Iimbangela, iimpawu, unyango lwentsholongwane yomlomo wesibeleko

Inxalenye yangaphakathi yomlomo wesibeleko ihlanganiswe neeseli zemijondolo. I-Epithelium iyakwazi ukuhamba ngokukhululekile, ihambe ngaphaya kwemida yomzimba, wandise. Kuzo zonke iziganeko zengqondo zengqondo zomzimba zenziwa. Le yintsholongwane engesiyo isifo, kodwa idinga unyango olufanelekileyo kunye nokujonga rhoqo. Yakhiwe kuphela kwindawo enempilo ye-mucosa kwaye iquka ukukhulelwa kwenyaniso okwenziwe kwangaphambili.

Ulwazi jikelele

Umlomo wesibeleko udibanisa ngqo kwisibeleko ngokwawo kunye nesisu. Ngaphesheya kwelokugqibela, intamo ihlanganiswe ngamaseli athile kumacandelo amaninzi. Isitya somngcipheko sihlanganisa izixhobo zesimo se-cylindrical. Zifumaneka kwindawo enye. Xa la maseli ehamba ngaphaya komngxube kwaye ahlwele iiplati eziphambeneyo, athetha nge-ectopy, oko kukuthi, i-pseuderosion ye-cervix.

Ngokuqhelekileyo, le nkqubo yentsholongwane iyiphumo lokuphulwa kwinqanaba le-innate. Ngamanye amaxesha kubunjwa ngenxa yokuguguleka kwenyaniso kwangaphambili. Le ndlela yokugqibela ayiqhelekanga. Ugxininiso oluthile lubonisa isifo esingenanto kwi-mucosa yesibeleko, ngemikhumbi yokuphuma. Ukuphulukisa, kunele ukuphelisa ukugxilwa. Ukuba unyango olwaneleyo alufumaneki, ukukhubazeka kuya kuba yintsikelelo.

I-Ectopia ifunyanwe ikakhulu kubasetyhini abangaphantsi kweminyaka engama-30 ubudala kunye nezinga eliphezulu egazini le-estrogens okanye ngexesha lokukhulelwa, xa kukho utshintsho kwizinga le-hormonal.

Amanyathelo, iintlobo zokugula

1. Ngokwemvelaphi, i-pathology ingaba yintsholongwane, i-dyshormonal okanye i-post-traumatic.
2. Ngokuxhomekeka kuhlobo lokukhula kwe-epithelium, i-glandular, i-papillary kunye ne-metaplasia yeeseli ezicwebileyo zodwa.
3. Iingqinisiso zentuthuko zingaba zihamba phambili, ezizinzileyo kunye nezipho zokuphilisa.

Ekuqaleni ngokunyuka kancinci ngokukhulula i-epithelium ye-cylindric iifom zeempawu ezikhethekileyo, ngoko ke le nqanaba libizwa ngokuba yi-glandular-perood-rotation. Iyakwazi ukuhlala kwiminyaka emininzi. Kwezinye iimeko kwi-pathology, ukukhula kwamapilisi (ukunyuka kwamapilisi okunyuka kwamapilisi kwiprovix uteri) kuyabonwa. Emva koko, iiprogram zokuvuvukala iinkqubo, iisypical cells zithatyathwa yi-flat epithelium. Inkqubo enjalo inquma isiteji esisigxina. Kwimeko yentsholongwane eqhubekayo, i-gland ducts ivaliwe yimfihlelo, kwaye izakhiwo ezithile zivela kumphezulu we-mucosa okanye ekubunjeni kwesibeletho. Kwiindlela zonyango, le nqubo ibhekiselwa kuyo njenge-cystic-cyrotic-perood-corrosion-corrosion. Imfundo inomdla wokutheleleka, oquka ukwanda kwenkqubo yokuvuvukala.

Izizathu ze-ectopy

• Ubomi bokuqala ngokwesondo. Isibeleko sesisu siphelela iminyaka engama-23. Ukuba le nkqubo iphazamisa kwangaphambili, amathuba okuba i-ectopy iyanda.
• Ulungelelaniso lwamaxabiso.
• Ubomi besondo ngokungaqhelekanga.
• Ukungalingani kweHormonal.
• Ukuziphatha okubi, ukunyusa umgangatho wobomi ngokubanzi.
• Imikhwa emibi (ukutshaya, ukusela utywala) kuthintela ukuveliswa kwama-hormone eesini zesini kwii-ovaries, ezikhokelela ekuphuleni imvelaphi ye-hormonal.
• Umzimba ophantsi.
• Ukulimala (ukukhupha izisu, ukubeletha).
• Iinkqubo ezivuthayo, izifo, isifo se-dysbacteriosis yesini.

Umfanekiso wekliniki

Ukutshatyalaliswa komzimba kwintsholongwane ye-cervix akuqhelekanga kubonakaliso ngempawu zeklinikhi ezicacileyo kwaye kufunyanwe ngexesha lovavanyo lwentsholongwane. Oogqirha bayayigcina ngendlela yohlobo olubomvu olujikeleze i-phallus yangaphandle yesibeleko. Ihluke kwi-mucosa yangasini kunye nombala ogqithiseleyo, kanti i-shade yayo yemvelo isuka kwipinki ephothiweyo ibe yinto ebomvu. Ummandla wombala otshintshile ngokuqhelekileyo unemizila ebanzi, ububanzi buhluka phakathi kwama-3-13 mm.

Uhlobo oluthile lwe-ectopy lubonakaliswe yimpawu zenkqubo yokuvuvukala. Kwi-epithelium, ama-cysts amancinci akhiwa, abuye alahlwe. Ekubeni ubuso babo bunokungcola okanye ukucoca, okuvela kwi-canal yomlomo wesibeleko. I-papillary pseudo-rotation of the cervix ibonakaliswe ukubonakala kwegazi emva kokulala, ukuphulwa komjikelezo wesini.

Yintoni eyingozi kwi-ectopy?

Ukuguguleka kwamathambo kunye neyeza ezifikelelekayo akunakucingelwa ukuba ingozi enkulu kwimpilo yabasetyhini. Nangona kunjalo, isifo esingathatywanga sisifo singakhokelela kwiingxaki ezinzulu, ngokuqala ngokuvuvukala okulula nokuphela kokubonakala kwemfundo enobungozi, ukungabikho kwengqondo. Ukongezelela, ukuguguleka kwamathambo kunokwenzeka ukuphindaphinda kwakhona.

Isizathu esibalulekileyo sisekuphulwa komsebenzi wokulwa ne-antibacterial. Umlomo wesibeleko onomsoco onomsoco wenza uhlobo lwenkobe, okhusela umtya we-uterine ukusuka ekungeneni kweebhaktheriya kunye neentsholongwane zendalo ezahlukeneyo.

Iimbumba zeeseli ze - epithelial zalesi sitho zinemiphumo ekhethekileyo yokufumana iinguqu ze-hormonal. Ukuguguleka komzimba wesibeleko akubavumeli ukuba baphendule ngokwaneleyo kwaye ngexesha elifanelekileyo ukukhutshwa kwamahomoni ayifunayo. Le meko ivakalelwa kakhulu ngexesha lokubeletha.

Ectopia kunye nokukhulelwa

Ekukhulelweni kokuqala, ukukhulelwa komntwana kunye nokuthwala kwakhe ukuguguleka kwamanzi akuphazamisi. Ngakolunye uhlangothi, iiphene kwi-cervix azivumeli ukuba zandise ngokuqhelekileyo ngexesha lobasebenzi, zikhuphe izikhewu ezininzi. Ukukhutshwa kakubi kwimizimba emva kokukhulelwa okulandelayo akuyi kukwazi ukubamba isiqhamo, kwaye kuya kuba yindlela yokungena kwiibhaktheriya.

Ngenxa yeenkqubo ezivuthayo kunye ne-papillose ye-scarse-peroudo-érosion ye-cervix ingaphazamisa ukuchumisa kweqanda. Kwizonyango zonyango, amaxesha okungaxhamli komzimba kunye nokubeleka kwangaphambi kwabafazi abakwaziyo ukuxilongwa bayaziwa.

Ukuba ukukhubazeka kwatholakala ngexesha lokukhulelwa, oku kubonisa ukuba yenziwa ngenxa yeengxaki ze-hormone. Kulo hlobo lwesimo, utshintsho kwisakhiwo esiqhelekileyo se-epithelium kuthathwa njengesilonda esivulekile. Ingabangela ukukhuselwa kweembrane zomntwana kunye nokukhokelela ekusulelekeni kwintsana. Ukunyanga ukukhulelwa ngexesha lokukhulelwa akunakwenzeka, ngoko ke oogqirha bakhetha amaqhinga alindelekileyo. Kwi-trimester yokuqala, ibhinqa inconywa ukuba ihlaziywe nyanga zonke, kwaye ngeyesibini neyesithathu ngeveki. Ukunyuka komzimba kwe-cervix kungatshiswa emva kokubeleka, nokuba kunjalo, kwiiveki ezi-6-8, xa ukuhlukaniswa kwe-lochis kuphelile.

Iindlela zokuhlola ezisisiseko

Ukuxilongwa kwe-pathology ayibangeli nayiphi na ingxaki ekhethekileyo. Ukuhlolwa komzimba entanyeni kukuvumela ukuba ufumane ubungqina bokungcoliswa kwamanani emzimbeni ngesimo sesibomvu esibomvu kwimvelaphi eluhlaza. Ukuqinisekisa ukuxilongwa kokugqibela, qinisekisa ukuvutha kwaye ungabandakanyi inkqubo ye-pathological (umzekelo, umhlaza), izigulane zinikezelwe inani leemviwo ezongezelelweyo:

• Ukuthatha i-cytological smears.
• I-colposcopy eyongeziweyo.
• I-Biopsy yokukhutshwa kwee-plasma ezingekho kakubi.
• Imbewu ye-Bacteriological ye-secretion ye- canal yomlomo.
• Uvavanyo lwe-PCR.
• Ukuhlolwa kwegazi ngeehomoni.

Unyango lwe-ectopy

Unyango luya kwenziwa ngokubambisa ngamachiza kunye noncedo. Ngokuqhelekileyo, ii-antibiotics kunye nama-antibiotics, kwakunye neziyobisi zokubuyisela kunye ne- hormonal zimiselwe ukuphelisa imbangela yokukhubazeka njengendlela yokuguguleka komzimba wesibeleko. Unyango kunye neendlela ezingekho gama ziquka:

• I-Electrocoagulation (ukutshisa iindawo ezichaphazelekayo ngokukhoyo kagesi). Ekubeni kwintamo kwakha umbala omhlophe, phantsi apho inkqubo iqala ukubuyisela i-epithelium. Emva kweentsuku ezili-10, le ngqayi iyalahlwa, ibonisa indawo yokuphulukisa ye-mucosa. Ukubuyiselwa okupheleleyo kwenzeka malunga neenyanga ezimbini. Ingozi ebalulekileyo yile ndlela yokonyango yindlela yokwenza izikrakra, ezenzelwe ukuba umfazi ongenamdla onqwenelekayo. Kwimeko yokuzalwa kokuqala, zinokukhupha ukuphuka kweethambo zomlomo wesibeleko.
• Ukuqhwalalisa ("ukukhenkcela" kwimiba yengxaki ngokusebenzisa i-nitrous oxide ye-nitrogen yamanzi).
• Ukutshatyalaliswa kweLaser (indlela ebiza kakhulu yonyango esekelwe kwimeko yokuba i-laser ibhambele ukuphefumula kunye kunye kunye ne-coagulate cells).
• I-radiation yonyango.

Ukukhethwa kwendlela ethile yonyango eyenziwa ngugqirha. Ikheyibhile ekhethiweyo ngokufanelekileyo ikuvumela ukuba ubuyisele i-epithelium ngokukhawuleza. Kunconywa ukuthatha amanyathelo angaphezulu okukhusela ukubuyela kwakhona. Ngaphandle kwendawo esicacileyo kwisisini sinomphumo osisiphumo ngokuthe ngqo kwi-epithelium ye-cylindric ngokwayo. Kwabesetyhini abakhulelweyo okanye abangenayo i-epidermis-perood-perotion-deosion of the cervix, "imiphumo yeekhemikhali kwisibindi ayifanelekanga, ngoko kulungelelaniswa kakuhle emva kokubeletha. Impembelelo engundoqo yolu hlobo yenzeke ngokutshiswa kwezicubu kunye nezikrakra, ezivimbela ukuvulwa kwe-cervix ngexesha lokuhambisa ngokukhawuleza.

Njengamanje, oogqirha banikela ngokukhethekileyo kunyango olusasazwa ngomsakazo kaninzi. Le ndlela ifanelekileyo kwabasetyhini babo bonke ubudala. Ulwaphulo lwe-wave waveza lubekwe ngomhla wesihlanu wokuqala kokuya esikhathini. Emva kokunikezelwa kwemvelo okanye isigaba se-caesarean - emva kokunyamalala kokuphuma kwegazi (ngokuqhelekileyo emva kweentsuku ezingama-40).

I-radiation yonyango: inqatshulwa

• Ukuya esikhathini.
• Izifo zohlobo oluvuthayo kwinqanaba lokuxhatshazwa (i-colpitis, vulvovaginitis).
• Oncology.
• Ukukhulelwa.
• Izifo zengqondo.
• Isifo sikashukela sisigxina kwisigaba sokuhlawula.

Iingenelelo zonyango lwamajelo

• Akukho kutshisa.
• Inkqubo enye kuphela eyaneleyo.
• Kuvunyelwe ukunyusa.

Emva kwenkqubo yokonyango, kunokubakho ubuhlungu kwindawo esezantsi esiswini, esadlula ngaphandle kweyeza.

I-Cystic-peroudo-errox yomlomo wesibeleko nayo iphantsi kwonyango olwenziwe ngomsakazo. Kwiintsuku ezili-10 emva kwenkqubo, ukukhutshwa komnyama obomvu kumfazi ngaphandle kwempepho kuvunyelwe.

Indlela yokuphila emva kwonyango

Kungakhathaliseki indlela ekhethiweyo yokonyango, izigulane zicetyiswa ukuba zihlaziye ngokutsha indlela yokuphila emva kwexesha leyeza. Kwiintsuku ezili-10 akufuneki ukugibela kumachibi okanye kwiindawo zokugcina amanzi. Kubalulekile ukunciphisa ukutyelela kwi-sauna, i-gym. Kufuneka ubaleke ukwenza imisebenzi embi kunye nesondo. Nangona kunjalo, ukuhamba okufutshane kuzo zonke ngaphandle ngaphandle kuya kuzuza.

Ukukhulelwa kunokucwangciswa emva kokuphilisa kokugqibela kwesilonda. Oku ngokuqhelekileyo kuthatha inyanga ukuya kwiinyanga ezintathu.

Thintelo

Ngokutshintsha rhoqo kwiintlobo zentsebenziswano zesondo kunye nakwimeko yokukhulelwa komzimba, i-microflora yesisu ingatshintsha, i-genitalia yangaphakathi ibe yingozi kakhulu kwintsholongwane. Ukuze kuphephe ukuphuhliswa kwe-pseudo-erosion yomlomo wesibeleko, kucetyiswa ukuba zonke iinyanga ezintandathu zibe neemviwo zokukhusela kwi-gynecologist, zigcine imigaqo-siseko yokucoceka kobuqu. Kubaluleke ngokufanayo ukuhlambulula ngexesha elifanelekileyo le-foci ekhoyo, ulawulo lweengxaki ze-immunological and hormonal disorders.

Njengoko umkhuba ubonisa, unyango lwezilwanyana ezininzi ezivuthayo (i-colpitis, vulvovaginitis) kunye nokuguguleka okungapheliyo akuvumeli ukufikelela kwisiphumo esihlala njalo. Ngenxa yoko, ukukhubazeka kuzuza uphawu olude kunye nexesha elide.

Isiphelo

Kule nqaku, sichaze ngolu hlobo oluninzi ngangoko kunokwenzeka oko kukuthi ukunyuka komzimba kwintsholongwane. Iifoto zale ntsholongwane zingabonwa kwiincwadi ezizodwa.

Ungesabi ukuxilongwa okunjalo kwaye ulungele ukutyelela kwingcali. Khumbula ukuba ukufumanisa ngexesha elifanelekileyo ngexesha le-ectopia kwaye unyango olwaneleyo lunokuphelisa ingxaki, ukunciphisa umngcipheko wokuba neengxaki ezinobungozi ngokwaneleyo.

Umfazi ngamnye oneminyaka yobudala yokubeletha kufuneka anakekele impilo yakhe, rhoqo ahlolwe iimvavanyo zokukhusela kwi-gynecologist. Eli nqaku libonisa kwakhona izinto ezikhuselekileyo zokukhusela ukuvela kwe-pseudo-erosion. Siyathemba ukuba ulwazi oluchazwe apha luyincedo kuwe. Yimpilo!