Okuqukethwe
- Izindlela ze-cauterization zokuguguleka komlomo wesibeletho
- Ukushiswa kwenziwa kanjani?
- Contraindications for cauterization
- Yiziphi izivivinyo okufanele zithathwe ngaphambi kwe-cauterization yokuguguleka?
- Imiphumela ye-cauterization yokuguguleka komlomo wesibeletho
- Imibuzo nezimpendulo ezidumile:
- Okufanele ukwenze ngemuva kwe-cauterization yokuguguleka komlomo wesibeletho? Izincomo
I-Cauterization yokuguguleka komlomo wesibeletho - leli yigama elijwayelekile leqembu lamasu okwelapha, inhloso yawo ukuthonya ukuguguleka kwe-pseudo nokuqeda ngokuphelele. Ngenxa yokuthi lesi sifo sisabalele futhi sithinta cishe ingxenye yesithathu yabo bonke abesifazane emhlabeni, izindlela ze-cauterization zihlale zithuthukiswa futhi zandiswa. Kuyizindlela ezibhubhisayo zokuthonya ukuguguleka okusebenzayo kakhulu ngokwendlela yokwelashwa kwayo.
Iningi labesifazane lisebenzisa igama elithi “cauterization”, elisho ukwakheka kokushisa nokushisa okuqondile ku-epithelium. Nokho, lokhu kusetshenziswa kwegama akulungile ngokuphelele. Isibonelo, uma indawo eyonakele itholakala ku-nitrogen, khona-ke lokhu akuyona into engaphezu kweqhwa, futhi uma ukuguguleka kuqedwa nge-laser, khona-ke amangqamuzana ayo avele ahwamuke. Nokho, zonke lezi zindlela ekuphileni kwansuku zonke zibizwa ngokuthi cauterization.
Ngaphezu kwalokho, ukuguguleka kwe-pseudo kuphela okwenziwa yi-cauterized - kodwa akulona iqiniso futhi akuyona into ezalwa. I-Pseudo-rosion yenziwa ngenxa yokwephulwa kwezinqubo zokuphulukisa zokuguguleka kweqiniso, lapho ingxenye ethile ye-stratified squamous epithelium ithathelwa indawo yi-cylindrical "eyashiya" umsele womlomo wesibeletho. Ngenxa yalokho, kwakheka isiza esihluke kokubili ngesakhiwo nangokubukeka. Yile ndawo ye-ectopia okufanele ibhujiswe.
Izindlela ze-cauterization zokuguguleka komlomo wesibeletho
I-gynecology yesimanje yomtholampilo ineqoqo lezindlela zokuqedwa ngokomzimba kwenqubo ye-pathological.
Phakathi kwabo kukhona:
I-Diathermocoagulation – indlela yokwelapha nge-current. Enye yezindlela eziyisidala futhi ezihlukumeza kakhulu zokuqeda ukuguguleka.
I-Cryodestruction – indlela yokuqeda ukuguguleka komhlabathi ngosizo lwenitrogen. Lena indlela emnene kakhudlwana yokususa ukuguguleka ngokuqandisa amangqamuzana e-pathological kanye nokubhujiswa kwawo okwalandela.
Ukuphefumula kwe-Laser - indlela yokuqeda i-pathology usebenzisa i-laser. Indlela engenabuhlungu futhi ephumelelayo yokususa ukuguguleka, kuyilapho inekghono eliphezulu.
I-Radio wave coagulation – indlela yokuvimbela ukuguguleka komhlabathi kusetshenziswa amaza omsakazo. Enye yezindlela ezithembisayo neziqhubekayo zokuphulukisa izindawo ezilimele.
Indlela ye-Argon plasma ablation - ukuqedwa kokuguguleka komhlabathi kusetshenziswa i-argon. Yenziwa ngokusebenzisa amadivaysi akhethekile lapho i-argon i-ionized yi-high-frequency currents futhi i-plasma beam ithinta ngokunembile indawo egugulekile.
I-Electroconization, esetshenziselwa ukwelapha i-dysplasia enzima, ikuvumela ukuba ulahle amangqamuzana a-atypical ngisho nezingqimba ezijulile ze-epithelial.
I-Ultrasound. Ukuqeda isiguli ekugugulekeni usebenzisa i-ultrasound.
Ukukhishwa kwamakhemikhali noma izidakamizwa. Ngokuvamile, i-Solkovagin isetshenziselwa le njongo, okubangela izicubu ze-necrosis, ukwakheka koqweqwe, okulandelwa ukushintshwa kwayo ngongqimba lwe-epithelium entsha.
Ukukhethwa kwendlela eyodwa noma enye yokwelashwa kuzoxhomeka esimweni sowesifazane, iminyaka yakhe, ukuba khona kwezifo ezihambisanayo, njll.
I-Cauterization yokuguguleka komlomo wesibeletho nge-laser
Ukuze ukwelashwa kwendawo eyonakele nge-laser kube nomphumela omuhle, ukuhlolwa kokuqala okuphelele kuyadingeka. Ngempela, esimweni esisodwa, ukuchayeka okuphansi kuzosebenza kahle, ngakolunye, ngokuphambene nalokho, ukuqina okukhulu, kanti okwesithathu - i-carbon dioxide. Mayelana nalokhu, indawo yendawo ethintekile kanye nesikhathi sokuba khona kokuguguleka kubalulekile. I-pathology "endala" futhi ikhudlwana, umthelela uzoba mkhulu kakhulu. Ngaphezu kwalokho, owesifazane akufanele ahlupheke ngesifo esithathelwanayo sendawo yangasese. Uma kunjalo, ukwelashwa kwangaphambili kuyadingeka.
Kwezokwelapha, umqondo we-cauterization yomlomo wesibeletho nge-laser awukho, odokotela babiza le nqubo ngokuthi "i-laser vaporization". Kwenziwa endaweni yokulaliswa esibhedlela, akudingi i-anesthesia, ngisho nendawo. Ingqikithi yenqubo ingokulandelayo: udokotela uchaza imingcele okufanele icutshungulwe (i-laser isetshenziselwa lokhu, yenza njengepensela), bese kuqala ukuhwamuka okuhlelekile. Ukuhwamuka kwamangqamuzana e-atypical kuqala emseleni womlomo wesibeletho, futhi kuphele emngceleni odwetshwe ngaphambili (ngenhloso yenethi yokuphepha, indawo enempilo ithathwa ngaphakathi kuka-2 mm). Yonke inqubo ayithathi ngaphezu kwemizuzu engu-7.
Izinzuzo. Inzuzo yalokhu kwelashwa ukuthi ayikho ingozi yokopha: izitsha zibopha ngokushesha.
Ama-nuances. Owesifazane kufanele azi ukuthi ukuguguleka okukhulu akukwazi ukuphulukiswa ngesikhathi, kuze kufike ku-2-3 izinqubo zingadingeka, isikhathi phakathi okufanele sibe okungenani inyanga.
Ngemuva kwe-cauterization. Ngemuva kokwenziwa kokwelashwa kwe-laser, owesifazane angase azizwe ekhishwa kancane isikhathi esithile. Zingabonwa isikhathi esingaphezu kwamaviki ama-3. Ukubuyiselwa okuphelele kolwelwesi lwamafinyila lomlomo wesibeletho kwenzeka ngemva kwezinyanga eziyi-1,5. Le ndlela ifaneleka ngisho nakwabesifazane abangenalutho. Phakathi kokuphikisana okuyinhloko: isikhathi emva kokubeletha, ukukhulelwa, ukuvuvukala kwesitho sangasese sowesifazane, isibeletho noma ama-appendages, kanye nama-neoplasms ayingozi.
Ukwelashwa kwamagagasi omsakazo wokuguguleka komlomo wesibeletho
Odokotela ababhekene nenkinga yokuqeda inqubo yokuguguleka bathi yile ndlela yokwelapha ephumelela kakhulu futhi ephephile uma iqhathaniswa nezinye izindlela. Le nqubo ayithinteki, ayibuhlungu kakhulu futhi ayinabuhlungu, ayikubangeli ukopha, futhi izinkinga ezingase zibe khona ziyancishiswa. Kodwa-ke, ngenxa yokuthi le ndlela yintsha impela, ayisetshenziswa kabanzi.
Ngaphambi kokwenza inqubo, kubalulekile ukwenza ukuhlolwa kwe-histological, ukudlulisa i-smear ku-microflora, ukuze kutholakale izifo ze-venereal.
Yenza ukwelashwa ngamaza omsakazo engxenyeni yokuqala yomjikelezo wokuya esikhathini (isikhathi esifanele sisuka ezinsukwini ezi-5 kuye kweziyi-10, ngemuva kokuqala kokuya esikhathini). Lokhu kungenxa yokuthi izingozi zezinkinga ziyancishiswa, futhi izicubu ngokwazo zilulama ngokushesha.
Ingqikithi yenqubo ukuthi amaza omsakazo andisa izinga lokushisa kwezicubu ezilashwayo ngokwenza okushisayo oketshezini olungaphakathi kwamaseli. Iyashisa futhi ihwamuke, futhi izitsha eziseduze ziyajiya. Ukuchayeka okuqondile kwenziwa kusetshenziswa i-electrode, ekhipha amagagasi. Idivayisi ngokwayo ayihlangani nobuso bomlomo wesibeletho. Ngokuvamile, i-Surgitron apparatus isetshenziselwa ukwenza inqubo. Ngenxa yomphumela omnene onjalo, ngemva kokucubungula, akukho uqweqwe olwakhiwe, kodwa kwakhiwa ifilimu encane.
I-anesthesia, njengomthetho, ayisetshenziswanga, ngoba izinzwa owesifazane abhekana nazo zifaniswa nezinhlungu zokudonsa kancane ngesikhathi sokuya esikhathini. Kodwa uma umkhawulo wokuzwela kwakhe ebuhlungu uphakeme kakhulu, ngakho-ke kuhle ukusebenzisa i-anesthesia yendawo. Ngokuhambisanayo, ukunamathela okukhona noma okunye ukukhubazeka emlonyeni wesibeletho kanye nomsele womlomo wesibeletho kungaqedwa.
Inqubo yokutakula ngokuvamile ayidluli inyanga eyodwa. Owesifazane angase aphazamiseke ngokukhishwa okuncane, okunyamalala ngokuphelele ngemva kwezinsuku ezingu-10.
Iseshini eyodwa yanele ukwelapha okuphelele. I-Radio wave coagulation ifanele bonke abesifazane, kuhlanganise nalabo abahlela ukukhulelwa esikhathini esizayo esiseduze. Ungakwenza lokhu kakade ngemva kwenyanga, ngemva kokuvakasha okuhleliwe ku-gynecologist.
Ezincomo ngemuva kwenqubo: ukuhoxiswa kokuphila okuseduze amasonto angu-4, ukulinganiselwa kokuzivivinya umzimba, ukuvinjelwa kokubhukuda emanzini avulekile, amachibi kanye nokugeza. Okuwukuphela komphumela wale ndlela eqhubekayo nephephile yokususa ukuguguleka yizindleko eziphezulu zenqubo, kanye nokuntuleka kwezinsizakusebenza kanye nochwepheshe emitholampilo kamasipala.
I-Cauterization yokuguguleka komlomo wesibeletho ngokwamanje
Indlela eyisidala kakhulu yokuqeda ukuguguleka iwukuba i-cauterize nge-current. Emithi, le ndlela yesenzo sokwelapha ibizwa ngokuthi "diathermocoagulation". Ezinhlelweni ezingenakuphikwa, umuntu angakwazi ukugqamisa ukutholakala kwayo yonke indawo kanye nokusebenza kahle okuphezulu. Yingakho ingakashiywa ngokuphelele.
Ngaphambi kokwenza ukwelashwa kwamanje, kuyadingeka ukuhlanza isitho sangasese sowesifazane futhi kuqedwe noma iyiphi inqubo ethathelwanayo neyokuvuvukala.
Ingqikithi yendlela iwukuthi i-electrode, ekhipha okuphumayo kwamanje, ithinta indawo ethintekile ngamaphuzu kuze kube yilapho konke ukuguguleka kumbozwe utwayi. Ngenxa yalokho, kwakheka isilonda kule ndawo, esiphuma igazi, kodwa simbozwe ngoqweqwe oluvela phezulu. Ezinyangeni ezimbili kamuva, i-epithelializes. Utwayi ngokwalo luyaphela cishe ezinsukwini eziyi-10-12. Njengoba kungekho coagulation esheshayo yemikhumbi ngesikhathi senqubo, owesifazane ubona ukopha ngesikhathi sokululama.
Ukwengeza, i-drawback engathi sína yale ndlela ukwakheka kwesibazi esimahhadlahhadla esivela kuzicubu ezixhumeneyo. Lokhu kungase kuphazamise nakakhulu inkambo yokubeletha. Yingakho le ndlela ye-cauterization inganconywa kumantombazane angama-nulliparous.
I-Cauterization yokuguguleka komlomo wesibeletho nge-nitrogen
Le ndlela isekelwe ekwelapheni okubandayo. Izicubu ezilimele zichayeka kunitrogen ewuketshezi eguquliwe kusetshenziswa i-cryoprobe. Inqubo iyodwa, ngokuvamile ayithathi ngaphezu kwemizuzu emi-5. Amangqamuzana e-pathological acwebezela bese efa. Ngemva kwesilinganiso sezinyanga ezingu-2-3, zithathelwa indawo ezinempilo. Isikhathi esifanele senqubo sisuka ku-7 kuya kosuku lwe-10 lomjikelezo wokuya esikhathini.
Ukuphikisana kuhlanganisa indawo enkulu yokuguguleka - ngaphezu kuka-3 cm, ukulimala komlomo wesibeletho, ama-fibroids, noma yiziphi izinqubo ezithathelwanayo nezivuvukalayo ezithweni zangasese, kanye nokukhulelwa kanye nezimila.
Inqubo ayinabuhlungu, kodwa ngesicelo sesiguli, anganikezwa i-anesthesia yendawo, njengoba kukhona ukuzwa okuncane okuvuthayo noma ukugubha kancane. Le ndlela isetshenziswa kwabesifazane abangenalutho. Phakathi kwezinye izinzuzo - ijubane lokuqhuba ngesisekelo sesiguli, ukungabi khona kwegazi.
Kodwa-ke, le ndlela inobubi obuthile: inqubo yokutakula isikhathi eside, ukubonakala kwezimfihlo zamanzi, ukungakwazi ukucubungula izicubu ezithinteke kakhulu. Ngaphezu kwalokho, kungase kudingeke ukwelashwa okuphindaphindiwe.
Indlela ye-Chemical coagulation
Inqubo iyancipha ekwelapheni kwendawo egugulekile ngemithi. Uma odokotela bangaphambili basebenzisa ikakhulukazi i-Vagotil, manje isithathelwe indawo yikhambi lesimanje nelisebenzayo - i-Solkovagin.
Phakathi nenqubo, udokotela, esebenzisa i-cotton swab, uyomisa indawo eyonakele. Enye i-swab ifakwe kahle nge-ejenti ekhethiwe futhi indawo enokuguguleka iphathwa ngayo. Isikhathi sokucubungula imizuzu emi-3. Umuthi oweqile uyasuswa ngomunye i-swab yekotini eyomile. Ukuze uthole isicelo esinembile, yonke iseshini yenzeka ngaphansi kokulawulwa kwe-colposcopy.
Inqubo ayinabuhlungu ngokuphelele futhi ayidingi ngisho ne-anesthesia yendawo. Le ndlela yokwelapha ifaneleka kowesifazane ongakaze abelethe. Nokho, le ndlela ayisetshenziswa uma ukuguguleka kungaphezu kuka-1 cm ububanzi. Kodwa ngenxa yokuthi izidakamizwa zithambile kakhulu kunezindlela zokwelapha ezingokomzimba, kungase kudingeke izinqubo eziningana ukuze zelashwe ngokuphelele.
Ukushiswa kwenziwa kanjani?
Noma iyiphi inqubo ye-cauterization ihloselwe ukucekela phansi amangqamuzana e-pathological, okufanele kamuva athathelwe indawo yi-epithelium enempilo ene-stratified squamous. Njengoba sekushiwo kakade, igama elithi "cauterization" alilungile ngaso sonke isikhathi. Nokho, nguye obonisa ingqikithi yanoma iyiphi inqubo.
Uma sicabangela noma iyiphi inqubo ngezigaba, khona-ke iqukethe uchungechunge lwezenzo ezilandelanayo:
Owesifazane uthola ukuxilongwa okuphelele ukuze athole noma yikuphi ukuphikisana neseshini ye-cauterization.
Uma kungatholakali, isiguli siza kudokotela, ngokuvamile engxenyeni yokuqala yokuya esikhathini.
Indawo yokwelapha iyalungiswa (imingcele yayo inqunywa, ngezinye izikhathi ubuso bomile).
Ukuguguleka kuthinteka ngendlela eyodwa noma enye, kucekele phansi amangqamuzana awo.
Esikhundleni sendawo ephathwayo, kwakhiwa i-scab noma ifilimu encane.
Phakathi namasonto ambalwa, utwayi luyawa, futhi izicubu ezilimele zithathelwa indawo izicubu ezinempilo.
Kwakhiwa isibazi endaweni eselashiwe. Nokho, imithi yesimanje ivumela lesi sigaba esingemnandi ukuba sigwenywe.
Owesifazane uyalulama.
Contraindications for cauterization
Ukuze wenze inqubo ye-cauterization nganoma iyiphi yezindlela ezingenhla, kufanele uqiniseke ukuthi azikho izinto eziphikisanayo.
Phakathi kwazo kukhona okulandelayo:
Noma yiziphi izinqubo zokuvuvukala zendawo yangasese.
Ukuba khona kwanoma yisiphi isifo esithathelwana ngocansi.
Noma yikuphi ukopha esigabeni esisebenzayo.
Ukuphazamiseka kokujiya kwegazi.
I-neoplasm eyingozi yendawo egugulekile.
Ukukhulelwa, futhi ngezinye izikhathi lactation.
I-lochia eqhubekayo kanye nesikhathi sangemva kokubeletha.
Isifo sikashukela i-mellitus esehlisiwe.
Kufakwe idivayisi ye-intrauterine.
Ukuhlinzwa kwesigaba sokuhlinzwa.
Ukuthwala i-papillomavirus yomuntu.
Izifo ezithile zengqondo, njenge-schizophrenia kanye nokuba sengozini yokubanjwa.
Ukugqoka i-pacemaker (ngezinye izindlela).
Ukwanda kwezifo ezingamahlalakhona.
Ngaphezu kwalokho, ezinye izindlela azisebenzi ngokuguguleka okukhulu.
Yiziphi izivivinyo okufanele zithathwe ngaphambi kwe-cauterization yokuguguleka?
Ngaphambi kokuqala ukwelashwa ngalokhu noma ngaleyo ndlela, owesifazane uzodinga ukuxilongwa okuphelele. Kuhlanganisa ukulethwa kwezivivinyo, phakathi kwazo okulandelayo okuyimpoqo:
Ukuhlolwa kwegazi le-HIV.
Ukuhlolwa kwegazi lomtholampilo.
Amakhemikhali egazi.
Ukuhlaziywa komtholampilo komchamo.
Ukuhlolwa kwegazi kwe-hepatitis.
Ukuhlolwa kwegazi ukuthola izifo ze-urogenital, kuhlanganise ne-HPV. Okuthembeke kakhulu kulokhu ukuhlaziya kwe-PCR.
Ukuthatha i-smear ye-oncocytology (ukuhlolwa kwe-Papanicolaou) kanye ne-flora.
Ukudlula kwe-colposcopy enwetshiwe, futhi uma kukhonjisiwe, i-biopsy.
Uma kungekho ukuphambuka kokujwayelekile okutholakala ngokwemiphumela yalezi zivivinyo, khona-ke owesifazane uzothunyelwa inqubo ye-cauterization. Uma kukhona izifo zocansi noma ezinye izifo ezitholakalayo, ukwelashwa kokuqala kuyadingeka.
Imiphumela ye-cauterization yokuguguleka komlomo wesibeletho
Nakuba imithi iye yahamba ibanga elide mayelana nokwelapha ukuguguleka, nokho, inqubo ekahle ebingeke ibe nemiphumela emzimbeni wowesifazane ayikatholakali. Indlela ngayinye inezinzuzo zayo kanye nokubi. Ngakho-ke, kubaluleke kakhulu ukwenza ukukhetha okufanele mayelana nendlela ye-cauterization, kodwa futhi ukuthola uchwepheshe oqeqeshiwe.
Phakathi kwemiphumela engaba khona ye-cauterization yokuguguleka, izimpawu ezisheshayo nezikude zihlukaniswa.
Okuseduze kakhulu, okungukuthi, lezo ezingase zenzeke emasontweni ayi-8 okuqala ngemva kwenqubo, zihlanganisa:
Ukwanda kokuvuvukala kwe-fallopian tube noma ngesikhathi esifanayo i-fallopian tube nama-ovari. Imvamisa, inqubo inohlangothi olulodwa, nakuba ingathuthuka nhlangothi zombili.
Ukopha ngokulahleka okukhulu kwegazi (le nkinga ayifaki ukukhishwa okuncane okuhlanzekile, okujwayelekile).
Ukuphazamiseka kokuya esikhathini, ikakhulukazi, ukuthuthukiswa kwe-amenorrhea.
Phakathi kweminye imiphumela eyenzeka ezinyangeni ezimbili ngemuva kwe-cauterization, kaningi kuneminye ibonwa:
Isibazi esiphelele noma i-stenosis yomsele womlomo wesibeletho.
Ukulimala kongqimba olungaphansi, le nkinga ithole igama elithi "coagulated neck syndrome" kwezokwelapha.
Ukuvela kabusha kokuguguleka kwenhlabathi endaweni efanayo.
I-Endometriosis, eyenzeka ngokumelene nesizinda sokululama kancane kwengqimba ye-epithelial yomlomo wesibeletho. Uma lokhu kungenzeki ekuqaleni kokuya esikhathini okulandelayo, khona-ke amangqamuzana e-endometrial aphume ngegazi angangena ngesilonda esingapholi futhi enze ukugxila kokuvuvukala.
Uma sicabangela imiphumela enjalo njengezinhlungu ezincane zokudonsa ngaphansi kwesisu nokukhishwa, khona-ke, njengomthetho, azihlukaniswa njengezinkinga. Lokhu kungenxa yokuthi ukwanda kwezimfihlo kanye nemvelo yabo engavamile kuyinqubo yemvelo yemvelo yokubuyisela i-epithelium. Zibhekwa ngezinga elithile ngemva kokudlula noma iyiphi indlela ye-cauterization. Phela, ngisho nokuhlangana kwemithambo yegazi, ngaphansi komgodi owenziwe ngokwenziwa, ukukhiqizwa kwezindlala ezilimele kuyanda, eziqala ukukhiqiza imfihlo ngamanani amakhulu.
Izimfihlo zegazi zivela ngenxa yokuthi imithambo yegazi ilimele endaweni. Futhi, igazi lingakheka lapho utwayi lungasuki ngendlela efanele noma ngokungalungile. Kodwa-ke, izenzakalo ezinjalo kufanele zidlule ngokushesha futhi ngokwazo. Uma kungenjalo, udinga ukubonana nodokotela ukuze uthole usizo. Kuyafaneleka futhi ukwazi ukuthi indlela ye-cauterization enolaka kakhulu, ukukhishwa kuzoba kuningi kakhulu. Lokhu, okokuqala, kuthinta i-diathermocoagulation. Udokotela unesibopho sokuxwayisa isiguli ngalokhu kusengaphambili.
Imibuzo nezimpendulo ezidumile:
Ingabe kubuhlungu ukwenza i-cauterization yokuguguleka komlomo wesibeletho? Kungumbuzo wobuhlungu benqubo evame ukukhathaza owesifazane. Ngokwesaba ubuhlungu obukhulu, iziguli eziningi zibambezela ukuqala kokwelashwa, zilimaza umzimba wazo. Lokhu akufanele kwenziwe, ngoba i-cauterization iyinqubo ecishe ibe buhlungu. Iqiniso liwukuthi umlomo wesibeletho unenombolo enganakwayo yeziphetho zemizwa. Yileli qiniso elichaza iqiniso lokuthi lesi sifo sinesithombe esincane somtholampilo. Ngakho-ke, akufanele wesabe ubuhlungu, ikakhulukazi uma owesifazane ekhethe enye yezindlela zesimanje ze-cauterization. Ngaphezu kwalokho, uma udokotela ebona ukwanda kokukhathazeka noma umuzwa wokwesaba esigulini, angamnikeza i-anesthesia yendawo. Ngokuvamile lokhu kwenzelwa ukuthulisa isiguli, kanye nangesikhathi se-diathermocoagulation, lapho kuba khona ukuthintana okuqondile nendawo eyonakele. Njengomuthi obulala izinzwa, odokotela abaningi babeka kuqala i-lidocaine (umuthi ujovwa noma usetshenziswe njengesifutho).
Kungenzeka yini ukukhulelwa ngemva kwe-cauterization yokuguguleka komlomo wesibeletho? Inqubo ye-rosion cauterization ayisona isithiyo ekukhulelweni okulandelayo. Kungenzeka ukukhulelwa, noma kunjalo, kufanelekile ukulinda izinyanga ezingu-1-2 ngaphambi kokuqala ukuzala umntwana, ngoba kungalesi sikhathi lapho izicubu zizolulama ngokugcwele futhi udokotela uzokwazi ukuhlola impumelelo yokwelashwa. Iphuzu elibaluleke kakhulu kwabesifazane abangakabelethi incazelo enekhono nokukhetha indlela ye-cauterization. I-Diathermocoagulation ayifaneleki ngokwengxenye ezigulini ezinjalo, ngoba ibangela ukwakheka kwesibazi, esivame ukuhlanganisa inqubo yokubeletha. Ngakho-ke, kungcono ukusebenzisa izindlela ezithambile zokuqeda i-pathology.
Ngaluphi usuku lomjikelezo wokuya esikhathini lapho kungcono ukuvimbela ukuguguleka kwenhlabathi? Odokotela bavumelana ngazwi linye ukuthi isikhathi esikahle senqubo kungaba usuku lwesi-5 noma lwesi-6 lomjikelezo. Ngakho-ke, kuzokwazi ukufeza ukuphulukiswa okuphezulu kwezicubu ze-epithelial kuze kube sekuqaleni kokuya esikhathini esilandelayo. Uma kwakungenakwenzeka ukuqeda i-pathology ngosuku lwesibili ngemva kokuphela kokuya esikhathini, khona-ke isikhathi esiphezulu esingaba yizinsuku ezingu-9-10. Nakuba kulokhu kuhle ukubonisana nodokotela futhi, uma kungenzeka, uhlele kabusha iseshini ngenyanga ezayo.
Ukubeletha ngemva kwe-cauterization yokuguguleka komlomo wesibeletho. Iningi labo bobabili abesifazane asebebelethile kanye nalabo abangazalanga bakhathazekile ngokuthi ukukhishwa kwe-cauterization kungathinta kanjani inqubo yokubeletha esikhathini esizayo. Lokhu kwesaba kuvela esikhathini esidlule, lapho i-diathermocoagulation yemithambo yegazi kuwukuphela kwendlela yokuqeda i-pathology. Kungenxa yeseshini esinjalo ukuthi isibazi sihlala entanyeni, esisongela ukuphuka lapho ingane idlula emgodini wokuzalwa wemvelo. Kodwa-ke, izindlela zesimanje zokwelapha zenza kube nokwenzeka ukugwema izinkinga ezinjalo, ngoba ziyi: ukungathinteki, udokotela ulawula ukujula kokuchayeka kwezicubu ze-epithelial, uqaphe ngokucophelela imingcele yendawo ephathwayo. Ngenxa yalokho, emlonyeni wesibeletho oye walulama ngemva kwenqubo, ayikho imikhondo ebonakalayo yokuthi i-cauterization yenziwa. Lokhu kusho ukuthi izindlela zokwelapha zesimanje azinawo umthelela enqubweni yokubeletha, ngoba kuyingozi kakhulu ukukhulelwa kwengane nge-ectopia "esebenzayo", ikakhulukazi yemvelaphi yokuvuvukala.
Ingabe ukuguguleka kungaphinda kuvele ngemva kokukhishwa kwe-cauterization? Isici singase senzeke kowesifazane futhi, ngemva kokwelashwa.
Kodwa ngaphandle kwanoma yisiphi isizathu, akwenzeki:
Okokuqala, ukwethulwa kokutheleleka kocansi okunolaka, ukuxubha ngezixazululo ezingafanele le njongo, ukulimala okwenzeka ngesikhathi sokubeletha noma ngesikhathi sokukhipha isisu, njll., kungabangela ukuguguleka.
Okwesibili, uma isici esabangela ukuguguleka kokuguguleka kwangaphambili satholakala ngokungalungile noma asizange siqedwe ngokuphelele. Kuvela ukuthi isici sashiswa, kodwa "impande" yayo ayizange isuswe. Ngenxa yalokho, ngemva kwesikhathi esithile izophinde ivele.
Okwesithathu, isiguli kufanele sazi ukuthi izinqubo ezinjengokususwa kokuguguleka kwenhlabathi nge-nitrogen noma i-chemical coagulation zimnene impela. Lokhu kusho ukuthi kuzodingeka izikhathi eziningana. Ngemuva komphumela wokuqala wokwelapha, ukuguguleka ngeke kususwe, kodwa lokhu akusho ukuthi sekuphinde kwavela.
Ubulili ngemva kwe-cauterization yokuguguleka komlomo wesibeletho. Ngemva kokuba inkinga isiphelile, kuyafaneleka ukumelana nenkathi ethile ngaphambi kokuya ocansini futhi.
Okokuqala, kuya ngokuthi iyiphi indlela yokuqeda isici ekhethiwe, ngoba i-epithelium izolulama ngamanani ahlukene:
Uma owesifazane ethole i-cryodestruction ephelele, khona-ke isikhathi esifanele sokuqala kobudlelwane bocansi singamaviki angu-6 kamuva.
Lapho isiguli sithola i-laser vaporization, kuzokwazi ukwenza ucansi hhayi ngaphambi kwenyanga, kodwa kungcono ukulinda izinyanga ezi-2.
Uma ukhetho lwenziwe oluvuna ukuhlinzwa kwamagagasi omsakazo, khona-ke ukubuyiselwa kwezicubu kwenzeka ngokwesilinganiso ngemva kwezinyanga eziyi-1,5, kungalesi sikhathi lapho ukuphila okusondelene kufanele kuhlehliswe.
Isikhathi eside kakhulu sokuzila ucansi sizoba kowesifazane odlule ku-diathermocoagulation - yizinyanga ezi-2,5.
Lapho umlomo wesibeletho ulashwe nge-Solkovagin, kuzodingeka ulinde okungenani isonto, futhi isikhathi esiphezulu sokuphepha singamaviki ama-3.
Odokotela batusa: ngaphambi kokuqala ubudlelwano bocansi, qiniseka ukuthi uyeza uzohlolwa futhi uqiniseke ukuthi umlomo wesibeletho usululeme ngokugcwele. Uma lokhu kungenzeki, khona-ke ukuphumula kocansi kunganwetshwa isikhathi eside.
Ukukhipha igazi ngemva kwe-cauterization yokuguguleka. Ngemva kwenqubo, owesifazane angase akhiphe izinhlobo ezahlukene zokukhishwa. Ikakhulukazi basuke benokungcola kwegazi.
Nokho, imvelo yabo incike esigabeni sokuphulukiswa:
Izinkinga ezinegazi Ngokuvamile, zingaphazamisa owesifazane kuze kube yizinsuku ezingu-10. Zingase zibe nombala obomvana kancane, noma zibe nombala ogcwele. Ngemuva kwesikhathi esibekiwe, ukukhishwa kufanele kube ngamafinyila, kushube, kuvele ngevolumu encane. Ukubonakala kwegazi kuchazwa yiqiniso lokuthi ezinye izitsha ziqhuma ngokushesha ngemva kwenqubo noma njengoba uqweqwe lukhishwa.
ukukhishwa kwe-pinkish zingashintsha umbala wazo ube nsundu osuthe kakhulu, kodwa ngokuvamile ngemva kwesonto, kufanele ziyeke ngokuphelele.
Umjikelezo ojwayelekile wokululama we-epithelium yomlomo wesibeletho umi kanje: okokuqala, ukuphuma kwamanzi kuvela, ngokungcola okuncane kwegazi, kuthathelwa indawo ukukhishwa okuphinki okujiyile, okubuye kuthathelwe indawo nsundu nokuncane. Ngaphezu kwalokho, kuzo zonke lezi zinhlobo, owesifazane angabona amahlule amancane - izingcezu ezimnyama. Bona, njengomthetho, bayizinhlayiya zoqweqwe oluphumayo.
Ukopha okuncane kowesifazane okhishwe ukukhishwa kwe-cauterization kungase kuvuleke phakathi kwezinsuku ezingu-8 no-21. Kuhambisana nokuphuma okuphelele kotwayi futhi kufanele kuqedwe phakathi namahora ambalwa. Akufanele ukhathazeke ngalokhu, njengoba lokhu kuyinqubo yemvelo yokwelapha ngokomzimba. Kudingekile ukubonana nodokotela lapho kunokukhishwa kwegazi okuchichimayo, ukwanda kokushisa komzimba, ubuhlungu obukhulu esiswini kanye nezinye izimpawu ezishaqisayo. Isimiso esilandelayo sisebenza njengesiqondiso: ukukhishwa akufanele kudlule umthamo owesifazane asetshenziselwa ukulahlekelwa ngesikhathi sokuya esikhathini.
Iphunga elibi ngemva kwe-cauterization yokuguguleka komlomo wesibeletho. Iphunga elingathandeki ngemva kwenqubo akuyona into evamile. Ingase ibonise inhlanzeko esondelene eyanele noma engafanele. Uma owesifazane elandela yonke imithetho nezincomo zikadokotela zokuzinakekela, futhi iphunga elibi liqhubeka libuhlungu, khona-ke lokhu kungase kubonise ukutheleleka. Kufanele nakanjani uvakashele udokotela wakho futhi uthathe i-smear esithweni sangasese ukuze unqume i-microflora ye-pathogenic. Isizathu sohambo oluphuthumayo oluya kudokotela lu-purulent, noma lube nokukhishwa okuluhlaza okotshani. Lezi zimpawu zikhomba ngokungananazi inqubo yokuvuvukala ejoyinile.
Ukuguguleka komlomo wesibeletho kuphola isikhathi esingakanani ngemva kwe-cauterization? Okokuqala, isikhathi sokululama ngemuva kwe-cauterization sincike ekutheni kwenziwa kanjani. Isikhathi esifushane sokululama kowesifazane sibonwa ngemuva kokuhlanganiswa kwamakhemikhali. Njengomthetho, amasonto amathathu anele ukuze izicubu ze-epithelial zomlomo wesibeletho zivuselele ngokuphelele. Isikhathi eside kakhulu sokululama kuzofanele sidlule kowesifazane owenzelwe i-diathermocoagulation. Indawo eselashwayo izolulama ngokugcwele ngemva kuka-2,5, futhi ngezinye izikhathi izinyanga ezintathu. Isikhathi sokubuyisela esijwayelekile sisuka emavikini angu-4 kuya kwangu-8, ngaphansi kokuqaliswa kwezincomo zezokwelapha futhi ngaphandle kokwengezwa kwezinkinga.
Kungenzeka yini ukudlala imidlalo ngemuva kwe-cauterization yokuguguleka? Uma ngaphambi komzuzu lapho owesifazane kwadingeka ahambe nge-cauterization, wangena ezemidlalo, khona-ke ngemva kwesonto angaphinde aqale ukuqeqeshwa. Kodwa-ke, kufanele ahlanganise izivivinyo zokufudumala futhi zenzeke ngomfutho oncishisiwe. Uma uzwa ubuhlungu noma ukwanda kokukhishwa, uzodinga ukuyeka umsebenzi womzimba inyanga yonke. Kungalesi sikhathi odokotela batusa ukuthi bayeke imidlalo. Ngalesi sikhathi, utwayi lushiya kanye nomlomo wesibeletho kubuyiselwa kancane ngamaphesenti angama-XNUMX. Odokotela benza okuhlukile kubasubathi abangochwepheshe abangahle balahlekelwe yisimo. Lo mkhawulo uchazwa yiqiniso lokuthi ukwanda kokuzivocavoca umzimba kungavusa ukopha okukhulu ezitsheni ezilimele ngemuva kwenqubo.
Okufanele ukwenze ngemuva kwe-cauterization yokuguguleka komlomo wesibeletho? Izincomo
Inqubo ye-cauterizing i-ectopia iwukungenelela okungathí sina emzimbeni wesifazane, ngakho-ke kufanele alandele zonke izincomo zezokwelapha. Lokhu kuzokwenza inqubo yokutakula isheshe ngangokunokwenzeka futhi kunciphise ubungozi bezinkinga ezingaba khona.
Phakathi kwezincomo eziningi, kubalulekile ukunamathela kulokhu okulandelayo:
Uma kungenzeka, ukuphumula kocansi kufanele kubhekwe phakathi nenyanga eyodwa nesigamu ngemuva kweseshini ye-cauterization. Ukubuyela ekuphileni okuseduze kungenzeka ngemva kokuhlolwa komlomo wesibeletho yi-gynecologist.
Ngaphansi kokuvinjelwa noma yimuphi umsebenzi womzimba okhathazayo. Owesifazane akufanele aphakamise izinsimbi, njengoba lokhu kwandisa ingozi yezinkinga.
Ungabhukudi emanzini avulekile. Kufanele futhi wenqabe ukuvakashela okugeza, ama-saunas, amagumbi omusi namabhati. Zonke izinqubo zokuhlanzeka kufanele zenziwe ngaphansi kwamanzi ahambayo noma ngaphansi kweshawa.
Njengokwelashwa okungeziwe, owesifazane angasebenzisa ukwelashwa kwe-topical. Ukusetshenziswa kwama-tampons anezakhi zokwelapha (uwoyela we-sea buckthorn noma amafutha e-levomekol) kunomthelela eqinisweni lokuthi utwayi luthamba ngokushesha futhi kalula lushiya. Ngaphezu kwalokho, kuwukuvimbela okuhle kakhulu kokuhlukana kwayo okungalungile, okusho ukuthi kuvimbela ukuthuthukiswa kokuphuma kwegazi.
Ukukhulelwa akufanele kuhlelwe ngokushesha ngemva kwenqubo. Owesifazane udinga ukulinda okungenani inyanga kuze kuphele umjikelezo wokuya esikhathini olandelayo. Ngaphezu kwalokho, kubalulekile ukuqinisekisa ukuthi azikho izinkinga zesikhathi eside ngemva kokungenelela.
Ngaphezu kwalokho, ngenyanga yokuqala emva kweseshini ye-cauterization, ngaphandle uma kunesidingo, akufanele uhlolwe i-ultrasound, lapho kusetshenziswa khona inzwa yangasese.
Kubalulekile ukugcina imithetho yokuhlanzeka okuseduze. Ama-gaskets kufanele ashintshwe njengoba engcolile. Ukugqoka i-napkin efanayo ye-sanitary amahora angaphezu kwama-3 kukhuthaza ukuthuthukiswa kwe-microflora yebhaktheriya, ngakho-ke kwandisa ingozi yokutheleleka. Izingubo zangaphansi kufanele zenziwe ngezindwangu zemvelo, ama-tampon kufanele alahlwe.
Ezinyangeni ezimbili zokuqala, kufanelekile ukuyeka imikhuba emibi, ngoba, isibonelo, ukubhema notshwala kunomthelela ekuveleni kwe-vasospasm nokwanda kwabo. Lokhu-ke kuholela engcupheni enkulu yokopha.
Ungasebenzisi noma yimaphi amakhambi abantu ukusheshisa ukuphulukiswa kwendawo ephathwayo. Lokhu kuyiqiniso ikakhulukazi ukuxubha ngezixazululo ezihlukahlukene. Ngakho-ke, kungenzeka ukwethula ukutheleleka, kubangele ukushisa noma ukulimala, ukufaka isandla ekuthuthukiseni ukopha, njll. Noma yikuphi ukukhwabanisa kungenzeka kuphela ngemva kokubonisana nodokotela wakho.
Ukuhambisana nalezi zincomo ezilula kuzokuvumela ukuthi ugweme izinkinga futhi ululame ngesikhathi esifushane kakhulu. Ukuguguleka kuyinkinga evamile phakathi kwabesifazane. Abaningi babo baphumelela ngempumelelo inqubo ye-cauterization futhi bakhohlwa ngokukhubazeka komlomo wesibeletho unomphela. Ngakho-ke, uma udokotela encoma ukuya ukwelashwa okunjalo, akufanele ukwenqabe. Into esemqoka ukukhetha kahle indlela ye-cauterization.