Nrog lub hnub nyoog, qhov kev ua deev ntawm tus poj niam hloov, lub cev ntaj ntsug tshwm sim thaum tsis muaj menyuam poj niam. Vim tias cov kev hloov ntawm lub cev muaj sia nyob rau hauv lub cev ntawm ib tug poj niam, muaj ib qho kev txo qis dua nyob rau hauv cov poj niam lub cev - cov tshuaj no. Qhov no yog qhov tsim nyog ntawm qhov thinning ntawm qhov chaw mos ntawm epithelium, qib lactic acid decreases, thiab pH ntawm paum, ntawm qhov tawm tsam, nce. Xws li cov kab mob pathological microflora tuaj yeem ua rau cov kab mob ntawm cov kab mob. Cov kab mob xws li mob atrophic vaginitis (senile colpitis, senile atrophic vaginitis). Nws tshwm sim nws tus kheej tsis muaj ntxov tshaj li tsib xyoos tom qab pib qhov mob lawm.
Atrophic vaginitis: ua rau
Lub ntsiab ua rau mob vaginitis yog cov hauv qab no:
- txo qis ntawm cov tshuaj estrogen los ntawm cov khoom lag luam (piv txwv li, tom qab phais los yog siv cov tshuaj tawg);
- dav dav hloov hauv lub cev, ua rau kev laus ntawm lub nruab nrog cev thiab cov kab mob ntawm cov txiv neej.
Postmenopausal atrophic vaginitis: Cov tsos mob
Ib tug pojniam yuav pom tau tias muaj kev tsis zoo nyob rau hauv kev muaj mob atrophic vaginitis thiab kuaj ob peb yam:
- kub hnyiab;
- txhaws hauv qhov chaw mos;
- khaus;
- kub hnyiab;
- Dyspareunia (mob ua ntej, thaum lossis tom qab com);
- nquag tso zis los yog tsis txaus siab;
- Rau ib lub sij hawm ntev yuav muaj tsawg tus spotting spotting;
- Nyob hauv thaj tsam kev noj qab haus huv thiab cov khoob khoob khees, cov phiajcim ntawm txoj cai yog qhia txog.
Txij li cov capillaries ntawm cov phab ntsa ntawm qhov chaw mos yog nyias txaus, ntshav yuav tshwm sim ntawm qhov sib nyhaub nrog tus khub. Muaj qee zaum, tus poj niam muaj cim nrog tus poj niam qhov chaw poob qis.
Postmenopausal atrophic vaginitis: kev tiv thaiv thiab kev kho mob
Nws yog ib qho tseem ceeb rau cov poj niam laus kom muaj cov khoom noj ntau li ntau tau hauv lawv cov zaub mov, uas yuav ua rau cov tsis muaj kev pabcuam uas yog lactobacilli rau lub microflora ntawm qhov chaw mos.
Qhov tsuas yog txoj hauv kev zoo los tiv thaiv qhov pib ntawm atrophic vaginitis yog xaiv cov tshuaj hormone. Kev kho mob kho mob yuav tsum pib ib thiab ib nrab mus rau peb xyoos tom qab pib lub cev lawm. Nyob rau hauv rooj plaub no, muaj ntau dua rau ib tug poj niam kom tsis txhob muaj kev mob nkeeg.
Rau kev tiv thaiv, koj tseem yuav ntxuav lub sab nraud genitalia tsawg kawg ob zaug ib hnub nrog ntxiv ntawm poov tshuaj permanganate los yog sage infusion. Txawm li cas los xij, xws li ntxuav yuav tsum tau nqa tsis tshaj plaub hnub, txwv tsis pub ib tug poj niam yuav qeeb tau lub cev rov qab los ntawm qhov chaw mos ntawm microflora.
Yog tias tus kws kho mob li no, tsis muaj qhov yuav tsum tau pw hauv tsev kho mob, qhov kev kho mob yog ua los ntawm tus neeg mob sab nraud.
Tej zaum tus kws kho mob yuav muab cov tshuaj estriol coj los siv ua cov tshuaj muaj kua lossis tshuaj pleev. Nws yuav tsum tau muab hauv lub txiv paum hauv qhov tsaus ntuj li ob lub lim tiam.
Cov tshuaj noj uas muaj teebmeem kev tsim nyog yuav tsum tau noj hauv tsib lub xyoos. Lawv muaj xws li: tibolone, angelic, estradiol, tus neeg, cliogest, klimodien.
Yam tsawg kawg ob zaug hauv lub xyoo, ib tus poj niam xav tau mus ntsib ib tug kws kho mob pojniam rau kev xoos hnyav, muaj kab mob thiab muaj kev soj ntsuam ntawm pH ntawm qhov chaw mos.
Thaum tsis tsim nyog kho, cov mob me me tuaj yeem tshwm rau ntawm phab ntsa ntawm qhov chaw mos.
Hauv qhov kev kho mob pib rau lub sijhawm, qhov kev tsim muaj feem ntau yog: tus poj niam tsis xis nyob disappears, microcirculation thiab tonus ntawm cov phab ntsa paum yog rov qab. Thiab hormone replacement therapy tso cai rau cov theem ntawm estrogens nyob rau theem yuav tsum tau muaj.