Mekhoa ea ho ruruha, e fumanehang ka har'a sekoti, e etsa karolo e kholo ea mafu a litho tsa botona kapa tsa botšehali tsa ho ruruha. Ho fumanoa ha endocervicitis hangata ho behoa ho bakuli ba lilemo tsa ho ba le bana (60-65%), hangata hangata nakong ea nako ea ho ilela khoeli. Ho thata ho theha makhetlo a nnete a ho ata ha lefu lena, hobane lea utloahala mme le fumanoa ka phoso ha mosali a bua le mosali bakeng sa li-syndromes tse ling kapa ha a lokiselitsoe ho basali ba basali. Endocervicitis ea molomo oa molomo - ke eng? Endocervicitis - ho ruruha ha kankere ea 'mele ea molomo, ka 50% ea liketsahalo tse kopantsoeng le vaginitis le li-vulvitis.
Endocervicitis ea molomo oa molomo: ke eng, lisosa
Lera le leholo la sebete le sebetsa e le mokoallo pakeng tsa tikoloho e ka ntle le karolo e ka holimo ea pampiri ea botona kapa botšehali, e lulang e pepesehetse lits'etsing tse kotsi. Kajeno, sebopeho sa etiologic ea ho ruruha ha kankere ea mokokotlo oa khohlo ea malapa se laoloa ke endocervicites e bakoang ke likokoana-hloko tsa herpes simplex, papillomavirus tsa batho, trichomonads, gonococci, enterococci, Escherichia coli, Chlamydia, Candida fungi.
Lisosa tsa kotsi:
- tšenyo le likotsi tsa mekhoa ea litho tsa maiketsetso;
- ho hlahlojoa ha li-anamnesis;
- Tlhaloso e bohloko (palo e kholo ea ho phalla ka hare);
- lihlahala tse kotsi / tse nang le bothata ba uterine;
- ho khaoloa ha bokhachane;
- tšebeliso ea sesebelisoa sa intrauterine;
- fokotseha karabong ea 'mele oa' mele ea 'mele;
- mefokolo ea lik'hemik'hale tsa molomo.
Ha e le hantle endocervicitis ea molomo oa molomo: ke eng?
E hlokomeloa ka tšoaetso ea postpartum (staphylococcus, streptococcus) le tšoaetso ea gonococci. Litšobotsi tse fapaneng tsa lefu lena li ikemiselitsoe ka tekanyo ea matla a ho holofala ha likokoana-hloko maemong a marang-rang a uteri, tse ikhethileng tsa mokhoa ona. Nakong ea pele ho moo, lefu le leholo la endocervicitis le bonahatsoa ke botlalo ba li-vascular, phenomena tse feteletseng, liphetoho tse hlakileng tsa lisele tsa epithelial. Ts'ebetso ea ts'ebollo e tsamaisana le ho thehoa ha lisele tse nyenyane, ho shebahala ha lisele tsa li-epithelium tse lahliloeng, tseo, ha palo e fetisisang e hlahisa epithelium e nang le mebala e mengata. E tšoantšetsoang ke nts'etsopele e ntseng e mpe le e ncha ea morao tjena.
Matšoao:
- e fetid ho tsoa ho tsoa botšehaling (ho koahetsoeng ke metsi, mahlaseli, ma-purulent, a mucous, foamy);
- Mathata a bohloko ka mpeng e tlase;
- mocheso oa 'mele o fokolang;
- ho chesa le ho hlohlora liphatsa tsa lefutso tsa ntle;
- ho sa phutholoha ha u ntse u tloha;
- bohloko ka ho ts'oaroa, ho tsoa mali ka mor'a ketso ha ho kenyeletsoe;
- Ho tsoa mali ha u sebetse ho tsoa mali / ho koahela bofubelu bo sootho bohareng ba potoloho;
- lefu la bohloko ka ho ba teng sebakeng se ka morao le ka hare.
Chronic endocervicitis ea molomo oa molomo: ke eng?
E hlaha ka lebaka la tšoaetso ea malapeng ka lebaka la bothata ba vaginitis. Ho na le ho teteka ha mekotla ea mokokotlo oa li-cervical, ho ikhohomosa, ho fetoha ha li-epithelium tsa selefouno, ho ba teng ha inflammatory detritus ("lefu" la lintho tse phelang). Khahlanong le semelo sena, hangata se hlahisa mokokotlo oa li-cervical dysplasia (boemo bo se nang mohlolo) le kankere ea kankere. Foromo e tloaelehileng endocervicitis e bonahatsoa ke ho fokotseha ha bohloko, ho fokotseha ha palo ea botšehali e arohaneng, ho fihlela ho fela ho feletseng, e leng ho hlalosoa ka phoso ke bakuli e le phekolo e feletseng. Tšoaetso e qala ho butle butle butle-butle, ho senya butle-butle lisele tsa mokokotlo le sebete.
Tlhokomelo ea setso ea endocervicitis
Tsamaiso ea phekolo e khethoa e nahanne ka boitsebiso ba anamnesis, tlhahlobo ea microbiological, tlhahlobo ea laboratori. E akarelletsa:
- kamohelo ea lithibela-mafu, li-antibacteria le lithethefatsi tse seng kotsi;
- ho se nke lehlakore ka mabaka a mangata (metabolism, hormonal, ho se sireletsehe ha 'mele oa ho itšireletsa mafung);
- tšebeliso ea li-antimycotics (ka likokoana-hloko tsa fungal);
- Anti-herpes therapy (e na le kokoana-hloko ea herpes simplex);
- phekolo ea vithamine; tšebeliso ea cytostatics, interferons, immunostimulants;
- ho hloekisa bokhachane ka botšehali ka thuso ea li-antiseptic agents;
- tšebeliso ea li-suppository tsa botšehali ho tsosolosa microflora e tloaelehileng;
- tšebeliso ea mekhoa ea ho buoa (cryotherapy, laser therapy, electrocautery).
Kalafo ka mekhoa ea batho
Pele u sebelisa phekolo ka litsela tse tloaelehileng, ho hlokahala hore u buisane le ngaka ho qoba liphello tse sa rateheng le liphello tse fokolang.
- Kopanya thyme, adonis, lengana, koena (1: 1: 1: 1), eketsa makhasi a raspberry le litholoana tsa junipere (likarolo tse peli ka 'ngoe). Physiotherapy e entsoe hantle, tšela lilithara tse 500 tsa metsi a belang, e ts'oare, e pholile, e sebelise ka hare lihora tse 24 tse latelang.
- Kopanya motso oa elecampane, mekotla ea litlama ea linku, li-rennels, li-knotweed, makhasi a litebelisoa tse tharo tse nang le lisebelisoa le likotlolo tse lekanang. Fokotsa sebopeho sa seaparo se seng, se arole 10 dikgerama. Tšela lilithara tse 500 tsa metsi a phehiloeng, kenngoa ka setsing se koetsoeng, u behe metsotso e 10-15 ho hlapa metsi. Ema sebakeng se phodileng ka lihora tse 3-4. Sebelisa li-douches, lampampong, li-lotions.
Chronic endocervicitis le bokhachane
HA nakong ea bokhachane a ka patela lesea kotsi le 'mè oa ka moso. Hangata boloetse bo lebisa ho ntša mpa ka nako e le 'ngoe, ho tsoaloa pele ho nako le bokhachane bo boima. Ho phaella moo, ho na le kotsi e kholo ea tšoaetso ea transplacental le intrapartum ea lesea. Haeba ngoana a ne a tšoaelitsoe ha a ntse a feta ka kanaleng ea tsoalo, letlalo la purulent la litho tsa ka hare le letlalo le ka hlaha. Ho kotsi haholo ho sa foleng endocervicitis nakong ea pele ea ho ima ha moimana - tšoaetso ea fetal e fumana mofuta o tloaelehileng, liphello tsa tsona ke lefu la fetal kapa lefu la congenital. Phekolo e na le ho noa lithibela-mafu le lithethefatsi tse thibelang likokoana-hloko (Avithromycin). Ho khoneha ho boloka lesea le entsoeng ke motho ka bomong ka mor'a ho hlahlojoa pelehi. E le hore u se ke ua botsa endocervicitis ea molomo oa molomo - hore na ke eng, ho hlokahala hore u qobe ho buisana le batho ba sa khethollang ho kopanela liphate, ho boloka bohloeki bo tebileng, ho lula u hlahlojoa ka mokhoa o tloaelehileng le ngaka ea basali 'me u khethe setsebi sa litsebi tse nang le phihlelo bakeng sa tsamaiso e nepahetseng ea tsoalo.