Kev coj khaub ncaws tsis yog txheej txheem lom neeg lom zem tshaj plaws uas tshwm sim hauv lub cev ntawm txhua tus poj niam laus. Tab sis nyob rau tib lub sij hawm, qhov tsis tu ncua ntawm kev coj khaub ncaws qhia txog kev noj qab haus huv ntawm kev ua me nyuam ntawm kev sib deev ncaj ncees. Txhua tus poj niam tau tso tawm dawb dawb ua ntej nws lub caij nyoog, tab sis nws txhais li cas?
Tus neeg mob, xa mus rau gynecologist, feem ntau nug cov lus nug txog qhov tsis pub leejtwg paub, uas muaj ntau ntau secreted los ntawm qhov chaw mos sai ua ntej pib kev coj khaub ncaws tom ntej. Cov ntxhais hluas pib ntshai txhua yam, nco ntsoov tias cov hnoos qeev tuaj yeem tsuas yog cov tsos mob ntawm kev sib deev ua ntej mus ntsib kws kho mob. Thaum lub hnub nyoog laus dua, nws nyuaj rau ntsib tus poj niam uas xav tias qhov tso tawm dawb ua ntej kev coj khaub ncaws yog qhov cim ntawm kev kis kab mob.
Qhov chaw mos tso zis - puas yog ib txwm lossis txawv txav?
Txhua tus poj niam yuav tsum paub tias nws qhov paug tawm dawb ua ntej kev coj khaub ncaws yog qhov qhia txog kev noj qab haus huv ntawm poj niam. Tsis muaj cov dawb, hloov hauv kev sib xws lossistsw - qhov ntawd yog qhov yuav tsum ceeb toom. Cov hnoos qeev zoo tsis ua rau khaus, khaus, lossis kub hnyiab hauv qhov chaw mos. Beli xyaum tsis hnov thaum nruab hnub. Ua ntej kev coj khaub ncaws, tawm dawb yog tsim los ntawm gonads nyob rau hauv ib qho ntxiv ntim. Ob peb hnub ua ntej pib kev coj khaub ncaws, lub labia tau ntub.
Cov tsos mob ntawm leucorrhoea yog vim lub peculiarities ntawm kev coj khaub ncaws thiab physiological txheej txheem nyob rau hauv lub genitourinary system. Kev faib ua lub luag haujlwm tseem ceeb hauv kev ua haujlwm ntawm cov kab mob hauv lub cev. Ua ntej tshaj plaws, cov dawb tiv thaiv kab mob.
Txawm hais tias qhov tseeb tias leucorrhoea hauv nws tus kheej tsis ua qhov tshwm sim ntawm txhua yam kab mob, los ntawm lawv qhov xwm txheej nws muaj peev xwm kos qee qhov kev txiav txim siab txog lub xeev ntawm tus neeg mob lub cev xeeb tub. Piv txwv li, mucus nrog dawb thiab ntshav streaks tshwm nyob rau hauv cov poj niam uas muaj cervical erosion, thiab brownish tawm yog ib tug kos npe rau ntawm pathological hloov nyob rau hauv lub ncauj tsev menyuam, tab sis tej zaum ib tug daub yuav ua tau ib tug neeg feature ntawm lub cev.
Yog tias ib tug poj niam pom tias nyob rau hnub ua ntej ntawm qhov kev xav ntawm poj niam cev xeeb tub, secretory secretions pib tsim ntau zog, tau txais ib qho ntxoov ntxoo sib txawv lossis lwm yam cim tshwj xeeb, nws yuav tsum xav txog seb txhua yam nyob rau hauv nws txoj kev noj qab haus huv. Wb sim xav seb yuav nkag siab li cas los ntawm hom poj niam tso tawm uas yog lub sij hawm mus ntsib kws kho mob los yog, conversely, tsis txhob txhawj.
Lub luag haujlwm ntawm cov poj niam noj qab haus huv
tso tawm dawb ua ntej lub sij hawm txhais li cas? Ua ntej ntawm tag nrho cov, qhov tseeb hais tias cov qog nqaij hlav, localized nyob rau hauv lub ncauj tsev menyuam, tiv nrognws txoj haujlwm. Lub ntsiab tivthaiv ntawm cov dawb yog mucus, uas muaj viscous sib xws. Cov kua zais cia yog tsim nyog los ua kom cov phab ntsa ntawm qhov chaw mos moisturize thiab tiv thaiv lawv qhov chaw los ntawm kev sib txhuam thaum muaj kev sib raug zoo.
Qhov thib ob ua haujlwm uas qhov chaw mos ua haujlwm yog tiv thaiv. Ib daim ntawv ntsaws los ntawm cov hnoos qeev, thaiv kev nkag mus rau lub tsev menyuam los ntawm lub tsev menyuam. Qhov no yog ib qho kev thaiv ntuj nyob rau hauv lub tsev me nyuam kwj dej uas tiv thaiv cov kab mob nkag mus rau hauv lub uterine kab noj hniav.
Cov Dawb muaj lwm yam, tsis muaj lub luag haujlwm tseem ceeb: lawv ua ib hom tshuaj tiv thaiv rau tus poj niam txhua hnub ntawm kev coj khaub ncaws, tshwj tsis yog ovulation. Hauv cov ntsiab lus yooj yim, hnoos qeev pab tswj cov txheej txheem ntawm cov phev nkag mus rau hauv tsev menyuam. Ua ntej ovulation, qhov tso tawm ua kua, dej. Ua tsaug rau lub liquefied cork, qhov tsim nyog tej yam kev mob yog tsim rau fertilization ntawm lub qe tsuas yog thaum lub sij hawm ntawm ovulation. Tom qab ob peb hnub, lub ntsaws yuav nruj dua, yog li txoj hauv kev ntawm kev xeeb tub sab nraud ntawm ovulation yog negligible.
Yuav ua li cas tso qhov chaw mos zoo li
Thickness ntawm cov hnoos qeev, nws cov xim, tsis hnov tsw thiab lwm yam ntxwv tuaj yeem hloov pauv thoob plaws hauv lub cev - qhov no yog qhov qub. Yog vim li cas rau qhov tsis sib xws ntawm cov zais zis yog vim qhov txo qis thiab nce qib ntawm estrogen thiab progesterone. Tus poj niam noj qab haus huv tau tso tawm ua ntej nws lub sijhawm:
- Dawb. Cov xim tej zaum yuav pos huab vim impurities ntawm tuag particles ntawm uterine mucosa. Qee zaum leucorrhoea ua creamy lossis yellowishntxoov ntxoo, txawm li cas los xij, yog tias qhov no tsuas yog hloov pauv hauv qhov zais cia, nws tsis suav tias yog qhov sib txawv. Cov xim ntawm qhov tso tawm yuav txawv nyob ntawm seb tus yam ntxwv ntawm lub cev. Lub qhov muag daj lossis xim av tuab yuav tsum tsis txhob cuam tshuam cov neeg mob - qhov no yog ib qho tshwm sim heev rau cov poj niam uas siv cov khoom siv hauv tsev rau kev tiv thaiv kab mob.
- Tsis muaj ntxhiab tsw. Gynecologists kuj xav txog qhov qaug zog qaub aroma los ua ib qho txawv ntawm cov qauv.
- Thick. Txawm li cas los xij, lawv yuav tsum tsis txhob muaj ntau lossis tsawg dhau. Nrog rau qhov tsis txaus ntseeg ntawm qhov chaw mos ntawm qhov hnoos qeev, kev sib deev tuaj yeem xav tias muaj kab mob. Qhov chaw mos qhuav qee zaum qhia txog kev nyiam huv ntau dhau, ntxuav thiab douching.
Nws tseem ceeb heev uas yuav tsum nco ntsoov tias tam sim tom qab tso tawm txhua hli yuav tsum tsis tuaj. Cov nqaij dawb tsis tuaj yeem ua rau mob plab, tsis xis nyob, kub hnyiab.
Vim li cas cov paug dawb ua ntej kev coj khaub ncaws tsis tshwm sim
Yog tias tsis pom cov tawv nqaij dawb 2-3 hnub ua ntej kev coj khaub ncaws, qhov no yuav qhia tau tias muaj teeb meem hauv poj niam lub cev. Qhov tsis muaj qhov zais cia ntawm qhov chaw mos feem ntau qhia tias muaj kev cuam tshuam ntawm kev ua haujlwm ntawm cov qog nqaij hlav hauv lub ncauj tsev menyuam. Hauv cov poj niam uas muaj hnub nyoog tsis muaj hnub nyoog, qhov tso tawm ua ntej kev coj khaub ncaws yuav tsawg dua, thiab thaum lub sijhawm premenopausal, leucorrhoea yuav ploj mus tag nrho. Qhov laj thawj yog qhov tsis txaus ntawm cov tshuaj hormones los ntawm kev txo cov tshuaj estrogen.
Kev noj cov tshuaj tiv thaiv kev yug menyuam tsis tu ncua tuaj yeem cuam tshuam nrog kev zais cia. Oral contraceptives nyob rau hauvFeem ntau ntawm lawv muaj estrogens. Yog tias lawv tus lej sib txawv ntawm tus qauv, tus poj niam pib muaj teeb meem kev noj qab haus huv, suav nrog qhov tsis muaj leucorrhoea ua ntej kev coj khaub ncaws.
Dawb, odorless paug yuav ntau ntau ob peb lub lis piam ua ntej koj lub sij hawm. Tsis tas li ntawd, lawv qhov sib xws poob nws qhov qub ntom, lawv ua kua dej, translucent. Yog hais tias qhov no tsis tshwm sim, uas yog, cov dawb yog tseem tuab thiab ntom, peb yuav tham txog pathology. Hauv cov poj niam npaj cev xeeb tub, kev xeeb tub yuav ua tsis tau thaum lub tsev menyuam kwj dej raug thaiv nrog cov hnoos qeev tuab.
Cov menyuam ntxhais hluas thiab tawm qhov chaw mos
Dawb ua ntej coj khaub ncaws txawv rau txhua tus neeg sawv cev ntawm kev sib deev tsis muaj zog, uas nyob ntawm tus yam ntxwv ntawm lub cev, hnub nyoog, hormonal thiab psycho-kev xav tom qab, khoom noj khoom haus thiab lwm yam. Thawj thawj zaug, qhov chaw mos zais cia tshwm sim hauv cov ntxhais hauv cov hluas 12-18 lub hlis ua ntej kev coj khaub ncaws. Kev tso tawm dawb nyob rau lub sijhawm no tuaj yeem hloov pauv nws tus cwj pwm, kom txog rau thaum cov keeb kwm hormonal stabilizes thiab lub voj voog tsis tu ncua. Hauv cov tub ntxhais hluas, ob qho tib si kua thiab kua paug tawm yog suav tias yog tus qauv. Tus nqi, qhov ntxoov ntxoo thiab qhov ntom ntom ntawm cov xim dawb yog txiav txim siab los ntawm cov yam ntxwv ntawm caj ces ntawm kev loj hlob ntawm kev sib deev ntawm tus ntxhais hluas.
Nws yog ib qho tsim nyog yuav tsum nco ntsoov tias cov hnoos qeev los ntawm qhov chaw mos tso tawm thaum muaj hnub nyoog ntxov. Yog hais tias qhov kev siv ntawm cov poj niam tsis pub leejtwg paub tau nce nyob rau hauv kev sib piv nrog rau dab tsi nws yog ua ntej, nws yog heev muaj peev xwm mus xav hais tias thawj coj khaub ncaws yog yuav pib. Tab sis nws yog ib qho tseem ceeb kom nkag siab qhov tseem ceeb tshaj plaws: thawj coj khaub ncaws hauv cov ntxhaisirregular, yog li cov yam ntxwv ntawm qhov chaw mos tawm, nrog rau leucorrhoea, yuav tsum tau them tshwj xeeb mloog, vim hais tias pathologies ntawm lub genitourinary system tshwm sim nyob rau hauv txhua lub hnub nyoog.
Nws puas yog cev xeeb tub?
Yog, thiab qhov version no muaj qhov chaw, tshwj xeeb tshaj yog tawm tsam keeb kwm ntawm kev ncua. Yog tias cov hnoos qeev los ntawm qhov chaw mos dhau los ua ntau dhau thiab tuab nyob rau hnub kawg ntawm kev coj khaub ncaws, cov tsos mob no tuaj yeem suav hais tias yog lub cim ntawm cev xeeb tub. Kev tso tawm dawb ua ntej kev coj khaub ncaws qhia txog kev hloov pauv hormonal uas tshwm sim hauv kev sib txuas nrog fertilization.
Qhov khoom yog vim qhov nce hauv cov concentration ntawm progesterone, cov haujlwm ntawm cov qog uas tsim cov zais cia nce. Thaum lub sij hawm cev xeeb tub, cov dawb ua haujlwm tiv thaiv, tiv thaiv lub tsev menyuam kab noj hniav thiab dej amniotic nyob ib puag ncig tus me nyuam hauv plab los ntawm kev kis kab mob. Tsis tas li ntawd, thaum cev xeeb tub, cov hlwb ntawm qhov chaw mos mucosa tau hloov kho sai dua, uas thaum kawg ua rau muaj qhov ntom ntom ntawm cov xim dawb.
Los ntawm txoj kev, leucorrhea nrog ncua sij hawm ntawm kev coj khaub ncaws tsis yog ib txwm qhia kev xeeb tub. Kev tso tawm dawb ua ntej kev coj khaub ncaws tuaj yeem hloov pauv nws tus cwj pwm nrog qhov tsis txaus ntawm cov tshuaj hormones uas tshwm sim vim kev ntxhov siab hnyav lossis tawm tsam keeb kwm yav dhau los ntawm cov kab mob ntev, cov kab mob caj ces.
Beriberi tuaj yeem ua rau qeeb ntawm kev coj khaub ncaws. Ib qho xwm txheej tshwm sim yog qhov ncua sij hawm ntawm kev coj khaub ncaws hauv cov ntxhais uas noj cov zaub mov nruj uas tsis haus cov rog thiab ntau yam khoom siv rau lub cev. Thiab txawm hais tias lub sijhawm lig, cov paug dawb tsis muaj ntxhiab tswua ntej coj khaub ncaws zoo li qub.
Thaum leucorrhea yog ib qho tsos mob ntawm tus kab mob
Tom ntej no, cia peb tham txog cov cim qhia thiab ua rau cov poj niam tso tawm pathological. Yog hais tias lub qhov ncauj qhov ntswg ib txwm nyob rau ua ntej ntawm kev coj khaub ncaws tsis tsuas yog hloov nyob rau hauv ntim thiab ceev, tab sis kuj kis tau ib tug tshwj xeeb tsw tsw, hloov xim, los yog clots, lumps, streaks tshwm nyob rau hauv nws, koj yuav tsum twv yuav raug hu mus rau ib tug gynecologist thiab coj ib tug smear rau. lub vaginal flora.
Feem ntau yuav, cov paug dawb li no ua ntej kev coj khaub ncaws yog ib qho kev qhia ntawm tus txheej txheem inflammatory lossis kis kab mob. Feem ntau ua rau muaj kev hloov pauv ntawm cov poj niam secretions yog cov kab mob xws li:
- Vaginitis. Nrog rau tus kab mob no, qhov chaw mos mucosa yuav o, o, khaus thiab kub hnyiab tshwm sim, cramping mob nyob rau hauv lub plab mog yog ua tau. Kev tso tawm dawb ua ntej ua poj niam cev xeeb tub hauv cov poj niam uas muaj kab mob vaginitis ua daj lossis greyish vim yog cov ntsiab lus ntawm leukocytes. Feem ntau cov dawb li no tshwm sim li 5-7 hnub ua ntej kev coj khaub ncaws.
- Cervicitis. Ib tug kab mob tshwm sim los ntawm o ntawm lub ncauj tsev menyuam los yog tsuas yog nws cov mucous daim nyias nyias. Nrog cervicitis, poj niam zais cia ua kua heev, ib qho tsis hnov tsw tsw tshwm.
- YEndometritis. Cloudy paug nrog ib qho tsis kaj siab tsw yuav qhia tau tias o ntawm lub uterine kab noj hniav. Pathology yog nrog los ntawm qhov mob thaum tso zis, mob hauv plab plab, kub subfebrile. Dawb tuab paug ua ntej coj khaub ncaws hloov ntsuab thiabhnyav tsw.
Types ntawm qhov chaw mos dysbacteriosis
Feem ntau, cov poj niam tau kuaj pom muaj ob yam kab mob uas cov kab mob microflora ntawm qhov chaw mos hloov pauv. Cov no yog cov kab mob vaginosis thiab candidiasis (thrush).
Hauv thawj kis, qhov hnov ntxhiab tsw tsw thiab xim daj ntawm qhov tso tawm yuav dhau los ua cim ntawm tus kab mob. Tsis ntev ua ntej kev coj khaub ncaws, qhov tso zis ntau dua. Tus neeg mob hnov qhov kub hnyiab tas li, khaus khaus hauv qhov chaw mos. Thaum lub sijhawm mob hnyav, kev sib deev tsis tuaj yeem ua tsis tau, vim tias kev nkag mus ntawm tus txiv neej hauv qhov chaw mos tuaj yeem ua rau tus poj niam mob hnyav.
Thrush, uas ntau tus xav tias tsis muaj mob, tuaj yeem ua rau kev puas tsuaj ntawm cov mucous ntawm qhov chaw mos. Cov txheej txheem o hauv qhov chaw mos yog tshwm sim hauv kev noj qab haus huv. Nws yog tsis yooj yim sua kom confuse candidiasis nrog rau lwm cov poj niam cov teeb meem. Lub ntsiab feature ntawm thrush yog ntau dawb paug ua ntej ua poj niam, uas zoo li ib tug curd loj thiab tsw qaub. Qhov no yog vim muaj cov lactic acid nyob rau hauv qhov chaw mos, uas yog tsim thaum lub sij hawm lub neej ntawm fungus ntawm genus Candida, lub causative tus neeg saib xyuas ntawm candidiasis. Kev khaus khaus, khaus hnyav thiab kub hnyiab yog cov tsos mob tseem ceeb ntawm cov kab mob thrush.
kab mob sib deev
Yog tus poj niam tsis muaj kev sib deev tsis tu ncua, lossis tau muaj kev sib deev tsis muaj kev tiv thaiv yav dhau los, tus kws kho mob yuav xav tias muaj kev sib deev. Cov kab mob no kis tau los ntawm kev sib deev thiab los ntawm cov ntshav:
- Yureaplasmosis;
- kab mob papillomavirus;
- kab mob herpes;
- gonorrhea;
- chlamydia;
- Yurogenital trichomoniasis;
- kab mob cytomegalovirus;
- syphilis.
- HIV;
- YVenereal lymphogranulomatosis.
Ua ntej ua poj niam cev xeeb tub, qhov tso tawm zuj zus ntxiv thiab tsis tso tseg tom qab kev coj khaub ncaws. Yog tias muaj kev hloov pauv hauv lub xeev kev noj qab haus huv lossis qhov xwm txheej ntawm qhov chaw mos (lawv tuaj yeem ua huab, frothy, grey, daj lossis ntsuab, tsw tsw phem), koj yuav tsum tau mus kuaj thiab kho cov chav kawm.
Lwm yam kab mob ntawm poj niam cev xeeb tub
Yog tias cov paug dawb ua ntej ua poj niam cev xeeb tub poob xim, ua pob tshab, zoo li cov hnoos qeev, ces feem ntau tus poj niam muaj qhov ncauj qhov ntswg. Kev puas tsuaj rau cov mucous daim nyias nyias thiab cov qog nyob rau hauv nws ua rau muaj kev nce nyob rau hauv lub ntim ntawm dawb ua ntej coj khaub ncaws. Feem ntau lawv tig xim av, uas yog tshwm sim los ntawm los ntshav erosions.
Endometriosis yog lwm qhov laj thawj rau kev hloov pauv ntawm qhov chaw mos tso zis. Nrog rau tus kab mob no, lub mucous daim nyias nyias ntawm lub uterine kab noj hniav, lub endometrium, loj hlob txawv txav. Nws cov qauv raug cuam tshuam, cov hlab ntsha puas tsuaj, yog li tus poj niam tuaj yeem soj ntsuam cov ntshav impurities hauv nws cov secretions. Kev kho mob ntawm endometriosis feem ntau yog phais.
Kev tsim kho zoo hauv tsev menyuam (hlwb, polyps, fibroids, fibroids) tuaj yeem ua rau cov tsos mob ntawm atypical paug. Ua ntej kev coj khaub ncawsendometrium yuav xoob, swells, vim hais tias ntawm cov qog yuav puas. Qhov no ua rau pom pom hauv cov xim dawb - lawv dhau los ua paj yeeb lossis liab, nyob ntawm seb qhov kev puas tsuaj rau cov hlab ntsha.
Koj tuaj yeem paub txog kev mob qog noj ntshav hauv tsev menyuam, uas tsis tshwj xeeb tshaj yog tshwm sim hauv thawj theem, los ntawm kev hloov pauv qhov chaw mos. Cov qog nqaij hlav qog nqaij hlav hauv cov poj niam tsim latently, tab sis tseem, qhov hnoos qeev ntawm qhov tso tawm thiab muaj cov ntshav hauv lawv tuaj yeem ua lub tswb ceeb toom.
Gynecologists thiab oncologists qhia koj mus ntsib kws kho mob yog tias muaj kev hloov pauv tshwm sim ntawm tus poj niam secretions. Qhov kuaj pom tus kab mob sai dua, qhov muaj feem ntau dua rau tus neeg mob kom kov yeej nws yam tsis muaj teeb meem.
