Synechia ntawm daim di ncauj me me hauv cov ntxhais: yuav ua li cas paub, txoj kev kho mob

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:25

Adhesion, lossis synechia, ntawm labia minora hauv cov ntxhais yog qhov tshwm sim zoo. Nws tshwm sim feem ntau hauv cov me nyuam mos los yog me ntsis tom qab, tab sis mus txog 6 xyoo. Tus kab mob no asymptomatic. Nws tuaj yeem pom los ntawm lub sijhawm thaum saib xyuas menyuam lossis thaum kuaj mob los ntawm kws kho mob.

Anatomical reference

Lub vulva yog ib hom tsev fuabtais ntawm qhov chaw mos. Nws yog tsim los ntawm kev sib cuag ntawm lub puab nto ntawm lub me thiab loj labia. Qhov no yuav tsum yog ib txwm nyob hauv lub cev noj qab haus huv.

Kev kaw ntawm qhov chaw mos yog nyob ntawm qhov kev ncaj ncees ntawm perineum thiab pab tiv thaiv qhov chaw mos los ntawm cov pa phem los ntawm ib puag ncig sab nraud. Nws tiv thaiv kev nkag mus ntawm huab cua thiab evaporation sai ntawm qhov chaw mos secretions nrog ziab ntawm qhov chaw mos mucosa.

Labia minora yog ob daim tawv nqaij longitudinal quav. Lawv yog cov yam ntxwv los ntawm ib tug zoo circulatory system, muaj ib tug loj tus naj npawb ntawm cov qog. Feem ntau, 2/3 ntawm lawv qhov chaw yog nruj nreem nyob ib sab. Txawm li cas los, nyob rau hauv tus ntawmyam yuav yog lawv fusion. Hauv kev kho mob, qhov kev kuaj mob no zoo li synechia. Union yuav ua tiav lossis tsis tiav, tshwm sim hauv ib cheeb tsam.

Kev piav qhia tus kab mob

Sinechia yog ib qho nplaum uas tshwm sim vim qhov pom ntawm adhesions ntawm sab hauv lossis sab nraud ntawm lub cev. Xws li adhesions tuaj yeem cuam tshuam rau labia minora, tsawg dua qhov loj. Qhov tshwm sim no tsis txaus ntshai, tab sis yuav tsum tau saib xyuas kev kho mob. Nws tshwm sim feem ntau hauv cov menyuam mos thiab menyuam yaus hnub nyoog qis dua 6-7 xyoo.

Raws li ICD-10, synechia ntawm labia minora muaj tus lej Q52.5.

Qhov laj thawj tseem ceeb

Qhov ua rau pathology tuaj yeem sib txawv. Hauv cov menyuam yug tshiab, lawv yog vim kev xeeb tub lossis kab mob hauv lub cev.

Thaum hnub nyoog preschool, synechia tuaj yeem tshwm sim los ntawm:

• cov kab mob yav dhau los ntawm thaj chaw urogenital ntawm kev kis kab mob (cystitis, vulvovaginitis, vulvitis);
• kev kis tus kab mob hauv tsev;
• kev tu cev tsis zoo ntawm qhov chaw mos, siv cov tshuaj pleev ib ce nruj;
• tshuaj tsis haum rau ntxhua khaub ncaws, ntaub so ntswg, ntaub so ntub;
• hormonal imbalance (estrogen deficiency);
• siv cov ris tsho hauv qab hluavtaws;
• noj qee yam tshuaj;
• plab hnyuv dysbacteriosis.

Cov cim qhia ntawm pathology

Ib yam ntawm synechia ntawm daim di ncauj me me hauv cov ntxhais yog qhov yuav luag tsis muaj cov tsos mob. Qee zaum, muaj teeb meem nrogtso zis. Lwm lub siab xav tso zis xaus nrog grunting thiab muaj zog straining. Feem ntau txhua yam ua rau hysteria thiab quaj. Muaj kev pab tom qab tso zis.

Lwm cov tsos mob ntawm tus kab mob muaj xws li cov hauv qab no:

• redness, tev ntawm daim tawv nqaij ntawm qhov chaw mos;
• khaus mucous;
• tus me nyuam quaj thaum da dej lossis ntxhua;
• nce tso zis.

Cov ntxhais tom qab thawj xyoo ntawm lub neej thiab laus dua tuaj yeem tso zis.

Kuv yuav ua li cas thiaj kuaj xyuas kuv tus kheej?

Ntau zaus, synechia ntawm daim di ncauj me me hauv cov ntxhais yog qhov nrhiav tsis tau. Pathology raug kuaj pom thaum lub sij hawm tu cev los yog ntawm tus kws kho mob lub sij hawm. Tus me nyuam tau mus rau hauv tsev kho mob nrog cov tsos mob ntawm tus kab mob, tab sis qhov tseeb ntawm qhov tshwm sim tsis tuaj yeem tsim tam sim ntawd. Piv txwv li, ntawm kev sab laj nrog ib tus kws kho mob gynecologist, pom muaj qhov adhesion vim kev kuaj zis tsis zoo lossis tsis muaj txiaj ntsig los ntawm kev kho mob cystitis.

Txhawm rau tiv thaiv qhov teeb meem ntawm pathologies, cov niam txiv yuav tsum tau kuaj xyuas tus menyuam qhov chaw mos ib ntus. Ua ntej koj yuav tsum ntxuav koj txhais tes thiab txiav koj cov rau tes kom tsis txhob ua mob rau tus menyuam daim tawv nqaij. Tshaj tawm nws ob txhais ceg, koj yuav tsum kuaj xyuas qhov chaw mos kom meej. Nyob rau tib lub sijhawm, kev saib xyuas yuav tsum tau them rau qhov muaj qhov sib txawv ntawm qhov chaw mos los ntawm qhov chaw mos pom. Yog hais tias hloov nws ib tug dawb strip yog pom, thiab lub siab xav mus thawb lub labia minora xaus tsis tau tiav, muaj ib tug siab heev tshwm sim ntawm synechia. Nyob rau hauv sib piv, fusion ntawm labia majora yog tsawg.

Nws tsim nyog sau cia tias yog tias muaj qhov tsis txaus ntseeg, cov niam txiv yuav tsum hu rau tus kws kho menyuam yaus lossis kws kho menyuam yaus. Tsis txhob txaj muag txog koj qhov kev kwv yees thiab kev xav, vim tias kev kho mob raws sij hawm yog qhov lav kom rov zoo sai.

Danger of disease

Synechia ntawm daim di ncauj me me hauv cov ntxhais tsis tuaj yeem suav tias yog txheej txheem ntuj tsim, cov tsos mob uas tuaj yeem tsis quav ntsej. Qhov tshwm sim no tsis tshua muaj ua rau muaj teeb meem txaus ntshai. Txawm li cas los xij, nws entails txoj kev loj hlob ntawm ntau yam kab mob. Thaum gluing lub labia rau hauv qhov chaw mos, lub kaw kab noj hniav yog tsim, nyob rau hauv uas qhov chaw mos tawm maj mam accumulates. Lawv, nyob rau hauv lem, tsim tej yam kev mob rau lub neej ntawm pathogenic flora, uas ua rau o. Kev loj hlob ntawm tus kab mob nrog rau kev loj hlob ntawm cov poj niam ntawm qhov chaw mos cov kab mob yog fraught nrog teeb meem nrog conception thiab tom qab yug me nyuam.

Synechia yog ib qho kev tsis txaus ntseeg uas yuav rov qab los. Yog tias qhov sib xyaw ua ke tshwm sim hauv thaj chaw me me, nws zoo li tias nrog kev tu cev kom zoo, nws yuav ploj mus. Ua tiav synechia ntawm daim di ncauj me me hauv cov ntxhais yog qhov txaus ntshai heev. Nws tuaj yeem kho tau tsuas yog nrog sijhawm nrhiav kev pab kho mob. Kev cia siab rau tus kheej ploj mus tsis tsim nyog. Nws yog qhov zoo dua los tshem tawm cov kab mob ua ntej pib ua tiav.

Txoj kev kuaj mob

txhawm rau tsim kev kuaj mob ntawm "synechia ntawm labia minora" (ICD-10 code - Q52.5)kev kuaj pom pom tau txaus rau tus kws kho mob. Thaum lub sij hawm tus txheej txheem, nws ntsuam xyuas cov degree ntawm adhesion, muaj concomitant o. Tsis tas li ntawd, qee zaum tus kws kho mob tau sau cov kev ntsuam xyuas ntxiv kom paub meej qhov ua rau ntawm pathology. Piv txwv li, kev kuaj zis dav dav tso cai rau koj kom tshem tawm qhov mob ntawm thaj chaw urogenital, thiab smear - vulvitis. Kab lis kev cai kuj tau ua los ntsuas qhov rhiab heev rau qee hom tshuaj tua kab mob.

Tus kws kho mob tuaj yeem nug cov lus nug kom meej txog tus menyuam txoj kev tswj hwm, kev saib xyuas nws, khoom noj khoom haus, kev mob yav dhau los. Cov lus teb raug raug pab kom txiav txim siab qhov laj thawj ntawm qhov tsis sib haum xeeb raws li qhov ua tau thiab sau ntawv kho mob.

tshuaj kho mob

Cov kws kho mob xav txog qhov yuav tsum tau kho daim di ncauj me me synechia hauv cov ntxhais sib txawv. Qee cov kws tshaj lij tau hais tias cov kab mob pathology yuav tsum tsis txhob kov txog 10 xyoo. Lawv piav qhia qhov no los ntawm qhov tseeb tias los ntawm lub hnub nyoog no lub cev pib tsim nws tus kheej cov tshuaj estrogen. Yog li ntawd, qhov teeb meem yog daws ntawm nws tus kheej. Lwm tus kws kho mob hais rau kev saib xyuas lossis kho phais.

Kev kho mob hauv zos tau txo qis rau kev siv tshuaj xws li Contractubex, tshuaj pleev tshuaj estrogen thiab cream (Ovestin). Xav txog seb txhua yam ntawm cov cuab yeej yog dab tsi hauv kev nthuav dav ntxiv.

Kontraktubeks yog ib qho tshuaj tiv thaiv kab mob uas muaj cov kab mob bactericidal. Zoo kho qhov txhab qhov txhab. Cov cuab yeej qhia pom zoo kom siv ob zaug ib hnub rau qhov chaw puas. Qhov txiaj ntsig ntau dua tuaj yeem tau los ntawm kev sib txuas nrog Traumeel C lossis Bepanthen. Lub sijhawm kho yog 20 hnub. Cov tshuaj kuj tseem siv tau rau kev tiv thaiv. Qhov tsuas yog contraindication rau nws teem caij yog ib tug neeg hypersensitivity rau cov khoom tuaj.

"Ovestin" yog cov tshuaj hormonal, cov tshuaj nquag uas yog estriol. Nws raug nquahu kom siv cov tshuaj pleev rau hauv ib txheej nyias ua ntej yuav mus pw. Tsis txhob muab tso rau ntawm daim pawm kom txog thaum nws nqus tag. Lub sijhawm kho yog 20 hnub, tom qab ntawd koj yuav tsum tau so rau ib lub lim tiam. Yog tias khaus, pob khaus lossis cov hnoos qeev tawm ntawm qhov chaw mos tshwm sim, kev kho yuav tsum raug ncua thiab rov mus ntsib kws kho mob kom xaiv cov tshuaj analogue.

Kev kho mob tseem ceeb kuj suav nrog kev sau tshuaj los tiv thaiv cov teeb meem kev noj qab haus huv. Piv txwv li, nyob rau hauv cov ntaub ntawv ntawm ib tug kab mob urinary, tus kws kho mob yuav tsum tau muab tshuaj tua kab mob. Nrog vulvitis thiab vulvovaginitis, kev siv tshuaj tua kab mob thiab tshuaj tua kab mob yog qhia. Yog tias muaj kev ua xua tshwm sim, xav tau tshuaj tua kab mob.

Surgery

Yog tias kev kho mob ntawm daim di ncauj me me synechia hauv cov ntxhais tsis muaj txiaj ntsig, kev phais phais siv tshuaj loog hauv zos raug pom zoo. Kev ua haujlwm yog qhov muaj kev nyab xeeb heev, tsis tshua muaj nrog cov teeb meem hauv daim ntawv los ntshav lossis tsis xis nyob. Nws lub sijhawm tsis pub dhau 20 feeb.

Tom qab kev txiav tawm ntawm synechia ntawm labia minora, tus kws kho mob kho qhov txhab nrog tshuaj tua kab mob. Twbib teev tom qab kev cuam tshuam, tus menyuam tuaj yeem mus tsev nrog nws niam nws txiv. Tom qab ua haujlwm, ua tib zoo kho cov kab mob ntawm qhov chaw mos nrog cov tshuaj pleev tshwj xeeb thiab ua raws li cov cai ntawm kev nyiam huv ntawm tus kheej yuav tsum muaj qee lub sijhawm.

massage

Massage yog siv los ua ib qho kev ntsuas ntxiv hauv kev kho mob synechia ntawm labia minora hauv cov me nyuam mos thiab cov ntxhais preschool. Koj yuav tsum sab laj nrog koj tus kws kho mob ua ntej.

Ua ntej tus txheej txheem, yuav tsum tau siv cov tshuaj nplaum me nyuam ib txwm siv rau thaj tsam cuam tshuam. Tom qab cov khoom yog absorbed tag, koj tuaj yeem ncaj qha mus rau qhov zaws. Nyob rau hauv cov ntaub ntawv no, lub manipulations yuav tsum du thiab ceev faj, tab sis me ntsis nias. Koj tsis tuaj yeem ua tam sim ntawd txav, sim cais cov nplaum labia. Lawv tuaj yeem ua rau muaj kev puas siab puas ntsws rau tus ntxhais lossis txawm tias raug mob.

pab tshuaj tshuaj ntsuab

Cov kws kho neeg pej xeem muab lawv cov zaub mov qhia txog yuav ua li cas nrog synechia ntawm daim di ncauj me me hauv cov ntxhais. Ib tug feature ntawm no txoj kev kho mob yog nws tag nrho naturalness. Tib lub sijhawm, tsis muaj kev phom sij ntxiv rau tus menyuam lub cev.

Cov tshuaj uas nrov tshaj plaws yog calendula roj. Nws muaj cov nyhuv anti-inflammatory, tonic thiab sedative nyhuv. Cov cuab yeej yog muag hauv yuav luag txhua lub tsev muag tshuaj. Nws raug nquahu kom siv cov txheej nyias nyias, zoo dua tom qab ua luam dej thaum yav tsaus ntuj.

Lwm txoj hauv kev zoo yog chamomile sitz da dej. Cov nroj tsuag yog yus muaj los ntawm ib tug pronounced anti-inflammatory thiab antiseptickev ua. Cov txheej txheem tuaj yeem rov ua dua txhua hnub, tab sis koj yuav tsum sab laj nrog koj tus kws kho mob ua ntej.

Txoj Kev Tiv Thaiv

Synechia ntawm daim di ncauj me me hauv cov ntxhais yog qhov tshwm sim nyuaj heev uas tuaj yeem ua rau nws tus kheej zoo dua txawm tias tom qab phais. Qhov teeb meem ploj mus ib txhis tom qab kev laus. Txhawm rau txo qhov kev pheej hmoo ntawm kev rov qab los, cov kws kho mob ua cov lus pom zoo hauv qab no:

1. Nws yog qhov zoo dua los ntxuav tus menyuam hauv qab dej, txo qis kev siv tshuaj pleev ib ce.
2. Cov ris tsho hauv qab yog qhov zoo dua los xaiv los ntawm cov khoom siv ntuj. Koj kuj yuav tsum paub tseeb tias cov panties tsis rub daim tawv nqaij.
3. Nws yog ib qho tseem ceeb uas yuav tau mus ntsib kws kho mob gynecologist tsis tu ncua.
4. Yuav tsum hloov daim pawm kom raws sijhawm, npaj chav da dej rau tus menyuam ntau zaus.
5. cov khoom siv tshuaj pleev ib ce, ntawv tso quav tso quav thiab lwm yam khoom siv kho mob zoo dua los xaiv yam tsis muaj xim thiab cov tshuaj tsw qab.
6. Nws yog ib qho tseem ceeb rau cov poj niam hauv lub peb hlis ntuj kawg kom muaj kev sib ntaus sib tua, nyob rau hauv kev saib xyuas ntawm gynecologist, nrog rau kev tshwm sim ntawm toxicosis lig, yog tias muaj. Peb tab tom tham txog ntshav siab, protein ntau hauv cov zis, edema. Cov teeb meem no tuaj yeem ua rau muaj teeb meem thaum yug menyuam, qhov tshwm sim ntawm pathologies hauv tus menyuam mos.

Synechia ntawm daim di ncauj me me hauv cov ntxhais (raws li ICD-10 code Q52.5) yog ib qho mob uas yuav tsum tau muaj kev kho mob thiab kev saib xyuas tas li tom qab rov zoo. Txwv tsis pub, koj yuav ntsib teeb meem yav tom ntej ntawm kev xeeb tub thiab kev xa khoom tiav.