Cervicitis
ʻO Cervicitis ka pehu a i ʻole nā mea ʻāpala o ka hopena o ka kōpū (cervix).
Hoʻokumu pinepine ʻia ʻo Cervicitis e kahi maʻi i hopu ʻia i ka wā o ka moekolohe. Nā maʻi i hoʻoili ʻia i ka moekolohe (STI) i hiki ke hoʻokumu i ka cervicitis i:
- Chlamydia
- ʻO Gonorrhea
- ʻO ka maʻi herpes (herpes genital)
- Huakaʻi papilloma kanaka (warts genital)
- ʻO Trichomoniasis
ʻO nā mea ʻē aʻe i hiki ke kumu i ka cervicitis e komo pū me:
- Hoʻokomo ʻia kahi hāmeʻa i loko o ka pelvic e like me ka pāpale o ka ʻeha, diaphragm, IUD, a i ʻole pessary
- Allergy i spermicides hoʻohana no ka hānau hānau
- ʻAlepa i ka hopena o nā condoms
- Hōʻike i kahi kemika
- Ka hopena i nā douches a i ʻole nā deodorants vaginal
Maʻa mau ka Cervicitis. Hoʻopili ia ma mua o hoʻokahi hapalua o nā wahine āpau i kekahi manawa i ko lākou ola makua. Nā kumu i komo:
- Hana moekolohe kiʻekiʻe
- Mōʻaukala o STI
- Nui nā hoa kolohe
- Moekolohe (intercourse) i ka wā ʻōpio
- ʻO nā hoa kolohe i hana i ka moekolohe nui a i ʻole loaʻa iā STI
ʻO ka ulu nui ʻana o kekahi mau koʻohune i loaʻa mau i ka pākana (bacterial vaginosis) hiki ke alakaʻi ʻia i ka maʻi maʻi pūpū.
ʻAʻohe paha ʻōuli. Inā loaʻa nā ʻōuli, hiki i kēia mau mea ke:
- ʻO ke kahe o ke kahe maʻamau e puka ma hope o ka moekolohe, a ma waena o nā manawa
- Hoʻokuʻu ʻole ʻia o ka ʻōpū ʻaʻole e hele: hina ke hina, keʻokeʻo a melemele i ke kala
- Moekolohe ʻeha
- ʻEha ma ka ʻōpū
- Kaomi a kaumaha paha i ka pelvis
- Urination ʻeha
- ʻIki pūpū
ʻO nā wahine e makaʻu paha i ka chlamydia e pono e hoʻāʻo ʻia no kēia maʻi, ʻoiai inā ʻaʻohe o lākou mau ʻōuli.
Hana ʻia kahi hōʻike pelvic e nānā no:
- Hoʻokuʻu ʻia mai ka cervix
- ʻUlaʻula o ka cervix
- ʻO ka ʻōhū ʻana (nā mumū) o nā paia o ka lua
ʻO nā hoʻāʻo e hana ʻia ana paha:
- Nānā ʻia o ka hoʻokuʻu ʻana ma lalo o kahi microscope (e hōʻike i ka candidiasis, trichomoniasis, a i ʻole vaginosis bacterial)
- Hōʻike Pap
- Nā hoʻāʻo no ka gonorrhea a i ʻole chlamydia
Kākaʻikahi, pono ka colposcopy a me ka biopsy o ka cervix.
Hoʻohana ʻia nā antibiotic e mālama i ka chlamydia a i ʻole ka gonorrhea. Hoʻohana ʻia nā lāʻau i kapa ʻia antivirals e mālama ai i nā maʻi herpes.
Hiki ke hoʻohana ʻia ka Hormonal therapy (me ka estrogen a i ʻole progesterone) i nā wahine i hōʻea i ka menopause.
ʻO ka hapanui o ka manawa, hoʻōla maʻamau ka cervicitis maʻalahi me ka lāʻau inā loaʻa ke kumu a aia kahi lāʻau no kēlā kumu.
ʻO ka hapa nui o ka manawa, cervicitis ʻaʻole kumu o nā ʻōuli. ʻAʻole pono ia i ka hoʻomaʻamaʻa inā lōʻihi nā hōʻike no ka maʻi bacteria a me nā kumu viral.
Hiki paha i Cervicitis ke hala i mau mahina i mau makahiki. Hiki i ka Cervicitis ke alakaʻi i ka ʻeha me ka moekolohe.
Hiki i ka cervicitis i mālama ʻole ʻia ke alakaʻi i ka mumū e pili ana i nā kino pelvic wahine, e hoʻoulu ai i kahi ʻano i kapa ʻia ʻo pelvic inflammatory disease (PID).
Kāhea i kāu mea mālama ola inā loaʻa nā ʻōuli o ka cervicitis.
Nā mea hiki iā ʻoe ke hana e hōʻemi i kou makaʻu o ka hoʻomohala cervicitis me:
- Hōʻalo i nā mea hoʻonāukiuki e like me nā douches a me nā tampon deodorant.
- E nānā pono i nā mea haole āu e hoʻokomo ai i loko o kāu ʻōpala (e like me nā tampons) i hoʻonohonoho pono ʻia. E mālama pono i nā ʻōlelo aʻo e pili ana i ka lōʻihi e waiho ai i loko, i ka manawa e hoʻololi pinepine ai, a i ka manawa e hoʻomaʻemaʻe ai iā ia.
- E nānā pono me ka manuahi o kāu STI. ʻAʻole ʻoe a me kāu hoa e moe kolohe me kekahi poʻe ʻē aʻe.
- E hoʻohana i kahi condom i kēlā me kēia manawa ke moe kolohe ʻoe e hoʻohaʻahaʻa i kou makaʻu i ka loaʻa ʻana o kahi STI. Loaʻa nā condom no nā kāne a me nā wahine, akā i ʻaʻa pinepine ʻia e ke kāne. Pono e hoʻohana pono ʻia kahi pale pale i kēlā me kēia manawa.
ʻŌpū kikino Hoʻonā - cervix
- Anatomia hānau wahine
- Cervicitis
- Uterus
ʻO Abdallah M, Augenbraun MH, ʻo McCormack W. Vulvovaginitis a me ka cervicitis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 108.
Gardella C, Eckert LO, Lentz GM. ʻO nā maʻi maʻi genital: vulva, vagina, cervix, maʻi hōʻeha kūpilikiʻi, endometritis, a me salpingitis. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 23.
Swygard H, Cohen MS. E hoʻokokoke aku i ka mea maʻi me kahi maʻi i hoʻouna ʻia i ka moekolohe. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 269.
Workowski KA, Bolan GA; Nā kikowaena no ka mālama ʻana i ka maʻi a me ka pale ʻana. Nā kulekele lapaʻau maʻi i hoʻoili ʻia i ka moekolohe. ʻO MMWR Rekua Rep. 2015; 64 (RR-03): 1-137. PMID: 26042815 pubmed.ncbi.nlm.nih.gov/26042815/.