Ukuguguleka komlomo wesibeletho ngesikhathi sokukhulelwa

Ukuguguleka komlomo wesibeletho ngesikhathi sokukhulelwa kuwukwephula ubuqotho bolwelwesi lwamafinyila, olutholakala ngesikhathi sokubeletha kwengane.

Kulesi simo, i-epithelium evamile ye-squamous ye-pharynx yomlomo wesibeletho ithathelwa indawo yi-epithelium ye-cylindrical ye-canal yomlomo wesibeletho. Ikakhulukazi, ukuguguleka kuyinqubo elungile engasongeli owesifazane onezinkinga ezinkulu.

Iqiniso lokuthi i-pathology ivame ukutholakala ngesikhathi sokukhulelwa kungenxa yezimpawu ezincane zesifo, ngakho-ke owesifazane akayi kudokotela ngenxa yokuntuleka kwezikhalazo.

Ukuhlolwa okuphelele kwezokwelapha ngemva kokukhulelwa kwembula ukuba khona kwenqubo yokuguguleka.

Izimpawu zokuguguleka komlomo wesibeletho ngesikhathi sokukhulelwa

Isithombe somtholampilo sokuguguleka sifihliwe. Ngakho-ke, uma kungekho ukukhulelwa, i-pathology itholakala kuphela ekuhlolweni okujwayelekile yi-gynecologist noma uma kuphakama izinkinga emsebenzini wesistimu ye-genitourinary.

Nokho, njengoba izibalo zibonisa, izimpawu zokuguguleka ziqala ukuzibonakalisa ngamandla amakhulu ngemva nje kokukhulelwa kwengane. Isizathu salokhu ukuguqulwa kwesizinda se-hormonal kanye nokwanda kokuqukethwe kwamahomoni ocansi emzimbeni. Ngokuvamile kwenzeka ukuthi lapho uthintana nodokotela wezifo zabesifazane mayelana nezimpawu eziphazamisayo zokuguguleka, owesifazane utholakala ekhulelwe ekuqaleni.

Izimpawu ezilandelayo ziyimbangela yokukhathazeka:

• Ukubonakala kokuphuma kwegazi ngemva kocansi;

• Ukungakhululeki, okuvezwe emuzweni odonsayo wobuhlungu ngaphansi kwesisu;

• Ukuba khona kokukhishwa kwe-pathological ngezikhathi phakathi kokuya esikhathini. Uhlamvu lwabo kungaba amafinyila noma purulent. Lokhu kungenxa yokuthi ukuvuvukala kujoyina inqubo yokuguguleka;

• Ukuzwa ukulunywa nokushisa esithweni sangasese kanye nasesithweni sangasese.

Lezi zimpawu zingabonwa kokubili ngokuhlanganiswa futhi ngokwehlukana. Nokho, yibona abavame ukuphoqa owesifazane ukuthi abonane nodokotela.

Izimbangela zokuguguleka komlomo wesibeletho ngesikhathi sokukhulelwa

Izimbangela zenqubo yokuguguleka ebonakala ngesikhathi sokukhulelwa noma ngaphambi kokukhulelwa kufanele zicaciswe ngaphandle kokwehluleka. Lokhu kuzothuthukisa uhlobo lokwelapha, njengoba kuzokwenza kube nokwenzeka ukuqeda isici esicasulayo.

Phakathi kwezimbangela ezivame kakhulu zokuthuthukiswa kwenqubo ye-pathological emlonyeni wesibeletho ngesikhathi sokubeletha, okulandelayo kuhlukaniswa:

• Ukushintshashintsha kwama-hormone emzimbeni wesifazane. Ngaphezu kwalokho, lezo ezingenzeki kahle, kodwa kungazelelwe, ziyingozi kakhulu;

• Izifo ezithathelwana ngocansi. Phakathi kwazo kubalwa i-chlamydia, i-ureplasmosis, i-gonorrhea, i-papillomatosis, i-trichomoniasis ne-herpes ezithweni zangasese. Uma kwenzeka ukuthi ama-microorganisms angena kumaseli e-epithelial, lokhu kwenza kube nzima kakhulu inqubo yokuguguleka. Ngaphezu kwalokho, ukwethulwa kwe-papillomavirus yabantu ezingxenyeni ezilimele zomlomo wesibeletho kungaholela ekuthuthukiseni izimila ezimbi;

• Ukusetshenziswa isikhathi eside kokuvimbela inzalo ngomlomo noma ezinye izidakamizwa ze-hormonal ezisetshenziswa ngaphambi kokukhulelwa;

• Iminyaka yokuqala yokuya ocansini;

• Ukunqanyulwa kokukhulelwa okwenziwayo. Ukukhipha isisu okuphindaphindiwe kuyingozi ngokukhethekile;

• Izifo ezivuthayo zezitho zangasese ezingatheleleki ngokwemvelo;

• Umdlavuza wesistimu yokuzala;

• Ukuncipha kwamasosha omzimba;

• Udlame locansi, noma ukuxhumana ocansini okungalungile, okuholela ekulimaleni komlomo wesibeletho;

• Ukulimala kolwelwesi lwamafinyila lwe-os ye-uterine ngenxa ye-douching engafanele, noma ngenxa yokufakwa kwedivayisi ye-intrauterine, njll.;

• Ukucindezeleka njalo kuthwala umzimba.

Ngaphezu kwalokho, ukuhlanganiswa kwezinto ezimbili, njengokutholakala kwenqubo yokuvuvukala kanye nokwehluleka kwe-hormonal emzimbeni, ngokuvamile kuholela eqinisweni lokuthi lesi sifo sakhiwe kwabesifazane abangazange babelethe ngaphambili, nakulabo abangazange noma yikuphi ukulimala kwezitho zangasese.

Kungani ukuguguleka komlomo wesibeletho kuyingozi ngesikhathi sokukhulelwa?

Ukuhlelela ukukhulelwa kufanele kufake isigaba sokuhlolwa kwezifo zabesifazane. Kungale ndlela lapho okuvame ukutholakala khona ukuthi ingabe ikhona indawo egugulekayo emlonyeni wesibeletho. Ukuhlolwa kufanele kwenziwe, ngoba ngesikhathi sokukhulelwa, ukuguguleka kungaba yingozi ethile. Ikakhulukazi usongo lufika eqinisweni lokuthi indawo enezilonda iyindawo enhle kakhulu yokuthuthukiswa kwamagciwane abangela ukuvuvukala.

Phakathi kwemiphumela eyingozi kakhulu ukuguguleka komhlabathi ngesikhathi sokukhulelwa yilena elandelayo:

• Ukubonakaliswa kwezifo ezivuthayo, ukwelapha okuyinkimbinkimbi isikhundla sowesifazane;

• Ukukhipha isisu okuzenzakalelayo, ikakhulukazi ku-trimester yokuqala;

• Ukuqala kokubeletha ngaphambi kwesikhathi esikhathini esizayo sokukhulelwa;

• Ukuguqulwa kokuguguleka kube yinqubo yomdlavuza oyingozi;

• Ukuphuka ngaphambi kwesikhathi esinyeni se-fetus, ukutheleleka nokufa kombungu.

Yingakho odokotela batusa ngokuqinile ukwelashwa kokuguguleka ngisho nangaphambi kokuqala kokukhulelwa, uma kungenjalo ngokuhlinzwa, ke ngokulondolozwa. Ingozi yokukhula okukhulayo kokuguguleka komlomo wesibeletho kanye nobubi benqubo ngesikhathi sokubeletha iyanda ngenxa yesizinda se-hormonal esishintsha kakhulu. Ngaphezu kwalokho, umthwalo owandayo nokucindezeleka emzimbeni wesifazane kuthinta kabi lesi sifo.

Ukwelashwa okuphoqelekile ngesikhathi sokukhulelwa kungaphansi kwalokho kuguguleka, izilinganiso zazo zikhulu futhi kukhona kakade izimpawu zokuvuvukala. Kodwa-ke, emisebenzini yezokwelapha, kunezimo ezinjalo lapho ukuguguleka kwenhlabathi ngokuzimela kudlula inqubo yokuzala ingane.

Ingabe ukukhulelwa kungenzeka ngokuguguleka komlomo wesibeletho?

Owesifazane onokuguguleka ngeke ahlangabezane nobunzima ekukhulelweni kwengane. Lesi sifo asithinti inqubo yokuvuthwa noma ukuvundiswa kweqanda. Kodwa-ke, uma i-pathology itholwe ngaphambi kokuqala kokukhulelwa, okokuqala kudingekile ukwelapha ukuguguleka. Ungakwazi ukuhlela ukukhulelwa okulandelayo ngemva kwenyanga, kodwa kuphela ngaphansi kombandela wokuthi inqubo yokuphulukisa iqhubeka ngokujwayelekile futhi ngaphandle kwezinkinga.

Lapho ukuguguleka kwakunobukhulu obumangalisayo, futhi ukubuyiselwa kwezicubu emva kokususwa kwayo kuqhubeka kancane, kuyadingeka ukuhlehlisa ukuhlelwa kokukhulelwa. Kulokhu, owesifazane akufanele aphelelwe ithemba. Njengomthetho, ngisho nenqubo yokuvuselela eyinkimbinkimbi kakhulu ayithathi ngaphezu kwezinyanga eziyisithupha.

Ukuxilongwa kokuguguleka komlomo wesibeletho ngesikhathi sokukhulelwa

Inqubo yokwelapha ayikwazi ukuqaliswa ngaphandle kokuxilongwa okunembile. Izindlela zocwaningo zinqunywa udokotela. Enye yezinqubo ezivame kakhulu ukuhlonzwa kokuguguleka komhlabathi ngesikhathi sokuhlolwa kwezifo zabesifazane kusetshenziswa izibuko. Kulokhu, kutholakala iphutha elicacile le-epithelial. Njengomthetho, endaweni ehloliwe ye-os ye-uterine, indawo echazwe ngokucacile ibonakala inombala obomvu. Indawo yokuguguleka ingahluka.

Enye indlela yokuhlola indawo egugulekile ukuze kutholwe ukuminyana kwezicubu ezithintekile uma kusolakala ukuthi kukhona okulimazayo ukuhlolwa kwe-Chrobak, okuhlanganisa ukuhlola indawo ethintekile.

Ngaphezu kwalokho, udokotela uthumela i-biological material (smear esuka endaweni egugulekayo) elabhorethri ukuze kwenziwe ucwaningo. Iqukethe ukwenza ukuhlaziywa kwe-bacteriological kanye ne-cytological.

Uma kukhona ukungabaza nokuqinisekiswa okwengeziwe kokuxilongwa kuyadingeka, isiguli sithunyelwa ukuhlolwa kwe-colposcopic. Lapho kukhona ukuguguleka emlonyeni wesibeletho, udokotela uthola umonakalo obonakalayo wezicubu ze-epithelial nge-stroma zone. Ngesikhathi esifanayo, phansi kokuguguleka kweqiniso kusezingeni eliphansi kungqimba lwe-columnar epithelium (noma ku-squamous stratified epithelium).

Uma kukhona izinsolo zokuthi le nqubo iyimvelo eyingozi, ukusampula kwezicubu ze-biopsy kuyimpoqo. Lokhu kuzobona ubukhona bamaseli atypical. Ucwaningo olunzulu kuphela oluzokwenza kube nokwenzeka ukukhetha uhlobo lokwelapha oluphumelela kakhulu kowesifazane okhulelwe onokuguguleka.

Indlela yokwelapha ukuguguleka komlomo wesibeletho kwabesifazane abakhulelwe?

Umphumela wokwelapha esigulini esithwele ingane kufanele uhluke ekwelashweni kowesifazane ongakhulelwe. Wonke amasu athandwa kakhulu, okuhlanganisa i-laser, i-cryodestruction noma i-diathermocoagulation, ingasetshenziswa kuphela ngemva kokuzalwa kwengane. Ukukhulelwa yisikhathi lapho kuphela amasu amnene kakhulu ahlanganiswe nokwelashwa okusekelayo angasetshenziswa ukuqeda inqubo yokuguguleka.

Umgomo oyinhloko ukumisa ukuqhubeka kwenqubo yokuguguleka, ukuvimbela ukuthuthukiswa kokuvuvukala. Nokho, ochwepheshe abaningi banombono wokuthi ukuguguleka komhlabathi kufanele kubonwe nje. Uma ingasongeli ukuthuthukiswa kwezinkinga, ngakho-ke akunangqondo ukuyiphatha ngezindlela zezokwelapha.

Uma kwenzeka owesifazane okhulelwe ekhononda ngokuzwa okuvuthayo okuphindaphindiwe kanye nokubonakala kwamabala, kungenzeka ukusebenzisa i-methyluracil ngendlela ye-suppositories yangasese. Zisetshenziswa amasonto amabili, kabili ngosuku. Kunconywa ukusebenzisa amakhandlela ngamafutha e-sea buckthorn, futhi izinsuku ezingu-14. Lokhu kuzonciphisa izimpawu zesifo.

Lapho inqubo erosive iyinkimbinkimbi ngenxa yokuvuvukala, kuhle ukunikeza izidakamizwa ezilwa namagciwane kanye ne-antibacterial. Ukukhetha kwabo kuzokwenziwa ngudokotela oya khona ngesisekelo sesiko le-bacteriological elitholiwe futhi kucatshangelwa ukuphikisana.

Kuphakathi nokukhulelwa ukuthi uhlelo lokuvimbela olunekhono lubalulekile, ngoba mayelana nezinguquko ze-hormonal, ingozi yokuthuthukisa lesi sifo iyanda.

Ukuze ugweme lokhu, kubalulekile ukunamathela kule mithetho elandelayo:

• Ukuvakashela udokotela wezifo zabesifazane kufanele kwenzeke ngokuqinile ngokuvumelana nesimiso. Akumele uphuthelwe i-aphoyintimenti yakho ehleliwe. Lokhu kuzovumela hhayi kuphela ukuqapha ngokugcwele inkambo yokukhulelwa, kodwa futhi ukuthola ukuthuthukiswa kwezinqubo ze-pathological ezingenzeka ngesikhathi;

• Imithetho yenhlanzeko eseduze ibalulekile. Geza ngesikhathi sokukhulelwa futhi ushintshe izingubo zangaphansi njalo, okungenani kanye ngosuku. Kudingekile ukusebenzisa ilineni kuphela elenziwe ngezindwangu zemvelo;

• Uma kungenzeka, akufanele ushintshe abalingani bobulili ngesikhathi sokukhulelwa, kanye nokwenza ubulili obungavikelekile;

• Uma kukhona ukuphambuka kokujwayelekile, kufanele uthintane nodokotela ngokushesha, ngaphandle kokulinda ukuvakashelwa okuhleliwe. Sikhuluma ngokuvela kokuvutha nokungahambi kahle, ukubonakala kokukhishwa kwe-pathological.

Ngenxa yokuthi ukuguguleka kwenhlabathi kwezinye izimo kwandisa ingozi yokuthuthukisa izinkinga ezinkulu njengokwengezwa kwenqubo ye-purulent noma yokuvuvukala, futhi kusongela nokuqeda ukukhulelwa kusenesikhathi, odokotela batusa ngokuqinile ukuyisusa ngaphambi kokukhulelwa. Umlomo wesibeletho onempilo ungenye yezingxenye zokukhulelwa okuphumelelayo nokubeletha ngesikhathi.

Uma kwenzeka kungazelelwe ukuthi inqubo ye-pathological itholwe ngemuva kokukhulelwa, akufanele wethuke futhi ulinde imiphumela emibi. Ukuqondiswa kwezokwelapha njalo, ukwelashwa okwanele kokuvimbela ngezindlela zokulondoloza kanye nokungabikho kwezinye izifo zesitho sangasese ezimweni eziningi kuyisihluthulelo somphumela wokukhulelwa omuhle ngaphandle kwemiphumela. Kufanele kukhunjulwe ukuthi inqubo erosive ayisona isizathu sokuqeda ukukhulelwa. Kodwa-ke, kufiseleka kakhulu ukuhlolwa kwe-cytological kanye ne-colposcopy njalo ezinyangeni ezintathu ngaphezu kokuhlolwa kwezokwelapha okujwayelekile.

Iningi labesifazane abakhulelwe abanokuguguleka bazala abantwana abaphile kahle futhi ababi nazo izinkinga ngesikhathi bezala. Kulokhu, ukugadwa okuvamile kuphela kwezokwelapha kwanele.

Ngokuqondene nokuziphatha kowesifazane ngemva kokubeletha ingane, akufanele angakunaki ukuvakashela udokotela. Kubalulekile ukuthi uze uzohlolelwa izifo zabesifazane ngemuva kwezinyanga ezimbili umntwana ezelwe futhi uthole ukuthi kwenzekani ngokuguguleka. Uma ingashabalali ngokwayo, khona-ke kuyadingeka ukwenza izinyathelo zokwelapha. Ukukhethwa kwesu elithile kungcono ukushiyelwa kudokotela.