Cervicitis bụ usoro dum na-efe efe na cervix, gụnyere mmetụ nke mucosa na mbufụt nke mucosa na-egbu egbu nke cervix. Cervicitis adịkarịghị iche, na 75-80% nke ikpe, ọrịa na-esonyere na ọrịa ndị dị n'akụkụ - vaginitis na endometritis. Ịnya cervicitis na-agba ọsọ nwere ike iduga n'osisi nke cervix, nke e guzobere polyps n'ime oghere uterine, ọkpụkpụ nke mmebi nke akụkụ cellular nke akpanwa, infertility.
Cervicitis: akpata
Ọ na - amalite site na ịbanye n'ime canal nke cervix nke streptococci, staphylococci, E. coli, na - adịkarịghị - nje, trichomonads. Otu microflora anaerobic na chlamydia na-ekere òkè na ihe omume nke cervicitis. Cervicitis nke ọrịa ndị na-agwọ ọrịa ma ọ bụ na-arịa ọrịa tuberculous bụ nke yiri obere.
Ihe na-eche echiche:
- oge njedebe;
- iwe nke cervix site na ọgwụ / igbochi mgbochi;
- ike ọgwụgwụ nke ọgụ, omission nke akpanwa;
- nnyegha ahụ (ọtụtụ perineal / cervical ruptures);
- ectopia nke ọkpụkpụ, njedebe ịwa ahụ nke afọ ime.
Ụdị ụdị ọrịa
- Ghọọọgwụ gervicitis. Ndị na-akpata nje virus bụ nje virus dị n'ime ahụ - HIV, herpes simplex, mmadụ papillomavirus. Gervicitis gwọọ gosipụtara n'onwe ya n'ụzọ doro anya - ihe ngbu na-egbu mgbu n'oge urination, ihe na-esi ike n'ahụ anụ ahụ, na-egbu ihe mgbu na abọ.
- Purulent cervicitis. "Na-amalite" megide nzụlite ọrịa ndị na-eme ka anụ ahụ pụta, nke a na-agbakwụnye mgbakwụnye nke bebepithelial nke akpụkpọ ahụ na-egbu egbu na mbufụt nke ihe nchekwa cell nke epithelium cylindrical. Cervicitis dị iche iche na-eme ka ndị na-eme ihe na-adịghị mma n'ime akụkụ ndị ọzọ nke ihe ọmụmụ ahụ, na-egbochi nwa nwa ebu n'afọ, na-akpata ọrịa obstetric.
- Ọkụ bacterial cervicitis. Ọ na-abịa n'ihi ọrụ nke bacteria pathogenic. Pathologies na-aga n'ihu gonorrhea, trichomoniasis, dysbiosis vaginal.
- Ọgwụ nke na-agba agba. Ọ na - esite n'ịbanye n'ime nje ahụ n'oge a na - adịghị edozi ma ọ bụ na - amalite mgbe abortions na ọgwụ nyocha na - ekwesịghị ekwesị.
- Ihe na-egbu egbu. Ọrịa e jikọtara na parasitism ogologo oge nke Candida fungi na cervix.
- Dervuse cervicitis. Ọrịa ndị na-agbasa n'ime akụkụ ahụ dum nke akpanwa.
Nnukwu akwara: mgbaàmà na ọgwụgwọ
Na nke mbụ, a na-emetụta mucosa nke akwara cervical na itinyekwu aka na usoro stroma. A na-eji nnukwu ụdị cervicitis eme ihe site na mmụba nke usoro vascular ahụ, nchịkọta nke leukocytes dị nso na glands na arịa, perigendulary / perivascular juvenile abscesses. Ndị ọrịa na-enwe nchegbu banyere nhụjuanya na-adaghị adaba n'ime afọ ala, na-ere ọkụ n'ime ikpu, na-emepụta ma ọ bụ purulent nke na-esi na genital tract, ọbara ọgbụgba, na-agbakarị ịmị. Mgbe nchọpụta gynecology na-ekpughe ịdị nro, reddening nke mucosa nke akụkụ nke akụkụ ahụ nke ọgbụgba, ihe ịrịba ama nke nbibi ma ọ bụ "mmetọ na-aga n'ihu."
Nchoputa nke "nnukwu cervicitis" na-adabere na nlele anya nke cervix site n'enyemaka nke a na-eme ka a na-egosi na ọ bụ colposcope na onyinyo mgbu, anamnesis, nyocha nke bacteria nke na-ekewa ụdọ. Ogbugba oria mmikpo a na-agbanyeghachi, nkwonkwo, fever - oge maka nnyocha nyocha. A na-eme usoro ọgwụgwọ maka ibute ọrịa ahụ, ụdị ọrịa a, ụdị ọrịa ahụ. Nye ihe mmetụ nke mmiri na-eme ka mmiri ọgwụ, larịị chamomile infusion, ọgwụ nje ma ọ bụ sulfonamides (nje C), tetracycline na Doxycycline (chlamydial C), metronidazole (anaerobic microflora), leukocyte interferon preparations (malitere ịrịa C).
Cervicitis - nsogbu ndị siri ike:
- usoro nje na-ebuteghachi na akụkụ ahụ nke usoro mkpụrụ ndụ ihe nketa;
- "Mwepụta" nke usoro ihe omimi: cervical erosion - dysplasia - oncology;
- polyps na cervix na n'ime uzo ime nwa;
- nchịkwa ọjọọ (malignancy) nke akụkụ cellular nke akpanwa;
- ime ọpụpụ, infertility.
Ọrịa oge: mgbaàmà, nyocha, ọgwụgwọ
Ọrịa na-adịghị ala ala nke ọrịa ahụ bụ nsonaazụ nke ọrịa cervicitis. Ihe a na-eme site na mucopurulent ma ọ bụ purulent na-esi na ikpu, edema na obere hyperemia nke cervix.
Ihe omuma ihe omimi nke cirricitis na-ala ala:
- Ihe dị iche iche nke anụ ahụ na nke jikọrọ aka na-etinye aka n'ime usoro mkpali ahụ;
- nkwụsị site na tract genital na-ebuwanye ibu 1-2 ụbọchị mgbe njedebe nke nsọ nsọ;
- a na-ebuteghachi mmiri akwara na-eme ka ọ ghara ịba, ọ bụ na a gaghị ewepụ akwụkwọ epithelium;
- A na-eme ka ọkpụkpụ na-eme ka ọ dị elu;
- epithelium na-anọchite anya epithelium na-anọchi anya ya; metaplasia nke epithelium nwere ike;
- e nwere infiltrates na cysts.
Usoro nyocha
Nchoputa nke cervicitis na-adịghị ala ala na-esikarị ike n'ihi lubricated ihe mgbaàmà, nke na-eduga na-enweghị isi ọgwụ na mgbanwe nke ọrịa na ogologo oge na-eme na ihe ndị siri ike, siri ike ịzaghachi ọgwụ ọgwụgwọ.
Stepwise nchọpụta dị iche iche nke cervicitis:
- nlezianya nyochaa nke ananesis na akwụkwọ ndekọ iwu banyere ọrụ a na-ebufe na ọrụ gynecological;
- nnyocha nke foto ahụike;
- nyochaa ọnwu na cervical canal na enyemaka nke enyo;
- ihe ọmụmụ nke cytology, nchọpụta ụmụ mmadụ.
Nnwale ndị dị mkpa:
- ihe na-egbuke egbuke nke mmiri na-egbuke egbuke, urethra, canal cervical na nje nje;
- zoo oncocytology;
- ọdịbendị na-eme ihe banyere ọdịdị nke pathogen, nchọpụta nke ịmara ọgwụ ọjọọ;
- nyocha nke mmamịrị, ọbara;
- ule maka HIV na syphilis, na-agha mkpụrụ na gonococcus;
- nke na-eme ka ọkpụkpụ (ịchọpụta nke agbazigharị agba nke dị iche na ọdịdị dị na mbara igwe, ụcha, nhazi site n'akụkụ ndị ọzọ);
- nchoputa nke ureaplasma, mycoplasmal, chlamydial, papillomavirus, ọrịa herpetic.
Ọgwụgwọ nke cervicitis na-adịghị ala ala
- Mwepu (mkpochapu) nke onye na-ahụ maka ọrịa. A na-eji ọgwụ nje antibacterial, antiprotozoal, antimycotic eme ihe (Tantum Rose, Terzhinan, Polizinaks). N'ịnọ n'ihu ureaplasma, ọrịa chlamydial, trichomoniasis, candidiasis, ọgwụgwọ mpaghara na-ejikọta ya na ọgwụ na-ekwu okwu.
- Mwepụ nke focte nke ectopia (nbibi). Ọrịa ịrịa ọrịa na nke chlamydial pụtara ntụgharị ụzọ nke usoro ọgwụgwọ (arụ ọrụ mkpuchi, laseraporapisation, nchịkọta nhọrọ). Mgbe ị na-eme mbibi nke exocervix ahụ gbanwere, enwere ike ịmalite ịmịfụ. Ọ bụrụ na ọ gaghị ekwe omume iji rụpụta ihe dị mma mgbe mbibi gasịrị, a gaghị ahụkarị mmepe a na-ahụkarị na ọnya ọnyá nke cervix ruo ogologo oge, nke nwere ike iduga na mgbagwoju anya nke exocervix, endometriosis nke akpanwa, na ọdịdị nke ọtụtụ cysts.
- Izizi nke microbiocenosis na-egbu egbu. Maka ịmịnye ọkpụkpụ na-eji nchịkọta nke immuno-correctors (Imudon) na eubiotics (Hilak-strong).
Nkwadebe maka ọgwụgwọ cervicitis:
- Doxycycline (0,2 g kwa ụbọchị na usoro);
- Acyclovir (200 mg ugboro ise n'ụbọchị maka ụbọchị 5);
- N'ịkọtara (otu mkpụrụ, onye dọkịta na-abịa na-ekpebi ụdị ọrịa ahụ);
- Valtrex (ugboro abụọ n'ụbọchị maka 500 mg maka ụbọchị 5);
- Terzhinan (otu ihe nchebe kwa ụbọchị, n'ime ụbọchị 10-12);
- Tarium (otu mbadamba 2);
- Maksakvin (otu ugboro n'ụbọchị maka 400 mg, dọkịta kpebisiri ike ịbanye oge);
- Erythromycin (oge nke usoro / ọgwụgwọ na-ekpebi dọkịta na-adabere na ụdị pathogen).
Candles si cervicitis
A na-etinye ntinye n'ụdị suppositories (echepụta ihe) na ọgwụgwọ siri ike nke ọrịa cerebrovascular na-adịghị ala ala. Ha na-eme ka o kwe omume ịkọwa na immunopathogenesis nke usoro mkpali ahụ site na imezi ebe obibi nke nsogbu ahụ. Ihe kachasị mma nke ihe ndị dị na suppositories na-achota itinye absorption nke mucosa cervical na ezigbo nkwado.
Terzhinan. Ihe na-emepụta ihe dị iche iche na-egbuke egbuke na antibacterial, na-arụsi ọrụ ike megide bacteria pyogenic, trichomonads, osisi anaerobic, Candgi fungi. Nwee mmetụta mgbochi ime obodo. Akụkụ aka nke kandụl na-ejigide iguzosi ike n'ezi ihe nke epitheli na-egbu egbu na ọrịa ndị na-efe efe, na-enwe nguzo kwesịrị ekwesị nke pH.
Polizhinaks. Ejikọtara ọgwụ ọjọọ, nke antifungal, bactericidal, mmetụta antibacterial na-apụta. Polishinaksa (polymyxin, neomycin) bụ ndị na-arụ ọrụ na-eme ka ọtụtụ ihe ndị dị na Gram-positive / Gram na-adịghị mma, meziwanye usoro trophic na akpụkpọ anụ mucous nke ikpu.
Betadine. Echiche nke antimicrobial nke ụdị ọrụ dị iche iche, dị irè megide nje, fungi, nje bacteria, weghachi ngwa ngwa microflora nke ikpu.
Macmirror mgbagwoju. Candles bụ akụkụ nke otu ìgwè antiseptics na antimicrobials. Ha nwere nkwenye antifungal, antibacterial, mmetụta antiprotozoal. Ebibila mkpụrụ osisi ahụ, weghachi normocenosis nke ikpu.
Cervicitis n'afọ ime
Nsogbu nke cervicitis na-aghọ ihe dị mkpa karịsịa n'ime ime. Ọnụnọ na anamnesis nke nchoputa nke "cervicitis" na-egosi nnukwu ihe gbasara nke ịmụ nwa, purulent-septic nsogbu, nwa ebu n'afọ. Na Russia, pasent nke ọrịa intrauterine dị n'etiti 6-50%, na-eru pasent 75 n'ime ụmụ ọhụrụ. Mmetụta nke ịnwụ anwụ na-anwụ anwụ site na ngwọta a dị iche site na 3% ruo 65%. Enwere ụzọ ise maka ịbanye n'ime ahụ nke nwanyị dị ime: ọ na-agbadata, na-arịgo elu, na-agbakọta, na-agbanwe, na-agafe, na-agbapụta ọbara. Nke kachasị dị ize ndụ bụ nke arịgoro, nke ọrịa ahụ na-abanye n'ime akpanwa site na ọwa mmiri. Nchekwa na-adịghị ala ala nke mbufụt ke ọwa mmiri na-arụ ọrụ dịka "ọnụ ụzọ" dị mma maka nje virus na nje bacteria. Ọ bụrụ na ọrịa ọrịa intratherine mere n'oge mmalite nke ịtụrụ ime, embryopathies na-eme ka ezughị okè placental na-akpali akpali na nkwarụ mmebi - nke a na - akpata ime afọ na enweghị nsogbu.
Ọrịa na mbubreyo na-esonye site na igbu oge nwa ebu n'afọ, mkparịta ụka zuru oke / ọnụọgụ nwa nke nwa ebu n'afọ, na-emepụta afọ ojuju nke ugboro ugboro. Ụdị ọrịa dị iche iche dị iche iche na-etolitekarị n'ime afọ atọ mbụ nke ịtụrụ ime, mgbe nwa ebu n'afọ ahụ enwebeghị ike ịchọta ahụmimi. N'ihe dị ka afọ atọ, mmụgharị na-emetụ n'ahụ na-akpata nkwụsịtụ (blockage) ma ọ bụ ihe dị mgbagwoju anya nke oghere / ọwa, nke na-eduga na ụbụrụ nke akụkụ ahụ mbụ - hydronephrosis na hydrocephalus. N'oge gestation (ọnụ ọgụgụ nke izu zuru ezu nke gestation), cervix na-echebe etuto nwa ebu n'afọ na oghere uterine site na ọgwụ ndị na-emebiga ihe ókè, na-arụ ọrụ mgbochi. Cervicitis na-ebute imechi oge ime n'afọ n'ihi ọrịa nke embrayo, placenta, fluid amniotic, nwa ebu n'afọ n'onwe ya.
Ọrịa nke mmiri na shells ga-ekwe omume na ịrị elu ọrịa. Ngwurugwu ndị na-egbochi ọrịa na-abanye n'ime mmiri nwa ebu n'afọ, na-agafe n'etiti membranes ma rute basal plate, bụ ebe leukocyte infiltration na-adaba ha. N'iji ya tụnyere mmiri ọmụmụ mmiri, a na-ahazi ọnyá nke ọrịa, nke na-akpata ọnwụ nwa ebu n'afọ.
Cervicitis: ọgwụgwọ n'oge ime
Cervicitis n'oge ime nwa chọrọ nlezianya nyocha zuru ezu na ọgwụgwọ siri ike. Tinye ọgwụ antiviral, ọgwụ ọjọọ, ọgwụ nje antibacterial, nyere ụdị ọrịa na-efe efe ma na-eguzogide ọgwụ ọjọọ. Ngwa ọgwụ kasị dịrị nchebe ma dị irè maka ịgwọ cervicitis n'ime ndị ime ime bụ Sumamed. A kwadoro ya na ọgwụgwọ mycoplasmal, ureaplasma, ọrịa chlamydial. Sumamed (ihe na-arụ ọrụ - azistromycin) na-anọgide na-elekwasị anya nke afọ 5-8, nke na-enye ndị dọkịta aka ịmepụta obere oge (ụbọchị 3) na nchekwa maka ọmụmụ ahụike. Usoro ọgwụgwọ na oge kwesịrị ekwesị nwere ike ịkwụsị nsogbu ndị metụtara ime afọ, ma mee ka o nwekwuo ike ịbịpụta oge.
Ọgwụgwọ cervicitis na ọgwụ ndi mmadu
A na-eji usoro ọgwụgwọ ọdịnala eme ihe maka ọgwụgwọ cervicitis nanị "na njikọta" na usoro omenala na naanị mgbe ha na ndị dọkịta na-ekwurịta okwu. Nri onwe onye nwere ike ibute nsogbu siri ike.
Broths maka douching:
- weghaga ahihia ahihia ndi ozo, akwukwo nke elekere akwukwo ato, mgbidi nke elecampane, nkpuru nke fennel, akpa onye na-azụ atụrụ. Mkpụrụ abụọ buru ibu nke nchịkọta iji jupụta 500 milliliters nke mmiri sie, na-akwado na ọkụ ọkụ nke 10-15 nkeji, na-esi ọnwụ, iji jụụ. Jiri na-ekpo ọkụ;
- Were oke ohia nke willow na-acha ọcha, akwụkwọ nke nne-na-nne nne, birch, nnụnụ na cherry, ahịhịa nke nettle, juniper mgbọrọgwụ, caraway osisi, ahịhịa nke oats. Iberibe abuo abuo nke nchịkọta (nnukwu) wunye 500 milliliters nke mmiri na-esi mmiri, nlezianya anya, dị jụụ. Tinye ya n'ụdị ọkụ;
- ndi mmadu ndi ozo, Icelandic Moss, Goose's goatee, sage, woodruff, lilac okooko osisi, mgbidi chicory. Wunye okpukpu abụọ nke akọrọ akọrọ na liter nke esi mmiri, na-esi ọnwụ 10-15 nkeji, igbapu. Jiri na-ekpo ọkụ.
Ointments:
- weputa mgbọrọgwụ nke ugwu agwọ ahụ, dandelion, osisi flax, akwụkwọ birch, kipreja, ahịhịa grass, ahịhịa wormwood, sage, lilac okooko osisi. Gbanye na ntụ ntụ 50 grams nke nchịkọta, wunye 500 milliliters mmiri dị ọcha, obụpde na bath mmiri na 2 ugboro. Tinye bọta a gbazere na broth (50 milliliters), obụpde maka nkeji 20, gbakwunye glycerin (50 milliliters), dị mma nke ọma;
- Osimiri Iceland, calendula, clover, pine fir, plantain, osisi flax, buckthorn mmiri, ubi horsetail, chamomile. Eri nri, gbanye mmanụ mmiri 500, obụpde okpukpu abụọ, tinye butter (50 milliliters) na glycerin (50 milliliters). Obụpde minit 20 ọzọ, dị jụụ. Tinye maka mgbanaka bandeeji.
Mgbaghara maka nchịkwa ọnụ:
- were nha nha anya wormwood, lemon balm, flax grass, wormwood, akwukwo akwukwo ato, blueberries. Efrata ọma Mike, mix. A teaspoon nke nchịkọta iji jupụta 250 milliliters nke esi mmiri, na-esi ọnwụ awa 2-3, igbapu. Na-aṅụ ihe infusion mgbe 20-25 nkeji mgbe eri;
- iji jikọta goatee na goose, tansy, mkpụrụ cumin, akwukwo celandine, rose elu, geranium. Gri, kpoo, mechie otu tablespoon nke nchịkọta 350 milliliters nke mmiri esi. Jiri oge 1.5-2 mgbe i risịrị nri;
- Were epupụta nke birch, raspberries, St. Jọn wort, ubi horsetail, Mint, wormwood (ke hà n'ike-n'ike). Otu tablespoon nke herbs iji mebie 250 milliliters nke esi na mmiri, na-esi ọnwụ, nyo. Ṅụọ ugboro atọ n'ụbọchị maka 20-30 nkeji tupu eri.
Mgbochi nke cervicitis:
- nyocha mgbe niile na ọkachamara ọkachamara;
- ọgwụgwọ ọrịa urinary, ọrịa ndị na-eme ihere;
- nkwusi siri ike;
- ọgwụ mgbochi hormonal n'oge menopause.
Cervicitis bụ ọgwụgwọ siri ike nke nwere ike ibute infertility, ya mere, ọ gaghị ekwe omume ileghara "mgbịrịgba mbụ" ahụ nke na-egosi nrịanrịa nke ọrịa na akụkụ ahụ. Ịgwọ ọrịa ahụ kwesịrị ekwesị n'oge kwesịrị ekwesị na-enye gị ohere izere ọtụtụ nsogbu ahụike na nsogbu ndị metụtara ịzụ na ịzụ nwa.