Uma uzizwa ungakhululekile futhi udweba ubuhlungu esiswini, amantombazane amaningi akhalaza ngokuthi "ama-appendages ashubile." Isizathu sangempela sezimpawu ezinjalo singase sibe yi-colpitis. Ezokwelapha, le nqubo yokugula ibizwa nangokuthi i-vaginitis, ibhekisela ezifweni ezivame kakhulu zokubeletha.
I-colpit - yenzani ngabesifazane?
Imifino yama-vaginal ikakhulukazi iqukethe izinti ze-Dodderlein. Bakha imvelo evumayo evimbela ukungena kwamagciwane we-pathogenic. Uma izintambo ze-Doderlein zincane, ukungabi khona kwe-lactic acid kuyenzeka futhi imvelo iba ngcono ekuphindaphindeni kwamabhaktheriya we-pathogenic nokuvuvukala (vaginitis). Abesifazane kubalulekile ukwazi ngokuningiliziwe mayelana ne-colpitis ekukhuleni komzimba - ukuthi kuyini, futhi yiziphi izimpawu ezihambisane nazo. Ukutholakala kwesikhashana kanye nokwelashwa kwe-pathology kusiza ukuvimbela imiphumela yaso eyingozi.
I-colpitis enhle
Ifomu elicatshangelwe lesi sifo libhekwa ukuvuvukala okuqinile kwezingqimba zomzimba zesisu. Kuyadingeka ngesikhathi esifanayo ukuthola ukuthi kungani kuqalwe ukuthi i-colpitis evelele-ukuthi iyathukuthelisa, kubaluleke kakhulu ekuqaliseni inkambo yokwelapha. Lolu hlobo lwe-pathology luhambisana nomtholampilo ocacile futhi oqhubekayo, ngakho kulula ukuwuhlola.
Kunconywa ngokushesha ukuthi uqale ukwelashwa ngamacala okugulisa - izimpawu nokwelashwa kwabesifazane kulula uma lesi sifo singakaze sibe nzima. Ekuqaleni i-vaginitis yembula, ukwehlisa amathuba okusakazeka kwesimiso sokuvuthwa kanye nokutholakala kwemiphumela eyingozi, ukuguqulwa kwesigaba esiyinkimbinkimbi sibe yindlela ehamba kancane yenqubo yokwelapha.
I-Colpitis engapheli
Uma ukwelashwa kungakaqalwanga ngendlela esifike ngesikhathi, izimpawu zesifo kancane kancane ziyaqeda futhi zibe cishe ezingabonakali. Ngokuvamile kukhona i-candida colpitis engapheli ngokuphindaphindiwe ngesikhathi sokuya esikhathini noma ukuvota. Izimpawu ze-vaginitis ezilukhuni zingase zingabi khona ngokuphelele, ngenxa yokuthi ukuxilongwa kwayo kuvele kusenesikhathi esilandelayo sokugula.
I-colpitis ekukhulelwe
Kwabesifazane abazayo, i-vaginitis ingozi ethile. Lesi sifo singasakazeka senyukela phezulu, ngakho-ke i-colpitis kwabesifazane abakhulelwe ingabangela ukutheleleka kwe-amniotic fluid, ibangele ukuhlukumeza nokucindezeleka ngesikhathi sokubeletha. Ukuntuleka kokwelapha kanye nokuqhubeka kwe-pathology ngokuvamile kuphazamisa ukuthuthukiswa kwengane. Ezimweni ezinjalo kubalulekile ukuthi umise ngokushesha i-colpitis - izimpawu kanye nokwelapha kwabesifazane abalinde umntwana kulula kumazinga okuqala we-vaginitis. Ukwelashwa kwenziwa ikakhulukazi ngamakhambi emvelo noma abantu.
I-colpitis - izimbangela zabesifazane
Izifo eziphilayo eziyinhloko zezifo ezichazwe yizifo ezincane ze-pathogenic:
- I-Trichomonas;
- i-herpes virus;
- ureaplasma ;
- isikhunta se-Candida;
- i-staphylococci;
- i-mycoplasma;
- esherichia;
- E. coli;
- i-protey;
- streptococci;
- izinga lokugcina;
- i-chlamydia ;
- i-haemophilus influenzae nabanye.
Ngokuvamile, izici ezingezona ezithathelwanayo ziphulukisa i-colpitis - izimbangela ezingahambelani nama-bacteria, amagciwane kanye nesifungulu:
- ukusetshenziswa kwe-antibiotics isikhathi eside;
- ukwehlisa amandla omzimba;
- umonakalo owenziwe ngomshini emagqumeni omuncu wesifazane;
- ukungalingani kwe-hormonal;
- ukungahambisani nemikhuba yokuhlanzeka;
- isifo sikashukela mellitus;
- ukukhuluphala;
- izimpawu zokwelapha;
- izinguquko zonyaka;
- izifo zempilo eziyingozi futhi ezingapheli;
- izifo zenhliziyo nezinye.
I-Trichomonas colpitis
Leli fomu lesi sifo lingeqembu le-vaginitis ethize (ebangelwa izifo ezithunyelwa ngokocansi). I-Trichomonas colpitis kwabesifazane ivela ngenxa yokungena emangqamuzaneni amancane emzimbeni wezinambuzane ezilula kakhulu ze-pathogenic ze-flagellum yeklasi. Ziziqhayisa njengezicubu ezivamile, ngakho-ke isimiso somzimba sokuvikela omzimba asiphenduli ekufikeni kwabo ngokushesha.
I-gynecologist enolwazi angakwazi ukuxilonga kalula le-colpitis - izimpawu kanye nokwelashwa kwabesifazane kwenziwa ngokucophelela, ikakhulukazi uma kutholakala lesi sifo esiteji esibucayi. Uma ungayinaki izici zesifo se-trichomonas vaginitis, emva kwezinsuku ezingu-10-15, izodlulela kufomu elingapheli lokugeleza. Izimpawu zomtholampilo zohlobo oluthile lwe-pathology zibuthakathaka noma azikho.
Candida colpitis
I-agent causative yaloluhlobo lwe-vaginitis yi-Candida fungi. Bangakwazi ukuphindaphinda kokubili emva kohlobo lwe-antibiotic olude lwezokwelapha, nangemuva yezifo ezithathelwanayo. I-yeast colpitis iyakwazi ukusakazeka ngokushesha ohlelweni lwe-urinary. Uma ungaphathi ama-fungal vaginitis, kunzima ukuvuvukala kwezinso. Ngesikhathi esifanayo, isisindo sithinteka futhi indlela ephumayo.
I-Atrophic colpitis
Lolu hlobo lwesifo lubonakala kubesifazane ngesikhathi sokuya esikhathini. Ivela emlandweni wokuntuleka kwe-hormone yezocansi, okuqinisekisa ukuthi ukudla okunomsoco kwezinambuzane ezinamaqabunga ezitho zangasese. I-colpitis yobudala iyinkqubo yokuvuvukala ngenxa ye-atrophy noma i-desiccation yamaseli. Kunzima kakhulu ngokufaka ama-agent aphethwe yizifo ezithathelwanayo eziphila ebusweni be-epithelium.
Amagciwane we-gynecologists aqeda ngokushesha ukubola okunjalo - izimpawu kanye nokwelapha kwabesifazane baziwa kahle, nazo zonke izifo ze-vaginitis zivezwa, njalo isiguli sesibili ngemva kweminyaka engu-40. Ukwelapha kwalesi sifo akuthathi ngaphezu kwesonto, ukuphindaphinda kwenqubo yokuvuvukala ezimweni eziningi akukhona. Ngendlela efanele yokwelapha i-hormone, i-flora emangqamuzaneni angamaqanda wesifazane isabuyiselwa.
I-colpitis engavamile
Ifomu elicatshangelwe lesi sifo linomzimba osulelekayo, kodwa hhayi wendawo. Ivela ngenxa yokuphulwa kwezicubu ze-trophic zesifazane, okungavusa izinto ezijwayelekile noma zendawo, ngokunamathiswa okukanyekanye kokuvuvukala kwebhaktheriya. Kubangelwa ama-microorganisms angenawo amathuba ahlala emzimbeni (streptococci, staphylococcus nabanye). I-colpitis engabonakali - ibangela:
- ukuwohloka kwemisebenzi yokuzivikela;
- ukuhluleka kwe-hormone;
- ukukhushulwa kwama-pathologies ajwayelekile;
- izifo zenhliziyo;
- ukwephula ukuhlanzeka komuntu siqu.
I-colpitis - ukuxilongwa
Ukwembulwa kwezinto eziphilayo ezitholwayo kungenzeka ekuhloleni okujwayelekile kwezemvelo. I-colpitis ejulile, engapheliyo neyesiyingi isisiza ukuxilonga i-colposcopy. Ukucacisa uhlobo, imbangela nokuqina kwesibindi, uchwepheshe ubeka izifundo ezengeziwe:
- i-smear ezivela emangqamuzaneni amancane omzimba;
- isiko sebhaktheriya sempahla yezinto eziphilayo ngokuzimisela ukuzwela kwe-microflora kumithi elwa namagciwane;
- ukuxilongwa kwe-ultrasound ye-pelvis.
I-colpitis - izimpawu kubesifazane
Izimpawu zezifo ezichazweyo zibizwa kuphela ngesimo esibucayi se-vaginitis. Isithombe sesitholampilo sincike ekutheni izimbangela ezenza ukuthi i-colpitis - izimpawu kanye nokwelashwa kwabesifazane kufane nezimbangela zenqubo yokuvuvukala. Isigaba esibucayi se-pathology sihambisana nalezi zenzakalo ezilandelayo:
- ukutshaya nokushisa emgodini;
- inqwaba yama-mucous, purulent noma i-curdled, ngezinye izikhathi nokungcola kwegazi;
- ubomvu nokuvuvukala kwamazinyo;
- ubuhlungu ngesikhathi sokuvuthwa, ukuya ocansini;
- elibukhali nelingajabulisi, elivame ukuphefumula, iphunga lokuphuma;
- ukucindezela, ukuxosha, ukudonsa izinzwa emathunjini aphansi;
- isinciphiso sesifiso socansi;
- isifiso esiningi sokuvuthwa;
- ukwanda kokushisa komzimba kuya kuma-37-38 degrees;
- ukucasula;
- ukulala;
- incontinence ngezikhathi ezithile.
Kunzima ukubona ukuthi i-colpitis engapheli - izimpawu ezinesimo esishisa kancane sesifo zibuthakathaka noma azikho ngokuphelele. Izimpawu zomtholampilo ezibalwe zingabuka ngezikhathi zokubuyiselwa kwe-vaginitis okwesikhashana. Ukubonakaliswa komtholampilo oqinile kunayo yonke. Akupheli ngisho nesikhala senqubo yokuvuvukala engapheli.
I-colpitis - ukwelashwa
Ukwelashwa kwesimo esibucayi kuncike ezimweni eziningana:
- imbangela ye-vaginitis;
- iminyaka yowesifazane;
- uhlobo lwesifo;
- ubude bokuvuvukala;
- ukutholakala kwezifo ezithathelanayo nezifo zesisu.
Indlela yokwelapha i-colpitis, i-gynecologist eqeqeshiwe kufanele anqume ngesisekelo semiphumela yezifundo zezinsimbi kanye nelabhoratri. Uhlelo olusebenzayo lwezokwelapha luhilela ukusebenzisa:
- izidakamizwa zesistimu;
- imithi yendawo;
- imithi ye-hormonal;
- izindlela zemvelo.
Ukwelashwa kwe-colpitis kubantu besifazane - izidakamizwa
Ukukhethwa kwemithi kwenziwa ngokuhambisana ne-causative agent yenqubo yokuvuvukala. Uma ukugula kukhishwa amagciwane, ama-antibiotic anqunyelwe, lapho okutholakala khona ukuzwela okukhulu kwamagciwane ezincane ze-pathogenic:
- I-Metronidazole;
- I-Cephalexin;
- Ampicillin;
- I-Tiflor;
- I-Ophox nokufanayo.
Ama-antifungal agents ayadingeka uma imvubelo ye-leaven ifunyanwa: ukwelashwa yiqembu le-antimycotic. Lokhu kufaka:
- Fucis;
- Diflucan ;
- Fluconazole nabanye.
Endabeni yemvelaphi yegciwane lesandulela ngculaza, umjozi wezifo zomzimba ubeka imithi ephikisayo:
- I-Acyclovir;
- I-Zovirax;
- I-Valtrex;
- I-Famvir nezilinganiso.
Lezi zimali zingahle zibekwe kwezinye izinhlobo zama-dosage for application orical administration (amafutha, ama-creams, izixazululo). Ngokufanayo, kudingekile ukuvimbela izinkinga ezingabangela ukwelashwa - izimpawu kanye nokwelashwa okuphumelelayo kwabesifazane kuhlanganisa nezidakamizwa ezengeziwe ezihlinzeka ukuqiniswa kwesimiso somzimba sokuzivikela, ukuqiniswa kokulinganisela kwe-endocrine, ukujwayela kwe-microflora nokuvikelwa kwamangqamuzana wesibindi:
- amavithamini namaminerali;
- i-hepatoprotectors;
- ama-probiotics;
- ama-enterosorbents;
- ama-immunomodulators;
- imithi ye-hormonal.
Okubaluleke kakhulu ekwelashweni kwe-colpitis yi-sanation. Izitho zangasese zangaphandle kanye nesiswini ngaphakathi kufanele ziphathwe njalo ngezixazululo ze-antiseptic (i-douche, dabble):
- I-chlorophylliptom;
- i-zinc sulphate;
- i-potassium permanganate;
- Rivanol;
- boric acid nezinye.
Amakhandlela we-colpitis
Amaphilisi e-vaginal kanye ne-suppository asiza endaweni yangakini ukukhipha imishanguzo yezinambuzane ezimangqamuzana zesisu nokukhuthaza ukusimama kwe-microflora, ubuyisele imvelo e-acidic. Benza kube lula ukugulisa - ukwelashwa kwabesifazane kuhilela ukwethulwa kwezidakamizwa ezilandelayo:
- I-Yodoxide;
- IBetadine;
- I-Nystatin;
- Terzhinan;
- McMiore;
- I-Neotrizol;
- Lomexin;
- Fluomizin nokunye okunjalo.
Amakhambi omuthi we-Treatment Colpitis
Ezinye izindlela zokwelapha nge-vaginitis ziyasetshenziswa njengezinyathelo ezengeziwe zokuyeka ukuvuvukala. Ngaphambi kokuwasebenzisa, kubalulekile ukubuza umjozi wezifo ukuthi ungaphatha kanjani i-colpitis kwabesifazane ngokuphepha nokuthi yiziphi zokupheka udokotela atusa. Ukukhethwa ngokuzimela kwamalungiselelo emvelo kuhambisana nokukhushulwa kwenqubo yokwelapha futhi kusakazwa ohlelweni lwezinso kanye namagciwane, ukuthuthukiswa kwezinkinga.
Ngosizo lwezinye izidakamizwa, i-colpitis ayikwazi ukuqedwa ngokuphelele - izimpawu ziyaqhubeka, futhi ukwelashwa okuthandwa kwabesifazane akukhiqizi umphumela wokwelashwa okulindelekile. Imithi enjalo kufanele isetshenziswe kuphela endaweni yangakini futhi ifane nemithi yokwelapha okhethwe nguchwepheshe. Uma kungenjalo, i-vaginitis izodlulela kufomu elingavamile.
Isixazululo se-Antiseptic
Izithako:
- chamomile izimbali - 15-20 g;
- ikhalenda - 15-20 g;
- amanzi - ilitha eli-1.
Ukulungiselela, sebenzisa:
- Bilisa amanzi.
- Engeza kuwo izinto zokusetshenziswa zemifino.
- Bilisa chamomile kanye marigold imizuzu engu-15.
- Vala isitsha, vumela umhluzi upholile.
- Gwema uketshezi.
- Sebenzisa indlela yokuhlanza nokwabelana.
Isixazululo sokuphikisana
Izithako:
- utshani unina nomama-wesifazane - 25 g;
- amaqabunga ama-blackberry - 25 g;
- amanzi abilayo - ilitha elilodwa.
Ukulungiselela, sebenzisa:
- Hlanza, ugaye amakhambi.
- Thela impahla eluhlaza ngamanzi abilayo bese umboza ngesembozo.
- Ukuphikisa imithi 1 ihora.
- Umphathi wokucindezela.
- Sebenzisa isisombululo sokubambisana nokugcoba.
Iyini ingozi ye-colpitis?
Ngokwelashwa okungalungile noma ukungabi khona kwayo, inqubo yokuvuvukala iyashesha futhi isakazeka ngokushesha. Imiphumela evamile yesikhumba:
- ukuguguleka komlomo wesibeletho ;
- i-cervicitis;
- i-endometritis;
- i-salpingo-oophoritis ;
- i-cystitis;
- ukungabi namuntu;
- ukukhulelwa kwe-ectopic;
- ukukhulelwa kwesisu;
- ukutheleleka kwe-intrauterine ye-fetus;
- ukulethwa ngaphambi kwesikhathi ;
- ukuphazamiseka komjikelezo wesisindo;
- ukungasebenzi kocansi;
- i-adnexitis;
- ukutheleleka kokubeletha.