ʻAi ʻāʻī: nā kumu, nā hōʻailona a me ka mālama ʻana

He aha ka erosion cer servo?

ʻAi ʻāʻī ʻO ka ʻeha ʻana o ka membrane mucous o ka ʻōpū o ka ʻōpū. Laha ʻia ka pathology a loaʻa i ka hapakolu o nā wahine i hele mai e ʻike i ka gynecologist. Eia nō naʻe, pono e hoʻokaʻawale ʻia ka erosion maoli mai ka pseudo-erosion, ʻoiai he mau maʻi like ʻole kēia, ʻo ia hoʻi, ʻokoʻa ka mālama ʻana.

ʻAi ʻāʻī - he pōʻino?

ʻO kēlā me kēia wahine i loaʻa i ka maʻi maʻi e haʻohaʻo nei i ka weliweli o kēia maʻi. No ka loiloi i ke kiʻekiʻe o ka hoʻoweliweli i ke kino, pono ʻoe e nānā me ke kauka i ke ʻano o ka huaʻōlelo "erosion".

Inā he pseudo-erosion ka wahine, a laila ʻaʻole pilikia kēia ʻano no ke kino. Ke ʻike ʻia ka ʻino maoli, pono e ʻike i nā kumu i ulu ai. Inā he maʻi maʻi maʻi, a laila aia ka pilikia o kona piʻi ʻana i ka ʻōpū a me nā mea hoʻohui, hiki ke alakaʻi i nā maʻi koʻikoʻi, me ka infertility.

I kēlā me kēia hihia, ke kuhikuhi ke kauka i ka lāʻau lapaʻau, ʻaʻole pono ʻoe e haʻalele. ʻO ka hapa nui o nā maʻi gynecological maʻamau, e like me ka vaginitis, endometritis a me ka cervicitis, pili me ka erosion - hoʻonāukiuki paha lākou i kona hoʻomohala ʻana a kū ʻole paha i kona ʻano. ʻO ka pōʻino loa o ka cervix i ka wā o ka hāpai ʻana, e like me ka piʻi ʻana o ka pilikia o ka hāʻule ʻana, aia ka hiki ke loaʻa ka fetal sepsis a me ka make. No laila, mai hoʻohaʻahaʻa i ka pōʻino o ka erosion a mālama pono i ka mālama ʻana.

Nā kumu o ka ʻinoʻino o ka ʻōpū

Nui nā kumu a i ʻole nā ​​manaʻo no ka hiki ʻana mai o kēia pathology.

Ma waena o nā mea maʻamau o lākou:

• ʻO ka ʻaʻa ʻana o nā ʻōpū wahine. Wahi a nā kauka, he kuleana koʻikoʻi ka endocervicitis. ʻO kēia ma muli o ka ʻoiaʻiʻo i ka wā o ia mau kaʻina e hoʻonui ai i ka hana excretory o nā glands i loko o ka epithelium o ka cervix, ka mea i lilo i kumu o kona pōʻino;

• Hoʻokuʻu pathological mai ka ʻōpū, no ka laʻana, luku ʻia nā polyps, endometrium, myomatous nodes. Hāʻawi ia mau mea i ka desquamation a me ka maceration o ka epithelial tissue o ka cervix. ʻAʻole hiki koke kēia, akā ma muli o ka hopena o ka hopena lōʻihi o nā mea huna ma ka ʻili o ka ʻāʻī. ʻO ka hopena, hoʻomohala ka wahine i ka erosion maoli, a ua paʻa kona ʻili e nā microorganism pathogenic e hoʻoulu ai i ka maʻi maʻi. Ma waena o nā poʻe noho pōʻino o ka vagina: Trichomonas, gonococci, ureaplasmas, chlamydia, papillomaviruses, etc.;

• Nā ʻeha. ʻO ka pōʻino mechanical i ka cervix ke hana pinepine ʻia i ka wā o ka hana, i ka wā o ka hānau ʻana, i ka wā o ka hāpai ʻana, ke kau ʻana o nā mea intrauterine a me nā kaʻina hana gynecological ʻē aʻe. ʻO kēia mau mea a pau ke kumu o ka hoʻololi o ka'ā'ī a me ka uluʻana o ka erosion;

• Hōʻole ʻia ka hormone. Ma waena o nā kūlana pōʻino loa e pili ana i ka erosion cervical he lohi a i ʻole, ʻo ka wā ʻōpio mua loa o kahi kaikamahine, menstrual irregularities a i ʻole ka hana ovarian, ko lākou mumū, ka hāpai ʻana i ka wā mua a me ka lohi;

• nā pilikia immunee alakaʻi ana i nā hemahema like ʻole o ke kino, me ka erosion. I kēia hihia, pāʻani nā maʻi o kahi ʻano non-gynecological;

• Hoʻomohala kūikawā o ka pēpē i ka wā hāpai. I kekahi manawa ua hoʻokumu ʻia kahi ʻāpana o nā cell cylindrical ma waho o ka os cervical. Eia naʻe, ʻaʻole i manaʻo ʻia kēlā ʻano hemahema he maʻi, ʻaʻole koi i ka mālama ʻana a hoʻoholo iā ia iho.

Eia kekahi, i nā wahine nulliparous, ʻoi aku ka nui o ka erosion ma ke alo o nā mea predisposing penei:

• ʻO ke ola moe kolohe ʻole me ka moe kolohe ʻole;

• ʻO ka hoʻomaka mua ʻana o ka moekolohe;

• Nawaliwali ka pale kino;

• ʻO ka hoʻololi pinepine ʻana o nā hoa moe kolohe a me ka moekolohe.

Aia kekahi pilina ma waena o ka hoʻomohala ʻana o ke kaʻina pathological a me nā kumu penei:

• ʻO ka manaʻo o ka wahine i ka puhi paka;

• predisposition hoʻoilina i ka hoʻokumu ʻana o ka erosion;

• Hiki paha i ka hoʻohana ʻana i nā lāʻau lapaʻau hormonal no ka contraception he hopena, akā ke hoʻomau nei kēia pilina.

I kekahi manawa i loko o nā wahine olakino maikaʻi ʻole i hānau ʻole a ʻaʻole hoʻi i hoʻopaʻa ʻia, hiki ke ʻoki ʻia me ke kumu ʻole. ʻO ka pinepine, hele wale ia, a hoʻopili nā kauka me nā kaʻina hana physiological i loko o ke kino. No nā pilikia pinepine a me ka hopena o nā kumu psycho-emotional ʻē aʻe i ka ulu ʻana o ka maʻi, ʻaʻole i hōʻoia ʻia ka pilina ma waena o lākou a me ka ʻāʻī ʻana o ka cervical.

Nā hōʻailona o ka ʻānai ʻana o ka ʻōpū

ʻIke ʻia ka papa huna o ke kaʻina erosive ma 90% o nā hihia. Inā loaʻa nā hōʻailona, ​​a laila he liʻiliʻi loa ia a ʻaʻole koi i ka wahine e ʻike i ke kauka. No laila, ʻike nui ʻia ka pathology ma ka pōʻino, i ka wā e hele mai ai kahi wahine i ka gynecologist no kahi hoʻokolokolo pale.

ʻO nā hiʻohiʻona liʻiliʻi paha o ka maʻi e komo pū kekahi:

• Me ka paʻakikī paʻakikī, hiki ke piʻi aʻe ka hoʻoheheʻe maoli ʻana o ka wahine. ʻO kēia kumu ma muli o ka hoʻonui ʻana o ka wahi o ka epithelium cylindrical e hoʻonui i ka mucus;

• I kekahi manawa ua koi ʻia ka wahine e hele i kahi hālāwai e ka ʻeha ma ka ʻōpū o lalo, menstrual irregularities, ke ʻano o nā keʻokeʻo i loaʻa kahi ʻala maikaʻi ʻole. Eia naʻe, ua wehewehe ʻia kēia mau hōʻike lapaʻau e nā maʻi concomitant o ka ʻāpana genital, ʻaʻole ma kahi kaʻina erosive;

• ʻO ka erosion iā ia iho i nā hihia liʻiliʻi hiki ke hoʻoulu i ka manaʻo o ke kaumaha ma ka ʻōpū o lalo, ke ʻano o ka ʻeha. Hoʻoikaika nui kēia mau manaʻo ma hope o ka pilina. Eia kekahi, ma hope o ka moekolohe, hiki i ka wahine ke ʻike i ke ʻano o ka ʻike liʻiliʻi.

Me kahi ʻano holomua o ka maʻi, lilo ka leucorrhoea i ka mānoanoa a me ka mucous, hiki ke ʻike ʻia ke koko a i ʻole purulent i loko o lākou.

ʻO ke ʻano o ka ʻānai ʻana o ka ʻōpū

Hoʻokaʻawale nā ​​kauka i kekahi mau ʻano o ka erosion, ʻo kēlā me kēia me kona ʻano ponoʻī:

• ʻOiaʻiʻo ka ʻeli ʻanae like me ka abrasion. ʻO ka ʻili o ka stratified squamous epithelium ua wela a pōʻino. Ma hope o nā pule he 1-2, hoʻopau ʻia kēia ʻano erosion iā ia iho a hoʻololi paha i ka ectopia ke hoʻololi ʻia ka epithelium squamous stratified e nā cell cylindrical;

• pseudo-erosion, a i ʻole ectopia maoli. ʻO ka epithelium cylindrical, me he mea lā, ke kolo nei ma ka ʻāʻī o ka ʻāʻī, kahi i hoʻopaʻa mau ʻia me ka epithelium stratified squamous. Ma ka nānā ʻana, ʻike ke kauka i kahi ʻulaʻula me nā villi liʻiliʻi. Hiki ke loaʻa ka Ectopia a me ka hānau ʻana. No ke ʻano o ka erosion i loaʻa, hiki mai ia ma muli o ke ʻano o ka hormonal imbalance, a i ʻole ka hopena o nā maʻi o ka wahine;

• ʻO ka ʻinoʻino ka mea hānau. I ka manawa like, ua hoʻoneʻe ʻia ka palena ma waena o ka epithelium pālahalaha multilayered a me ka cylindrical a aia ma ka ʻaoʻao o ka ʻōpū. ʻAʻole nui kēlā ʻano kīnā a ma kahi o 23 mau makahiki e hala iā ia iho a me ka mālama ʻole. He ʻano maʻamau kēia ʻano erosion no nā wahine nulliparous ma lalo o 25 mau makahiki a no ka poʻe e lawe i nā lāʻau lapaʻau waha.

ʻO ka hoʻololi ʻana, ʻo nā ʻano ʻano ʻino maoli. Hoʻokaʻawale ʻia ia ma muli o ke kumu o ka hoʻomohala ʻana o ka pathology:

• ʻO ka inflammatory maoli - lilo i ka hopena o kekahi maʻi o nā ʻāpana genital (hiki iā ia ke trichomoniasis, chlamydia, etc.);

• ʻO ka ʻeha maoli - ʻike ʻia ma muli o nā ʻeha i ka wā o ka moekolohe ʻana, ka hānau ʻana, ka curettage diagnostic, ka ʻōpū, etc.;

• Kemika ʻoiaʻiʻo - ua hana ʻia ma muli o ka hōʻino ʻana i ka pūpū e nā mea hoʻopaʻapaʻa i hoʻohana ʻia no ka douching me ka mālama pono ʻole ʻole;

• ʻO ke ahi maoli - ua hana ʻia ma muli o ka cauterization o ke kahua o ka puʻu o ka pūpū;

• ʻO ka trophic maoli - loaʻa ma muli o ka hōʻeha ʻana i ke kahe koko i ka ʻāʻī a i ʻole ma muli o ka irradiation o nā ʻōpū;

• ʻOiaʻiʻo - lilo i ka hopena o ka maʻi me ka syphilis a i ʻole ka maʻi maʻi;

• ʻO ka maʻi kanesa maoli - ʻo ia kekahi o nā ʻano o nā maʻi maʻi ʻino.

Inā hoʻokumu pololei ʻia ke kumu o ka erosion maoli, a laila i ka wā e hoʻopau ʻia ai ka pathology, e hoʻihoʻi ka mucous membrane iā ia iho i ka hapalua mahina.

Ke noʻonoʻo nei paha nā wahine i ke kumu i hui pū ʻia ai nā ʻano like ʻole e hoʻokahi huaʻōlelo maʻamau - erosion. ʻO ka ʻoiaʻiʻo, hoʻokahi wale nō hōʻailona maʻamau o lākou āpau - ʻeha ʻia ka mucosa cervical.

ʻO ka hōʻike ʻana i ka ʻino o ka ʻōpū

Ma hope o ka nānā ʻana i ka pūpū, hana ke kauka i kahi hōʻailona mua. Ua like ia me "pseudo-erosion", a laila pono e hoʻokō ʻia kekahi mau hoʻokolohua hou.

No kēia, nā ala e like me:

• ʻO ka hoʻoholo ʻana i ka microflora o ka vagina ma ka lawe ʻana i kahi smear;

• Nā hoʻāʻo koko no ka maʻi HIV, ka maʻi hepatitis a me ka syphilis;

• ʻO ka PCR kahi ʻano hana e ʻike ai i nā maʻi i lawe ʻia e ka wahine, a ʻo ka mea mua, i ka ʻike ʻana i ka HPV;

• ʻO Colposcopy, ke nānā pono ʻia ka cervix e ke kauka ma lalo o kahi microscope, hiki ke hoʻohana ʻia nā hoʻonā kūikawā e hoʻomaʻamaʻa i ka maʻi (ʻo kēia ʻano ʻaʻole e hōʻeha i ka wahine a ʻeha paha a hiki iā ʻoe ke hoʻokaʻawale i ka pseudo-erosion mai ka ʻoiaʻiʻo);

• ʻO kahi smear e kuhikuhi ana i ka ʻike ʻana i nā cell atypical, e hōʻike ana i kēia mau hopena: cytogram inflammatory, cytogram of endocervicosis, me nā hiʻohiʻona ʻole, me nā hōʻailona o ka dysplasia a me ka leukoplakia, a i ʻole ka hoʻonui ʻana o ka stratified squamous epithelium;

• He biopsy o ka cervix, e hoʻomaka ana i ka lawe ʻana i kahi ʻāpana liʻiliʻi no ka nānā ʻana. Hana ʻia ke kaʻina hana ma lalo o ka mana o kahi microscope i ka wā o ka colposcopy (hana ʻia i ka wā i manaʻo ʻia ai kahi hoʻokumu ʻino);

• Inā pono, hoʻouna ke kauka i ka wahine e lawe i nā hoʻokolohua koko no ke kūlana hormonal;

• No ka ʻike ʻana i nā maʻi ʻeha a me nā maʻi endocrine, hoʻouna ʻia kahi wahine no ka scan ultrasound o nā ʻōpū.

ʻO ka biopsy cervical

ʻO ka biopsy kahi kaʻina hana i kauoha ʻia e ke kauka maʻi ma hope o ka nānā ʻana a me ka colposcopy inā manaʻo ʻia nā maʻi kanesa.

ʻElua ʻano o kēia ʻenehana diagnostic:

• Ma ka mua, he trepanobiopsy kēia, ke lawe ʻia ka ʻiʻo mai kekahi mau wahi poino o ka pūpū. Inā manaʻo ʻia kahi biopsy maʻalahi, a laila koho ke kauka i ke ʻano o ka lawe ʻana i ka puncture. Inā pono kahi biopsy endocervical, e ʻoki ʻia ka ʻiʻo mai ke kahawai cervical. Hiki ke hana ʻia ka Loop trepanobiopsy, ke lawe ʻia ka ʻiʻo me ka hoʻohana ʻana i kahi loop kūikawā e hele ai kahi au uila;

• ʻO ka lua, he conization kēia. I kēia hihia, lawe ʻia kahi ʻāpana kikoʻī i ke ʻano o ka wedge. Hana ʻia ke kaʻina hana me ka scalpel a i ʻole ka laser.

Inā makemake ka biopsy i ka anesthesia, pono ka wahine e hōʻole i ka ʻai ʻana a hiki i 12 mau hola ma mua o ke kaʻina hana. ʻO ka anesthesia kūloko: mālama ka wahine i ka ʻili o ka pūpū me ka lidocaine, a i ʻole ke hoʻoinu ʻia. ʻO ka manawa kūpono no ka hōʻoia ʻana ʻo ka lā 7 a i ʻole 8 o ka pōʻai.

Inā hana ʻia ka biopsy i loko o kahi keʻena hana, a laila pono ka wahine i ʻelua mau lā maʻi. E loaʻa nā hopena o ka haʻawina i loko o ʻelua pule. ʻO nā pilikia o ke kaʻina hana, hoʻokaʻawale ʻia ke koko a me ka ʻeha, kahi i pani ʻia e nā antispasmodics.

I nā pule ʻelua e hiki mai ana, ʻaʻole pono ka wahine e moe, ʻauʻau i ka ʻauʻau a hāpai i nā mea kaumaha. ʻO nā kaʻina hana inflammatory o nā ʻāpana genital a me nā maʻi clotting koko e hana ma ke ʻano he contraindications no ka biopsy cervical.

Nā nīnau a me nā pane kaulana:

• Hiki ke hoʻopau wale ʻia ka ʻino o ka ʻōpū? Ma ke kūʻokoʻa, me ka ʻole o ka lāʻau lapaʻau, hiki ke hala ka erosion. Akā pili kēia i kekahi ʻano makahiki o nā wahine a me kekahi ʻano o ka pathology. Hiki i ka ectopia congenital o ka epithelium columnar ke hoʻopau iā ia iho, nalo ia a hiki i 23-26 mau makahiki me ka ʻole o ke keakea ʻana i waho. Eia nō hoʻi, me ka ʻole o ka mālama ʻana, hiki ke hala ka erosion gestational i nā wahine hāpai, i kū mai ma muli o ka hoʻonui ʻana o ka progesterone. ʻO kahi koho ʻē aʻe no ka hoʻopau ʻana iā ʻoe iho i ka erosion ke nānā ʻia i ka wā i hoʻokumu ʻia ai ka hemahema ma muli o ka lawe ʻana i nā contraceptive hormonal. Loaʻa pinepine nā hihia o ka ho'ōla ponoʻī ʻana mai ka ʻinoʻino maoli i hoʻokumu ʻia e nā kumu traumatic (e laʻa, i ka wā douching a i ʻole ma muli o ka pili aloha ʻole). Eia nō naʻe, i ka wā i hana ʻia ai kahi kīnā ma muli o kahi maʻi a i ʻole ka mumū i loko o ke kino, pono ia e mālama a hoʻoweliweli me nā pilikia koʻikoʻi.

• Hiki paha ke hāpai me ka erosion cervical? ʻAʻole pili kēia ʻano kīnā i ka hiki ʻana o ka wahine ke hānau keiki ma kekahi ʻano, no laila hiki ke hāpai ʻia me ka erosion. I kekahi manawa, manaʻo ka poʻe maʻi ʻaʻole hiki iā lākou ke hāpai i kahi keiki ma muli o ka ectopia, akā ʻo ka ʻoiaʻiʻo ʻaʻole kēia ka hihia. He hopena wale nō ka pathology o kekahi maʻi. ʻO ia ka maʻi i hoʻoulu ʻia e hiki ai ke alakaʻi i nā pilikia me ka hāpai ʻana, no ka laʻana, inā loaʻa ka wahine i ka mumū o ka ʻōpū, ovaries, appendages, etc. Ma hope o ka hoʻopau ʻia ʻana o ke kumu o ka erosion, e puka mai ka hāpai ʻana, a pinepine ka hemahema o ka ʻōpū. hoʻoholo iā ia iho ke ʻike ʻia ke keiki i ka honua. Inā loaʻa ka wahine i ka erosion, akā ʻaʻole ʻike ʻia nā kaʻina hana infectious a inflammatory, a laila hiki iā ia ke hāpai i ke keiki i kēlā me kēia manawa.

• Pehea ka wikiwiki e hiki ai iā ʻoe ke hāpai ma hope o ka cauterization o ka erosion? ʻAʻole pili ka Cauterization i ka hana hānau.

• Hiki paha ke hanau me ka erosion cervical? Hiki iā ʻoe ke hānau me ka ʻeha ʻana o ka ʻōpū inā he hānau hānau. Ke loaʻa kahi pseudo-erosion, ma mua o ka hoʻolālā ʻana i ka hāpai ʻana, pono ia e hoʻopau i nā maʻi āpau o nā ʻōpū, hoʻomaʻamaʻa i ka hormonal background, etc. i ka fetus, no ka mea, lilo ia i wahi kūpono no ka noho ʻana a me ka hana hou ʻana o ka bacteria. ʻO ia ke kumu e ʻōlelo aku ai nā kauka e hoʻopau i nā ʻano ʻino a pau, koe wale nō ka congenital, a laila e hoʻolālā i ka hāpai ʻana. Eia nō naʻe, inā ʻike ʻia aia he erosion, a ua hāpai ka wahine, a laila ʻaʻole kēia he hōʻailona no ka hoʻopau ʻana (koe wale nō ka dysplasia degere kolu).

• Hiki ke lilo ka ʻānai ʻana o ka ʻōpū i ka maʻi kanesa? Hiki i ka erosion ke alakaʻi i ka oncology ma ke alo o nā ʻano HPV-oncogenic, a i ʻole ka loaʻa ʻana o ka maʻi HIV. No laila, pono e lawe ʻia ka PCR no ka papillomavirus kanaka a hana ʻia ka colposcopy.

• E ʻeha paha ia i ka ʻeha o ka ʻōpū? ʻAʻole ʻeha ke kaʻina hana, akā i kekahi mau lā ma hope o ka lawe ʻia ʻana, hiki i ka wahine ke hoʻomaka i ka ʻeha. Hoʻopili ʻia lākou ma ka ʻōpū o lalo a ua like me ka ʻeha a me ka huki ʻana i nā manaʻo pinepine i ka lā mua o ka menstrual cycle.

• Ua hoʻopaʻa ʻia au e ka erosion, akā ma hope o 2 mau makahiki ua ʻike hou ʻia. He aha ka hana? Pono ʻoe e mālama hou. ʻOi aku paha ka radical. ʻO nā ʻano hana e kū nei, hāʻawi ka laser therapy i ka hapa liʻiliʻi o nā relapses.

• He kahe wai koʻu i hui pū ʻia me ke koko ma hope o ka hoʻopaʻa ʻia ʻana o ka ʻeha ʻana o ka ʻōpū. Maikaʻi kēia? ʻAe. Hiki iā lākou ke mālama i hoʻokahi mahina ma hope o ka cauterization.

• Pehea ka lōʻihi ʻaʻole hiki iā ʻoe ke moe ma hope o ka cauterization o ka ʻāʻī ʻana o ka ʻōpū? Ma kahi o 4 mau pule a hiki i ka nalowale loa o ka ʻike.

• Hiki paha ke moe kolohe me ka erosion? Ai, hiki iau.

• Ua ʻōlelo ke kauka e hoʻopaʻa i ka ʻino me ka wai hau. E loaʻa iaʻu kahi ʻili ma koʻu ʻōpū ma hope o ke kaʻina hana? ʻAʻole, ʻaʻole ia, ʻaʻole waiho kēia ʻano i nā scars, hiki ke ʻōlelo ʻia i nā wahine nulliparous e hoʻolālā ana i ka hāpai ʻana i ka makahiki e hiki mai ana.

Pehea e mālama ai i ka erosion cervical?

I mea e hoʻoholo ai i ke ʻano o ka therapeutic regimen, pono e noʻonoʻo i nā kumu he nui, ʻo ka mea nui i waena o ia ke kumu i kumu ai ka erosion.

He mea nui e hoʻopau i ka mea mua:

• Inā loaʻa i ka wahine nā maʻi i lawe ʻia e ka wahine, a laila pono e mālama ʻia ma muli o ke kumu o ka pathogen i kumu ai ka maʻi. No kēia, hoʻohana ʻia nā antibiotic a i ʻole nā ​​​​antiviral agents;

• Ke hoʻopau ʻia ke ʻano o ka lāʻau lapaʻau e hoʻopau i ka mumū, e hoʻoholo ke kauka i ke ala maikaʻi loa e hoʻopau ai i ka pseudo-erosion. Hoʻopili pū ʻia kēia e ka ʻāpana o ka ʻāʻī o ka ʻāʻī, e pili ana i ke kaʻina pathological, a i ka makahiki hea ka mea maʻi, a inā paha ʻo ia e hoʻolālā e hānau keiki, etc.;

• ʻO nā ala hou o ka hoʻopau ʻana i ka erosion e ʻae i nā wahine nulliparous e hoʻopau i ke kaʻina pathological. ʻOiai i ka wā ma mua, ua ʻōlelo ʻia e mālama ʻia ka erosion ma hope o ka hānau ʻana, a ua kau ʻia ke kaʻina hana no kekahi mau makahiki;

• E hoʻopau i ka hemahema ma ka māhele mua o ke kaʻina menstrual e hiki mai ana, i ka pau ʻana o ke koko. Eia nō naʻe, aia kekahi mau ʻokoʻa, ʻo ia hoʻi, ke ʻano o ka diathermocoagulation.

He mea pono ke ʻike i ka mea i kapa ʻia ʻo cauterization ʻaʻole ia he hopena mau me ke kōkua o kekahi mea hana. I kekahi mau hihia, hiki ke wehe ʻia ka hemahema me ka hoʻohana ʻana i nā hoʻomākaukau kūikawā.

ʻO ka coagulation kemika

ʻO kēia ʻano o ka hoʻohemo ʻana i ka wahine mai ka ʻāʻī ʻana o ka ʻōpū e hele mai ana i ka ʻoiaʻiʻo e mālama ʻia ka wahi me ke kīnā me kahi hoʻomākaukau kemika. No laila, hiki ke hoʻohana ʻia ʻo Solkovagin. Loaʻa iā ia ka zinc nitrate, nitric, oxalic a me ka acetic acid. Hiki ke hoʻohana i ka coagulation kemika me nā erosions liʻiliʻi.

I ka wā i hala iho nei, ua hoʻohana nā kauka i kekahi lāʻau lapaʻau, ʻo Vagotil, e hoʻopau i ka hemahema. Hoʻopili ʻia i kahi tampon a hoʻokomo ʻia i loko o ka ʻōpū no hoʻokahi pule. Eia naʻe, ʻaʻole hoʻohana nā kauka o kēia wā, no ka mea, hana ia ma luna o nā papa honua me ka ʻole o ke komo ʻana i loko, e alakaʻi ana i ka haʻahaʻa haʻahaʻa o ka lāʻau lapaʻau. ʻOiai ma hope o ka mālama ʻana me Solkovagin, ua hoʻokumu ʻia kahi scab, i hōʻole ʻia ma hope o kekahi mau lā. Ma hope o ʻelua mahina, hoʻopau ʻia ka hoʻōla hou ʻana o ka ʻiʻo, a pau ke kaʻina hana ho'ōla.

Ma waena o nā mea maikaʻi o ka coagulation kemika:

• ʻAʻohe ʻeha i ka wā o ke kaʻina hana;

• ʻO ka maʻalahi o ka hoʻohana ʻana i ke ʻano (cauterize i ka erosion ʻelua me ka hoʻomaha o kekahi mau minuke);

• ʻO ke kumu kūʻai haʻahaʻa o ka lāʻau lapaʻau (ʻo ke kumukūʻai o ʻelua ampoules o Solkovagin ʻaʻole iʻoi aku ma mua o 1200 rubles).

Inā mākou e noʻonoʻo i nā ʻaoʻao maikaʻi ʻole, a laila ʻo ka mea maikaʻi ʻole wale nō ka hiki ke hoʻoponopono i kahi erosion liʻiliʻi wale nō.

Diathermocoagulation

ʻO kēia ʻano o ka hoʻopau ʻana i ka pathology e pili ana i nā ala kahiko, a he nui nā hemahema. ʻO ke kumu o ka diathermocoagulation ʻo ia ka hoʻopili ʻia ʻana o ka erosion me ke alapine kiʻekiʻe, a ua hoʻokumu ʻia kahi scab ʻeleʻele ma ka wahi i mālama ʻia, e like me ke ahi. Ma kēia ʻano, hoʻohana pinepine ʻia kēia ʻano o ka mālama ʻana.

ʻO nā pōʻino ʻē aʻe o kēia ʻano:

• I ka wā o ka mālama ʻana, ʻike ka wahine i ka ʻeha;

• Ma ka manawa a ma hope o ka cauterization, aia ka pilikia o ke koko;

• ʻAʻole hiki ke hoʻohana i kēia ʻano hana i nā wahine e hānau ana, a me nā wahine i hānau ʻole.

Loaʻa ka hoʻihoʻi ma hope o 1,5 mau mahina, a ua hana ʻia ka cauterization ponoʻī ma mua o ka menstruation, i hōʻole ʻia ka scab me ka wikiwiki a me ka ʻeha ʻole. Ma waena o nā pono o ka diathermocoagulation ka hiki ke hana i ka conization o ka ʻāʻī ma mua o kēia, a me ke kumu kūʻai haʻahaʻa o ke ʻano a me kona maʻalahi.

Hoʻowela kukuna

ʻO kēia ala kekahi o nā mea maʻamau. Hoʻopili ia i ka ʻoiaʻiʻo e mālama ʻia ka wahi i hoʻopili ʻia me kahi kukuna o nā kukuna laser. Ma mua o ka hoʻomaʻamaʻa ʻana, holoi ʻia ka cervix me kahi hopena o ka acetic acid a me ka iodine solution. ʻAe kēia iā ʻoe e hoʻokō i ka vasospasm, a hiki nō hoʻi ke "outline" i nā palena o ka erosion. I ka wā e paʻi ai kahi kukuna laser i nā ʻiʻo pathological, e hoʻoheheʻe ʻia ka makū mai nā cell i hōʻino ʻia a no laila ua luku ʻia lākou.

Ma waena o nā mea maikaʻi o kēia ʻenehana hiki ke ʻike ʻia:

• ʻAʻohe ʻeha i ka wā o ke kaʻina hana;

• ʻO ka hana kiʻekiʻe, ʻoiai ʻo ka hōʻoia o ka hoʻihoʻi ʻana he 98%;

• ʻAʻole hana ʻia nā ʻōpala ma ka pūpū.

Ma waena o nā hemahema nui o kēia ʻano, ʻike ʻia ke kumukūʻai kiʻekiʻe o ke kaʻina hana, a ʻoi aku ka nui o ka decay zone o ke kino olakino i hoʻohālikelike ʻia me ka radio wave erosion therapy.

Cryodestruction

Hoʻokumu ʻia kēia ʻano hana hou ma ka ʻoiaʻiʻo e mālama ʻia ka wahi i hoʻopili ʻia me ka nitrogen wai, hiki i kona mahana ke piʻi i 150 ° C me kahi hōʻailona liʻiliʻi. Hoʻopili ʻia ka nitrous oxide me ka hoʻohana ʻana i kahi mea hana kūikawā. I kēia hihia, loaʻa ka ʻāpana o ka ʻiʻo i mālama ʻia i kahi kala māmā a lilo i insensitive. ʻO ka wai i loko o nā pūnaewele i hoʻopiliʻia e lilo i mau hau hau, e alakaʻi ana i ka lukuʻana i nāʻiʻo pathological. Lawe ʻia ke kaʻina hana i ka awelika o 15 mau minuke, a hoʻōla piha ʻia ma hope o 1,5 mau mahina. Ma hope o ka hoʻomaʻamaʻa ʻana, ua nui ka hoʻokuʻu ʻana o ka wahine, ʻo ia ka nui o ka wai.

Ma waena o nā mea maikaʻi o kēia ʻano o ka mālama ʻana:

• ʻO ka hana kiʻekiʻe, hiki i ka 97%;

• ʻO ka maʻalahi o ka hoʻokō;

• ʻAʻohe ʻeha i ka wā mālama;

• ʻAʻohe deformity o ka pūpū.

Ma waena o nā hemahema o ka cryocoagulation, hōʻike nā kauka i ka hopena o ka mālama ʻole ʻana o ka wahi i hōʻino ʻia, a me ke ʻano o ka hoʻokuʻu kope ʻana (hiki paha me nā haumia koko) ma hope o ke kaʻina hana.

Kaʻano nalu radio

ʻO kēia ʻano lapaʻau kekahi o nā mea kaulana loa i ka lāʻau lapaʻau hou. Makemake ʻia ʻo ia e ka hapa nui o nā oncogynecologists, e kāhea ana i ka mālama ʻana me nā hawewe lekiō ʻoi aku ka maikaʻi. ʻAʻole pili ke ʻano, ʻoiai ʻo ke au uila, e hele ana i ka mea hana kūikawā Surgitron, ua hoʻololi ʻia a hoʻololi ʻia i mau nalu lekiō. Me ke kōkua o kahi electrode, kuhikuhi pololei ʻia lākou i ka wahi i hoʻopilikia ʻia.

I ka wā o ke kaʻina hana, ʻaʻohe pilina ma waena o nā ʻiʻo a me ka electrode, ʻaʻole ʻike ʻia ka cervix i nā wela kiʻekiʻe a ʻaʻole wela, ʻaʻole ia e alakaʻi i ke ahi. I kēia hihia, e hoʻoheheʻe ka wai mai nā cell pathological, a ua luku ʻia nā maʻi maʻi. ʻO ka wahi i hoʻopilikia koke ʻia he liʻiliʻi, ʻaʻole e ʻeha ka ʻiʻo olakino i nā nalu radio, ʻo ia ka pōmaikaʻi o kēia ʻano.

He mea pono ke ʻike e hiki i ke kaʻina hana ke hōʻeha i ka ʻeha, no laila pono ka anesthesia kūloko.

Ma waena o nā mea maikaʻi:

• 100% ka ho'ōla no ka erosion;

• Hoʻemi ʻia ka pilikia o ke koko i ka ʻole;

• ʻAʻole hana ka ʻāʻī i kahi ʻulaʻula, ʻaʻole deformed.

Ma hope o ʻekolu pule, hoʻihoʻi hou ʻia ke kino, a hoʻōla ka wahine. Eia kekahi, hiki ke hana ʻia ke kaʻina hana i kēlā me kēia lā o ka menstrual cycle. ʻO nā hemahema, hoʻokahi wale nō - ʻaʻole i loaʻa i kēlā me kēia haukapila nā lako no ka mālama ʻana i ka nalu lekiō, ʻaʻole ia he mea maʻalahi.

ʻO Surgitron i ka mālama ʻana i ka erosion cervical he alakaʻi i ʻike ʻia ma ke ʻano o ka pono. He mea hana kūikawā kēia i hoʻohana ʻia e hoʻopau i ka erosion me ka hoʻohana ʻana i nā hawewe lekiō. Hoʻopau wale ʻia nā ʻiʻo i pōʻino ma lalo o ka mana o nā haʻalulu microwave. ʻAʻole loaʻa i ka mea maʻi ka ʻeha i ka wā o ia mālama ʻana. I ka manawa like, hoʻopaʻa ʻia a hoʻopaʻa ʻia paha nā moku, kahi e pale ai i ka hoʻomohala ʻana o ia ʻano hoʻopiʻi e like me ke koko. Ma hope o ka pau ʻana o ka mālama ʻana, hoʻopili ʻia kahi kiʻiʻoniʻoni pale kūikawā i ka ʻili i hōʻino ʻia, kahi e hiki ai ke pale i ka ʻōpū mai nā maʻi like ʻole.

ʻO ka lapaʻau ʻana me kēia hāmeʻa hou he kūpono ia no ka hapa nui o nā wahine, ʻo ka poʻe ʻaʻole i hānau ʻia a ʻaʻole i hānau ʻia. ʻO kēia ma muli o ke ʻano ʻaʻole e hana ʻia nā ʻōpala ma ka ʻili o ka pūpū, e like me nā ʻano hana ʻē aʻe. ʻO nā ʻōpala ka mea e hana pinepine ai i ka hana ʻino i ka hana ma hope. Eia kekahi, ʻo ka mālama ʻana me Surgitron he kūpono ia no nā wahine i hānau hou, i hoʻopau i ka lochia, ʻoiai ʻo ka lactation ʻaʻole ia he contraindication i ke kaʻina hana.

Eia naʻe, ʻoiai ke ʻano o ke ʻano he traumatic liʻiliʻi, ma mua o ka mālama ʻana, pono ka wahine e hoʻomākaukau pono.

Hoʻopili kēia mau hana i:

• ʻIke i nā maʻi o ka ʻāpana genital, me nā mea huna. Pono e haʻalele ʻia nā kaʻina hana inflammatory: vagina, uterus, ovaries, tubes;

• ʻAʻole hana ʻia ke kaʻina hana i ka wā menstruation;

• Pono e mālama ʻia ka mālama ʻana me Surgitron me ka makaʻala loa inā loaʻa ka wahine i ke koko koko maikaʻi ʻole;

• Ma mua o ka hoʻomaka ʻana i ka mālama ʻana me ka hoʻohana ʻana i nā hawewe lekiō, pono ka wahine e loaʻa i kahi hōʻailona piha.

I ka pau ʻana o ke kau, no ʻelua pule ʻaʻole pono ʻoe e hāpai i ke kaupaona, ʻauʻau i ka ʻauʻau a ola i kahi ola pili. Ke hōʻoiaʻiʻo ke kauka ua pau ke kaʻina hana hou, hiki iā ʻoe ke hoʻomaka i ka hoʻolālā ʻana i kahi hāpai.

Nā ihoiho no ka ʻinoʻino o ka ʻōpū

Hiki ke mālama ʻia ka erosion ʻaʻole wale me ka cauterization, akā me ka hoʻohana ʻana i nā kukui like ʻole.

ʻO kēia ʻano ka mea maʻalahi loa, ma waena o nā hōʻailona no ka lāʻau kukui:

• ʻO kahi kaʻina hana erosive i hana ʻia e ke kaulike ʻole i ka microflora o ka ʻōpū;

• ʻO ka ʻeha i ka wā o ka menstrual cycle me ka localization i ka sacrum;

• ʻO ka ʻinoʻino i hana ʻia e nā maʻi venereal;

• ʻO nā pōʻino i loaʻa ma hope o ka hāʻule ʻana a i ʻole ka hānau keiki paʻakikī;

• Erosion, i hana ʻia ma muli o ka hemahema o ka hormonal.

Eia nō naʻe, pono e ʻike e hiki ke mālama ʻia ke kukui kukui wale nō me nā wahi liʻiliʻi i loaʻa i kahi kaʻina pathological. ʻO nā erosions o ka nui nui, e like me ke kānāwai, ʻaʻole pane maikaʻi i ka mālama conservative. Hiki ke kuhikuhi ʻia nā kukui ma ke ʻano he adjuvant therapy ma hope o ka cauterization. ʻAʻole pono ʻoe e kuhikuhi i ka lāʻau iā ʻoe iho a hoʻohana iā ia e hoʻopau i ka erosion, no ka mea hiki ke hōʻino i ke olakino. Pono e noʻonoʻo ʻia ʻaʻole hoʻohana ʻia ka aila buckthorn moana e mālama i ka ectopia, no ka mea e hāpai ana i ka ulu ʻana o ka epithelial tissue, ʻo ia ka mea e hoʻoulu ai i ka ulu ʻana o ka erosion. Hiki ke mālama i ka ectopia me nā kukui buckthorn moana wale nō ma hope o ka cauterized.

ʻO ka papa therapeutic i ʻōlelo ʻia he 2 pule. Eia kekahi, hiki ke hāʻawi ʻia kēia mau mea:

• Ke kukui Depantol. Hāʻawi ʻia lākou ma ka intravaginally ʻelua i ka lā. ʻO ka lōʻihi loa o kahi papa o ka mālama ʻana he 3 pule. I ka wā o ka lāʻau lapaʻau, ʻaʻole ʻae ʻia ka hoʻohana ʻana i ke kopa lua no ka holoi ʻana, no ka mea, ʻo nā mea i hoʻohui ʻia i loko o kāna ʻano e hoʻokaʻawale i ka hopena o nā kukui;

• Candles Hexicon. Hiki iā lākou ke hoʻomaha i ka mumū, hoʻomaʻamaʻa i ka microflora, ʻaʻohe contraindications. Hoʻohana ʻia lākou i ʻelua manawa i ka lā, ʻo ka lōʻihi o ka papa ke hiki ke lōʻihi o 20 mau lā;

• Nā ihoiho Livarol. ʻO ka pōmaikaʻi o kēia lāʻau lapaʻau ʻo ia ka lawa o ka lawelawe ʻana i hoʻokahi manawa, a hiki ke loaʻa ka hopena therapeutic ma hope o ʻelima mau lā. Eia naʻe, ʻaʻole hiki ke hoʻohana ʻia i ka wā hānau keiki, i ka wā lactation a me ke alo o ka hypersensitivity i nā mea e hana ai i nā kukui;

• Nā ihoiho kukui. Hana ʻia kēia lāʻau lapaʻau ma ke ʻano kūlohelohe, hoʻohana pinepine ʻia ma hope o ka cauterization o ka erosion;

• Nā ihoiho Clotrimazole. ʻO ka papa therapeutic he 6 mau lā, hoʻokomo ʻia kahi kukui i hoʻokahi manawa i ka lā;

• Candles Suporon. Ma muli o ka therapeutic mud, hiki ke noi wale ma hope o ke kūkākūkā ʻana i ke kauka.

Pono e mālama ʻia ka ʻeli ʻana?

ʻAʻole pono ka lāʻau lapaʻau i ka ʻāʻī ʻāʻī. ʻO ka pono o ka lāʻau lapaʻau e hoʻoholo ʻia e ke kauka a hilinaʻi i nā kumu he nui. He mea nui e hoʻokumu i ke ʻano o ka erosion, ke kiʻekiʻe o kona holomua a me ke kumu o ka hanana.

Wahi a ka etiology, he mea maʻamau ka hoʻokaʻawale ʻana i nā ʻano o ka erosion cervical:

• Ectropion;

• Ectopic columnar epithelium;

• ʻOiaʻiʻo ka ʻeli ʻana;

• ʻO ka erosion ka inflammatory a i ʻole ka mea i kapa ʻia ʻo cervicitis.

Ma keʻano he kūlana, hoʻomaopopo ke kauka i ka mea maʻi e pili ana i ka pilikia, akā,ʻaʻole i kapaʻia keʻano o ka erosion i ka wā o ka hoʻolahaʻana o ka maʻi. ʻOiai ʻo kēia manawa kekahi o ke kī i ka nīnau o ka pono o ka lāʻau lapaʻau. No laila, ma hope o ka hana ʻana i kēlā ʻano maʻi, pono ka wahine e wehewehe kūʻokoʻa.

No ka hoʻoholo ʻana inā pono e mālama ʻia ka erosion, hāʻawi ʻia ka mea maʻi no ka colposcopy. Ma ka like, hana ʻia nā hoʻokolohua no nā maʻi huna huna (syphilis, trichomoniasis, chlamydia, etc.). Ma hope wale nō o ka loaʻa ʻana o nā hopena o nā haʻawina āpau, hiki iā ʻoe ke hoʻoholo i nā ʻano o ka mālama hou ʻana.

Inā ʻaʻole ʻike ʻia nā maʻi moe kolohe, a ʻaʻole ʻike ʻia ka mumū o kahi ʻano kikoʻī (candidiasis, vaginal dysbacteriosis), a laila ʻaʻole pono e mālama i ka defect mucosal. ʻAʻole pili ke ʻano o ka erosion i loaʻa i ka wahine.

ʻO ka hana diagnostic aʻe, ʻo ia ka lawe ʻana i kahi smear e ʻike ai i nā cell atypical. Inā maikaʻi ʻole, a laila pono ʻoe e lawe i kahi ʻano kali-a-ʻike. ʻO kēia ma muli o ka hiki ke hoʻoholo ʻia e kekahi erosion e kūʻē i ke ʻano o ke olakino piha o ka ʻōnaehana hānau. ʻOiai inā ʻaʻohe lāʻau lapaʻau, ʻaʻole e koi ʻia ke ʻoki a hiki i ka ʻike ʻia ʻana o nā loli i makemake ʻole ʻia ma ka cytology smear, a i ʻole nā ​​​​hōʻailona ʻē aʻe e hōʻike ana i ka loaʻa ʻana o ka dysplasia cervical nui.

Pono ka hoʻomaʻamaʻa erosion inā ua uhi ʻia i ka maʻi ʻeha, a i ʻole he kaʻina inflammatory i loko o ka ʻōpū. Hoʻemi ʻia ka Therapy i ka lawe ʻana i nā lāʻau lapaʻau (antibiotics, antifungal and anti-inflammatory drugs), pono e hana pololei i ke kumu o ka pathology. Loaʻa ka holomua o ka hoʻoponopono olakino ma 90% o nā hihia. Hiki ke mālama ʻia ka Therapy a hiki i 3-4 mau mahina. Ma hope wale nō o kēia manawa hiki ke hoʻoholo i ka hana ʻana i ke kaʻina hana me ka hoʻohana ʻana i hoʻokahi ala a i ʻole kekahi (ke kaʻina hawewe radio, laser a i ʻole coagulation kemika, diathermocoagulation, etc.).

Hōʻike ʻia ka hana no ka dysplasia koʻikoʻi, i ʻike ʻia e nā hopena o kahi hoʻokolokolo cytological o kahi smear. ʻAʻole ia he mea nui inā loaʻa kahi hana inflammatory i loko o ka ʻōpū a i ʻole. Wehe ʻia nā ʻiʻo i hoʻopilikia ʻia.

Kāohi ʻana i ka ʻinoʻino o ka ʻōpū

Ua lokahi nā kauka a pau i ka manaʻo hoʻokahi - ʻo ka erosion, e like me nā maʻi ʻē aʻe, ʻoi aku ka maʻalahi o ka pale ʻana ma mua o ka manawa lōʻihi, a, i kekahi manawa, he mea ʻeha ke hoʻopau ʻia. No laila, he pilikia koʻikoʻi ka pale ʻana i kēia pathology cervical:

• Ma muli o ke olakino a ʻaʻole ʻole ka wahine, pono ʻo ia e hele i nā hoʻokolohua maʻamau e ka gynecologist. He mea nui ka nānā ʻana a me ka laʻana smear;

• He mea nui i ka wahine ke mālama i nā lula maʻemaʻe haʻahaʻa, ʻaʻole e poina e pili ana i ka pono e komo i ka lole i hana ʻia mai nā mea maikaʻi;

• ʻO ka hoa pili pili paʻa he hōʻoiaʻiʻo o ka pale ʻana i ka hapa nui o nā maʻi i hoʻouna ʻia e ka wahine, a ʻo ia hoʻi, hiki ke hoʻonāukiuki i ka erosion. Mai haʻalele i kēlā ʻano kumu mua o ka contraception e like me ka condom. ʻAʻole ia e pale i ka wahine mai nā maʻi wale nō, akā, mai ka hāpai ʻana i makemake ʻole ʻia, hiki ke alakaʻi i ka hōʻeha ʻana, ka ʻeha a me ka erosion;

• He mea nui e nānā i ke kūlana o ka ʻōnaehana pale a hoʻopau i nā maʻi i ka manawa. No kēia kumu, pono ka lawe ʻana i ka vitamina a me ka mineral complexes, i pili pono i ka hāʻule a me ka pūnāwai. Ma kēiaʻano, ka hana kino, kaʻai kaulike, nā papa yoga, a me nā mea'ē aʻe, "hana" maikaʻi loa ma ka pūnaewele immune.

Ua lawa kēia mau hana i mea e pale aku ai i kahi maʻi ʻino ʻole e like me ka cervical erosion, ʻoi aku hoʻi no nā wahine nulliparous. Ma keʻano maʻamau, ma mua o ka hoʻolālāʻana i ka hāpaiʻana,ʻoi aku ka maikaʻi o ka hoʻopauʻana i ka erosion, ināʻaʻole ia he congenital. E kōkua kēia i ka mālama ʻana i ke olakino o ka wahine a me ke keiki hānau ʻole.