Chirwere chemhondi
Chronic cervicitis is more common than after delivery, miscarriage or surgical injury to the cervix, pathogens (mainly staphylococcus, streptococcus, Escherichia coli, and anaerobic bacteria) invade and cause infection, mainly manifested as an increase in leucorrhea. With increasing age, the cervix gradually shrinks, and some cervicitis tends to heal itself. If it spreads along the uterine sacral ligament to the pelvis, there may be lumbosacral pain and *** pain; if there is cervical polyps, *** bleeding may occur.
chete mushure mekuziva kuti ndedzipi hunhu hwe chirwere chemuviri wechibereko unogona kuzvidzivirira here. Kudzivirirwa kwecervicitis kutanga kunoda kuongororwa kwese kwevakadzi nekuona hutachiona hwechibereko nekutanga kuchirapa. Izvo zvinodawo kushingairira uye kunyatso kurapa acute vaginitis uye yakaoma endometritis. Teerera kune hutsanana hwega uye geza zvipfeko zvemukati kazhinji. Paunenge uchisuka nyini uye nyinyo neacidic kana alkaline mhinduro, dzivisa zvakanyanya kuwanda. Murume anofanira kuita tsika yekugeza nyini husiku hwoga hwega kana pamberi pe *** kudzivirira hutachiona hunokonzerwa nezvirwere zvinounzwa mukati memukadzi panguva ye ***.
Nhengo dzechikadzi dzemukadzi uye dzakatenderedza dzinobatana materu, pelvic peritoneum kuzvimba, inonzi pelvic inflammatory disease. Zvirwere zvinokonzeresa hutachiona hwechiuno ndeye staphylococcus, E - coli, streptococcus, anaerobic mabhakitiriya uye hutachiona hunopfuudzwa pabonde senge gonococcal, herpes virus, chlamydia trachomatis uye mycoplasma. Nzira huru dzehutachiona ndedze: kupararira kuburikidza neropa, kutenderera kuburikidza neiyo lymphatic system, kupararira kumusoro pamusoro peiyo genital mucosa uye nekupararira kwakananga mushure mekutapukirwa kwenhengo dzepedyo.
DiseaseAcute chirwere chepelvic chinoputira: nhoroondo yehutachiona hwakanyanya, kurwadziwa kwakavanzika mudumbu rezasi, kushushikana kwemhasuru, hunyoro uye kurwadziwa kunowanda, kuchiperekedzwa nekukurumidza kwemoyo, fivhiri, uye huwandu hwakawanda hwekubuda purulent mukati memukadzi. Kurwara kwakakomba kunogona kusanganisira kupisa kwakanyanya, kutemwa nemusoro, kutonhora, kurasikirwa nehavi, nezvimwe. kusvotwa, kuzvimba, kurutsa, manyoka, nezvimwewo apo panowanikwa peritonitis; kana mabundu akaumbwa, panogona kunge paine mashoma ezasi emudumbu uye emunharaunda ekumanikidza ekurudzira zviratidzo, uye ruzhinji rungave kuri kuita weti Kunetseka, kugara uchiita weti, dysuria, nezvimwe. iyo uremu huri kumashure hunogona kukonzeresa manyoka, manzwiro anorema mushure mekumhanyisa, uye kunetsekana mukudzika.
② Chisingaperi pelvic chirwere chinoputika: Iyo systemic zviratidzo dzimwe nguva yakaderera fivha uye inokanganisa kuneta. Vamwe varwere vane zviratidzo zveeurasthenia nekuda kwenguva refu yechirwere, senge kushaya hope, kushaya simba, uye general malaise. Kuderera kwepamuviri kwepamuviri, kurwadziwa, uye lumbosacral kusuruvara zvinowanzo kuwedzerwa mushure mekuneta, mushure mebonde, uye pamberi uye mushure mekuenda kumwedzi. Kuzvimba kusingaperi kunotungamira kune pelvic stasis, kuenda kumwedzi kunorema, kukanganisika kwekuenda kumwedzi kana ovarian basa rakakuvara, uye kushaya mbereko kana tubal adhesions ikavharwa.
Ndeapi maitiro egomarara remuchibereko?
Zviratidzo zvekiriniki zvekuperesa kwechibereko zvinowedzera leucorrhea, gobvu, kana purulent, kana ropa. Kiriniki yakakamurwa kuita erosion (nyoro, zvine mwero, kukomba kwakanyanya), cervical polyps uye cervical gland follicular cysts. Pakati pavo, kukokora kwechibereko ndiko kwakanyanya. Kuonekwa kunoonekwa mukuvanzika kwemadzimai, kana yero kana tsvuku, kana purulent, kunhuwa, kana kuperekedzwa nemarwadzo ***, kubuda ropa mukati memadzimai mushure me ***, kurwadziwa kwepamuviri kwakadzika, kubata kwakanyanya kubuda ropa, uye kunotungamira mukushaya mbereko Kusanganiswa nekutarisa kweziso rakashama iyo vaginal endoscope, chirwere chinogona kuongororwa. Inowanzo kukura panguva imwe chete ne vaginitis uye appendicitis. Uye zvakare, kervical smear kana biopsy inofanirwa kuitwa kusanganisa maronda akaipa.
Gomarara remuromo wechibereko harina kana chinongedzo mudanho rekutanga. Sezvo chirwere ichi chichienderera mberi, varwere vanogona kunge vasina kujairika kubuda ropa mukati memadzimai. Nekuti vakadzi vadiki vari munguva yekuita bonde, esrogen mazinga uye *** frequency ari kumusoro, saka zviri nyore kutora *** kubuda ropa sechiratidzo chekutanga. Uye zvakare, leucorrhea zvakare chiratidzo chakajairika chegomarara remuromo wechibereko, vanenge makumi masere muzana evarwere vegomarara remuromo wechibereko vane chiratidzo ichi.
Kliniki yekutevera yekutarisa inoratidza kuti zvinotora makore angangoita gumi kuti vagadzire kubva kune zvakajairika kervical precancerous maronda kune gomarara remuchibereko. Kubva nemaonero aya, gomarara remuchibereko harityisi, chirwere chinodzivirirwa uye chinorapika. Kiyi yekudzivirira uye kurapwa iri mune: kugara uchiongorora gynecological, kuona nenguva uye kurapwa kwechirwere checervical precancerous maronda, uye kumiswa kwekukura kwayo kune gomarara remuchibereko. Kana matanho ekudzivirira akagona kuitwa, mwero wekurapa gomarara remuromo wechibereko wakakwira.
Ndezvipi zvinoonekwa zvegomarara repamuromo wechibereko?
Ivo vanowanzo asymptomatic, uye hapana mutsauko uri pachena kubva kune chisingaperi cervicitis. Dzimwe nguva vanotomboona cervix yakatsetseka, kunyanya mumadzimai akura ane remuromo remuromo. Zviratidzo zvikuru ndezvi:
Kubuda ropa muchikadzi: Varwere vadiki vanowanzo kuvepo nekubuda ropa, kunoitika panguva yebonde, kuongororwa kwevakadzi, uye kubuda ropa mushure mechigaro. Kuwanda kwekubuda ropa kunogona kuve kwakanyanya kana kushoma, kazhinji zvichienderana nehukuru hweronda, kupinda kwemidziyo yeropa yepakati. Kuwanda kwekubuda ropa mudanho rekutanga idiki, uye ronda rakakura mune yekupedzisira nhanho yakawanda yekubuda ropa. Kamwe iyo mikukutu yeropa ikadzurwa, inogona kukonzeresa kubuda ropa. Vechidiki varwere vanogona zvakare kuve nekuratidzwa kwenguva refu yekuenda kumwedzi, kupfupisa kutenderera, uye kuwedzera kuenda kumwedzi kuyerera. Vakwegura varwere vanowanzo gunun'una nezvekusajairika kwemukadzi kubuda ropa mushure mekuguma kuenda kumwedzi.
Vaginal drainage: Varwere vanowanzo gunun'una nezvekuwedzera kwemadzimai emvura, chena kana reropa, kuonda semvura kana mupunga muto, uye vane hwema hwehove. Munguva yekupedzisira, nekuda kwekenza tishu kuputika, tishu necrosis, hutachiona hwechipiri, nezvimwewo, huwandu hwakawanda hwepurulent kana mupunga sopu-senge kunhuwa leucorrhea kwakaburitswa.
Ndezvipi zvinoonekwa zvegomarara repamuromo wechibereko?
Zviratidzo zvechipiri zvinoonekwa zvinoenderana nehukuru hwekupinda kwechironda. Kana ronda racho rikabata mitezo inobatanidza yehudyu, rusvingo rwechiuno, ureter kana rectum, uye tsinga inonzwika, inowanzo gunun'una nezvekuita weti nguva zhinji, kukurumidza, kuzvimba kweanus, kuzvimbirwa, kuzvimbirwa, kuonda, uye kuzvimba kwekupedzisira uye kurwadziwa . Chikonzero uremia. Pakupera kwechirwere, murwere anogona kunge ave kutambisa, kupererwa neropa, kupisa muviri, uye kutadza kwehurongwa.
Chete mushure mekuziva hunhu hwegomarara remuromo wechibereko ndipo panogona kutariswa. Izvi zvinonyanya kubva panhoroondo yezvokurapa uye kuratidzwa kwekiriniki, kunyanya avo vane kubuda ropa, vanofanirwa kuita ongororo yehurongwa uye gynecological katatu kuongororwa, uye kushandisa cervical curettage Firimu cytology bvunzo, iyo iodine bvunzo, nitrogen laser tumor inherent fluorescence diagnostic nzira, colposcopy. , cervical and cervical canal biopsy, cervical cone excision, etc. Mushure mekuonekwa kwegomarara remuromo wechibereko, chipfuva. X-rays, lymphography, cystoscopy, uye rectoscopy inofanira kuitwa maererano nemamiriro chaiwo kuti ione danho rekiriniki.
Kuitira kudzivirira gomarara remuchibereko, vanhu vanotevera vanofanirwa kuongororwa gomarara remadzimai makore mana kusvika matatu ese: ***, vakaroora vasati vasvitsa makore gumi nemasere; hutano hwehupenyu hwepabonde, *** kazhinji uye varwere veSDD; kuroora kwekutanga kuzvarwa kwakawanda; Cervical kuzvimba uye kukukurwa kwevhu; kubuda ropa kuchikadzi mushure me ***, kusangana nekutsi kwemukadzi mushure mekuguma kuenda kumwedzi, kunyanya kubuda kweropa; avo vanopfuura makore makumi mana nemashanu ekuberekwa vasina chero zviratidzo, kuongororwa kwakajairwa kunofanirwa kuitwawo nguva dzose. Maitiro ekuzvidzivirira ekenza yemuromo wechibereko ndeaya:
① Hapana hupombwe.
② Kurudzira wanonoka kunonoka kuberekwa uye kunonoka kuberekwa, kuronga mhuri, kudzivirira kukuvara pamuromo wechibereko.
Cherechedza hutsanana uye chengetedza muviri wezasi wakachena.
FoVanhu chikanda chepamberi chinofanirwa kuchecheudzwa kana chakareba kwazvo, kazhinji kacho chinobvisa makanda ekumberi
nemvura uye chengetedza nhengo dzakavandika dzakachena.
⑤ If hysterectomy is performed for other reasons, a uterine scrape should be checked before surgery.
Ively Shingairira kurapa kusingaperi kwekuzvimba uye kugadzirisa zvipembenene zvine ngozi.
In addition, the prevention of cervical cancer should avoid tobacco and alcohol, avoid cold, greasy food.
