Njengoba uneminyaka yobudala, umsebenzi wokubeletha wesifazane ushintsha, ukuphuma esikhathini kuyakwenzeka uma kungekho esikhathini. Ngenxa yezinguquko zomzimba ezenzeka emzimbeni wesifazane, kukhona ukwehla kwe-hormone ebaluleke kakhulu emzimbeni wesifazane - estrogen. Lokhu kungenxa yokunciphisa i-epithelium yama-vaginal, izinga le-lactic acid liyehla, futhi i-pH yangasese iyaphakama. I-microflora enokukhubazeka ingabangela izifo zokuvuvukala. Izifo ezinjalo zihlanganisa i-atrophic vaginitis (i-senile colpitis, i-senile atrophic vaginitis). Akubonakali ngaphambi kweminyaka emihlanu emva kokuqala kokuya esikhathini.
I-Atrophic vaginitis: izimbangela
Izimbangela eziyinhloko ze-vaginitis yizi ezilandelayo:
- ukwehla ezingeni lika-estrogen ngenxa yesikhashana sokunqamuka kwamandla (ngokwesibonelo, ngemuva kokuhlinzwa noma ngenxa yezokwelapha emisebeni);
- izinguquko ezivamile zomzimba emzimbeni, okwenza ukuguga kwezitho eziyisisekelo nezinhlelo zomuntu.
I-Postmenopausal atrophic vaginitis: izimpawu
Owesifazane angase abe nomuzwa wokungahambi kahle phambi kwe-atrophic vaginitis futhi agcine izimpawu eziningana:
- ubuhlungu obuvuthayo;
- Ukoma emzimbeni;
- itching;
- ukushisa;
- I-Dyspareunia (ubuhlungu ngaphambi, ngesikhathi noma emva kokulala);
- ukuvuthwa njalo noma isifiso samanga;
- Kuyisikhathi eside kungase kube khona indawo engavamile yokubona indawo;
- Esikhathini sesifunda sezishiyagalombili kanye nama-labiya, kuphawulwe izimpawu zokuhlunga.
Njengoba ama-capillary ezindongeni zesisindo ayencane ngokwanele, ukuphuma kwegazi kungenzeka lapho uxhumana nomngane wakho. Kwezinye izimo, lo wesifazane ubhalwe ngodonga lwangasese lwangaphakathi.
I-postmenopausal atrophic vaginitis: ukuvimbela nokwelapha
Kubalulekile ukuthi abesifazane asebekhulile bahlanganise imikhiqizo yobisi kakhulu ngangokunokwenzeka ekudleni kwabo, okuzokwenza kube khona ukungabikho kwe-lactobacilli ewusizo ephethe i-microflora yesifazane.
Indlela kuphela ephumelelayo yokuvimbela ukuqala kwe-atrophic vaginitis iyindlela yokwelashwa e-hormone ekhethiwe kahle. Ukwelapha ngokwemithi kufanele kuqalwe ingxenye eyodwa nengxenye kuya emithathu emva kokuqala kokuya esikhathini. Kulesi simo, kunamathuba aphakeme okwesifazane ukugwema ukugula okunjalo.
Ukuze uvimbele, ungaphinde ugeze izitho zangasese zangaphandle okungenani kabili ngosuku ngokungeziwe kwe-potassium permanganate noma ukumnika ukugcwala. Kodwa-ke, lokho kuhlanza kufanele kwenziwe okungaphezu kwezinsuku ezine, uma kungenjalo owesifazane anganciphisa ukutholakala komzimba we-microflora yangasese.
Endabeni yokuxilongwa okunjalo, ukwelashwa komuntu wesifazane akudingeki, ukwelashwa kwenziwa ngesineke.
Udokotela angase anikeze ukuthatha u-estriol ngendlela ye-suppositories noma amafutha. Kumele kuhanjiswe ngaphakathi kwesiswini ebusuku ngamasonto amabili.
Imithi enemiphumela yesistimu kufanele isetshenziswe kungakapheli iminyaka emihlanu. Zihlanganisa: i-tibolone, ingelosi, i-estradiol, ngayinye, i-cliogest, i-klimodien.
Okungenani kabili phakathi konyaka wekhalenda, owesifazane udinga ukuvakashela umjozi wezifo zezinkinga ze-colposcopy, colpositis nokuhlolwa kwe-pH yesifazane.
Uma kungekho ukwelashwa okwanele, izilonda ezincane zingase zivele ezindongeni zesifazane.
Uma kwenzeka ukwelashwa kwaqala ngesikhathi, ukuphawula kwesibindi kuvame ukuhleleka: ukuhlukumeza owesifazane kuyanyamalala, ukucwiliswa kwe-microcirculation kanye ne-tonus yezindonga zangasese kubuyiselwa. Futhi i-hormone the substitution therapy ivumela ukugcina izinga le-estrogens ezingeni elidingekayo.