Yakanaka uye isingaperi cervicitis: zviratidzo, kuongororwa, kurapwa

Cervicitis iyo inoparadzanisa muitiro wechibereko, kusanganisira kuvhiringidza mucosa nekuputika kwechikadzi mumucho wemukati. Cervicitis kazhinji haisi yega, muna 75-80% yematambudziko, chirwere chinowirirana nechemberi pathologies - vaginitis uye endometritis. Running cervicitis inogona kukonzera kukwegura kwechibereko chechibereko chechibereko, kuumbwa kwemapuropiti muuterine cavity, kuora kwechiremera chezvivako zvemuviri zvechibereko, kuberekwa.

Cervicitis: zvinokonzera

Inokura pamusana pekupinda mukati memugero wemukati we streptococci, staphylococci, E. coli, kazhinji-mavairasi, trichomonads. An anaerobic microflora uye chlamydia inobatsira mune zvinoitika zve cervicitis. Cervicitis ye syphilitic kana etiology inotapira inenge isingawanzoitiki.

Zvinyorwa:

• climacteric period;
• kutsamwa kwechirwere chekemikari nemakemikari / magetsi ekudzivirira kubata pamuviri;
• kuora simba kwekuzvidzivirira, kusasikirwa kwechibereko;
• kushungurudza kunounza (dzakawanda zvinotambudza / cervical rupture);
• ectopia yemukati, kubviswa kwekuita pamuviri.

Mhando dzakasiyana dzezvirwere

1. Viral cervicitis. Iyo causative agent ndiyo inowanikwa hutachiwana mumuviri - HIV, herpes simplex, papillomavirus yevanhu. Viral cervicitis inoratidzika zvikuru kwazvo - zvinorwadza zvinorwadza paunenge uchizorora, zvakashungurudza zvakanyanya munhengo dzomukati dzomukati, kubvisa marwadzo mudumbu rezasi.
2. Purulent cervicitis. "Inotanga" pamusoro pemamiriro ezvinhu ezvirwere zveveereal, zvinoratidzwa nekuwedzera kwekudzivirira kwechibvumirano chemuviri wechiberekero nekuputika kwezvinhu zvemasero eplindrical epithelium. Purulent cervicitis inokonzera kuvhiringidza kune dzimwe nhengo dzemakamuri ekubereka, inodzivirira kubata kwe fetus, uye inokonzera chipetric pathology.
3. Bacterial cervicitis. Inouya semugumisiro webasa repathogenic mabhakitiriya. Utachiona hwakatangira ne gonorrhea, trichomoniasis, zvepabonde dysbiosis.
4. Atrophic cervicitis. Inokonzerwa nokupinda kwehutachiwana panguva yekusachengetedzwa kusina kudzivirirwa kana kuwedzera mushure mekusaita kubvisa pamuviri uye kuongorora chirwere.
5. Candid cervicitis. Zvirwere zvakabatana neparasitism kwenguva refu ye Candida fungi mumuviri.
6. Diffuse cervicitis. Ihwo hutachiona hunopararira mukati memadzimai echikamu chechibereko.

Acute cervicitis: zviratidzo uye kurapa

Pachigamba chekutanga, mucosa weganda remudzimai inosangana nekuwedzera kubatanidzwa mune chirwere chetachiona che stroma. Iyo yakaoma fomu ye cervicitis inoratidzwa nekuwedzera kwemaitiro epascular, kuunganidza kwekurocytes pedyo nemaganda nemidziyo, perigendulary / perivascular vana abscesses. Varwere vane hanya nehuwandu hwemapfupa ari mudumbu rezasi, kupisa mumudzimai, mucopurulent kana purulent discharge kubva pamakumbo ekubereka, postcoital kubuda ropa, kazhinji kacho kukurudzirwa kuti urinate. Apo kuongorora kwechikadzi kunoratidzira hupombwe, kuburitswa kwemucosa wepakati chechikadzi chemuviri wechibereko, zviratidzo zvekunyengera-kuora kana "kuputika kwekukura."

Kuongororwa kwe "acute cervicitis" kunobva pakuona kuonekwa kwechivharosi nekubatsirwa necolposcope nemadzimai emadzimai, an anamnesis, kuongorora mabhakitiriya emugero unoparadzanisa chibereko chechirwere. Kurasikirwa nehutachiona hwehutachiona, conjunctivitis, fivha - chiitiko chekutsvakurudza kwekurorological. Chirwere chinoshandiswa chichifunga nezvenhandare yechirwere ichi, chirwere chinosangana nacho, chimiro chepathogen. Shandisa vaginal douching ne lactic acid solution, chamomile infusion, antibiotics kana sulfonamides (bhakitiriya C), tetracycline uye Doxycycline (chlamydial C), metronidazole (anaerobic microflora), leukocyte interferon maitiro (viral C).

Cervicitis - zvinokonzerwa nezvinetso:

• zvinowanzopindirana zvekutapukira munhengo dze genitourinary system;
• "Kutanga" kwechirwere chekudzivirira chirwere ichi: kuora kwekervical - dysplasia - oncology;
• mapepa pamuromo wemukati uye mu uterine cavity;
• kuipa kunokonzera (kukuvadza) kwezvivako zvemuviri zvechibereko;
• kupererwa, kusununguka.

Chronic cervicitis: zviratidzo, kuongororwa, kurapwa

Chirwere chisingagumi chechirwere chacho chigumisiro chekusatorwa kwechirwere cervicitis. Inoshandiswa nehupenzi mucopurulent kana purulent tsvina kubva mumadzimai, edema uye zvinyorwa zviduku zvemuviri wechibereko.

Morphological zviratidzo zvekusingaperi cirricitis:

• Muscular uye zvinogadzirisa zvipembenene zvinobatanidzwa mukugwinya kwekuita;
• kusvibiswa kubva pamutsipa webonde kunowedzera kwemazuva 1-2 mushure mekupera kwekuenda kumwedzi;
• chirwere chechibereki chinotapukirwa zvakare, kukaramba epithelium hakubvumiri;
• Muchibereko chechivharo chinonzi hypertrophied uye chakabatanidzwa;
• epithelium flat pane imwe nzvimbo inotsiva cylindrical epithelium; metaplasia epithelium inowanzoitika;
• uko kune infiltrates uye cysts.

Kuongorora zviyero

Kuongororwa kwechirwere cervicitis kunowanzoomera nokuti zviratidzo zvakanyoroveswa, izvo zvinotungamirira kuchipatara chisingatarisirwi uye kuchinja kwechirwere kunotora nguva yakareba inowedzera nekuwedzera, zvakaoma kupindura mushonga wezvinodhaka.

Stepwise kusiyanisa kuongororwa kwe cervicitis:

• kunyatsoongorora yakamnesis nechisungo chebasa rebasa rakashandurwa uye zvinyorwa zvekuita gynecological;
• Kuongorora kwekliniki yemifananidzo;
• kuongororwa kwechirwere uye muromo wechibereki nekubatsira kwezvioni;
• kuongorora kwemigumisiro ye cytology, microbiological research.

Zviedzo zvinodiwa:

• macroscopy ekubuda kwechikadzi, urethra, kervical canal pamaruva ebhakitiriya;
• smear oncocytology;
• bhakteriotic tsika nechokuparadzaniswa kwepathogen, kuonekwa kwekunzwisiswa kwayo nemishonga inorwisa mabhakitiriya;
• general analysis of urine, blood;
• kuongororwa kweHIV uye syphilis, kudyara pa gonococcus;
• colposcopy (kuonekwa kwezvikamu zvakasvibiswa zvinopesana mukugadzirwa kwevascular, marara, chimiro kubva kune imwe nzvimbo yose);
• kuongororwa kwewareaplasma, mycoplasmal, chlamydial, papillomavirus, zvirwere zvoutachiona.

Kurapa kwechirwere cervicitis

1. Kugadziriswa (kubviswa) kwechirwere chinotapukira. Kugadzirira kwakakwana ne antibacterial, antiprotozoal, antimycotic action (Tantum Rose, Terzhinan, Polizinaks) inoshandiswa. Muhupo hwehutachiona, chlamydial hutachiona, trichomoniasis, candidiasis, inharaunda yepamunharaunda inowedzerwa nemuromo wemishonga.

2. Kubviswa kwe foci ye ectopia (kusanganisa-kuputika). Viral uye chlamydial zvirwere zvinoreva kushandiswa kwemishonga yemapirisurgical (cryosurgical action, laseraporapisation, electroconjuration). Pakuita kuparadzwa kweexocervix yakashandurwa, kuvapo kwekuvhiringidza kunofungidzirwa. Kana zvisingakwanisi kuwana chiitiko chakanaka mushure mekuparadzwa, chirwere chepachirwere chisingaoneki hachizoonekwi pavanga pamusoro pemukatikiti kwenguva yakareba, izvo zvinogona kutungamirira kuora kunoshandiswa kweexocervix, endometriosis yechibereko, uye kuonekwa kwemajini akawanda.
3. Kugadziriswa kwevakadzikadzi microbiocenosis. Nokuti kusunungura muviri kunoshandisa kusanganiswa kwema immuno-correctors (Imudon) uye eubiotics (Hilak-forte).

Kugadzirira kurapwa kwecervicitis:

• Doxycycline (0,2 g pazuva pazuva rose);
• Acyclovir (200 mg kashanu pazuva pazuva 5);
• Yakagadziriswa (nhengo isina kuroorwa, muyero inotsanangurwa nechiremba anoenda kune zvinoenderana nemhando yepathogen);
• Valtrex (kaviri pazuva kuti 500 mg kwemazuva mashanu);
• Terzhinan (rimwe suppository pazuva, mukati mazuva 10-12);
• Tarium (kamwe piritsi 2);
• Maksakvin (kamwe pazuva pazuva 400 mg, nguva yekubvuma inotsanangurwa nachiremba);
• Erythromycin (kureba kwedzidzo / kuyerwa kunotsanangurwa nachiremba zvichienderana nerudzi rwepathogen).

Makese kubva ku cervicitis

Kugadzirira nenzira ye suppositories (suppositories) inoshandiswa zvakanyanya mumatambudziko ekurapwa kwechirwere chisingaperi. Kushandiswa kwavo kunoita kuti zvikwanisike kuratidza immunopathogenesis yezvokuvhiringidza nzira nekugadzirisazve homeostasis inoshungurudzwa. Iyo yakakosha yehuwandu hwezvikamu muidhodho inogadziridza inoita kuti kuve nekushanda kwakagadzikana kwekervical mucosa uye kunaka kushivirira.

Terzhinan. Makhandeni eAntifungal uye antibacterial anorwadza, anoshandiswa pakurwisa mabhakitiriya epyogenic, trichomonads, vanaerobic flora, Candida fungi. Iva nekunopesana nekuvhiringidza. Zvimwe zvinobatsira zvemakenduru zvichengetedza kuvimbika kwepabhedheni epithelium mune zvirwere zvinotapukira zvinoputira, kuchengetedza pH noruzhinji kutarisa.

Polizhinaks. Mishonga inobatanidza, inoratidzwa ne antifungal, bactericidal, antibacterial effect. Kushanda zvinhu Polizhinaksa (polymyxin, neomycin) inokonesa mikoko yakawanda yeGr-positive / Gram-negative, inovandudza trophic zvinoshandiswa mumucherechedzo wemadzimai.

Betadine. Antimicrobial suppositories yezvakawanda zvezviito, zvinobudirira kurwisana nemavirusi, fungi, mabhakitiriya, nekukurumidza kudzorera microflora yakakwana yemukadzi.

Macmirror complex. Makhanduru acho chikamu cheboka revanoridzivirira uye antimicrobials. Vane chirevo chinonzi antifungal, antibacterial, antiprotozoal effect. Usaputsa maruva emuviri, kudzorera iyo normocenosis yemukadzi.

Cervicitis pakuzvitakura

Dambudziko re cervicitis rinonyanya kukosha pakuberekwa. Kuvapo kweam anamnesis kwekuongororwa kwe "cervicitis" kunoreva kukanganisa kwakakura kwekuberekwa nguva isati yaitika, zvinetso zvepululent-septic, utachiona hwemukati hwetrutine we fetus. MuRussia, chikamu chetachipatara chinoparadzanisa pakati pe 6-50%, chinosvika 75% pakati pevatana vacheche. Chiitiko chekufa kwepinatalitachi kubva pane chirwere ichi chinosiyana kubva pa3 kusvika ku65%. Kune nzira shanu dzekupindira kwemujaira anotapukira mumuviri wemukadzi ane pamuviri: achiburuka, achikwira, akavhenganiswa, achinetseka, anotengesa. Inonyanya kuipa ndiyo inokwira, iyo chirwere chinopinda mubereki kuburikidza nechirwere chemuviri. Iko kusingagumi kwenguva refu kwekutsvaira mumugero wemushonga unoshanda se "nyore" masuwo emaprogenic uye mabhakitiriya. Kana chirwere chinonzi intrauterine chikaitika mumatambo ekutanga ekudzivirira, embryopathies inoumbwa inokonzera kukonzera kusina kukwana uye kuvhiringidzika kwepenital - izvi zvinoguma nekuzvitakura zvisina kusimbiswa uye kuora mwoyo.

Utachiona pamatanho ekupedzisira hunofambidzana nekunonoka kwekufuridzirwa kwekuberekwa, kuberekwa / zvipembenene zvema fetus, kuumbwa kwekudzokororwa kusina kukwana. Maitiro ehuwandu hwehutachiona kazhinji hunobudirira mumutambo wekutanga wekuita pamuviri, apo fetus isati yakwanisa kugona kupera. Mu semester yechitatu, kuchinja kwechiremera kunokonzera kuvhara (kuvhara) kana kuderedza kudarika kwemazaruriro / mativi, izvo zvinotungamirira kusina kusimba kwechikwata chave chaumbwa-hydronephrosis uye hydrocephalus. Munguva yekubata muviri (nhamba yevhiki dzakakwana dzekuita muviri), chibereko chechivharo chinodzivirira fetal egg uye uterine cavity kubva kune majekesheni asingazivikanwi, achiita basa rinodzivirira. Cervicitis inokurambidza kupera nguva isati yapera yekuzvitakura nekuda kwehutachiona hwe embryo, placenta, amniotic fluid, fetus pachayo.

Kuvharwa kwemvura uye mabhomba zvinogoneka nekukwira hutachiona. Zvisikwa zvepathogenic zvinopinda mumusana we fetal fluid, zvinotama pakati pemakumbo uye dzinosvika pamba yebasal, iyo inotarirwa ne leukocyte kupinda. Inofanana neamniotic fluid, fuki yehutachiona yakarongeka, inokonzera kufa kwemwana.

Cervicitis: kurapwa panguva yekuzvitakura

Cervicitis panguva yekudzivirira inoda kukurumidza kuongororwa kwakaongororwa uye inorapwa yakaoma. Isa mushonga untiviral, antifungal, antibacterial drugs, unopa rudzi rwehutachiona hunopararira uye kurwisana nemishonga. Mishonga yakachengeteka uye yakanyatsoshanda yekurapa cervicitis muvakadzi vane pamuviri inonzi Sumamed. Yakanyatsogadziriswa mukurapa macoplasmal, ureaplasma, chlamydial zvirwere. Sumamed (active substance - azistromycin) inopfuurira mukutsvaira kwekuvhiringidza kwemazuva 5-8, iyo inobvumira vanachiremba kuti vawedzere nguva shoma (mazuva matatu) uye vakachengeteka pamakadhi ekurapa ane pamuviri. Nguva yakakodzera uye yakakwana kurapwa kwechirwere kunogona kukonzera zvinetso zvinosanganiswa nekuzvitakura, uye zvinonyanya kuwedzera mukana wekuendeswa kwemazuva ose.

Kurapa kwe cervicitis nemishonga yevanhu

Mapeji emishonga yemagariro ekurapa kwe cervicitis anogona kushandiswa chete "pamwe chete" nemaitiro emadzitateguru uye mushure mokunge vataurirana navanachiremba. Kuzvipira kunogona kutungamirira kumatambudziko akakomba.

1. Broths for douching:

   • tora zvakaenzana zvakafanana uswa hwehusi, mashizha emashizha matatu-mashizha, midzi ye elecampane, michero yefennel, uswa bhugi refudzi. Zvipuka zviviri zvakakura zvekuunganidza kuti zvizadze nemamiriyoni 500 emvura yakabikwa, kuchengetedza pamoto usina simba wemaminitsi gumi nemaminitsi gumi nemaviri, kusimbisa, kuti utonhorere. Shandisa mufomu inotonhora;
   • tora zvakaenzana zvakaenzana nebako remuchiri werlow, mashizha emadzimai nemadzimai ekutanga, birch, shiri cherry, uswa hwe nettle, juniper midzi, mbeu caraway, mashizha eati. Mipuni miviri yekusanganiswa (yakakura) inodurura 500 milliliteri emvura inodziya, kunyanya kunetseka, kunotonhora. Isa nechimiro chakanaka;
   • sunga plantain, Icelandic moss, Goose's goatee, sage, woodruff, lilac maruva, chicory mid. Dururirai mahwendefa maviri emusanganiswa wakaomeswa neawa imwe yemvura inoroka, tsanidzai 10-15 maminitsi, dhonza. Shandisa munzvimbo inodziya.

2. Mafuta:

   • tora midzi yenyoka yakakwirira, dandelion, mbeu yefrikisi, mashizha ebhurch, kipreja, celandine uswa, gavakava, sage, lilac maruva. Iva mupfu makirogiramu 50 ekuunganidza, kudururira mamita 500 emvura yakachena, vira mumvura yekushambidza mumvura kaviri. Wedzera mafuta yakanyungudutswa kumucheka (50 milliliters), viraira kwemaminitsi makumi maviri, uwedzere glycerin (50 milliliters), hwakanaka kwazvo;
   • Icelandic moss, calendula, clover, juniper pine, mbeu, firk mbeu, gungwa buckthorn, munda horsetail, chamomile. Zvimwe zvinokonzera, kudira mamita 500 emvura, wiraya kaviri, uwedzere mafuta (50 milliliters) uye glycerin (50 milliliters). Bira imwe maminitsi makumi maviri, kutonhora. Shandisa mabheji ebhanji.

3. Infusions for oral administration:

   • tora zvakakwana zvakaenzana wormwood, lemon balm, uswa hwehuta, gavakava, mashizha mashizha matatu, blueberries. Zvishongedzo zvakanaka gaya, funganya. Teaspoon yekusanganiswa kuti izere nemamiriyoni 250 emvura inodzika, tsanidza maawa maviri, geda. Inwa kuiswa mukati mushure maminitsi makumi maviri nemaviri mushure mekudya;
   • kuti ubatanidze goatee nemafuta, tansy, kumini yembeu, mashizha e-celandine, kumhanyisa kusimuka, geranium. Geza, woma, bhinda punikira yekusanganiswa 350 milliliters emvura inodzika. Shandisa maawa 1.5-2 mushure mekudya;
   • kutora mashizha ebhari, raspberries, St. John's wort, field horsetail, koti, musaka (zvakaenzana zvakaenzana). Ipunikosi yemiriwo yekuvirisa 250 milliliters emvura inopisa, kusimbisa, firiji. Inwa katatu pazuva kwema 20-30 maminitsi musati wadya.

Kudzivirira kwe cervicitis:

• nguva dzose zviongorori zvekudzivirira pane imwe nyanzvi nyanzvi;
• kurapwa kwehutachiona hwehutachiona, zvirwere zvevaeni;
• kusimbisa kudzivirira;
• hormonal contraception panguva yekuenda kumwedzi.

Cervicitis chirwere chakakomba chinogona kukonzera kusabereka, saka hazvibviri kukanganwa "mabhero ekutanga" anoratidza kuvapo kwehutachiona mumakumbo edzimba. Kurapa kwakakodzera uye kwakakodzera panguva iyi kunobvumira kuti usapinda matambudziko akawanda ehutano uye zvinetso zvinosangana nekukwanisa uye kubereka mwana.