Kushanduka kwekervical hakusi kunotyisa sezvazvinonzwika
Cervical ectropion isati iri kenza iyo inowanikwa apo endocervix (mharayi yemukatix ) inoshanduka kunze, ichijekesa masero anowanzogara mukati memukati kusvika kumagidhi yemasikirini.
Zvose zvinogara mukati kana kunze-kunze kwekupedzisira zvinopenya, zvakasvibirira, uye zvinowanzovharwa nehutachiona-izvi zvinogona kuonekwa nechiremba panguva yekuongorora kwepelvic uchishandisa speculum.
Iwe unogona kunge wakanzwa ectropion yekervical inonzi chirwere chekuberekwa kwekervical. Pasinei nezita racho, chirwere chechivhadziro hachisi kunyangadza. Pane kudaro, nzvimbo "dzakatarisa" dzinoita zvikamu zvemuviri wechiremera umo masero ezvakaberekwa echeccerous (ectocervix) anotsiviwa nemasero emakona emukati emukati (endocervix).
Zvinokonzera Cervical Ectropion
Munguva yakapfuura, zvaifungidzirwa kuti marudzi akasiyana-siyana ekugumburwa kwepanyama kwakakonzera utachiona angaguma aendesa kune ectropion yemudzimai. Izvozvo zvinokonzera kushungurudzwa zvinosanganisira kurara pabonde, kushandiswa kwematamponi, kuiswa kwe speculum, kana kuiswa kwezvimwe zvinhu mumudzimai.
Zvimwe zvikonzero zvinofungidzirwa zvinosanganisira zvirwere zvepabonde (ITSI) zvakadai sa herpes kana chirwere chekare. Zvaifungidzirwawo kuti vaginal vagine zvechikadzi kana mamwe makemikari, zvakadai sezvokudzivirira pamuviri kana mapenzi, zvinogona kukonzera kukanganiswa kwechibereko chemuviri.
Nhasi, idzi dzidziso dzakarashika pasi sezvo nyanzvi zvino dzinodavira kuti ectropion yekervical ndeyechimiro chemaatomic chinoshamisa icho vamwe vakadzi vanoberekerwa.
Vatsvakurudzi vakawanawo kuti inogona kukonzerwa nekuchinja kwehomoni, zvichiita kuti zvive zvakanyanya pakati pevakadzi vechidiki, vakadzi vane pamuviri, kana vakadzi vari kutora chirongwa chekuberekwa kwesterogen sepiritsi. Dhiyabhorosi inowanikwa pano inowedzera kuwanda kweweserogen mumuviri, iyo inogona kuchinja kana kugadzirisa chibereko chechirwere.
Zviratidzo zveCervical Ectropion
Kunyange zvazvo pane kazhinji pasina zviratidzo zvinosanganiswa nevechiropiki, vamwe vakadzi vanogona kuve neropa risiri iro risati riri chikamu chekuenda kumwedzi, sekubuda ropa mushure mekuita zvepabonde . Kuvhima mushure mekuongorora kwepilvic apo chirwere chechibereki chinopindirwa mumudzimai kana panguva yekuongorora bimanual, inogonawo kuitika. Izvi ndezvokuti zvipfeko zvinowanikwa mumakumbo ane mitsipa yeropa iyo yakasvibiswa uye ine ropa nyore nyore kana isina kunyanya kubata.
Vamwe vakadzi vane ectropion yekervical vanoonawo kuchena kana kuchena kwechikadzi kunenge kusina kunhuhwirira. Uku kubudiswa hakufananidzi pus, iyo inogona kuratidza utachiona.
Zvakakosha kucherechedza kuti zviratidzo izvi, zvakadai sekubuda ropa , zvinogona kuva chimwe chinhu, sa cervicitis, kenza yemukomana, kana chibereki chechibereki. Ichi ndicho chikonzero zvakakosha kuti uongororwe nachiremba kana iwe uchicherechedza kubuda ropa kusina kujairika kana kubuda.
Kurapa kweCervical Ectropion
Mashoko akanaka ndeokuti kune vazhinji vevakadzi, eervropion yemudzimai haisi kunetsa. Ichokwadi, nyanzvi haitauri kurapwa kunze kwekuti mukadzi anowana kuwedzerwa kukuru kana kuonekwa, izvo zvisingawanzoitiki.
Izvi ndezvokuti kurapwa kunogona kuve kusina kukanganisa, kunogona kutungamirira kukura kwekubudiswa (kunyange izvi zvichingoitika kwenguva pfupi kusvikira kupora kwapera), uye zvinogona kukonzera cervical stenosis, mamiriro ekugadzirwa kwemugodhi, kana mugonhi mukati memucheto wepasi, yakaderedzwa.
Cervical stenosis inogona kutungamirira kune zvinetso zvekubereka, uyewo matambudziko ekuenda kumwedzi semakanguva anorwadza (anonzi dysmenorrhea) kana pasina nguva (inonzi amenorrhea).
Kana chirwere chichigadziriswa, chiremba achatanga kutanga kutonga kunze kwekenza yemukomana, sezvo inogona kutevedzera ectropion yekervical. Izvi zvinoda Pap smear uye inogona kuva colposcopy uye / kana cervical biopsy. Chirwere chemhondi chepachiviri pachena chiri chirwere chakakomba mune zvehutano, kusiyana neEctropion yekervical, iyo isiri yehutano.
Kana iwe nachiremba wako musarudza kuti zvakanakisisa kupfuurira nehutano, kazhinji inosanganisira nzira yekubvumira kushandisa uchishandisa electrocautery kana cryotherapy.
Imwe nzira ndeye kushandiswa kwekuita acidfying vaginal suppository inonzi boric acid panguva yeusiku.
Shoko Rinobva
Kunyange zvazvo shoko rokuti cervical ectropion kana kudengenyeka kunotyisa, hazvisi. Izvo zvataurwa, zvinogona kuongororwa nechiremba. Saka kana uri kutarisa ropa nekuita zvepabonde kana kubuda patsva mumudzimai, zvinokosha kuti uite kuti uongorore. Mimwe mitemo inogona kuenzanisa zviratidzo uye / kana ruzivo rwekutsvaira kwechibereko chemuviri sehutachiona hwechirwere kana chirwere chepabonde kana chibereko chemuviri.
> Sources:
> Casey PM, Long ME, Marnach ML. Kuonekwa kwechibereko chemuviri: Chii chaunofanira kuita, kana uchinetseka? Mayo Clin Proc. 2011 Feb; 86 (2): 147-51.
> Tarney CM, Han J. Postcoital kubuda ropa: Kuongororwa pamusoro pekunyengera, kuongororwa, nekugadzirisa. Obstet Gynecol Int. 2014; 2014: 192087
> Wright KO, Mohammed AS, Salisu-Olatunji, Kuyinu YA. Cervical ectropion uye intra-uterine chirongwa chekudzivirira kubata pamuviri (IUCD): makore mashanu ekudzoka kwekudzidza nezvemhuri yekugadzira mhuri kune imwe nzvimbo yepamusoro yehutano muLagos Nigeria. BMC Res Notes . 2014; 7: 946.