Cervical erosion: zvinokonzera, zviratidzo uye kurapwa

Chii chinonzi Erosion Eros?

Kukukurwa kwecervical ironda remuchuchuchu we uterine os. Pathology yakapararira uye inowanikwa muchikamu chetatu chevakadzi vanouya kuzoona gynecologist. Zvisinei, kukukurwa kwechokwadi kunofanira kusiyaniswa nepseudo-erosion, sezvo izvi zviri zvirwere zviviri zvakasiyana, izvo zvinoreva kuti kurapa kwavo kuchasiyanawo.

Kukukurwa kwecervical - kune ngozi here?

Mukadzi wese akabatwa nechirwere chakadaro anoshamisika kuti chirwere ichi chine ngozi sei. Kuti uongorore chiyero chekutyisidzira kumuviri, unofanirwa kutarisa nachiremba kuti anorevei chaizvo neshoko rokuti "rosion".

Kana mukadzi ane pseudo-erosion, saka chirwere ichi hachina ngozi kumuviri. Kana ivhu rechokwadi raonekwa, zvinodikanwa kuti uwane zvikonzero zvakakonzera kukura kwayo. Kana iri hutachiona hwehutachiona, saka kune ngozi yekukwira kwayo kupararira kuchibereko uye appendages, izvo zvinogona kutungamirira kune zvirwere zvakakomba, kusanganisira kusabereka.

Chero zvazvingava, apo chiremba anorayira kurapwa, haufaniri kuifuratira. Zvizhinji zvakajairika zvegynecological pathologies, senge vaginitis, endometritis uye cervicitis, zvinosanganiswa nekukukurwa - zvinogona kutsamwisa kukura kwayo kana kuitika kune iyo kumashure. Kunyanya kutyisa kwechibereko chechibereko panguva yekuzvitakura, sezvo njodzi yekubvisa mimba inowedzera, pane mukana we fetal sepsis uye kufa. Naizvozvo, usarerutsa njodzi yekukukurwa uye kubata kurapwa kurerutsa.

Zvikonzero zvekukukurwa kwekervical

Pane zvakati wandei zvinokonzeresa kana dzidziso dzekuitika kweichi pathology.

Pakati pezvinonyanya kuzivikanwa:

• Kuzvimba nhengo dzesikarudzi yemukadzi. Maererano navanachiremba, endocervicitis inobata basa rinokosha. Izvi zvinokonzerwa nekuti panguva yemaitiro akadaro kune kuwedzera kwebasa rekubuda kwezvipembenene zviri mu epithelium yemuromo wechibereko, iyo inova chikonzero chekukuvara kwayo;

• Pathological kubuda kubva muchibereko, semuenzaniso, yakaparadzwa polyps, endometrium, myomatous nodes. Zvinhu zvakadaro zvinobatsira ku desquamation uye maceration ye epithelial tissue ye cervix. Izvi hazviitike pakarepo, asi semugumisiro wenguva refu yezvakavanzika pamusoro pemutsipa. Nekuda kweizvozvo, mukadzi anokura kukukurwa kwechokwadi, uye nzvimbo yake inogarwa nemapathogenic microorganisms anokonzera kuzvimba kwehutachiona. Pakati pezvinogoneka nengozi vagari vemukadzi: Trichomonas, gonococci, ureaplasmas, chlamydia, papillomaviruses, nezvimwewo;

• Kukuvara. Mechanical kukanganisa kumutsipa wechibereko kunowanzoitika panguva yekushanda, panguva yekusununguka, panguva yekubvisa pamuviri, kuiswa kwe intrauterine zvishandiso uye mamwe maitiro echikadzi. Zvose izvi zvinova chikonzero chekuparara kwemutsipa uye kukura kwekukukurwa;

• Kukundikana kweHormonal. Pakati pemamiriro ezvinhu ane ngozi zvikuru maererano nekukukurwa kwekervical kunonoka kana, pane zvinopesana, kukurumidza kukura kwemusikana, kusaenda kumwedzi kana kushanda kweovarian, kuzvimba kwavo, pamuviri pazera rekutanga uye rakanyanyisa;

• immune disorderszvichikonzera kukanganisa kwakasiyana-siyana mumuviri, kusanganisira kukukurwa. Muchiitiko ichi, zvirwere zvehutano husina-gynecological hunoita basa;

• Kukura kwakakosha kwe fetus panguva yekuzvitakura. Dzimwe nguva nzvimbo ye cylindrical masero inoumbwa kunze kweiyo cervical os. Zvisinei, kukanganisa kwakadaro hakuonekwi sechirwere, hachidi kurapwa uye kunogadzirisa pachako.

Mukuwedzera, muvakadzi vasina nulliparous, kukukurwa kunoitika kakawanda pamberi pezvinotevera zvinokonzeresa zvinhu:

• Hupenyu hwepabonde husina kujairika nekusangana pabonde kusingawanzo;

• Early sex debut;

• Kudzivirirwa kusina simba;

• Kugara uchichinja kwevadikani pabonde uye unzenza.

Pane zvakare kubatana pakati pekuvandudzwa kweiyo pathological process uye zvinotevera zvikonzero:

• Kupindwa muropa kwemukadzi pakusvuta;

• Hereditary predisposition pakuumbwa kwekukukurwa;

• Zvinokwanisika kuti kushandiswa kwemishonga yehomoni yekudzivirira kubata pamuviri kune simba, asi hukama uhwu huchiri kusimbiswa.

Dzimwe nguva muvakadzi vane hutano hwakakwana vasina kubereka uye vasina kubvisa pamuviri, kuputika kunoitika pasina chikonzero chakajeka. Kazhinji kazhinji, inopfuura yega, uye vanachiremba vanoibatanidza nemaitiro ehupenyu anoitika mumuviri. Nezvekunetseka kunowanzo uye kupesvedzera kwemamwe psycho-emotional zvikonzero pakukura kwechirwere, kubatana pakati pavo nekukukurwa kwekervical hakuna kuratidzwa.

Zviratidzo zvekukukurwa kwekervical

Iyo yakadzika nzira ye erosive process inoonekwa mu90% yezviitiko. Kana pane zviratidzo, saka ishoma kwazvo uye haimanikidze mukadzi kuona chiremba. Naizvozvo, iyo pathology inonyanya kuonekwa netsaona, kana mukadzi auya kune gynecologist kuti aongorore ekudzivirira.

Zvinogoneka zvisingawanzo zviratidzo zvechirwere zvinogona kusanganisira:

• Nekukurwa kusiri nyore, kubuda kwemukadzi kwechisikigo kunogona kuwedzera. Ichi chinhu chinokonzerwa nekuti iyo yakawedzera nzvimbo ye cylindrical epithelium inoburitsa yakawanda mucus;

• Dzimwe nguva mukadzi anomanikidzwa kuenda kune imwe nguva nekurwadziwa mudumbu rezasi, kusakwana kwekuenda kumwedzi, kuonekwa kwevachena vane kunhuhwirira kusingafadzi. Nekudaro, izvi zviratidzo zvekiriniki zvinotsanangurwa nezvirwere zvinosangana zvenhengo yesikarudzi, uye kwete neiyo erosive process;

• Irosion pachayo muzviitiko zvisingawanzoitiki inogona kukonzera manzwiro ekurema mudumbu rezasi, kutaridzika kwekunetseka. Kunyanya manzwiro aya anowedzerwa mushure mehukama hwepedyo. Mukuwedzera, mushure mekuita zvepabonde, mukadzi anogona kuona kuonekwa kwemavara maduku.

Nechimiro chepamusoro chechirwere, leucorrhoea inova gobvu uye mucous, ropa kana purulent zviri mukati zvinogona kuonekwa mavari.

Mhando dzekukukurwa kwechibereko

Vanachiremba vanosiyanisa marudzi akati wandei ekukukurwa, imwe neimwe ine maitiro ayo:

• Kukukurwa kwechokwadiakafanana neabrasion. Pamusoro pe stratified squamous epithelium inopisa uye yakakuvadzwa. Mushure memavhiki 1-2, rudzi urwu rwekukurwa runozvibvisa pacharwo kana kushandura kuita ectopia apo stratified squamous epithelium inotsiviwa nemasero ecylindrical;

• pseudo-erosion, kana kuti ectopia. Iyo cylindrical epithelium, sokunge zvakadaro, inofamba ichienda kunzvimbo yemutsipa, iyo inowanzovharwa ne stratified squamous epithelium. Pakuongorora, chiremba anoona nzvimbo yakatsvuka ine villi duku. Ectopia inogona kuwanikwa uye yekuzvarwa. Kana iri iyo yakawanikwa yakasiyana-siyana yekukukurwa, inoitika semugumisiro wekusagadzikana kwehomoni, kana inova mugumisiro wezvirwere chero zvipi zvemukadzi;

• Kukukurwa kwevhu kuberekwa. Panguva imwecheteyo, muganhu uri pakati pe flat multilayered uye cylindrical epithelium inodzingwa uye iri panzvimbo yemudzimai wemuromo wechibereko. Kuremara kwakadaro hakuna kukura uye neanenge makore makumi maviri nematatu anopfuura ega uye pasina kurapwa. Rudzi urwu rwekukurwa rwakanyanya kune vakadzi vasina nulliparous vari pasi pemakore makumi maviri nemashanu uye kune avo vanotora mishonga yekudzivirira nemuromo.

Uyewo, kukurwa kwechokwadi kune marudzi akawanda. Iyo inokamurwa zvichienderana neyakakonzera kukura kweiyo pathology:

• Kuzvimba kwechokwadi - kunova mugumisiro wehutachiona hwehutachiona hwenhengo dzepabonde (zvinogona kuva trichomoniasis, chlamydia, nezvimwewo);

• Chokwadi chinoshungurudza - chinoratidzika semhedzisiro yekukuvara panguva yekusangana pabonde kwakashata, kuzvara mwana, diagnostic curettage, kubvisa nhumbu, nezvimwe;

• Kemikari yechokwadi - inoumbwa semhedzisiro yekukuvadzwa kumuromo wechibereko nezvinhu zvine hukasha zvinoshandiswa pakuita douching nekuzvimiririra kusinga hunyanzvi kurapwa;

• Kupisa kwechokwadi - kunoumbwa semugumisiro we cauterization yenzvimbo yehuro yemuromo wechibereko;

• Chokwadi trophic - inoitika semugumisiro wekuputsika kweropa kumutsipa kana nekuda kwekuvhenekera kwenhengo dzepabonde;

• Chokwadi chaicho - inova mhedzisiro yehutachiona nesyphilis kana tibhii;

• Kenza yechokwadi - ndeimwe yemhando dzemamota akaipa.

Kana chikonzero chekudengenyeka kwechokwadi chakagadzwa nenzira yakarurama, ipapo apo chirwere chacho chabviswa, mucous membrane ichapora pachayo muhafu yemwedzi.

Zvichida vakadzi vari kushamisika kuti nei mamiriro ezvinhu akasiyana akadaro akabatanidzwa neshoko rimwe chete rinozivikanwa - kukukurwa. Ichokwadi ndechokuti vose vane chiratidzo chimwe chete - chakakuvara cervical mucosa.

Kuongororwa kwekukukurwa kwekervical

Mushure mekuongorora muromo wechibereko, chiremba anoita chirwere chekutanga. Zvinonzwika se "pseudo-erosion", mushure mezvo bvunzo dzinoverengeka dzinofanira kuitwa.

Nokuda kweizvi, nzira dzakadai se:

• Kutsunga kwe microflora yemukadzi nekutora smear;

• Kuongororwa kweropa kwehutachiona hweHIV, zvichida hepatitis uye syphilis;

• PCR inzira yakanangana nekuona zvirwere zvepabonde, uye, chekutanga, pakuona HPV;

• Colposcopy, kana cervix yakanyatsoongororwa nachiremba pasi pemaikorosikopu, mhinduro dzakakosha dzinogona kushandiswa kujekesa kuongororwa (iyi nzira haikonzeri mukadzi kusagadzikana kana kurwadziwa uye inobvumidza iwe kusiyanisa pseudo-kukurwa kubva kune chokwadi);

• Smear yakanangana nekuona masero atypical, ayo anoratidza zvinotevera: cytogram inoputika, cytogram ye endocervicosis, isina maitiro, ine zviratidzo zve dysplasia uye leukoplakia, kana kuwanda kwe stratified squamous epithelium;

• A biopsy yemuromo wechibereko, iyo inovira kusvika pakutora chidimbu chidiki chematishu kuti chiongororwe. Iyo nzira inoitwa pasi pekutonga kwe microscope panguva ye colposcopy (inoitwa kana pane kusava nechokwadi kwekuumbwa kwakashata);

• Kana zvichidikanwa, chiremba anotumira mukadzi kuti atore kuongororwa kweropa kune mamiriro ehomoni;

• Kuziva zvirwere zvinoputika uye endocrine, mukadzi anotumirwa ku ultrasound scan yenhengo dzepabonde.

Cervical biopsy

A biopsy inzira inorairwa na gynecologist mushure mekuongororwa kwekuona uye colposcopy kana masero egomarara achifungidzirwa.

Kune marudzi maviri eiyi nzira yekuongorora:

• Pakutanga, iyi inonzi trepanobiopsy, apo nyama inotorwa kubva munzvimbo dzakawanda dzakakuvadzwa dzemuromo wechibereko. Kana biopsy iri nyore inofanirwa kuitwa, ipapo chiremba anosarudza nzira yekutora puncture. Kana endocervical biopsy ichidikanwa, tishu inokweshwa kubva mugero rechibereko. Loop trepanobiopsy inogonawo kuitwa, apo tishu inotorwa uchishandisa loop yakakosha iyo magetsi emagetsi anopfuura;

• Chechipiri, uku ndiko kukanganisa. Muchiitiko ichi, chimedu chematishu chakaita wedge chinotorwa. Iyo nzira inoitwa uchishandisa scalpel kana laser.

Kana iyo biopsy inoda anesthesia, saka mukadzi anofanira kurega kudya kusvika maawa gumi nemaviri asati aitwa. Local anesthesia: mukadzi anobata pamusoro pemuromo wechibereko nepfapfaidzo ine lidocaine, kana kuibaya. Nguva yakakwana yekuongororwa ndeye 12 kana 7 zuva rekutenderera.

Kana biopsy ichiitwa murabhoritari, mukadzi ane kodzero yemazuva maviri ekurwara. Zvigumisiro zvechidzidzo zvichagamuchirwa mukati memavhiki maviri. Pakati pezvipingamupinyi zvinogona kuitika, kubuda ropa kuduku uye kurwadziwa kunoparadzaniswa, izvo zvinomiswa ne antispasmodics.

Mumavhiki maviri anotevera, mukadzi haafaniri kuita zvepabonde, kugeza mubhavhu uye kusimudza masimbi. Kuzvimba kwenhengo dzesikarudzi uye kusagadzikana kwekuvhara ropa kunoshanda sezvinopesana necervical biopsy.

Mibvunzo nemhinduro dzakakurumbira:

• Kukukurwa kwekervical kungangopera wega here? Kuzvimiririra, pasina kurapwa, kukukurwa kunogona kupfuura. Asi izvi zvinoshanda chete kune rimwe zera revakadzi uye imwe mhando yehutachiona. Congenital ectopia ye columnar epithelium inogona kuzvibvisa, inonyangarika kusvika kumakore 23-26 pasina kupindira kwekunze. Uyewo, pasina kurapwa, gestational erosion muvakadzi vane pamuviri, iyo yakasimuka semugumisiro wekuwedzera kwekugadzirwa kweprogesterone, inogona kupfuura. Imwe nzira inogoneka yekuzvibvisa kwekukurwa kunoonekwa apo kukanganisa kwakakonzerwa nekutora hormonal contraceptives. Kune nguva zhinji zviitiko zvekuzviporesa kubva mukukukurwa kwechokwadi kunokonzerwa nezvinoshungurudza zvinhu (semuenzaniso, kana uchidonhedza kana nekuda kwekusava nehanya kwepedyo). Zvisinei, kana kukanganisa kwakaumbwa nekuda kwechirwere kana kuzvimba mumuviri, zvinoda kurapwa uye kutyisidzira nematambudziko makuru.

• Zvinoita here kuita mimba nekukukurwa kwekervical? Kuremara kwerudzi urwu hakukanganisi kukwanisa kwemukadzi kubereka nenzira ipi zvayo, saka zvinokwanisika kuita pamuviri nekukukurwa. Dzimwe nguva varwere vanotenda kuti havana kukwanisa kubata mwana chaizvo nekuda kwe ectopia, asi chaizvoizvo izvi hazvisizvo. Pathology inongova mhedzisiro yechirwere chero chipi. Ndiyo chirwere chakakonzera kuputika kunogona kutungamirira kumatambudziko nekubata pamuviri, semuenzaniso, kana mukadzi ane kuzvimba kwechibereko, mavhavha, appendages, etc. Mushure mokunge chikonzero chekuparara kuchibviswa, kubata kuchaitika, uye chirwere chepervical kazhinji. inozvigadzirisa pachayo kana mwana aonekwa munyika. Muchiitiko chekuti mukadzi ane kuputika, asi hapana maitiro ehutachiona uye ekuputika anoonekwa, zvino anokwanisa kubata mwana chero nguva.

• Ungakurumidza sei kubata pamuviri mushure me cauterization yekukurwa? Cauterization haikanganisi basa rekubereka.

• Zvinoita here kuzvara nekukukurwa kwekervical? Unokwanisa kuzvara nekukukurwa kwekervical chete kana iri congenital. Kana paine yakawanikwa pseudo-erosion, usati waronga kuve nepamuviri, zvinodikanwa kubvisa zvirwere zvese zvenhengo dzesikarudzi, kuenzanisa mamiriro ehomoni, nezvimwewo. Mukuwedzera, iyo yakakuvadzwa pamusoro pechibereko inogona kutyisidzira. kumwana ari mudumbu, sezvo inova nharaunda yakanaka yekoloni uye kuberekana kwebhakitiriya. Ndicho chikonzero vanachiremba vanokurudzira kubvisa marudzi ose ekukurwa, kunze kwekuzvarwa, uye chete ipapo kuronga kubata pamuviri. Zvisinei, kana zvikaitika kuti kune kudengenyeka, uye mukadzi atova nepamuviri, saka ichi hachisi chiratidzo chekuvhiringidza (kunze kwechitatu-degree dysplasia).

• Kukukurwa kwechibereko kunogona kuita gomarara here? Kukukurwa kwevhu kunogona kutungamirira kuoncology chete pamberi pemhando dzeHPV-oncogenic, kana kuvepo kwehutachiona hweHIV. Saka, zvakakosha kuti panguva yekukukurwa, PCR inotorwa papillomavirus yemunhu uye colposcopy inoitwa.

• Zvinokuvadza kukukurwa kwechibereko here? Nzira yacho hairwadzi, asi mazuva mashomanana mushure mokunge yaitwa, mukadzi anogona kutanga kunzwa kusagadzikana. Ivo vari munharaunda mudumbu rezasi uye vakafanana nekurwadziwa uye kudhonza manzwiro anowanzoitika pazuva rekutanga rekuenda kumwedzi.

• Ndakakonzerwa nekukukurwa kwevhu, asi mushure memakore maviri zvakazoonekwa zvakare. Kuita sei? Unozoda kurapwazve. Zvichida zvakanyanya. Panzira dziripo, laser therapy inopa diki muzana yekudzokazve.

• Ndine mvura inoyerera yakasanganiswa neropa mushure me cauterization ye cervical erosion. Izvi zvakanaka? Ehe. Vanogona kupedza mwedzi mushure me cauterization.

• Inguva yakareba sei iwe haugone kuita zvepabonde mushure me cauterization ye cervical erosion? Anenge masvondo mana kusvika pakunyangarika kwemavara.

• Zvinoita here kuita bonde nekukukurwa? Hongu unokwanisa.

• Chiremba vakakurudzira kukonzeresa kukukurwa nenitrogen yemvura. Ndichava nevanga here pamuromo wechibereko mushure memaitiro aya? Kwete, hazvizoiti, nzira iyi haisiyi mavanga, inogona kukurudzirwa kuvakadzi vasina nulliparous kuronga pamuviri mugore rinotevera.

Nzira yekurapa cervical erosion?

Kuti uone chirongwa chekurapa, zvakakosha kufunga nezvezvinhu zvakawanda, iyo huru pakati peiyo ndiyo chikonzero chakakonzera kuputika.

Zvakakosha kuibvisa pakutanga kwezvose:

• Kana mukadzi ane zvirwere zvepabonde, saka vanofanira kurapwa zvichienderana nokuti ndeipi pathogen yakakonzera chirwere. Nokuda kweizvi, kana mishonga inorwisa mabhakitiriya kana antiviral agents inoshandiswa;

• Kana iyo nzira yekurapa yakanangana nekubvisa kuzvimba yapera, chiremba achasarudza kuti ndeipi nzira yakanakisa yekubvisa pseudo-erosion. Izvi zvinokanganiswawo nenzvimbo yehuro yemutsipa, iyo inobatanidzwa mune pathological process, uye pazera ripi murwere, uye kana achironga kuita vana, nezvimwewo;

• Nzira dzemazuva ano dzekubvisa kuputika dzinobvumira kunyange vakadzi vasina nulliparous kubvisa pathological process. Nepo munguva yakapfuura, kukukurwa kwakakurudzirwa kurapwa chete mushure mekusununguka, uye nzira yacho pachayo yakakwevera kwemakore akawanda;

• Bvisa chikanganiso muchikamu chekutanga chekuenda kumwedzi kunotevera, panongopera kubuda ropa. Zvisinei, pane zvakasiyana, kunyanya, nzira ye diathermocoagulation.

Zvakakosha kuziva kuti iyo inonzi cauterization haisi nguva dzose inogadzirisa nerubatsiro rwechishandiso chero chipi zvacho. Mune zvimwe zviitiko, kukanganisa kunogona kubviswa uchishandisa gadziriro dzakakosha.

Kemikari coagulation

Iyi nzira yekubvisa mukadzi wekukanganiswa kwekervical inosvika pakuti nzvimbo ine chirema inobatwa nemishonga yekugadzirira. Sezvo zvakadaro, Solkovagin inogona kushandiswa. Iine zinc nitrate, nitric, oxalic uye acetic acid. Kushandiswa kwemakemikari coagulation kunogoneka nekukura kudiki.

Munguva pfupi yapfuura, vanachiremba vakashandisa mumwe mushonga, Vagotil, kubvisa chirema. Yakazorwa tampon ndokupinzwa mukati mukati mebeche kwevhiki. Zvisinei, vanachiremba vemazuva ano havaishandise, sezvo ichiita pamusoro pezvikamu zvisingapindi mukati, izvo zvinotungamirira kuderera kwekushanda kwemushonga. Nepo mushure mekurapa naSolkovagin, gomba rinoumbwa, iro rinorambwa mushure memazuva mashoma. Mushure memwedzi miviri, kuvandudzwa kwenyama kunoitika, uye kupora kunopedzwa.

Pakati pezvakanaka zvemakemikari coagulation:

• Hapana kurwadziwa panguva yekuita;

• Kureruka kwekushandisa nzira (cauterize kukoromoka kaviri nekuzorora kwemaminetsi akati wandei);

• Mutengo wakaderera wemushonga (mutengo weampoules maviri eSolkovagin haupfuuri 1200 rubles).

Kana tikafunga mativi asina kunaka, ipapo iyo chete yakaipa kugona kugadzirisa kuderera kudiki chete.

Diathermocoagulation

Iyi nzira yekubvisa pathology inoreva nzira dzechinyakare, uye ine zvakawanda zvakaipa. Chinokosha che diathermocoagulation ndechokuti kukukurwa kunokonzerwa ne-high-frequency current, uye ganda dema rinoumbwa panzvimbo yakarapwa, ichiita sekutsva. Panyaya iyi, nzira iyi yekurapa ikozvino inoshandiswa zvakanyanya kashoma.

Zvimwe zvakashata zveiyi nzira zvinosanganisira:

• Panguva yekurapa, mukadzi anonzwa kurwadziwa;

• Zvose panguva uye shure kwecauterization, kune ngozi yekubuda ropa;

• Chirwere chechibereko chakaremara nekuda kwevanga, saka hazvigoneke kushandisa nzira iyi kuvakadzi vanenge vasununguka, pamwe nevakadzi vasina kuzvara.

Kudzorera kunoitika mushure memwedzi 1,5, uye cauterization pachayo inoitwa pakarepo vasati vaenda kumwedzi, kuitira kuti ganda rinorambwa nokukurumidza uye risingarwadzi. Pakati pezvakanakira diathermocoagulation ndiko kukwanisa kuita conization yemutsipa pamberi peizvi, pamwe chete nemutengo wakaderera weiyo nzira uye nyore.

Laser vaporization

Iyi nzira ndeimwe yeakawanda. Iyo inowira kune chokwadi chekuti nzvimbo yakakanganisika inobatwa nedanda remalaser matanda. Pamberi pekuvhenekera, cervix inopukutwa nemhinduro yeacetic acid uye iodine mhinduro. Izvi zvinokubvumira kuti uwane vasospasm, uye zvakare zvinoita kuti zvikwanise "kurondedzera" miganhu yekukukurwa. Kana laser beam inorova pathological tishu, hunyoro hunobuda kubva kumaseru akakuvadzwa uye nekudaro vanoparadzwa.

Pakati pezvakanaka zvehunyanzvi uhu zvinogona kucherechedzwa:

• Hapana kurwadziwa panguva yekuita;

• Kubudirira kwepamusoro, nepo chivimbiso chekudzorera chiri 98%;

• Mavanga haaumbi pamuromo wechibereko.

Pakati pezvakashata zvikuru zveiyi nzira, mutengo wakanyanya wekuita unosiyaniswa, uye nzvimbo yekuora yetishu ine hutano yakakura kwazvo kana ichienzaniswa neredhiyo wave erosion therapy.

Cryodestruction

Iyi nzira itsva yakavakirwa pakuti nzvimbo yakakanganiswa inobatwa nemvura nitrogen, tembiricha yayo inogona kusvika 150 ° C ine minus chiratidzo. Nitrous oxide inopfapfaidzwa uchishandisa mudziyo unokosha. Muchiitiko ichi, nzvimbo yetishu yakarapwa inowana ruvara rwakareruka uye inova isina hanya. Mvura iri mumasero akabatwa inoshanduka kuita makristasi echando, izvo zvinotungamirira mukuparadzwa kwehutachiona hwehutachiona. Maitiro acho anotora avhareji yemaminetsi gumi nemashanu, uye kupora kuzere kunoitika mushure memwedzi 15. Mushure mekurapa, mukadzi ane kubuda kwakawanda, iyo inonyanya kuumbwa nemvura.

Pakati pezvakanaka zveiyi nzira yekurapa:

• Kubudirira kwepamusoro, kunosvika 97%;

• Kureruka kwekushandisa;

• Hapana kurwadziwa panguva yekurapa;

• Hapana kuremara kwe cervix.

Pakati pezvikanganiso zve cryocoagulation, vanachiremba vanosimbisa njodzi inogona kuitika yekusakwana kurapwa kwenzvimbo yakakuvadzwa, pamwe nekuonekwa kwekuyerera kwakanyanya (zvichida nekusachena kweropa) mushure mekuvhiyiwa.

Radio wave nzira

Iyi nzira yekurapa ndeimwe yevakakurumbira mumishonga yemazuva ano. Anosarudzwa neruzhinji rwe oncogynecologists, achidana kurapwa nemasaisai eredhiyo kunonyanya kushanda. Iyo nzira haisi yekubata, nepo yemagetsi ikozvino, ichipfuura nepakati yakakosha midziyo Surgitron, inoshandurwa uye inoshandurwa kuita masaisai eredhiyo. Nekubatsirwa kwe electrode, ivo vanotungamirirwa zvakananga kunzvimbo yakakanganiswa.

Munguva yemaitiro, hapana kusangana pakati pematishu uye electrode, cervix haina kuratidzwa kune yakanyanya tembiricha uye haina kupisa, iyo isingatungamiri mukupisa. Muchiitiko ichi, mvura inobva kumasero epathological inoputika, uye masero anorwara pachawo anoparadzwa. Nzvimbo yekukurumidza yakakanganiswa idiki, matishu ane hutano haatambudzi nemasaisai eredhiyo, inova mukana usina mubvunzo weiyi nzira.

Zvakakosha kuziva kuti nzira yacho inogona kukonzera marwadzo, saka anesthesia yemunharaunda inofanirwa.

Pakati pezvakanaka:

• 100% kurapwa kwekukukurwa kunovimbiswa;

• Ngozi yekubuda ropa inoderedzwa kusvika zero;

• Mutsipa hauite vanga, hauna kuremara.

Mushure memavhiki matatu, nyama inodzorerwa zvachose, uye mukadzi anopora. Mukuwedzera, nzira yacho inogona kuitwa chero zuva rekuenda kumwedzi. Kana zviri izvo zvinokanganisa, pane imwe chete - haisi kiriniki yese ine michina yekurapa wave wave, uye haina kudhura.

Surgitron mukurapa kwekuputika kwekervical mutungamiri anozivikanwa maererano nekubudirira. Ichi chishandiso chakakosha chinoshandiswa kubvisa kukukurwa neredhiyo. Matishu akakuvadzwa anongoputika pasi pesimba re microwave vibrations. Murwere haanzwi kurwadziwa panguva yekurapa kwakadaro. Panguva imwecheteyo, midziyo inovharwa pakarepo kana kubatanidzwa, izvo zvinodzivirira kukura kwedambudziko rakadaro sekubuda ropa. Mushure mokunge kurapwa kwapera, firimu yakakosha yekudzivirira inoshandiswa kune yakakanganiswa pamusoro, iyo inoita kuti zvikwanise kudzivirira chibereko kubva kune zvirwere zvakasiyana-siyana.

Kurapa nemudziyo wemazuva ano uyu kwakakodzera kuvakadzi vakawanda, kunyange avo vasina kubata pamuviri uye vasati vasununguka. Izvi zvinokonzerwa nekuti mavanga haazoumbi pamusoro pemuromo wechibereko, sekune dzimwe nzira dzekutsvaga. Ndiwo mavanga anowanzo kukonzera kukanganisa kwebasa rebasa munguva inotevera. Zvakare, kurapwa neSurgitron kwakakodzera kuvakadzi vachangobva kusununguka, vachangobva kupedza lochia, nepo lactation isiri kupokana kune iyo nzira.

Zvisinei, pasinei nokuti nzira yacho inotyisa zvishoma, asati atanga kurapwa, mukadzi anofanira kunyatsogadzirira.

Zviitwa izvi zvinoenderana ne:

• Kuzivikanwa kwezvirwere zvepamuviri, kusanganisira zvakavanzika. Chero nzira ipi neipi yekuputika inofanira kubviswa: chikadzi, chibereko, mavha, machubhu;

• Iyo nzira haina kuitwa panguva yekuenda kumwedzi;

• Kurapa neSurgitron kunofanira kuitwa nekuchenjerera kwakanyanya kana mukadzi asina kuvhara ropa;

• Asati atanga kurapwa achishandisa mafungu eredhiyo, mukadzi anofanira kuongororwa zvakakwana.

Kana chirongwa chacho chapera, kwemavhiki maviri haufaniri kusimudza masimbi, kugeza mubhati uye kurarama hupenyu hwepedyo. Apo chiremba anosimbisa kuti nzira yekudzorera yasvika pakuguma, unogona kutanga kuronga pamuviri.

Makenduru ekukukurwa kwekervical

Irosion inogona kurapwa kwete chete ne cauterization, asiwo kushandisa makenduru akasiyana-siyana.

Iyi nzira ndiyo yakanyanya kupfava, pakati pezviratidzo zvekenduru kurapwa:

• Iyo erosive process inokonzerwa nekusaenzana kweiyo microflora yemukadzi;

• Marwadzo panguva yekuenda kumwedzi nekugara mu sacrum;

• Kukukurwa kunokonzerwa nezvirwere zvevenereal;

• Kukuvara kwakagamuchirwa mushure mekubvisa pamuviri kana kubereka kwakaoma;

• Kukukurwa kwevhu, kwakagadzirwa nekuda kwekukundikana kwehomoni.

Nekudaro, zvakakosha kuziva kuti kurapwa kwekenduru kunogoneka chete nenzvimbo diki dzakaita pathological process. Erosions yehukuru hukuru, sekutonga, haipindure zvakanaka pakurapa kwekuchengetedza. Makenduru anogona zvakare kurongerwa senge adjuvant therapy mushure mecauterization. Iwe haufaniri kupa mishonga iwe pachako uye uishandise kubvisa kuputika, sezvo izvi zvinogona kukanganisa hutano. Inofanira kurangarirwa kuti gungwa buckthorn mafuta haashandiswi kurapa ectopia, sezvo inokurudzira kukura kwe epithelial tissue, zvinoreva kuti inokurudzira kukura kwekukura. Zvinokwanisika kurapa ectopia nemakenduru egungwa-buckthorn chete mushure mokunge yaiswa cauterized.

Iyo yakakurudzirwa yekurapa kosi ndeye 2 mavhiki. Mukuwedzera, zvinotevera zvinogona kugoverwa:

• Makenduru Depantol. Vanopiwa intravaginally kaviri pazuva. Nguva yakareba yenguva yekurapa ndeyemavhiki matatu. Munguva yekurapa, zvinorambidzwa kushandisa sipo yechimbuzi pakushambidza, sezvo zvikamu zvinosanganisirwa mukuumbwa kwayo zvinoderedza mhedzisiro yemakenduru;

• Makenduru Hexicon. Ivo vanokwanisa kubvisa kuzvimba, normalize microflora, havana contraindications. Izvo zvinoshandiswawo kaviri pazuva, nguva yekosi inogona kunge yakanyanya mazuva makumi maviri;

• Makenduru Livarol. Kubatsira kwemushonga uyu ndewekuti zvakakwana kuzviisa kamwe chete, uye maitiro ekurapa anogona kuwanikwa mushure memazuva mashanu. Zvisinei, haigoni kushandiswa panguva yekubereka, panguva yekuyamwisa uye muhupo hwe hypersensitivity kune zvikamu zvinoumba makenduru;

• Fitor makenduru. Mushonga uyu unogadzirwa pahwaro hwechisikigo, unowanzo shandiswa mushure me cauterization yevhu;

• Makenduru Clotrimazole. Nzira yekurapa ndeyemazuva matanhatu, kenduru inoiswa kamwe chete pazuva;

• Makenduru Suporon. Kubva pamatope ekurapa, kushandiswa kunogoneka chete mushure mekubvunza chiremba.

Kukukurwa kunofanira kurapwa zvachose here?

Kukukurwa kwekervical hakudi kurapwa nguva dzose. Kudiwa kwekurapa kunotsanangurwa nachiremba uye zvinoenderana nehuwandu hwezvinhu. Zvakakosha kusimbisa rudzi rwekukurwa, chiyero chekufambira mberi kwayo uye chikonzero chekuitika.

Maererano ne etiology, itsika kusiyanisa marudzi anotevera ekukukurwa kwekervical:

• Ectropion;

• Ectopic columnar epithelium;

• Kukukurwa kwechokwadi;

• Kukukurwa kwevhu ndiko kuzvimba kana kunonzi cervicitis.

Sezvo mutemo, chiremba anoudza murwere nezvedambudziko, asi haatauri rudzi rwekukukurwa panguva yekuziviswa kwekuongororwa. Kunyangwe iyi nguva iri imwe yekiyi mumubvunzo wekudiwa kwekurapa. Nokudaro, mushure mekuita chirwere chakadaro, mukadzi anofanira kuzvijekesa pachake.

Kuti uone kana kuputika kunofanira kurapwa, murwere anotumirwa kune colposcopy. Mukuwirirana, kuongororwa kunoitwa kune zvakavanzika zvepabonde zvirwere (syphilis, trichomoniasis, chlamydia, nezvimwewo). Chete mushure mekugamuchira mhedzisiro yezvidzidzo zvese, iwe unogona kusarudza pamusoro pemaitiro ekuwedzera kurapwa.

Kana pasina hutachiona hwepabonde, uye kuputika kwechimiro chisina kujeka (candidiasis, vaginal dysbacteriosis) hachionekwi, saka hazvidikanwi kurapa mucosal defect. Hazvina mhosva kuti mukadzi ane rudzi rwakadini rwekukurwa.

Nhanho inotevera yekuongorora ndeye kutora smear yekuona atypical masero. Kana zvisina kunaka, saka iwe unofanirwa kutora kumirira-uye-kuona maitiro. Izvi zvinokonzerwa nekuti chero kuputika kunopesana nemashure ehutano hwakazara hwehutano hwekubereka hunogona kuzvigadzirisa pachahwo. Kunyange kana pasina kurapwa, kuvhiyiwa hakuzodiwi kusvikira kuchinja kusingadiwi kuchionekwa mu cytology smear, kana zvimwe zviratidzo zvinoratidza kuvapo kwekervical dysplasia yakaoma.

Irosion kurapwa inodiwa kana yakafukidzwa nemaronda, kana kana pane chirwere chinoputika mukati memukadzi. Kurapa kunoderedzwa kutora mishonga (antibiotics, antifungal uye anti-inflammatory drugs), iyo inofanira kuita zvakananga pane chikonzero chechirwere. Kubudirira kwekugadzirisa kurapwa kunowanikwa mu90% yematambudziko. Therapy inogona kusvika kumwedzi 3-4. Chete mushure menguva ino zvinokwanisika kuita sarudzo yekuita kupindira kwekuvhiya uchishandisa imwe nzira kana imwe (radio wave kuvhiyiwa, laser kana kemikari coagulation, diathermocoagulation, nezvimwewo).

Kuvhiyiwa kunoratidzwa kune dysplasia yakaoma, iyo inowanikwa nemigumisiro yekuongorora kwe cytological ye smear. Hazvina mhosva kuti kune chirwere chekuputika mukati memukadzi kana kwete. Matishu akabatwa anobviswa zvisina tsarukano.

Kudzivirira kukukurwa kwekervical

Vose vanachiremba vanobvumirana mune imwe pfungwa - kuputika, kufanana nedzimwe zvirwere, zviri nyore kudzivirira kupfuura kwenguva yakareba, uye, dzimwe nguva, zvinorwadza kuibvisa. Naizvozvo, kudzivirira kweiyo cervical pathology inyaya yekukurumidzira:

• Pasinei nokuti mukadzi ane hutano here kana kuti kwete, anofanirwa kuongororwa nguva dzose nagynecologist. Zvose kuongorora kwekuona uye smear sampling zvakakosha;

• Zvakakosha kuti mukadzi atevedzere mitemo yekutanga yehutsanana, kuti asakanganwa nezvekuda kupfeka zvipfeko zvemukati zvakagadzirwa kubva kune zvigadzirwa zvemhando;

• Muiti wepabonde wechigarire ivimbiso yedziviriro pazvirwere zvakawanda zvinotapuriranwa pabonde, izvowo, zvinogona kukonzera kukukurwa. Usafuratira nzira yekutanga yekudzivirira kubata pamuviri sekondomu. Ichadzivirira mukadzi kwete kubva kune zvirwere chete, asiwo kubva pamuviri usingadiwi, izvo zvinogona kutungamirira pakubvisa pamuviri, kukuvara uye kuputika;

• Zvakakosha kutarisa mamiriro ekudzivirira uye kubvisa chero zvirwere munguva. Nechinangwa ichi, zvakakosha kutora vhitamini uye mineral complexes, iyo inonyanya kukosha muvhuvhu uye muchirimo. Panyaya iyi, kurovedza muviri, kudya kwakaringana, makirasi eyoga, nezvimwe, zvakakwana "kushanda" pane immune system.

Aya matanho akakwana kudzivirira chirwere chisingafadzi chakadai sekukukurwa kwekervical, kunyanya kuvakadzi vasina nulliparous. Nomuzvarirwo, usati waronga kubata pamuviri, zviri nani kubvisa kuputika, kana kusiri kuberekwa. Izvi zvichabatsira kuchengetedza hutano hwemukadzi uye mwana asati aberekwa.