Ntshav tom qab kev sib deev - yam ntxwv, ua rau, kuaj mob

Los ntshav tom qab kev sib deev kuj tseem hu ua spotting ntawm qhov chaw mos. Nws yog qee zaum hu ua kev sib cuag los ntshav. Muaj ntau ntau yam uas tuaj yeem ua rau los ntshav tom qab kev sib deev. Los ntshav tom qab kev sib deev tsis yog ib txwm tshwm sim los ntawm tus kab mob, tab sis nws tuaj yeem ua rau mob hnyav xws li polyps. Txawm li cas los xij, koj yuav tsum nco ntsoov nco ntsoov tias qhov pom ntawm qhov chaw mos tuaj yeem yog qhov cim ntawm kev mob qog noj ntshav. Dab tsi yog qhov ua rau thiab yuav daws qhov teeb meem no li cas?

1. Cov ntshav tom qab kev sib deev yog dab tsi?

Los ntshav tom qab kev sib deev tsis yog qhov tsis tshua muaj tshwm sim rau cov poj niam uas muaj lub npe hu ua thawj zaug. Mob, feem ntau txuam nrog los ntshav, yog ib tug tshwm sim ntawm ib tug ruptured hymen nyob rau hauv ib tug poj niam.

Yog tias los ntshav tom qab kev sib deev tsis cuam tshuam nrog kev coj khaub ncaws, nws yuav tsum ua rau muaj mob hnyav. Qhov mob no feem ntau nrog rau cov poj niam uas tawm tsam nrog mob qog noj ntshav. Cov pob tuaj yeem yog qhov tshwm sim ntawm lub ncauj tsev menyuam lossis qhov chaw mos polyps. Txhua lub sij hawm qhov no yog ib qho kev ceeb toom uas yuav tsum tau sab laj nrog ib tug gynecologist.

Los ntshav feem ntau yog los ntawm cov khaubncaws sab nraud povtseg ntawm qhov chaw mos. Feem ntau, nws kuj nrog qhov mob thiab tsis xis nyob thaum muaj kev sib deev. Nws yog ib qho tsim nyog hais tias qee qhov kev pom tuaj yeem rov qab los txawm tias tsis muaj kev sib deev.

Cov ntshav tawm tom qab kev sib deev feem ntau tshwm sim raws li cov kab me me ntawm cov ntshav los yog cov ntshav stained lub ncauj tsev menyuam.

2. Ua rau los ntshav tom qab kev sib deev

Los ntshav tom qab kev sib deev kuj tseem hu ua spotting ntawm qhov chaw mos. Qhov mob no tuaj yeem tshwm sim los ntawm ntau yam laj thawj:

• mechanical puas tsuaj rau qhov chaw mos mucosa cuam tshuam nrog nws cov dryness, uas tej zaum yuav tshwm sim los ntawm tsis muaj foreplay los yog siv cov tshuaj tiv thaiv kab mob, los yog tej zaum yuav yog ib tug neeg feature,
• kev nkag mus tob dhau, uas, ntxiv rau kev sib cuag los ntshav, tuaj yeem ua rau mob hauv plab,
• lub sij hawm ntawm lub sij hawm thaum muaj kev hloov hormonal tshwm sim
• menopause,
• rape los yog kev ua phem rau kev sib deev (cov neeg raug tsim txom ntawm kev sib deev tuaj yeem ua rau qhov chaw mos los yog rhuav tshem lub perineum).

Ntshav tawm tom qab kev sib deev, hloov mus rau hauv cov ntshav uas tshwm ntau dua, yuav qhia tau tias muaj cov txheej txheem mob tsis tu ncua. 

Cov xwm txheej hauv qab no yuav tsum tau hais ntawm no:

• zrosty thiab endometrioza,
• erosion - thaum, ntxiv rau cov ntshav, ib tug loj npaum li cas ntawm mucus yog pom. Tsis tas li ntawd, muaj mob hauv plab thiab lumbar qaum. Feem ntau, kev yaig tsis muaj cov tsos mob tshwm sim, yog li nyob rau hauv cov xwm txheej zoo li no nws yog ib qho tsim nyog yuav tsum tau mus kuaj, thiab tshwj xeeb tshaj yog rau kev thauj khoom. cytology,
• zes qe menyuam cysts - uas tshwm sim los ntawm hormonal ntshawv siab,
• Cervical polyps - tshwm sim vim qhov tseeb tias hauv ob sab phlu ntawm lub tsev menyuam tsis sib cais thaum cev xeeb tub. Lawv yog cov cwj pwm los ntawm kev rov tshwm sim ntau zaus thiab xav tau kev kuaj mob histopathological,
• cervicitis - tshwm sim los ntawm o ntawm cov kwj dej txuas qhov chaw mos mus rau lub uterine kab noj hniav. Cov mob no tuaj yeem ua rau qhov chaw mos los ntshav.
• adnexitis, tseem hu ua kab mob pelvic inflammatory. Qhov teeb meem no feem ntau cuam tshuam rau cov poj niam uas muaj kev sib deev (nruab nrab hnub nyoog 20 thiab 30). Cov neeg mob yws yws ntawm qhov mob hnyav hauv plab plab, mob thaum sib deev, mob subfebrile.

• kab mob vaginosis - thaum koj hnov ​​​​tus yam ntxwv tsw tsw ntxhiab thiab cov qe ntshav liab muaj nyob hauv cov hnoos qeev,
• Cov kab mob fungal ntawm qhov chaw mos - tshwm sim los ntawm Candida Albicans, Candida Glabrata, Candida Tropicalis, ua rau khaus, qhov chaw mos tawm thiab khaus ntawm daim tawv nqaij,
• chlamydia - uas tshwm sim los ntawm cov ntshav los ntawm qhov chaw mos. Cov kab mob Chlamydia trachomatis yog lub luag haujlwm rau kev loj hlob ntawm tus kab mob.
• Gonorrhea - uas feem ntau tshwm sim asymptomatically. Cov tsos mob feem ntau tshwm sim tom qab thiab, ntxiv rau cov ntshav stains, daj qhov chaw mos tawm thiab tso zis mob tshwm sim.
• trichomoniasis - manifested los ntawm kev sib cuag spotting. Tus kab mob no tshwm sim los ntawm kev kis tus kab mob protozoan Trichomonas vaginalis,
• syphilis - tshwm sim los ntawm cov kab mob spirochetes. Lwm yam tshaj li qhov nqaij tawv, cov tsos mob feem ntau muaj xws li: khaus khaus ntawm liab lossis tooj liab xim thaj ua rau thaj thiab pustules, mob caj pas, mob taub hau, plaub hau poob, poob phaus, thiab cov qog nqaij hlav o.
• herpes ntawm labia - uas yog ib qho txaus ntshai heev rau cov poj niam cev xeeb tub. Tus kab mob no tshwm sim los ntawm tus kab mob herpes virus type 2 (HSV-2). Cov tsos mob ntawm tus kab mob herpes labia muaj xws li: khaus, kub hnyiab, tawm qhov chaw mos, tawm ntshav, mob hlwv ntawm qhov chaw mos,
• inguinal Hodgkin's - tshwm sim los ntawm kev kis tus kab mob Chlamydia trachomatis,
• Cov qog nqaij hlav uas cuam tshuam tsis tsuas yog qhov chaw mos, tab sis feem ntau yog cov qog metastatic ntawm zes qe menyuam, ncauj tsev menyuam lossis qhov chaw mos. Raws li kev txheeb cais, kwv yees li 5% ntawm cov poj niam uas tig mus rau tus kws kho mob tshwj xeeb nrog tus kab mob no tau kuaj pom tias muaj mob qog noj ntshav. Tau kawg, tsis muaj kev sim kom raug, tus kws kho mob tsis tuaj yeem qhia tau tias qhov ntshav tas li tom qab kev sib deev yog vim mob qog noj ntshav.

3. Los ntshav tom qab kev sib deev thiab kev kuaj mob

Nrog nquag thiab nce los ntshav tom qab kev sib deev, koj yuav tsum hu rau gynecologist tam sim ntawd. Ua ntej mus ntsib kws kho mob, nws yog ib qho tseem ceeb uas yuav tau xyuam xim rau qhov ntev ntawm lub voj voog, seb lub voj voog yog li cas. Nws yog ib qho tsim nyog yuav tsum xyuas seb qhov kev coj khaub ncaws hnyav hnyav npaum li cas thiab nws kav ntev npaum li cas. Hnub kawg ntawm kev coj khaub ncaws kuj tseem ceeb rau kev kuaj mob kom raug. Ib tug poj niam yuav tsum paub yog tias tom qab kev sib deev los ntshav tshwm sim tam sim tom qab kev sib deev.

Thaum xam phaj tus neeg mob, tus kws kho mob yuav tsum nug txog cov neeg koom tes thiab kev ua haujlwm gynecological ua yav dhau los. Kev noj haus cytological kawg kuj tseem ceeb. Tau kawg, los ntshav tom qab kev sib deev, uas tuaj yeem ua rau tus kab mob, kuj tseem cuam tshuam nrog lwm yam mob, piv txwv li, tej zaum yuav muaj mob hauv plab, hloov pauv tawm, kub hnyiab lossis hnov ​​​​mob hnyav hauv qhov chaw mos.

Ntxiv nrog rau kev xam phaj tus qauv, tus kws kho mob tshwj xeeb yuav tsum tau xaiv ib qho kev kuaj mob gynecological nrog rau cov smear ntawm qhov chaw mos, nrog rau lub ncauj tsev menyuam. Tsis tas li ntawd, transvaginal ultrasound raug pom zoo. Los ntawm kev ua qhov kev ntsuam xyuas no, tus kws kho mob tuaj yeem tshawb pom qhov ua rau ntawm cov ntshav tsis tu ncua.

Qee lub sij hawm nws tseem yuav tsum tau ua cov tshuaj hormonal, hysteroscopy lossis colposcopy.

Koj puas xav tau tus kws kho mob qhov kev sab laj, e-tso ntawv lossis e-phau ntawv? Mus rau lub vev xaib abcZdrowie Nrhiav tus kws kho mob thiab teem caij ntsib neeg mob tam sim ntawd nrog cov kws tshaj lij los ntawm thoob plaws tebchaws Poland lossis teleportation.