Mob txhuam thiab mob hnyav ntev: mob, kuaj, kho

Cervicitis yog ib qho kev sib kis mob hauv lub ncauj tsev menyuam, nrog rau kev mob ntawm qhov hnoos thiab qhov mob ntawm qhov ncauj ntawm lub ncauj tsev menyuam. Kev mob qog nqaij hlav tsis tshua muaj kev sib cais, nyob rau hauv 75-80% ntawm tus neeg mob, tus kab mob yog nrog cov pathies uas nyob ib sab - vaginitis thiab endometritis. Txoj kev khiav qog nqaij hlav tuaj yeem ua rau mob qog nqaij hlav ntawm lub ncauj tsev menyuam, tsim cov pob txha nyob rau hauv lub uterine cov kab noj hniav, ua rau lub cev tsis zoo ntawm lub tsev menyuam ntawm lub tsev menyuam, ntxiv lawm tshob.

Kev kho mob: ua rau

Nws tshwm sim los ntawm kev nkag mus rau hauv qhov dej ntawm lub ncauj tsev menyuam ntawm streptococci, staphylococci, E. coli, tsawg zaus - kab mob, trichomonads. Ib hom kab mob microflora thiab chlamydia ua lub luag haujlwm hauv qhov tshwm sim ntawm tus kab mob siab. Kev kho mob ntawm syphilitic los yog tuberculous etiology yog piv tsis tau.

Kev Nyuaj Siab:

• lub caij nyoog nyhav;
• kev voos ntawm ncauj tsev menyuam los ntawm tshuaj lom neeg / cov khoom siv tiv thaiv kabmob;
• weakening ntawm kev tiv thaiv, omission ntawm uterus;
• kev puas cev (ntau tus neeg muaj mob raum los ntawm ncauj tsev menyuam / ncauj tsev menyuam);
• ectopia ntawm lub ncauj tsev me nyuam, phais mob plab me nyuam.

Ntau yam ntawm pathology

1. Viral mob plab. Tus neeg sawv cev ntawm tus neeg mob yog tus kab mob uas twb muaj nyob hauv lub cev - HIV, herpes simplex, tib neeg papillomavirus. Viral cervicitis tshwm sim nws tus kheej tshwj xeeb tshaj plaws - muaj kev ntxhov siab thaum tso zis, mob khaus loj hauv lwm qhov chaw hauv nruab plab hauv plab, kev mob siab rau hauv plab hauv plab.
2. Purulent cervicitis. "Pib" tiv thaiv keeb kwm ntawm venereal cov kab mob, yog raug ntxiv los ntawm kev sib ntxiv ntawm qhov ncauj ntawm lub ncauj tsev menyuam ntawm ncauj tsev menyuam thiab qhov mob ntawm cov khoom siv celluloid ntawm cylindrical epithelium. Purulent cervicitis provokes inflammatory kev sib xyaw lwm yam kabmob ntawm qhov kev ua me nyuam yaus, tiv thaiv kabmob ntawm lub fetus, thiab ua rau obstetric pathology.
3. Kab mob cervicitis. Nws tawm los ntawm kev ua ntawm cov kab mob pathogenic. Pathologies yog preceded by gonorrhoea, trichomoniasis, qhov chaw mos dysbiosis.
4. Atrophic cervixitis. Nws tshwm sim los ntawm qhov nkag mus ntawm tus kab mob thaum lub sij hawm tsis muaj kev tiv thaiv los yog tsim tawm tom qab tsis muaj kev rho me nyuam thiab kev txheeb xyuas qhov mob.
5. Cov kab mob cysticitis. Tus kab mob yuav txuam nrog kev tiv thaiv kab mob ntawm Candida fungi nyob rau hauv lub ncauj tsev menyuam.
6. Diffuse cervicitis. Tus kab mob uas kis thoob plaws hauv qhov chaw mos ntawm lub tsev menyuam.

Mob khees-xaws zaus: mob thiab mob

Thaum thawj theem, qhov qog ntawm qhov ncauj tsev menyuam hauv lub ncauj tsev me nyuam cuam tshuam nrog kev koom tes ntxiv hauv txoj kev ua haujlwm ntawm lub plab. Qhov mob ntawm tus kab mob cervicitis yog tus cwj pwm ntawm cov kab mob qog nqaij hlav, qhov txuam nrog cov leukocytes nyob ze ntawm cov qog thiab cov hlab ntsha, cov menyuam yaus / cov laus tsis tuaj yeem. Cov neeg mob muaj kev txhawj xeeb txog kev mob plab hauv plab hauv plab, hlawv hauv qhov chaw mos, mucopurulent lossis purulent discharge tawm ntawm qhov chaw mos, qhov kev mob ntshav tsis tu ncua, nquag hu kom tso zis. Thaum kuaj gynecological qhia txog qhov puffiness, reddening qhov mucosa ntawm qhov chaw mos ntawm qhov chaw mos, qhov cim ntawm pseudo-erosion lossis "kev yaig tas li."

Tus mob "acute cervicitis" yog nyob ntawm qhov kev kuaj mob ntawm ncauj tsev menyuam nrog kev pab ntawm colposcope thiab vaginal mirrors, ib qho anamnesis, kuaj cov kab mob ntawm cov tsiaj txhuam cais ntawm ncauj tsev menyuam. Rov qab kis kab mob, kis tau tus kab mob, ua npaws - ib lub sijhawm rau kev tshawb nrhiav kab mob virological. Txoj kev kho yog ua noj rau hauv tus account lub theem ntawm tus kab mob, cov accompanying pathologies, qhov ntawm pathogen. Muab cov tshuaj pleev ua dej nrog kua lactic acid, chamomile infusion, antibiotics los yog sulfonamides (kab mob C), tetracycline thiab Doxycycline (chlamydial C), metronidazole (anaerobic microflora), leukocyte interferon preparations (viral C).

Kev kho mob - mob lwm yam:

• rov qab muaj kab mob hauv cov kab mob ntawm cov kab mob genitourinary;
• "Tua tawm" ntawm txoj kabmob pathological: ncauj tsev menyuam yaus - dysplasia - oncology;
• polyps rau ntawm lub ncauj tsev menyuam thiab hauv cov menyuam mos;
• malignant degeneration (malignancy) ntawm kev tsim cellular ntawm lub tsev menyuam;
• qaub ncaug, ntxiv lawm tshob.

Mob txhuam hniav ntev ntev: cov tsos mob, kev kuaj mob, kev kho mob

Tus mob nyob ntev ntawm tus kab mob yog qhov tsim nyog tau txais kev kho mob tsis tu ncua. Cov kab mob ntawm lub qhov ncauj tawm los yog purulent paug los ntawm qhov chaw mos, edema thiab muaj zog hyperemia ntawm lub ncauj tsev menyuam.

Morphological tsos mob ntawm cov mob ntev:

• Cov nqaij thiab cov ntaub so ntswg ntshis muaj feem xyuam rau txoj kev ywjpheej;
• Tshaj tawm ntawm qhov chaw mos yog mob loj hlob 1-2 hnub tom qab xaus kev qoj ib ce;
• tus poj niam lub tsev me nyuam tau tus kab mob rov qab, qhov tsis txaus siab ntawm tus epithelium tsis cais;
• Lub ncauj tsev menyuam yog hypertrophied thiab compacted;
• phaj epithelium ib ntu hloov cylindrical epithelium; metaplasia ntawm epithelium yuav yog;
• muaj infiltrates thiab hlwv.

Diagnostic ntsuas

Kev kuaj mob ntawm tus mob hniav mob ntev yog feem ntau nyuaj vim lubricated cov tsos mob, uas ua rau kev kho tsis kho thiab kev hloov ntawm tus kab mob mus rau ib txoj kev ntev uas tshwm sim nrog kev sib zog, tsis yooj yim rau teb cov tshuaj kho.

Stepwise sib txawv ntawm kev kho mob ntawm tus mob cervicitis:

• ceev faj soj ntsuam ntawm anamnesis nrog tus account obligatory ntawm qhov raug xa mus ua hauj lwm thiab kev pabcuam ua haujlwm hauv gynecological;
• kev ntsuam xyuas ntawm daim duab saib mob;
• kev soj ntsuam ntawm lub tsev me nyuam thiab ncauj tsev menyuam qhov muag nrog kev pab ntawm tsom iav;
• txoj kev tshawb fawb ntawm kev soj ntsuam ntawm cyology, kev tshawb fawb microbiological.

Cov kev ntsuam xyuas uas tsim nyog:

• lub cev ntws tawm ntawm qhov chaw mos, cov hlab ntaws, ncauj tsev menyuam ntawm cov kab mob muaj kab mob;
• smear oncocytology;
• bacteriological kab lis kev cai nrog kev rho tawm ntawm pathogen, qhov paub tias nws muaj peev xwm mus rau cov tshuaj tua kab mob;
• kev ntsuas ntawm cov zis, ntshav;
• kuaj ntshav rau HIV thiab syphilis, cog qoob loo ntawm kab mob;
• colposcopy (kuaj pom cov deformed ntu uas txawv hauv cov kab mob qog, xim, cov qauv ntawm qhov seem ntawm lub npoo);
• kuaj mob ntawm tus kabmob, mycoplasmal, chlamydial, papillomavirus, kab mob khees.

Kev kho mob ntawm tus mob cervicitis

1. Ntaus tawm (tshem tawm) ntawm tus neeg mob kis. Kev siv tshuaj tiv thaiv kab mob antibacterial, antiprotozoal, antimycotic action (Tantum Rose, Terzhinan, Polizinaks). Thaum muaj kabmob, mob chlamydial, trichomoniasis, candidiasis, kev kho mob hauv zos yog txhawb nqa nrog qhov ncauj noj tshuaj.

2. Tshem tawm ntawm foci ntawm ectopia (pseudo-erosion). Cov kab mob kis thiab kab mob chlamydial txhais tau hais tias kev siv cov kev kho mob ntawm kev kho mob (kev txiav txim siab cryosurgical, laseraporapisation, electroconjuration). Thaum ua qhov kev puas tsuaj ntawm kev hloov exocervix, qhov muaj tus mob yog tas coj mus rau hauv tus account. Yog hais tias nws tsis muaj peev xwm ua kom tau zoo tom qab kev puas tsuaj lawm, yuav tsis tau txais txoj cai epithelization ntawm lub qhov ncauj ntawm lub ncauj tsev me nyuam ntev, uas yuav ua rau caws pliag ntawm kev quab yuam, endometriosis ntawm tsev menyuam, thiab pom ntawm ntau lub hlwv.
3. Kho ntawm qhov chaw mos ntawm microbiocenosis. Rau kev siv tshuaj tua kabmob (immunocorrection) siv cov tshuaj tiv thaiv kabmob (Imudon) thiab eubiotics (Hilak-tote).

Npaj rau kev kho mob ntawm tus mob hlab ntaws:

• Doxycycline (0.2 g ib hnub hauv chav kawm);
• Acyclovir (200 mg tsib zaug ib hnub twg rau 5 hnub);
• Sumamed (ib koob, noj tshuaj yog txiav txim los ntawm tus kws kho mob nyob ntawm seb hom kab mob zoo li cas);
• Valtrex (ob zaug ib hnub twg rau 500 mg rau 5 hnub);
• Terzhinan (ib lub hnub tom qab, tsis pub dhau 10-12 hnub);
• Tarium (ib zaug 2 ntsiav tshuaj);
• Maksakvin (ib zaug ib hnub rau 400 mg, lub sijhawm tau txais kev tso cai yog txiav txim los ntawm tus kws kho mob);
• Erythromycin (ntev npaum li cas ntawm kev kawm / tshuaj noj tau txiav txim los ntawm kws kho mob nyob ntawm seb hom kab mob pathogen).

Cov tswm ciab los ntawm ncauj tsev menyuam

Npaj nyob rau hauv daim ntawv ntawm suppositories (suppositories) dav siv nyob rau hauv txoj kev kho mob ntawm mob hlwb cerebrovascular. Lawv siv ua kom taw tes rau lub immunopathogenesis ntawm cov txheej txheem inflammatory los ntawm regenerating cov nyom homeostasis. Qhov kev sib piv ntawm Cheebtsam hauv lub cev pabcuam kev nqhis dej ntawm lub tsev menyuam hnyuv thiab kev ua siab ntev.

Terzhinan. Antifungal thiab antibacterial tswm ciab ntawm complex kev txiav txim, yog active tawm tsam pyogenic cov kab mob, trichomonads, anaerobic flora, Candida fungi. Muaj ib qho chaw txuam rau hauv zos. Cov khoom txawb ntawm cov tswm ciab yuav tsum muaj lub meej mom ntawm qhov chaw mos ntawm epidermal hauv cov kab mob inflammatory, ua kom muaj tus nqi pH li qub.

Polizhinaks. Muab tshuaj tua kabmob, uas yog los ntawm antifungal, bactericidal, antibacterial effect. Yam Ntxim Saib Ntxim Ua Polyzhinaksa (polymyxin, neomycin) cuam tshuam rau ntau yam kabmob Gram-positive / Gram-negative microorganisms, txhim kho trophic cov txheej txheem nyob rau hauv qhov mucous membrane ntawm qhov chaw mos.

Betadine. Antimicrobial suppositories ntawm lub dav spectrum ntawm kev txiav txim, zoo tiv thaiv kab mob vwm, fungi, kab mob, sai dua qub lub cev microflora ntawm qhov chaw mos.

Macmirror txoj. Cov tswm ciab yog ib feem ntawm ib pawg antiseptics thiab antimicrobials. Lawv muaj antifungal, antibacterial, antiprotozoal cov nyhuv. Tsis txhob ua txhaum ntawm lub cev muaj mob, rov qab kho qhov txawv ntawm qhov chaw mos.

Kev mob qog nqaij hlav hauv plab

Qhov teeb meem ntawm qhov ncauj tsev menyuam tseem ceeb heev thaum cev xeeb tub. Lub xub ntiag nyob rau hauv lub anamnesis ntawm qhov kev ntsuam xyuas ntawm "cervicitis" txhais tau hais tias muaj kev muaj feem ntau ntawm kev yug menyuam ntxov, purulent-septic complications, intrauterine infection ntawm fetus. Hauv tebchaws Russia, qhov feem pua ​​ntawm cov mob kis tau tus kabmob no nws txawv ntawm 6-50%, nce txog 75% ntawm cov menyuam yaus preterm. Cov xwm txheej ntawm lub plab tuag hauv plab los ntawm no pathology txawv ntawm 3% txog 65%. Muaj tsib txoj kev tiv thaiv ntawm tus neeg mob kis mus rau hauv lub cev ntawm ib tug poj niam cev xeeb tub: nqis roob, qaum, tov, hloov cev, hematogenous. Qhov feem ntau txaus ntshai yog lub ascending ib, nyob rau hauv uas tus kab mob nkag mus rau hauv lub tsev me nyuam los ntawm lub tsev menyuam nkauj kw. Lub siab lub ntsws ntawm qhov ncauj ntawm qhov ncauj ntawm ncauj tsev menyuam yaus ua haujlwm rau "qhov rooj" yooj yim rau cov kab mob pathogenic thiab kab mob. Yog tias tus mob intrauterine tau tshwm sim rau thaum ntxov ntawm cev xeeb tub, embryopathies yog tsim provoking primary placental placement insufficiency thiab congenital malformations - qhov no tshwm sim hauv kev tsis muaj menyuam tsis muaj menyuam thiab qis qis.

Kev kis tus kab mob qis thaum lig yog nrog kev loj hlob ntawm tus menyuam hauv plab, qhov chaw thoob plaws / qhov chaw nyob ntawm tus me nyuam hauv plab, tsim kom muaj cov plhaus nkas tsis tuaj ntxiv. Cov kab mob zoo tshaj plaws mas feem ntau tsim nyob rau thawj peb lub hlis thaum cev xeeb tub, thaum lub fetus tseem tsis tau ua rau lub cev muaj mob. Nyob rau hauv peb lub semester, kev hloov ntawm cov kabmob ua rau obtos (blockage) lossis qhov tseem ceeb ntawm qhov kev qhib / kev, uas ua rau anomalies ntawm cov khoom uas twb tau tsim - hydronephrosis thiab hydrocephalus. Thaum lub sij hawm gestation (pes tsawg lub lim piam gestation), lub ncauj tsev me nyuam tiv thaiv lub plab me me thiab lub uterine kab noj hniav los ntawm cov kab mob exogenous, ua lub luag hauj lwm. Cervicitis provokes ntxov ntxov txiav ntawm kev xeeb tub vim muaj tus kab mob ntawm embryo, placenta, amniotic kua, tus fetus nws tus kheej.

Kev kis tus kab mob ntawm cov dej thiab kab mob yog ua tau rau mob qog nqaij hlav. Cov kab mob pathogenic nkag mus rau hauv lub fetal kua, migrate nruab nrab ntawm lub week thiab ncav lub phaj hauv qab, qhov chaw uas lawv tiv thaiv los ntawm leukocyte infiltration. Zoo tib yam rau cov kua amniotic, ib hom kab mob ntawm tus kab mob yog teeb tsa, uas ua rau tuag plab tuag.

Kev kho mob khees xaws: kev kho thaum cev xeeb tub

Kev kho mob thaum lub cev xeeb tub yuav tsum tau kuaj xyuas qhov tseeb thiab txoj kev kho mob. Tso tshuaj antiviral, antifungal, antibacterial drugs, muab hom kab mob kis thiab nws cov tshuaj tsis haum. Txoj kev nyab xeeb thiab zoo tshaj plaws rau kev kho mob ntawm tus kab mob hlab ntsws hauv cov poj niam cev xeeb tub yog Sumamed. Nws yog zoo tsim nyob rau hauv kev kho mob ntawm mycoplasmal, ureaplasma, mob chlamydial. Sumamed (active substance - ministromycin) mob siab rau kev mob siab rau 5-8 hnub, uas tso cai rau cov kws kho mob kom tsim tau lub sijhawm luv (3 hnub) thiab muaj kev nyab xeeb rau cov hoob kawm kho mob. Txoj kev kho kom sai thiab tsim nyog yuav tsis tuaj yeem ua rau cov nyom uas cuam tshuam nrog kev xeeb tub, thiab tseem yuav ua rau muaj kev coj tus cwj pwm.

Kev kho mob ntawm tus mob hlwb nrog kev kho neeg

Zaub mov ntawm cov tshuaj siv tshuaj rau kev kho mob ntawm lub tsev menyuam muaj peev xwm tsuas siv "ua ke" nrog kev cai thiab tsuas yog tom qab sib tham nrog cov kws kho mob. Kev noj tshuaj rau yus tus kheej tuaj yeem ua rau muaj teeb meem loj.

1. Broths rau douching:

   • noj nyob rau hauv sib npaug proportions nyom spores, nplooj ntawm peb-leafed watch, lub keeb kwm ntawm elecampane, txiv hmab txiv ntoo ntawm fennel, tus tswv yug yaj tus tswv yug lub hnab. Ob lub thawv loj ntawm ib phau tuaj yeem nrog 500 milliliters ntawm cov dej rhaub dej, kom ceev ceev ntawm hluav taws kub ntawm 10-15 feeb, mus rau insist, kom txias. Siv daim ntawv sov sov;
   • noj nyob rau hauv sib npaug proportions bark ntawm willow dawb, nplooj ntawm niam-thiab-stepmother, birch, noog cherry, nyom ntawm nettle, juniper keeb kwm, caraway noob, straw ntawm oats. Ob tablespoons ntawm sau (loj) ncuav 500 milliliters ntawm boiling dej, kom zoo zoo lim, txias. Thov hauv daim ntawv sov;
   • ua ke npaj, Icelandic Moss, Goose's goatee, Sage, woodruff, lilac paj, chicory paus. Ncuav ob dia ntawm ib tug qhuav sib tov nrog ib tug liter ntawm boiling dej, insist 10-15 feeb, ntws. Siv hauv lub xeev sov.

2. Cov tsuaj tshuaj:

   • noj cov hauv paus hniav mountaineer, dandelion, flax noob, birch nplooj, kipreja, celandine nyom, wormwood, sage, lilac paj. Zom rau hauv hmoov 50 grams ntawm cov khoom, ncuav 500 milliliters ntawm dej huv, boil nyob rau hauv ib cov dej da dej hauv 2 zaug. Ntxiv melted butter rau lub hau (50 milliliters), rhaub dej kom txog 20 feeb, ntxiv glycerin (50 milliliters), txias zoo;
   • Icelandic Moss, calendula, clover, juniper Pine, plantain, flax noob, hiav txwv buckthorn, horsetail teb, chamomile. Cov khoom xyaw chop, ncuav 500 milliliters dej, boil ob zaug, ntxiv melted butter (50 milliliters) thiab glycerin (50 milliliters). Boil lwm 20 feeb, txias. Tso npe rau bandage tampons.

3. Infusions rau qhov ncauj kev tswj hwm:

   • noj nyob rau hauv vaj huam sib luag proportions wormwood, txiv qaub balm, flax nyom, wormwood, triple nplooj nplooj, blueberries. Cov khoom xyaw zoo grind, mix. Ib tug teaspoon ntawm tus sau kom tiav nrog 250 milliliters ntawm boiling dej, insist 2-3 teev, ntws. Haus lub Txoj kev lis ntshav tom qab 20-25 feeb tom qab noj mov;
   • mus cuag cov ntaiv ke nrog cov Goose, tansy, cumin noob, celandine nplooj, guelder rose, geranium. Zom, qhuav, brew ib tug tablespoon ntawm sau 350 milliliters ntawm boiling dej. Siv 1.5-2 teev tom qab noj mov;
   • noj cov nplooj ntoo ntawm cov pob zeb, cov txiv ntoo, cov ntoo ntawm St. John lub tsho, cov tsiaj phom, mint, kab ntsig (hauv vaj huam sib luag). Ib tug tablespoon ntawm tshuaj ntsuab mus brew 250 milliliters ntawm boiling dej, insist, lim. Haus peb zaug ib hnub twg rau 20-30 feeb ua ntej noj mov.

Kev Tiv Thaiv ntawm Cervicitis:

• cov kev kuaj mob li niaj zaus ntawm tus kws tshwj xeeb tshwj xeeb;
• kev kho mob ntawm cov kab mob urinary, kab mob venereal;
• txhawb kev tiv thaiv;
• hormonal contraception thaum lub caij lawm.

Kev mob khees-xaws yog ib txoj kev ua mob loj heev uas tuaj yeem ua rau mob ntxiv lawm, yog li ntawd nws tsis tuaj yeem tsis quav ntsej qhov "thawj tswb" uas qhia tias muaj kab mob hauv qhov chaw mos. Kev tsim nyog thiab sij hawm kho tus kab mob yuav ua rau koj kom tsis txhob muaj teeb meem kev noj qab haus huv thiab muaj teeb meem nrog xeeb thiab yug tus me nyuam.