Ukuguguleka komlomo wesibeletho akusona okwesabekayo njengoba kuzwakala
I-ectropion yomlomo wesibeletho yisimo esingenalo umdlavuza okwenzeka lapho i-endocervix (umsele womlomo wesibeletho ) uphenduka ngaphandle, evelela amangqamuzana avame ukuhlala ngaphakathi kwesibeletho endaweni yemvelo yesisu.
Izingxenye zangaphakathi noma zangaphakathi-endocervix zibonakala zibomvu, ziluhlaza, futhi zivame ukumbozwa ukukhishwa okuphuzi-lokhu kungabonwa ngudokotela ngesikhathi sokuhlolwa kwe-pelvic usebenzisa i-speculum.
Kungenzeka ukuthi wezwa i-ectropion yomlomo wesibeletho ebizwa ngokuthi ukuguguleka komlomo wesibeletho. Naphezu kwegama layo, umlomo wesibeletho awukwenzeki ngempela. Esikhundleni salokho, lezo "zindawo ezibukeke" ziyingxenye yomlomo wesibeletho lapho amangqamuzana avamile e-squvious of the cervix yangaphandle (i-ectocervix) athathwa ngamaseli e-colar of the cervix yangaphakathi (endocervix).
Izimbangela ze-Ectropion yesibeletho
Esikhathini esidlule, kwakucatshangwa ukuthi izinhlobo ezihlukahlukene zokuhlukunyezwa ngokomzimba ezibangelwa ukutheleleka kungenzeka ekugcineni ziholele ku-ectropion yomlomo wesibeletho. Imithombo enjalo yokuhlukumezeka ihlanganisa ukulala ngokobulili, ukusetshenziswa kwamathoni, ukufakwa kwe-speculum, noma ukufakwa kwezinye izinto ngaphakathi kwesifazane.
Ezinye izimbangela ezibandakanyekile zihlanganisa izifo ezithathelwana ngocansi (i-STI) njenge- herpes noma i- syphilis yokuqala. Kwakucatshangwa ukuthi ama- douches wesifazane noma amanye amakhemikhali, njengama-creams okukhipha imithi noma amaphuphu, angabangela ukukhulelwa komkhuhlane wesibeletho.
Namuhla, le mibono ilahlekelwe phansi njengoba ochwepheshe manje bakholelwa ukuthi i-ectropion yomlomo wesibeletho yinto evamile yesatomic eyenziwa ngabesifazane abathile.
Abacwaningi baye bathola ukuthi kungabangelwa izinguquko ze-hormone, okwenza kube khona kakhulu phakathi kwabesifazane abakhulelwe, abesifazane abakhulelwe, noma abesifazane abathatha isisu sokubeletha okunesi-estrogen njengephilisi. I-common denominator lapha ukunyuka kwamazinga e-estrogen emzimbeni, okungashintsha noma ukulungisa kabusha umlomo wesibeletho.
Izimpawu ze-Ectropion yesibeletho
Nakuba ngokuvamile kungekho izimpawu ezihlobene ne-ectropion yomlomo wesibeletho, abanye besifazane bangathola ukuphuma kwegazi okungeyona ingxenye yokuya esikhathini, njengokugoma ngemuva kokulala ngokocansi . Ukukhipha isisu emva kokuhlolwa kwe-pelvic uma i-speculum yomlomo wesibeletho ingeniswa ngaphakathi kwesisu noma ngesikhathi sokuhlolwa kwe-bimanual, kungenzeka futhi. Lokhu kungenxa yokuthi izicubu zomzimba eziveziwe zinezigaxa zegazi ezibuthakathaka futhi ziphuphuma kalula uma zithinteka kalula.
Abanye besifazane abane-ectropion yomlomo wesibeletho nabo bathola ukucwiliswa okucacile noma okwesibhakabhaka okungenawo iphunga. Lokhu kukhishwa akufani ne-pus, okuzokhombisa ukutheleleka.
Kubalulekile ukuqaphela ukuthi lezi zimpawu, njenge- postcoital bleeding , zingase zibe enye into, njenge-cervicitis, umdlavuza womlomo wesibeletho, noma i-polyps yomlomo wesibeletho. Yingakho kubalulekile ukuba uhlolwe udokotela uma ubona noma yikuphi ukugeleza okungavamile noma ukukhipha.
Ukwelashwa kwe-Ectropion yesibeletho
Izindaba ezinhle ukuthi ukuthi iningi labesifazane, i-ectropion yomlomo wesibeletho ayiyona inkinga. Eqinisweni, ochwepheshe abanconyisanga ukwelashwa ngaphandle kokuba owesifazane abhekana nokukhipha ngokweqile noma ukuphawula, okungavamile.
Lokhu kungenxa yokuthi ukwelashwa kungaba khona, kungaholela ekwenzeni ukukhulelwa (nakuba lokhu kungokwesikhashana kuze kube sekugcineni ukuphulukiswa), futhi kungabangela isifo somlomo wesibeletho, isimo lapho umgudu wokugcina umgogodla, noma umhubhe ongaphansi kwesisu, ilula.
I-stenosis yomlomo wesibeletho ingabangela izinkinga zokuzala, kanye nezinkinga zokuya esikhathini ezifana nezikhathi ezibuhlungu (okuthiwa i-dysmenorrhea) noma azikho izinkathi (okuthiwa i-amenorrhea).
Uma kunqunywe ukwelashwa, udokotela uzoqala ukudinga umdlavuza womlomo wesibeletho, ngoba ungalingisa i-ectropion yomlomo wesibeletho. Lokhu kudinga i-Pap smear futhi kungenzeka ibe yi- colposcopy kanye / noma i-biopsy yomlomo wesibeletho. Umdlavuza womlomo wesibeletho kuyisimo esibi kakhulu sezokwelapha, ngokungafani ne-ectropion yomlomo wesibeletho, engeyona i-pathologic.
Uma wena nodokotela wakho benquma ukuthi kungcono ukuqhubeka nokwelapha, kuvame ukufaka inqubo ye-ablative ngokusebenzisa i-electrocautery noma i-cryotherapy.
Enye indlela yokusebenzisa i-suppository ye-vaginal acidfying ebizwa nge-boric acid ngesikhathi sokuhlwa.
Izwi elivela
Ngenkathi igama elithi ectropion yomlomo wesibeletho noma ukuguguleka komsindo kuzwakala kuyinkimbinkimbi, akunjalo. Lokhu kuthiwa, kungatholakala kuphela udokotela. Ngakho-ke uma uthola ukuphuma ngegazi noma ukuphuma komzimba wesisu, kubalulekile ukuwuhlola. Izimo eziningana zingalingisa izimpawu kanye / noma isipiliyoni sokukhukhula komkhuhlane njengokwesifo somlomo wesibeletho noma isisu noma umdlavuza wesibeletho.
> Imithombo:
> Casey PM, Long ME, Marnach ML Ukubukeka okungavamile komlomo wesibeletho: Yini okufanele uyenze, lapho ukhathazeka? I-Mayo Clin Proc. 2011 Feb; 86 (2): 147-51.
> Tarney CM, Han J. Postcoital ukuphuma kwegazi: Ukubuyekezwa nge-etiology, ukuxilongwa, nokuphathwa. I-Obstet Gynecol Int. 2014; 2014: 192087
> Wright KO, Mohammed AS, Salisu-Olatunji, Kuyinu YA. I-coctical ectropion kanye ne-intra-uterine idivayisi yokukhulelwa (i-IUCD): isifundo seminyaka emihlanu sokubuyiselwa kwamakhasimende okuhlela umndeni esikhungweni sempilo ephakeme eLagos Nigeria. Amanothi e-BMC Res . 2014; 7: 946.