Ukuguguleka komlomo wesibeletho yisifo sofuzo lapho izilonda zamasayizi ahlukene nokujula zibunjwa khona ebusweni besitho. I-pathology yande futhi iyatholakala ku-30% wabesifazane abaneminyaka yobudala yokubeletha. Ngokuvamile lesi sifo senziwa ngemva kokubeletha.
Ukwehla kwesisu somlomo - izizathu zokuvela
Uma sicabanga ngesifo esinjengokukhukhula komkhuhlane, izizathu zokuthuthukiswa kwayo, odokotela babiza izinto eziningi. I-Endocervicitis idlala indima ekhethekile ekuthuthukiseni ukwelashwa. Lesi sifo siqinisa umsebenzi we-excretory wezinhlayiya ezisezintanjeni ze-epithelium yomlomo wesibeletho. Leli qiniso libhekwa njengelivusa amadlingozi. Phakathi kwezinye izimbangela zokukhukhula, odokotela babona:
- Izifo kanye nezinqubo zokuvuvukala zesistimu yokuzala. Ama-microorganisms e-Pathogenic, okuyisisusa esibangela lezi zifo (i-gonococci, trichomonads , i-staphylococci), empilweni yabo iyathinta izimbungulu ezinamaqabunga ezitho zozalo, okubangelwa ukuguguleka komlomo wesibeletho.
- Ukulimala kanye nokungenelela kokusebenza ngezidakamizwa kungahambisana nokulimala koqweqwe lwamanzi.
- Ukuhlukunyezwa kwesizinda se-hormone kungabangela nokuguguleka komlomo wesibeletho. Ukukhulelwa kwasekuseni noma okuphuzile kakhulu, ukuhluleka komjikelezo, kungabhekwa njengesisindo esibangela izilonda ezinamandla zentanyane.
- Ukunciphisa umkhuhlane wendawo.
- Ukuphazamiseka kokuthuthukiswa kwe-intrauterine ye-fetus ngesikhathi sokukhulelwa. Kwezinye izimo, indawo ye-epithelium ye-cylindrical yenziwa ngaphandle kwe-pharynx yomlomo wesibeletho.
Ukwehla komzimba wesibeletho ngemva kokubeletha
Ukwehla kwesisu somlomo ngesikhathi sokukhulelwa kungabangela izinkinga eziningi zenqubo yokugaya. Kodwa ngokwenza lokhu le disorder kwenzeka ngemuva kokukhulelwa. Isizathu sokuguguleka kuyisimo sokucindezeleka okuqinile esibelethweni nasentanyeni ngesikhathi sokubeletha, ngenxa yalokho umzimba ungalimaza. Ngaphezu kwalokho, izici ezibangela ekuthuthukiseni ukugula ngesikhathi sokubeletha futhi emva kokubeletha yizi:
- ushintsho esizindeni se-hormonal ;
- ukunciphisa ukuzivikela komzimba;
- ukuthutha okungalungile ngesikhathi sokubeletha.
Ukwehla komzimba wesibeletho ku-nulliparous
Izimbangela zokukhulelwa komkhuhlane kwabesifazane abangenasidingo zibangelwa isimo sempilo yesimiso sabo sokuzala kanye nezici zokuphila kwabo ngokocansi. Lapho ufunda izici ezivusa lesi sifo emantombazaneni, odokotela baye bathi ngokuvamile ukuqala komonakalo embukisweni kungukuqala kokusebenza ngokobulili. Lapho isimiso sokuzala singakulungele ukuzala (abesifazane abasha banesisindo esincane nesifushane), kunengozi enkulu yokulimala, okuholela ekukhuliseni komlomo wesibeletho. Phakathi kwezinye izici ezandisa ingozi yokukhubazeka:
- kunciphisa igciwane lesandulela ngculazi;
- ushintsho oluvamile labalingani bocansi.
Iyini ingozi yokukhukhula komlomo wesibeletho?
Odokotela bayavuma ukuthi noma yiziphi izilonda ezibuhlungu ze-mucosa yomlomo wesibeletho ziyisici esihle sokuthuthukiswa kokutheleleka noma ukuvuvukala. Ngokungabikho kokwelashwa isikhathi eside, ezinye izifo ziyabonakala. Kungakhathaliseki ukuthi yiziphi izinhlobo zokuguguleka okulotshwe ezigulini, bonke abesifazane abanezifo basengozini yokuthuthukisa ezinye izifo:
- ukwakheka kwama-polyps;
- i-erythroplasty (izindawo ezibomvu zokugaya emkhathini we-mucosa);
- i-dysplasia ;
- ukungabi namuntu;
- umdlavuza womlomo wesibeletho - ngenhloso yokuyikhipha, isifo se-cervical biopsy ngenkathi ukuguguleka kuyindlela yokuphoqelela.
Ukuguguleka kweqiniso komlomo wesibeletho
Ukuguguleka kweqiniso ekubukeni kwayo kufana ne-graze. Ukulimala kwendwangu yamangqamuzana kubangela ukuvuvukala kwe-planar epithelium ehlukahlukene. Phakathi nenqubo yokuvuselela, ethatha amaviki angu-1-2 kusukela ngesikhathi sokukhukhula, kukhona ukuqedwa okuzimele kokugxila noma ukuguqulwa kwayo kube yi-ectopic - amangqamuzana epithelium flat ashintshwa yi-cylindrical.
Ngokwenqubo yesifo somzimba, odokotela basebenzise ukuhlukaniswa, ngokusho ukuthi ukuguguleka kweqiniso komlomo wesibeletho, ngokuya ngesimo esibucayi, kuhlukaniswe ngalezi zinhlobo ezilandelayo:
- ukuvuvukala - umphumela wokuba nokutheleleka ezithombeni zofuzo;
- ukuhlukumezeka - kungumphumela wokulimala, ukusebenza, ukulala ngokomzimba, kwenziwa ngesikhathi sokubeletha, ukukhipha isisu;
- amakhemikhali - akhiwa ngenxa yomonakalo emcimbini ngenxa yemiphumela yezidakamizwa ngesikhathi se-douching;
- Ukushisa okwakhiwa lapho indawo yomphimbo iqhutshwa khona;
- trophic - umphumela wokuphulwa kwegazi lomlomo wesibeletho.
Ukuguguleka komzimba komlomo wesibeletho
Ezimweni eziningi, ukuguguleka kwamantombazane kuyisimo semvelo. Esigabeni sokuthuthukiswa komntwana wesifazane kukhona ukuphulwa kokuqiniswa okulungile kwenduku ka-uterine. Ngenxa yalokho, umngcele ophakathi kwe-epithelium enama-multilayered and cylindrical uguqukela engxenyeni yama-vaginal yomlomo wesibeletho. Lesi siphambeko asikhulu futhi sihamba ngokuzimela eminyakeni engu-23-25. Ukuvuthwa okunjalo komlomo wesibeletho kuyimpawu yabesifazane abangenalutho kanye nalabo asebenzise izisu zokubeletha ngomlomo isikhathi eside.
Ukwehla kwamandla emzimbeni we-uteri wesibeletho
Ukuzwa ku-gynecologist isiphetho sokungabi namaphutha komzimba wesibeletho, ukuthi kuyini lesi sifo - abesifazane abazi njalo. Leli gama lisetshenziselwa ukuchaza uhlobo lwe-pathologia lapho i-epithelium yesikhuni isendaweni yomlomo wesibeletho, evame ukuthunyelwa i-epithelium enezintambo eziningi. Uma kuhlolwa, udokotela anganquma ukuthi kukhona izilonda zombala obomvu ne-villi encane. Ngokuvamile odokotela basebenzisa igama elithi "ectopia" ukuchaza lolu hlobo lokukhukhula.
Ukuguguleka kwamandla emzimbeni kutholakala noma kuyimvelo. Esikhathini sesibili, lesi sifo sibhekwa njengomphumela wokuphulwa kwenqubo yokuthuthukiswa kwe-intrauterine. Ukwenyuka kokuguguleka kokutholakala kungase kuvele kusuka ku:
- ukuphazamiseka kwe-hormonal;
- i-pathologies yesistimu yokuzala.
Ukwehla komzimba wesibeletho - izimpawu
Izigaba zokuqala ze-pathology zibonakala ngokungabikho kwesithombe esitholakala emtholampilo. I-symptomatology yesifo isifihliwe. Ngokwanda kwesikhumba se-membrane yamangqamuzana yabesifazane abaqala ukuloba izici zokubonakalisa ukuguguleka komlomo wesibeletho:
- Ukunciphisa ubuhlungu esiswini esingaphansi, hhayi ukuhambisana nokuya esikhathini;
- ukwanda komthamo wokukhishwa;
- ukuphazamiseka komjikelezo wokuya esikhathini.
Ukukhulelwa kwamagciwane ngesikhathi sokuguguleka komlomo wesibeletho kuyisibonakaliso esihamba phambili se-pathology. Banda kakhulu ngevolumu futhi bangabonakala ngaphandle kwesikhathi sokuya esikhathini. Ngaphezu kwalokho, uphawu lwesimo sokukhukhula luphuma egazini ngemuva kokulala ngokocansi. Ngesikhathi socansi, kukhona ukuhlukunyezwa okwedlulele kwi-foci ekhona yokukhukhula, okwenza kukhishwe igazi kusuka ezilonda.
Ukwehla kwesisu somuthi wesibeletho
Ukwelashwa kokuguguleka kwesibeletho kuhilela ukuxilongwa kokuqala kwesizathu sosizi, ngokusho ukuthi yiluphi uhlelo lwezokwelapha olulodwa lwesifo olukhethiwe. Uma ukuguguleka komzimba kubangelwa ukutheleleka ohlelweni lokuzala, odokotela banikeza ukwelashwa kwemithi yokulwa namagciwane, ngokuncelisa i-anti-virus, ngokuhambisana nohlobo lwe-pathogen. Ekupheleni kwendlela yokwelashwa, umonakalo omkhulu embranini yomsindo womlomo wesibeletho ususwa ngokushesha. Ukwelashwa okunjalo kuvumela ukuqeda ukuguguleka komnotho ngisho nakwabesifazane abangenalutho. Ngaphambilini, lesi sifo sinconywa ukuba siphathwe ngemuva kokubeletha.
Ukwelashwa kwemithi yokuguguleka komlomo wesibeletho
Imithi yokwelashwa iqondiswa ngokuqondile embangela wezinguquko ezishintshayo. Akusizi nje kuphela ukuqeda isimo esicasulayo, kodwa futhi nokuvimbela ukusabalalisa kokugxila, ukunciphisa ingozi yokwandisa inani lezilonda ezibuhlungu. Ukusebenza kahle kwamakhandlela kusuka ekukhuliseni komlomo wesibeletho. Leli fomu lezidakamizwa liyakuthinta ngokuqondile ukugxila kwezicubu ezithintekile, ukuvuselela ukuvuselelwa nokuvimbela ukunamathiswa kwesifo. Ukwelapha ukuguguleka ngamakhandlela okusetshenziswe:
- Ukulimala kwendwangu yamangqamuzana ebangelwa ukuphulwa kokungalingani kwe-microflora yesifazane.
- Izinzwa ezibuhlungu phakathi nokuya esikhathini endaweni ye-sacrum.
- I-trauma emva kokukhipha isisu, ukuzalwa okunzima.
- Ukwelashwa okunamandla ngemuva kwe-cauterization yokuguguleka komhlabathi.
Phakathi kwama-suppositories asetshenziselwa ukwelapha ukuguguleka kwamanzi, lezi zidakamizwa ezilandelayo zisetshenziswa:
- I-Depanthenol;
- I-Hexicon ;
- Livarol;
- Suporon.
Ukwehla kwesisu somlomo wesibeletho - ukwelashwa ngamakhambi abantu
Ukwelashwa kokukhukhula komkhuhlane ekhaya akukwazi ukwenza ngaphandle kwamakhambi abantu. Odokotela bayavuma ukusetshenziswa kwabo njengokwelashwa okwengeziwe. Ngaphambi kokusebenzisa izitshalo zokwelapha, thintana nodokotela. Phakathi kokusebenza kahle, izindlela zokupheka ezilandelayo zingabonwa.
I-tincture ye-calendula
Izithako:
- Izimbali ezomile ze calendula - 0.5 indebe;
- i-vodka - 500ml.
Ukulungiselela, uhlelo lokusebenza
- Izinto eziwutshisayo zithelelwa embizeni futhi zathululelwa nge-vodka.
- Faka endaweni ekhanyayo, enelanga futhi uqhubeke nezinsuku ezingu-14.
- Hlunga. 1 ithisipuni yokukhipha inhlanganisela engilazi yamanzi afudumele kanye ne-douching nsuku zonke. Qala kusukela ngosuku lwesibili emva kwesikhathi sokuya esikhathini. Inkambo yokwelashwa yizinsuku ezingu-21.
Amathoni kusukela ekukhuliseni
Izithako:
- amafutha ensimbi - amaconsi 2-3;
- ijusi le-aloe - 3 tsp.
- uju - 1,5 tsp.
Ukulungiselela, uhlelo lokusebenza
- Izithako zixutshwe ngokuphelele.
- Ingxube elandelwayo ihambelana ne-tampon futhi igwetshwe ngaphakathi kwesifazane ebusuku. Inkambo yokwelashwa yizinsuku ezingu-15.
Solution for syringing
Izithako:
- izimbali zama-marigolds - 1 tbsp. isipuni;
- amanzi - 200 ml.
Ukulungiselela, uhlelo lokusebenza
- Izinto eziwutshisayo zithelelwa ngamanzi abilayo.
- Ukumisa imizuzu engu-20.
- Hlunga futhi usebenzise isisombululo esitholiwe sokuvumelanisa.
Ukwelashwa kwemisakazo yomswakama wokuguguleka komlomo wesibeletho
I-Cauterization yokuguguleka komlomo wesibeletho ngamagagasi omsakazo kuyindlela ephumelelayo yokwelapha lesi sifo. Le ndlela ayifaki ukuxhumana nezicubu ezilinakele. Ukudlula i-apparatus ekhethekile, lamanje liguqulwa libe amagagasi omsakazo, aqondiswa i-electrode endaweni ethintekile entanyeni. Ubuso bomzimba ngokwawo awutholi ukufudumala, okwenzekayo ukushiswa akufakiwe. Ukuze unciphise izinzwa ezibuhlungu, odokotela bangasebenzisa i-anesthesia yendawo.
Ukwelashwa kokuguguleka komlomo wesibeletho nge-laser
Ukukhuluma ngendlela yokuphatha ukuguguleka kwesisu somlomo wesibeletho, odokotela banikeze ukwelashwa kwe-laser. Le nqubo ithatha umphumela oqondile kwi-lesion lesion nge-laser faam. Ngaphambi kwalokho, intamo isebenza ngekhambi le-iodine, elisiza ukuchaza imingcele yokuguguleka. Ngaphansi kwesenzo se-boram, ukukhuphuka komswakama kusuka kwamangqamuzana awonakele kwenzeka ngenxa yalokho kubhujiswa. Lokhu kudala ukukhukhula komlomo wesibeletho akusizi ngalutho futhi kuyasebenza kakhulu. Ngemuva kokwelashwa, izibazi azikwakhiwa.
Ukwakhiwa kwe-cryodestruction ekukhuliseni komlomo wesibeletho
Ukuxazulula umbuzo wendlela yokwelapha, ukucacisa indlela yokwelapha ukuguguleka kwesisu somlomo wesibeletho, odokotela bavame ukusebenzisa indlela yokwakha. Lapho kwenziwa, izicubu ezithintekayo ziphathwa nge-nitrogen enomshini besebenzisa idivayisi ekhethekile. Indawo yesikhumba iba mhlophe. Amaseli afa ngesikhathi, futhi endaweni yawo ukwakheka kwamasha, okunempilo kwenzeka. Inqubo ihlala imizuzu engu-15. Kukhona ukuqubuka kwamanzi amaningi emva kwe-cauterization yokuguguleka komlomo wesibeletho. Isikhathi sabo akufanele sidlule izinsuku ezingu-5-7. Kungenjalo, ukubonisana kuyadingeka.