8 nzira dze cauterization yeervical erosion, mhedzisiro, chii chaunofanira kuita mushure?

Cauterization yekukukurwa kwekervical - iri ndiro zita rakawanda reboka remaitiro ekurapa, chinangwa chekufurira pseudo-erosion uye kuibvisa zvachose. Pamusana pekuti chirwere chacho chakapararira uye chinokanganisa kusvika kune chetatu chevakadzi vose vari panyika, nzira dze cauterization dzinogara dzichivandudzwa uye dzichiwedzerwa. Ndiyo nzira dzinoparadza dzekupesvedzera kuvhuvhuta dzinonyanya kushanda maererano nekurapa kwayo.

Vakadzi vazhinji vanoshandisa izwi rekuti "cauterization", zvichireva kupisa kwakananga nekupisa kuumbwa paepithelium. Zvisinei, kushandiswa kwezwi uku hakuna kururama zvachose. Semuenzaniso, kana nzvimbo yakakanganisika inoratidzwa kune nitrogen, saka ichi hachisi chinhu kunze kwechando, uye kana kuputika kuchibviswa ne laser, saka masero ayo anongoputika. Nekudaro, idzi nzira dzese muhupenyu hwezuva nezuva dzinonzi cauterization.

Mukuwedzera, chete pseudo-erosion ndiyo cauterized - asi kwete chokwadi uye kwete innate. Pseudo-erosion inoumbwa semugumisiro wekuputsika kwemaitiro ekuporesa kwekukurwa kwechokwadi, apo chimwe chikamu che stratified squamous epithelium chinotsiviwa ne cylindrical iyo "yakasiya" mugero wekervical. Nekuda kweizvozvo, saiti inoumbwa inosiyana muchimiro uye muchimiro. Iyi ndiyo nzvimbo ye ectopia iyo inofanirwa kuparadzwa.

Nzira dze cauterization ye cervical erosion

Mazuva ano kliniki yegynecology ine seti yenzira dzekubvisa kwemuviri kweiyo pathological process.

Pakati pavo pane:

• Diathermocoagulation - nzira yekurapa ine ikozvino. Imwe yenzira dzechinyakare uye dzinoshungurudza dzekubvisa kukurwa.

• Cryodestruction - nzira yekubvisa kukurwa nerubatsiro rwenitrogen. Iyi inzira yakapfava yekubvisa kukukurwa nekuomesa nechando masero ezvirwere uye kuparadzwa kwavo kunotevera.

• Laser vaporization - nzira yekubvisa pathology uchishandisa laser. Nzira isingarwadzi uye inoshanda yekubvisa kukurwa kwevhu, uku uine hunyanzvi hwepamusoro.

• Radio wave coagulation - nzira ye cauterization yekukukurwa uchishandisa masaisai eredhiyo. Imwe yedzakanyanya kuvimbisa uye inofambira mberi nzira dzekuporesa nzvimbo dzakakuvadzwa.

• Argon plasma ablation nzira - kubviswa kwekukukurwa kwevhu uchishandisa argon. Inoitwa uchishandisa midziyo yakakosha iyo argon inoiswa ionized nepamusoro-frequency currents uye danda replasma rinonyatsobata nzvimbo yakakanganiswa.

• Electroconization, inoshandiswa kurapa dysplasia yakaoma, inokubvumira kubvisa masero atypical kunyange yakadzika epithelial layers.

• Ultrasound. Kubvisa murwere kubva mukukukurwa uchishandisa ultrasound.

• Kemikari kana zvinodhaka cauterization. Kazhinji kazhinji, Solkovagin inoshandiswa nokuda kwechinangwa ichi, icho chinokonzera tishu necrosis, kuumbwa kweganda, kuteverwa nekutsiviwa kwayo nehupamhi hwepithelium itsva.

Kusarudzwa kweimwe kana imwe nzira yekurapa ichaenderana nemamiriro emukadzi, makore ake, kuvapo kwezvirwere zvinosangana, nezvimwe.

Cauterization yekukukurwa kwekervical nelaser

Kuti kurapwa kwenzvimbo yakakanganisika ine laser kuve nemhedzisiro yakanaka, kunyatsoongorora kwekutanga kunofanirwa. Zvechokwadi, mune imwe nguva, kuderera-kunyanya kusvibiswa kuchave kwakabudirira, mune imwe, pane zvinopesana, yakakwirira-yakanyanya, uye mune yechitatu - carbon dioxide. Panyaya iyi, nzvimbo yenzvimbo yakakanganiswa uye nguva yekuvapo kwekukukurwa kwakakosha. Iyo "yechikuru" uye yakakura iyo pathology, iyo yakanyanya mhedzisiro ichave. Mukuwedzera, mukadzi haafaniri kutambura nechirwere chinotapukira chechikamu chepabonde. Kana zvakadaro, saka pre-kurapwa kunodiwa.

Mukurapa, iyo pfungwa ye cauterization ye cervix ine laser haipo, vanachiremba vanodana iyi nzira "laser vaporization". Inoitwa munzvimbo yekunze, haidi anesthesia, kunyange yemunharaunda. Chinokosha chemuitiro ndeichi: chiremba anotsanangura miganhu inofanira kugadziriswa (laser inoshandiswa kune iyi, inoita sepenzura), ipapo kubuda kwakarongeka kunotanga. Evaporation yeatypical masero inotanga kubva pamugero wekervical, uye inopera pamuganho wakagara wadhonzwa (nechinangwa chekuchengetedza mambure, nzvimbo ine hutano inotorwa mukati me2 mm). Iyo nzira yese haitore kupfuura 7 maminetsi.

Kubatsirwa. Kubatsira kwekurapa uku ndiko kuti hapana ngozi yekubuda ropa: midziyo inokurumidza coagulate.

Nuances. Mukadzi anofanira kuziva kuti kuputika kukuru hakugone kuporeswa panguva imwe chete, kusvika ku2-3 maitiro anogona kudiwa, nguva yepakati inofanira kunge inenge mwedzi.

Mushure me cauterization. Mushure mekunge kurapwa kwelaser kwaitwa, mukadzi anogona kunzwa kubuda kushoma kwenguva yakati. Vanogona kucherechedzwa kwete kupfuura 3 mavhiki. Kudzorerwa kwakakwana kwemucous membrane yemutsipa wechibereko kunoitika mushure memwedzi 1,5. Iyi nzira yakakodzera kunyange kune vakadzi vasina nulliparous. Pakati pezvinopesana zvikuru: nguva mushure mekuberekwa, pamuviri, kuzvimba kwechikadzi, chibereko kana appendages, pamwe chete neoplasms yakaipa.

Radio wave kurapwa kwekukukurwa kwekervical

Vanachiremba vari kubata nedambudziko rekubvisa kukoromoka vanoti kurapa uku ndiko kunonyanya kushanda uye kwakachengeteka kana tichienzanisa nedzimwe nzira. Iyi nzira haisi yekubatana, yakaderera-inoshungurudza uye haina kurwadza, haikonzeri kubuda ropa, uye zvinogona kuitika zvinoderedzwa. Zvisinei, nekuda kwekuti nzira yacho itsva, haisi kushandiswa zvakanyanya.

Usati waita maitiro, zvakakosha kuitisa histological ongororo, kupfuudza smear pane microflora, kuti uone zvirwere zvevenereal.

Ita kurapa nemasaisai eredhiyo muhafu yekutanga yekuenda kumwedzi (nguva yakakwana kubva pamazuva mashanu kusvika gumi, mushure mekutanga kuenda kumwedzi). Izvi zvinokonzerwa nekuti njodzi dzematambudziko dzinoderedzwa, uye iwo matushu pachawo anopora nekukurumidza.

Chinokosha chemaitiro acho ndechekuti masaisai eredhiyo anowedzera tembiricha yematishu akabatwa nekuita kwekupisa pamvura iri mukati memasero. Inopisa uye inoputika, uye midziyo inowanikwa kumativi inobatanidzwa. Kuratidzira kwakananga kunoitwa uchishandisa electrode, iyo inoburitsa masaisai. Iyo mudziyo pachayo haisangani nepamusoro pemuromo wechibereko. Kazhinji kazhinji, iyo Surgitron midziyo inoshandiswa kuita maitiro. Nekuda kwehunyoro hwakadaro, mushure mekugadzirisa, hapana goko rinoumbwa, asi firimu rakatetepa rinoumbwa.

Anesthesia, sekutonga, haisati yashandiswa, sezvo manzwiro anowanikwa nemukadzi anofananidzwa nekunyorova kudhonza marwadzo panguva yekuenda kumwedzi. Asi kana chikumbaridzo chekunzwa kwake kumarwadzo chakanyanya kukwirira, zvino zvinokurudzirwa kushandisa anesthesia yemunharaunda. Mukufanana, kunamatira kuripo kana zvimwe zvirema pamuromo wechibereko uye cervical canal zvinogona kubviswa.

Nzira yekudzorera kazhinji haipfuuri mwedzi mumwe. Mukadzi anogona kuvhiringidzika nekubuda kudiki, izvo zvinopera zvachose mushure memazuva gumi.

Chikamu chimwe chete chinokwana kupora zvakakwana. Radio wave coagulation inokodzera vakadzi vese, kusanganisira avo vari kuronga kubata pamuviri munguva pfupi iri kutevera. Iwe unogona kuita izvi kwatova mwedzi gare gare, mushure mekushanyira kwakarongwa kune gynecologist.

Pakati pezvinokurudzirwa mushure mekuita: kuramba hupenyu hwepedyo kwemavhiki mana, kuganhurirwa kwekuita basa remuviri, kurambidzwa kushambira mumvura yakashama, madziva uye mabhati. Chinhu chimwe chete chinokanganisa cheiyi nzira inofambira mberi uye yakachengeteka yekubvisa kukukurwa ndeyekudhura kwakanyanya kwemaitiro, pamwe nekushaikwa kwemidziyo uye nyanzvi mumakiriniki emadhorobha.

Cauterization yeervical erosion nezvino

Nzira yechinyakare yekubvisa kukurwa ndeyekukonzeresa nezvino. Mukurapa, nzira iyi yekurapa inonzi "diathermocoagulation". Pakati pezvakanakira zvisingarambiki, munhu anogona kusiyanisa kuwanikwa kwayo kwese uye kugona kwakanyanya. Ndicho chikonzero nei isati yaraswa zvachose.

Usati waita kurapwa kwemazuva ano, zvakakosha kuchenesa chikadzi uye kubvisa chero hutachiona uye hunopisa.

Chinokosha chenzira yacho ndechokuti electrode, iyo inobudisa zvinoyerera ikozvino, inobata nzvimbo yakakanganiswa kusvika kune imwe nzvimbo kusvikira kukukurwa kwese kwafukidzwa nescab. Somugumisiro, ronda rinoumbwa panzvimbo ino, iro rinobuda ropa, asi rakafukidzwa negorofu kubva kumusoro. Mwedzi miviri gare gare, epithelializes. Iyo gako pachayo inopera mukati memazuva 10-12. Sezvo pasina pakarepo coagulation yemidziyo panguva yekuita, mukadzi ane mavara eropa panguva yekupora.

Mukuwedzera, kukanganisa kwakakomba kweiyi nzira ndiko kuumbwa kwevanga rakashata kubva kune connective tissue. Izvi zvinogona kuwedzera kukanganisa nzira yekuzvara. Ndokusaka iyi nzira ye cauterization isingakurudzirwe kune vasikana vasina nulliparous.

Cauterization ye cervical erosion ne nitrogen

Iyi nzira inobva pakurapa kunotonhora. Matishu akakuvadzwa anoratidzwa kune yakashandurwa mvura nitrogen kuburikidza ne cryoprobe. Iyo nzira ndeye imwe chete, kazhinji haitore anopfuura maminetsi mashanu. Pathological masero anopenya obva afa. Mushure meavhareji yemwedzi 5-2, ivo vanotsiviwa nevane hutano. Nguva yakakwana yekuita iyi kubva pazuva rechinomwe kusvika kune regumi rekuenda kumwedzi.

Contraindications inosanganisira nzvimbo yakakura yekukukurwa - inodarika masendimita matatu, kukuvara kwekervical, fibroids, chero hutachiona uye hwehutachiona hwehutachiona munhengo dzesikarudzi, pamwe nepamuviri nemamota.

Nzira yacho hairwadzi, asi pakukumbira kwemurwere, anogona kupiwa anesthesia yemunharaunda, sezvo pane kunzwa kutsva kunopisa kana kutinhira kuduku. Iyi nzira inoshandiswa muvakadzi vasina nulliparous. Pakati pezvimwe zvakanakira - kukurumidza kuitisa pane imwe kunze, kusavapo kwekubuda ropa.

Zvisinei, iyo nzira ine zvimwe zvipingamupinyi: kupora kwenguva refu, kutaridzika kwemvura yakavanzika, kusakwanisa kugadzirisa zvakadzika zvinyama. Mukuwedzera, kurapwa kunodzokororwa kunogona kudiwa.

Chemical coagulation nzira

Iyo nzira inoderedzwa kusvika pakurapa kwepasi rakaputika nemishonga. Kana vanachiremba vekare vakashandisa kunyanya Vagotil, ikozvino yakatsiviwa nemishonga yemazuva ano uye inoshanda - Solkovagin.

Munguva yemaitiro, chiremba, achishandisa cotton swab, anoomesa nzvimbo yakakanganiswa. Imwe swab yakanyatsorongedzerwa nemumiririri akasarudzwa uye nzvimbo ine kuputika inobatwa nayo. Nguva yekugadzirisa ndeye 3 maminitsi. Mushonga wakawandisa unobviswa neimwe yakaoma donje swab. Kuti ishandiswe zvakanyanya, chikamu chose chinoitika pasi pekutonga kwecolposcopy.

Nzira yacho hairwadzi zvachose uye haitombodi kuti anesthesia yemunharaunda. Iyi nzira yekurapa yakakodzera mukadzi asina kumbozvara. Zvisinei, nzira iyi haishandiswi kana kukoromoka kwacho kuchidarika 1 cm muhupamhi. Asi nekuda kwekuti mishonga inoshanda zvakapfava kupfuura nzira dzemuviri dzekurapa, maitiro akati wandei anogona kudiwa kuti kurapa kwakazara.

Kusvirwa kunoitwa sei?

Chero cauterization maitiro ane chinangwa chekuparadza pathological masero, izvo zvinofanirwa kuzotsiviwa neane hutano stratified squamous epithelium. Sezvatotaurwa, izwi rekuti "cauterization" harisi rakarurama nguva dzose. Nekudaro, ndiye anoratidza kukosha kwechero nzira.

Kana isu tikafunga chero maitiro mumatanho, saka ane akatevedzana zviito zvinoteedzana:

• Mukadzi anoongororwa zvakakwana kuti aone chero zvinopesana nechikamu che cauterization.

• Kana pasina akawanikwa, murwere anouya kuna chiremba, kazhinji muhafu yekutanga yekuenda kumwedzi.

• Nzvimbo yekurapa iri kugadzirirwa (miganhu yayo inotarwa, dzimwe nguva nzvimbo yakaomeswa).

• Kukukurwa kunokanganisa neimwe nzira kana imwe, kuparadza masero ayo.

• Panzvimbo yenzvimbo yakarapwa, kana scab kana firimu yakaonda inoumbwa.

• Mumavhiki mashomanana, ganda racho rinodonha, uye nyama inenge yakuvadzwa inotsiviwa nenyama ine utano.

• Vanga rinoumbwa panzvimbo yakarapwa. Zvisinei, mishonga yemazuva ano inobvumira iyi nhanho isingafadzi kuti idziviswa.

• Mukadzi ari kupora.

Contraindications kuti cauterization

Kuti uite cauterization maitiro neimwe yeiyi nzira dziri pamusoro, unofanirwa kuve nechokwadi chekuti hapana contraindication.

Pakati pavo pane zvinotevera:

• Chero maitiro ekuputika kwenhengo yepabonde.

• Kuvapo kwechirwere chipi nechipi chepabonde.

• Chero kubuda ropa muchikamu chinoshanda.

• Matambudziko ekuvhara ropa.

• Malignant neoplasm yenzvimbo yakakukurwa.

• Pamuviri, uye dzimwe nguva lactation.

• Inoenderera lochia uye yekutanga postpartum nguva.

• Decompensated chirwere cheshuga mellitus.

• Yakaiswa intrauterine device.

• Kuitwa Kesariya.

• Kutakura papillomavirus yevanhu.

• Zvimwe zvirwere zvepfungwa, zvakadai se schizophrenia uye kubatwa nekubatwa.

• Kupfeka pacemaker (kune dzimwe nzira).

• Kuwedzera kwezvirwere zvisingaperi.

Uyezve, dzimwe nzira hadzishandiswi pakukukurwa kukuru. 

Ndeipi miedzo inofanira kutorwa pamberi pe cauterization yekukurwa?

Asati atanga kurapwa neizvi kana nzira iyo, mukadzi achada kuongororwa zvakakwana. Inosanganisira kuendesa bvunzo, pakati peizvi zvinotevera zvinosungirwa:

• Ropa rinoongororwa HIV.

• Kuongororwa ropa kwechipatara.

• Ropa kemisitiri.

• Clinical kuongororwa weti.

• Ropa rekuongorora hepatitis.

• Kuongororwa ropa kuona zvirwere zveurogenital, kusanganisira HPV. Inonyanya kuvimbika munyaya iyi ndeye PCR kuongorora.

• Kutora smear ye oncocytology (Papanicolaou test) uye flora.

• Kupfuura kwecolposcopy yakawedzerwa, uye kana yaratidzwa, biopsy.

Kana pasina kutsauka kubva pane zvakajairwa kunowanikwa zvinoenderana nemhedzisiro yebvunzo idzi, mukadzi anozoendeswa kune iyo cauterization maitiro. Kana chero hutachiwana hwepabonde kana humwe hutachiwana hunoonekwa, kurapwa kwekutanga kunodiwa.

Mhedzisiro ye cauterization ye cervical erosion

Kunyange zvazvo mushonga wakauya kure maererano nokurapa kukukurwa kwevhu, zvisinei, nzira yakanaka iyo yaisazova nemigumisiro ipi neipi kumuviri womukadzi haisati yawanikwa. Imwe neimwe nzira ine zvayakanakira nezvayakaipira. Saka, zvakakosha kuita kwete chete sarudzo yakarurama pamusoro penzira ye cauterization, asiwo kuwana nyanzvi inokwanisa.

Pakati pemigumisiro inogona kuitika ye cauterization yekukurwa kwevhu, zviratidzo zvekukurumidza uye zviri kure zvinosiyaniswa.

Iyo yepedyo, kureva, iyo inogona kuitika mumavhiki masere ekutanga mushure mekuita, inosanganisira:

• Kuwedzera kuzvimba kwe fallopian chubhu kana panguva imwechete iyo fallopian chubhu uye maovari. Kazhinji kazhinji, maitiro acho ane divi rimwe, kunyangwe anogona kukura pamativi ese.

• Kubuda ropa nekurasikirwa kukuru kweropa (ichi chinonetsa hachisanganisi kudiki sanious discharge, zvinova zvakajairwa).

• Kusagadzikana kwekuenda kumwedzi, kunyanya, kukura kwemanorrhea.

Pakati pezvimwe mhedzisiro inoitika mwedzi miviri mushure mecauterization, kazhinji kupfuura mamwe anoonekwa:

• Complete scarring kana stenosis yemugero wekervical.

• Kuora kweiyo pasi pedenga, dambudziko iri rakagamuchira zita rekuti "coagulated neck syndrome" mukurapa.

• Kuitikazve kwekukukurwa kwevhu panzvimbo imwe chete.

• Endometriosis, iyo inoitika kuseri kwekunonoka kupora kweiyo epithelial layer yecervix. Kana izvi zvisina kuitika pakutanga kwekuenda kumwedzi kunotevera, ipapo masero e endometrial akabva neropa anogona kupinza ronda risina kupora uye kuumba chinangwa chekuputika.

Kana tikafunga nezvemhedzisiro yakadai sediki marwadzo ekudhonza mudumbu rezasi uye kubuda, saka ivo, sekutonga, havana kurongeka sematambudziko. Izvi zvinokonzerwa nekuti kuwedzera kwekuvanzika uye hunhu hwavo husina kujairika inzira yepanyama yekudzoreredza epithelium. Ivo vanocherechedzwa kusvika pamwero wakati mushure mekupfuura chero nzira ye cauterization. Mushure mezvose, kunyange nekubatana kwemidziyo yeropa, pasi pegomba rakagadzirwa rakagadzirwa, kugadzirwa kwezvipembenene zvakakanganisika kunowedzera, izvo zvinotanga kubudisa chakavanzika mumabhuku makuru.

Kubuda kweropa kunoratidzika semugumisiro wekuti tsinga dzeropa dzakakuvadzwa munharaunda. Zvakare, ropa rinogona kuumba apo chikwebo chinenge chisina kunyatsobva. Zvisinei, zviitiko zvakadaro zvinofanira kupfuura nokukurumidza uye pachavo. Kana zvisina kudaro, unoda kubvunza chiremba kuti ubatsirwe. Izvo zvakakoshawo kuziva kuti iyo yakanyanya hutsinye iyo cauterization nzira, iyo yakawanda yekubuda ichave yakawanda. Izvi, zvekutanga, zvine chekuita nediathermocoagulation. Chiremba anosungirwa kunyevera murwere pamusoro peizvi pachine nguva.

Mibvunzo nemhinduro dzakakurumbira:

• Zvinorwadza here kuita cauterization yecervical erosion? Ndiyo mubvunzo wekurwadziwa kwemaitiro anowanzoshungurudza mukadzi. Kutya kurwadziwa kwakanyanya, varwere vazhinji vanononoka kutanga kurapwa, vachikuvadza muviri wavo pachavo. Izvi hazvina kukodzera kuita, sezvo cauterization iri inenge isingarwadzi maitiro. Ichokwadi ndechokuti muromo wechibereko une nhamba isingakoshi yemagumo etsinga. Icho ndicho chokwadi ichi chinotsanangura chokwadi chokuti chirwere chacho chine mufananidzo wakanyoro wekliniki. Nokudaro, haufaniri kutya kurwadziwa, kunyanya kana mukadzi akasarudza imwe yenzira dzemazuva ano dze cauterization. Mukuwedzera, kana chiremba achiona kuwedzera kunetseka kana kutya kwemurwere, anogona kumupa anesthesia yemunharaunda. Kazhinji kazhinji izvi zvinoitirwa kudzikamisa murwere, uye panguva ye diathermocoagulation, umo mune kutarisana kwakananga nenzvimbo yakakuvadzwa. Seanesthetic, vanachiremba vazhinji vanoisa pamberi kune lidocaine (mushonga unogona kubaiwa kana kushandiswa sepfapfaidzo).

• Zvinoita here kubata pamuviri mushure me cauterization ye cervical erosion? Iyo erosion cauterization maitiro haisi chipingamupinyi kune inotevera kubata pamuviri. Zvinokwanisika kuita pamuviri, zvisinei, zvakakosha kumirira mwedzi 1-2 usati watanga kubereka mwana, sezvo iri panguva ino iyo mishonga ichadzoka zvakakwana uye chiremba achakwanisa kuongorora kubudirira kwekurapa. Chinhu chakakosha chevakadzi vasati vasununguka ndiyo tsanangudzo inokwanisa nesarudzo yenzira ye cauterization. Diathermocoagulation haina kukodzera kuvarwere vakadai, nekuti inokonzera kuumbwa kwevanga, iro rinowanzokanganisa nzira yekuzvara. Naizvozvo, zviri nani kushandisa nzira dzakapfava dzekubvisa pathology.

• Pazuva ripi rekuenda kumwedzi zviri nani kuti cauterize kukukurwa? Vanachiremba vanobvumirana pamwe chete kuti nguva yakakwana yemaitiro angave zuva rechishanu kana rechitanhatu rekutenderera. Nokudaro, zvichave zvichibvira kuwana kuporesa kukuru kwe epithelial tissue kusvikira kutanga kwekuenda kumwedzi kunotevera. Kana zvakanga zvisingakwanisi kubvisa chirwere pazuva rechipiri mushure mekupera kwekuenda kumwedzi, saka nguva yakawanda inogoneka ndeye 5-6 mazuva. Kunyange zvazvo munyaya iyi zvinokurudzirwa kubvunzurudza chiremba uye, kana zvichibvira, gadzirisa purogiramu yacho kumwedzi unotevera.

• Kuberekwa mushure me cauterization yekukanganiswa kwekervical. Vazhinji vevakadzi vese vakazvara nevasina kusununguka vanonetsekana kuti cauterization ingakanganisa sei chirongwa chekusununguka mune ramangwana. Kutya uku kunouya kubva kare, apo diathermocoagulation yemidziyo yeropa ndiyo chete nzira yekubvisa pathology. Imhaka yemusangano wakadaro kuti vanga rinoramba riri pamutsipa, iro rinotyisidzira kuputsa kana mwana achipfuura nemugero wekuzvarwa. Zvisinei, nzira dzemazuva ano dzekurapa dzinoita kuti zvibvirire kudzivisa matambudziko akadaro, sezvo ari: asingabatanidzi, chiremba anodzora kudzika kwekuratidzwa kune epithelial tissues, kunyatsocherechedza miganhu yenzvimbo yakarapwa. Nekuda kweizvozvo, pamuromo wekervix wakapora mushure mekuita, hapana maratidziro anooneka ekuti cauterization yakaitwa. Izvi zvinoreva kuti nzira dzemazuva ano dzekurapa hadzina chadzinoita pakuzvara mwana, nekuti zvine njodzi kubata mwana ane "acting" ectopia, kunyanya yekuzvimba.

• Kukukurwa kunogona kuitika zvakare mushure me cauterization? Chirema chinogona kuitika mumukadzi zvakare, mushure mekurapwa.

  Asi pasina chikonzero, hazviitike:

  1. Kutanga, kuiswa kwehutachiona hwehhasha hwepabonde, douching nemhinduro dzisina kukodzera chinangwa ichi, kukuvadzwa kunotsigirwa panguva yebasa kana panguva yekubvisa pamuviri, nezvimwewo, zvinogona kukonzera kuonekwa kwekukukurwa.

  2. Chechipiri, kana chinhu chakakonzera kutaridzika kwekudonha kwekare chakaonekwa zvisiri izvo kana kuti chisina kubviswa zvachose. Zvinoitika kuti chirema chakapiswa, asi "mudzi" waro hauna kubviswa. Nekuda kweizvozvo, mushure menguva yakati ichaonekwa zvakare.

  3. Chechitatu, murwere anofanirwa kuziva kuti nzira dzakaita sekubvisa kukurwa nenitrogen kana kemikari coagulation dzakapfava. Izvi zvinoreva kuti zvirongwa zvakawanda zvichadikanwa. Mushure mekutanga kwemaitiro ekurapa, kuputika hakuzobvisirwi, asi izvi hazvirevi kuti zvakamuka zvakare.

• Bonde mushure me cauterization ye cervical erosion. Mushure mekunge dambudziko rabviswa, zvakakosha kuti umire pane imwe nguva usati waita zvepabonde zvakare.

  Chekutanga pane zvese, zvinoenderana nekuti ndeipi nzira yekubvisa kukanganisa kwakasarudzwa, sezvo epithelium ichapora pamitengo yakasiyana:

  1. Kana mukadzi akawana cryodestruction yakakwana, saka nguva yakakwana yekutanga hukama hwepabonde mavhiki matanhatu gare gare.

  2. Apo murwere akawana laser vaporization, zvinokwanisika kuita zvepabonde kwete mberi kwemwedzi, asi zviri nani kumirira mwedzi miviri.

  3. Kana sarudzo yakaitwa ichifarira redhiyo wave kuvhiyiwa, ipapo kudzoreredzwa kwetishu kunoitika paavhareji mushure memwedzi 1,5, ndezvenguva ino iyo hupenyu hwepedyo hunofanira kumiswa.

  4. Nguva yakareba yekurega kuita zvepabonde ichava mumukadzi akapinda diathermocoagulation - mwedzi 2,5.

  5. Kana cervix yakarapwa neSolkovagin, iwe unofanirwa kumirira kanenge vhiki, uye iyo yakanyanya kuchengetedzwa nguva ndeye 3 mavhiki.

  6. Vanachiremba vanokurudzira: usati watanga hukama hwepabonde, iva nechokwadi chekuuya kuzoongororwa uye iva nechokwadi chokuti muromo wechibereko wapora zvakakwana. Kana izvi zvikasaitika, ipapo kuzorora kwepabonde kunogona kuwedzerwa kwenguva yakareba.

• Ropa rinobuda mushure me cauterization yekukurwa. Mushure mekuvhiyiwa, mukadzi anogona kusangana nemhando dzakasiyana dzekubuda. Kazhinji ivo vane tsvina yeropa.

  Nekudaro, hunhu hwavo hunoenderana nedanho rekuporesa:

  1. Nhau dzeropa Kazhinji, vanogona kukanganisa mukadzi kwemazuva anosvika gumi. Dzinogona kunge dzakatsvuka zvishoma, kana kuti dzinogona kunge dzine ruvara rwakanyanya. Mushure menguva yakatarwa, kubuda kunofanira kuva mucous, kukora, kuonekwa mudiki vhoriyamu. Kuonekwa kweropa kunotsanangurwa nechokwadi chokuti mimwe midziyo inoputika pakarepo mushure mekuita kana kuti ganda rinobudiswa.

  2. pinkish discharge vanogona kushandura ruvara rwavo kuti ruve runyoro rwakanyanya, asi kazhinji vhiki mushure meizvozvo, vanofanirwa kumira zvachose.

  3. Iyo yakajairika kudzoreredza kutenderera kweiyo cervical epithelium ndeiyi: kutanga, kubuda kwemvura kunoonekwa, nekusachena kweropa kushoma, ivo vanotsiviwa nekuwanda kwepinki kubuda, iyo inozotsiviwa nebrown uye shoma. Mukuwedzera, mune imwe neimwe yemhando idzi, mukadzi anogona kuona zviduku zviduku - zvimedu zvakasviba. Ivo, sekutonga, zvimedu zvechigamba chinobuda.

  4. Kubuda ropa kwechiedza mumukadzi ane cauterization kunogona kuzarura pakati pemazuva 8 ne 21. Inobatanidzwa nekubuda kwakakwana kwechigamba uye inofanira kupedzwa mukati memaawa mashoma. Iwe haufanirwe kunetseka pamusoro peizvi, sezvo iyi iri yepanyama physiological kuporesa maitiro. Izvo zvinodikanwa kubvunza chiremba kana kune kubuda kwakawanda kweropa, kuwedzera kwekushisa kwemuviri, kurwadziwa kwakanyanya mudumbu uye zvimwe zviratidzo zvinotyisa. Chimiro chinotevera chinoshanda semutungamiri: kubuda hakufaniri kudarika mavhoriyamu ayo mukadzi anoshandiswa kurasikirwa panguva yekuenda kumwedzi.

• Kunhuhwirira kusingafadzi mushure me cauterization yeervical erosion. Kunhuwa kusingafadzi mushure mekuita haisi tsika. Inogona kuratidza hutsanana hwepedyo hwakakwana kana husina kunaka. Kana mukadzi akatevera mitemo yose uye mazano echiremba ekuzvitarisira, uye kunhuhwirira kusingafadzi kunoramba kuchipisa, zvino izvi zvinogona kuratidza utachiona. Iwe unofanirwa kushanyira chiremba wako uye kutora smear kubva kumukadzi kuti uone pathogenic microflora. Chikonzero chekukurumidza rwendo kuenda kuchiremba purulent, kana kuva nehutu hwakasvibirira hwekubuda. Aya masaini anonongedzera nenzira isina kujeka kumuitiro wokuzvimba uyo wabatana.

• Inguva yakareba sei kukukurwa kwekervical kunoporesa mushure me cauterization? Chokutanga pane zvose, nguva yekudzikinura mushure mekuita cauterization inobva pane kuti yakaitwa sei. Nguva pfupi yekupora mumukadzi inoonekwa mushure memakemikari coagulation. Sezvo mutemo, vhiki nhatu dzakakwana kuti epithelial tissues yemuromo wechibereko iitezve zvachose. Iyo yakareba nguva yekupora ichafanirwa kuenda kuburikidza nemukadzi akaita diathermocoagulation. Nzvimbo yakarapwa ichapora zvizere mushure me2,5, uye dzimwe nguva mwedzi mitatu. Ivhareji yenguva yekudzikinura inobva ku4 kusvika kumavhiki masere, zvichienderana nekushandiswa kwekukurudzirwa kwechiremba uye pasina kuwedzera kwezvinetso.

• Zvinoita here kutamba mitambo mushure me cauterization yekukurwa? Kana isati yasvika nguva iyo mukadzi aifanira kuenda kuburikidza necauterization, akapinda mumitambo, zvino mushure mevhiki anogona kutangazve kudzidzira. Nekudaro, zvinofanirwa kunge zvine maekisesaizi ekudziya uye kuitika pamwero wakaderedzwa. Kana iwe uchinzwa kurwadziwa kana kuwedzera kubuda, iwe unozofanirwa kusiya basa remuviri kwemwedzi. Ndiyo nguva iyi iyo vanachiremba vanokurudzira kurega mitambo. Panguva ino, gororo rinosiya uye cervix yakadzoreredzwa zvishoma. Vanachiremba vanoita zvakasiyana chete kune vatambi vane hunyanzvi vanogona kurasikirwa nechimiro. Ichi chigadziro chinotsanangurwa nenyaya yekuti kuwedzera kwekuita kwemuviri kunogona kukonzera kubuda kwakanyanya kubva mumidziyo yakakuvadzwa mushure mekuita.

Chii chaunofanira kuita mushure me cauterization yeervical erosion? Recommendations

Nzira ye cauterizing an ectopia kupindira kwakakomba mumuviri wemukadzi, saka anofanira kutevera mazano ose ekurapa. Izvi zvichaita kuti kudzoreredza kuite nekukurumidza sezvinobvira uye kuderedza njodzi yezvinogoneka kunetsa.

Pakati pezvakawanda zvinokurudzira, zvakakosha kutevedzera zvinotevera:

• Kana zvichibvira, kuzorora kwepabonde kunofanirwa kucherechedzwa mukati memwedzi wekutanga nehafu mushure mechikamu checauterization. Kudzokera kuhupenyu hwepedyo hunogoneka mushure mekuongororwa kwechivharo ne gynecologist.

• Pasi pekurambidzwa chero basa rekuita rinonetesa. Mukadzi haafaniri kusimudza masimbi, sezvo izvi zvinowedzera dambudziko rematambudziko.

• Usashambira mumvura yakashama. Iwe unofanirwawo kuramba kushanyira mabhati, saunas, makamuri emvura uye mabhati. Maitiro ese ehutsanana anofanirwa kuitwa pasi pemvura inoyerera kana pasi pekugezera.

• Sekuwedzera kurapa, mukadzi anogona kushandisa topical kurapwa. Kushandiswa kwema tamponi nemishonga kuumbwa (gungwa buckthorn mafuta kana levomekol chizoro) anobatsira chokwadi kuti garo kupfava nokukurumidza uye nyore mashizha. Mukuwedzera, iyo yakanakisa kudzivirira kwekuparadzaniswa kwayo kusina kururama, izvo zvinoreva kuti inodzivirira kukura kwekubuda ropa.

• Kubata pamuviri hakufaniri kurongwa pakarepo mushure mekuita. Mukadzi anofanira kumirira mwedzi wose kusvika mwedzi unotevera wapera. Mukuwedzera, zvakakosha kuve nechokwadi kuti hapana matambudziko enguva refu mushure mekupindira.

• Mukuwedzera, mumwedzi wokutanga mushure memusangano we cauterization, kunze kwekunge zvichinyatsodikanwa, haufaniri kupinda mu ultrasound scan, iyo inoshandiswa muvharidzi wevakadzi.

• Zvakakosha kuchengeta mitemo yehutsanana hwepedyo. Gaskets inofanira kuchinjwa pavanenge vane tsvina. Kupfeka napkin imwechete yehutsanana kweanopfuura maawa matatu kunokurudzira kukura kwebhakitiriya microflora, uye naizvozvo inowedzera ngozi yehutachiona. Chipfeko chemukati chinofanira kugadzirwa kubva kumachira echisikigo, tamponi dzinofanira kuraswa.

• Mumwedzi miviri yekutanga, zvakakosha kurega tsika dzakaipa, sezvo, semuenzaniso, kusvuta uye doro zvinobatsira pakuitika kwevasospasm uye kuwedzera kwavo. Izvi, zvakare, zvinotungamirira kune ngozi yakawedzerwa yekubuda ropa.

• Usashandise chero mishonga yevanhu kuti ikurumidze kupora kwepamusoro yakarapwa. Izvi ndezvechokwadi kunyanya douching pamwe siyana mhinduro. Nokudaro, zvinokwanisika kuunza hutachiona, kukonzera kupisa kana kukuvara, kubatsira pakukura kwekubuda ropa, etc. Chero kushandiswa kunogoneka chete mushure mekubvunzurudza nachiremba wako.

Kutevedzera aya akareruka kurudziro kuchakubvumidza kuti udzivise matambudziko uye kupora munguva pfupi pfupi inobvira. Kukukurwa kwevhu idambudziko rakajairika pakati pevakadzi. Vazhinji vavo vakabudirira kupfuudza nzira ye cauterization uye vakakanganwa nezve chirema chechibereko zvachose. Nokudaro, kana chiremba achikurudzira kuenda kunorapwa kwakadaro, haufaniri kuiramba. Chinhu chikuru ndechokuita sarudzo yakarurama yenzira ye cauterization.