Izvi zvinorwara
Kuti ave noutano hwakanaka (pasina kurasikirwa nekwanisi kubereka), mukadzi anofanira kunge akave nepasi yepasi. Inoumbwa nezvikamu zvitatu zvemisungo inotsigira inzwi remisungo yebhakina uye anal sphincter, iyo inonyanya kukosha munguva yebasa. Imwe yenzira itsva yekutsvaga mune zvemazuva ano gynecology ndeyekuongororwa kwemamiriro epurasitiki. Munyika yedu, kliniki inoshandiswa inoshandisa nzira iyi, pasinei nokuti inenge chikamu chimwe chete muzvitatu chevakadzi vanotambura nekukuvara kwemisungo iyi. Nokudaro, nyanzvi dzemakiriniki dzinozivisa nzira itsva dze ultrasound kuti dziongorore mamiriro epasi pedvic uye dzinoratidza vakadzi vane ngozi yakawanda yekushanda basa. Kana wanyatsoongorora chirwere, sarudza nzira yakanakisisa yekuvhiyazve.
Kliniki inobatsira kana iwe uchitaridzika: tubal uye peritoneal infertility (munyaya yekutanga - kusavapo kana kuvhiringidzika kwemaviri fallopian tubes, mune yechipiri - kusungirirana pakati peivary uye tube). Endometriosis (kupararira kwemasukisi kunze kwemukati memukete wechibereko).
Adenomyosis (kuvhiringidza nzira nemakumbo mumimba). Myoma kana uterine fibroids (benign tumors mumumuviri kana mubereki muviri). Hyperplasia yechibereko (mamiriro ehutachi uterine, apo inokura, basa rayo rinotambudzwa). Polycystic ovary syndrome (inozivikanwawo seStein-Leventhal syndrome, inoratidzwa nekusavapo kana kusagadzikana kwehuputi).
Nyeredzi (kusvibiswa kwemvura, yakakomberedzwa nemusvingo wakaonda kwazvo wemapukisi, mukati mezvisikwa zvinovhiringidzika zveyvary, inogona kukura kanomwe, inoputika uye inopisa kana isina kunyatsogadziridzwa) uye mvere dzomukati. Kusagadzikana kwemuviri wechipfuva.
Kusarudza mukufarira muviri
Mifananidzo chinhu chakasindimara: mumabasa emitambo, njodzi yekuvandudza dzimwe zvirwere zvevakadzi zvekuberekwa inowedzera gumi. Izvi ndezvekuti muviri unotambura zvakanyanya kune zvakakanganiswa zvakakura: unopedza basa redu kuderedza kurwadziwa kwepashure uye kushungurudzika, kunonoka kutsika zvese. Izvi zvingadziviswa sei? Shandisa nzira ine unyoro inobvumira mukadzi kuti ave nekutambudzika asingatauri kupfurikidza kushanda uye nokukurumidza awanezve. Izvi zvinogona kuva laparoscopy kana laparotomy - nzira dzakapfurikidza dzokuvhiya dzinobvumira chiremba kuti apinde mukati mamuviri ("laparo" - kubva muchiGiriki "mudumbu"), zvichiita zvishoma - 5-10 mm - nadreziki. Panguva ino, pane ruvara rwemuvara wemishonga ine simba yezvokurapa, unogona kuona zviri kuitika munhengo nemaviri. Mumakiriniki "Nadia" nokuda kweizvi pane zvinhu zvose zvinodiwa, izvo zvakasiyana zvakasiyana nezvakawanda zvezvipatara muUkraine. Asi chinhu chikuru ndechokuti ivo vachabatsira kuita sarudzo yakanaka mukuda kwehutano uye kuberekwa.
Ndakanga ndine chirwere , kuputika kwemukadzi mucosa. Asi mumwe wacho akanga asina zviratidzo zvechirwere chakanga chisina. Izvi zvinoreva here kuti anongova mutakuri wehutachiona, uye anofanirwa here kupa chero upiedzo?
Dysbacteriosis, utachiona husina simba munzvimbo iyoyo, uhu hwakachena hunogona kukanganisa chirwere pasinei nokuti mukadzi uyu ari kuita zvepabonde. Munhu anenge akaroorana naye akasava nechokuita nacho, uye mukadzi anofanira kupiwa kurapwa. Sezvo mutemo, antimicrobial uye antiseptic maitiro ehuwandu hwezviito zvinotarisirwa kuti chirwere chinonzi colpitis. Mimwe mishonga inoshandiswa kudzivirira chirwere: kune vaginal suppositories iyo inokwanisa kushandura ma microorganisms nemavirusi akawana mucous kwemaawa maviri mushure mekuita zvepabonde.
Panguva imwecheteyo, chirpiti chinogona kuitika nekuda kwezvirwere zvepabonde: ureaplasma, mycoplasma, chlamydiosis, trichomoniasis, gardnerella, gonorrhea, papillomavirus yemunhu, inotapurirwa zvepabonde. Kana iyo yakakonzerwa nehutachiona hwepabonde, vaviri vacho vanofanira kutarisirwa pamwechete. Kana zvisina kudaro, mushure mekuita zvepabonde pasina kudzivirirwa kuchave neutachiwana zvakare, uye chirwere chacho chinogonazve kuzviratidza. Murume ari munyaya iyi anofanira kushanyira urologist uye kupfuurira pane urogenital smear.
Ndakanga ndiine incogenic yakanyanya yepillomavirus (HPV) yevanhu. Chiremba akandiendesa kunzvimbo yekudzivirira kwechirwere. Gare gare ndakadzidza kuti ndisati ndatora chirongwa ndakanga ndaifanira kuita chizivo chemuviri wechikadzi chinonzi biopsy. Izvi zvakakosha zvakadini izvi?
Pamberi pekudzivirirwa kwemvura (nzira yekurapa kwechirwere chepervical nekushandiswa kwemvura inonzi nitrogen) biopsy yemaviri haisi nguva dzose inokosha. Ichokwadi ndechokuti mushure mekunge kuonekwa kwe-coagulated HPV yakadaro, colposcopy yemubereki uye cytological kuongorora yeurogenital smear yakaitwa. Uye, kana migumisiro yavo ichibvumira chiremba kuti aite mhedziso pamusoro pekuchinja kwakakomba mu epithelium yemukati mutevedzeri wekenza, zvino anorayira bhiopsy. Kana iyo nyanzvi isingafungi, nzira yacho haifaniri. Shure kwezvose, bhiopsy ndeyekudzidza kwechikamu chiduku, chakavharidzirwa chechirvix chekuvapo kwekenza masero. Ichokwadi, iyo microtrauma, uye pasina zvikonzero zvakakosha hazvidiwi.