawv.
Diagnosis
Kev tshem tawm ntawm lub ncauj tsev menyuam, tus kws kho mob yuav pom tau tias twb tau kuaj thawj zaug nrog kev pab los ntawm lub cev. Yog tias thaj chaw puas me me thiab tsis mob heev, nws tuaj yeem muab tshuaj tam sim ntawdkev kho mob. Yog tias muaj teeb meem loj, tus poj niam yuav raug xa mus rau kev kuaj ntshav thiab zis. Tom qab ntawd, nws yuav raug xa mus rau colposcopy thiab kuaj ultrasound. Nws muaj peev xwm hais tias tus poj niam kuj tuaj yeem raug tshuaj xyuas cytological thiab kuaj ntshav ntawm lub tsev menyuam.
Yuav ua li cas txhawm rau txhawm rau lub plab zom mov: tus kws kho mob ua tib zoo mloog tus neeg mob thiab nug cov lus nug. Tshwj xeeb, nws yuav txaus siab rau lub sijhawm ntuav ntuav tshwm sim li cas, feem ntau cov kev mob tshwm sim tshwm sim, seb puas muaj kab mob tshwm sim, thiab lwm yam. Tsis tas li ntawd, cov kev kuaj dav dav thiab kev kuaj endoscopy raug sau tseg.
Erosions: lawv kho li cas
Yuav yuam kev xav tias kev yaig tuaj yeem tso tseg tsis kho. Txawm hais tias nws yog pseudo-erosion, kev kho mob yuav tsum tau ua yam tsis muaj kev poob. Muaj ntau txoj hauv kev los kho qhov ncauj qhov ntswg. Conventionally, lawv tuaj yeem muab faib ua kev kho mob, phais thiab pej xeem. Qhov kev xaiv zoo tshaj plaws hauv ib kis yuav raug xaiv los ntawm tus kws kho mob.
Raws li kev mob plab hnyuv, raws li kev tshuaj xyuas, kev kho cov kab mob esophagus nrog cov tshuaj muaj txiaj ntsig zoo. Txoj kev kho yog raws li cov tshuaj uas neutralize lub acidic ib puag ncig thiab envelop lub mucous daim nyias nyias ntawm esophageal raj. Nrog tsis muaj zog tsis saib xyuas ntawm tus kab mob, kev kho mob kav 10-12 hnub. Muaj tsawg zaus, kev kho mob yuav siv sijhawm txog 2 lub hlis.
Kev kho mob plab zom mov
Thoob plaws hauv txoj kev kho, tus kws kho mob soj ntsuam tus neeg mob lub plab mucosa siv endoscopy. Cov tshuaj kws kho mob yog nyob ntawm daim ntawv ntawm tus kab mob. Thaum lub plab zom mov tsis tshwm simntawm nws tus kheej, thiab tawm tsam keeb kwm ntawm lwm yam pathologies, piv txwv li, o lossis oncology, kev kho mob yog tsom rau kev kho cov hauv paus hniav. Kev cuam tshuam kev phais yog qhia rau cov neeg mob siab heev lossis nyob rau hauv lub xub ntiag ntawm sab hauv hemorrhage. Hauv qhov no, thaj chaw cuam tshuam raug tshem tawm tag nrho.
Thaum kho, kev noj zaub mov kom raug ua lub luag haujlwm tseem ceeb. Tus neeg mob yuav tsum tso tseg ntau yam khoom uas paub. Txawm tias qhov kub ntawm cov zaub mov siav tuaj yeem ua mob rau tus neeg mob. Tus neeg mob yuav tsum ua raws li kev noj zaub mov kom raug tsawg kawg yog ob lub hlis.
Khoom noj xws li dej qab zib, cawv, caffeine, txuj lom thiab ntsim ntses, citrus txiv hmab txiv ntoo, pickles thiab smoked nqaij yog tshem tawm tag nrho ntawm kev noj haus.
Kev cuam tshuam rau lub ncauj tsev menyuam
- Cryodestruction. Hauv qhov no, thaj chaw cuam tshuam raug cuam tshuam rau cov kua nitrogen, yog li cia "txias tawm" cov kab mob. Muaj ntau qhov zoo ntawm cov txheej txheem zoo li no: nws tsis tawm qhov caws pliav, tsis muaj mob, cov hlwb tshiab tshwm nyob rau hauv qhov chaw ntawm cov cell tshem tawm.
- Cauterization ntawm laser yaig. Nrog laser coagulation, kev pheej hmoo ntawm cov teeb meem yog xyaum tsis tuaj. Nov yog ib qho kev kho mob erosion nrov tshaj plaws.
- Diathermocoagulation yog ib txoj hauv kev dhau los, tab sis nws tseem tsis tau tso tseg vim nws ua haujlwm siab. Qhov chaw eroded raug tshem tawm nrog tam sim no. Qhov tsis zoo ntawm cov txheej txheem no: caws pliav, mob, ua rau cov txheej txheem ntawm kev yug menyuam, muaj feem ntau kis tau tus mob.
- Cauterization ntawm yaig los ntawm xov tooj cua nthwv dej. Txaustsis mob thiab tsis muaj ntshav. Xov tooj cua yoj yaig kho yog haum rau cov uas npaj cev xeeb tub thiab yug me nyuam.
- Kev cuam tshuam ntawm kev npaj tshuaj nyob rau hauv nruab nrab ntawm kev yaig. Hauv qhov no, tsis tas yuav tshuaj loog, channel tsis deformed, thiab nti tsis tshwm.
Tshuaj kho mob ncauj tsev menyuam
Ua ntej txiav txim siab txog kev phais mob, nws tsis ua mob rau thawj zaug sim tshem tawm kev yaig nrog tshuaj thiab tshuaj suppositories. Tsis tas li ntawd, yog tias kev siv cov tshuaj suppositories tsis kho tus kab mob, nws yuav tsawg kawg txo qhov mob thiab npaj qhov chaw hauv cheeb tsam rau kev phais ntxiv. Yog li, cov tuam txhab tshuaj tam sim no muab dab tsi los tshem tawm ntawm ncauj tsev menyuam:
- "Vagotil". Muaj nyob rau hauv daim ntawv ntawm kev daws, siv topically raws li ib tug douche. Ntxiv nrog rau kev yaig, Vagotil tau sau tseg nyob rau hauv lub xub ntiag ntawm qhov nyuaj-rau-kho qhov txhab, los ntshav tom qab biopsy, thiab teeb meem tom qab electrocoagulation. Contraindicated nyob rau hauv cev xeeb tub thiab lactating poj niam.
- "Geksikon" - qhov chaw mos suppositories. Nws muaj cov nyhuv anti-inflammatory antiseptic. Feem ntau yog sau ua ntej thiab tom qab kev phais, haum rau cov poj niam cev xeeb tub thiab cov poj niam thaum lactation.
- "Solkovagin" - tshuaj nyob rau hauv daim ntawv ntawm kev daws. Nws yog siv rau tshuaj pleev ib ce nyob rau hauv cov ntaub ntawv ntawm benign formations ntawm lub ncauj tsev menyuam. Cov tshuaj tsis cuam tshuam rau cov hlwb noj qab nyob zoo thiab yog li tsis muaj kev phom sij. Muaj contraindications.
Tau kawg, muaj lwm yam tshuaj tiv thaiv kev yaig. Txawm tias,tias ntau cov khoom lag luam tuaj yeem yuav yam tsis muaj daim ntawv sau tshuaj, tom qab tag nrho, koj yuav tsum tsis txhob siv tshuaj kho tus kheej thiab tso siab rau cov ntaub ntawv los ntawm kev lag luam. Txhua yam tshuaj yuav tsum tau pom zoo nrog tus kws kho mob.
Kev kho mob erosion nrog pej xeem tshuaj
Cov kws kho mob tsis lees paub qhov ua tau zoo ntawm cov tshuaj ib txwm siv hauv kev kho mob ntawm ntau yam erosions. Qhov tsuas yog qhov koj yuav tsum tau ua tib zoo saib xyuas qhov ntau npaum li cas, cia txoj kev thiab siv kom raug. Lub ntsiab ntawm kev kho yog douching nrog tshuaj decoctions los yog ntxig tampons.
Decoction zaub mov txawv rau douching:
- Boil 2 tbsp. l. chamomile nyob rau hauv ib liter dej. Insist 20-30 feeb, lim. Cov tshuaj npaj tau lawm.
- Boil hauv dej da dej 2 tbsp. l. crushed bergenia nplooj nyob rau hauv 200 ml ntawm dej. Txias, lim, siv raws li qhia.
Los ntawm tib txoj cai, koj tuaj yeem npaj decoctions los ntawm cov hauv paus celandine, nplooj eucalyptus, paj calendula, calamus cag.
Siv tampons ntub rau hauv cov roj lossis tshuaj pleev yog ib txoj hauv kev zoo los kho hauv tsev. Txoj kev no tau xyaum tsis muaj kev phiv, tshwj tsis yog kev ua xua rau qee yam khoom. Zoo proven: hiav txwv buckthorn roj, dos kua txiv, vaseline thiab propolis ointment, aloe kua txiv.
Ntseeg siv tshuaj kho rau qhov esophagus
xav txog dab tsi? Nyob rau hauv kev kho mob ntawm erosion ntawm txoj hlab pas, ib tug yuav tsum tau ceev faj heev thiab, ua ntej ntawm tag nrho cov, sab laj nrog ib tug gastroenterologist rau tej lus nug. Txwv tsis pub, koj tuaj yeem yooj yim ua mob rau lub cev thiab hloovkev kho mob tau txais teeb meem ntau dua.
Txoj kev nyab xeeb tshaj plaws rau kev yaig ntawm txoj hlab pas:
- Noj 50 ml ntawm cov kua txiv hmab txiv ntoo tshiab tshiab txhua hnub 20-30 feeb ua ntej noj mov. Cov chav kawm nkag yog 8 lub lis piam.
- Noj 70 ml ntawm kua txiv kab ntxwv ob zaug ib hnub. Koj tuaj yeem ua tau carrots-qos yaj ywm smoothie.
- Ib teaspoon ntawm hiav txwv buckthorn roj 20 feeb ua ntej noj mov 2 zaug ib hnub twg yuav rov qab kho cov phab ntsa ntawm txoj hlab pas. Siv sijhawm li 8 lub lis piam.
- Flax noob insist 30 feeb hauv boiled dej ntawm tus nqi ntawm 1:30. Haus lub resulting hnoos qeev 1 teaspoon ib hnub twg. Qhov no yog ib qho tshuaj zoo heev, tsis yog qhov ua tsis tau zoo rau cov tshuaj muaj npe nrov.
- Ib tablespoon ntawm ib tug sib tov ntawm tshuaj ntsuab (dill, St. John's wort, chamomile, calendula, linden paj, valerian paus, immortelle, fennel) ncuav ib khob ntawm boiling dej thiab insist. Haus 3-4 zaug ib hnub rau 50 ml.
ntsuas kev tiv thaiv
Ua raws li cov cai yooj yim, koj tuaj yeem zam qhov tshwm sim ntawm pathology. Tsis muaj leej twg tiv thaiv los ntawm kev yaig ntawm ncauj tsev menyuam, tab sis nws qhov tshwm sim feem ntau tsis yog qhov xwm txheej thiab kev ua raws li kev tiv thaiv kev tiv thaiv yuav tsis muaj txiaj ntsig. Yuav ua li cas:
- Ua tib zoo saib xyuas tus kheej huv si;
- yog tias koj ntsib cov tsos mob tsis zoo, xws li kub hnyiab, khaus, mob lossis tsis xis nyob, nrhiav kev pab los ntawm gynecologist tam sim;
- txawm tias tsis muaj kev tsis txaus siab, tsis txhob hnov qab mus xyuas lub tsev kho mob 2 zaug hauv ib xyoos.
Raws li kev yaig ntawm txoj hlab pas - ntawm no, raws li kev tiv thaiv thiab kho kab mob,Ua raws li cov cai hauv qab no:
- sim noj maj mam, zom kom huv;
- txiav cawv tag;
- tshem tawm cov zaub mov tawv heev uas tuaj yeem khawb qhov hlab pas;
- thaum lub sijhawm exacerbation, cov khoom uas ua rau muaj roj yog txwv tsis pub;
- tag nrho cov tais diav ntawm tus neeg mob cov zaub mov yuav tsum tau siav yam tsis muaj kib, uas yog, steamed, ci los yog boiled.
Raws li koj tuaj yeem pom, kev yaig ntawm txhua lub cev tuaj yeem tshwm sim tau ntev yam tsis muaj tsos mob tshwm sim. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tau mus kuaj mob thiab kuaj xyuas qhov muaj cov kab mob hauv lub sijhawm. Nco ntsoov tias kev yaig yuav tsum tau kho nyob rau hauv txhua rooj plaub, txawm hais tias nws tsis ua rau tsis xis nyob rau tus neeg mob, vim hais tias ib txwm muaj kev pheej hmoo ntawm cov kab mob cuam tshuam los ua malignant.
