Nyob rau hauv lub xeev ib txwm, lub ncauj tsev menyuam yog them nrog cov hlwb ntawm stratified squamous epithelium. Nws muaj peb txheej: basal, intermediate thiab superficial. Txhua qhov kev hloov pauv hauv kev loj hlob lossis kev sib txawv ntawm cov hlwb epithelial tuaj yeem raug hu ua dysplasia los ntawm kws kho mob. Lo lus no feem ntau yog siv los xa mus rau tag nrho cov mob precancerous ntawm lub ncauj tsev menyuam.
Kab mob tshwm sim
Cov kws kho mob txheeb xyuas ntau yam kab mob uas yuav tsum tau them rau. Yog li, cov txheej txheem keeb kwm yav dhau tau muab tso ua ke rau hauv ib pab pawg sib cais. Cov no suav nrog qhov tseeb yaig, yooj yim leukoplakia, polyps, ectopia, erythroplakia ntawm lub ncauj tsev menyuam. Ib qho mob precancerous, uas yog hu ua cervical intraepithelial neoplasia lossis dysplasia, tau muab cais tawm. Nws yog ib qho tseem ceeb kom nkag siab tias keeb kwm yav dhau thiab kab mob ua ntej muaj kab mob sib txawv.
Tab sis keeb kwm thiab kev tshwm sim ntawm cov mob precancerous thiab mob qog noj ntshav zoo ib yam. Ntau tus neeg hais txog HPV yog ib qho laj thawj. Yog li, kev muaj tus kab mob papillomavirus hauv tib neeg lub cev tsis yogkev lees paub tias yuav muaj mob qog noj ntshav. Tab sis nyob rau hauv cov poj niam uas tau kuaj pom tias muaj cov kab mob precancerous ntawm lub ncauj tsev menyuam, HPV tseem raug kuaj pom hauv 90% ntawm cov neeg mob. Tab sis nws yuav tsum to taub tias tawm ntawm ntau dua 60 hom kab mob no, kwv yees li 20 yam cuam tshuam rau qhov chaw mos, thiab 11 serotypes raug suav tias yog oncogenic heev.
Papillomovirus
Feem ntau, tib neeg tsis paub tias lawv muaj HPV hauv lawv lub cev. Hauv qee qhov, tus kab mob ua rau hauv daim ntawv latent. Qhov no txhais tau hais tias tib neeg yog tus neeg nqa tus kab mob, tab sis lawv tsis muaj qhov tshwm sim. Hauv daim ntawv subclinical, kev hloov cytological raug kuaj pom. Clinically expressed HPV yog txiav txim siab thaum exophytic thiab endophytic warts pom.
Feem ntau yog 16 thiab 18th papillomavirus serotypes. Kev kis kab mob, raws li txoj cai, mus kiag li tsis pom thiab tsis nrog cov tsos mob tshwm sim. Tab sis tib lub sijhawm, tus kab mob kis mus rau cov hlwb, nws tau tsim rau hauv lawv cov kab mob caj ces, thiab kev rov ua dua ntawm cov kab mob pib. Qhov no thaum kawg ua rau lawv rov yug dua tshiab thiab ua rau dysplasia lossis mob qog noj ntshav.
Tab sis nws ntseeg tau tias lub luag haujlwm tseem ceeb hauv kev txhim kho cov kab mob yog ua los ntawm tus neeg muaj kev cuam tshuam ntawm epithelium thiab congenital defects hauv kev tiv thaiv mechanisms.
yam ntxwv ntawm cov txheej txheem keeb kwm yav dhau
Gynecologists tuaj yeem kuaj xyuas ntau yam kab mob ntawm lub ncauj tsev menyuam, uas yog tus cwj pwm los ntawm kev hloov pauv tshwj xeeb. Yog li, cov kws kho mob paub qhov tseeb, congenital thiab cuav erosion.
Txawm tias cov ntxhais hluas, tus kws kho mob hauv plab tuaj yeem ua tauKev kuaj xyuas kom pom qhov hloov pauv ntawm cylindrical epithelium. Tom qab colposcopy, nws pom tseeb tias nws yog xim liab. Nyob rau tib lub sijhawm, nws tsis tuaj yeem ua xim rau nws nrog Lugol cov tshuaj. Tus mob no feem ntau hu ua pseudo-erosion lossis ectopia. Nws tuaj yeem yog congenital lossis tau txais. Tab sis cov no tseem tsis tau muaj cov kab mob precancerous ntawm lub ncauj tsev menyuam, yog li ntawd cov erosions tsis xav tau kev kho mob. Koj tsuas yog yuav tsum tau saib lawv tsis tu ncua.
Yog tus neeg mob lub mucous daim nyias nyias ntawm lub tsev me nyuam kwj dej hloov mus rau hauv qhov chaw mos ntawm lub ncauj tsev menyuam, ces tus mob no hu ua ectropion. Qhov no yog kev sib xyaw ua ke ntawm caws pliav deformation ntawm lub ncauj tsev menyuam thiab pseudo-erosion. Hauv kev kuaj mob, tus kws kho mob yuav pom lub caj dab deformed nrog lub ntsej muag zoo li los yog gaping pharynx nrog thaj chaw liab ntawm lub cylindrical epithelium. Feem ntau lawv tuaj yeem nrog thaj chaw hloov pauv.
Lwm cov txheej txheem keeb kwm yav dhau yog leukoplakia, lub npe ntawm tus kab mob tau txhais ua "dawb chaw". Nrog rau tus kab mob no, stratified epithelium yog keratinized hauv zos. Hauv qhov no, infiltrates tsim nyob ib ncig ntawm cov hlab ntsha ntawm stroma. Leukoplakia tuaj yeem ua tau yooj yim, ces nws raug xa mus rau cov txheej txheem keeb kwm yav dhau. Yog hais tias atypical hlwb tshwm sim nyob rau hauv tus kab mob no, ces peb twb tham txog precancer.
Lwm tus kab mob yog erythroplakia, tab sis nws tsis tshua muaj. Lub npe no txhais tau tias "liab qhov chaw". Nyob rau hauv cov xwm txheej no, stratified epithelium atrophies, nws ua thinner rau ob peb txheej. Cov hlwb nruab nrab ploj mus. Cov hlab ntsha yog pom los ntawm thinned epithelium, yog li cov cheeb tsam zoo li liabchaw.
Tsis tas li ntawd, thaum kuaj xyuas, tus kws kho mob tuaj yeem pom cov kev loj hlob uas npog nrog epithelium. Lawv hu ua polyps. Cov no yog cov xim liab liab uas tuaj yeem ua nplooj-puab lossis oblong. Lawv dai ntawm lub ncauj tsev menyuam.
Kev yaig
Cov teeb meem feem ntau tuaj yeem pom thaum lub sijhawm kuaj niaj hnub lossis colposcopy. Yog tias tus kws kho mob pom qhov hloov pauv, nws tuaj yeem piav qhia tias qhov ua rau lub ncauj tsev menyuam yaig. Yog li, feem ntau yog vim li cas:
- kab mob sib kis, uas feem ntau yog chlamydia, trichomoniasis, gonorrhea, ureaplasmosis, qhov chaw mos herpes, papillomavirus;
- kab mob inflammatory ntawm poj niam qhov chaw mos;
- kev puas tsuaj rau lub mucosa;
- hormonal hloov.
Raws li qhov tshwm sim ntawm kev hloov pauv, cov stratified epithelium, uas nws cov khaubncaws sab nraud povtseg tsis zoo thiab xoob nteg, puas thiab sloughed tawm ntawm qhov chaw. Nws tau raug pom tias qhov no tshwm sim 5 zaug ntau zaus hauv cov poj niam uas muaj kev coj khaub ncaws tsis zoo, lawv tuaj yeem muaj qhov ncauj tsev menyuam ntau dua. Hloov chaw desquamated, ib qho cylindrical epithelium yog tsim.
Cov laj thawj tshwm sim yog hu ua kev ua tsis tiav hauv lub voj voog, kev hloov pauv ntawm cov neeg koom tes ntau zaus, pib ntxov ntawm kev sib deev thiab txo kev tiv thaiv. Ntau tus neeg uas tau pom cov teeb meem no xav paub seb puas muaj kev txwv yog tias qhov ncauj tsev menyuam tau raug kuaj pom. Dab tsi ua tsis tau nrog tus kab mob no? Tsis muaj kev txwv nyuaj. Nws yog ib qho tseem ceeb los xyuas tsis tu ncuagynecologist, raug kuaj xyuas txhua yam tsim nyog thiab tsis kam lees txais kev kho mob.
Kev kuaj mob ntawm cov txheej txheem keeb kwm yav dhau
Raws li txoj cai, cov poj niam uas muaj lub ncauj tsev menyuam cuam tshuam tsis yws txog dab tsi. Tsis muaj cov cim ntawm kev yaig. Muaj tseeb, qee qhov muaj cov paug tawm dawb, uas tsis ua rau muaj kev tsis xis nyob. Tom qab kev sib deev, pom los yog ichor tuaj yeem tshwm sim. Hauv qhov no, koj yuav tsum mus ntsib kws kho mob sai li sai tau. Nws muaj peev xwm ntsuam xyuas tus mob, txiav txim siab seb puas muaj kev yaig ntawm ncauj tsev menyuam. Lub npe ntawm tus kab mob nyob rau hauv cov xwm txheej zoo li no tseem ceeb dua rau tus kws kho mob. Nws yog los ntawm cov teeb meem uas tau txheeb pom tias kev kho mob ntxiv yuav nyob ntawm.
Ntawm kev ntsuam xyuas, pseudo-erosion zoo li qhov chaw liab ntawm cov duab tsis zoo. Nws sawv tawm tsam keeb kwm ntawm daj ntseg mucosa. Thaum lub sij hawm colposcopy, nws paub tseeb tias qhov teeb meem thaj chaw yog them nrog liab papillae ntawm ib tug puag ncig los yog oblong, vim hais tias ntawm lawv cov nto zoo li velvet. Tsis txhob ntshai colposcopy, nws tsuas yog ib qho kev ntsuam xyuas nrog cov cuab yeej tshwj xeeb uas tuaj yeem ua kom thaj tsam loj dua 30-40 zaug.
Kev kuaj mob xws li leukoplakia kuj tsis nyuaj. Hauv qee cov neeg mob, cov txheej txheem keratinized ntawm cov hlwb pom ntawm qhov muag liab qab, lawv zoo li cov kab mob dawb uas sawv ntawm ectocervix (ib feem ntawm lub ncauj tsev menyuam protruding rau hauv qhov chaw mos). Hauv lwm tus, lawv tsuas tuaj yeem kuaj pom thaum lub sijhawm colposcopy. Txhawm rau kom paub meej qhov kev kuaj mob, cov ntaub so ntswg ntawm ncauj tsev menyuam tuaj yeem kho nrog cov tshuaj iodine. Qhov cuam tshuam keratinized thaj chaw tsis tig xim av, lawv zoo li lub npoo npog nrog cov yeeb yaj kiab dawb. Txhawm rau txiav txim siab qhov xwm txheej ntawm leukoplakia (yooj yim lossis nrog cov hlwb atypical), kev kuaj ntshav yog tsim nyog.
Tsis tas li, thaum kuaj, tus kws kho mob gynecologist tuaj yeem pom cov hlwv ntawm lub ncauj tsev menyuam. Cov laj thawj rau lawv qhov tsos yog raws li hauv qab no:
- kab mob ntawm qhov chaw mos uas ua rau muaj kab mob inflammatory;
- kev raug mob ntawm ncauj tsev menyuam thaum yug menyuam, rho menyuam, kuaj xyuas kev kho;
- hormonal ntshawv siab.
Cysts zoo li cov hnab ntim uas muaj cov hnoos qeev. Lawv tshwm sim los ntawm cov qog nqaij hlav, uas zoo li me me dawb o. Yog tias muaj kev ua tsis tiav hauv lawv txoj haujlwm, ces cov ducts raug kaw. Nyob rau hauv rooj plaub thaum tsuas pom ib lub hnab thaum kuaj, nws yog hu ua endometriotic cyst. Tab sis muaj qee lub sij hawm thaum muaj ob peb. Hauv cov xwm txheej zoo li no, tus kws kho mob hais tias cov no yog Nabothian cysts ntawm lub ncauj tsev menyuam. Nws yog ntshaw kom paub cov laj thawj ntawm lawv qhov tshwm sim. Tom qab tag nrho, lawv cov tsos mob tuaj yeem tshwm sim los ntawm kev kis kab mob uas yuav tsum tau kho. Raws li txoj cai, cov kws kho mob pom zoo tsuas yog ib txoj kev kho mob - tshem tawm cov hlwv. Qhov no yog ua los ntawm punncturing lub hnab, tshem tawm cov hnoos qeev thiab kho qhov chaw uas nws tshwm.
Kev kho mob tactics
Thaum tus kws kho mob pom muaj teeb meem ntawm lub ncauj tsev menyuam, nws yuav tsum tham txog yam yuav tsum tau ua tom ntej. Yog li, ua ntej ntawm tag nrho cov, tus kws kho mob yuav ua ib tug colposcopy, coj cov ntaub ntawv rau cytological kev kuaj mob thiab, yog hais tias tsim nyog, muab mus rau ib tug biopsy. Ua kom tiav kev xeemtso cai rau koj los txiav txim seb qhov ua rau lub ncauj tsev menyuam yaig. Nws tseem yog ib qho tseem ceeb uas yuav tsum tau ua smears ntawm microflora, txhawm rau txheeb xyuas seb puas muaj kab mob sib kis. Nws yog ib qho tseem ceeb kom paub seb tus neeg mob puas muaj kab mob HIV, syphilis lossis kab mob siab viral. Tsis tas li ntawd, tus kws kho mob gynecologist tuaj yeem muab kev xa mus rau kev kuaj xyuas pom muaj trichomonas, ureaplasma, HPV, chlamydia, mycoplasma, gardnerella.
Tom qab ntawd, koj tuaj yeem pib kho. Raws li qhov loj me, ua rau pom thiab lwm yam, tus kws kho mob gynecologist yuav muab rau cauterize lub ncauj tsev menyuam nrog hluav taws xob tam sim no, ua cryodestruction, laser coagulation, los yog siv xov tooj cua yoj txoj kev.
Qee zaum, tsuas yog saib kev yaig txaus. Qhov kev tawm tsam no yog xaiv nyob rau hauv rooj plaub uas nws pom muaj nyob rau hauv cov tub ntxhais hluas nulliparous ntxhais. Feem ntau, lawv tshwm sim los ntawm kev hloov pauv hormonal.
Kev piav qhia txog kev kho mob
Moxibustion yog ib txoj hauv kev tshaj plaws. Tab sis tib lub sijhawm, cov txheej txheem muaj ntau yam kev mob tshwm sim. Raws li qhov tshwm sim ntawm cauterization, cov caws pliav ntxhib tuaj yeem tsim, lub caj pas ntawm lub ncauj tsev menyuam tuaj yeem nqaim. Tsis tas li ntawd, kev kho mob tom qab cov txheej txheem yuav siv sij hawm ntev. Tab sis, txawm tias tag nrho cov shortcomings, cauterization ntawm ncauj tsev menyuam yaig feem ntau yog siv. Kev tshuaj xyuas qhia tias cov txheej txheem tsis zoo siab, tab sis nws tsis tuaj yeem hu ua mob heev. Ntau tus poj niam tsuas yog tham txog qhov tsis xis nyob hauv plab plab. Tsis tas li ntawd, tej zaum yuav muaj qhov chaw mos tawm tom qab qhov txheej txheem.
Tus kws kho mob yuav tsum ceeb toom txog ntau qhov kev txwv. Yog tias tsis ua tiav, yuav tsum muaj kev sib deev so tsawg kawg ib hlis tom qab tus txheej txheem. Kuj tseem muaj kev txwv ntawm kev nqa qhov hnyav - koj tuaj yeem hnav tsis pub ntau tshaj 2 kg. Kev txwv yog txwv rau kev mus xyuas saunas, da dej, da dej, koom nrog kev ua si lub cev hnyav.
Cryodestruction feem ntau ua rau lub ncauj tsev menyuam luv. Tsis tas li ntawd, raws li qhov tshwm sim ntawm cov txheej txheem, lub ncauj tsev menyuam hauv plab yuav nqaim. Nws tsis tuaj yeem hu ua cryodestruction mob hnyav heev, cov neeg mob txaj muag ntau dua los ntawm cov ntxhiab tsw tsw qab.
Ntau tus neeg nyiam siv ntau txoj hauv kev niaj hnub no, xws li xov tooj cua yoj kho mob ntawm ncauj tsev menyuam. Nws yog ua los ntawm ib tug tshwj xeeb apparatus "Surgitron". Cov electrode nyob rau hauv nws emits high-frequency waves, lawv tsim tshav kub thaum lawv ntsib cov ntaub so ntswg. Tib lub sijhawm, cov hlwb zoo li evaporate.
Tsis tas li, kev kho laser yog suav tias muaj txiaj ntsig zoo. Kev cuam tshuam rau lub nqaj ntawm nthwv dej ua rau qhov tseeb tias cov kab mob hloov pauv tau raug tshem tawm. Hauv qhov no, cov ntaub so ntswg ib puag ncig cuam tshuam me ntsis. Txoj kev no suav hais tias yog kev raug mob tsawg kawg nkaus.
Tus yam ntxwv ntawm dysplasia
Feem ntau, cov mob precancerous tshwm sim nrog kev raug mob ntawm lub ncauj tsev menyuam. Kev saib xyuas tshwj xeeb yuav tsum tau saib xyuas los ntawm cov neeg uas muaj lub ncauj tsev menyuam yaig. Mob qog noj ntshav tawm tsam keeb kwm yav dhau los tsis zoo li yuav pib tsim, tab sis thaj chaw ntawm dysplasia nyob rau qee kis tau pom tsuas yog tawm tsam keeb kwm ntawm pseudo-erosion.
Cov kws kho mob paub qhov txawv 3 theem ntawm tus kab mob no. Thawj degree yog hu ua yooj yim. Nrog nws, sib sib zog nqus txheej raug cuam tshuam - basal thiab parabasal epithelial hlwb. Cov khaubncaws sab nraud povtsegnyob li qub. Tsis muaj cov tsos mob sab nraud ntawm tus kab mob. Nws tsuas tuaj yeem kuaj pom thaum lub sij hawm cytology, thaum lub scraping yuav tsum tau muab tob tob.
Hauv qib thib ob - dysplasia nruab nrab - kev hloov pauv tuaj yeem cuam tshuam txog li 2/3 ntawm cov hlwb epithelial. Yuav tsum tsis muaj hlwb txawv txav nyob rau theem no.
Hauv dysplasia hnyav ntawm qib peb, kev loj hlob thiab kev sib txawv ntawm cov hlwb tsuas yog nyob rau hauv txheej txheej. Cov khaubncaws sab nraud povtseg raug cuam tshuam. Cov kev ntsuam xyuas ntxaws ntxiv qhia pom muaj cov hlwb nrog atypia.
Kev kuaj mob dysplasia tsis yooj yim li. Tus kab mob no tshwm sim yam tsis muaj cov cim qhia, nws tsis muaj cov tsos mob tshwm sim. Hauv kev kuaj mob, tus kws kho mob gynecologist tuaj yeem txiav txim siab ectopia, leukoplakia, thiab pom papillomas. Qee zaum nrog dysplasia nws tshwm sim tias lub ncauj tsev menyuam tsis hloov.
Kev kuaj mob tuaj yeem tsim los ntawm kev kuaj cytological ntawm smear coj los ntawm lub ncauj tsev menyuam. Yog hais tias thaum lub sij hawm kev tshawb fawb nws tau pom tias cov khoom noj muaj cov cell nrog dikarosis (hloov nyob rau hauv lub nuclei), ces histology yog tsim nyog. Nws yog tsim los ntawm cov khoom siv thaum lub sij hawm biopsy.
Ua rau dysplasia
Feem ntau, nws nyuaj rau kev nkag siab tias qhov twg los ua lub hauv paus rau qhov tshwm sim ntawm cov teeb meem nrog cov kab mob hauv cov poj niam cev xeeb tub. Tab sis muaj ntau yam uas tuaj yeem ua rau qhov pib ntawm tus kab mob. Yog li, piv txwv li, yog tias tus neeg mob tau stitches ntawm lub ncauj tsev menyuam, ces muaj kev ua txhaum ntawm kev noj haus ntawm nws cov ntaub so ntswg. Thiab qhov no tuaj yeem dhau los ua lub zog rau kev loj hlob ntawm tus kab mob.
Cov laj thawj tseem ceeb kuj suav nrog:
- tiv thaiv kab mob thiab hormonal ntshawv siab;
- lub xub ntiag ntawm erosive foci - thaj chaw hloov pauv ntawm lub tiaj tus thiab cylindrical epithelium, nyob rau sab nraud ntawm caj dab, yog qhov txaus ntshai;
- muaj nyob rau hauv lub cev ntawm cov kab mob oncogenic heev ntawm HPV.
Risk yam muaj raws li hauv qab no:
- ua ntej pib ntawm tus ntxhais lub neej kev sib deev ntawm lub sijhawm uas lub epithelium tseem tsis tau tsim ib txwm;
- siv sijhawm ntev ntawm cov tshuaj tiv thaiv kab mob hauv plab thiab hormonal;
- ntau yug;
- muaj kab mob sib kis;
- malnutrition nrog tsis txaus ntawm cov vitamins C, A thiab beta-carotene.
Nws kuj tau pom tias txiv neej txoj kev nyiam huv cuam tshuam rau cov poj niam cov kab mob no. Smegma, uas accumulates nyob rau hauv lub foreskin, yuav ua rau precancerous tej yam kev mob ntawm lub ncauj tsev menyuam tsim. Qhov no yog vim muaj cov tshuaj carcinogenic hauv nws, uas, thaum sib deev, nkag mus rau hauv tsev menyuam.
Txoj kev muaj peev xwm tshem tawm qhov teeb meem
Kev kho mob tactics ncaj qha nyob ntawm seb qib twg ntawm dysplasia tau kuaj pom. Yog li ntawd, nyob rau hauv thawj theem, nws yog feem ntau pom zoo kom tsuas saib cov ntaub so ntswg nyob rau hauv dynamics thiab nqa tawm kev kho mob, uas yog aimed ntawm tshem tawm qhov tshwm sim ntawm qhov tshwm sim ntawm tus kab mob. Raws li txoj cai, tshuaj tua kab mob los yog tshuaj tua kab mob yog nqa tawm, tsim los tshem tawm cov kab mob sib kis. Thaum tsis muaj qhov zoo ntawm qhov zoo, nrog rau cov xwm txheej uas dysplasia ntawm 2nd lossis 3rd degree tau kuaj pom tam sim ntawd,Kev kho phais raug pom zoo.
Txawm li cas los xij, nws tuaj yeem ua tau zoo ib yam li cauterization ntawm ncauj tsev menyuam yaig. Kev tshuaj xyuas qhia tias txoj kev no muab cov txiaj ntsig zoo heev. Cryosurgery lossis laser kho kuj tseem siv tau. Qee zaum, diathermoconization yog siv. Txoj kev no muaj nyob rau hauv qhov tseeb hais tias cov ntaub so ntswg hloov pauv yog excised nyob rau hauv daim ntawv ntawm lub khob hliav qab, lub sab saum toj ntawm uas yog coj mus rau lub internal os. Tshem tawm cov ntaub so ntswg ntxiv yog xa mus rau histology.
Nws yog ib qho tseem ceeb kom paub tias cov neeg mob dysplasia muaj 10 mus rau 20 npaug ntawm kev pheej hmoo ntawm kev mob qog noj ntshav ntau dua li cov tsis muaj teeb meem. Nyob rau hauv thawj theem, muaj ib tug muaj peev xwm ntawm ib tug rov qab kev loj hlob ntawm tus kab mob - qhov no tshwm sim nyob rau hauv ib nrab ntawm cov mob. Tab sis nyob rau hauv 40% ntawm cov poj niam nws yuav vam meej, nyob rau hauv tas li ntawd nws yuav nyob rau hauv lub xeev ntawm stabilization.
Alternative Medicine
Hnub qhov kev kuaj mob tsis zoo rau lawv tus kheej, tsis yog txhua tus pom zoo kho nrog cov txheej txheem ib txwm muaj. Txawm hais tias tus kws kho mob muab cov xov tooj cua zoo thiab muaj txiaj ntsig zoo rau kev kho lub ncauj tsev menyuam, yuav muaj cov neeg uas tsis kam ua cov txheej txheem.
Qee tus tab tom nrhiav lwm txoj hauv kev. Cov douches nrov tshaj plaws yog diluted infusions ntawm calendula (1 tsp hauv ¼ khob dej), eucalyptus (1 tsp diluted nyob rau hauv ib khob dej), tampons nrog hiav txwv buckthorn roj los yog mummy.
Tab sis cov no tsis yog txhua qhov kev xaiv rau yuav ua li cas lub ncauj tsev menyuam tuaj yeem kho nrog cov tshuaj pej xeem. Qee tus kws kho mob pom zoobrew rau douching St. John lub wort ntawm tus nqi ntawm 1 tbsp. l. rau ib nrab-liter hub ntawm boiling dej. Cov tshuaj ntsuab yuav tsum tau boil rau li 10 feeb thiab hais kom tsawg li ib nrab teev.
Yog tias koj txiav txim siab tsis kam txais kev pabcuam thiab yuav raug kho los ntawm cov txheej txheem no, ces mus rau gynecologist tsis tu ncua txhawm rau saib xyuas qhov mob ntawm lub ncauj tsev menyuam. Tsuas yog ua li no nws thiaj li pom qhov tsis zoo nyob rau lub sijhawm thiab sim kho qhov xwm txheej.
