Condylomas yog cov kab mob benign epithelial ntawm daim tawv nqaij tsim los ntawm tib neeg papillomavirus. Kev loj hlob tuaj yeem yog ib leeg lossis ntau, muab tso rau ntawm daim tawv nqaij lossis ntawm cov mucous txheej. Nws tau raug sau tseg tias feem ntau ntawm cov tsim ntawm warts tshwm sim nyob rau hauv cov chaw tiv thaiv uas muaj dej noo thiab ingress ntawm dermatological thiab mucous secretions (inguinal folds, ces kaum ntawm lub qhov ncauj, lub cev nqaij daim tawv, armpits). Muaj cov kab mob syphilis dav dav.
Txawm hais tias lawv qhov kev faib tawm dav, condylomas tau kawm me ntsis, thiab cov ntaub ntawv ntawm lawv yog qhov tsis zoo thiab tsis zoo. Ua tsis muaj teeb meem, cov formations tsim tsuas yog kev zoo nkauj tsis xis nyob, uas, raws li txoj cai, dhau los ua qhov tseem ceeb hauv kev hu rau tus kws kho mob. Tab sis nws yog tsis yooj yim sua kom tsis quav ntsej qhov tseeb hais tias benign creatures nyob rau hauv tej rooj plaub yog reborn raws li ib tug tshwm sim ntawm cancer. Qhov xwm txheej no nws tus kheej, nrog rau qhov yuav luag thoob ntiaj tebpapillomavirus xav tau qhov ze tshaj plaws ntawm cov kws tshawb fawb thiab yuam kom lawv nrhiav cov kev kho mob zoo. Tshwj xeeb, ua haujlwm tas li los tsim cov tshuaj tiv thaiv tsim nyog.
Cov yam tseem ceeb rau kev kis tus kab mob condylomas lata
Tus kab mob no tau paub dav thiab muaj kev sib kis ntau. Ntau tshaj li tsib caug feem pua ntawm cov neeg muaj kev sib deev yog cov neeg nqa khoom ntawm ib lossis ntau hom kab mob, uas ua rau muaj kab mob loj. Ib zaug nyob rau hauv tib neeg lub cev, HPV radically hloov qhov xwm ntawm cov ntaub so ntswg loj hlob, uas provokes kab mob ntawm daim tawv nqaij thiab mucous daim nyias nyias. Muaj ntau tshaj 100 hom HPV, thiab txhua tus txhawb nqa ntau yam kab mob, suav nrog cov kab mob precancerous.
Qhov laj thawj tseem ceeb
Qhov laj thawj uas ua rau muaj kev pheej hmoo kis tus kab mob dav dav hauv cov txiv neej ntawm lub taub hau thiab hauv cov poj niam ntawm daim di ncauj me suav nrog:
- dhau los STDs (chlamydia, gonorrhea, trichomoniasis, herpes, candidiasis, thiab lwm yam);
- kev coj tus cwj pwm tsis pub muaj kev sib deev (kis tau nrog kev hloov pauv ntawm kev sib deev los ntawm tus khub uas yav dhau los tau sib deev nrog tus kab mob HPV);
- yam tseem ceeb hauv lub cev (kev tiv thaiv qis, tsis muaj cov vitamins, nyiam kev ntxhov siab);
- xeeb tub;
- vaginal dysbacteriosis.
Yuav ua li cas tus kab mob tshwm sim
Kev tsim kab mob HPV yog txiav txim los ntawm lub xeev ntawm lub cev tiv thaiv kab mob. Nyob ntawm qhov no, ntau txoj kev xaiv rau kev tsim ntawm papillomavirusraug suav hais tias yog kis kab mob:
- kho tus kheej, rov ua dua ntawm qhov chaw mos pob txha (tshwj xeeb, cov uas tshwm sim thaum cev xeeb tub);
- tsis muaj lub zog rau lub sijhawm txuas ntxiv;
- maj mam loj hlob sai ntawm qhov chaw mos pob txha (nce hauv ntim, kom muaj nuj nqis);
- malignant modification of genital warts.
hom kab mob txhais li cas
Mid-thiab muaj kev pheej hmoo siab HPV hom kab mob txhawb nqa ncauj tsev menyuam dysplasia thiab ua rau muaj kev pheej hmoo mob qog noj ntshav hauv tsev menyuam, tab sis tsis txhob ua rau cov kab mob loj. Cov kab mob HPV uas tsis tshua muaj kev pheej hmoo ua rau yav tom ntej, tab sis tsis txhob ua rau lub ncauj tsev menyuam dysplasia. Cov ntxhais uas kis tau tus kab mob HPV uas muaj kev pheej hmoo siab yuav tsum tau kawm tas li (oncocytology) txhawm rau txhawm rau kuaj xyuas lub ncauj tsev menyuam dysplasia.
Nrog rau daim ntawv nyuaj ntawm kev tsim cov kab mob anogenital, lawv qhov kev puas tsuaj thiab kab mob tuaj yeem tshwm sim, hemophilia tuaj yeem pom. Tsis tas li ntawd, cov kab mob hauv qhov chaw mos cuam tshuam nrog lub neej kev sib deev thiab kev yug me nyuam ib txwm muaj, ua rau muaj kev xav tsis zoo vim muaj qhov tsis xws luag.
Pathogenesis thiab manifestation
Papillomavirus kis los ntawm ib tus neeg mus rau lwm tus, thaum nws tuaj yeem kis mob nrog ntau hom papillomavirus tib lub sijhawm. HPV nyob rau hauv lub hlwb ntawm daim tawv nqaij thiab mucous daim nyias nyias. Tau ntev, tus kab mob kis tau mus tsis pom (latently). Cov kab mob txaus yuav tsum khaws cia hauv cov hlwb komkom pom cov tsos mob ntawm tus kab mob tshwm sim. Kev loj hlob ntawm HPV thiab nws cov nyiaj hauv lub cev yog nyob ntawm qhov kev tiv thaiv kab mob. Raws li kev cuam tshuam ntawm ntau yam kev mob uas txo kev tiv thaiv kab mob, cov microbe tau qhib, nws cov kev tsim tawm thiab tsim cov tawv nqaij tshwm sim.
Tom qab nkag mus rau hauv lub cev, tus kab mob kis mus rau cov hlwb epithelial. Hauv ib lub cell uas muaj kab mob, cov microbe tuaj yeem nyob hauv 2 hom: episomal thiab introsomal-integrated.
Nrog rau chav kawm latent, tus kab mob kis mus rau hauv daim ntawv episomal, tsis muaj qhov ua rau mob hloov pauv hauv cov hlwb thiab tsis tau pib tshwm sim hauv chaw kho mob.
Muaj ntau tus lej loj, HPV hloov pauv kev loj hlob thiab tsim cov hlwb epithelial. Lawv raug coj los siv ntau thiab ywj pheej los faib, qhov nce hauv thaj tsam ntawm daim tawv nqaij lossis cov mucous membrane thiab tsim cov condyloma dav tshwm sim. Tej zaum yuav muaj ob peb ntawm lawv, thiab qee zaum kaum ob. Anogenital warts feem ntau tshwm sim tam sim, tsawg dua - rau ob peb hnub.
Dav warts nyob rau hauv cov txiv neej ntawm lub taub hau thiab foreskin tshwm sim feem ntau, tsawg zaus - nyob rau lwm qhov chaw ntawm noov. Qhov tshwm sim ntawm condylomas hauv cov zis ua rau muaj kev xav tsis zoo, tso zis nyuaj, txau cov zis tso zis. Raws li rau cov poj niam, condylomas dav tshwm sim nyob rau sab nraud ntawm qhov chaw mos. Tsis tshua muaj nyob hauv. Koj tuaj yeem txiav txim siab lawv thaum kuaj los ntawm gynecologist. Kev siv cov hnab looj tes txo qhov kev pheej hmoo kis tus kab mob rau cov neeg sib deev.
Nws tsis tuaj yeem kho HPV kiag li - nws tsuas yog ua tau kom tshem tawm davwarts, alleviating tus neeg mob tus mob thiab txo qhov kev pheej hmoo ntawm kev sib deev tus khub.
Muaj ntau txoj hauv kev los kho cov pob tw no. Tsis muaj kev zam, lawv txhua tus muaj qhov tsis zoo.
Cryodestruction
Cryodestruction yog ib txoj hauv kev uas feem ntau siv los kho tus mob syphilis ntawm noov, thiab yog li tshem tawm cov kab mob hauv qhov chaw mos. Qhov chaw cuam tshuam yog kho nrog kua nitrogen siv paj rwb swab lossis tshuaj tsuag. Kev kho yog rov ua dua txhua 1-2 lub lis piam kom txog thaum tshem tawm tag nrho cov kab mob hauv qhov chaw mos. Txoj kev tsis tshua muaj ua rau caws pliav, nws muaj tus nqi qis. Cryosurgery tuaj yeem ua rau mob hnyav. Nws tsis yog ib txwm ua tau los kho tag nrho cov cuam tshuam saum npoo ib zaug. Qee zaum, tom qab cryodestruction, hyperpigmentation lossis hypopigmentation yuav raug pom.
Diathermocoagulation
Diathermocoagulation yog suav hais tias yog ib txoj kev mob syphilis ntawm noov thiab tawm hauv qab muaj zog nti. Vim li no, nws tsuas yog siv los tshem tawm cov warts xwb.
Laser
Laser tshem tawm ntawm condylomas dav hauv cov poj niam ntawm daim di ncauj me yog ua tiav siv carbon dioxide thiab neodymium YAG lasers. Tom qab tshem tawm, nti yuav tshwm sim.
Tshuaj kho mob
"Kondilin" - 0.5% sib tov nyob rau hauv fwj ntawm 3.5 milliliters nrog ib tug applicator. Nws cov active tshuaj yog khaus ntau nyob rau hauv cov muaj pes tsawg leeg ntawm cov nroj tsuag extract ntawm podophyllin. Nrog hauv zossiv nws ua rau necrosis thiab kev puas tsuaj ntawm dav condylomas. Qhov kom zoo dua ntawm txoj kev kho mob no yog nyob rau hauv qhov tseeb tias tus neeg mob tuaj yeem kho tus kheej ntawm qhov chaw ntawm daim tawv nqaij hauv qhov chaw nkag tau. Nrog rau cov yas applicator, cov tshuaj yog siv rau condyloma; Thaum lub sij hawm, tag nrho cov condylomas yog wetted, tab sis tsis ntau tshaj 50 daim ntawm ib lub sij hawm (tsis ntau tshaj 10 cm nyob rau hauv cheeb tsam). Cov tshuaj yuav tsum tau siv nrog ceev faj, tsis txhob noj qab haus huv ntawm daim tawv nqaij. Thawj zaug kev kho mob yog ua los ntawm kws kho mob lossis tus kws saib xyuas neeg mob, qhia tus neeg mob kom siv cov tshuaj kom raug. Tom qab kev kho mob, nws yuav tsum tau qhuav kom tsis txhob khaus ntawm daim tawv nqaij nyob ze los yog nws ulceration. "Condilin" yog siv 2 zaug hauv ib hnub rau 3 hnub, thiab tom qab ntawd 4-hnub nres. Lub sijhawm ntawm kev kho mob yuav tsum tsis pub tshaj 5 lub lis piam. Contraindications: lactation, menyuam yaus, siv lwm yam tshuaj, suav nrog podophyllin.
"Solcoderm" yog ib qho kev npaj, uas suav nrog ntau cov kua qaub: 65% - nitric, 98% - acetic, nrog rau lactic thiab oxalic acids thiab tooj liab nitrate. Nws yog tsim nyob rau hauv daim ntawv ntawm cov tshuaj (0.2 milliliters nyob rau hauv txhua ampoule). Thaum nws yog siv rau lub dav hlau ntawm daim tawv nqaij, tom kawg hloov yellowish, tom qab uas cov chaw kho mob mummified. Kev ua haujlwm tsuas yog ua los ntawm cov neeg ua haujlwm kho mob uas tsim nyog. Cov tshuaj yog siv rau lub dav hlau siv lub iav capillary los yog applicator, ces nws yuav tsum qhuav. Tso cai ib zaugKev kho mob ntawm qhov chaw tsis ntau tshaj 4-5 cm Yog tias tsim nyog, nws tuaj yeem ua dua - hauv ib hlis. Kev siv cov tshuaj no qee zaum nrog kub kub thiab mob hnyav, qee zaum hyperpigmentation tshwm thiab caws pliav.
Interferon npaj tau txhaj ncaj qha rau hauv pob tw. Qhov no yog txheej txheem mob uas yuav tsum tau ua haujlwm thib ob.
Trichloroacetic acid ntawm saturated concentration yog superimposed ncaj qha rau ntawm kev loj hlob. Qhov seem ntawm nws yog tshem tawm nrog talcum hmoov. Yog tias tsim nyog, kev kho mob rov qab nrog lub sijhawm 1 lub lis piam. Yog tias condylomas tseem nyob tom qab 6-fold, txoj kev kho yuav tsum tau hloov.
Cov Teeb Meem thiab qhov tshwm sim
Cov kab mob sib kis thoob plaws nrog cov kab mob syphilis thiab cov xwm txheej tshwj xeeb (qis hauv zos thiab / lossis kev tiv thaiv kab mob, kis kab mob sib deev, thiab lwm yam) tuaj yeem nce tus lej thiab qhov loj, yog li txo qis tib neeg lub neej ua rau nws nyuaj rau kev sib deev. kev sib raug zoo. Lawv tuaj yeem ua rau mob (fester), ulcerate (qhov txhab tuaj yeem tshwm sim hauv lawv thaj chaw) los ntawm qhov ntev tsis siv neeg raug rau lawv. Tsis tshua muaj, warts tuaj yeem ua rau mob qog noj ntshav.
