Nhasi, zvichida, hapana mukadzi anofanira kuratidza kudikanwa kwekurapa kuora kwechibereko chemuviri: kukanganisa, kukuvadzwa kwemukati mutsara ndiyo nzira yekupindira kwehutachiona, uye inowedzerawo ngozi yehutachiona husina kunaka.
Kusvikira munguva pfupi ichangopfuura, vakadzi vasingaverengeki, pamwe neavo vanoronga kupfuurira kubereka mune ramangwana, vakakurudzirwa chete kurapwa kwekuchengetedza kwekukura kwevhu: matamponi ane michero yemishonga, makendeni, nezvimwe. Mushure mekusununguka, kudengenyeka, sekutonga, kwaiva nechokuridzirwa: nemishonga (semuenzaniso, ne solkagin) kana nekubatsira kwemazuva ano magetsi (zita rezvesayenzi remugwagwa iyi nderokunyanyisa kana electrocoagulation). Aya maitiro achiri kushandiswa mumasangano ehurumende ehurumende pasina rusununguko. Asi vane zvipingamupinyi zvakakosha: zvinorwadza uye hazvishamisi (vakadzi vakwegura vanogona kutaura pamusoro pemanzwiro avo kubva pane iyi nzira, pamwe chete, zvakare, nokunhuwira kwezvinopisa nyama); mushure mechibereko chechirwere kune mavara akaoma, maviri acho anorasikirwa nokunatswa kwawo, izvo zvinogona kukonzera zvinetso zvakakomba mumazera ekuzvarwa. Ndokusaka cauterization yakadaro yekusununguka komudzimai inobvumirwa chete kuvakadzi vezera rekuyaruka vasingarongorori pamuviri uye kuberekwa.
Nenzira yakanaka, ikozvino kune dzimwe nzira dzekugadzirisa uye dzekufambira mberi kwekugadzirisa kwakanyanya kwekucheneswa kwechibereko chemuviri, zvichibvumira kunyange nulliparous uye kuronga vakadzi kuti vabvise dambudziko iri kamwe chete. Nzira dzemazuva ano dzokudengenyeka kwechibereko chechibereki dzinosanganisira:
- radio wave ablation;
- laserovaporization;
- cryodestruction.
Icho chinokosha cheyo nzira
Muchikamu chino tichataura pamusoro pekugadziriswa kwekucheneswa kwechibereko chemuviri - kubviswa kwekudengenyeka ne nitrogen yemvura. Kazhinji unogona kunzwa kuti nzira iyi inonzi sei "cauterization yekudengenyeka kwemajini nitrogen" - iyi haisi zita rakakwana uye rakarurama. Nzira yekugadzirisa dambudziko inosanganisira kutonhora kune dzimwe nzvimbo dzakagadzikana, kuitira kuti izwi rokuti "nitrogen kufisa" rinonyanya kukodzera kugadziriswa kweyi nzira yekukura kwekukura. Kurapa kwekukura kwechirwere neyenyrojeni yemvura yakasiyana chete nea cauterization pakuti haina migumisiro yakadaro sekugadzirwa kwezvipembenene zvakakomba uye kurasikirwa kwehutachiona hwehutachiona.
Mukudengenyeka kwekudengenyeka kwechibereko chemuviri, nzvimbo inoputika yehutachi inotapurirwa neyenyrojeni yemvura inoshandisa chinhu chakakosha - a cryoprobe. Nesimba remhepo yakadzika kwazvo, utachiona hwakakanganiswa hunoparadzwa, uye munzvimbo yavo pane epithelium ine utano inoumbwa.
Kukura kwe nitrogen kunobatwa sei?
Kurapa kwekukura kwechirwere neyenyrojeni yemvura kunowanikwa pane imwe nguva, kunze kwekuti purogiramu yacho pachayo inongopedza maminetsi mashoma. Iyo inotonhora inovhara mishonga yeropa uye inowedzera mishonga yeropa, saka kurwadziwa mukudengenyeka kunoderedzwa, uye zvose zvinoitika zvachose pasina ropa.
Kuchema kwemvura yekushanduka kwechibereko chepervical kunorudzirwa kuti iitwe muchikamu chekutanga chekuenda kumwedzi, mazuva manomwe kubva kune gumi shure kwekutanga kwemwedzi. Pamberi penzira, iwe unofanirwa kuongororwa kuongororwa kwechiremba, iyo inosanganisira:
- kuongorora gynecological nekushandiswa kwezvioni;
- kuongororwa kwemukadzi smear on flora uye zvirwere zvepabonde;
- kuongorora ropa;
- colposcopy - kuongorora yemukiriniki uye microscope;
- kuongorora smear pane atypical masero - nechinangwa chekusiya kusanganisa nzira;
- dzimwe nguva, kana zvichidikanwa, chiremba anogadza imwe biopsy (kuchera nzvimbo duku yezvinyama) uye kuongorora kwake.
Kubva pamigumisiro yehutsva iyi, chiremba anosarudza pamusoro pokuti zvinoita uye zvigone kushandisa kushandisa nzira yacho
2-3 masvondo mushure mekugadziriswa kunoita uye zvinowanzoitika mvura yakawanda yakasununguka kubva kumudzimai. Uye mavhiki 4-6 mushure mekugadzirisa, pane kuporeswa kwakakwana kwemuviri wekervical.
Nemhaka yehupfupi hwehuipi hwehutachiona hwehutachiona, kukanganisa kukuru kwekurapa kwechibereko chemuviri pamwe ne nitrogen yemvura zvinogona kugadziriswa kwechirwere uye kudiwa kwekupindira nekupindira, pamwe nekushanda kwakanyanya kwenzira iyo ine zvipembenene zvakadzika zvemukoma wekervical canal. Mukuwedzera, pakarepo mushure mekugadzirisa, murwere angave ane utera uye chizuru.