Ukuguguleka komlomo wesibeleko akukrokrele njengoko kuzwakala
I-ectropion yentsholongwane yimeko engeyiyo umdlavuza eyenzekayo xa i-endocervix (umda we- cervix ) uphendukela ngaphandle, eveza iiseli ezihlala ngaphakathi kwesibeleko ukuya kwimeko yesimo esiswini esiswini.
Iziganeko ezingapheliyo okanye zangaphakathi-endocervix zibonakala zibomvu, zikhuni, kwaye zihlala zihlanganiswa ngophuphu ophuzi-oku kungabonwa ngugqirha ngexesha lokuhlolwa kwe-pelvic usebenzisa i-speculum.
Kusenokwenzeka ukuba uvile i-coctical ectropion ebizwa ngokuba ngumkhuhlane wesibeleko. Naphezu kwegama layo, umlomo wesibeleko awukwenzeki. Esikhundleni saloo ndawo, "iindawo ezibukekayo" ziyinxalenye yomlomo wesibeleko apho iiseli eziqhelekileyo zesangqa (ectocervix) zithatyathwa ngamaseli e-colar of cervix (endocervix) yangaphakathi.
Iimbangela zeCaterical Ectropion
Kwixesha elidlulileyo, bekucingelwa ukuba iintlobo ezahlukahlukeneyo zokubandezeleka kwangokwenyama ezibangele ukusuleleka ekugqibeleni zingakhokelela ekukhombiseni i-coctical ectropion. Imithombo enjalo yentlekele yayiquka ukulala ngesondo, ukusetyenziswa kweetamponi, ukufakwa kwe-speculum, okanye ukufakwa kwezinye izinto kwisini.
Ezinye izizathu ezibangelwe zibandakanya izifo ezithathelwana ngesondo (i-STI) njenge- herpes okanye i- syphilis yokuqala. Kwaye kucatshangelwa ukuba ama- showers okanye ezinye iikhemikhali, ezifana ne-creamtive creams okanye imithi, zingabangela ukukhukhula komlomo wesibeleko.
Namhlanje, ezi ngcamango ziye zalahlekelwa phantsi njengoko iingcali ngoku zikholelwa ukuba i-ectropion yesibeleko yinto eqhelekileyo ye-anatomic eyenziwa ngabasetyhini abathile.
Abaphandi baye bafumanisa ukuba kunokubangelwa utshintsho lwe-hormone, okwenza kube ngakumbi phakathi kwabasetyhini abasetyhini, abafazi abakhulelweyo, okanye abafazi abathabatha isisu sokukhulelwa kwe-estrogen njengepilisi. I-common denominator apha kukunyuka kwamazinga e-estrogen emzimbeni, onokutshintsha okanye ukulungisa umlomo wesibeleko.
Iimpawu zeCroctric Ectropion
Nangona ngokungekho impawu ezinxulumene ne-coctical ectropion, abanye besetyhini banokuphulukana nokukhanya okungaqhelekanga kokuya esikhathini, njengokuphuma kwezilonda emva kokulala ngesondo . Ukuhlamba emva kokuhlolwa kwe-pelvic xa i-speculum yomlomo ingeniswa kwi-vagina okanye ngexesha lokuhlolwa kwe-bimanual, inokwenzeka kwakhona. Oku kungenxa yokuba izicubu ze-columnar ezibonakalayo zineemithwalo yegazi ezibuthakathaka kwaye ziphuma ngokulula xa zichaphazeleka.
Abanye abesifazana abane-certicic colonial nabo bafumana ukucoca okucacileyo okanye okwesibhakabhaka okungenasiphunga. Ukukhutshwa kolu hlobo alufani ne-pus, ebonisa ukusuleleka.
Kubalulekile ukuba uqaphele ukuba ezi zimpawu, ezifana nokuphuma kwegazi emva kokuphuma kwegazi , zinokuba yinto enje into, njenge-cervicitis, umdlavuza womlomo wesibeleko, okanye iipolisi zomlomo wesibeleko. Yingakho kubalulekile ukuba uhlolwe ngugqirha ukuba uyaphawula nayiphi na igazi elingavamile okanye ukukhupha.
Unyango lweCroctric Ectropion
Iindaba ezilungileyo kukuba kukuba ininzi yabasetyhini, i-coctical ectropion ayiyikhathazi. Enyanisweni, iingcali azicebisi unyango ngaphandle kokuba ibhinqa lifumana ukukhutshwa ngokugqithiseleyo okanye ukuphawula, okungaqhelekanga.
Oku kungenxa yokuba unyango lunokutshabalalisa, lunokubangela ukugqithiswa kokugqithiswa (nangona oku okwethutyana de ukunyanga kuphelile), kwaye kunokubangela ukuba i-stenosis yomlomo wesibeleko, imeko apho umgca we-endocervical, okanye i-tunnel engxenyeni engaphantsi kwesibeletho, lincinci.
I-stenosis yesibeleko ingakhokelela kwiingxaki zokuzala, kunye neengxaki zesikhathini ezifana nezihlandlo ezibuhlungu (ezibizwa ngokuba yi-dysmenorrhea) okanye akukho zihlandlo (ezibizwa nge-amenorrhea).
Ukuba ugqirha lunqunywe, ugqirha uya kuqala ukulawula umhlaza wesibeleko, njengoko unokukwazi ukulinganisa i-coctical ectropion. Oku kufuna i-Pap smear kwaye inokuba yi- colposcopy kunye / okanye i-biopsy yesibeleko. Umhlaza wesibeleko ngokucacileyo yimeko enzulu yonyango, ngokungafani ne-ectropion yomlomo wesibeleko, engeyiyo i-pathologic.
Ukuba wena kunye nogqirha wakho nisenza isigqibo sokuqhuba unyango, ngokuqhelekileyo kuqukwa inkqubo enobuncwane usebenzisa i-electrocautery okanye i-cryotherapy.
Enye indlela yokusebenzisa i-suppository ye-vaginal acidising ebizwa nge-boric acid ngexesha lokulala.
ILizwi
Ngoxa i-term ectropion ye-colervical okanye ukukhukuliseka kwezandi kuvezela, ayikho. Oko kuthethwa, kuyafumaneka kuphela ngugqirha. Ngoko ukuba ufumana ukuphuma kwegazi okanye uhlamba olutsha, kubalulekile ukuba uhlolwe. Inani leemeko zinokulinganisa iimpawu kunye / okanye namava okukhulelwa komlomo njengokwintsholongwane yomlomo wesibeleko okanye isisu okanye umhlaza wesibeleko.
> Imithombo:
> Casey PM, Long ME, uMarnach ML. Ukubonakala okungavumelekanga komlomo wesibeleko: Yintoni enokuyenza, xa ukhathazeka? IMayo Clin Proc. 2011 Feb; 86 (2): 147-51.
> UTarney CM, Han J. Postcoital ukuphuma ngegazi: Ukuphononongwa kwi-etiology, ukuxilongwa, kunye nokuphathwa. I-Obstet Gynecol Int. 2014; 2014: 192087
> Wright KO, Mohammed AS, Salisu-Olatunji, Kuyinu YA. I-coctical ectropion kunye ne-intra-uterine ye-contraceptive device (i-IUCD): uphando olulandelayo lweminyaka emihlanu lwabaxumi bezocwangciso zentsapho yeziko lempilo ephakamileyo eLagos Nigeria. Iimpawu zee-BMC Res . 2014; 7: 946.