Ihwo hutano hwemutsipa weT-shati pakati pehuwandu hwehutano hwezvirwere zvechirwere ndeye 10-15%. Munguva pfupi yapfuura, pane zvave zvichiita kuwedzera kuwanda kwezviitiko zvehutachiona hwechirwere pachidiki (makore 15-24), iyo inotsanangurwa, kutanga kune yose, kuburikidza nekutanga kwehutano hwehupombwe, kuchinja nguva dzose mune zvepabonde, hutachiona hwezvirwere zvakasiyana-siyana zvepabonde, kubata pamuviri, izvo zvinowanzoguma nekubvisa pamuviri .
Mamiriro emuviri wechibereko
Muchibereko chemukati chidiki muhukuru. Kubva mukati, muromo wekervical (cervical) mumugero unopinza masero e-cylindrical single-layered epithelium, umo mune zvakawanda zvinokonzera kubudisa glands. Kunze, chibereko chechivharo chinofukidzwa nemapurisa akawanda eepithelium, ayo anopinda muzvivako zvemukadzi uye zvipfeko zvikomberedza.
Kuenzaniswa kwezvirwere zvechirwere
Muzvirwere zvepabonde, chirwere chekondomu chakakamurwa kuva mapoka matatu:
- zvirwere zvepachirwere, zvinosanganisira: kuora kwechokwadi, mapillomas, cervicitis, leukoplakia , polyps, ectropion, post-traumatic ruptures, endometriosis, ruvara runoshandura pamuromo wechibereko;
- kenza yemucheche;
- mamiriro okunze, anosanganisira: adenomatosis, dysplasia uye erythroplasty.
Zviratidzo uye Kuongororwa kweCervical Diseases
Zvirwere zvakawanda zvemuviri zvinopfuurira pasina zviratidzo zvakananga uye zvinowanzokurwisana nechemberi kune dzimwe zvirwere zvevakadzi. Ndicho chikonzero mukadzi wese anofanira kumushanyira mudzimai wegynecologist mwedzi mitanhatu yese kuti aone kuchinja kwehutachiona pamuromo wechibvumirano nekukurumidza.
Nokuda kwekuongororwa kwekervical pathologies, nzira dzakasiyana-siyana dzinoshandiswa:
- Kuongorora muzvioni-zvinoita kuti zvive nyore kutora kuvapo kwezvirwere pamutsipa.
- Chiyero cheSchiller - umo mutsipa wakasvibiswa nemhinduro yaLugol. Zvisikwa zvisina kufanana zvinokonzera kuchinja kwehutano.
- Colposcopy - inosanganisira kuongorora mutsi ne colposcope, uchishandisa dhayi uye kuita miedzo yakasiyana-siyana.
- Cytology - pasi pe microscope, smears inotorwa kubva munharaunda yemumuromo wechibereko uye kubva mumuviri wemukati inoongororwa.
- Dzidza kuvepo kwezvirwere zvepabonde.
- Nyuchi - inobatsira kuita tsanangudzo yekujekesa kana izvi zvisingakwanisi kuitwa zvichienderana nedzidzo ye cytology uye colposcopy.
- Ultrasound kuongororwa kwemuviri wepachiviri - inoitwa kuitira kuti ijekese kuwanda kwemukati mutsara weganda remudzimai uye kuziva zvimwe zvinogona kuitika.
- Magnetic resonance imaging, angiography, computed tomography - inoshandiswa kana pane zvikafu zvezviremara zvakaipa.
Kurapa kwezvirwere zvepervical
Cervical disease therapy inobva pamitemo inotevera:
- kurapwa kunotungamirira kumararamiro ekurwara kwechirwere chepakati;
- kurapwa kwekuputika kwechikadzi uye chirwere, zvichienderana nechirwere ichi;
- kushandiswa kwekugadzirisa zvirongwa mumuviri.
Chokutanga, gynecologist sanitizes the vagina. Izvozvo chete ndezvokuti nzira dzinogona kukanganisa chibereko chekemikari-chemical coagulation, diathermocoagulation, diathermoconation, cryosurgery, chirwere chemalasi.
Mushure mokuparadzwa kwechirwere chemafuro, kururamisa maitiro ezvirwere uye mahomoni, microbiocenosis yechiratidzo chemadzimai, kukurudzira kwekugadzirisa zvinhu mumutumbi wemukadzi.
Kudzora kuongororwa kwemutsipa wechiremba kunotora mushure mekuguma kweimwe nguva yekuenda kumwedzi, kuitira kuti aongorore chirongwa chekuporesa kwechirwere chechirwere. Madzimai asiri nulliparous ane uncomplicated ectopy, hapana zvinokonzerwa nemukiriniki zvinogona kushandiswa uye chiremba anongotarisa hutachiona hwehutano.