Njira 8 za cauterization ya kukokoloka kwa khomo lachiberekero, zotsatira zake, chochita pambuyo pake?

Cauterization ya kukokoloka kwa khomo lachiberekero - ili ndilo dzina la gulu la njira zochiritsira, zomwe cholinga chake ndi kukopa kukokoloka kwa pseudo ndi kuthetsa kwathunthu. Chifukwa chakuti matendawa ndi ofala kwambiri ndipo amakhudza gawo limodzi mwa magawo atatu a amayi onse padziko lapansi, njira za cauterization nthawi zonse zimakonzedwa ndikukulitsidwa. Ndi njira zowononga zowononga kukokoloka komwe kumakhala kothandiza kwambiri potengera chithandizo chake.

Azimayi ambiri amagwiritsa ntchito mawu akuti "cauterization", kutanthauza kutentha kwachindunji ndi kupanga mapangidwe pa epithelium. Komabe, kugwiritsa ntchito mawuwa sikulondola kwenikweni. Mwachitsanzo, ngati malo owonongeka akhudzidwa ndi nayitrogeni, ndiye kuti izi sizili chabe kuzizira, ndipo ngati kukokoloka kumachotsedwa ndi laser, ndiye kuti maselo ake amangowonongeka. Komabe, njira zonsezi m'moyo watsiku ndi tsiku zimatchedwa cauterization.

Kuonjezera apo, kukokoloka kwa pseudo kokha ndi cauterized - koma osati zoona komanso osati mwachibadwa. Kukokoloka kwachinyengo kumapangidwa chifukwa cha kuphwanya machiritso a kukokoloka kowona, pomwe gawo lina la stratified squamous epithelium limasinthidwa ndi cylindrical yomwe "inasiya" ngalande ya khomo lachiberekero. Zotsatira zake, malo amapangidwa omwe amasiyana ndi mawonekedwe komanso mawonekedwe. Ndilo gawo la ectopia lomwe liyenera kuwonongedwa.

Njira cauterization wa khomo lachiberekero kukokoloka

Masiku ano matenda achikazi ali ndi njira yothetsera thupi la pathological process.

Zina mwa izo ndi:

• Diathermocoagulation - njira yothandizira ndi mayamwidwe. Imodzi mwa njira zakale komanso zopweteka kwambiri zochotsera kukokoloka.

• Cryodestruction - njira yochotsera kukokoloka mothandizidwa ndi nayitrogeni. Iyi ndi njira yofatsa yochotsera kukokoloka mwa kuzizira maselo a pathological ndi chiwonongeko chawo chotsatira.

• Laser vaporization - njira yothetsera matenda pogwiritsa ntchito laser. A mwachilungamo sapweteka ndi ogwira njira kuchotsa kukokoloka, pokhala mkulu dzuwa.

• Radio wave coagulation - njira ya cauterization ya kukokoloka pogwiritsa ntchito mafunde a wailesi. Imodzi mwa njira zodalirika komanso zowonjezereka zochiritsira madera owonongeka.

• Njira ya Argon plasma ablation - Kuchotsa kukokoloka pogwiritsa ntchito argon. Zimagwiritsidwa ntchito pogwiritsa ntchito zipangizo zapadera zomwe argon ndi ionized ndi mafunde othamanga kwambiri ndipo mtengo wa plasma umakhudza molondola malo owonongeka.

• Electroconization, yogwiritsidwa ntchito pochiza dysplasia yoopsa, imakulolani kuchotsa maselo atypical ngakhale zigawo zakuya za epithelial.

• Ultrasound. Kuchotsa wodwala kukokoloka pogwiritsa ntchito ultrasound.

• Chemical kapena mankhwala cauterization. Nthawi zambiri, Solkovagin amagwiritsidwa ntchito pazifukwa izi, zomwe zimayambitsa necrosis ya minofu, mapangidwe a nkhanambo, kenako m'malo mwake ndi wosanjikiza wa epithelium yatsopano.

Kusankhidwa kwa njira imodzi kapena ina ya chithandizo kudzadalira momwe mkazi alili, msinkhu wake, kukhalapo kwa matenda opatsirana, ndi zina zotero.

Cauterization ya kukokoloka kwa khomo lachiberekero ndi laser

Kuti chithandizo cha malo owonongeka ndi laser akhale ndi zotsatira zabwino, kufufuza koyambirira ndikofunikira. Zoonadi, nthawi imodzi, kuwonetsetsa kwapansi kudzakhala kothandiza, m'malo mwake, m'malo mwake, kuwonjezereka, ndipo chachitatu - carbon dioxide. Pachifukwa ichi, dera lomwe lakhudzidwa ndi nthawi yomwe kukokoloka kumakhalako ndikofunikira. "Zachikulu" komanso zazikulu za matenda, zotsatira zake zidzakhala zolimba. Komanso, mkazi sayenera kudwala matenda opatsirana kumaliseche. Ngati ndi choncho, ndiye kuti chithandizo chisanachitike chikufunika.

Mu mankhwala, lingaliro la cauterization ya khomo pachibelekeropo ndi laser palibe, madokotala amatcha njirayi "laser vaporization". Ikuchitika mu outpatient atakhala, sikutanthauza opaleshoni, ngakhale m`deralo. Chofunika kwambiri cha ndondomekoyi ndi ichi: dokotala akufotokoza malire oti athetsedwe (izi zimagwiritsidwa ntchito laser, zimakhala ngati pensulo), ndiye kuti kutuluka kwa mpweya kumayamba. Kutuluka kwa ma cell atypical kumayambira ku ngalande ya khomo lachiberekero, ndipo kumathera pamalire okokedwa kale (chifukwa cha chitetezo, malo abwino amatengedwa mkati mwa 2 mm). Njira yonseyi imatenga zosaposa mphindi 7.

Ubwino. Ubwino wa mankhwalawa ndikuti palibe chiopsezo chotaya magazi: ziwiya nthawi yomweyo zimakhazikika.

Nuances. Mayi ayenera kudziwa kuti kukokoloka kwakukulu sikungachiritsidwe panthawi imodzi, mpaka 2-3 njira zingafunikire, nthawi yomwe iyenera kukhala mwezi umodzi.

Pambuyo cauterization. Pambuyo pa chithandizo cha laser, mkazi amatha kukhala ndi kumaliseche pang'ono kwakanthawi. Iwo akhoza kuonedwa zosaposa 3 milungu. Kuchira kwathunthu kwa mucous nembanemba ya khomo pachibelekeropo kumachitika pakatha miyezi 1,5. Njirayi ndi yoyenera ngakhale kwa amayi opanda nulliparous. Pakati waukulu contraindications: nthawi yobereka, mimba, kutupa kwa nyini, chiberekero kapena appendages, komanso zilonda neoplasms.

Radio wave chithandizo cha khomo lachiberekero kukokoloka

Madokotala omwe akulimbana ndi vuto lochotsa njira yowonongeka amanena kuti mankhwalawa ndi othandiza komanso otetezeka poyerekeza ndi njira zina. Njirayi ndi yosakhudzana, yopweteka kwambiri komanso yopanda ululu, simayambitsa magazi, ndipo zovuta zomwe zingatheke zimachepetsedwa. Komabe, chifukwa chakuti njirayi ndi yatsopano, sikugwiritsidwa ntchito kwambiri.

Musanayambe ndondomekoyi, m'pofunika kufufuza histological, kupaka pa microflora, kuti mudziwe matenda a venereal.

Chitani chithandizo ndi mafunde a wailesi mu theka loyamba la msambo (nthawi yabwino kwambiri ndi kuyambira masiku 5 mpaka 10, mutangoyamba kumene kusamba). Izi ndichifukwa choti kuopsa kwa zovuta kumachepetsedwa, ndipo minofuyo imachira mwachangu.

Chofunikira cha njirayi ndikuti mafunde a wailesi amawonjezera kutentha kwa minyewa yothandizidwa ndi matenthedwe amadzimadzi mkati mwa maselo. Imatenthetsa ndikuphulika, ndipo zotengera zomwe zili mozungulira zimakhazikika. Kuwonekera kwachindunji kumachitika pogwiritsa ntchito electrode, yomwe imatulutsa mafunde. Chipangizocho sichimakhudzana ndi pamwamba pa khomo lachiberekero. Nthawi zambiri, zida za Surgitron zimagwiritsidwa ntchito pochita izi. Chifukwa cha kufatsa koteroko, pambuyo pokonza, palibe nkhanambo yomwe imapangidwa, koma filimu yopyapyala imapangidwa.

Anesthesia, monga lamulo, siigwiritsidwa ntchito, chifukwa zomverera zomwe mkazi amamva zimafanana ndi zowawa zokoka pang'ono pa nthawi ya kusamba. Koma ngati pakhomo la kudziwa kwake kupweteka kwambiri, ndiye m'pofunika kugwiritsa ntchito opaleshoni ya m'deralo. Mofananamo, zomatira zomwe zilipo kapena zolakwika zina pa khomo lachiberekero ndi khomo lachiberekero zingathe kuthetsedwa.

Kuchira nthawi zambiri sikudutsa mwezi umodzi. Mayi akhoza kusokonezedwa ndi kumaliseche pang'ono, komwe kumatha pakadutsa masiku 10.

Gawo limodzi ndilokwanira kuchiritsa kwathunthu. Radio wave coagulation ndi yoyenera kwa amayi onse, kuphatikizapo omwe akukonzekera kutenga mimba posachedwa. Mutha kuchita izi patatha mwezi umodzi mutapita kukacheza ndi gynecologist.

Mwa malangizo pambuyo pa ndondomekoyi: kusiya moyo wapamtima kwa masabata 4, kuchepetsa zolimbitsa thupi, kuletsa kusambira m'madzi otseguka, maiwe ndi malo osambira. The drawback yekha mwapang'onopang'ono ndi otetezeka njira kuchotsa kukokoloka ndi kukwera mtengo kwa ndondomekoyi, komanso kusowa kwa zida ndi akatswiri mu zipatala tauni.

Cauterization wa kukokoloka khomo lachiberekero ndi panopa

Njira yachikale kwambiri yochotsera kukokoloka ndiko kuletsa kukokoloka kwa madzi. Mankhwala, njira yochizira iyi imatchedwa "diathermocoagulation". Pazabwino zosatsutsika, munthu atha kutchula kupezeka kwake kulikonse komanso kuchita bwino kwambiri. Ndicho chifukwa chake sichinasiyidwebe kotheratu.

Musanayambe mankhwala panopa, m`pofunika sanitize nyini ndi kuthetsa matenda ndi yotupa ndondomeko.

Chofunikira cha njirayo ndikuti ma elekitirodi, omwe amatulutsa zotuluka pakali pano, amakhudza malo omwe akhudzidwa mpaka kukokoloka konse kukuphimbidwa ndi nkhanambo. Zotsatira zake, chilonda chimapangidwa pamalo ano, chomwe chimatuluka magazi, koma chimakutidwa ndi kutumphuka kuchokera pamwamba. Patapita miyezi iwiri, epithelializes. Mkangano womwewo umatha pakadutsa masiku 10-12. Popeza palibe coagulation yomweyo ya ziwiya pa ndondomeko, mkazi amaona magazi pa nthawi kuchira.

Komanso, drawback kwambiri njira imeneyi ndi mapangidwe akhakula chilonda kuchokera connective minofu. Izi zitha kusokonezanso nthawi yobereka. N'chifukwa chake njira cauterization si ovomerezeka kwa atsikana nulliparous.

Cauterization ya kukokoloka kwa khomo lachiberekero ndi nayitrogeni

Njirayi imachokera ku mankhwala ozizira. Minofu yowonongeka imawonetsedwa ndi nayitrogeni wamadzi wosinthika pogwiritsa ntchito cryoprobe. Njirayi ndi imodzi, nthawi zambiri sizitenga mphindi 5. Maselo a pathological amawala kenako kufa. Pambuyo pa miyezi 2-3, amasinthidwa ndi athanzi. Nthawi yabwino yochitira njirayi ndi kuyambira pa 7 mpaka 10 tsiku la msambo.

Zotsutsana zimaphatikizapo kukokoloka kwakukulu - kupitirira 3 masentimita, kuvulala kwa khomo lachiberekero, fibroids, njira iliyonse yopatsirana ndi yotupa mu ziwalo zoberekera, komanso mimba ndi zotupa.

Njirayi ndi yopanda ululu, koma pempho la wodwalayo, akhoza kupatsidwa opaleshoni ya m'deralo, chifukwa pali kutentha pang'ono kapena kugwedeza pang'ono. Njirayi ikugwiritsidwa ntchito kwa amayi opanda nulliparous. Mwa zina zabwino - liwiro la kuchititsa pa outpatient maziko, chifukwa magazi.

Komabe, njirayi ili ndi zovuta zina: kuchira kwautali, mawonekedwe amadzimadzi amadzimadzi, kulephera kukonza minofu yomwe yakhudzidwa kwambiri. Komanso, chithandizo mobwerezabwereza chingafunikire.

Chemical coagulation njira

Njirayi imachepetsedwa pochiza malo owonongeka ndi mankhwala. Ngati madokotala akale ankagwiritsa ntchito makamaka Vagotil, tsopano yasinthidwa ndi mankhwala amakono komanso othandiza - Solkovagin.

Panthawiyi, dokotala, pogwiritsa ntchito thonje swab, amawumitsa malo owonongeka. Swab ina imayikidwa bwino ndi wothandizira wosankhidwa ndipo malo omwe ali ndi kukokoloka amathandizidwa nawo. Nthawi yokonza ndi mphindi 3. Mankhwala owonjezera amachotsedwa ndi swab ina youma ya thonje. Kuti mugwiritse ntchito molondola, gawo lonselo limachitika motsogozedwa ndi colposcopy.

Njirayi ndi yopanda ululu ndipo safuna ngakhale opaleshoni yam'deralo. Njira yothandizirayi ndi yoyenera kwa mayi yemwe sanaberekepo. Komabe, njirayi sigwiritsidwa ntchito ngati kukokoloka kuli kopitilira 1 cm m'mimba mwake. Koma chifukwa chakuti mankhwala amachita mofewa kwambiri kuposa njira zochiritsira zakuthupi, njira zingapo zingafunikire kuti machiritso athetsedwe.

Kodi kuwotcha kumachitika bwanji?

Aliyense cauterization ndondomeko umalimbana kuwononga pathological maselo, amene kenako m`malo ndi wathanzi stratified squamous epithelium. Monga tanenera kale, mawu akuti "cauterization" si olondola nthawi zonse. Komabe, ndi iye amene amasonyeza chiyambi cha njira iliyonse.

Ngati tilingalira njira iliyonse mu magawo, ndiye kuti imakhala ndi zinthu zingapo zotsatizana:

• Mayi amakumana ndi matenda athunthu kuti azindikire zotsutsana ndi gawo la cauterization.

• Ngati palibe, wodwalayo amabwera kwa dokotala, nthawi zambiri mu theka loyamba la kusamba.

• Malo ochiritsira akukonzedwa (malire ake amatsimikiziridwa, nthawi zina pamwamba ndi zouma).

• Kukokoloka kumakhudzidwa mwanjira ina, kuwononga maselo ake.

• M'malo opangira mankhwala, nkhanambo kapena filimu yopyapyala imapangidwa.

• M’milungu yochepa chabe, nkhanamboyo imagwa, ndipo minofu yowonongekayo imaloŵedwa m’malo ndi minofu yathanzi.

• Chilonda chimapangidwa pamtunda wothira. Komabe, mankhwala amakono amalola kuti gawo losasangalatsali lipewedwe.

• Mayiyo akuchira.

Contraindications kwa cauterization

Kuti mugwiritse ntchito cauterization mwa njira iliyonse yomwe ili pamwambapa, muyenera kuwonetsetsa kuti palibe zotsutsana.

Zina mwa izo ndi izi:

• Njira iliyonse yotupa ya maliseche.

• Kukhalapo kwa matenda aliwonse opatsirana pogonana.

• Kutaya magazi kulikonse mu gawo logwira ntchito.

• Kusokonezeka kwa magazi kuundana.

• Malignant neoplasm ya malo okokoloka.

• Mimba, ndipo nthawi zina kuyamwitsa.

• Lochia yosalekeza komanso nthawi yoyambira yobereka.

• Decompensated shuga mellitus.

• Anaika intrauterine chipangizo.

• Kuchitidwa opaleshoni.

• Kutenga papillomavirus yaumunthu.

• Matenda ena amisala, monga schizophrenia ndi kugwidwa ndi khunyu.

• Kuvala pacemaker (mwa njira zina).

• Kuchulukitsa kwa matenda osachiritsika.

Komanso, njira zina si ntchito kwambiri kukokoloka. 

Kodi mayesero ayenera kumwedwa pamaso cauterization kukokoloka?

Asanayambe chithandizo ndi izi kapena njira imeneyo, mkazi adzafunika kuyesedwa kwathunthu. Zimaphatikizapo kupereka mayeso, omwe mwa awa ndi ovomerezeka:

• Kuyezetsa magazi kwa HIV.

• Kuyezetsa magazi kwachipatala.

• Chemistry ya magazi.

• Kusanthula kwachipatala kwa mkodzo.

• Kuyeza magazi kwa chiwindi.

• Kuyeza magazi kuti azindikire matenda a urogenital, kuphatikizapo HPV. Chodalirika kwambiri pankhaniyi ndikusanthula kwa PCR.

• Kuyeza smear kwa oncocytology (Papanicolaou test) ndi flora.

• Ndime ya colposcopy yotalikirapo, ndipo ngati iwonetsedwa, biopsy.

Ngati palibe zopatuka zomwe zapezeka molingana ndi zotsatira za mayesowa, ndiye kuti mkaziyo adzatumizidwa ku njira ya cauterization. Ngati matenda aliwonse ogonana kapena matenda ena apezeka, chithandizo choyambirira ndi chofunikira.

Zotsatira za cauterization ya kukokoloka kwa khomo lachiberekero

Ngakhale kuti mankhwala afika patali kwambiri pochiza kukokoloka, komabe, njira yabwino yomwe sikanakhala ndi zotsatirapo za thupi la mkazi siinapezeke. Njira iliyonse ili ndi ubwino wake ndi zovuta zake. Choncho, n'kofunika kwambiri kuti tisankhe bwino pa njira ya cauterization, komanso kupeza katswiri oyenerera.

Zina mwazotsatira za kukokoloka kwa cauterization, zizindikiro zanthawi yomweyo komanso zakutali zimasiyanitsidwa.

Oyandikira kwambiri, ndiye kuti, omwe angachitike m'masabata 8 oyambirira mutatha ndondomekoyi, ndi awa:

• Exacerbation wa kutupa kwa mazira chubu kapena pa nthawi yomweyo chubu ndi thumba losunga mazira. Nthawi zambiri, njirayi imakhala ya mbali imodzi, ngakhale imatha kufalikira mbali zonse ziwiri.

• Kukhetsa magazi ndi kutaya kwakukulu kwa magazi (vutoli silimaphatikizapo kukha mwazi pang'ono, komwe kuli chizolowezi).

• Msambo matenda, makamaka chitukuko cha amenorrhea.

Mwa zina mwazotsatira zomwe zimachitika pakatha miyezi iwiri cauterization, nthawi zambiri kuposa ena amawonedwa:

• Kuphulika kwathunthu kapena stenosis ya ngalande ya khomo lachiberekero.

• Kuwonongeka kwa gawo loyambira, vuto ili lalandira dzina la "coagulated neck syndrome" muzamankhwala.

• Kubwerezanso kukokoloka pamalo omwewo.

• Endometriosis, yomwe imachitika motsutsana ndi maziko a kuchira pang'onopang'ono kwa epithelial wosanjikiza wa khomo pachibelekeropo. Ngati izi sizinachitike kumayambiriro kwa msambo wotsatira, ndiye kuti maselo a endometrial omwe achoka ndi magazi amatha kulowetsa bala losachiritsika ndikupanga cholinga cha kutupa.

Ngati tilingalira zotsatirazi monga zowawa zazing'ono zokoka m'mimba ndikutuluka, ndiye kuti, monga lamulo, sizimawerengedwa ngati zovuta. Izi ndichifukwa choti kuchuluka kwa secretions ndi chikhalidwe chawo chachilendo ndi njira yachilengedwe yobwezeretsa epithelium. Amawonedwa mpaka atadutsa njira iliyonse ya cauterization. Kupatula apo, ngakhale ndi mitsempha yamagazi, pansi pa dzenje lopangidwa mwaluso, kupanga zotupa zowonongeka kumawonjezeka, zomwe zimayamba kupanga chinsinsi m'mabuku akuluakulu.

Kutulutsa kwamagazi kumawonekera chifukwa chakuti mitsempha yamagazi imawonongeka komweko. Komanso, magazi amatha kupanga pomwe nkhanambo siichoka bwino kapena molakwika. Komabe, zochitika zotere ziyenera kudutsa mwachangu komanso pazokha. Apo ayi, muyenera kufunsa dokotala kuti akuthandizeni. Ndikoyeneranso kudziwa kuti njira ya cauterization ikakhala yaukali, ndiye kuti kutulutsa kumakhala kochulukira. Izi, choyamba, zimakhudza diathermocoagulation. Dokotala amayenera kuchenjeza wodwalayo za izi pasadakhale.

Mafunso ndi mayankho otchuka:

• Kodi zimapweteka kuchita cauterization ya kukokoloka kwa khomo lachiberekero? Ndi funso la ululu wa ndondomeko yomwe nthawi zambiri imadetsa nkhawa mkazi. Poopa kupweteka kwakukulu, odwala ambiri amachedwa kuyamba kwa chithandizo, kuvulaza thupi lawo. Izi sizoyenera kuchita, chifukwa cauterization ndi njira yopanda ululu. Chowonadi ndi chakuti khomo lachiberekero liri ndi chiwerengero chochepa cha mitsempha yomaliza. Ndi mfundo iyi yomwe ikufotokoza mfundo yakuti matendawa ali ndi chithunzi chochepa chachipatala. Choncho, musawope ululu, makamaka ngati mkazi wasankha imodzi mwa njira zamakono cauterization. Kuonjezera apo, ngati dokotala awona kuchuluka kwa nkhawa kapena mantha mwa wodwalayo, akhoza kumupatsa opaleshoni ya m'deralo. Nthawi zambiri izi zimachitika kuti muchepetse wodwalayo, komanso panthawi ya diathermocoagulation, yomwe imakhudzana mwachindunji ndi malo owonongeka. Monga mankhwala ogonetsa, madokotala ambiri amaika patsogolo lidocaine (mankhwalawa amabayidwa kapena amagwiritsidwa ntchito ngati kutsitsi).

• Kodi n'zotheka kutenga mimba pambuyo cauterization wa khomo lachiberekero kukokoloka? Kukokoloka kwa cauterization sikulepheretsa kutenga pakati. N'zotheka kutenga mimba, komabe, ndi bwino kuyembekezera miyezi 1-2 musanayambe kubereka mwana, chifukwa ndi nthawi imeneyi kuti minofu idzachira bwino ndipo dokotala adzatha kuyesa bwino chithandizocho. Mfundo yofunika kwambiri kwa amayi omwe sanaberekepo ndi kutanthauzira koyenera ndi kusankha njira ya cauterization. Diathermocoagulation siiyenera kwa odwala oterowo, chifukwa imayambitsa kupanga chipsera, chomwe nthawi zambiri chimasokoneza njira yobereka. Chifukwa chake, ndikwabwino kugwiritsa ntchito njira zofatsa zochotsera ma pathology.

• Pa tsiku la msambo ndi bwino cauterize kukokoloka? Madokotala amavomereza kuti nthawi yabwino yochitira njirayi ndi tsiku la 5 kapena 6 la kuzungulira. Choncho, zidzatheka kukwaniritsa machiritso apamwamba a minofu ya epithelial mpaka kuyamba kwa msambo wotsatira. Ngati sikunali kotheka kuchotsa matenda patsiku lachiwiri pambuyo pa kutha kwa msambo, ndiye kuti nthawi yayitali kwambiri ndi masiku 9-10. Ngakhale pamenepa ndi bwino kukaonana ndi dokotala ndipo, ngati n'kotheka, sinthaninso gawolo kwa mwezi wotsatira.

• Kubereka pambuyo cauterization wa khomo lachiberekero kukokoloka. Ambiri mwa amayi omwe adabereka komanso omwe sanabereke akuda nkhawa ndi momwe cauterization ingakhudzire njira yoberekera mtsogolo. Manthawa amachokera m'mbuyomu, pamene diathermocoagulation ya mitsempha ndiyo njira yokhayo yothetsera matenda. Ndi chifukwa cha gawo loterolo kuti chilonda chimakhala pakhosi, chomwe chimawopseza kusweka pamene mwanayo akudutsa mumtsinje wachilengedwe wobadwa. Komabe, njira zamakono zochizira zimathandizira kupewa mavuto oterowo, popeza ndi awa: osalumikizana, dokotala amawongolera kuya kwa kukhudzana ndi minofu ya epithelial, amayang'anira mosamala malire azomwe amachitira. Chotsatira chake, pa khomo lachiberekero lomwe lachira pambuyo pa ndondomekoyi, palibe zizindikiro zowoneka kuti cauterization inachitika. Izi zikutanthauza kuti njira zamakono zochizira sizikhala ndi zotsatirapo pa njira yobereka, chifukwa ndizoopsa kwambiri kutenga mwana ndi ectopia "yochita", makamaka yotupa.

• Kodi kukokoloka kungabwerenso pambuyo pa cauterization? Chilemacho chikhoza kuchitika mwa mkazi kachiwiri, pambuyo pa chithandizo.

  Koma popanda chifukwa chilichonse, sizichitika:

  1. Choyamba, kuyambika kwa matenda aukali kugonana, douching ndi njira zosayenera kwa cholinga ichi, kuvulala kupitiriza pa nthawi yobereka kapena pa nthawi yochotsa mimba, etc., zingachititse kuoneka kukokoloka.

  2. Kachiwiri, ngati chinthu chomwe chinayambitsa kuoneka kwa kukokoloka kwapitachi chinapezeka molakwika kapena sichinathetsedwe. Zikuoneka kuti chilemacho chinawotchedwa, koma "muzu" wake sunachotsedwe. Zotsatira zake, pakapita nthawi zidzawonekeranso.

  3. Chachitatu, wodwala ayenera kudziwa kuti njira monga kuchotsa kukokoloka ndi nayitrogeni kapena mankhwala coagulation ndi modekha. Izi zikutanthauza kuti magawo angapo adzafunika. Pambuyo pa chithandizo choyamba chochiritsira, kukokoloka sikudzachotsedwa, koma izi sizikutanthauza kuti zawukanso.

• Kugonana pambuyo cauterization wa khomo lachiberekero kukokoloka. Vutoli litathetsedwa, ndi bwino kupirira nthawi inayake musanagonenso.

  Choyamba, zimatengera njira yothetsera vutoli yomwe idasankhidwa, popeza epithelium idzachira pamitengo yosiyana:

  1. Ngati mkazi wadutsa cryodestruction wathunthu, ndiye kuti nthawi yabwino yoyambira kugonana ndi masabata 6 pambuyo pake.

  2. Wodwalayo atakumana ndi laser vaporization, zitha kukhala zotheka kugonana osati kale kuposa mwezi umodzi, koma ndi bwino kudikirira miyezi iwiri.

  3. Ngati chisankho chinapangidwa mokomera opaleshoni ya wailesi, ndiye kuti kubwezeretsedwa kwa minofu kumachitika pafupifupi miyezi 1,5, ndi nthawi imeneyi kuti moyo wapamtima uyenera kuyimitsidwa.

  4. Nthawi yayitali kwambiri yodziletsa idzakhala mwa mayi yemwe wadutsa diathermocoagulation - ndi miyezi 2,5.

  5. Pamene khomo lachiberekero lathandizidwa ndi Solkovagin, muyenera kudikirira osachepera sabata, ndipo nthawi yotetezeka kwambiri ndi masabata atatu.

  6. Madokotala amalangiza: musanayambe kugonana, onetsetsani kuti mwabwera kudzapimidwa ndikuwonetsetsa kuti khomo lachiberekero lachira. Ngati izi sizichitika, ndiye kuti mpumulo wogonana ukhoza kukulitsidwa kwa nthawi yayitali.

• Wamagazi kumaliseche pambuyo cauterization kukokoloka. Pambuyo pa ndondomekoyi, mkazi akhoza kutulutsa mitundu yosiyanasiyana ya kumaliseche. Nthawi zambiri amakhala ndi zonyansa zamagazi.

  Komabe, chikhalidwe chawo chimadalira pa siteji ya machiritso:

  1. Nkhani zamagazi Nthawi zambiri, amatha kusokoneza mkazi mpaka masiku 10. Zitha kukhala zapinki pang'ono, kapena zimatha kukhala ndi mtundu wodzaza. Pambuyo pa nthawi yoikidwiratu, kumaliseche kuyenera kukhala mucous, wandiweyani, kuoneka pang'ono voliyumu. Maonekedwe a magazi akufotokozedwa ndi mfundo yakuti ziwiya zina zimaphulika mwamsanga pambuyo pa ndondomekoyi kapena pamene nkhanambo imatulutsidwa.

  2. kutuluka kwa pinki amatha kusintha mtundu wawo kukhala bulauni wodzaza kwambiri, koma nthawi zambiri pakatha sabata, ayenera kusiya.

  3. Kubwezeretsa kwabwino kwa epithelium ya khomo lachiberekero ndi motere: choyamba, kutuluka kwamadzi kumawonekera, ndi zonyansa zazing'ono zamagazi, zimasinthidwa ndi zotupa zapinki, zomwe zimasinthidwa ndi zofiirira ndi zochepa. Kuonjezera apo, mumtundu uliwonse wamtunduwu, mkazi amatha kuyang'ana zotupa zazing'ono - zidutswa zakuda. Iwo, monga lamulo, ndi tinthu ta nkhanambo wotuluka.

  4. Kutaya magazi kwa mayi yemwe wadwala matenda a cauterization kungatsegule pakati pa masiku 8 ndi 21. Zimagwirizanitsidwa ndi kutulutsa kwathunthu kwa nkhanambo ndipo kuyenera kutsirizidwa mkati mwa maola angapo. Simuyenera kuda nkhawa ndi izi, chifukwa iyi ndi njira yochiritsira yachilengedwe. Ndikofunikira kukaonana ndi dokotala pakakhala kukha magazi kochuluka, kutentha kwa thupi, kupweteka kwambiri m'mimba ndi zizindikiro zina zoopsa. Chizoloŵezi chotsatirachi chimagwira ntchito monga chitsogozo: kutulutsa sikuyenera kupitirira mavoti omwe amayi amagwiritsidwa ntchito kutaya pa nthawi ya kusamba.

• Zosasangalatsa fungo pambuyo cauterization wa khomo lachiberekero kukokoloka. Fungo losasangalatsa pambuyo pa njirayi sizodziwika. Zingasonyeze ukhondo wapamtima wosakwanira kapena wosayenera. Ngati mkazi atsatira malamulo onse ndi malangizo a dokotala kuti adzisamalira yekha, ndipo fungo losasangalatsa likupitirirabe, ndiye kuti izi zikhoza kusonyeza matenda. Muyenera kukaonana ndi dokotala ndikutenga smear kuchokera kumaliseche kuti mudziwe microflora ya pathogenic. Chifukwa cha ulendo wofulumira kwa dokotala ndi purulent, kapena kukhala ndi kutulutsa kobiriwira. Zizindikirozi zimaloza mosakayikira njira yotupa yomwe yalumikizana.

• Kodi kukokoloka kwa khomo lachiberekero kumatha nthawi yayitali bwanji pambuyo pa cauterization? Choyamba, kuchira nthawi pambuyo cauterization zimadalira momwe izo zinachitikira. Yaifupi kuchira nthawi mkazi anaona pambuyo mankhwala coagulation. Monga lamulo, masabata atatu ndi okwanira kuti minyewa ya epithelial ya khomo pachibelekeropo ibwererenso kwathunthu. Nthawi yayitali kwambiri yochira iyenera kudutsa mwa mayi yemwe adadwala diathermocoagulation. Malo ochiritsira amachira pambuyo pa 2,5, ndipo nthawi zina miyezi itatu. Pafupifupi nthawi yochira ndi kuyambira masabata 4 mpaka 8, malinga ndi kukhazikitsidwa kwa malangizo achipatala komanso popanda kuwonjezera zovuta.

• Kodi ndizotheka kusewera masewera pambuyo pa kukokoloka kwa cauterization? Ngati isanafike nthawi yomwe mkazi adadutsa cauterization, adalowa masewera, ndiye kuti patatha sabata akhoza kuyambiranso maphunziro. Komabe, ziyenera kukhala zolimbitsa thupi zolimbitsa thupi ndipo zichitike pang'onopang'ono. Ngati mukumva zowawa kapena kuchuluka kwa kutulutsa, muyenera kusiya masewera olimbitsa thupi kwa mwezi umodzi. Ndi nthawi iyi yomwe madokotala amalimbikitsa kuti asiye masewera. Panthawiyi, nkhanambo imasiya ndi khomo pachibelekeropo chabwezeretsedwako pang'ono. Madokotala amangopatula akatswiri othamanga omwe amatha kutaya mawonekedwe. Izi zimafotokozedwa ndi mfundo yakuti kuwonjezeka kwa masewera olimbitsa thupi kungayambitse magazi aakulu kuchokera ku ziwiya zomwe zavulala pambuyo pa ndondomekoyi.

Zoyenera kuchita pambuyo pa cauterization ya kukokoloka kwa khomo lachiberekero? Malangizo

The ndondomeko cauterizing ndi ectopia ndi kwambiri alowererepo mu thupi la mkazi, choncho ayenera kutsatira malangizo onse achipatala. Izi zipangitsa kuti kuchira kukhale kofulumira komanso kuchepetsa chiopsezo cha zovuta zomwe zingatheke.

Pakati pa malingaliro ambiri, ndikofunikira kutsatira zotsatirazi:

• Ngati ndi kotheka, mpumulo wa kugonana uyenera kuwonedwa patatha mwezi umodzi ndi theka pambuyo pa gawo la cauterization. Kubwerera ku moyo wapamtima n'zotheka pambuyo kufufuza khomo pachibelekeropo ndi gynecologist.

• Pansi pa chiletso chilichonse chotopetsa zolimbitsa thupi. Mayi sayenera kukweza zolemera, chifukwa izi zimawonjezera chiopsezo cha zovuta.

• Osasambira m'madzi otseguka. Muyeneranso kukana kukaona malo osambira, saunas, zipinda za nthunzi ndi malo osambira. Njira zonse zaukhondo ziyenera kuchitika pansi pa madzi oyenda kapena pansi pa shawa.

• Monga adjunctive therapy, mkazi amatha kugwiritsa ntchito mankhwala apakhungu. Kugwiritsa ntchito ma tampons okhala ndi mankhwala (mafuta a sea buckthorn kapena mafuta a levomekol) kumathandizira kuti nkhanambo imafewetsa mwachangu komanso imasiya masamba. Kuonjezera apo, ndi njira yabwino kwambiri yopewera kulekana kwake kolakwika, zomwe zikutanthauza kuti zimalepheretsa kukula kwa magazi.

• Mimba sayenera kukonzekera mwamsanga pambuyo ndondomeko. Mayi ayenera kudikira kwa mwezi umodzi mpaka mwezi wotsatira utatha. Kuphatikiza apo, ndikofunikira kuwonetsetsa kuti palibe zovuta zanthawi yayitali pambuyo pochitapo kanthu.

• Kuphatikiza apo, m'mwezi woyamba pambuyo pa gawo la cauterization, pokhapokha ngati kuli kofunikira, simuyenera kuyesedwa ndi ultrasound, yomwe sensor ya ukazi imagwiritsidwa ntchito.

• Ndikofunika kusunga malamulo a ukhondo wapamtima. Ma gaskets ayenera kusinthidwa pamene adetsedwa. Kuvala chopukutira chofanana chaukhondo kwa maola oposa 3 kumalimbikitsa kukula kwa microflora ya bakiteriya, motero kumawonjezera chiopsezo cha matenda. Zovala zamkati ziyenera kupangidwa kuchokera ku nsalu zachilengedwe, ma tampons ayenera kutayidwa.

• M'miyezi iwiri yoyambirira, ndikofunikira kusiya zizolowezi zoyipa, chifukwa, mwachitsanzo, kusuta ndi mowa kumathandizira kuti pakhale vasospasm ndikukula kwawo. Izi, nazonso, zimabweretsa chiwopsezo chochulukira magazi.

• Osagwiritsa ntchito aliyense wowerengeka azitsamba imathandizira machiritso a mankhwala pamwamba. Izi ndi zoona makamaka kwa douching ndi njira zosiyanasiyana. Choncho, n`zotheka kuyambitsa matenda, chifukwa kutentha kapena kuvulala, zimathandiza kuti chitukuko cha magazi, etc. mpheto aliyense n`zotheka pokhapokha kukaonana ndi dokotala.

Kutsatira malangizo osavuta awa kudzakuthandizani kupewa zovuta ndikuchira munthawi yochepa kwambiri. Kukokoloka kwa nthaka ndi vuto lofala kwambiri pakati pa amayi. Ambiri a iwo bwinobwino anadutsa njira cauterization ndipo anaiwala za chilema cha khomo pachibelekeropo kwamuyaya. Choncho, ngati dokotala akulangiza kupita kuchipatala chotero, musachikane. Chinthu chachikulu ndikusankha bwino njira ya cauterization.