Cervical dysplasia CIN 1: ua rau, kho thiab tshuaj xyuas

Cov txheej txheem:

Cervical dysplasia CIN 1: ua rau, kho thiab tshuaj xyuas
Cervical dysplasia CIN 1: ua rau, kho thiab tshuaj xyuas

Video: Cervical dysplasia CIN 1: ua rau, kho thiab tshuaj xyuas

Video: Cervical dysplasia CIN 1: ua rau, kho thiab tshuaj xyuas
Video: Saib Mis paub Poj niam (hluas nkauj) tus yam ntxwv lub siab 2024, Lub Xya hli ntuj
Anonim

Kev kuaj mob ntawm lub ncauj tsev menyuam CIN 1 lsil (dysplasia) yog cov kws kho mob suav tias yog ib qho mob ua ntej cov qog nqaij hlav. Nws yog tus yam ntxwv los ntawm atypical transformations ntawm epithelial hlwb uas tsim nyob rau hauv qhov chaw mos ntawm lub ncauj tsev menyuam. Cov ntaub ntawv pov thawj qhia tias cov menyuam ntxhais hnub nyoog qis dua (25-35 xyoos) tau kis tus kabmob. Tus kab mob papilloma yog suav tias yog tus neeg sawv cev ntawm tus kab mob ntau zaus uas ua rau dysplasia. Lwm yam kev pheej hmoo yog:

  • ua txhaum ntawm qhov chaw mos microflora;
  • hormonal imbalance;
  • zais kab mob sib deev;
  • kev hloov pauv ntau zaus ntawm kev sib deev.

Yog hais tias lub ncauj tsev menyuam dysplasia raug kuaj pom thaum ntxov, ces qhov tshwm sim ntawm kev kho tus kab mob no tau txais kev cawmdim. Thaum daim ntawv no siab heev, kev kho phais yog tsim nyog.

cin 1 cervical yuav kho li cas
cin 1 cervical yuav kho li cas

Yog vim li cas

Cervical dysplasia yog ib yam kab mob gynecological uas tshwm sim los ntawm kev txhim kho cov kev hloov pauv hauv cov qauv ntawm cov hlwb noj qab haus huv ntawm cov mucous membranes thiab epithelium ntawm lub tsev menyuam. Cov kev hloov pauv puas cuam tshuam rau ob qho tib si sab sauv thiab tob ntawm cov hlwb.

Kev phom sij ntawm tus kab mob no yognyob rau hauv txoj kev pheej hmoo ntawm kev tsim mob qog noj ntshav. Ntawm cov laj thawj tseem ceeb ntawm lub ncauj tsev menyuam CIN 1, cov kws kho mob tau txheeb xyuas qhov tsis zoo hauv qab no? Pab txhawb rau txoj kev loj hlob ntawm dysplasia:

  • muaj tus kab mob papillomavirus hauv tib neeg hauv lub cev;
  • kev tiv thaiv tsis zoo;
  • tus cwj pwm tsis zoo;
  • kab mob inflammatory ntawm qhov chaw mos;
  • muaj kev hloov pauv hormonal;
  • pib pib ntawm kev sib deev;
  • yuav ua rau muaj teeb meem tom qab yug menyuam;
  • ua rau lub cev kev ncaj ncees ntawm lub cev lossis nws cov mucous membranes;
  • siv tshuaj tiv thaiv kab mob;
  • deev vim rho menyuam;
  • kev hloov pauv;

Nws tseem yuav tsum tau muab sau tseg tias tus kab mob no asymptomatic, yog li ntawd, rau kev kuaj mob raws sij hawm ntawm tus kab mob no, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas txhua xyoo los ntawm kws kho mob.

Diagnosis cin 1 cervical
Diagnosis cin 1 cervical

Symptoms

Qhov pib degenerative tshwm sim ntawm tus kab mob feem ntau yog asymptomatic. Thaum kuaj gynecological niaj hnub, uterine dysplasia tsis tuaj yeem kuaj pom.

Kev mob hnyav ntawm cov tsos mob ntawm tus kab mob tshwm sim vim kev loj hlob ntawm cov kab mob loj heev hauv cov hlwb ntawm lub tsev menyuam epithelium thiab kis tau tus mob. Cov tsos mob ntawm kev hloov pauv hauv lub ncauj tsev menyuam yog yam ntxwv los ntawm qhov muaj cov tsos mob hauv qab no ntawm pathology:

  • mob ib ce mob hauv plab plab;
  • pom cov paug dawbnrog pungent thiab tsis kaj siab tsw;
  • muaj qhov mob tsis zoo thaum muaj kev sib raug zoo nrog tus khub;
  • pom qhov kub hnyiab thiab khaus khaus ntawm qhov chaw mos ntawm poj niam;
  • muaj ntshav txhaws tom qab kev sib raug zoo;
  • tshwm sim ntawm kev hloov pauv ntawm cov kab mob hauv lub cev;
  • ua rau vaginitis;
  • muaj papillomavirus tsim ntawm qhov chaw mos;
  • pom cov cim qhia ntawm koilocytosis lossis dyskeratosis.

Yog tias ib qho ntawm cov tsos mob saum toj no ntawm qib ncauj tsev menyuam CIN 1, 2 tshwm sim, koj yuav tsum nrhiav kev pab tam sim los ntawm tus kws kho mob tshwj xeeb hauv kev kuaj mob hauv tsev kho mob sib sib zog nqus, txij li kev kho tau zoo thiab cuam tshuam rau tus kab mob. Nws yog ua tau tsuas yog nyob rau hauv thaum ntxov theem ntawm kev loj hlob ntawm pathology.

cin 1 kev kho mob ntawm ncauj tsev menyuam
cin 1 kev kho mob ntawm ncauj tsev menyuam

Diagnosis

Vim CIN 1 lub ncauj tsev menyuam dysplasia hloov mus ua mob qog noj ntshav hauv ntau lub sijhawm, kev kuaj mob ntxov yog suav tias yog qhov tseem ceeb tshaj plaws hauv kev tiv thaiv cov teeb meem. Txhua tus ntxhais uas muaj hnub nyoog nees nkaum ib tus uas muaj kev sib deev yuav tsum mus ntsib kws kho mob hauv tsev kho mob ib xyoos ib zaug rau kev kuaj thiab kuaj cytological txhua 3 xyoos.

Cov txheej txheem nrov yog siv los kuaj tus kab mob:

  • tshuaj ntsuam;
  • kev tshuaj ntsuam cytological ntawm smear (los ntawm Papanicolaou lossis smear-test);
  • colposcopy;
  • tissue sampling (targeted biopsy).

Thaum saib hauv daim iav, thaj chaw ntawm dysplasia tshwm raws li thaj chaw ntawm cov duab txawv txav(plaques) dawb. Thaum lub sij hawm Schiller xeem (staining ntawm lub epithelium los ntawm Lugol), staining tsis sib xws. Cov cheeb tsam ntawm dysplasia tseem pom tseeb dua li cov ntaub so ntswg noj qab haus huv.

Kev tshawb fawb Cytological muaj peev xwm tsim tau tus kab mob nrog qhov tseeb ntawm 60-90%. Qhov rhiab heev ntawm txoj kev nce nrog qhov siab tshaj plaws ntawm dysplasia.

Colposcopy yog ib qho cuab yeej siv tshuaj ntsuam xyuas qhov chaw mos ntawm lub ncauj tsev menyuam nrog lub ntsuas tshwj xeeb - colposcope. Ntawm kev kuaj xyuas, muab cov hlab ntsha tsis raug tso rau hauv thaj tsam ntawm dysplasia, mosaicism, thiab xim daj ntawm cov hloov kho epithelium yuav pom tau. Thaum lub ncauj tsev menyuam raug kho nrog acetic acid, cov chaw hloov kho yuav tig dawb.

cervix cin 1 tshuaj xyuas
cervix cin 1 tshuaj xyuas

Nws yuav tsum tau nco ntsoov tias tsis muaj ib txoj hauv kev uas tau hais tuaj yeem sib txawv ntawm qhov mob qog noj ntshav. Qhov no tsuas yog ua tau nrog kev pab los ntawm kev tshawb fawb histological ntawm ib daim ntawm epithelium. Txoj kev ua no yog hu ua lub hom phiaj biopsy nrog curettage ntawm lub ncauj tsev menyuam kwj dej. Cov ntaub so ntswg tau txais los ntawm kev ua haujlwm tau raug kuaj xyuas kom meej. Txoj kev no yog 100% tseeb.

cervical dysplasia cin 1
cervical dysplasia cin 1

Yuav ua li cas kho lub ncauj tsev menyuam CIN 1?

Kev kho tshuaj rau ncauj tsev menyuam dysplasia yuav tsum ua kom tiav thiab suav nrog kev siv tshuaj. Ua ke nrog kws tshuaj, koj tuaj yeem siv cov tshuaj pej xeem, tab sis tsuas yog tom qab sab laj nrog tus kws kho mob tshwj xeeb. Lawv qhov kev nqis tes ua yog qhia rau cov hauv qab no.

Kev tshem tawm cov txheej txheem inflammatory

Txhawm rau tiv thaiv cov teeb meem inflammatory, tshuaj tiv thaiv kab mob raws li ibuprofen (Ibuklin, Nurofen) yog siv. Tsis tas li ntawd, nyob rau hauv muaj cov kab mob sib kis hauv zos, cov tshuaj tua kab mob yuav raug sau tseg:

  • "Doxycycline", uas muaj cov nyhuv bacteriostatic;
  • "Metronidazole" - tshuaj tua kab mob;
  • Terzhinan yog cov tshuaj tua kab mob nyuaj nrog tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob;
  • Ceftriaxone yog ib qho tshuaj tua kab mob.

Txhim kho lub cev tiv thaiv kab mob tag nrho

txhawm rau txhawm rau tiv thaiv kab mob thiab nquag tua cov kab mob thiab cov kab mob microbes, siv cov tshuaj immunostimulants thiab interferons, uas suav nrog cov tshuaj xws li:

  • "Isoprinosine" - tshuaj tua kab mob nrog cov tshuaj tiv thaiv kab mob;
  • "Reaferon", "Viferon", "Immunal" - txhawb kev tsim cov interferons thiab muaj cov nyhuv antitumor;
  • "Genferon-suppository", qhov kev txiav txim ntawm uas yog tsom rau kev ntxiv dag zog rau hauv zos tiv thaiv;
  • Prodigiosan yog ib qho tshuaj tiv thaiv kab mob uas muaj txiaj ntsig zoo.
cin 1 degree ntawm lub ncauj tsev menyuam
cin 1 degree ntawm lub ncauj tsev menyuam

YRestoration ntawm microflora ntawm mucous daim nyias nyias

Txhawm rau normalize microbiocenosis ntawm qhov chaw mos thiab rhuav tshem cov kab mob kab mob hauv lub ncauj tsev menyuam dysplasia ntawm qib CIN 1, 2, Malavit yog siv, nrog rau qhov chaw mos suppositories:

  • "Hexicon" - tus neeg sawv cev uas muaj cov tshuaj tua kab mob hauv cov txheej txheem sib kis thiab mob;
  • "Betadine" - tshuaj tua kab mob nrog tshuaj tua kab mob;
  • "Acilact" - muaj cov tshuaj tua kab mob ntawm cov kab mob pathogenic;
  • "Laktonorm", "Ginolact" - txo qis qib ntawm cov kab mob dysbiotic;
  • "Livarol" yog tshuaj tua kab mob nrog cov tshuaj tua kab mob, tshem tawm qhov tsis xis nyob thiab cov tsos mob tsis zoo.

Txhawm rau kho cov tshuaj hormonal thiab nce cov tshuaj estrogen, cov tshuaj lom "Indinol Forte" thiab "Indole-3-carbinol" raug sau tseg.

Vitamin complex

Txhawm rau tshem tawm cov co toxins thiab ua kom muaj zog tiv thaiv kab mob, cov vitamins ntawm pawg A, E, vitamins B1, B2 thiab B12, selenium, nrog rau folic thiab ascorbic acids tau sau tseg, uas yog cov ntsiab lus tseem ceeb rau kev ceev ceev. Restoration ntawm ncauj tsev menyuam epithelium cov ntaub so ntswg.

cin 12 degrees ntawm lub ncauj tsev menyuam
cin 12 degrees ntawm lub ncauj tsev menyuam

kev kho neeg zoo

Cov tshuaj niaj hnub muab nws txoj hauv kev zoo los daws cov mob dysplasia. Kev siv cov tshuaj homeopathic kom zoo ua ke nrog kev noj qab haus huv ntawm lub neej thiab kev siv cov tshuaj classical ua rau nws muaj peev xwm ua kom muaj feem yuav kho tsis tau phais. Yog hais tias nyob rau hauv cov txheej txheem ntawm kev kuaj mob nyuaj pom muaj tus kab mob sib kis nyob rau hauv ib tug ntxhais, nws yuav tsis muaj peev xwm kov yeej nws tsuas yog nrog homeopathy, kev saib xyuas kev kho mob nrog cov tshuaj ntawm cov khoom siv dag zog yuav xav tau. Kev txiav txim siab pib kho mob ncauj tsev menyuam dysplasia nrog cov tshuaj pej xeem yuav tsum tsuas yog ua tom qab sab laj nrog kws kho mob.

ibIb txoj hauv kev zoo tshaj plaws los kho lub ncauj tsev menyuam CIN 1 yog kev siv lub qhov paum ntawm qhov chaw mos soaked hauv kua txiv aloe. Txhawm rau kom nws muaj txiaj ntsig zoo tshaj plaws, nws yog ib qho tsim nyog xaiv cov nroj tsuag uas nws muaj hnub nyoog tshaj 5 xyoos. Nws yog ib qho tsim nyog yuav tau irrigate lub sij hawm kawg ntawm aloe 10 hnub ua ntej txiav cov nplooj. Hauv qhov no, cov kua txiv hmab txiv ntoo yuav muaj qhov xav tau viscosity. Txhawm rau tshem tawm cov kua txiv hmab txiv ntoo, nws yog qhov yuav tsum tau txiav cov nplooj, ntxuav kom huv si, tshem tawm cov tev, thiab tsuas yog tom qab ntawd crush thiab nyem cov kua txiv hmab txiv ntoo. Lub resulting kua txiv yog impregnated nrog ib tug tampon thiab txhaj kom huv si rau hauv qhov chaw mos. Kev kho mob yog 30 hnub, tampon yuav tsum tau hloov ob zaug ib hnub.

Kev kho kab mob nrog celandine nyom

Celandine yog ib qho ntawm cov nroj tsuag uas nws kho tau zoo tau raug pov thawj los ntawm ntau xyoo ntawm kev paub txog kev siv. Nws muaj ntau tshaj 30 alkaloids. Hais txog kev kho kom zoo, chelidonin nws tus kheej yog qhov tseem ceeb tshaj plaws. Nws muaj cov nyhuv zoo ib yam li papaverine thiab morphine. Nws yuav tsum raug coj mus rau hauv tus account tias cov kua txiv tshuaj tsuas yog tau los ntawm lub dav hlau ntawm celandine.

Thaum kho lub ncauj tsev menyuam CIN 1, koj tuaj yeem ua tampons nrog decoction ntawm celandine lossis ntxuav koj tus kheej nrog nws. Nws tsis yog siv sab hauv. Yuav kom ua tau ib tug decoction, koj yuav tsum tau ib tug tablespoon ntawm qhuav nyom thiab 200 milliliters ntawm boiling dej. Cov nroj tsuag yog nchuav nrog dej thiab infused rau ib feeb.

Tampons tuaj yeem tsau hauv cov roj celandine. Ua kom nws, 2 tablespoons qhuav tshuaj ntsuab yog poured nrog kub sunflower roj thiab infused. Tampons yog impregnated nrog lub resulting sib xws thiab muab tso rau hauv qhov chaw mos rauhmo ntuj pw tsaug zog. Kev kho yuav tsum tau ua hauv 14 hnub.

Decoction ntawm celandine yog tsim rau douching nrog cervical dysplasia. Yuav kom ua tau ib qho kev kho mob, qhuav raw cov ntaub ntawv los yog greenery ntawm cov nroj tsuag yuav tsum tau txiav tawm thaum lub sij hawm flowering lub sij hawm. Cov nplooj yog ntxuav, crushed thiab muab tso rau hauv ib liter hub, sau nws mus rau nruab nrab. Tom qab ntawd lub thawv ntim nrog dej kub, npog nrog lub hau thiab sab laug kom txias. Tom qab lub sijhawm teev tseg, cov infusion yog lim thiab siv rau douching. Thaum lub sijhawm ua haujlwm kho mob, nws yog ib qho tsim nyog yuav tsum siv tag nrho cov ntim ntawm infusion. Cov kev kho mob yuav kav ntev li 2 lub lis piam. Nws yog tsim nyog los douche ob zaug ib hnub twg. Txoj kev no tuaj yeem siv los tshem tawm cov tsos mob ntawm qhov mob ntawm tus kab mob colpitis, candidiasis thiab adnexitis.

Cov txiaj ntsig ntawm kev siv cov decoction thiab infusion ntawm celandine yog txo cov mob, tshem tawm cov kab mob thiab ua kom khaus khaus. Tab sis ua ntej pib kho, koj yuav tsum nug tus kws kho mob txog cov txiaj ntsig ntawm kev siv cov tshuaj pej xeem no.

Nws yog txwv tsis pub ntxuav thaum lub sijhawm mob hnyav ntawm cov txheej txheem inflammatory, thiab tsawg dua xya hnub tom qab nchuav menyuam lossis rho menyuam. Qhov sib txawv me me tom qab yug me nyuam thiab yug me nyuam yog suav tias yog contraindications rau cov txheej txheem.

Upland uterus with dysplasia

Upland uterus lossis, raws li nws tseem hu ua, - ib sab ortilia, muaj cov haujlwm hauv qab no:

  • painkillers;
  • tshuaj tua kab mob;
  • tshuaj tiv thaiv kab mob;
  • absorbable.

Nyob zoo li noKev nyab xeeb siv los kho ntau tus poj niam cov kab mob: endometriosis, infertility, adnexitis, erosive processes, adhesions, fibroids.

Yuav ua li cas thiaj ua tau ib lub ncuav qab zib, koj yuav tsum tau ncuav ib tablespoon ntawm kev npaj nrog ib khob dej npau npau, cia rau 5 feeb thiab cia nws brew rau 2 feeb.

Qhov ncauj siv tincture npaj nrog cawv. Ua kom nws, koj yuav tsum noj ib diav ntawm nyom thiab ib puas grams ntawm vodka. Rau cov chav kawm, koj yuav tsum muab qhov no los ntawm tsib. Ncuav thiab muab tso rau hauv qhov chaw tsaus rau xya hnub. Tom qab ntawd, lub tincture yog lim. Noj ib teaspoon ib nrab ib teev ua ntej noj mov peb zaug ib hnub twg. Dilute lub tincture nrog ib quarter khob dej.

Lub sijhawm kho nrog cov tshuaj ntsuab zoo li no yog 21 hnub, tom qab ntawd nws yuav tsum tau ncua 7 hnub (lub sijhawm ntawm kev coj khaub ncaws tom ntej). Kev kho mob kav ntev txog ib xyoos. Nws tsis tuaj yeem siv cov tshuaj cog qoob loo thaum lub sijhawm 2nd thiab 3rd peb lub hlis twg ntawm cev xeeb tub, nrog rau thaum noj cov tshuaj hormones.

Kev kho mob los ntawm pej xeem txoj hauv kev tsis zam kev ua haujlwm tsis zoo, tag nrho cov txheej txheem yuav tsum muaj nyob rau hauv kev saib xyuas kev kho mob tas li. Nws yuav tsum tsis txhob raug saib xyuas tias cov nroj tsuag feem ntau txaus ntshai raws li cov tshuaj tau los ntawm cov tshuaj, tshwj xeeb tshaj yog thaum noj tshuaj tsis raug.

Kev Tiv Thaiv

Txhawm rau tiv thaiv qhov tshwm sim ntawm cov kab mob hauv cov lus nug, nws yuav tsum ua raws li cov lus qhia ntawm gynecologists:

  • yuav tsum siv cov tshuaj tiv thaiv kab mob thaum muaj kev tsis sib haum xeebsib;
  • kev tshem tawm ntawm nicotine;
  • kev tshuaj xyuas raws sijhawm thiab kho cov kab mob inflammatory thiab kis kab mob ntawm kev ua me nyuam;
  • ua kom muaj txiaj ntsig ntawm cov ntawv qhia zaub mov nrog cov khoom lag luam nrog kev nkag loj ntawm kab thiab cov vitamins;
  • mus ntsib gynecologist tsis tu ncua.

Kev kho mob ntawm ncauj tsev menyuam CIN 1 tshuaj xyuas yog qhov zoo. Nrog rau kev siv tag nrho cov kev kho mob saum toj no, koj tuaj yeem tshem tawm sai sai. Txwv tsis pub, nws yuav loj hlob mus rau hauv daim ntawv loj.

Pom zoo: