Kev mob ntawm lub ncauj tsev menyuam hnub no yog suav tias yog ib qho ntawm cov kab mob gynecological tshaj plaws. Tus kab mob no nrog rau qhov tsis xis nyob, mob, tsis muaj qhov chaw mos tawm, thiab thaum tsis muaj kev kho mob, nws yog fraught nrog cov teeb meem txaus ntshai mus txog qhov tsim ntawm adhesions ntawm cov phab ntsa ntawm cov kabmob hauv lub plab me me.
Hnub no, ntau tus poj niam tab tom nrhiav rau cov ntaub ntawv ntxiv txog cov kab mob no. Vim li cas cervical o tuaj? Cov tsos mob thiab kev kho mob, kev kuaj mob thiab kev pheej hmoo, kev tiv thaiv thiab muaj teeb meem tshwm sim yog cov ntaub ntawv tseem ceeb. Cov ntaub ntawv no yog ib qho yuav tsum nyeem.
Kev mob ntawm lub ncauj tsev menyuam: ua rau tshwm sim
Lub ncauj tsev menyuam yog ib hom kev hloov pauv ntawm qhov chaw mos thiab lub tsev menyuam. Nyob rau hauv lub ncauj tsev menyuam hla lub tsev me nyuam kwj dej, uas yog lined nrog ib tug cylindrical epithelium. Nws cov hlwb zais ib qho zais cia uas tiv thaiv lub tsev menyuam los ntawm kev nkag mus ntawm ntau yam kab mob. Nyob ntawm qhov chawinflammatory txheej txheem secrete:
- Endocervicitis - cervical o ntawm lub ncauj tsev menyuam.
- Exocervicitis - mob ntawm qhov chaw mos ntawm lub ncauj tsev menyuam.
Vim li cas cervical o tuaj? Cov laj thawj yog nyob rau hauv kev loj hlob zuj zus ntawm cov kab mob uas nkag mus rau hauv qhov chaw mos cov ntaub so ntswg los ntawm sab nraud thiab los ntawm lwm yam hauv nruab nrog cev (nrog rau cov kua dej ntws thiab cov ntshav). Nyob ntawm qhov xwm txheej ntawm tus kab mob, cervicitis tuaj yeem yog kab mob, fungal (feem ntau yog mob yog txuam nrog kev ua ntawm fungi ntawm genus Candida) los yog viral.
Kev txhim kho ntawm cov kab mob feem ntau cuam tshuam nrog kev nkag mus ntawm cov kab mob tshwj xeeb rau hauv lub cev, piv txwv li, chlamydia thiab gonococci. Tab sis o tuaj yeem ua tsis tau tshwj xeeb - nws tsim tawm tsam keeb kwm ntawm kev ua kom staphylococci, streptococci, Escherichia coli thiab lwm yam kab mob pathogenic uas muaj nyob hauv cov ntaub so ntswg ntawm txhua tus neeg.
Puas muaj kev pheej hmoo?
Kev mob ntawm lub ncauj tsev menyuam, tau kawg, yog txuam nrog kev ua haujlwm ntawm cov kab mob pathogenic. Txawm li cas los xij, muaj cov xwm txheej txaus ntshai uas ua rau muaj feem kis tus kab mob.
Lawv cov npe suav nrog:
- muaj cov kab mob sib kis hauv thaj chaw pelvic;
- mob ntawm lub ncauj tsev menyuam ntawm lub ncauj tsev menyuam feem ntau tshwm sim tawm tsam keeb kwm ntawm kev raug mob (qhov no yuav cuam tshuam nrog kev yug menyuam, kev rho menyuam, kev kuaj mob, kev siv tshuaj tiv thaiv kab mob hauv plab);
- nquag hloov pauv kev sib deev, tshwj xeeb tshaj yog thaum nws los txogyog hais txog kev tiv thaiv tsis muaj kev tiv thaiv;
- hormonal ntshawv siab (txo qis hauv cov tshuaj estrogen ua rau nyias nyias ntawm cov mucous ntawm lub ncauj tsev menyuam);
- dav dav lossis hauv zos txo qis hauv kev tiv thaiv kab mob;
- prolapse ntawm qhov chaw mos thiab uterus;
- siv tshuaj spermicides yuam kev, douching nrog cov kev daws teeb meem txaus ntshai.
mob o ntawm ncauj tsev menyuam: cov tsos mob
Daim duab kho mob ntawm tus kab mob no feem ntau nyob ntawm ntau yam, suav nrog qhov xwm txheej ntawm tus kab mob.
- Cov tsos mob thawj zaug suav nrog cov tsos mob ntawm qhov chaw mos uas tsis zoo, feem ntau muaj ntxhiab tsw. Thaum cuam tshuam los ntawm chlamydia, lawv muaj ntau, mucous, qee zaum nrog impurities ntawm cov kua paug. Tab sis tus kab mob trichomonas yog nrog los ntawm cov tsos ntawm yellowish (qee zaum nrog ib tug ntsuab tinge) foamy, fetid tawm. Nrog rau qhov mob ntawm cov kab mob fungal, tsim cov cheesy deposits tuaj yeem pom ntawm phab ntsa ntawm qhov chaw mos (lawv muaj tus yam ntxwv qaub tsw ntxhiab tsw).
- Muaj peev xwm nce hauv lub cev kub (feem ntau mus txog 37-38 degrees). Intoxication, tau kawg, yog nrog los ntawm kev qaug zog, tsaug zog, mob lub cev, txawm hais tias tsis yog txhua tus neeg mob muaj cov tsos mob zoo li no.
- Ntau tus poj niam yws yws ntawm qhov mob hauv plab, uas yog npub, rub hauv qhov xwm txheej (feem ntau qhov tsis xis nyob yog nyob hauv cheeb tsam suprapubic).
- Mob tuaj yeem kis mus rau sab nraub qaum thiab sacrum.
- Thaum sib deev, tsis xis nyob yuav tshwm sim, qee zaum txawm mob.
Nrog cov tsos mob no, nws tseem ceeb heev kom mus ntsib kws kho mob tshwj xeeb. Kev kho sai sai yog pib, qhov tsawg dua qhov yuav tshwm sim ntawm qee yam teeb meem.
Cov ntawv mob cervicitis
Daim duab kho mob zoo li txawv ntawm qhov mob ntawm lub ncauj tsev menyuam. Cov tsos mob ntawm tus kab mob no yog raws li nram no:
- qhov muaj qhov tsis tu ncua, txawm tias meager, tsis meej, mucous secretions (qee zaum me me impurities ntawm cov paug tuaj yeem pom hauv lawv);
- mob, kub hnyiab thaum tso zis, khaus hauv qhov zis;
- mob plab plab;
- qee tus neeg mob nco ntsoov qhov tsos ntawm cov paug tawm nrog cov ntshav impurities thaum los yog tom qab kev sib deev;
- thaum kuaj, tus kws kho mob yuav pom o ntawm cov mucous ntawm lub ncauj tsev menyuam thiab qhov chaw mos;
- qee zaum tus neeg mob tus mob hnyav dua, tab sis tom qab ntawd los txog lub sijhawm ntawm kev noj qab haus huv.
Nws yog ib qho tsim nyog sau cia tias daim ntawv mob ntev ntawm tus kab mob yog qhov txaus ntshai, vim nws nyuaj rau kev kho - cov kab mob pathogenic maj mam txhim kho cov teebmeem ntawm qee yam tshuaj tua kab mob (antiviral, antifungal) tshuaj, yog li nws nyuaj heev. nrhiav tshuaj zoo.
Hom thiab hom mob. Cov yam ntxwv ntawm daim duab kho mob
Tau kawg, xws li pathology tuaj yeem ua rau ntau hom. Muaj ntau qhov kev faib tawm rau cervicitis. Nyob ntawm tus yam ntxwv ntawm daim duab kho mob, ntau hom yog qhov txawv.
- Purulent cervicitis. Nrog rau daim ntawv no ntawm tus kab mob, cov txheej txheem inflammatory tsis yog tsuas yog lub cylindrical txheej ntawm lub epithelium, tab sis kuj cov ntaub so ntswg ntxaum. Nyob rau hauv cov ntaub ntawv no, yeej ib txwm muaj teeb meem ntawm fertilization thiab kev yug me nyuam.
- Atrophic cervicitis. Nyob rau hauv cov ntaub ntawv no, cov txheej txheem inflammatory yog nrog ib tug maj mam thinning (atrophy) ntawm mucous daim nyias nyias ntawm lub ncauj tsev menyuam. Qhov no feem ntau pom nyob rau hauv cov poj niam uas tau ua tiav ntau yam txheej txheem gynecological, nrog rau cov neeg mob thaum lub sij hawm cev xeeb tub (txuas nrog kev txo qis ntawm cov tshuaj estrogen).
- Cystic cervicitis. Yog tias cov txheej txheem inflammatory yog tshwm sim los ntawm kev sib xyaw ntawm ntau hom kab mob (piv txwv li, Trichomonas, gonococcus, streptococcus), ces kev loj hlob ntawm lub cylindrical epithelium ntawm lub ncauj tsev menyuam yuav raug soj ntsuam. Yog tias tsis kho, xws li kev hloov pauv hauv cov qauv ua rau tsim cov hlwv me me.
Nyob ntawm thaj chaw ntawm qhov txhab faib:
- focal o (cov txheej txheem pathological yog nyob hauv qee thaj chaw ntawm lub ncauj tsev menyuam);
- diffuse daim ntawv ntawm tus kab mob (mob kis mus rau tag nrho cov ntaub so ntswg ncauj tsev menyuam).
Lab diagnostic method
Kev tsis txaus siab ntawm qhov muaj mob ntawm lub ncauj tsev menyuam tshwm sim los ntawm tus kws kho mob thaum sau cov tshuaj anamnesis thiab gynecological kuaj. Txawm li cas los xij, yuav tsum muaj kev sim thiab cov txheej txheem ntxiv txhawm rau kuaj xyuas kom raug thiab txiav txim siab qhov ua rau tus kab mob.
- Kev kuaj ntshav thiab zis yuav pab kom paub tseeb tias muaj qhov mobtxheej txheem.
- Ib qho kev tshuaj ntsuam tau ua rau cov kab mob zais, uas suav nrog kev kuaj ntshav kom pom muaj qee yam tshuaj tiv thaiv kab mob.
- Cytological kuaj cov qauv coj los ntawm lub ncauj tsev menyuam kuj tseem ceeb heev.
- Kab lis kev cai smear yog qhov yuav tsum tau ua. Cov txheej txheem no ua rau nws muaj peev xwm txiav txim siab qhov xwm txheej ntawm cov kab mob, nrog rau ntsuas nws qhov rhiab heev rau cov tshuaj tshwj xeeb.
- Qee zaum, cov kws kho mob kuj tau sau tshuaj PCR. Qhov kev tshuaj ntsuam no ua rau nws muaj peev xwm cais cov DNA ntawm cov kab mob hauv cov hnoos qeev los ntawm lub ncauj tsev menyuam.
Instrumental diagnostics
Kev kuaj mob gynecological txaus los txiav txim siab muaj cov txheej txheem pathological. Txawm li cas los xij, kev xeem ntxiv yog qhov yuav tsum tau ua.
- Colposcopy yog qhia rau cov neeg mob. Cov txheej txheem no suav nrog kev tshuaj xyuas lub ncauj tsev menyuam uas siv lub tshuab ntsuas tshwj xeeb. Yog li tus kws kho mob tuaj yeem txiav txim siab qhov loj ntawm thaj chaw cuam tshuam, txiav txim siab qhov xwm txheej ntawm qhov mob.
- Ultrasonography ntawm lub plab hnyuv siab raum yog qhov yuav tsum tau ua. Qhov no yog ib qho yooj yim thiab pheej yig tus txheej txheem uas ua rau nws muaj peev xwm los ntsuam xyuas qhov xwm ntawm cov txheej txheem inflammatory, kuaj pom muaj adhesions, polyps, cystic formations thiab lwm yam kab mob concomitant ntawm lub reproductive system.
- Yog xav tias mob qog noj ntshav, tus kws kho mob tuaj yeem xaj kom kuaj ntshav.
kev kho mob
Cov poj niam uas raug kuaj mob ncauj tsev menyuam yuav ua li cas? Kev kho mob feem ntau nyob ntawm daim ntawv thiab theem ntawm kev loj hlob ntawm pathology.
- Ua ntej koj yuav tsum tshem tawm cov kab mob. Kev xaiv ntawm cov tshuaj nyob rau hauv cov ntaub ntawv no ncaj qha nyob ntawm seb hom kab mob. Piv txwv li, rau kev kis kab mob, Acyclovir yog siv, rau cov kab mob kab mob, tshuaj tua kab mob (feem ntau, tetracyclines, quinols thiab macrolides), thiab rau cov kab mob fungal, Fluconazole.
- Nyob rau hauv lub neej yav tom ntej, nws yog ib qho tseem ceeb los kho cov microflora li qub ntawm qhov chaw mos. "Bifikol", "Vagilak" - cov suppositories feem ntau yog siv rau o ntawm lub ncauj tsev menyuam.
- Kev kho lub cev tiv thaiv kab mob pom. Cov neeg mob tau muab tshuaj vitamin complexes, thiab qee zaum immunomodulators.
- Thaum nws los txog rau kev kho mob ntev, nws tuaj yeem siv cov tshuaj suppositories thiab cream nrog cov tshuaj hormonal.
- Qee zaum physiotherapy tau pom zoo ntxiv, tshwj xeeb tshaj yog, magnetotherapy, electrophoresis.
Thaum xav tau kev phais
Yog tias peb tab tom tham txog cov mob hnyav ntawm cov txheej txheem inflammatory, ces lawv feem ntau teb zoo rau kev kho tshuaj. Txawm li cas los xij, qee cov neeg mob tau qhia rau kev phais mob, tshwj xeeb tshaj yog thaum nws los txog rau qhov nyuaj ntawm pathologies: mob ntev - yaig ntawm lub ncauj tsev menyuam.
Lub ntsiab ntawm txoj kev kho no yog tshem tawm cov ntaub so ntswg puas. Tau kawg, pib nrog, tus neeg mob tau txais kev kho mob tshuaj tua kab mob tag nrho.
Muaj ntau ntaucov tswv yim zoo los kho qhov chaw cuam tshuam ntawm qhov chaw mos. Piv txwv li, qee zaum erosion yog cauterized siv cov tshuaj tshwj xeeb. Cov tshuaj kho mob xws li Vagotil thiab Solkovagin tau pom zoo. Cryotherapy kuj tseem nrov - thaum lub sij hawm cov txheej txheem, cov ntaub so ntswg yog khov nrog kua nitrogen. Kev kho hluav taws xob kuj tseem ua tau, nrog rau kev kho laser, uas cuam tshuam nrog cov evaporation ntawm cov hlwb puas thaum kho nrog lub teeb laser.
Cov txheej txheem zoo li no suav tias muaj kev nyab xeeb. Tom qab lawv, kev kho mob ntev ntev tsis tas yuav tsum tau ua. Txawm li cas los xij, cov neeg mob tau muab tshuaj tiv thaiv kab mob, tshuaj tua kab mob (tiv thaiv), tshuaj immunostimulating (piv txwv li, Genferon suppositories).
Nyob rau thawj hnub tom qab kev ua haujlwm, qhov tshwm sim ntawm kev tso tawm tsis zoo tuaj yeem ua tau - qhov no yog ib qho txheej txheem physiological tag nrho. Thaum lub sijhawm kho, koj yuav tsum ua tib zoo saib xyuas kev nyiam huv thiab tsis txhob muaj kev sib deev kom txog thaum rov ua tiav.
tshuaj ntsuab
Yuav ua li cas kho qhov mob ntawm ncauj tsev menyuam? Lo lus nug no yog nug los ntawm ntau tus poj niam. Tau kawg, cov tshuaj ib txwm muaj qee cov zaub mov txawv.
- Koj tuaj yeem npaj cov khoom xyaw rau kev siv sab hauv. Ua li no, sib tov ib feem ntawm yarrow tshuaj ntsuab, alder cones thiab eucalyptus nplooj, ob feem ntawm birch buds, tansy paj, sage nyom thiab juniper berries. Ncuav ob tablespoons ntawm sib tov nrog ib khob ntawm boiling dej, boil rau tsib feeb, ces insist. Koj yuav tsum haus 70 ml 3-4 zaug ib hnub. Kev kho mob kav 1-3 lub hlis.
- Decoctions los ntawm cov nroj tsuag xws li chamomile, sage, calendula, St. John's wort yog haum rau douching. Cov tshuaj ntsuab no muaj cov tshuaj tiv thaiv mob me me.
Kev siv cov tshuaj hauv tsev tsuas yog ua tau nrog kev tso cai ntawm tus kws kho mob hauv tsev kho mob.
Kev mob vim mob
Kev mob ntawm lub ncauj tsev menyuam yog ib qho teeb meem txaus ntshai uas yuav tsum tsis txhob quav ntsej. Pib nrog, nws tsim nyog sau cia tias qhov mob hnyav, thaum tsis muaj kev kho mob, sai sai hloov mus rau hauv daim ntawv ntev, thiab nws twb nyuaj rau kho nws.
Tsis tas li ntawd, cov txheej txheem inflammatory tuaj yeem kis mus rau lwm yam kabmob, suav nrog cov ntaub so ntswg ntawm lub tsev menyuam thiab nws cov appendages. Muaj cov xwm txheej thaum cervicitis ua rau lub zais zis, o ntawm phab ntsa plab.
Daim ntawv teev cov teeb meem tseem muaj xws li bartholinitis - cov kab mob no yog qhov tshwm sim los ntawm kev puas tsuaj rau Bartholin ducts, uas nyob ntawm ob sab ntawm qhov nkag mus rau qhov chaw mos. Hauv qhov xwm txheej hnyav tshaj plaws, tawm tsam keeb kwm yav dhau los ntawm cov txheej txheem mob ntev, adhesions tsim ntawm lub cev, uas txo lawv txoj haujlwm. Piv txwv li, kev cuam tshuam ntawm cov hlab ntsha fallopian yog fraught nrog infertility.
Nws tsim nyog sau cia tias muaj qhov mob ntawm lub ncauj tsev menyuam, ua ke nrog kev sib kis ntawm lub cev nrog tib neeg papillomavirus, ua rau muaj kev pheej hmoo ntawm kev mob qog noj ntshav.
ntsuas kev tiv thaiv
Peb twb tau teb tag nrho cov lus nug txog vim li cas nws thiaj li loj hlob thiab ua li cas rau qhov mob ntawm lub ncauj tsev menyuam. Kev kho mob ntawm cov kab mob no yog qhov ntev thiab qee zaum nyuaj. Nws yog ib txwm yooj yim dua los tiv thaiv koj tus kheej los ntawm kev ua raws li qhov yooj yimcov lus qhia.
- Tsis txhob tsis kam kuaj kev tiv thaiv ntawm gynecologist. Lawv yuav tsum tau ua ob zaug hauv ib xyoos txawm tias tsis muaj cov tsos mob cuam tshuam.
- Thaum tsis muaj tus khub sib deev mus tas li, nws tseem ceeb heev uas yuav tsum siv cov hnab looj tes, vim tias tsuas yog qhov no yuav pab tiv thaiv kev sib deev kis kab mob.
- Yog tseem muaj tus kab mob sib kis no tseem ceeb heev kom ua kom tiav txoj kev kho raws sij hawm thiab mus txog qhov kawg.
- Yog koj tsis npaj ib tug menyuam, nws yog ib qho tseem ceeb uas yuav tau xaiv txoj kev tiv thaiv kab mob.
- Kev tiv thaiv kev noj qab haus huv ntawm cov vitamin complexes, khoom noj khoom haus kom zoo, kev ua si lub cev, stabbing lub cev - tag nrho cov no yuav pab txhawb lub cev tiv thaiv kab mob thiab txo qis kev pheej hmoo ntawm kev mob tsis muaj mob.
- Nws yog ib qho tseem ceeb kom tsis tu ncua ua ib ce tshwj xeeb uas ntxiv dag zog rau cov leeg nqaij ntawm lub plab me me - qhov no yuav pab tiv thaiv kom tsis txhob kis ntawm qhov chaw mos.
- Nyob rau hauv menopause, koj yuav tsum tsis txhob tso tseg kev kho tshuaj hormone. Tau kawg, tsuas yog tus kws kho mob tuaj koom tuaj yeem tsim nws lub tswv yim.
Ua raws li cov cai yooj yim no, koj tuaj yeem txo qhov kev pheej hmoo ntawm kev tsim cov kab mob tsis zoo thiab txaus ntshai xws li mob ntawm ncauj tsev menyuam.
