Kushanduka kwechibereko chechirwere chirwere chechirwere chinokonzerwa nekuonda kwehukuru hwakakura nekudzika kunowanikwa pamusoro penhengo. Chipatara chakapararira uye chinowanikwa mu30% yevakadzi vane makore ekubereka. Kazhinji chirwere chinoitika mushure mokuberekwa.
Kukura kwechirwere - zvikonzero zvekuoneka
Tichifunga nezvechirwere chakadai sekukura kwechibereko chemuviri, zvikonzero zvekugadzirwa kwayo, vanachiremba vanoshevedza zvinhu zvakawanda. Endocervicitis inotora basa rinokosha pakuvandudzwa kwehutano. Ichi chirwere chinosimbisa basa rakanyanyisa rezvipembenene zviri mukati memaviri emuchechi epithelium. Ichi chiitiko chinoonekwa sechishusha. Pakati pezvimwe zvinokonzera kukanganisa, vanachiremba vanoti:
- Zvirwere uye kuvhiringidza nzira dzekuberekwa. Pathogenic microorganisms, izvo zvinokonzera zvinokonzera zvirwere izvi (gonococci, trichomonads , staphylococci), munguva yehupenyu hwavo inobata mucous membrane yezvibereko zvinobereka, zvichikonzera kuora kwemuviri wechibereko.
- Kukuvadza uye kupindira kwekushanda pamadzimai edzimba kunogona kuendeswa nekukuvadza kune mucous layer.
- Kusvibiswa kwehutachiona hunogona kukonzera kukanganiswa kwechirwere. Kumangwanani kana kuti kunonoka kwekuyaruka, kukanganisa kwepurogiramu, kunogona kuonekwa sechikonzero chinokonzera zvipembenene zvinokonzera mutsipa mucous.
- Kuderedza kachivande kwenharaunda.
- Dambudziko re intrauterine kukura kwe fetus panguva yekuzvitakura. Mune zvimwe zviitiko, nzvimbo ye cylindrical epithelium inoumbwa kunze kwekervical pharynx.
Kukura kwechirwere mushure mokuberekwa
Kukanganiswa kwechirwere panguva yekudzivirira kunogona kukonzera matambudziko akawanda ekugadzirisa gestation. Asi mukuita izvi chirwere ichi chinoitika mushure mekuita pamuviri. Chikonzero chekudengenyeka kwakanyanya kunetseka pamubereki nemutsipa panguva yekubereka, sechikonzero icho chikamu chinogona kuparadzwa. Mukuwedzera, zvikonzero zvinowedzera kukura kwehutano panguva yekubereka uye shure kwekuberekwa ndeizvi:
- shanduko muhutoni ;
- kuderedza kwekuchengetedza muviri;
- kusakanganiswa kusina kunaka panguva yekubereka.
Kukura kwechirwere mu nulliparous
Zvikonzero zvinokonzera kukanganiswa kwemudzimai mukati mevakadzi vasiri nhengo zvinokonzerwa nehutano hwehupenyu hwavo hwekuberekwa uye hunhu hwehupenyu hwavo hwepabonde. Apo pavanodzidza zvikonzero zvinokonzera chirwere ichi mumusikana, vanachiremba vakataura kuti kazhinji kutanga kwekuparara kwemucosa ndiko kutanga kwepabonde. Apo chirongwa chekubereka hachina kugadzirira kubereka (vasikana vaduku vane shomanana uye vashoma vagina), kune ngozi yakawanda yekutambudzika, izvo zvinoguma nekukanganiswa kwemukati. Pakati pezvimwe zvikonzero zvinowedzera njodzi yekurapa:
- kuderedza chitunha chemuhara;
- kazhinji kuchinja kwepabonde.
Ndeipi ngozi yekukura kwechirwere?
Vanachiremba vanobvumirana kuti chero zvipembenene zvinokonzera zvechirwere mumucherechedzo muchesa inobatsira pakuvandudzwa kwehutachiona kana kuputika. Nekushayikwa kwenguva refu kwerapi, zvimwe zvirwere zvinowanikwa. Pasinei nemhando ipi yekudengenyeka yakanyorwa kune varwere, vakadzi vose vane chirwere ichi vari pangozi yekuvandudza dzimwe zvirwere:
- kugadzirwa kwema polyps;
- erythroplasty (kubuda ropa tsvuku pamusoro pemucosa);
- dysplasia ;
- kusabereka;
- kenza yemumuromo wechimhondi - nechinangwa chekuisa kune iyo, cervical biopsy panguva yekukwira kwevhu ndiyo inosungirwa nzira.
Kuora kwechokwadi kwechirwere
Kuora kwechokwadi muchitarisiko chayo kwakafanana nefuro. Kukuvadza kwemukati mutsara kunotungamirira mukuputika kwemapurisa akawanda epirinium epithelium. Panguva yekuvandudza, izvo zvinotora masvondo maviri kubva panguva yekudengenyeka, kune kuregerera kuzvimiririra kwekutarisa kana kushanduka kwayo kuva ectopic - masero epa flat epithelium anotsiviwa ne-cylindrical.
Muitiro wevakadzi, vanachiremba vanoshandisa maitiro, zvichienderana nekuderera kwechokwadi kwechibereko chechirwere, zvichienderana nechinokanganisa, chinopatsanurwa kuva marudzi anotevera:
- kuvhiringidza - chikonzero chekuvapo kwehutachiwana mumakumbo edzimba;
- kushungurudzika - ndicho chikonzero chekukuvadzwa, kushanda, kubatana kwepabonde, kunoumbwa panguva yekuberekwa, kubvisa pamuviri;
- chemakemikari - inoumbwa semugumisiro wekukuvara kwemucosa kubva pamigumisiro yezvinhu zvinoparadza panguva yekutonga;
- Kupisa-kwakagadzirwa apo nzvimbo yehuro inokonzerwa;
- trophic - mugumisiro wekuputsa ropa rinobva mumuviri wechibereko.
Kukanganiswa kwekemuniti yemukati
Muzviitiko zvakawanda, kudengenyeka kwevechiri kuyaruka kunowanikwa mune zvakasikwa. Pakutanga kwekukura kwekuberekwa kune kukanganisa kwekuvandudzwa kwakarurama kwehuro yeutterine. Somugumisiro, muganhu uri pakati pemapirisa emurairi uye eplinyamusiya unofamba uchienda kumadzimai emukamu wemukirini. Ichi chakaremara hachisi chakakura uye chinowanzozvienda zvakasununguka kusvika makore 23-25. Kurera kwakadaro kwechibereko chechirwere chiratidzo chevakadzi vasingasviki uye kune avo vakashandisa kubata pamuviri kwenguva refu.
Kutadza-kukanganiswa kwemukati uteri
Kunzwa kubva kune gynecologist kuguma kwekunyengera-kukanganiswa kwechibereko chechirwere, chii chiri chechirwere - vakadzi havazivi nguva dzose. Izwi iri rinowanzoshandiswa kuratidza rudzi rwehutano umo epistlium cylindrical inowanikwa munharaunda yekervical, iyo inowanzotumirwa nepeplateli yakawanda yakawanda. Kana ichiongororwa, chiremba anokwanisa kugona kuvapo kwezvipembenene zvitsvuku nezviduku villi. Kazhinji vanachiremba vanoshandisa izwi rokuti "ectopia" kurondedzera rudzi urwu rwokukura.
Kuderedza-kuora-simba kunowanikwa kana kuwanikwa mune zvakasikwa. Muchiitiko chechipiri, chirwere chinotaridzirwa sechikonzero chekutyora kwekugadzirisa intrauterine kukura. Kuwana pseudo-kukorera kunogona kubva kune:
- hormonal disorders;
- zvirwere zvekuberekwa.
Kukura kwechirwere - zviratidzo
Maitiro okutanga ekurwara anozivikanwa nekusavapo kwechirevo chechipatara chinyorwa. Zviratidzo zvehutano zvakavanzwa. Chero bedzi nekuwedzera kwechiremera chemukati memakumbo evakadzi vanotanga kunyora zviratidzo zvekukura kwemuviri wechibereko:
- Kutarisa marwadzo mudumbu rezasi, kusabatana nekuenda kumwedzi;
- kuwedzera mumvura yekubuda;
- kusagadzikana kwekuenda kumwedzi.
Vaginal discharge panguva yekukanganiswa kwechirwere ndiyo inotungamirira zviratidzo zvehutano. Vanowedzera zvakanyanya muzwi uye vanogona kuonekwa kunze kwekuenda kumwedzi. Mukuwedzera, chiratidzo chechimiro chekudengenyeka kunobuda ropa kubva kumadzimai mushure mekuita zvepabonde. Panguva yekuita zvepabonde, kune zvimwe zvinotambudza kune foci inenge iripo yekukura, izvo zvinoita kuti kubuda kweropa kubva kune maronda.
Kukanganiswa kwemukati utero - kurapa
Kurapa kwekukanganiswa kwechirwere kunosanganisa kutanga kuongororwa kwechikonzero chechirwere, maererano nehupi urongwa hwehutano hwechirwere hunosarudzwa. Kana kudengenyeka kunokonzerwa nehutachiona muhutano hwekubereka, vanachiremba vanorwisa antibacterial, antiviraire, kurapa maererano nemhando yepathogen. Pakupera kwechirwere chekurapa, kukanganisa kwakanyanya kune mucous membrane yemukirini inopedzwa zvachose. Kurapa kwakadaro kunobvumira kubvisa kudengenyeka kwepasi kunyange kune vakadzi vasingasviki. Pakupedzisira, chirwere chacho chakakurudzirwa kuti chirapwe chete mushure mekubereka mwana.
Kurapwa kwemishonga inokonzera kuputika kwechibereko chemuviri
Medicamental kurapwa inotungamirirwa zvakananga pamusana pekuchinja kwakanyanya. Hazvibatsiri chete kubvisa kukanganisa, asiwo kudzivirira kupararira kwekutarisa, kuderedza dambudziko rekuwedzera nhamba yezviremera zvinokonzera. Kunyanya kushandiswa makese kubva kunokonzera kukwegura kwemuviri. Iyi maitiro emishonga inobata zvakananga kuongororwa kwemasvini akabatwa, kukurudzira kuvezve patsva nekudzivirira kusungirirwa kwehutachiona. Kuchengetedza kudengenyeka nemakenduru anoshandiswa ne:
- Kukuvadza kwehuputi hwemukasi hunokonzerwa nekuputsa kusakwanira kwe microflora yemukadzi.
- Zvinorwadza zvinorwadza panguva yekuenda kune imwe nzvimbo ye sacrum.
- Kutambudzika pashure pokubvisa pamuviri, kuberekwa kwakaoma.
- Kurapa kwakakomba mushure mekuda kwekukura kwekukura.
Pakati pezvokudya zvinoshandiswa mukurapa kudengenyeka, zvinodhaka zvinotevera zvinoshandiswa:
- Depanthenol;
- Hexicon ;
- Livarol;
- Suporon.
Kukanganiswa kwemukati uteri - kurapwa nemishonga yevanhu
Kurapa kwekutsvaira kwechibereko chemuviri kumba hakugoni kuita kunze kwemishonga yevanhu. Vanachiremba vanobvuma kushandiswa kwavo sekuwedzera kwehutano. Usati washandisa mishonga yemishonga, bvunza chiremba. Pakati pezvakanaka, mapeji anotevera anogona kuonekwa.
Tincture ye calendula
Zvisungo:
- maruva akaomeswa e calendula - 0.5 cup;
- vodka - 500 ml.
Kugadzirira, kushanda
- Zvinhu zvakasvibirira zvinodururirwa muhari ndokudururirwa nevodka.
- Isa panzvimbo yakajeka, yezuva uye usimbise mazuva 14.
- Futa. 1 teaspoon yekupusika inowanikwa girazi remvura inodziya uye douching zuva rimwe nerimwe. Tanga kubva pazuva rechipiri mushure mekuenda kumwedzi. Nzira yekurapa mazuva makumi maviri.
Tampons kubva pakukura
Zvisungo:
- mafuta episoro - madonhwe 2-3;
- Aloe juice - 3 tsp.
- uchi - 1,5 tsp.
Kugadzirira, kushanda
- Zvinoshandiswa zvakanyatsosanganiswa.
- Kusanganiswa kwakagadzirwa kwakanyoroveswa nekambani uye injowa mukati memadzimai usiku. Nzira yekurapa mazuva gumi nemashanu.
Solution for syringing
Zvisungo:
- maruva a marigolds - 1 tbsp. spoon;
- mvura - 200 ml.
Kugadzirira, kushanda
- Zvinhu zvakasvibirira zvinodururwa nemvura inopisa.
- Kusimbisa maminitsi makumi maviri.
- Shandisa uye shandisa mhinduro yakagamuchirwa yekugadzirisa.
Radiyo inogadzirisa kurapwa kwehutachiona hwechirwere
Cauterization yekervical kudengenyeka nemafungu eredhiyo ndiyo nzira inoshanda yekurapa chirwere chacho. Iyo nzira inosabatanidza kusangana nemashuga akaora. Kupfuura nepamuchina unokosha, ikozvino inoshandurwa kuva mafunguro eredhiyo, ayo anotungamirirwa nemagetsi kumativi akabatwa emutsipa. Musoro wemuviri pachawo hauna kupisa, kuitika kwekupisa hakubvumirwi. Kuti kuderedze kunzwa kunorwadza, vanachiremba vanogona kushandisa anesthesia yemo.
Kurapa kwerudzi rwechibereko chemuganda nemarara
Kutaura nezvekurapa kukanganiswa kwechirwere, vanachiremba vanopa laser therapy. Iyi nzira inogadzirisa zvakananga pachilonda chechilonda ne laser beam. Pamberi pacho, mutsi unoitwa neine iodine solution, iyo inobatsira kurondedzera miganhu yekudengenyeka. Pasi pechiito chemuti, kubhururuka kwehutu hwemasero akaora, kunoita kuti vaparadzwe. Ichi cauterization yekushanduka kwechibereko chemuviri hachina maturo uye inobatsira zvikuru. Mushure mokurapa, zvikanda hazviumbwa.
Kuchengetedza kwechirwere muhutumbi hwemhondi
Kugadzirisa mubvunzo wenzira yekurapa, kusarudza nzira yekurapa kudengenyeka kwechirwere, vanachiremba vanowanzotora nzira yekugadzirisa. Kana ikaitwa, mishonga inogadziriswa inobatwa neine nitrogen yemvura inoshandisa majekiti anokosha. Nzvimbo yacho inova yakachena. Masero anofa nenguva, uye munzvimbo yawo maumbirwo matsva, ane utano anoitika. Iyo nzira inotora maminetsi gumi nemashanu. Iko kune mvura yakawanda yakasununguka mushure mokunge cauterization yekushanduka kwechibereko chemuviri. Nguva yavo haifaniri kudarika mazuva 5-7. Kana zvisina kudaro, kubvunzurudza kunodiwa.