Matenda a chiberekero ndi kachilombo koyambitsa matenda a chiberekero cha ziwalo zoberekera. Matendawa amadziwika ndi mapangidwe a vesicles, erosions ndi zilonda. Ganizirani za matendawa mwatsatanetsatane, kudziwa zomwe zimayambitsa, njira za matenda, kupeza momwe angachotsere ziwalo za m'mimba.
Zilonda Zachibadwa - Zimayambitsa
Matenda a tizilombo toyambitsa matenda ndi amodzi mwa mitundu ya herpes simplex. Misonkho ya chiwerengero cha tizilombo toyambitsa matendayi imapezeka pa 90%. Matenda oyambirira amapezeka ndi madontho a m'madzi, ali mwana. Kwa nthawi yaitali, kachilombo kamene kamayambitsa ziwalo za m'mimba chingakhalepo mthupi popanda kudziwonetsera. Matenda achiwiri amapezeka chifukwa chogonana pakati pa wodwalayo komanso wathanzi. Matenda ochulukirapo amapezeka kwa odwala zaka 20-30. Izi zikufotokozedwa ndi:
- kuyambira koyambirira kwa kugonana;
- chiwerewere;
- kugonana kosatetezeka.
Zinthu zoopsa zimayambanso chifukwa choyambitsa. Zina mwa izo ndi:
- Kukhalapo kwa anamnesis za matenda opatsirana pogonana;
- opaleshoni pa ziwalo za kubereka (kuchotsa mimba, kupopera);
- kugwiritsa ntchito intrauterine spirals;
- kuchepetsa chitetezo cha m'deralo.
Nthawi zambiri chitetezo cha mthupi chimayankha maonekedwe a kachilombo ka HIV ndi kupanga ma antibodies, choncho palibe mawonetseredwe a matenda a matendawa. Ndi zinthu zambiri zomwe zimayambitsa kachilomboka, zimayambitsa khungu, timadzi timene timapanga timadzi timene timatuluka, ndipo tizilombo toyambitsa matenda timayamba. Kubwereza nthawi zambiri kumachitika kumbuyo kwa:
- kusokonezeka nthawi zonse;
- kusowa mavitamini;
- chithandizo;
- kusintha kwa nyengo;
- matenda a catarral.
Kodi kachilombo koyambitsa matenda a m'mimba kumatulutsidwa bwanji?
Kutenga ndi ziwalo zoberekera kumabwereka kudzera mu chiwalo cha chiberekero, rectum, urethra. Kawirikawiri, kutumiza munthu wodwala matendawa kumachitika podetsa khungu panthawi yogonana (chiwerewere, kumapeto kwa chiwerewere). Kugonana kwa kugonana kumatengedwa kuti ndi njira yaikulu, komabe matenda ndi otheka ndipo:
- m'malovu;
- owona - pamene mwana akudutsa mumtsinje wobereka wa amayi omwe ali ndi kachirombo ka HIV;
- Kugonjetsa - kudzipatula, pamene kachilombo kamasamutsidwa ndi wodwalayo kuchokera kumbali yomwe imakhudzidwa ndi thupi;
- njira zapakhomo - zimachitika kawirikawiri (kudzera mu zinthu zaukhondo).
Zilonda Zachibadwa - Zizindikiro
Kutenga kumapezeka pambuyo pozilandira kachilombo kuchokera kwa wodwala wodwala kupita kwa wodwalayo. Palibenso ma antibodies ku matenda a herpes m'magazi. Kutumiza ndikutumizirana pogonana. Pa nthawi yomweyi, pali nthawi yotsakaniza - palibe zizindikiro za masiku asanu ndi awiri mutatha kutenga kachilomboka. Pambuyo pa nthawi yomwe yatsimikiziridwa, zizindikiro zotsatirazi zokhudzana ndi umuna zimaonekera:
- kuthamanga kwapadera, komwe kumapezeka kumalo operekera kunja (komwe kumapezeka masiku 8-10);
- pustules ndi purulent nkhani. Akatha, zilonda zimaoneka (masiku khumi ndi asanu ndi limodzi (15-15).
- mapangidwe a scabs, crusts, mmalo mwa zilonda (tsiku la 15-20 la matenda). Machiritso amapezeka tsiku la 30 chiyambireni matendawa.
Zilonda zamkati mwa amuna
Kufotokozera momwe herpes okhudzana ndi chiwerewere amasonyezedwa mu kugonana kolimba, madokotala sali oyamba kuika rashes mu mucosa wa mbolo. Pa nthawi yomweyo, amatha kupita kuchikopa. Pakati pa malo otchuka a misampha:
- mutu ndi chikopa;
- chosowa;
- chiwonongeko;
- Hip ndi malo ozungulira anus;
- chithunzi;
- malo amodzi.
Zilonda zamkati mwa akazi
Matenda a m'mimba mwa amayi, zizindikiro zake zomwe zafotokozedwa pamwambapa, zimakhala zofala chifukwa cha zenizeni za thupi la chiwalo cha m'mimba. Chikhalidwe cha kuphulika kumeneku chimadalira pa siteji ya ndondomeko ya matenda. Pachifukwa ichi, kutukwana kungakhale kwanuko:
- usiku watha;
- pafupi ndi kutsegula kwa urethra;
- pamilomo yaying'ono ndi yaikulu;
- perineum, dera la perinatal, chiuno ndi matako;
- m'mimba mwa vaginja;
- pamimba.
Kugonjetsedwa kwa gawo la chiberekero cha umaliseche ndi mawere a m'mimba akhoza kuchitika pansi pa chidziwitso cha cervicitis. Mphungu yamphongo imakhala yowonongeka, yophimbidwa ndi zokolola, zomwe zimakhala ndi chiwindi cha purulent. Zizindikiro za matendawa zimayamba:
- kuvuta kukodza;
- kuchotsa purulent kuchokera ku ziwalo zoberekera;
- kuwonjezeka kwa amymymodetic inguinal .
Kodi chiberekero cha m'mimba chimakhala choopsa?
Podziwa za matendawa, odwala nthawi zambiri amakhala ndi chidwi ndi malo odzaza malo amtundu wa nthenda zamtunduwu. Tiyenera kudziwa kuti kachilomboka kamatha kukhudza ziwalo zoberekera, zomwe zimakhala zofunikira kwambiri m'mimba ya chiberekero, komanso machitidwe ena. Ndi kutuluka kwa magazi, tizilombo toyambitsa matenda timafalikira mthupi lonse. Chifukwa cha ichi, odwala 30% omwe ali ndi kachilombo koyambitsa matenda a ubereki kumapeto kwake, zotsatira zake zikhoza kukhala motere:
- kugonjetsedwa kwa minofu ya minofu;
- matenda a dongosolo lamanjenje;
- kutupa kwa ziwalo za m'mimba;
- Kuphwanya moyo wapamtima, chifukwa cha zomwe zasintha pa msinkhu wa maganizo.
Kufufuza kwa herpes wamtundu
Chiwerewere, ziwalo za m'mimba zimapezeka pa maziko a anamnesis, chithunzi cha matendawa, kuyesa ma laboratory. Pankhaniyi, tanthauzo la matenda nthawi zambiri limapangidwa ndi zilonda zam'mimba zokha, zomwe zimawonekera. Zina mwa njira zopangira ma laboratory:
- Kuzindikira kachilombo koyambitsa matenda a chiberekero mwachinthu chophatikizapo: zowonongeka kuchokera kumaliseche ndi chiberekero, smears kuchokera ku urethra;
- kupenda kwake kwa uterine tube minofu;
- njira zozindikiritsira ma antibodies ku kachirombo ka magazi - kuyesedwa kwa kukhalapo kwa immunoglobulins M, G (EIA).
Zilonda zamtundu - mankhwala
Musanayambe kulandira zitsamba zamaliseche, akatswiri obwera m'mimba amalemba kafukufuku wothandiza kuti adziwe chifukwa chake. Kuwonongedwa kwake ndi ntchito yaikulu ya madokotala. Chithandizo chomwechi chachepetsa matendawa chikugwiritsidwa ntchito kwa mankhwala osokoneza bongo, onse am'deralo (mafuta onunkhira, kirimu, makandulo), ndi mapiritsi ambiri. Madokotala amatsata cholinga chochepetsa kuchepa kwa nthendayi ya chiberekero, kuchepetsa zochitika zowonongeka, zovuta. Ngati matendawa sali achilendo, kubwereza kumabwerezedwa katatu patsiku, mankhwalawa amachitidwa ndi njira zowonjezera - mankhwala a ziphuphu.
Kodi n'zotheka kuchiza zipsera za m'mimba?
Poyankha funso la odwala la momwe angachiritse tizilombo toyambitsa matenda, madokotala amavomereza kuti n'zosatheka kuchotsa kwathunthu kachilomboka m'thupi. Chifukwa chaichi, poyambitsa chitetezo cha thupi, kuchepa kwa thupi, matendawa akuwonjezeretsanso. Njira zothandizira ndizochepetsa kuchepa kwa nthawi yayitali, kuchepetsa kuchulukana kwa mphutsi. Pochepetsa kuchepa kwa tizilombo toyambitsa matenda kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda, perekani mankhwala omwe ali ndi interferon.
Mafuta kuchokera kumaliseche opatsirana
Mankhwala oletsa tizilombo toyambitsa matenda, kirimu - mankhwala abwino kwambiri a tizilombo toyambitsa matenda. Amagwiritsidwa ntchito mwachindunji kumalo a rashes, kangapo patsiku. Izi zimathandiza kuchepetsa maonekedwe a matendawa, kuchepetsa odwala zizindikiro monga kuyaka, kuyabwa. Yopambana ntchito iliyonse maola 3-4. Pachifukwa ichi, njira yopangira mankhwala imasankhidwa payekha. Kawirikawiri nthawi yake sichidutsa masiku 3-5. Ngati patatha sabata imodzi yogwiritsira ntchito chikhalidwe sichitha bwino - muyenera kukaonana ndi dokotala. Pakati pa mafuta wamba ochokera m'mimba yamtundu:
- Acigerpine;
- Acyclovir;
- Vivorax;
- Gervirax;
- Zovirax ;
- Gerperax;
- Acyclostad;
- Herpetad;
- Virolex.
Makandulo ndi mawere a m'mimba
Poganizira mankhwala osokoneza bongo, tiyenera kudzipatula patokha. Amagwiritsidwa ntchito mozemba, kawiri kawiri pa tsiku. Nthawi ya ntchitoyi yaikidwa payekha, ndipo pafupipafupi ndi masiku khumi. Nthawi zambiri, mankhwala amatha kukhala miyezi itatu. Pachifukwa ichi, suppository imodzi imagwiritsidwa ntchito, yomwe imaperekedwa tsiku lililonse. Zina mwa mankhwala omwe amagwiritsidwa ntchito pochizira matenda monga matumbo a m'mimba, ndi awa:
- Kipferon;
- Hexicon;
- makandulo Betadinovye;
- Galavit;
- Panavir .
Mapiritsi ochokera ku herpes
Mankhwala aliwonse a zitsamba zamagazi ayenera kutengedwa molingana ndi malamulo a zachipatala. Dokotala mwachindunji, poganizira zachipatala, chizindikiro cha matenda, chidziwitso cha njira ya matenda, amachititsa mlingo, kuchulukitsa komanso nthawi ya kumwa mankhwala. Mapiritsi a anti-antiretrole amagwiritsidwa ntchito movuta, kawirikawiri mitundu yambiri ya mawere. Thandizo lothandiza la mankhwala opatsirana pogonana limaphatikizapo kugwiritsa ntchito mankhwala awa:
1. Zopangika zowonjezera za acyclovir:
- Acyclostad;
- Acyclovir ;
- Vivorax;
- Virolex;
- Herpetad;
- Provirsan.
2. Ali ndi valaciclovir:
- Valtrex ;
- Vairova;
- Wirdel;
- Valwyr;
- Walogard;
- Valmik.
3. Nkhumba yogwira ntchito famciclovir:
- Minaker;
- Famvir;
- Famciclovir;
- Familar.
Malingana ndi mankhwala omwe asankhidwa kuti athe kuchipatala, madongosolo a mankhwala amasiyana:
- Acyclovir - perekani 200 mg, mpaka 5 pa tsiku, kwa masiku asanu;
- Valaciclovir - 500 mg, 2 pa tsiku, masiku asanu motsatira;
- Famciclovir - gwiritsani ntchito 250 mg, katatu pa tsiku, kwa masiku asanu.
Zilonda zamtundu - mankhwala ochiritsira
Chithandizo cha mankhwala a m'mimba ndi mankhwala ochiritsira amavomerezedwa monga mankhwala owonjezereka, othandizira. Mitengo ya mankhwala imathandiza kuthetsa mawonetseredwe a herpes, kuchepetsa mvula, kuchepetsa kuyabwa ndi kupweteka. Tiyeni tione maphikidwe ogwira mtima.
Zitsamba zamagulu motsutsana ndi zitsamba zamaliseche
Zosakaniza:
- thyme - 2 tbsp. makuni;
- juniper (zipatso) - 2 tbsp. makuni;
- Leonurus - 2 tbsp. makuni;
- masamba a rasipiberi - 5-7 zidutswa;
- mandimu mafuta - 3 tbsp. makuni;
- Wort St. John's wort - 1 tbsp. supuni;
- chowawa - 1 tbsp. supuni;
- Gorisvet - 1 tbsp. supuni.
- madzi - 500 ml.
Kukonzekera, gwiritsani ntchito:
- 2 tbsp. Supuni yophika kuthira madzi otentha.
- Dikirani mphindi 60.
- Onetsetsani, ozizira.
- Tengani 100 ml, 4 pa tsiku, kwa masiku 14.
Mankhwala othandiza kuchokera ku zitsamba za m'mimba
Zosakaniza:
- mafuta ofunika a mkungudza - madontho asanu;
- madzi - 200 ml.
- ubweya wa thonje, gauze
Kukonzekera, gwiritsani ntchito:
- Madzi amawiritsa ndi kutentha mpaka madigiri 40
- Onjezerani madontho pang'ono a mafuta, kusakaniza bwino
- Chotsatiracho chimagwidwa mu chopangidwa ndi thonje swab.
- Lowani mkanjo usiku. Mukhoza kugwiritsa ntchito njirayi kuti muchepetse khungu lowonongeka. Violet, geranium, mafuta a lavender ndi oyenerera njira.
Zilonda zamkati mwa mimba
Mimba yamphongo pa nthawi ya mimba, ngati kachilombo kawiri, sikusokoneza mwana wamtsogolo. Amatetezedwa ndi ma antibodies a mayi, omwe amapangidwa ndi thupi lachikazi. Chinthu china ndi pamene mayi wapakati akulandira kachilombo koyamba pamene akuyembekezera mwanayo. Matenda apakati angayambitse mavuto awa:
- 1 trimester - kuchedwa pa chitukuko, fetal fading , kupanga mapangidwe;
- 2, 3 trimester - hydrocephalus, ambiri ndi hypochlorous .
Matenda opatsirana pogonana
Kupewa kwenikweni matendawa ndiko kupanga katemera. Komabe, kugwiritsa ntchito kwake sikukhala ndi zotsatira zosatha. Ichi ndi chifukwa cha zenizeni za kapangidwe ka kachirombo ka HIV. Kupewa kosafunika kwenikweni, kuphatikizapo ziwalo zoberekera zobwerezabwereza, ndiko kusunga malamulo ena:
- mgwirizano wapamtima wapamtima;
- kugwiritsa ntchito njira zothandizira kulera;
- Mankhwalawa, omwe amachititsa chitetezo chitatha kugonana;
- kafukufuku wamakono.