Zvisinei, inogona kufungidzirwa kuti kune kuora kwemuviri wemukati, kana mukadzi achinyunyuta kurwadziwa panguva yepabonde, kana kune ropa (ronda kana rukapini) kubuda kubva mumukadzi.
Diagnostics
Mukadzi mumwe nomumwe anoda kamwechete hafu yegore kuti aongorore gynecological, kuitira kuti kuongororwa kunogona kuitwa panguva. Chiremba anoongorora chivharox uye, kana zvichidikanwa, anoita colposcopy.
Kuti ape kurapa kwakanaka, nyanzvi inofanira kuziva chikonzero chechirwere. Zvakakosha kuita zvidzidzo zvinotevera:
1) Smear kuti aone kuwanda kwehutano hwemadzimai. Smear inogona kuona kuputika kwechikadzi, izvo zvinowedzera mukana wekukanganiswa kwemukati.
2) Kuongorora kujekesa zvirwere zveSDS, izvo zvinonyanya kukonzera kukura kwechirwere ichi (urogenital chlamydia, trichomoniasis, mycoplasmosis uye ureaplasmosis, gonorrhea, utachiona hwepillomavirus, genital herpes, nezvimwewo).
Kana kuongororwa kuri kusimbiswa, zvimwe zvidzidzo zvinodiwa, izvo zvinoita kuti zvibvirire kubvisa kuitika kwechirwere chemukondombera. Cytological examination uye cervical biopsy inoitwa.
Kukura uye kukanganisa-kukanganiswa kwemukati
Mucherechedzo wakakonzera chivharosi uye inosanganisira marudzi maviri emasero: prismatic epithelium, iyo inowanzogara munharaunda yechibereki uye flat epithelium mukati memadzimai emuviri wechibereko.
Madzimai maduku, uyewo kune avo vane ropa ravo reweserogen rakawedzerwa, kudengenyeka-kuderedza kunogona kuitika, i.e. kubuda kwe epistlium yeprismatic kusvika muhutu hwemadzimai. Kana zvirwere zvehommonal, pamwe chete nekuvhiringidza muzvirongwa zvisingabviri, vanachiremba kazhinji vanongotarisa kucherechedza imwe hafu yegore uye cytological examination.
Kubudirira kwechokwadi, semutemo, wakawana. Mhosva yake inogona kuva STDs, vaginitis, colpitis, cervical kukuvara.
Zvinokonzera kukurudzirwa kwekukura kwemuviri wemukati ndezvi: kutapukirwa kwehutachiona, hupombwe hupenyu hwepabonde uye kutanga kwahwo, zvirwere zvehomoni.
Kurapa kwekutsvaira kwemuviri wechibereko
Kana kuve nemimba kumudzimai achiripo, zvakakosha kusvika kune nyaya yekusarudza nzira yekurapa kukanganiswa kwechibereko chemuviri kune zvakanyanya.
Nayo pachayo, chirwere ichi hachidziviri kubata pamuviri. Zvisinei, kudengenyeka kunogona kuva chikonzero chetachiona uye nzvimbo inobereka ye microbes, inosanganisira ngozi yekutapukirwa kwemwana.
Madzimai ane chirwere ichi munguva yebasa, kuputika kwemutsipa kunowanzoitika nekuda kwekuderera kwemasumbu.
Nokudaro, zviri nani kuronga pamuviri mushure mokurasirwa kwechibereko chekuvharwa kwechirwere.
Zvimwe zvichida kurapa zvinodhaka . Kushandiswa kwezvinopesana-kupisa zvinodhaka kunobatsira kuparadza chinokonzera kudengenyeka kwechirwere. Sezvo apora zvirwere zvinotapukira (mycoplasmosis, ureaplasmosis, chlamydia, trichomoniasis, nezvimwewo), pane dzimwe nguva, munhu anogona kubvisa kudengenyeka.
Chiremba-gynecologist pachikonzero chekuongorora nekuongorora angasarudza kushandisa nzira dzekemikari coagulation yekurapa kudengenyeka.
Pakati penzira dzakadaro - Solkovagin. Ichi chinodhaka chinoshandiswa kune pakati pekudengenyeka, semugumisiro wekuti masero akaparara anofa, uye nzvimbo yavo inobatwa nemasero ane utano. Kazhinji kacho kazhinji Solkovagin inoshandiswa mumatambudziko ekudengenyeka kwenyika.
Vagotil - chirwere chinokonzera kufa kwe "zvirwere" masero emucosa uye zvinobatsira pakugadzirisa masero avo matsva ane utano. Ichi chinodhaka chinoparadzawo mabhakitiriya epathogenic mumuviri wechibereko.
Nzira yezvinodhaka ndiyo inonyanya kuparadzanisa. Iko yakachengeteka uye kana mudzimai asina kuberekwa uye zvirongwa zvekurarama zvizere panguva yekuzvitakura mushure mekurapa kwekudzivirira kwechibereko chemuviri.
Kwete-kushandiswa kwemishonga kunosanganisira kushandiswa kweimwe yenzira dzinotevera.
Kuchema kwemvura kana chishuvo chekutsvaira kwemhepo. Iyo nzira inosanganisira muitiro wewaini inonzi nitrogen, iyo inoratidzirwa nekupisa kwakanyanya kudarika, pamusana pokubva kudengenyeka. Somugumisiro wegadziriro yacho, masero akaparara anofa, asi hutano husina hutachiwana.
Iyi nzira haina njodzi. Pamusana pekushandiswa kwayo, zvipembenene uye zvipembenene zvepachiviri hazvioneki.
Laser coagulation inzira inosanganisira kurapwa ne laser cauterization. Iyo laser inoparadza masero "anorwara", achipinda kune imwe yakadzika mumatumbu. Mamwe masero ane utano anogara akasimba.
Iyi nzira haisi kusiya inopera uye haishanduki maitiro emukondombera, izvo zvinokosha, kana mushure mekurapwa kwekuvharwa kwechibereko chemuviri, kuberekwa kunorongwa.
Diathermocoagulation ndiyo nzira inonyanyisa uye inoshungurudza. Kukanganiswa kwechibereko chechivharo kunokonzerwa nekushandisa magetsi, zvichiguma nekufa kwemasero akaora. Iyi nzira inobatanidza kwete kudengenyeka kwenyika chete, asiwo chikamu chepasi cheganda remudzimai. Kuporesa kunoitika mumavhiki matanhatu kusvika ku7. Iko kurapa kunotungamirira kukuderedza ganda remudzimai, kumwedzi kunogona kuvhiringidzika.
Iyi nzira haifaniri kushandiswa kune nulliparous. Kana zvisina kudaro, kunyatsongwarira kutarisa kwechirwere vasati vaberekwa kunokosha. Mushure mokurapa ne diathermocoagulation, zvipembenene zvakakomba pamuviri wechibereko zvinogona kuitika, izvo zvinogona kutungamirira pakuonekwa kwebasa, kukuvara kwemucheche, kuputsika kwemutsipa. Muchiziviso chinofanirwa kugadzirirwa vhiki mbiri vasati vaberekwa, uye kushandisa antispasmodics pakuberekwa. Mune zvimwe zviitiko, kuberekwa kwepanyama mushure mokunge diathermocoagulation isingakwanisi, zvinokosha kuti tishandire chikamu cheKesaria.
Imwe yenzira itsva ndiyo inonzi rediyo, iyo inosanganisira muitiro weredhiyo inoputika mavara. Iyi inzira inorwadza. Kurapa kwakakwana kunoitika munguva pfupi. Kuberekwa mushure mekurapa nenzira iyi inogona kurongwa munguva inotevera.
Inofanira kuyeukwa kuti kudengenyeka kwechirwere kunofanira kuporeswa, sezvo inowedzera dambudziko rekenza yemumuromo.