Ukuguguleka komlomo wesibeletho: izimbangela, izimpawu kanye nokwelashwa

Kuyini ukuguguleka komlomo wesibeletho?

Ukuguguleka komlomo wesibeletho yisilonda solwelwesi lwamafinyila esibelethweni os. I-Pathology isabalele futhi yenzeka engxenyeni yesithathu yabesifazane abeza ukuzobona udokotela wezifo zabesifazane. Kodwa-ke, ukuguguleka kweqiniso kufanele kuhlukaniswe nokuguguleka mbumbulu, ngoba lezi yizifo ezimbili ezihlukene, okusho ukuthi nokwelashwa kwazo kuzohluka.

Ukuguguleka komlomo wesibeletho - kuyingozi?

Wonke umuntu wesifazane otholakale enesifo esinjalo uyazibuza ukuthi siyingozi kangakanani lesi sifo. Ukuze uhlole izinga losongo emzimbeni, udinga ukuhlola nodokotela ukuthi usho ukuthini ngempela ngegama elithi "ukuguguleka".

Uma owesifazane ene-pseudo-rosion, lesi simo asiyona ingozi emzimbeni. Lapho ukuguguleka kweqiniso kutholwa, kuyadingeka ukuthola izizathu eziholele ekuthuthukisweni kwayo. Uma kuyisifo sangasese, khona-ke kukhona ingozi yokukhuphuka kwayo ukusabalala esibelethweni kanye nama-appendages, okungaholela ezifweni ezimbi kakhulu, kuhlanganise nokungazali.

Kunoma yikuphi, lapho udokotela ebeka ukwelashwa, akufanele ungayinaki. Izifo ezivame kakhulu ze-gynecological pathology, njenge-vaginitis, i-endometritis ne-cervicitis, zihlotshaniswa nokuguguleka - kungase kubangele ukuthuthukiswa kwayo noma kwenzeke ngokumelene nesizinda sayo. Ukuguguleka okuyingozi kakhulu komlomo wesibeletho ngesikhathi sokukhulelwa, njengoba ingozi yokukhulelwa kwesisu iyanda, kukhona ithuba lokufa kwe-fetus sepsis nokufa. Ngakho-ke, ungayithathi kancane ingozi yokuguguleka futhi uphathe kalula ukwelashwa.

Izimbangela zokuguguleka komlomo wesibeletho

Kunezizathu eziningana ezingenzeka noma imibono mayelana nokuvela kwalesi sifo.

Phakathi kwazo ezivame kakhulu:

• Ukuvuvukala kwezitho zangasese zowesifazane. Ngokusho kodokotela, i-endocervicitis idlala indima ebaluleke kakhulu. Lokhu kungenxa yokuthi phakathi nezinqubo ezinjalo kukhona ukwanda komsebenzi we-excretory wezindlala ezitholakala ku-epithelium yomlomo wesibeletho, okuba yimbangela yokulimala kwayo;

• Ukukhishwa kwe-Pathological esibelethweni, isibonelo, ama-polyps acekelwe phansi, i-endometrium, ama-myomatous nodes. Izinto ezinjalo zifaka isandla ku-desquamation kanye ne-maceration yezicubu ze-epithelial zomlomo wesibeletho. Lokhu akwenzeki ngokushesha, kodwa ngenxa yethonya lesikhathi eside lemfihlo ebusweni bentamo. Ngenxa yalokho, owesifazane uhlakulela ukuguguleka kweqiniso, futhi ubuso bakhe bugcwele ama-microorganisms e-pathogenic abangela ukuvuvukala okuthathelwanayo. Phakathi kwezakhamuzi eziyingozi zesitho sangasese sowesifazane: Trichomonas, gonococci, ureaplasmas, chlamydia, papillomaviruses, njll;

• Ukulimala. Ukulimala kwemishini emlonyeni wesibeletho kuvame ukuvela ngesikhathi sokusebenza, ngesikhathi sokubeletha, ngesikhathi sokukhipha isisu, ukufakwa kwemishini ye-intrauterine nezinye izinqubo ze-gynecological. Konke lokhu kuba yimbangela ye-eversion yentamo kanye nokuthuthukiswa kokuguguleka;

• Ukwehluleka kwamaHormonal. Phakathi kwezimo eziyingozi kakhulu mayelana nokuguguleka komlomo wesibeletho sekwephuzile noma, ngokuphambene nalokho, ukuthomba kwentombazane kusenesikhathi, ukungahambi kahle kokuya esikhathini noma ukusebenza kwe-ovarian, ukuvuvukala kwabo, ukukhulelwa kusenesikhathi futhi sekwephuzile kakhulu;

• izifo zomzimbaokuholela ekuhlulekeni okuhlukahlukene emzimbeni, okuhlanganisa nokuguguleka. Kulokhu, izifo zemvelo ezingezona zabesifazane zidlala indima;

• Ukuthuthukiswa okukhethekile kwe-fetus ngesikhathi sokukhulelwa. Ngezinye izikhathi indawo yamaseli angama-cylindrical yakheka ngaphandle kwe-os yomlomo wesibeletho. Kodwa-ke, ukukhubazeka okunjalo akubhekwa njengesifo, akudingi ukwelashwa futhi kuzixazulula ngokwakho.

Ngaphezu kwalokho, kwabesifazane abangenalutho, ukuguguleka kwenzeka kaningi phambi kwalezi zici ezilandelayo:

• Impilo yocansi engajwayelekile enocansi olungajwayelekile;

• Ukuqalwa kocansi kwangaphambi kwesikhathi;

• Ukuzivikela okubuthakathaka kokuzivikela komzimba;

• Ukushintsha njalo kwabalingani bocansi kanye nokuziphatha okuxekethile.

Kukhona nokuxhumana phakathi kokuthuthukiswa kwenqubo ye-pathological kanye nezizathu ezilandelayo:

• Ukulutheka kowesifazane ekubhemeni;

• I-Hereditary predisposition ekwakhekeni kokuguguleka;

• Kungenzeka ukuthi ukusetshenziswa kwezidakamizwa ze-hormonal zokuvimbela inzalo kunomphumela, kodwa lobu buhlobo busasungulwa.

Ngezinye izikhathi kwabesifazane abanempilo ngokuphelele abangazange babelethe futhi bangazange bakhiphe isisu, ukuguguleka kwenzeka ngaphandle kwesizathu esicacile. Ngokuvamile, idlula ngokwayo, futhi odokotela bayihlanganisa nezinqubo zomzimba ezenzeka emzimbeni. Ngokuqondene nokucindezeleka okuvamile kanye nomthelela wezinye izimbangela zengqondo-ngokomzwelo ekuthuthukiseni lesi sifo, ukuxhumana phakathi kwabo nokuguguleka komlomo wesibeletho akuzange kufakazelwe.

Izimpawu zokuguguleka komlomo wesibeletho

Inkambo ecashile yenqubo yokuguguleka ibonakala kuma-90% wamacala. Uma kunezimpawu, kusho ukuthi kuyindlala kakhulu futhi akuphoqi owesifazane ukuthi abonane nodokotela. Ngakho-ke, i-pathology itholakala ngokuyinhloko ngengozi, lapho owesifazane eza ku-gynecologist ukuze ahlolwe okuvimbela.

Ukubonakaliswa okungajwayelekile kwalesi sifo kungabandakanya:

• Ngokuguguleka okungeyona inkimbinkimbi, ukukhishwa kwemvelo kowesifazane kwanda. Lesi sici singenxa yokuthi indawo eyandayo ye-cylindrical epithelium ikhiqiza amafinyila amaningi;

• Ngezinye izikhathi owesifazane uphoqeleka ukuba aye e-aphoyintimenti ngobuhlungu ngaphansi kwesisu, ukungahambi kahle kokuya esikhathini, ukubonakala kwabamhlophe abanephunga elimnandi. Kodwa-ke, lezi zibonakaliso zomtholampilo zichazwa yizifo ezihambisanayo zendawo yangasese, hhayi ngenqubo yokuguguleka;

• Ukuguguleka ngokwayo ezimweni ezingavamile kungabangela umuzwa wobunzima emathunjini aphansi, ukubonakala kokungakhululeki. Ikakhulukazi le mizwa iyaqina ngemva kokusondelana. Ngaphezu kwalokho, ngemva kocansi, owesifazane angase abone ukubukeka kwamabala amancane.

Ngohlobo oluthuthukisiwe lwesifo, i-leucorrhoea iba yinkimbinkimbi futhi okuqukethwe kwamafinyila, igazi noma i-purulent kungabonwa kuzo.

Izinhlobo zokuguguleka komlomo wesibeletho

Odokotela bahlukanisa izinhlobo eziningana zokuguguleka, ngayinye enezici zayo:

• Ukuguguleka kweqinisookufana ne-abrasion. Ingaphezulu le-stratified squamous epithelium liyavutha futhi lonakele. Ngemuva kwamaviki angu-1-2, lolu hlobo lokuguguleka luyaziqeda noma luguquke lube yi-ectopia lapho i-epithelium ye-stratified squamous ithathelwa indawo ngamaseli angama-cylindrical;

• i-pseudo-rosion, noma empeleni i-ectopia. I-cylindrical epithelium, njengokungathi, ingena endaweni yentamo, evame ukufakwa i-stratified squamous epithelium. Lapho ehlolwa, udokotela ubona indawo ebomvu ene-villi encane. I-Ectopia ingatholwa futhi izalwa. Ngokuqondene nezinhlobonhlobo ezitholiwe zokuguguleka, kwenzeka ngenxa yokungalingani kwe-hormonal, noma kuba umphumela wanoma yiziphi izifo zowesifazane;

• Ukuguguleka komhlabathi kuwukuzalwa. Ngesikhathi esifanayo, umngcele phakathi kwe-epithelium ene-multilayered ne-cylindrical iyasuswa futhi itholakala engxenyeni yangasese yomlomo wesibeletho. Isici esinjalo asisikhulu futhi cishe iminyaka engama-23 sidlula ngokwaso futhi ngaphandle kokwelashwa. Lolu hlobo lokuguguleka lujwayeleke kakhulu kwabesifazane abangenalutho abaneminyaka engaphansi kwengama-25 kanye nalabo abathatha izinto zokuvimbela inzalo eziphuzwayo.

Ngakolunye uhlangothi, ukuguguleka kweqiniso kunezinhlobo eziningana. Ihlukaniswa ngokuya ngokuthi yini ebangele ukuthuthukiswa kwe-pathology:

• Ukuvuvukala kweqiniso - kuba umphumela wanoma yikuphi ukutheleleka kwezitho zangasese (kungaba i-trichomoniasis, i-chlamydia, njll.);

• Ukuhlukumezeka kweqiniso - kuvela ngenxa yokulimala ngesikhathi socansi olubi, ukubeletha, ukwelashwa kokuxilonga, ukukhipha isisu, njll.;

• Amakhemikhali eqiniso - akhiwa ngenxa yokulimala komlomo wesibeletho ngezinto ezinolaka ezisetshenziselwa ukuxubha ngokwelashwa okuzimele okungaqeqeshiwe;

• Ukushiswa kwangempela - kwakhiwe ngenxa ye-cauterization yesayithi lomphimbo womlomo wesibeletho;

• I-trophic yeqiniso - kwenzeka ngenxa yokwephulwa kokunikezwa kwegazi entanyeni noma ngenxa yokukhanya kwezitho zangasese;

• Okuqondile kweqiniso - kuba umphumela wokutheleleka nge-syphilis noma isifo sofuba;

• Umdlavuza weqiniso - ungenye yezinhlobo zezimila eziyingozi.

Uma imbangela yokuguguleka kweqiniso yasungulwa ngendlela efanele, khona-ke lapho i-pathology iqedwa, ulwelwesi lwamafinyila luzolulama lodwa ngesigamu senyanga.

Mhlawumbe abesifazane bayazibuza ukuthi kungani izimo ezihlukene kangaka zihlanganiswa yigama elilodwa elivamile - ukuguguleka. Iqiniso liwukuthi bonke banesibonakaliso esisodwa esivamile - i-mucosa yomlomo wesibeletho eyonakele.

Ukuxilongwa kokuguguleka komlomo wesibeletho

Ngemva kokuhlola umlomo wesibeletho, udokotela wenza ukuxilongwa kokuqala. Kuzwakala njengokuthi "i-pseudo-rosion", emva kwalokho kufanele kwenziwe izivivinyo eziningi ezengeziwe.

Kulokhu, izindlela ezifana nalezi:

• Ukunqunywa kwe-microflora yesitho sangasese sowesifazane ngokuthatha i-smear;

• Ukuhlolwa kwegazi lokutheleleka nge-HIV, mhlawumbe i-hepatitis kanye nogcunsula;

• I-PCR iyindlela ehloselwe ukuthola izifo ezithathelwana ngocansi, futhi, okokuqala, ekutholeni i-HPV;

• I-Colposcopy, lapho umlomo wesibeletho uhlolisiswa ngokucophelela udokotela ngaphansi kwesibonakhulu, izixazululo ezikhethekile zingasetshenziswa ukucacisa ukuxilongwa (le ndlela ayibangeli owesifazane noma yikuphi ukungakhululeki noma ubuhlungu futhi ikuvumela ukuba uhlukanise ukuguguleka kwe-pseudo kusuka kuqiniso);

• I-smear ehloselwe ukukhomba amangqamuzana e-atypical, ebonisa imiphumela elandelayo: i-cytogram yokuvuvukala, i-cytogram ye-endocervicosis, ngaphandle kwezici, enezimpawu ze-dysplasia ne-leukoplakia, noma ukwanda kwe-stratified squamous epithelium;

• I-biopsy yomlomo wesibeletho, ebila kuze kuthathwe ucezu oluncane lwethishu ukuze luhlolwe. Inqubo yenziwa ngaphansi kokulawulwa kwe-microscope ngesikhathi se-colposcopy (eyenziwe lapho kukhona ukusola kokubunjwa okubi);

• Uma kunesidingo, udokotela uthumela owesifazane ukuba athathe ukuhlolwa kwegazi ngesimo se-hormonal;

• Ukukhomba izifo ezivuthayo kanye ne-endocrine, owesifazane uthunyelwa ku-ultrasound scan yezitho zangasese.

I-Cervical biopsy

I-biopsy iyinqubo eyalelwa udokotela wezifo zabesifazane ngemva kokuhlolwa okubonakalayo kanye ne-colposcopy uma kusolwa amangqamuzana omdlavuza.

Kunezinhlobo ezimbili zale nqubo yokuxilonga:

• Ekuqaleni, lena i-trepanobiopsy, lapho izicubu zithathwa ezindaweni eziningana ezilimele zomlomo wesibeletho. Uma kufanele kwenziwe i-biopsy elula, udokotela ukhetha indlela yokuthatha i-puncture. Uma i-endocervical biopsy idingeka, izicubu zikhishwa emseleni womlomo wesibeletho. I-loop trepanobiopsy ingenziwa futhi, lapho izicubu zithathwa kusetshenziswa iluphu ekhethekile lapho kudlula khona ugesi;

• Okwesibili, lokhu ukuhlangana. Kulokhu, kuthathwa ucezu lwezicubu ezimise okwe-wedge. Inqubo yenziwa kusetshenziswa i-scalpel noma i-laser.

Uma i-biopsy idinga i-anesthesia, khona-ke owesifazane kufanele agweme ukudla kuze kube amahora angu-12 ngaphambi kwenqubo. I-anesthesia yendawo: owesifazane uphatha ingaphezulu lomlomo wesibeletho ngesifutho nge-lidocaine, noma ayijove. Isikhathi esifanele sokuxilongwa wusuku lwesi-7 noma lwesi-8 lomjikelezo.

Uma i-biopsy yenziwa elabhorethri, khona-ke owesifazane unelungelo lezinsuku ezimbili zokugula. Imiphumela yocwaningo izotholwa emasontweni amabili. Ezinkingeni ezingenzeka zenqubo, ukopha okuncane nobuhlungu kuhlukanisiwe, okumiswa ngama-antispasmodics.

Emasontweni amabili alandelayo, owesifazane akufanele aye ocansini, ageze ebhavini futhi aphakamise izinsimbi. Izinqubo zokuvuvukala kwezitho zangasese kanye nokuphazamiseka kokuvala igazi kusebenza njengezinto eziphikisanayo ze-biopsy yomlomo wesibeletho.

Imibuzo nezimpendulo ezidumile:

• Ingabe ukuguguleka komlomo wesibeletho kungazihambela ngokwakho? Ngokuzimela, ngaphandle kokwelashwa, ukuguguleka kungase kudlule. Kodwa lokhu kusebenza kuphela esigabeni esithile seminyaka yabesifazane kanye nohlobo oluthile lwe-pathology. I-ectopia ye-Congenital epithelium yekholomu ingakwazi ukuziqeda, inyamalala kuze kube yiminyaka engu-23-26 ngaphandle kokuphazanyiswa kwangaphandle. Futhi, ngaphandle kokwelashwa, ukuguguleka kokukhulelwa kwabesifazane abakhulelwe, okwavela ngenxa yokwanda kokukhiqizwa kwe-progesterone, kungadlula. Enye inketho engenzeka yokuziqeda ukuguguleka kubonakala lapho iphutha libangelwa ukuthatha izivimbela-nzalo ze-hormonal. Kunezimo ezivamile zokuziphulukisa kusuka ekugugulekeni kweqiniso okubangelwa izici ezibuhlungu (isibonelo, lapho ubhuquza noma ngenxa yokusondelana ngokunganaki). Kodwa-ke, lapho ukukhubazeka kwakhiwa ngenxa yesifo noma ukuvuvukala emzimbeni, kudinga ukwelashwa futhi kusongela ngezinkinga ezinkulu.

• Kungenzeka yini ukukhulelwa ngokuguguleka komlomo wesibeletho? Lolu hlobo lwesici aluphazamisi ikhono lowesifazane lokuzala nganoma iyiphi indlela, ngakho-ke kungenzeka ukuthi akhulelwe ngokuguguleka. Ngezinye izikhathi iziguli zikholelwa ukuthi azikwazanga ukukhulelwa ingane ngokuqondile ngenxa ye-ectopia, kodwa empeleni lokhu akunjalo. I-Pathology ingumphumela wanoma yisiphi isifo. Yisifo esibangele ukuguguleka okungaholela ezinkingeni ngokukhulelwa, isibonelo, uma owesifazane enokuvuvukala kwesibeletho, ama-ovari, ama-appendages, njll. Ngemva kokuqedwa kwesizathu sokuguguleka, ukukhulelwa kuzokwenzeka, futhi ukukhubazeka komlomo wesibeletho kaningi. uyazixazulula lapho umntwana evela emhlabeni. Uma kwenzeka owesifazane enokuguguleka, kodwa akukho zinqubo ezithathelwanayo nokuvuvukala ezitholakalayo, khona-ke uyakwazi ukukhulelwa ingane nganoma yisiphi isikhathi.

• Ungakhulelwa ngokushesha kangakanani ngemuva kwe-cauterization yokuguguleka? I-Cauterization ayithinti umsebenzi wokuzala.

• Kungenzeka yini ukubeletha ngokuguguleka komlomo wesibeletho? Ungabeletha ngokuguguleka komlomo wesibeletho kuphela uma uzalwa. Uma kukhona ukuguguleka kwe-pseudo, ngaphambi kokuhlela ukukhulelwa, kuyadingeka ukususa zonke izifo zezitho zangasese, ukulinganisa isizinda se-hormonal, njll. Ngaphezu kwalokho, indawo eyonakele yomlomo wesibeletho iyingozi engenzeka. ku-fetus, njengoba iba indawo ekahle yokwenza ikoloni kanye nokuzala kabusha kwamagciwane. Yingakho odokotela batusa ukuqeda zonke izinhlobo zokuguguleka, ngaphandle kokuzalwa, bese uhlela ukukhulelwa. Kodwa-ke, uma kuvela ukuthi kukhona ukuguguleka, futhi owesifazane usevele ekhulelwe, lokhu akuyona inkomba yokuphazamiseka (ngaphandle kwe-dysplasia yezinga lesithathu).

• Ingabe ukuguguleka komlomo wesibeletho kungaba umdlavuza? Ukuguguleka kungaholela ku-oncology kuphela lapho kukhona izinhlobo ze-HPV-oncogenic, noma ukuba khona kokutheleleka nge-HIV. Ngakho-ke, kubalulekile ukuthi ngesikhathi sokuguguleka, i-PCR ithathwe i-papillomavirus yomuntu kanye ne-colposcopy.

• Ingabe kulimaza ukuguguleka komlomo wesibeletho? Inqubo ayibuhlungu, kodwa ezinsukwini ezimbalwa ngemva kokuba yenziwe, owesifazane angase aqale ukuzwa ukungakhululeki. Zitholakala endaweni engaphansi kwesisu futhi zifana nezinzwa ezibuhlungu futhi ezidonsayo ezivame ukwenzeka ngosuku lokuqala lokuya esikhathini.

• Ngabulawa ukuguguleka komhlabathi, kodwa ngemva kweminyaka emi-2 kwaphinde kwavela. Okufanele ngikwenze? Uzodinga ukwelashwa kabusha. Mhlawumbe ama-radical ngaphezulu. Ezindleleni ezikhona, ukwelashwa nge-laser kunikeza iphesenti elincane lokubuyela emuva.

• Nginokuphuma okumanzi okuxutshwe negazi ngemva kokukhishwa kwe-cauterization yokuguguleka komlomo wesibeletho. Lokhu kulungile? Yebo. Zingahlala inyanga ngemva kokukhishwa kwe-cauterization.

• Kuze kube nini awukwazi ukwenza ucansi ngemuva kwe-cauterization yokuguguleka komlomo wesibeletho? Cishe amaviki ama-4 kuze kunyamalale ngokuphelele amabala.

• Kungenzeka yini ukuya ocansini ngokuguguleka? Yebo, ungakwazi.

• Udokotela uphakamise ukuthi kunqandwe ukuguguleka komhlabathi nge-nitrogen eyi-liquid. Ingabe ngizoba nesibazi emlonyeni wami wesibeletho ngemva kokuhlinzwa? Cha, ngeke, le ndlela ayishiyi izibazi, inganconywa kwabesifazane abangenalutho abahlela ukukhulelwa ngonyaka ozayo.

Indlela yokwelapha ukuguguleka komlomo wesibeletho?

Ukuze unqume uhlobo lwezokwelapha, kuyadingeka ukucabangela izici eziningi, okuyinhloko phakathi kwazo okuyimbangela eyabangela ukuguguleka.

Kubalulekile ukuyiqeda kuqala:

• Uma owesifazane enezifo ezithathelwana ngocansi, kufanele belashwe kuye ngokuthi iyiphi i-pathogen ebangele lesi sifo. Kulokhu, ama-antibiotics noma ama-antiviral agents asetshenziswa;

• Lapho inkambo yokwelapha okuhloswe ngayo ukuqeda ukuvuvukala isiqediwe, udokotela uzonquma ukuthi iyiphi indlela engcono kakhulu yokuqeda ukuguguleka kwe-pseudo. Lokhu kuphinde kuthinteke indawo yomphimbo wentamo, ehilelekile enqubweni ye-pathological, nokuthi isiguli sineminyaka emingaki, nokuthi uhlela ukuba nezingane, njll;

• Izindlela zanamuhla zokuqeda ukuguguleka zivumela ngisho nabesifazane abangenalutho ukuba basuse inqubo ye-pathological. Ngenkathi esikhathini esidlule, ukuguguleka kwakunconywa ukuba kuphathwe kuphela ngemva kokubeletha, futhi inqubo ngokwayo yadonsa iminyaka eminingana;

• Susa ukukhubazeka esigabeni sokuqala somjikelezo olandelayo wokuya esikhathini, ngokushesha nje lapho ukopha kuphela. Nokho, kukhona okuhlukile, ikakhulukazi, indlela diathermocoagulation.

Kuyafaneleka ukwazi ukuthi lokho okubizwa ngokuthi i-cauterization akuwona njalo umthelela ngosizo lwanoma iyiphi i-toolkit. Kwezinye izimo, isici singasuswa ngokusebenzisa amalungiselelo akhethekile.

I-Chemical coagulation

Le ndlela yokukhipha owesifazane ekugugulekeni komlomo wesibeletho ifika eqinisweni lokuthi indawo enesici iphathwa ngokulungiswa kwamakhemikhali. Ngakho-ke, i-Solkovagin ingasetshenziswa. Iqukethe i-zinc nitrate, i-nitric, i-oxalic ne-acetic acid. Ukusetshenziswa kwe-chemical coagulation kungenzeka ngokuguguleka okuncane.

Esikhathini esidlule, odokotela basebenzisa esinye isidakamizwa, i-Vagotil, ukuqeda lesi sici. Yayigcotshwa ku-tampon futhi yafakwa yajula esithweni sangasese isonto lonke. Kodwa-ke, odokotela banamuhla abayisebenzisi, ngoba isebenza phezu kwezingqimba ngaphandle kokungena ngaphakathi, okuholela ekusebenzeni okuphansi komuthi. Ngenkathi ngemuva kokwelashwa nge-Solkovagin, kwakheka uqweqwe, olunqatshwa ngemuva kwezinsuku ezimbalwa. Ngemva kwezinyanga ezimbili, ukuvuselelwa okuphelele kwezicubu kwenzeka, futhi inqubo yokuphulukisa iyaqedwa.

Phakathi kwezici ezinhle ze-chemical coagulation:

• Abukho ubuhlungu ngesikhathi senqubo;

• Ukusebenziseka kalula kwendlela (cauterize ukuguguleka kabili ngekhefu lemizuzu embalwa);

• Izindleko eziphansi zomuthi (intengo yama-ampoules amabili weSolkovagin ayidluli ama-ruble ayi-1200).

Uma sicabangela izinhlangothi ezingezinhle, khona-ke okubi kuphela yikhono lokucubungula ukuguguleka okuncane kuphela.

I-Diathermocoagulation

Le ndlela yokuqeda i-pathology ibhekisela ezindleleni eziphelelwe yisikhathi, futhi inezinkinga eziningi. Ingqikithi ye-diathermocoagulation iwukuthi ukuguguleka kwenhlabathi kwenziwa nge-high-frequency current, bese kwakheka utwayi olumnyama endaweni eselashwayo, lubukeke njengokusha. Mayelana nalokhu, le ndlela yokwelapha okwamanje isetshenziswa kuyaqabukela.

Okunye okubi kwale ndlela kuhlanganisa:

• Ngesikhathi sokwelashwa, owesifazane uzwa ubuhlungu;

• Kokubili ngesikhathi nangemva kwe-cauterization, kunengozi yokopha;

• Umlomo wesibeletho ukhubazekile ngenxa yezibazi, ngakho-ke akunakwenzeka ukusebenzisa le ndlela kwabesifazane abazobeletha, kanye nakwabesifazane abangakabelethi.

Ukubuyisela kwenzeka ngemva kwezinyanga ezingu-1,5, futhi i-cauterization ngokwayo yenziwa ngokushesha ngaphambi kokuya esikhathini, ukuze uqweqwe lwenqatshwe ngokushesha futhi ngokungenabuhlungu. Phakathi kwezinzuzo ze-diathermocoagulation kungenzeka ukwenza i-conization yentamo ngaphambi kwalokhu, kanye nezindleko eziphansi zendlela kanye nokulula kwayo.

Ukuphefumula kwe-Laser

Le ndlela ingenye evame kakhulu. Ibilisa eqinisweni lokuthi indawo ethintekile iphathwa ngemishayo ye-laser. Ngaphambi kokukhipha imisebe, umlomo wesibeletho usulwa ngesisombululo se-acetic acid nesisombululo se-iodine. Lokhu kukuvumela ukuthi ufinyelele i-vasospasm, futhi wenze kube nokwenzeka "ukubeka" imingcele yokuguguleka. Lapho i-laser beam ishaya izicubu ze-pathological, umswakama uyahwamuka kumaseli alimele futhi ngenxa yalokho ayabhujiswa.

Phakathi kwezici ezinhle zale nqubo kungaphawulwa:

• Abukho ubuhlungu ngesikhathi senqubo;

• Ukusebenza kahle okuphezulu, kuyilapho isiqinisekiso sokululama singama-98%;

• Izibazi aziveli emlonyeni wesibeletho.

Phakathi kokubi okuyinhloko kwale ndlela, izindleko eziphakeme zenqubo ziyahlukaniswa, futhi indawo yokubola yezicubu ezinempilo inkulu impela uma iqhathaniswa nokwelashwa kokuguguleka kwamagagasi omsakazo.

I-Cryodestruction

Le ndlela entsha isekelwe eqinisweni lokuthi indawo ethintekile iphathwa nge-nitrogen ewuketshezi, izinga lokushisa layo lingafinyelela ku-150 ° C ngesibonakaliso sokususa. I-nitrous oxide ifuthwa kusetshenziswa umshini okhethekile. Kulokhu, indawo yezicubu ezilashwayo ithola umbala okhanyayo futhi ingabi nazwela. Uketshezi olusemangqamuzaneni athintekile luphenduka amakristalu eqhwa, okuholela ekubhujisweni kwezicubu ze-pathological. Inqubo ithatha isilinganiso semizuzu engu-15, futhi ukululama okuphelele kwenzeka ngemva kwezinyanga ezingu-1,5. Ngemuva kokwelashwa, owesifazane unokukhishwa okuningi, okubandakanya amanzi.

Phakathi kwezici ezinhle zale ndlela yokwelapha:

• Ukusebenza kahle okuphezulu, okufinyelela ku-97%;

• Ukusebenziseka kalula;

• Abukho ubuhlungu ngesikhathi sokwelashwa;

• Akukho ukukhubazeka komlomo wesibeletho.

Phakathi kokushiyeka kwe-cryocoagulation, odokotela baqokomisa ingozi engase ibe khona yokwelashwa okungaphelele kwendawo eyonakele, kanye nokubonakala kokukhishwa okukhulu (okungenzeka ngokungcola kwegazi) ngemva kwenqubo.

Indlela yomsakazo womsakazo

Le ndlela yokwelapha ingenye ethandwa kakhulu emithini yesimanje. Ukhethwa iningi lama-oncogynecologists, ebiza ukwelashwa ngamagagasi omsakazo kuphumelela kakhulu. Indlela ayithinteki, kuyilapho amandla kagesi, adlula ku-apparatus ekhethekile i-Surgitron, aguqulwa futhi aguqulwe abe amaza omsakazo. Ngosizo lwe-electrode, ziqondiswe ngqo endaweni ethintekile.

Phakathi nenqubo, akukho ukuxhumana phakathi kwezicubu kanye ne-electrode, umlomo wesibeletho awuvezwanga emazingeni okushisa aphezulu futhi awushisi, okungaholeli ekushiseni. Kulokhu, uketshezi oluvela kumaseli e-pathological luyahwamuka, futhi amaseli anesifo ngokwawo ayabhujiswa. Indawo ethintekile ngokushesha incane, izicubu ezinempilo azihlushwa amaza omsakazo, okuyinzuzo engangabazeki yale ndlela.

Kuyafaneleka ukwazi ukuthi inqubo ingabangela ubuhlungu, ngakho-ke i-anesthesia yendawo iyadingeka.

Phakathi kokuhle:

• Ukwelashwa okungu-100% kokuguguleka kuqinisekisiwe;

• Ingozi yokopha iyancipha ibe yiziro;

• Intamo ayenzi isibazi, ayigogekile.

Ngemva kwamasonto amathathu, izicubu zibuyiselwa ngokuphelele, futhi owesifazane uyalulama. Ngaphezu kwalokho, inqubo ingenziwa nganoma yiluphi usuku lomjikelezo wokuya esikhathini. Mayelana namaphutha, kukodwa kuphela - akuwona wonke umtholampilo onemishini yokwelapha amaza omsakazo, futhi akushibhile.

I-Surgitron ekwelapheni ukuguguleka komlomo wesibeletho ingumholi owaziwayo ngokusebenza ngempumelelo. Lesi isisetshenziswa esikhethekile esisetshenziselwa ukuqeda ukuguguleka kusetshenziswa amaza omsakazo. Izicubu ezilimele zivele zihwamuke ngaphansi kwethonya lokudlidliza kwe-microwave. Isiguli asizwa cishe nobuhlungu phakathi nokwelashwa okunjalo. Ngesikhathi esifanayo, izitsha zivalwa ngokushesha noma zihlanganiswe, okuvimbela ukuthuthukiswa kwenkinga efana nokuphuma kwegazi. Ngemva kokuqedwa kokwelashwa, ifilimu yokuzivikela ekhethekile isetshenziswa endaweni eyonakele, okwenza kube nokwenzeka ukuvikela isibeletho ezifweni ezihlukahlukene.

Ukwelashwa ngalo mshini wesimanje kufaneleka kwabesifazane abaningi, ngisho nalabo abangakakhulelwa futhi abangazange babelethe. Lokhu kungenxa yokuthi izibazi ngeke zakheke ebusweni bomlomo wesibeletho, njengezinye izindlela zokuchayeka. Yizibazi ezivame ukubangela ukwephulwa komsebenzi wabasebenzi esikhathini esilandelayo. Futhi, ukwelashwa nge-Surgitron kufanelekile kwabesifazane abasanda kubeletha, abasanda kuqeda i-lochia, kuyilapho ukuncelisa akuyona into ephikisana nenqubo.

Kodwa-ke, naphezu kokuthi le ndlela ihlukumeza kancane, ngaphambi kokwelashwa, owesifazane udinga ukulungiselela ngokucophelela.

Le misebenzi incike ku:

• Ukuhlonzwa kwezifo zepheshana langasese, kuhlanganise nezifihliwe. Noma iyiphi inqubo yokuvuvukala kumele ikhishwe: isitho sangasese sowesifazane, isibeletho, ama-ovari, amashubhu;

• Inqubo ayenziwa ngesikhathi sokuya esikhathini;

• Ukwelashwa nge-Surgitron kufanele kwenziwe ngokuqapha okukhulu uma owesifazane enegazi elimpofu;

• Ngaphambi kokuqala ukwelashwa usebenzisa amaza omsakazo, owesifazane kufanele ahlolwe ngokuphelele.

Lapho iseshini isiqediwe, amasonto amabili akufanele uphakamise izisindo, ugeze ekugezeni futhi uphile impilo eseduze. Lapho udokotela eqinisekisa ukuthi inqubo yokutakula isiphelile, ungaqala ukuhlela ukukhulelwa.

Amakhandlela okuguguleka komlomo wesibeletho

Ukuguguleka kungelashwa hhayi kuphela nge-cauterization, kodwa futhi kusetshenziswa amakhandlela ahlukahlukene.

Le ndlela imnene kakhulu, phakathi kwezinkomba zokwelapha amakhandlela:

• Inqubo egugulekayo ebangelwa ukungalingani kwe-microflora yesitho sangasese sowesifazane;

• Ubuhlungu phakathi nomjikelezo wokuya esikhathini ngendawo yendawo ku-sacrum;

• Ukuguguleka okubangelwa izifo ze-venereal;

• Ukulimala okutholwe ngemva kokukhipha isisu noma ukubeletha okunzima;

• Ukuguguleka, okwakhiwa ngenxa yokwehluleka kwama-hormone.

Kodwa-ke, kufanelekile ukwazi ukuthi ukwelashwa kwekhandlela kungenzeka kuphela ezindaweni ezincane eziye zabhekana nenqubo ye-pathological. Ukuguguleka kobukhulu obukhudlwana, njengomthetho, akuphenduli kahle ekwelashweni okulondolozayo. Amakhandlela angabuye abekwe njengendlela yokwelapha i-adjuvant ngemva kwe-cauterization. Akufanele uzinikeze umuthi ngokwakho futhi uwusebenzise ukuze uqede ukuguguleka, njengoba lokhu kungase kube yingozi empilweni. Kufanele kucatshangelwe ukuthi i-sea buckthorn oil ayisetshenziselwa ukwelapha i-ectopia, njengoba ikhuthaza ukukhula kwezicubu ze-epithelial, okusho ukuthi ikhuthaza ukukhula kokuguguleka. Kungenzeka ukwelapha i-ectopia ngamakhandlela olwandle sihlahla sivame ukutholakala kuphela ngemva kokuba cauterized.

Isifundo sokwelapha esinconyiwe singamaviki ama-2. Ngaphezu kwalokho, okulandelayo kunganikezwa:

• Amakhandlela Depantol. Baphathwa nge-intravaginally kabili ngosuku. Isikhathi esiphezulu senkambo yokwelashwa singamaviki ama-3. Ngesikhathi sokwelashwa, akuvunyelwe ukusebenzisa insipho yangasese ukugeza, ngoba izingxenye ezifakwe ekwakhiweni kwayo zinciphisa umphumela wamakhandlela;

• Amakhandlela Hexicon. Bayakwazi ukukhulula ukuvuvukala, ukujwayela i-microflora, abanakho ukuphikisana. Zibuye zisetshenziswe kabili ngosuku, ubude besifundo singaba yizinsuku ezingu-20;

• Amakhandlela Livarol. Inzuzo yaleli khambi ukuthi kwanele ukuyiphatha kanye, futhi umphumela wokwelapha ungatholakala ngemva kwezinsuku ezinhlanu. Kodwa-ke, azikwazi ukusetshenziswa ngesikhathi sokubeletha, ngesikhathi sokuncelisa kanye nokuba khona kwe-hypersensitivity ezingxenyeni ezenza amakhandlela;

• Amakhandlela e-Fitor. Leli khambi lenziwa ngesisekelo semvelo, ngokuvamile elisetshenziswa ngemva kokuguguleka kwe-cauterization;

• Amakhandlela Clotrimazole. Inkambo yokwelapha yizinsuku ezingu-6, ikhandlela lifakwa kanye ngosuku;

• Amakhandlela Suporon. Ngokusekelwe odakeni lokwelapha, isicelo singenzeka kuphela ngemva kokubonisana nodokotela.

Ingabe ukuguguleka kufanele kulashwe nhlobo?

Ukuguguleka komlomo wesibeletho akudingi ukwelashwa ngaso sonke isikhathi. Isidingo sokwelashwa sinqunywa udokotela futhi sincike ezintweni eziningi. Kubalulekile ukusungula uhlobo lokuguguleka, izinga lokuqhubeka kwalo kanye nembangela yesigameko.

Ngokusho kwe-etiology, kuyisiko ukuhlukanisa izinhlobo ezilandelayo zokuguguleka komlomo wesibeletho:

• I-Ectropion;

• I-Ectopic columnar epithelium;

• Ukuguguleka kweqiniso;

• Ukuguguleka kwenhlabathi kuwukuvuvukala noma lokho okubizwa ngokuthi i-cervicitis.

Njengomthetho, udokotela wazisa isiguli ngenkinga, kodwa akasho uhlobo lokuguguleka ngesikhathi sokumenyezelwa kokuxilongwa. Nakuba lesi sikhathi singesinye sezihluthulelo embuzweni wesidingo sokwelashwa. Ngakho-ke, ngemva kokwenza ukuxilongwa okunjalo, owesifazane kufanele acacise ngokuzimela.

Ukuze unqume ukuthi ukuguguleka kufanele kulashwe, isiguli sidluliselwa ku-colposcopy. Ngokuhambisanayo, ukuhlolwa kwenziwa ngezifo zocansi ezifihliwe (i-syphilis, i-trichomoniasis, i-chlamydia, njll.). Kuphela ngemva kokuthola imiphumela yazo zonke izifundo, unganquma ngamasu okwelashwa okwengeziwe.

Uma kungekho izifo zocansi ezicashile, futhi ukuvuvukala kwemvelo engaqondile (i-candidiasis, i-dysbacteriosis yangasese) akutholakali, ngakho-ke akudingekile ukuphatha ukukhubazeka kwe-mucosal. Akukhathaleki ukuthi hlobo luni lokuguguleka komuntu wesifazane.

Isinyathelo esilandelayo sokuxilonga ukuthatha i-smear ukukhomba amaseli atypical. Uma inegethivu, kufanele uthathe isimo sengqondo sokulinda futhi ubone. Lokhu kungenxa yokuthi noma yikuphi ukuguguleka kwesizinda sempilo ephelele yesistimu yokuzala kungazixazulula. Ngisho noma kungekho ukwelashwa, ukuhlinzwa ngeke kudingeke kuze kube yilapho kutholakala izinguquko ezingathandeki ku-cytology smear, noma ezinye izimpawu zivela ezibonisa ukuba khona kwe-dysplasia yomlomo wesibeletho.

Ukwelashwa kokuguguleka kuyadingeka uma kugcwele izilonda, noma uma kunenqubo yokuvuvukala esithweni sangasese. Ukwelashwa kuncishisiwe ekuthatheni imithi (ama-antibiotics, izidakamizwa ezilwa ne-antifungal kanye ne-anti-inflammatory), okufanele zenze ngokuqondile imbangela ye-pathology. Impumelelo yokulungiswa kwezokwelapha itholakala ku-90% yamacala. Ukwelashwa kungathatha izinyanga ezi-3-4. Kuphela ngemva kwalesi sikhathi lapho kungenzeka khona ukwenza isinqumo sokwenza ukungenelela kokuhlinzwa usebenzisa indlela eyodwa noma enye (ukuhlinzwa kwamagagasi omsakazo, i-laser noma i-chemical coagulation, i-diathermocoagulation, njll.).

Ukuhlinzwa kuboniswa nge-dysplasia enzima, etholwa yimiphumela yokuhlolwa kwe-cytological ye-smear. Akunandaba ukuthi kukhona inqubo yokuvuvukala esithweni sangasese noma cha. Izicubu ezithintekile zikhishwa ngokusobala.

Ukuvimbela ukuguguleka komlomo wesibeletho

Bonke odokotela bayavumelana ngombono owodwa - ukuguguleka, njenganoma yisiphi esinye isifo, kulula ukuvimbela kunesikhathi eside, futhi, ngezinye izikhathi, kubuhlungu ukukuqeda. Ngakho-ke, ukuvimbela lesi sifo somlomo wesibeletho kuyinkinga ephuthumayo:

• Kungakhathaliseki ukuthi owesifazane unempilo noma cha, udinga ukuhlolwa njalo ngudokotela wezifo zabesifazane. Kokubili ukuhlolwa okubonakalayo kanye nesampula ye-smear kubalulekile;

• Kubalulekile ukuthi owesifazane ahambisane nemithetho yokuhlanzeka okuyisisekelo, angakhohlwa ngesidingo sokugqoka izingubo zangaphansi ezenziwe ngezinto zekhwalithi;

• Umlingani wocansi unomphela uyisiqinisekiso sokuvikelwa ezifweni eziningi ezithathelwana ngocansi, okungase kubangele ukuguguleka. Ungayizibi indlela yokuqala yokuvimbela inzalo njengekhondomu. Izovikela owesifazane hhayi ezifweni kuphela, kodwa futhi nasekukhulelweni okungafunwa, okungaholela ekukhipheni isisu, ukulimala nokuguguleka;

• Kubalulekile ukuqapha isimo sokuzivikela komzimba futhi uqede noma yiziphi izifo ngesikhathi. Ngale njongo, kufanelekile ukuthatha ama-vitamin and mineral complexes, abaluleke kakhulu ekwindla nasentwasahlobo. Kulokhu, umsebenzi womzimba, ukudla okulinganiselayo, amakilasi e-yoga, njll., "ukusebenza" ngokuphelele kumasosha omzimba.

Lezi zinyathelo zanele ukugwema ukugula okungajabulisi njengokuguguleka komlomo wesibeletho, ikakhulukazi kwabesifazane abangenalutho. Ngokwemvelo, ngaphambi kokuhlela ukukhulelwa, kungcono ukuqeda ukuguguleka, uma kungekona ukuzalwa. Lokhu kuzosiza ukulondoloza impilo yowesifazane kanye nengane engakazalwa.