I-urethritis yabesifazane, izimpawu kanye nokwelapha okuzoxoxwa ngezansi, inqubo evame ukuvuvukala njalo. Lokhu kungenxa yobuqili besakhiwo se-female genitourinary system. Ake sicabangele kabanzi ngempilo, izizathu zayo, izimfanelo, sizokwazi ukuthi: kunokwelapha i-urethritis.
Urethritis - Izimbangela
Izimbangela zokuvuvukala kwe-urethra, i-urethra, ngokuvamile zibangelwa ukungena kwamagciwane ezincane ze-pathogenic. Ubude bayo obuncane kwabesifazane, 1-2 cm, nobubanzi obukhulu buchaza ukutheleleka okuncane kwesistimu ye-genitourinary. Kuye ngokuthi imvelaphi ye-factor pathogenic, i-urethritis ihlukaniswe ibe yi-infectious and non-infectious. Uhlobo lokugcina lwesifo luvela lapho:
- urolithiasis (amatshe alimaza i-urethra);
- izicubu ezimbi;
- ukulimala kwe-urethra ngesikhatsi sokudla;
- ukusabela okweqile;
- izifo zemizimba;
- i-venous stasis ekhanda elincane.
I-urethritis esithathelwanayo ingaba yinto ecacile (ebangelwa ukutheleleka ngokocansi) futhi engacacile - ukuvuvukala okuvamile, okuvuthayo. Njenge-agent causative, staphylococcus aureus, streptococcus. Phakathi kwezinhlobo ezithile zokukhubazeka, kunezifo ezinjalo ezifana nalezi:
- I-Trichomonas ;
- amakhowe Candida;
- i-chlamydia ;
- mycoplasma.
I-urethritis enamandla
I-urethritis enjalo kwabesifazane, izimpawu kanye nokwelapha okubizwa ngokuthi ngezansi, yi-80% wamacala. Lesi sifo sibonakala ngokukhanya okukhanyayo, okungazelelwe. Kukhona ukuwohloka okubukhali empilweni yonke: kukhona ubuhlungu nokuxubha esiswini esingaphansi, endaweni ye-urethra, ukuvuthwa kuyaba njalo, ukushisa komzimba kuphakama. Ngokuqondile ngakho uqala urethritis kwabesifazane. Ukuphulwa kudinga ukuqala kokuqala kokungenelela kokwelapha. Uma kungenjalo, kukhona ingozi yokusakazwa isifo ngokuqhubekayo ngokusebenzisa uhlelo lwe-genitourinary.
Urethritis engapheliyo
Lapho ukuvuvukala kwe-urethra kwabesifazane kungelashwa isikhathi eside, lesi sifo sihlala singapheli. Ngesikhathi esifanayo, izinsuku ezingu-20 kuphela ezingadlula kusukela esiteji sokuqala. Kulokhu, izimpawu ziphela ngokuphelele futhi zivele futhi kuphela lapho kukhona khona izinto ezithile:
- i-supercooling;
- ukuthintana ngokocansi;
- ukuvusa okuqinile;
- ukusetshenziswa kweziphuzo ezidakayo.
I-urethritis yabesifazane - izimpawu
Uma i-urethritis iqala, izimpawu zesifo ziphawuleka kakhulu ukuthi isiguli singasinquma ngokuzimela. Lesi sifo sinezikhathi eziqala zokuqala. Ngokumelene nesimo senhlalakahle jikelele kunezinhlungu ezinzima zokuphumula esiswini esingaphansi, unxusa ukuchama. Ngesikhathi sokuvakashela endlini yangasese, owesifazane uzizwa engakhululekile - ukucindezela, ukudonsa ubuhlungu. Ukukhathazeka kuvame ukutholakala endaweni yangasese. Phakathi kwezinye izibonakaliso zenqubo yokwelapha e-urethra:
- ukwabiwa kwemvelo ehlukile kusuka e-urethra;
- ukubonakala kokungahlanzeki kwegazi noma ukuqhuma emcimbini;
- ubuhlungu be-periodic, ehlanganisa isisu esingaphansi, isifunda se-pubic.
I-urethritis yama-bacterium
Ngokuvamile ukuvuvukala kwe-urethra kwabesifazane, izimpawu zazo ezibizwa ngezingenhla, zicasulwa amabhaktheriya, i-microflora yesimo se-pathogenic. Lapho izimo ezizwakalayo ezincane ezinjalo ziphakama, ukukhula nokukhiqiza kwazo kukhula. Okubalulekile ekuthuthukiseni lolu hlobo lokukhubazeka kungaba:
- uketshezi olude isikhathi sesisindo ;
- ukuqhuba izifundo zokuphefumula - endoscopy, isampula ye-smear evela ku-urethra;
- ubulili obungavamile.
Lesi sifo sibonakala ngesithombe sayo somtholampilo. Kodwa-ke, izibonakaliso zendawo zokwelapha azikho inkulumo ecacile. Isici esihlukile se-urethritis ye-bacterial is purulent noma i-mucous discharge from the urethra. Ngesikhathi esifanayo, i-edema encane ye-mucosal, i-hyperemia ye-open outer urethral, ukuvuvukala kwama-vulva nezicubu eziseduze kubhaliwe.
I-Candidiasis urethritis
Izimpawu zalolu hlobo lwe-urethritis zifana nomtholampilo wesifo esifana nesifrush. Ngokuvamile lokhu ukukhubazeka kubangela izinguquko zokuvuvukala ku-urethra. I-urethritis engamakhelwane ibonakala odokotela njengengcindezi yokwelapha isikhathi eside ngamagciwane e-antibacterial. Ukuguquka kwe-microflora ye-vagina kubangele ukukhula kwe-microflora ye-pathogenic engenamathuba, yingakho lesi sifo siqala. Isici sesici saleso sifo kungukungabikho kwezimpawu eside.
Izimpawu zokuqala ze-pathology zenzeka ezinsukwini ezingu-10-20 emva kokuqala kwenqubo yokuvuvukala. Lo wesifazane ngokuzumayo uqala ukukhathazeka ngesifo esiswini esingaphansi, esivutha ngesikhathi sokuchama. Lapho uhlola izitho zangasese, iziguli zibonisa ukukhishwa okumhlophe kusukela ekukhanyeni kwe-urethral. Zine-viscous, i-uniform consistency, zibangelwa ukugwinya okuncane, ukungakhululeki endaweni yangaphandle yezakhi zofuzo.
Urethritis ye-Trichomonal
Lokhu ukuvuvukala kwe-urethra, izimpawu zazo ezifanayo kungakhathaliseki imbangela, uhlobo lwe-pathogen, kubangelwa yi-Trichomonas. Le pathogen yimbangela yokuthuthukiswa kwesifo socansi, njenge-trichomoniasis. Izimpawu zalesi sifo zivele emva kwezinsuku ezingu-5-15 kusukela ngesikhathi i-pathogen engena emzimbeni. Into yokuqala owesifazane ayinake ngayo ishaya endaweni yokugaya. Ngemva kwesikhashana, ukukhishwa kwengeziwe kuwo.
Umthamo wokugcoba kwamanzini uyingcosana - odokotela bawachaza njengokulinganisela. Isici esiyingqayizivele ngumlingiswa onobuhle kanye nomthunzi omhlophe. Ngokuhamba kwesikhathi, inani landa, okwenza lo wesifazane angakhululeki. Uma uya kudokotela, ukuxilongwa ngokugcwele, i-microscopy yesampula yendaba, nokuhlwanyela kwenziwa. Ekucwaningweni kwezinto zokuzalwa, i-flagella ye-flagella ye-Trichomonas itholakala.
I-urethritis engavamile
Ngaphansi kwaloluhlobo lwe-urethritis, kuyisiko ukuqonda inqubo evamile yokuvuvukala ku-urethra. Ukuvuvukala kwe-sphincter yangaphandle ye-urethra kungabangela izinambuzane ezinjalo ze-pathogenic njenge-streptococcus, i-staphylococcus, i-E. coli. I-pathology iqala ngaphansi kwethonya lemibandela engathandeki emzimbeni:
- i-supercooling;
- isikhathi eside esingavakashele endlini yangasese;
- ushintsho oluvamile labalingani bocansi.
Izimpawu zaloluhlobo lwe-urethritis zifana nokunye. Ngenxa yalokhu, ukuxilongwa kungenziwa ngemva kokuthola ukuhlukana okuhlukile:
- ukulethwa komchamo;
- ama-smears avela ku-urethra;
- Ukuhlolwa ngezifo zocansi.
Ukuhlolwa kwe-Urethritis
Ukuvuvukala udokotela we-urethra kungacubungula futhi kube nokuhlolwa okujwayelekile kwesisu. Kodwa-ke, ukuze kutholakale isici esabangela ukukhubazeka, isifundo se-laboratory siyadingeka. Ngaphambi kokwelapha ukuvuvukala kwe-urethra, odokotela basebenzisa izindlela ezilandelayo zokuxilonga:
- ukuhlaziywa okujwayelekile komchamo;
- ukuguqulwa ngokuvumelana noNichiporenko;
- umkhuba we-bacterial umchamo;
- ama-smears avela ku-urethra .
Kusukela kuma-hardware izindlela zokuxilonga zingasetshenziswa:
- i-urethroscopy - ukuhlolwa kwe-mucosa yesisu nesisindo;
- I-Ultrasound yezitho zomzimba.
Urethritis - ukwelashwa kwabesifazane
Ukuqeda ngokushesha i-urethritis, ukwelashwa kufanele kuqale ngokubonakala kwezibonakaliso zokuqala ze-pathology. Indlela eyinhloko, esebenzayo imithi yokwelapha. Ukunciphisa ukukhula nokukhiqizwa kwamagciwane we-pathogenic kuholela ekuqothulweni kwezimpawu, ukukhululeka kwenhlalakahle jikelele nokuphulukisa. Ngesikhathi esifanayo, wonke ama-aphoyintimenti angomuntu ngamunye.
I-urethritis yabesifazane, abanezibonakaliso zabo kanye nokwelashwa okuxoxwa ngakho kulesi sihloko, kubonisa ukukhethwa kwe-antibiotic. Kuze kube sekugcineni, ukuzwela kwe-pathogen eqenjini elithile lezidakamizwa (ukuhluma imbewu) kufanele kunqunywe. Ngokusekelwe emiphumeleni yocwaningo, udokotela ubeka imithi efanelekile ye-antibacterial esebenza ngokuqondile kwi-urethritis pathogen. Ukwelashwa kwe-urethritis engapheli kuhilela ukunciphisa ukubonakaliswa kwemitholampilo. Ukuhambisana nalezi zilinganiso, ukuvama kokuphuza imithi kubangela ukuphola ngokushesha.
Ukwelashwa kwe-urethritis kwabesifazane - izidakamizwa
Ama-antibiotic we-urethritis kufanele asetshenziswe kuphela ngokuhambisana nomuthi kadokotela. Ngokuqondile udokotela ubonisa igama lesidakamizwa, isilinganiso sawo kanye nemvamisa yokuphatha. Ukukhethwa komuthi ngokuqondile kuxhomeke kuhlobo lwe-pathology kanye nohlobo lwe-pathogen. Ngakho-ke kusetshenziselwa ama-antibiotic angenasiphakamiso e-urethritis e-wide spectrum:
- cephalosporins (Cefazolin, Cefotaxime, Ceftriaxone);
- i-sulfonamides (i-Sulfazol, i-Urosulfan);
- ama-macrolides (i-Azithromycin, i-Clarithromycin);
- i-fluoroquinolones (iKlinafloxacin).
I-urethritis eqondile yabesifazane, izimpawu kanye nokwelashwa okuxoxwa ngakho kulesi sihloko, kudinga ukusungulwa kohlobo lwe-pathogen, ngokusho ukuthi yiluphi uhlobo lwezokwelapha olubekiwe:
- ne trichomonas urethritis - iMetronidazole, Trichopol, Imorazole;
- nge candidiasis - antifungal: levorin, nystatin, Natamycin. Ngokuvamile amabhandlela asetshenziselwa urethritis.
Amakhambi we-Urethritis - abantu
Ukukhuluma ngendlela yokwelapha urethritis kwabesifazane, njengendlela yokwelashwa eyengeziwe, odokotela bayelulekwa ukuba basebenzise izitshalo zokwelapha. Ukuphumelela ku-urethritis nokuvuvukala kwe-urinary system yi-parsley ne-cornflower.
Ukumnika amaqabunga eparsley
Izithako:
- amaqabunga eparsley - 1 tbsp. isipuni;
- amanzi - 500 ml.
Ukulungiselela, sebenzisa:
- Amahlamvu ahlanziwe ngokuphelele, achotshoziwe.
- Thela amanzi abilisiwe, abanda.
- Bambelela ubusuku obu-1.
- Thatha 3 tbsp. izinkezo, njalo amahora amabili.
Izimbali ze-cornflower eluhlaza okwesibhakabhaka kusuka ku-urethritis
Izithako:
- izimbali ze-cornflower - 70 g;
- amanzi - 200 ml.
Ukulungiselela, sebenzisa:
- Izimbali ezingenabhasikidi agcwele ingilazi yamanzi abilayo.
- Bambelela ihora eli-1.
- Hlunga bese uthatha izipuni ezimbili. isipuni, izikhathi ezimbili ngosuku, ngaphambi kokudla okulandelayo.
Amahlamvu we-currant emnyama
Izithako:
- black currant (amaqabunga) - 2 tbsp. izinkezo;
- amanzi - 500 ml.
Ukulungiselela, sebenzisa:
- Amahlamvu ahlanzekile kahle.
- Bawafaka ezitsha zokugcoba bese bethululela ngamanzi abilayo.
- Ukumisa imizuzu engu-30, isihlungi. Thatha esikhundleni sokuphuza emini.
Imiphumela ye-urethritis
Ukungabikho kokwelashwa kulezi zifo kubhekene nokusakazeka kwenqubo yokuvuvukala ohlelweni lwe-genitourinary. Isisu, isibeletho kanye nezinhlelo zokusebenza zingathinteka. Izinkinga eziyinhloko kukhona
- i-cystitis;
- i-vaginitis;
- i-vulvovaginitis.
Ngokusakazeka okwenyuka kwalesi sifo, kunezifo ezinjengezifo ezinjengokuthi:
- i-colpitis;
- i-adnexitis;
- i-endometritis.
I-urethritis yabesifazane, abanezibonakaliso nemithi ebangelwa i-pathogen, iphazamisa uhlelo lokuzala. I-urethritis, ngesikhathi sokukhulelwa, isuka, ingaphazamisa inqubo yokubeletha. Ngamafuphi, lesi sifo singabangela ukuphazanyiswa ekuthuthukiseni i-fetus. Ngasekupheleni kuka-3 trimester, i-urethritis iba imbangela:
- ukuchithwa kwe-placental ngaphambi kwesikhathi;
- ukuzalwa ngaphambi kwesikhathi.