Txawm li cas los xij, nws muaj peev xwm pom tau hais tias muaj erosion ntawm lub ncauj tsev menyuam, yog tias ib tug poj niam yws yws ntawm qhov mob thaum lub sijhawm ua ke, yog tias muaj ntshav (xim av lossis liab dawb) tso tawm los ntawm qhov chaw mos.
Diagnostics
Txhua tus poj niam yuav tsum tau tsawg kawg yog ib zaug ib nrab ntawm ib xyoo rau kev soj ntsuam ginecological, yog li ntawd qhov kev ntsuam xyuas tau ua rau lub sijhawm. Tus kws kho mob tshuaj xyuas qhov ncauj tsev menyuam thiab, yog tias tsim nyog, ua rau muaj kab xoos.
Yuav kom muab cov kev kho mob zoo, ib tus kws kho mob tshwj xeeb yuav tsum paub txog qhov ua rau muaj mob. Nws tsim nyog los ua cov kev tshawb fawb nram qab no:
1) Smear los xyuas txog qhov kev pom tseeb ntawm paum ntawm qhov chaw mos. Ib tus yeeb yuj tuaj yeem paub txog qhov mob ntawm qhov chaw mos, uas ua rau kom muaj qhov mob ntawm lub ncauj tsev menyuam.
2) Tshawb nrhiav pom tias STDs, uas feem ntau ua rau tus kab mob no loj hlob (urogenital chlamydia, trichomoniasis, mycoplasmosis thiab cyproplasmosis, gonorrhea, papillomavirus infections, herpes herpes, thiab lwm yam).
Yog tias tus mob pom tseeb, yuav tsum muaj kev tshawb fawb ntxiv, uas ua rau kom tsis txhob muaj qhov mob qog nqaij hlav ntawm ncauj tsev menyuam. Tshuaj tua kab mob qog nqaij hlav thiab poj niam caws pliav yog ua tiav.
Yaig thiab pseudo-yaig ntawm lub ncauj tsev menyuam
Cov mucous membrane pleev cov ncauj tsev menyuam thiab muaj ob hom hlwb: prismatic epithelium, uas feem ntau yog nyob rau hauv tsev menyuam qhov ncauj thiab lub plab epithelium hauv qhov chaw mos ntawm lub ncauj tsev menyuam.
Hauv cov poj niam hluas, nrog rau cov neeg uas nws cov ntshav qib ntawm cov tshuaj no tau nce, pseudo-erosion yuav tshwm sim tau, i.e. qhov tawm ntawm prismatic epithelium mus rau mucous membrane ntawm lub paum. Yog hais tias hormonal dysfunctions, as well as inflammatory processes nyob rau hauv cov appendages tsis tuaj, cov kws kho mob feem ntau muaj kev txwv rau kev soj ntsuam txhua txhua ib nrab xyoo thiab cyological soj ntsuam.
Qhov tseeb erosion yog, raws li txoj cai, nrhiav tau. Nws ua tau yog mob STDs, mob vaginitis, colpitis, kev raug mob ntawm ncauj tsev menyuam.
Qhov tshwj xeeb uas pab rau txoj kev loj hlob ntawm qhov ncauj ntawm lub ncauj tsev menyuam yog: kev tiv thaiv tsawg, kev sib deev ntawm lub neej thiab qhov nws pib ntxov, hormonal ntshawv siab.
Kev kho mob ntawm ncauj tsev menyuam
Yog hais tias cev xeeb tub rau tus poj niam tseem nyob, nws yog ib qho tsim nyog yuav tau ua qhov teeb meem ntawm kev xaiv ntawm ib txoj kev kho mob ntawm ncauj tsev menyuam yaus muaj kev lav ris.
Los ntawm nws tus kheej, tus kab mob no tsis tiv thaiv kev xav. Txawm li cas los xij, nws tuaj yeem ua rau kis tau tus kab mob thiab muaj qoob loo rau cov qe ntshauv, uas ua rau muaj mob ntawm tus menyuam.
Hauv cov poj niam uas muaj tus kab mob no thaum lub caij ua haujlwm, lub caj dab rupture feem ntau tshwm sim vim qhov tsis zoo ntawm cov ntaub so ntswg.
Yog li, nws yog qhov zoo dua los npaj plab me nyuam tom qab lub tsev kho mob yaig.
Tej zaum yeeb tshuaj kho. Kev siv cov tshuaj tiv thaiv pab tiv thaiv kom tsis txhob ua rau ntawm qhov ncauj ntawm lub ncauj tsev menyuam. Muaj cov kab mob kis tau zoo (mycoplasmosis, mob ntses, chlamydia, trichomoniasis, lwm yam), qee zaum, ib qho yuav tshem tau yaig.
Tus kws kho mob-gynecologist los ntawm kev soj ntsuam thiab kev ntsuam xyuas kuj yuav txiav txim siab siv txoj kev siv tshuaj lom kab mob rau kev kho mob yaig.
Ntawm cov txhais tau tias - Solkovagin. Cov tshuaj no yog siv rau qhov chaw ntawm kev yaig, vim yog lub hlwb tuag taus, thiab lawv qhov chaw yog nyob ntawm lub hlwb. Feem ntau Solkovagin yog siv thaum muaj pseudo-yaig.
Vagotil - ib hom tshuaj uas ua rau tuag ntawm cov "mob" ntawm cov hnoos thiab muab kev hloov ntawm lawv cov kev noj qab haus huv tshiab. Cov tshuaj no tseem ua rau cov kab mob pathogen nyob rau hauv lub ncauj tsev menyuam.
Txoj kev siv yeeb tshuaj yog qhov sib txawv tshaj plaws. Nws muaj kev nyab xeeb thiab yog tias tus poj niam tseem tsis tau yug me nyuam thiab npaj ua kom tiav nyob rau lub caij cev xeeb tub tom qab kev kho mob ntawm ncauj tsev menyuam.
Cov kev kho mob tsis siv tshuaj yog siv cov kev siv hauv qab no.
Cryodestruction los yog te ntawm ncauj tsev menyuam. Cov hom no muaj nyob rau hauv qhov kev txiav txim ntawm cov kua nitrogen, uas yog ib yam uas tsis tshua muaj qhov kub, nyob rau ntawm qhov chaw yaig. Raws li cov txiaj ntsim ntawm cov txheej txheem, lub hlwb raug tuag, tab sis cov neeg noj qab nyob zoo tsis cuam tshuam dab tsi.
Hom no tsis mob. Vim nws siv, nti thiab ncauj tsev menyuam deformities tsis tshwm.
Laser coagulation yog ib txoj hauv kev ua kom zoo los ntawm laser cauterization. Lub laser raug rhuav tshem cov "mob" cov hlwb, mus rau qhov tob rau hauv cov ntaub so ntswg. Ze hlwb zoo li qub.
Txoj kev ua no tsis tawm ntawm qhov caws pliav thiab tsis hloov qhov muag ntawm lub ncauj tsev menyuam, uas yog qhov tseem ceeb, yog tias tom qab kev kho mob ntawm ncauj tsev menyuam, kev plab hnyuv yog npaj.
Diathermocoagulation yog qhov radical tshaj plaws thiab kev sib ntaus. Txoj hlab dej ntawm lub ncauj tsev menyuam yog cauterized siv hluav taws xob tam sim no, ua rau muaj kev tuag ntawm cov hlwb puas. Cov txheej txheem no coagulates tsis tsuas yog lub qhov ntawm yaig, tab sis kuj qis dua ib feem ntawm lub tsev menyuam nkauj kwj. Kho tshwm sim nyob rau hauv 6-7 lub lim piam. Qhov kev kho no ua rau kom txoj hlab ntsha hauv lub tsev me nyuam, txoj kev coj khaub ncaws tuaj yeem cuam tshuam.
Qhov no yog tsis txaus los thov rau nulliparous. Txwv tsis pub, kev ceev faj soj ntsuam ntawm ncauj tsev menyuam ua ntej yuav tsum tau xa. Tom qab kho los ntawm diathermocoagulation, tag nrho cov hlab ntaws ntawm lub ncauj tsev menyuam yuav tshwm sim, uas tuaj yeem ua rau kev ua haujlwm ntawm kev mob, kev raug mob hauv plab, lub caj dab rupturures. Lub ncauj tsev me nyuam yuav tsum tau npaj ob lub lis piam ua ntej yug me nyuam, thiab siv tshuaj tua kab mob hauv kev yug me nyuam. Qee zaum, yug me nyuam tom qab diathermocoagulation yuav tsis yooj yim sua, nws yog ib qho tsim nyog yuav tau mus ncig rau Caesarean seem.
Ib qho ntawm txoj kev tshiab tshaj plaws yog xov tooj cua yoj, uas muaj nyob rau hauv qhov kev txiav txim ntawm lub xov tooj cua yoj ntawm cov ntaub so ntswg puas. Qhov no yog txoj kev mob tsis txawj. Ua kom tiav zoo qhov chaw nyob rau hauv ib lub sij hawm luv luv. Cev xeeb tub tom qab kev kho mob nrog rau hom kev kho no tuaj yeem npaj nyob rau hauv lub phaum tom ntej.
Nws yuav tsum nco ntsoov hais tias kev yaig ntawm lub ncauj tsev menyuam yuav tsum kho, vim tias nws ua rau mob cancer ntawm ncauj tsev menyuam.