Cervical erosion thaum lub sij hawm cev xeeb tub: cov tsos mob, txoj kev kho mob, qhov tshwm sim

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:57

Kev yaig ntawm lub ncauj tsev menyuam (ectopia, ectropion) yog ib yam kab mob uas pom muaj nyob rau hauv cov poj niam los ntawm lub caij nyoog mus ntsib kws kho mob hauv gynecologist lossis kuaj thaum cev xeeb tub. Qhov txaus ntshai nyob rau hauv qhov tseeb hais tias lub ncauj tsev menyuam yaig zoo li asymptomatic, tsis pom tseeb malaise. Kev yaig ntev ntev yuav tsis thab tus poj niam, tsis tuaj yeem ua rau muaj kev ntxhov siab. Txawm li cas los xij, qee zaum qee tus tau ntsib nrog ib feem ntawm cov tsos mob, thiab txhawm rau ua tib zoo mloog lawv lub sijhawm, koj yuav tsum paub qee yam ntawm tus kab mob. Thiab kuj tsis txhob hnov qab txog lub sij hawm mus ntsib kws kho mob gynecologist kom tswj koj txoj kev noj qab haus huv.

Ntau tus poj niam muaj kev cuam tshuam ntawm ncauj tsev menyuam thaum cev xeeb tub. Feem ntau, tus poj niam cev xeeb tub kawm txog qhov muaj kev yaig thaum kuaj lossis kuaj ultrasound.

Kev faib tawm

Cervical erosion muaj ntau yam: congenital, untreatable thiab kis tau. Hauv thawj kis, tus poj niam yuav tsum tau saib xyuas cov kab mob txhua rau lub hlis txhawm rau txhawm rau tiv thaiv kev loj hlob ntawm cov qog nqaij hlav hauv lub sijhawm. Hauv qhov thib ob, kev yaig tsis yog pathology thiab kho tau zoo. Qhov tseem ceeb tshaj plaws yog txhawm rau txheeb xyuas lub sijhawm thiab sab laj nrog kws kho mob kom pom zoo.

Yog vim li cas

Thaum cev xeeb tub, tus poj niam tau hloov pauv hormonal thoob plaws hauv nws lub cev. Qhov no tsim cov kev mob zoo rau qhov pib ntawm tus kab mob. Nyob rau hauv cov ntaub ntawv ntawm cev xeeb tub, ntau cov ntshav txaus tshwm sim nyob rau hauv lub ncauj tsev menyuam, nws yog qhov tseeb no thaum lub sij hawm kev ntsuam xyuas uas yuav qhia tau hais tias o. Kev kis kab mob yuav tsum raug tshem tawm vim tias muaj tus kab mob uas twb muaj lawm tuaj yeem cuam tshuam rau daim nyias nyias, ua rau fetal txawv txav thiab ua rau nchuav menyuam, fetal tuag.

Cov kab mob ntev xws li salpingo-oophoritis, adnexitis, endometritis tsim cov kev mob zoo rau kev tsim ntawm ncauj tsev menyuam.

Tsis tas li ntawd, ectopia tuaj yeem tshwm sim ntev ua ntej cev xeeb tub, piv txwv li, thaum tus poj niam noj cov tshuaj tiv thaiv qhov ncauj los tiv thaiv.

Kev yug me nyuam, kev raug mob ntawm lub tsev menyuam (kev rho menyuam, nchuav menyuam), pib ntawm kev sib raug zoo ntawm lub neej, kev hloov pauv ntawm cov neeg koom nrog kev sib deev, tsis muaj kev tiv thaiv lossis kev sib deev tsis zoo kuj tuaj yeem ua rau muaj kev cuam tshuam rau qhov tsos ntawm ectopia.

Tab sis feem ntau ua rau yog kis kab mob sib deev. Piv txwv li, herpetic, chlamydia, mycoplasmosis, papillomavirus. Yog li ntawd, thaum npaj cev xeeb tubNws yog ib qho tsim nyog yuav tau mus ntsib kws kho mob gynecologist rau kev kuaj xyuas, kuaj pom cov kab mob thiab lawv cov kev kho mob raws sijhawm.

Thaum ntxov nws tau ntseeg tias kev yaig tshwm sim hauv cov poj niam hnub nyoog plaub caug xyoo. Tab sis tam sim no muaj ib qho kev nyiam rau cov tsos mob ntawm txhua lub hnub nyoog. Tam sim no, txawm nyob rau hauv nulliparous, lub ncauj tsev menyuam yaig tuaj yeem kuaj tau. Yog vim li cas yog cov teeb meem ntau dua nyob rau hauv lub endocrine system, nyob rau hauv lwm yam lus, nyob rau hauv lub imbalance ntawm cov tshuaj hormones. Raws li qhov tshwm sim ntawm kev faib tawm ntau dhau ntawm tes thiab kev loj hlob ntawm cov mucous membranes, qhov ncauj tsev menyuam yaig tau.

Symptoms

Cov tsos mob ntawm lub ncauj tsev menyuam thaum cev xeeb tub feem ntau tsis tuaj. Feem ntau, kev yaig tsis tuaj yeem ua rau tsis xis nyob, tsis qhia nws tus kheej li cas, tab sis nws tshwm sim tias tus poj niam tseem txhawj xeeb:

• Ntshav, tshwj xeeb tshaj yog nyob rau thawj peb lub hlis twg ntawm cev xeeb tub. Nws yog ib qho tsim nyog hu rau gynecologist yam tsis tau ncua sijhawm, tus kws kho mob yuav ua tib zoo txiav txim siab txog qib kev hem thawj rau koj tus menyuam thiab kev noj qab haus huv ntawm koj tus menyuam.
• Kev xaiv nruj heev.
• Tshuaj mob thaum sib deev.
• Dab qias chaw mos.

Kev kho mob

Txhawm rau tiv thaiv kev yaig, nws yog qhov yuav tsum tau kuaj xyuas gynecological txhua xyoo, tsis tas ncua nws mus txog thaum muaj cov tsos mob tsis zoo lossis tsis xis nyob. Thaum kho nrog tshuaj, kev npaj tshuaj hormonal yog siv, cov ntsiab lus tseem ceeb ntawm cov tshuaj hyaluronic acid thiab zinc.

Muaj cov hauv qab no los cuam tshuamcervical erosion:

• Laser. Niaj hnub no, siv tau zoo thiab tsis tshua muaj kev raug mob. Siv lub laser, cov hlwb ntawm lub cylindrical epithelium raug hlawv los ntawm lub ncauj tsev menyuam.
• xov tooj cua kho mob. Vim tias cov cuab yeej siv siab thiab xav tau cov kws tshaj lij uas tsim nyog, nws tsis tau siv ntau xyoo dhau los,
• Tam sim no. Txawm hais tias "hnub nyoog", cov txheej txheem no, zoo li ua ntej, tseem nyob (ntau dua 90%) zoo. Siv cov electrodes tshwj xeeb, tus kws kho mob tshem tawm qhov chaw ntawm qhov chaw pathological ntawm lub ncauj tsev menyuam. Cov caws pliav tseem nyob, yog li ntawd, kev yaig ntawm ncauj tsev menyuam hauv cov poj niam tsis muaj menyuam vim qhov kev pheej hmoo ntawm kev xeeb tub tsis kho los ntawm txoj kev no.
• kua nitrogen. Kev cuam tshuam rau lub ncauj tsev menyuam ntawm qhov kub qis yog nqa tawm nrog nitrous oxide. Kev raug mob tsawg dua thiab tsis muaj qhov caws pliav.
• tshuaj npaj ("Vulstimulin", "Vagotil", "Solkagin").
• Suppositories.

Nrog rau lub ncauj tsev menyuam yaig thaum cev xeeb tub, nws yog ib qho tseem ceeb heev uas yuav tau kuaj xyuas kom raws sijhawm. Thaum tsis muaj kev kis kab mob, tus kab mob tuaj yeem kho tau tom qab yug menyuam, tab sis nws yog ib qho tsim nyog yuav tsum tau ua ntau yam kev kuaj mob tsis tu ncua, ua haujlwm saib xyuas kev kho mob tas li, cytology thiab colposcopy. Nrog rau daim ntawv tseem ceeb thiab kev hloov pauv pathological, kev kho mob ntawm ncauj tsev menyuam thaum cev xeeb tub yog pom zoo kom ua qhov tsawg tshaj plaws radical thiab sparing.

Txoj kev maj mam thiab tsis mob tshaj plaws ntawm kev kho lub ncauj tsev menyuam yaig yog cov thev naus laus zis ntawm qhov kis tau tus mob - laser vaporization (cauterization). Qhov nocov txheej txheem ntawm kev kho mob stimulates cov txheej txheem rov tsim dua tshiab, pib kho cell, yog li txo qhov mob thiab tshem tawm cov ntaub so ntswg hloov pauv. Kev kho mob laser tsis cuam tshuam nrog kev ua haujlwm ntawm kev yug menyuam, ua kom zoo sai. Thaum cev xeeb tub, cauterization ntawm ncauj tsev menyuam yaig feem ntau tsis ua. Cov kws kho mob pom zoo kom tos kom txog thaum yug me nyuam, saib xyuas thiab saib xyuas cov txheej txheem ntawm tus kab mob thiab kev noj qab haus huv ntawm tus poj niam cev xeeb tub. Feem ntau, tsis tshua muaj radical tactics yog siv nyob rau hauv daim ntawv ntawm qhov txhab-kho tshuaj pleev, tshuaj tiv thaiv kab mob, hemostatic thiab antifungal kho. Nws yog ib qho tsim nyog yuav tsum nco ntsoov tias tsis muaj ib qho xwm txheej twg koj yuav tsum noj tshuaj rau tus kheej, nws tuaj yeem ua rau muaj kev phom sij rau kev siv tshuaj lossis lwm txoj hauv kev yam tsis tau tso cai los ntawm kws kho mob.

Lwm Txoj Kev

Raws li ib qho ntawm lwm txoj hauv kev ntawm kev kho cov epithelium ntawm lub ncauj tsev menyuam, kev kho mob nrog leeches thiab acupuncture tuaj yeem siv tau. Tab sis lawv tsis tau txais kev faib tawm dav vim qhov tsis muaj pov thawj zoo.

tshuaj ntsuab

Kev kho mob pej xeem tshuaj rau lub ncauj tsev menyuam yaig yog siv tau, tab sis yuav tsis muaj txiaj ntsig ntau. Nws muaj nyob rau hauv cov kev kho mob nram qab no, xws li douching nrog ib tug daws ntawm tooj liab sulphate, siv tampons nrog dej hiav txwv buckthorn roj, Levomekol tshuaj pleev, noj ib tug aqueous thiab cawv kua ntawm propolis, tshuaj ntsuab tshuaj nyob rau hauv daim ntawv ntawm douching nrog infusion ntawm calendula, boron uterus., calamus paus, chamomile. Nws yuav tsum raug sau tseg tias tsis muaj kev kho mob saum toj noerosion ntawm lub ncauj tsev menyuam nrog pej xeem tshuaj tsis muab ib qho kev lav. Thiab txawm tias ntau dua nrog cov kab mob hnyav, koj yuav tsum tsis txhob nkim sijhawm thiab cia siab rau "tej zaum".

Txhais tau

Raws li kev txheeb cais, mob qog noj ntshav hauv tsev menyuam tau kuaj pom txog li ntawm rau pua txhiab tus poj niam hauv ib xyoos, qhov ua rau uas tsis kho qhov ncauj tsev menyuam. Cov kev hloov hauv lub caj dab imperceptibly kis tau tus cwj pwm precancerous thiab tom qab ib pliag dhau los ua malignant pathology. Yog li ntawd, nws yog qhov zoo dua los tiv thaiv qhov tshwm sim ntawm cov kab mob txaus ntshai, rau qhov no koj yuav tsum tau mus ntsib kws kho mob gynecologist txhua rau lub hlis rau kev kuaj niaj hnub.

Kev phom sij ntawm ncauj tsev menyuam thaum cev xeeb tub yog dab tsi?

Thaum cev xeeb tub, vim txo qis kev tiv thaiv kab mob thiab kev hloov pauv hormonal hauv lub cev, ectopia tuaj yeem ua rau kis mob. Thiab thaum yaig nws tus kheej thaum cev xeeb tub tsis txaus ntshai nyob rau hauv txhua txoj kev thiab tsis muaj kev cuam tshuam rau tus me nyuam hauv plab, ces tus kab mob uas tau tshwm sim tawm tsam keeb kwm ntawm tus kab mob tuaj yeem ua qhov tseem ceeb. Vim muaj kev cuam tshuam tsis zoo, ntau yam pathologies tuaj yeem tsim, tsim cov kab mob hauv nruab nrog cev, kab mob hauv lub cev, cev xeeb tub thiab kev tuag ntawm tus menyuam hauv plab tuaj yeem cuam tshuam. Yog li, qhov tshwm sim ntawm cev xeeb tub nrog lub ncauj tsev menyuam yaig tuaj yeem ua rau muaj kev puas tsuaj rau leej niam thiab menyuam.

Diagnosis

Thaum lub sijhawm kuaj gynecological niaj hnub, nws tsis tuaj yeem txawm tias cov kws tshaj lij los txheeb xyuas qhov xwm txheej thiab qib kev puas tsuaj rau lub tsev menyuam los ntawm qhov muag. Yog li ntawd, txhawm rau txhawm rau kuaj qhov tseeb, ntau qhov kev tshawb fawb tau ua tiav:

• Cytology.
• Backseeding.
• Colposcopy.
• Biopsy khoom.
• kuaj ntshav rau cov tshuaj hormones.
• kuaj ntshav rau cov kab mob sib deev (qhov chaw mos herpes, chlamydia, mycoplasmosis, papillomavirus, syphilis, HIV).

Tom qab kev ntsuam xyuas, tus kws kho mob gynecologist yuav tsim qhov kev kuaj mob zaum kawg, nrhiav tsis tau tsuas yog ua rau lub ncauj tsev menyuam yaig xwb, tab sis kuj tau sau ntawv kho mob zoo.

Kev Tiv Thaiv

Yuav kom tiv thaiv qhov ncauj tsev menyuam, koj yuav tsum ua kom muaj kev tiv thaiv kab mob, saib xyuas kev noj qab haus huv ntawm koj tus khub kev sib deev, ua tib zoo saib xyuas kev nyiam huv, tsis txhob hnov qab mus ntsib kws kho mob gynecologist txhawm rau kuaj xyuas lub sijhawm thiab kuaj, qee zaum - txhaj tshuaj tiv thaiv.

Nyob hauv kaw

Nws tau paub ntev tias nws tsim nyog kho txhua yam kab mob uas twb muaj lawm thaum lub sijhawm npaj, ua ntej cev xeeb tub. Txij li lub sijhawm xeeb tub, cov duab hormonal ntawm tus poj niam lub cev hloov pauv ntau, kev tiv thaiv qis thiab kev pheej hmoo ntawm ntau yam kab mob nce. Lub placenta yog ib ntus endocrine kab mob hauv niam lub cev. Qhov chaw mos mucosa ntawm lub tsev menyuam tsis nyob twj ywm tsis hloov. Thaum lub sij hawm tag nrho lub sij hawm ntawm cev xeeb tub, kev hloov tshwm sim uas gynecologists yuav tsum tau soj ntsuam. Cervical erosion thaum cev xeeb tub qee zaum ua rau me me los ntshav, qhov tseem ceeb yog tsis txhob ntshai thiab tsis txhob ntshai. Kev saib xyuas tas li los ntawm gynecologist yuav pab kom tsis txhob muaj teeb meem loj, kev yug menyuam yuav ua tiav, yog li koj yuav tsumnruj me ntsis raws li tag nrho nws cov kev teem caij thiab cov lus pom zoo.