Cervicitis wani tsari ne na ciwon magungunan ƙwayoyin cuta a ciki, ciki har da ƙonewar mucosa da ƙumburi na mucosa na ciki na cervix. Creticitis da wuya an rabu da shi, a cikin 75-80% na lokuta, cutar ta haɗa tare da kwayoyin cututtuka - vaginitis da endometritis. Cervicitis na gudana zai iya haifar da yashwa na cervix, kafawar polyps a cikin kogin uterine, m degeneration na tsarin salula na mahaifa, rashin haihuwa.
Cervicitis: haddasawa
Yana taso ne sakamakon sakamakon shiga cikin canal na cervix na streptococci, staphylococci, E. coli, ƙananan sau da yawa - ƙwayoyin cuta, trichomonads. Wani microflora anaerobic da chlamydia suna taka rawar gani a cikin abin da ya faru na cervicitis. Cervicitis na syphilitic ko tuberculous etiology ba shi da ƙari.
Muhimman abubuwa:
- Tsakanin jima'i;
- irritation na cervix ta hanyar sinadaran / inji gwauraran ciki;
- weakening na rigakafi, tsallake daga cikin mahaifa;
- Maganar traumatic (yawancin tsaunukan perineal / cervical);
- ectopia na cervix, m ƙaddamar da ciki.
Daban iri-iri iri-iri
- Cervicitis hoto na bidiyo. Mai wakilci mai cuta shine kwayar cutar dake cikin jiki - HIV, herpes simplex, ɗan adam papillomavirus. Ciwon hoto na hoto na hoto yana nuna kansa musamman a hankali - jin dadi mai dadi a lokacin urination, daɗaɗɗa mai tsanani a jikin gawayayyun jini, na shan ciwo a cikin ƙananan ciki.
- Purulent cervicitis. "Farawa" a kan asalin cututtuka na al'ada, wanda ya kara da cewa lalata ƙwayar subepithelial na ƙwayar jikin mutum da kuma kumburi da kayan aikin salula na kwantam din cylindrical. Kwayar cuta mai laushi ya haifar da matakan ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin cuta a wasu ɓangarori na na'urorin haihuwa, ya hana yaduwar tayi, kuma yana haifar da cututtuka.
- Kwayoyin cuta na kwayar cutar. Ya zo ne sakamakon sakamakon kwayoyin pathogenic. Pathologies an riga an fara daga gonorrhea, trichomoniasis, dysbiosis na vaginal.
- Atrophic cervicitis. Wannan yana haifar da shigar da cutar a lokacin da ba a tsare shi ba ko kuma ya tasowa bayan an cire zubar da ciki da kuma maganin maganin cutar.
- Cutar daji. Cututtukan da ke hade da tsinkar rayuwa na Candida fungi a cikin cervix.
- Diffuse cervicitis. Abubuwan da suke yadawa a cikin sassan jiki na mahaifa.
Cervicitis m: bayyanar cututtuka da magani
A mataki na farko, mucosa na canal na mahaifa yana da nasaba da kara shiga cikin tsarin tsarin patroma. Ƙananan nau'i na cervicitis yana haifar da fadada tsarin ƙwayar cuta, da tarawar leukocytes a kusa da glandes da tasoshin, perigendulary / perivascular yara abscesses. Ma'aikata suna damuwa game da matsananciyar zafi a cikin ƙananan ciki, konewa a cikin farji, mai saukowa ko kuma mai tsabta daga jikin jini, zubar da ciki na aure, daɗaɗɗawa akai zuwa urinate. Lokacin da jarrabawar gynecology ya nuna ƙazamar zuciya, jawowar mucosa na ɓangaren sashin jiki na ƙwayoyin zuciya, alamu na rikice-rikice ko "ci gaba da yashwa."
Sakamakon ganewar asirin "mummunan ƙwayar cuta" yana dogara ne akan binciken da aka gani na cervix tare da taimakon wani ɓoyayye da sigina na hanji, wani mai suna, wani bincike na bacteriology na canal da ke rarrabe ƙwayoyin. Rigaye da kamuwa da cutar bidiyo, conjunctivitis, zazzabi - wani lokaci don nazarin ruhaniya. An yi farfadowa don la'akari da yanayin cutar, da alamun da ke tattare da su, irin yanayin pathogen. Sanya saurin yanayi tare da maganin lactic acid, jigilar jini, maganin rigakafi ko sulfonamides (kwayan cuta C), tetracycline da Doxycycline (chlamydial C), metronidazole (anaerobic microflora), shirye-shiryen interferon na laukocyte (maganin hoto na C).
Cervicitis - yiwuwar rikitarwa:
- tsari na ciwon magungunan ci gaba a cikin sassan kwayoyin halitta;
- "Kaddamarwa" na sashin ilimin halitta: cututtuka na ciki - dysplasia - oncology;
- polyps a kan cervix da kuma a cikin ɗakin kiɗa;
- m degeneration (malignancy) na salon salula na mahaifa;
- kaucewa, rashin haihuwa.
Hanyar daji: cututtuka, ganewar asali, magani
Sakamakon ci gaba na cutar shi ne sakamakon mummunan cututtuka na ƙwayar cuta. Maƙallan ƙwayar maganin ƙwayar cuta ne ko kuma mai sauƙi daga cikin farji, edema da ƙananan ƙwayoyin cuta na cervix.
Alamu na Morphological na cirricitis na yau da kullum:
- Abubuwa na kwayoyin halitta da na haɗin kai suna da hannu a cikin tsari mai kumburi;
- da fitarwa daga yankin na jini ya ƙaru cikin kwanaki 1-2 bayan ƙarshen zamani;
- za a sake dawo da canal na kwakwalwa, ba a cire kin amincewa da epithelium;
- Cervix yana da matsananciyar hanzari kuma ana karawa;
- gwargwadon bisitillium yana maye gurbin epithelium na cylindrical; masiplasia na epithelium mai yiwuwa;
- akwai infiltrates da cysts.
Matakan bincike
Sanin asibiti na cervicitis na kullum yana da wahala sau da yawa saboda kullun bayyanar cututtuka, wanda ke haifar da rashin lafiya da farfadowa da cutar zuwa wani tsari mai tsawo da ke faruwa tare da tsadawa, da wuya a amsa maganin miyagun ƙwayoyi.
Sakamakon asali na daban na cervicitis:
- yin bincike mai kyau game da kamfanin Konnesis tare da asusun da ake bukata na aikin da aka canjawa da aikin gynecological;
- kimantawa na hoto hoton;
- jarrabawar kwakwalwa da magunguna tare da taimakon madubai;
- nazarin sakamakon sakamakon cytology, nazarin kwayoyin halitta.
Gwajin gwaji:
- Macroscopy na fitarwa na farji, urethra, canji na mahaifa akan kwayoyin flora;
- Smear on oncocytology;
- al'adun bacteriological tare da rabuwa da pathogen, ganowa na jin dadi ga kwayoyin cutar antibacterial;
- ƙididdigar cutar fitsari, jini;
- gwajin HIV da syphilis, shuka a kan gonococcus;
- colposcopy (ganowar ɓangarorin da ba su da kyau wanda ya bambanta a tsarin tsarin kwakwalwa, launi, tsari daga sauran farfajiya);
- ganewar asali na ureaplasma, mycoplasmal, chlamydial, papillomavirus, cututtukan herpetic.
Jiyya na cervicitis na kullum
- Kashewa (kawarwa) daga cikin wakili. Shirye shirye-shirye tare da antibacterial, antiprotozoal, antimycotic action (Tantum Rose, Terzhinan, Polizinaks) ana amfani. A gaban ciwon kwayar cuta, kamuwa da cutar chlamydial, trichomoniasis, candidiasis, farfajiya na gida yana kara da magani na maganin.
- Cirewa daga ƙwayar ectopia (lalata-yashwa). Kwayoyin cututtuka na kyamara da cututtuka na ƙwayoyin cuta suna nuna amfani da hanyoyin ilimin likitanci (aikin ƙira, laseraporapisation, electroconjuration). Yayin yin lalatawar exocervix, an yi amfani da ƙonewa a cikin asusun. Idan ba zai yiwu a samu sakamako mai kyau bayan halakar ba, ba za a lura da kwakwalwar al'ada ba a kan ciwon ciki na cervix na dogon lokaci, wanda zai haifar da lalacewa na exocervix, endometriosis na mahaifa, da kuma bayyanar kyama masu yawa.
- Daidaitawa na microbiocenosis na farji. Don yin amfani da immunocorrection hade da immuno-correctors (Imudon) da kuma tsutsa (Hilak-forte).
Shirye-shirye don maganin cervicitis:
- Doxycycline (0.2 g kowace rana a ko'ina cikin hanya);
- Acyclovir (200 mg sau biyar a rana don kwanaki 5);
- Sakamakon (kashi daya, mahimmin likitancin ya ƙayyade ya danganta da nau'in pathogen);
- Valtrex (sau biyu a rana don 500 MG na kwanaki 5);
- Terzhinan (wani zato da rana, cikin kwanaki 10-12);
- Tarium (sau ɗaya 2 Allunan);
- Maksakvin (sau ɗaya a rana don MG 400, lokacin likitan ya ƙaddara);
- Erythromycin (tsawon lokacin aikin / likita ya ƙaddara ta likita dangane da nau'in pathogen).
Candles daga cervicitis
An yi amfani da shirye-shiryen da ake amfani da su a cikin magungunan tunani (mahimmanci) a cikin magungunan maganin cutar cututtuka na cerebrovascular. Yin amfani da su yana iya nunawa ga immunopathogenesis na tsarin ƙwayar cutar ta hanyar sake farfadowa da gidaje masu tayar da hankali. Sakamakon mafi kyau duka na kayan aiki a cikin kwakwalwa yana tabbatar da yin amfani da magungunan mucosa da kuma jurewa mai kyau.
Terzhinan. Antifungal da kyamarori masu tsai da tsaiko na aiki mai rikitarwa, suna aiki da kwayoyin pyogenic, trichomonads, anarobic flora, Candida fungi. Yi tasiri mai kumburi na gida. Hakan da aka tsara na kyandir na riƙe da mutunci na epithelium na farji a cikin cututtukan cututtukan ƙwayoyin cuta, suna kula da daidaitattun pH.
Polizhinaks. Haɗar miyagun ƙwayoyi, halin da ake amfani da su, da kwayoyinidal, da cutar antibacterial. Abubuwa masu aiki Polizhinaksa (polymyxin, neomycin) sun sha bamban da yawa daga kwayoyin halitta Gram-positive / Gram-negative, inganta tsarin tafiyar trophic a cikin jikin mucous na farji.
Betadine. Abubuwan da ake zaton antimicrobial na ayyuka daban-daban, suna da tasiri akan ƙwayoyin cuta, fungi, kwayoyin, da sauri mayar da microflora na al'ada.
Macmirror hadaddun. Candles suna cikin ɓangare na maganin antiseptics da antimicrobials. Suna da maganganun da ba a san su ba, antibacterial, sakamako na antiprotozoal. Kada ku karya fure-fannin nazarin halittu, mayar da normocenosis na farji.
Cervicitis a ciki
Matsalar cervicitis ya zama mahimmanci a ciki. Kasancewa a cikin magunguna na ganewar asali na "cervicitis" yana nuna babban yiwuwar haihuwa ba tare da haihuwa ba, ƙananan ƙwararrun ƙwayoyin cuta, ƙwayar cutar ta tayin. A Rasha, yawan cututtuka na intrauterine ya bambanta tsakanin 6-50%, zuwa 75% cikin jarirai. Halin da ake ciki na mace mai mutuwa daga wannan yanayin ya bambanta daga 3 zuwa 65%. Akwai hanyoyi biyar na shigarwa cikin kwayar cutar cikin jikin mace mai ciki: saukowa, hawa, haɗuwa, transdecidual, hematogenous. Mafi haɗari shine hawan hawa, wanda kamuwa da cuta ya shiga cikin mahaifa ta hanyar canji na kwakwalwa. Hannun ci gaba na ƙonawa a cikin kogin mahaifa yana zama "ƙyama" masu dacewa don ƙwayoyin cututtuka da kwayoyin cuta. Idan kamuwa da kwayar cutar ta auku a farkon matakan ciki, ana haifar da embryopathies wanda ya haifar da rashin lafiya na duniya da rashin ciwon ciki - wannan yana haifar da ciki ba tare da haihuwa ba.
Kwayar cuta a karshen matakai yana tare da jinkirta ci gaban tayi, raunin daji na gida na tayin, haɓakar ƙananan ƙwayar ƙasa. Tsarin kamuwa da ƙwayoyin cuta dabam-dabam sun fi girma a farkon farkon shekaru uku na ciki, lokacin da tayin bai riga ya iya gano kumburi ba. A cikin saiti na uku, maye gurbi na ƙashin ƙananan jini yana haifar da ƙyama (ginin) ko gagarumin raguwa na buɗewa / tashoshi, wanda ke haifar da anomalies na rigar halittar - hydronephrosis da hydrocephalus. A lokacin gestation (yawan makonni na gestation), cervix yana kare ƙwarƙwarar fetal da ɗakin kifin daga exogenous pathogens, yin wani abu mai kariya. Cervicitis yana haifar da ƙaddamar da haihuwa saboda rashin kamuwa da cutar amfrayo, babba, ruwa mai amniotic, tayin kanta.
Rashin kamuwa da ruwa da bawo mai yiwuwa ne tare da kamuwa da cuta. Kwayoyin cututtuka sun shiga cikin ruwa mai tayi, suyi ƙaura tsakanin membranes kuma su kai gabar basal, inda suke da rikici daga leukocyte infiltration. Daidai da ruwan hawan mahaukaci, halayyar kamuwa da cuta an tsara shi, wanda zai haifar da mutuwar fetal.
Cervicitis: magani a lokacin daukar ciki
Cervicitis a lokacin haihuwa yana buƙatar jarrabawar jarrabawa da gaggawa da farfadowa. Aiwatar da maganin antiviral, anti-bacterial, antibacterial, da aka ba irin magungunan cutar da kuma tsayayya da kwayoyi. Mafi magungunan maganin ƙwayar cuta a cikin mata masu ciki shine Sumamed. An kafa shi sosai a lura da maganin mycoplasmal, ureaplasma, cututtuka na chlamydial. Sumamed (abu mai mahimmanci - azistromycin) ya cigaba da mayar da hankali a cikin kwanaki 5-8, wanda zai ba likitoci damar samar da gajeren lokaci (kwana 3) da lafiya ga ƙwararrun likita. Tsarin lafiya da kuma dacewa na cutar zai iya kawar da matsalolin da suke haɗuwa da ciki, kuma yana ƙara inganta yiwuwar aikawa na al'ada.
Jiyya na cervicitis tare da mutãne magani
Ana iya amfani da kayan gargajiya na maganin gargajiya don maganin cervicitis kawai "tare da" tare da hanyoyin gargajiya kuma kawai bayan yin shawarwari tare da likitoci. Yin amfani da kanka zai iya haifar da rikitarwa mai tsanani.
Broths for douching:
- dauka a cikin tsire-tsire-tsire-tsire-tsire-tsire-tsire-tsire-tsire-tsire-tsire-tsire-tsire-tsire-tsire-tsire-tsire-tsire-tsire-tsirrai. Babban manyan cokali na tarin don cika da milliliters 500 na ruwa mai dadi, don ci gaba akan wuta mai rauni na minti 10-15, don nace, don kwantar da hankali. Yi amfani dashi cikin tsari mai dumi;
- dauka a daidai daidaitaccen haushi na willow farin, ganye na uwar-da-uwar rana, Birch, tsuntsu ceri, ciyawa na nettle, juniper Tushen, caraway tsaba, bambaro na hatsi. Cakuda biyu na tarin (babba) a zuba 500 milliliters na ruwan zãfi, da hankali, sanyi. Aika a cikin wani tsari mai dumi;
- hada gurasar, Gwajin Icelandic, Gyamin, Sage, Woodruff, furanni na Lilac, tushen tushen chicory. Zuba teaspoons biyu na cakular busassun tare da lita na ruwan zãfi, na dage minti 10-15, lambatu. Yi amfani dashi a cikin yanayi mai dumi.
Ointments:
- dauka tushen macijin maciji, dandelion, tsaba flax, ganye birch, kipreja, ciyawa mai suna celandine, wormwood, sage, furanni lilac. Gashi cikin foda 50 grams na tarin, zuba milliliters 500 na ruwa mai tsabta, tafasa a cikin wanka mai ruwa a cikin sau 2. Ƙara man shanu mai narkewa zuwa broth (50 milliliters), tafasa don minti 20, ƙara glycerin (50 milliliters), mai kyau da kyau;
- Icelandic gansakuka, calendula, Clover, Juniper Pine, plantain, tsaba flax, buckthorn teku, filin horsetail, chamomile. Cikakke nama, zuba 500 milliliters na ruwa, tafasa sau biyu, ƙara man shanu mai narkewa (50 milliliters) da glycerin (50 milliliters). Tafasa wani minti 20, sanyi. Aiwatar da takalma na bandage.
Jirgin hanyoyi don maganganun maganganu:
- ɗauka a daidai rabbai wormwood, lemun tsami balm, flax ciyawa, wormwood, leaf leaf guda uku, blueberries. Sinadaran da kyau kara, Mix. A teaspoon na tarin to cika tare da milliliters 250 na ruwan zãfi, na dage 2-3 hours, lambatu. Sha da jiko bayan minti 20-25 bayan cin abinci;
- don haɗin ginin tare da Goose, Tansy, Cumin iri, ganye celandine, furen guelder, geranium. Gudu, bushe, daga cikin tablespoon na tarin 350 milliliters na ruwan zãfi. Yi amfani da 1.5-2 hours bayan cin abinci;
- kai ganyen Birch, raspberries, St. John's wort, filin horsetail, Mint, wormwood (a daidai rabbai). A tablespoon na ganye zuwa daga 250 milliliters na ruwan zãfi, nace, tace. Sha sau uku a rana don minti 20-30 kafin abinci.
Rigakafin cervicitis:
- bincike na yau da kullum a gwani na musamman;
- magani na cututtuka urinary, cututtuka na al'ada;
- ƙarfafa rigakafi;
- Hanyar haifuwa ta hormonal a lokacin menopause.
Cervicitis abu ne mai tsanani wanda zai iya haifar da rashin haihuwa, sabili da haka baza a iya watsi da "karrarawa na farko" wanda ya nuna kasancewar kamuwa da cuta a cikin al'amuran. Amfani da maganin cutar ta dace da dacewa ya ba ka damar kauce wa matsalolin lafiya da matsalolin da ke haɗaka da haifa da yaro.