Cervicitis ke ts'ebetso e fokolang ea tšoaetso, ho kenyeletsa ho ruruha ha mucosa le ho ruruha ha mucosa ea botšehaling ea molomo. Hangata Cervicitis e arohane, ka 75-80 lekholong ea linyeoe, lefu lena le tsamaisana le pathologies e haufi - vaginitis le endometritis. Running cervicitis e ka lebisa tšokong ea sebete, ho thehoa ha polyps kahare ea uterine, ho senyeha hampe ha mehaho ea cellular ea sebete, ho hloka matla.
Cervicitis: lisosa
E hlaha ka lebaka la ho kenngoa ka mokokoting oa molomo oa streptococci, staphylococci, E. coli, hangata-likokoana-hloko, trichomonads. Microflora ea anaerobic le chlamydia li phetha karolo ea ho etsahala ha cervicitis. Cervicitis ea etiology e nang le syphilitic kapa tuberculous e sa tloaelehang haholo.
Lintho tse hlalosang lintho:
- nako ea nako;
- ho halefisoa ke molomo oa sebete ka lik'hemik'hale / mekhoa ea ho thibela pelehi;
- ho fokolisa ho itšireletsa mafung, ho felisoa ha sebete;
- ho tlisetsa maikutlo a sithabetsang (lihlopha tse ngata tsa pherekano / lik'hemik'hale);
- ectopia ea molomo, khoeli ea phekolo ea ho ima.
Mefuta e sa tšoaneng ea mafu
- Viral cervicitis. Moemeli oa causative ke kokoana-hloko e teng 'meleng - HIV, herpes simplex, papillomavirus ea motho. Viral cervicitis e iponahatsa ka ho khetheha - e utloisang bohloko nakong ea ho tlotsa metsi, ho hlohlona ho matla litho tsa thobalano, ho otla bohloko ka mpeng.
- Purulent cervicitis. "E qala" khahlanong le semelo sa maloetse a mangata, a khetholloang ke ho eketsoa ha liphatsa tsa lefutso tsa lesea la mokokotlo le ho ruruha ha lintho tsa cellular epithelium. Purulent cervicitis e etsa hore litho tse ling tsa lik'hemik'hale tsa ho ikatisa li thibele ho ruruha, ho thibela ho hlaha ha lesea le ho etsa hore motho a be le lefu lena.
- Bacterial cervicitis. E hlaha ka lebaka la mosebetsi oa likokoana-hloko tsa likokoana-hloko. Matšoao a mafu a bakoa ke lefu la gonorrhea, trichomoniasis, botšehali ba dysbiosis.
- Atrophic cervicitis. E bakoa ke ho kenella ha kokoana-hloko nakong ea li-coitus tse sa sireletsoeng kapa e hlahella ka mor'a ho ntša mpa e fosahetseng le phekolo ea ho hlahloba.
- Candid cervicitis. Mafu a amanang le likokoana-hloko tsa nako e telele tsa Candida li-fungus molomong.
- Ho fapana le cervicitis. Matšoao a tšoaetsanoang hohle boteng ba botšehali.
Ka boomo cervicitis: matšoao le phekolo
Sethaleng sa pele, monosa oa kanallo ea mokokotlo o ameha ka ho kenella ho ts'ebetsong ea lefu la stroma. Sebopeho sa acute sa cervicitis se khetholloa ke ho atolosoa ha mokhoa oa sephahla, ho bokella ha leukocyte haufi le litšoelesa le lijana, li-abscesses tsa bana ba perigendulary / perivascular. Bakuli ba amehile ka bohloko bo tebileng ka mpeng, ho chesoa ka botšehaling, ho hlaphoheloa ha mokokotlo kapa purulent ho tloha pampiring ea thobalano, ho tsoa mali ka mor'a kamora 'meleng, ho ba le tšusumetso e tloaelehileng ea ho ntša metsi. Ha tlhahlobo ea basali e senola boikhohomoso, ho tsosolosoa ha motsoako oa karolo ea botšehaling, ho na le matšoao a khoholeho ea mobu kapa "khoholeho ea mobu."
Ho fumanoa ha "acute cervicitis" ho itšetlehile ka ho hlahlojoa ha molomo oa sekoti ka thuso ea colposcope le liipone tsa botšehali, an anamnesis, tlhahlobo ea baktheria ea kankere e arohanang molomo. Tšoaetso ea kokoana-hloko e senyehileng, conjunctivitis, feberu - ketsahalo ea lipatlisiso tsa virological. Phekolo e etsoang e nahanne ka sethaleng sa lefu lena, lefu lena le fapaneng, mofuta oa pathogen. Fana ka botsoako ea botšehali le lactic acid solution, infomumile infusion, lithibela-mafu kapa sulfonamide (baktheria C), tetracycline le Doxycycline (chlamydial C), metronidazole (anaerobic microflora), leukocyte interferon litokisetso (kokoana-hloko ea C).
Cervicitis - mathata a ka 'nang a hlaha:
- mokhoa o tšoaetsanoang o tloaelehileng likarolong tsa genitourinary system;
- "Ho qala" ts'ebetsong ea ho kula ha tlhaho: khoholeho ea mokokotlo oa li-cervical - dysplasia - oncology;
- li-polyps sekokotlong le sepeng sa uterine;
- ho senyeha hampe (ho bolaea) mekhoa ea cellular ea popelo;
- ho senyeheloa ke mpa, ho hloka matla.
Chronic cervicitis: matšoao, ho hlahlojoa, kalafo
Sethaleng se sa foleng sa lefu lena ke phello ea ho sa sebetsane le maikutlo a bohloko a cervicitis. E tšoantšelitsoe ke ho tsoa mokokotlong kapa ho tsoa mali ho tsoa botšehaling, edema le likokoana-hloko tse nyenyane tsa molomo.
Matšoao a matšoao a lefu le sa foleng:
- Mokhoa oa ho ruruha o bakoa ke mesifa le metsoako e sebetsang;
- ho tlosoa ho tsoa pampiring ea genital ho matlafatsoa ka mor'a matsatsi a 1-2 kamora ho fela ha nako ea ho ea khoeling;
- mokokotlo oa mokokotlo o boetse o tšoaelitsoe, ho hana epithelium ha hoa kenngoa;
- Khohlopo ea molomo e na le hypertrophied e kopantsoe;
- sephahla sa epithelium se nka sebaka sa cylindrical epithelium; metaplasia ea epithelium e ka etsahala;
- ho na le infiltrates le cysts.
Mehato ea ho tseba
Ho lemoha lefu le sa foleng la cervicitis hangata ho boima ka lebaka la matšoao a koahetsoeng, a lebisang phekolo e sa lebelloang le phetoho ea lefu lena ho ea ho nako e telele e hlahang ka ho feteletseng, ho thata ho arabela kalafo ea lithethefatsi.
Ho hlahloba ka tsela e fapaneng ea phapang ea cervicitis:
- tlhahlobo e hlokolosi ea anamnesis ka tlaleho ea boikarabelo ba mosebetsi o fetisitsoeng le mekhoa e sebetsanang le liketso tsa basali;
- tlhahlobo ea setšoantšo sa kliniki;
- tlhahlobo ea molomo oa molomo le kankere ea mokokotlo ka thuso ea liipone;
- ho ithuta ka liphello tsa cytology, lipatlisiso tsa microbiological.
Liteko tse hlokahalang:
- li-macroscopy tsa ho tsoa ha botšehali, lesapo, mokokotlo oa likhohlopo tsa limela tsa baktheria;
- smear oncocytology;
- tloaelo ea baktheria le ho arohana ha pathogen, ho lemoha hore o na le kutloisiso ea lithethefatsi tsa antibacteria;
- tlhahlobo e kholo ea urine, mali;
- teko bakeng sa HIV le likokoana-hloko, ho jala ka gonococcus;
- colposcopy (ho fumanoa ka likarolo tse holofetseng tse fapaneng ka sebopeho sa metsoako, mmala, mohaho o tsoang holimo);
- ho hlahlojoa ha ureaplasma, mycoplasmal, chlamydial, papillomavirus, mafu a mahlaba.
Phekolo ea lefu le sa foleng la cervicitis
- Ho felisoa (ho felisoa) moemeli ea tšoaetsanoang. Litokisetso tse rarahaneng le liketso tsa antibacterial, antiprotozoal, antimycotic (Tantum Rose, Terzhinan, Polizinaks) li sebelisoa. Ka pel'a bothata ba ureaplasma, tšoaetso ea chlamydial, trichomoniasis, candidiasis, phekolo ea sebakeng seo e tlatsitsoe ka meriana ea molomo.
- Ho tlosoa foci ea ectopia (lerako-motsoako). Matšoao a likokoana-hloko le a chlamydial a bolela ho sebelisoa ha mekhoa ea phekolo ea meriana ea motsoako (lik'hemik'hale, laseraporapisation, electroconjuration). Ha o etsa timetso ea ho fetoha ha nako e telele, boteng ba ho ruruha ho nahanoa ka hloko. Haeba ho ke ke ha khoneha ho finyella sepheo se setle ka mor'a ho timetsoa, sekhahla se tloaelehileng se ke ke sa bonoa leqeba le ka holim'a molomo ka nako e telele, e leng se ka lebisang tlhokomelong ea ho hlajoa ke lefu la exocervix, endometriosis ea popelo, le ponahalo ea li-cysts tse ngata.
- Ho lokisoa ha microbiocenosis ea botšehali. Bakeng sa immunocorrection sebelisa metsoako ea immuno-correction (Imudon) le eubiotics (Hilak-forte).
Litokisetso tsa phekolo ea cervicitis:
- Doxycycline (0,2 g ka letsatsi ho pholletsa le thupelo);
- Acyclovir (200 mg ka makhetlo a mahlano ka letsatsi bakeng sa matsatsi a 5);
- Ho qaqisoa (tekanyo e le 'ngoe, tekanyo e behiloe ke ngaka e tlang ho ea ka mofuta oa pathogen);
- Valtrex (habeli ka letsatsi bakeng sa 500 mg ka matsatsi a 5);
- Terzhinan (letsatsi le leng le le leng ka letsatsi le letsatsi, ka hare ho matsatsi a 10-12);
- Tarium (hang ka matlapa a 2);
- Maksakvin (hanngoe ka letsatsi bakeng sa 400 mg, nako ea kamohelo e khethoa ke ngaka);
- Erythromycin (nako ea thupelo / tekanyo e khethoa ke ngaka ho itšetlehile ka mofuta oa pathogen).
Melase a tsoang cervicitis
Litokisetso ka mofuta oa litšila (suppository) li sebelisoa ka ho pharaletseng phekolo e rarahaneng ea boloetse bo sa foleng ba cerebrovascular. Tšebeliso ea bona e etsa hore ho khonehe ho supa immunopathogenesis ea ts'ebetso ea ho ruruha ka ho ntlafatsa hape homeostasis e senyehileng. Palo e nepahetseng ea likarolo tsa lisebelisoa tsa suppositories e tiisa hore motsoako oa mokokotlo oa mokokotlo o ts'oareloa hantle ebile o na le mamello e ntle.
Terzhinan. Likerese tse nang le li-antibacterial le li-antibacterial tsa liketso tse rarahaneng, li sebetsa khahlanong le libaktheria tsa pyogenic, trichomonads, limela tsa anaerobic, fungus Candida. E-ba le phello e khahlanong le ho ruruha sebakeng seo. Likarolo tse thusang tsa likerese li boloka botšepehi ba epithelium ea mafu a tšoaetsanoang, ho boloka pH e tloaelehileng ea palo.
Polizhinaks. Lithethefatsi tse kopantsoeng, tse khetholloang ke antifungal, bactericidal, phello ea antibacterial. Lintho tse sebetsang Polizhinaksa (polymyxin, neomycin) li fokolisa likokoana-hloko tse ngata tsa Gram-positive / Gram-negative, ho ntlafatsa mekhoa ea trophic ka har'a lehare la botšehali.
Betadine. Li-suppository tse thibelang likokoana-hloko tsa liketso tse ngata, li atleha khahlanong le livaerase, li-fungus, libaktheria, kapele li tsosolosa microflora tse tloaelehileng tsa botšehali.
Mathata a Macmirror. Likerese ke karolo ea sehlopha sa likokoana-hloko le likokoana-hloko. Li na le likheo tse hlalosang likokoana-hloko, li-antibacterial, antiprotozoal. U se ke ua tlōla limela tsa 'mele, tsosolosa normocenosis ea botšehali.
Cervicitis nakong ea bokhachane
Bothata ba cervicitis bo ba bohlokwa haholo nakong ea bokhachane. Boteng ba anamnesis ba ho fumanoa ka "cervicitis" bo fana ka monyetla o phahameng oa ho tsoaloa pele ho nako, mathata a se nang mokokotlo, tšoaetso ea intrauterine ea lesea. Russia, palo ea mafu a intrauterine e fapana pakeng tsa 6-50%, e fihla ho 75% har'a masea a pele. Boemo ba lefu la palo ea batho ba nang le lefu lena la lefu la palesa ho tloha ho 3% ho isa ho 65%. Ho na le mekhoa e mehlano ea ho kenella ka moemeli ea tšoaetsanoang ho 'mele oa mokhachane: theoha, o nyoloha, o tsoakiloe, o feteletse, o na le mafura. E kotsi ka ho fetisisa ke e nyolohelang, eo tšoaetso e kenang ka popelong ka eona. Sepheo se sa feleng sa ho ruruha mokokotlong oa likamano tsa mokokotlo ho sebetsa e le "liheke" tse loketseng bakeng sa likokoana-hloko tsa pathogenic le libaktheria. Haeba tšoaetso ea intrauterine e etsahala nakong ea pele ea bokhachane, embryopathies e thehoa ho etsa hore ho se ke ha e-ba le matla a ho itšehla thajana le ho fokola ha pelo - sena se fella ka bokhachane bo sa ntlafatsoang le ho senyeha ha maikutlo.
Tšoaetso maemong a fokolang e tsamaisana le ho lieha ho hōla ha lesea, likokoana-hloko tsa mantlha le tsa naha tsa lesea, ho thehoa ha ho haelloa ke sekhahla. Mefuta e mengata ea tšoaetso e atisa ho hlaha ka mor'a ho qeta habeli ha bokhachane, ha lesea le e-s'o khone ho fumana ho ruruha. Nakong ea semesara ea boraro, liphetoho tse bakoang ke ho ruruha li baka ho thibela ho thibela kapa ho thibela likheo, ho lebisang ho li-anomalies tsa mokhatlo o se o thehiloe - hydronephrosis le hydrocephalus. Nakong ea bokhachane (palo ea libeke tse feletseng tsa botšehali), molomo o sireletsa lehe la fetalane le mahe a tsoang ho likokoana-hloko tse sa tloaelehang, ho etsa karolo ea thibelo. Cervicitis e baka ho felisoa ha bokhachane pele ho tšoaetso ea bokhachane, placenta, amniotic fluid, fetus ka boeona.
Ho tšoaetsoa ha metsi le likhetla hoa khoneha ka ho nyoloha ha tšoaetso. Likokoana-hloko li kena ka har'a fetal fluid, li falla pakeng tsa lera le ho fihla terateng ea basal, moo li nang le bothata ba ho kenngoa ha lekocyte. E tšoana le amniotic fluid, foci ea tšoaetso e thehiloe, e bakang lefu la fetal.
Cervicitis: phekolo nakong ea bokhachane
Cervicitis nakong ea bokhachane e hloka tlhahlobo e potlakileng e potlakileng mme e rarahane kalafo. Etsa lithethefatsi tse thibelang likokoana-hloko, likokoana-hloko, li-antibacterial, li fuoa mofuta oa moemeli ea tšoaetsanoang le ho hanyetsa lithethefatsi. Meriana e sireletsehileng le e sebetsang ka ho fetisisa bakeng sa phekolo ea cervicitis ho basali ba nang le bakhachane e akaretsoa. E thehiloe hantle ha ho phekoloa ha mycoplasmal, ureaplasma, mafu a chlamydial. Tlhaloso ea motsoako (active substance - azistromycin) e phehella ho tsepamisa mohopolo matsatsi a 5-8, e lumellang lingaka ho hlahisa nako e khutšoanyane (matsatsi a 3) le ho sireletseha bakeng sa lithuto tsa bongaka tsa bokhachane. Phekolo ea nako e nepahetseng le e lekaneng ea lefu lena e ka fokotsa mathata a amanang le bokhachane, 'me e eketsa menyetla ea ho fana ka mokhoa o tloaelehileng.
Kalafo ea cervicitis le mekhoa ea setso
Li-recipe tsa meriana ea setso bakeng sa phekolo ea cervicitis li ka sebelisoa feela "ka tumellano" le mekhoa ea setso le feela ka mor'a ho buisana le lingaka. Ho iphekola ho ka lebisa mathata a maholo.
Broths bakeng sa douching:
- nka tekanyo e lekanang le limela tsa joang, makhasi a litebelisoa tse tharo tse nang le makhasi, metso ea elecampane, litholoana tsa fennel, lesela la molisa oa joang. Likotlolo tse kholo tse peli tsa pokello ho tlatsa metsi a libililithara tse 500 tsa phehiloeng, ho boloka mollo o fokolang oa metsotso e 10-15, ho tsitlella hore o pholile. Sebelisa ka foromo e mofuthu;
- nka karolo e lekanang le makhapetla a sefate sa merohoana, makhasi a 'mè le motsoetse, birch, monokotšoai oa linonyana, joang ba nettle, metsoako ea juniper, peo ea caraway, limela tsa oats. Li-tablespoons tse peli tsa pokello (e kholo) li tšela metsi a limilione tse 500 a phehile, li hloekile ka hloko, li pholile. Etsa kopo ka foromo e mofuthu;
- kopanya semela, Icelandic moss, goosee ea Goosee, masene, lifate, lilac lipalesa, chicory root. Tšela litepisi tse peli tsa mongobo o omileng le litha e le nngwe tsa metsi a belang, tsitlella metsotso e 10-15, e tšolle. Sebelisa boemo bo mofuthu.
Mafura:
- tlosa metso ea lithaba, li-dandelion, li-folaxe, lihlahla tsa birch, li-phare, limela tsa celandine, lengana, li-sage le lipalesa tsa lilac. Etsa phofo ea ligrama tse 50 tsa pokello, tšollele lilithara tse 500 tsa metsi a hloekileng, pheha ka ho hlapa metsi ka makhetlo a mabeli. Eketsa botoro e qhibilihisitsoeng ho moro (50 milliliters), pheha metsotso e 20, eketsa glycerin (50 milliliters), pholile hantle;
- Icelandic moss, calendula, clover, juniper pine, semela, peo ea folaxe, sea buckthorn, lebaleng la liaparo, li-chamomile. Li-ingredients chop, tšela metsi a lilithara tse 500, pheha ka makhetlo a mabeli, u kenye botorame (50 milliliters) le glycerin (50 milliliters). Pheha metsotso e meng e 20, pholile. Etsa kopo bakeng sa litlampe tsa bandage.
Litšusumetso bakeng sa tsamaiso ea molomo:
- nka karolo e lekanang le bohobe, lemon balm, joang bo nang le folaxe, lengana, makhasi a mararo a makhasi, blueberries. Lisebelisoa li sila, kopanya. Teaspoon ea pokello e tletseng lilithara tse 250 tsa metsi a belang, tsitlella lihora tse 2-3, tsolla. Noa infusion kamora metsotso e 20-25 kamora ho ja;
- ho kopanya goatee ka likhaseli, tansy, peo ea kumine, makhasi a celandine, ho tsosoa ha liatla, geranium. Ho omella, o omme, brew spopoon ea pokello ea lilithara tse 350 tsa metsi a belang. Sebelisa lihora tse 1.5-2 ka mor'a hore u je;
- nkela makhasi a li-birch, tse tala, setulo sa St. John's, horsetail field, koena, lengana (ka tekanyo e lekana). Palepone ea litlama ho brew mililiters tse 250 tsa metsi a belang, tsitlella, filthara. Noa ka makhetlo a mararo ka letsatsi metsotso e 20-30 pele o ja.
Thibelo ea cervicitis:
- litlhahlobo tse tloaelehileng tsa thibelo ho setsebi se khethehileng;
- phekolo ea mafu a meriana, maloetse a mangata;
- ho matlafatsa tšireletso;
- Hormonal contraception nakong ea ho ilela khoeli.
Cervicitis ke lefu le tebileng le ka etsang hore motho a se ke a fokola, ka lebaka leo ho ke ke ha khoneha ho hlokomoloha "lithako tsa pele" tse bontšang ho ba teng ha tšoaetso liphatseng tsa lefutso. Ho phekola ka nako e nepahetseng le ka nako e nepahetseng ho u nolofalletsa ho qoba mathata a mangata a bophelo bo botle le mathata a amanang le ho emola le ho ba le ngoana.