Noj qab haus huv, Tshuaj
Qhov chaw mos qhov chaw mos mob cos: cov ua thiab kev kho mob
Qhov chaw mos mob cos - me me outgrowths ntawm lub kab xwm ntawm daim tawv nqaij nyob rau hauv qhov chaw mos. Lawv yog ib tug manifestation ntawm tus kab mob yog kis tau mas los ntawm sib deev. Sab nraum cov kev kho mob kheej yog hu ua qhov chaw mos los yog qhov chaw mos mob cos. Dab tsi ua rau lawv cov tsos thiab yuav ua li cas kom tshem tau ntawm cos, los sib tham nyob rau hauv tsab xov xwm.
ua rau
Qhov chaw mos mob cos yog ib tug manifestation ntawm papillomavirus kab mob (PVI), nyob rau hauv particular kab mob HPV-6 thiab HPV-11. Kab mob tshwm sim thaum lub sij hawm com los ntawm raug mob daim tawv nqaij los yog mucosa.
Feem ntau cov muaj ntawm tus kab mob no tsis raug kev txom nyem los ntawm kev soj ntsuam mob, tab sis lawv muaj peev xwm ua kis reservoir rau nws noj qab nyob zoo tus hlub, txawm tias tsis paub txog nws. Rau cov kab mob no yog tsis yam ntxwv ntawm kev sib deev selectivity. Tus txiv neej thiab cov poj niam muaj teeb meem, tab sis tus neeg sawv cev ntawm cov poj niam soj ntsuam ces yog ntau mas.
kab mob
Nyob rau hauv tas li ntawd kev sib deev kis tau tus mob, rau PVI yam ntxwv pin txoj kev thiab ntsug (los ntawm leej niam mus rau tus me nyuam thaum lub sij hawm ua hauj lwm thiab tus me nyuam). Cov txheeb cais hais tias 80% ntawm cov poj niam yog tus kab mob twb tau ob peb xyoos tom qab qhov pib ntawm kev sib deev yam kev ua si.
Qhov chaw mos mob cos tshwm sim nyob ib ncig ntawm ib tug ob peb lub hlis. Symptomatic lub sij hawm yuav tsum rub mus txog rau 9-12 lub hlis tom qab tau kab mob. Ib txhia hom ntawm tus kab mob no yuav ua rau txoj kev loj hlob ntawm phem hlav. Txawm li cas los, tsis yog txhua txhua lub variations yog li ntawd, txhoj puab heev. Nws tag nrho cov nyob rau hauv lub hom HPV, thiab cov tib neeg tsis muaj zog.
Cov soj ntsuam daim duab ntawm kab mob
Condyloma acuminata (qhov chaw mos mob cos) xam tau tias yog exophytic zoo, i.e. projecting saum toj no qhov chaw ntawm daim tawv nqaij los yog mucosa. Favorite qhov chaw ntawm localization:
- lub ncauj tsev menyuam;
- paum phab ntsa;
- mos;
- puab tais;
- crotch;
- prianalnaya cheeb tsam.
Qhov chaw mos mob cos rau hauv cov poj niam xav kom muab tso rau me me thiab cov loj loj labia, tus ple, cov sab nraud qhib ntawm lub qhov zis.
Nrig txog kev pom cov yam ntxwv thiab colposcopy yuav tshawb nrhiav qhov peb hom growths, txawm tias lawv yog koom los ntawm ib tug lub sij hawm "qhov chaw mos":
- papillary;
- papulovidnye;
- ua tau peaked.
Tsim kom muaj tag nrho peb bands muaj ib tug txawv tsos, tiam sis tib cov qauv thiab txoj kev loj hlob yam ntxwv. Qhov luaj li cas yuav txawv los ntawm ib tug me me mus rau ib tug loj nqaij ntawd spinous mob growths. Muaj ib lub teeb los yog tsaus xim (xim av, thiab txawm dub).
Qhov chaw mos mob cos duab uas koj yuav pom nyob rau hauv lub qhov chaw los yog cov nplooj ntawv ntawm cov phau ntawv, muaj peev xwm kiag li tsis thab mob neeg. Nyob rau hauv lwm tus neeg mob qhov tsis zoo nyob zoo nkaus li, txawm li cas los, mas vim rau kev ua txhaum ntawm aesthetic tsos. Mob yws ntawm kev ntxhov siab vim, kev txhaum ceg, self-txo, ntxhov siab vim vim lub fact tias lawv tej zaum yuav muaj teeb meem nrog rau cov me nyuam yug ntawm cov me nyuam, los yog malignancy.
Thaum lub sij hawm kev sib deev hu rau daim tawv nqaij thiab qog ua kua week yog yooj yim raug mob, uas ua rau mob, khaus, kub, los ntshav.
Kuv puas yuav tau caiv los ntawm kev sib deev yam kev ua si?
Raws li ntev raws li qhov chaw mos mob cos yuav kho tsis zoo thiab tsis yog kiag li ploj, kws txawj pom zoo kom tsis txhob muaj kev sib deev com (xws li qhov ncauj thiab qhov quav). Siv hnab looj los tiv thaiv tiv thaiv kab mob yuav muaj tsis ntxim, vim hais tias qhov tseem ceeb yog qhov ncaj kev sib cuag nrog cov tus khub daim tawv nqaij, thiab nws yog ib tug heev loj heev cheeb tsam.
kab mob ntau yam
Condylomata acuminata (qhov chaw mos mob cos) yuav tsum tau txawv los ntawm molluscum contagiosum, sab papilloma, dermatitis, psoriasis, polyps, cancer, hypertrophic sebaceous qog.
| Yuav ua li cas nyias txawv nyias | nta |
| molluscum contagiosum | Cos tau curdled txheem thiab retraction nyob rau hauv qhov chaw |
| Syphilitic uas nws kim heev cos rau | Yog ca, liab-liab xim, tuab |
| squamous papilloma | Growths ntawm connective ntaub so ntswg, uas tsis tshuam nrog txhua lwm yam. Cytology no lub xub ntiag ntawm lub qub squamous epithelium |
| psoriasis | Plaques tshwm sim ntawm daim tawv nqaij, them nrog ntxhib teev |
| Dermatitis tsis haum xwm | Protrusions protrude me ntsis saum toj no ntawm daim tawv nqaij, hauj lwm ua ke nrog txhua lwm yam, muaj ib tug liab zas. Tom qab ua ntawv thov antihistamines ploj los yog yuav txo sharply |
| UFP | Tsiag ntawv los ntawm kev qhaj ntawv ntawm atypical vascular qhov chaw |
| Papular saw caj dab mos nyob rau hauv cov txiv neej | Qhov papules nyob ze ntawm lub xam xauv los yog rab qau ncig txoj kab uas hla mus rau 2 hli txhua |
| Eversion ntawm lub urethral mucosa | Lub ces yog laus tsuas nyob ze rau lwm qhib, lub xeev normalized tom qab thov cream nrog estrogens |
| Oncological kab mob | Paub tseeb hais tias los ntawm cytology |
diagnostic ntsuas
Tus kws kho mob ua ib tug quas kev ntsuam xyuas, txiav txim raws li nram no cov yam ntxwv ntawm cos:
- xim;
- kom muaj nuj nqis;
- localization;
- shape;
- loj;
- lub xub ntiag ntawm fusion nruab nrab ntawm lawv.
Yog hais tias qhov chaw mos mob cos muaj nyob rau hauv lub qhov zis, lub paum los yog lub qhov quav, yog nqa ureteroscopy, colposcopy los yog anoscopy feem. Nyob rau hauv exceptional mob, ib tug me yog siv - nyob rau hauv lub xub ntiag ntawm txawv txav pigmentation, atypical daim ntawv ntawm recurrent growths nyob ntawm ulcers, necrosis, nyuab mob.
Yuav kom meej lub mob yog nqa tawm nrog ib tug qauv ntawm ib tug 5% tshuaj ntawm acetic acid. Rau lub hom phiaj no, cov kev kho mob kua thov mus rau ntswg thiab yog thov mus rau lub tshav pob ntawm formations rau 5 feeb. Yuav ua kev pom yog hais tias lub cos rau yuav ua whitish Hawj txawm.
kev tiv thaiv
Zaum tau qhia tias IMC lub tsev kho mob nrog cov kev hloov nyob rau ib feem ntawm lub tuam thiab lub zos tiv thaiv, uas koom nrog ua kom ntawm tus kab mob. Qhov no ua rau uncontrolled Immunopreparat lub hom phiaj. Daim ntawv thov ntawm lub xeem txhob txwm, lawv miv nyuas siv zug yog tsis paub tseeb hais tias los ntawm cov ntaub ntawv tau nyob rau hauv cov kev soj ntsuam hlw kom qis.
Kws txawj hais tias peb yuav tsum tau them ntau xim rau provoking yam thiab kam nrog lawv cov tsos. Cov muaj xws li:
- kev sib deev kis kab mob;
- nquag hloov ntawm cov neeg koom tes;
- tsis tau phem, tshwj xeeb tshaj yog haus luam yeeb;
- menstrual irregularities.
tshem cos rau
Kev kho mob ntawm qhov chaw mos mob cos nyob ntawm lawv lub morphological yam ntxwv, loj, me, qhov chaw nyob, naj npawb, hnub nyoog, muaj cov uas cev xeeb tub. Tsoos txoj kev soj ntsuam nrog qhov chaw mos mob cos:
- Cryodestruction - Cuam tshuam cheeb tsam yog kho nrog kua nitrogen. Tus txheej txheem yog pheej rov qab ua txhua txhua ob peb lub lis piam mus txog rau thaum tag nrho cov growths ploj. Nws yuav ua rau ib tug ua txhaum ntawm daim tawv nqaij pigmentation.
- Laser puas tsuaj - cov kws kho mob siv uas tsis yog-ionizing electromagnetic tawg, uas ua rau nws ua tau rau ua xyua nyob rau cheeb tsam cov uas tshwm rov rau lwm tus cov ntaub so ntswg.
- Electrocoagulation - tsawg sparing txoj kev, txawm li cas los, muaj qhov zoo tshaj plaws tshwm sim. Cov ua qhov chaw kho sai sai, tab sis yuav tsum tau tshuaj loog.
- Argon ablation - qhov kev txiav txim ntawm lub electromagnetic teb zog ntawm argon ntshav tsau. Nws ua rau cov cua kub thiab coagulation cov ntaub so ntswg.
- Neeg kho tshuab kev tshem tawm ntawm qhov chaw mos mob cos nrog ib tug riam phais neeg thiab kev kho mob txiab siv ib lub zos ua kom loog.
Cov kev xaiv ntawm kev kho mob yog nqa tawm ua ke los ntawm tus neeg mob thiab tus kws kho mob.
tshuaj kho
Cov hauj lwm zoo tshuaj pleev npaj raws li lawv muaj peev xwm ntxias necrosis thiab kev puas tsuaj ntawm cov papillomas.
"Kondilin" - ib tug yeeb tshuaj uas muaj antimycotic thiab cytostatic nyhuv. Txhais tau tias kev thaiv cov hlab cell division ntawm metaphase. Thov mus rau lub cheeb tsam ntawm qhov chaw mos mob cos ua rau txoj kev loj hlob ntawm necrosis thiab mummification ntawm yav dhau los.
Muaj yog cov tshwj xeeb tiav, tas cov tshuaj ntaus thiab mus thov nws thiaj li mus tiv thaiv lub surrounding cov ntaub so ntswg los ntawm cov kev sib cuag. Yog ua tsis muaj ntau tshaj li 50 protuberances ntawm ib lub sij hawm. Hoob no ntawm kev kho mob - ob zaug ib hnub twg rau 3 hnub.
"Solkoderm" - ib tug sib tov ntawm acids (acetic, nitric, oxalic, lactic) thiab tooj liab nitrate nyob rau hauv cov tshuaj. Thov mus rau tus kab mob cheeb tsam siv cov applicator, xa nws daj. Hlau ua kws kho mob. Yog hais tias tsim nyog, tus txheej txheem yog pheej rov qab ua ib lub hlis tom qab ntawd.
Nyob rau hauv cov kev kho mob ntawm medium thiab loj loj papillomas siv "Imiquimod" - qab zib, uas lub cev tua cov pathogen. Hos peb lub sij hawm ib lub lim tiam thaum mus pw thiab nyob rau hauv thaum sawv ntxov ntxuav tawm nrog dej sov thiab xab npum. Cov no pom tom qab ib tug ob peb lub lim piam ntawm kev kho mob.
Trichloroacetic acid - zoo thiab ruaj ntseg txhais tau tias ntawm cev xeeb tub. Nws txhaum lub synthesis ntawm cov protein nyob rau hauv lub pathological sprawl, ua rau lawv tuag. Cov kev npaj yog ib tug concentrate thiab yuav ua rau ib tug burning nov ntawm nqaij tawv ntawm qhov chaw ntawm daim ntawv thov, tab sis nws yuav ploj mus es sai sai.
Cov gel thiab tshuaj pleev "Viferon" tsis tsuas muaj antiviral, tab sis kuj immunostimulatory nyhuv. Muab nyob rau hauv ua ke nrog nrog lwm yam tshuaj lug txhim khu lub sij hawm ntawm txoj kev kho. Tshuaj yog thov rau 5 lub sij hawm ib hnub twg rau ib lub lim tiam.
Cov kev siv ntawm ib yam ntawm cov tshuaj yuav tsum tau pej tus kws khomob tshwjxeeb. Self-tshuaj nyob rau hauv cov ntaub ntawv no, tsis yog tso cai.
tiv thaiv kev ntsuas
Raws li cov kev cai no yuav tiv thaiv tau qhov tshwm sim ntawm qhov chaw mos mob cos thiab kab mob PVI:
- niam kev sib deev kev sib raug zoo;
- tsis txhob muaj mob nrog txawv neeg;
- ntxiv dag zog rau lub cev;
- kev taw qhia ntawm quadrivalent tshuaj tiv thaiv "Gardasil", uas tsis tsuas yog tiv thaiv HPV, tab sis kuj yog kev tiv thaiv ntawm lub tsev me nyuam mob cancer.
Khaws nyob rau hauv lub siab hais tias nws yog tsis yooj yim sua rau kiag li kho tau tus kab mob no. Kev tshem tawm ntawm cos thiab kev siv cov tshuaj yuav tshem tawm hauv zos ces, tab sis tus kab mob no nyob rau hauv lub cev. Tiv thaiv kab mob tsis yog tsuas yog kom cov nyiaj txiag thiab lub xeev ntawm poob siab system, tab sis kuj zuag qhia tag nrho noj qab haus huv.
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