Xa uneminyaka yobudala, umsebenzi wokuzala umfazi uguquka, ukuphuma kwesisu kuyenzeka xa kungekho nesikhosi. Ngenxa yenguqu yenguqu eyenziwa emzimbeni wowesifazane, kukho ukuhla kwe-hormone ebaluleke kakhulu kwi-female body-estrogen. Esi sisiphumo sokucocwa kwe-epithelium yangasese, izinga le-lactic acid liyehla, kunye ne-vaginal pH, ngokuchaseneyo, iyavela. I-microflora ezinjalo ezinobulwelwe zingabangela izifo ezivuthayo. Ezi zifo ziquka i-atrophic vaginitis (i-colenitis, i-senile atrophic vaginitis). Akubonakali ngaphaya kweeminyaka emihlanu emva kokuqala kokuphuma kwesisu.
I-Atrophic vaginitis: izizathu
Izizathu ezibalulekileyo ze-vaginitis zilandelayo:
- kuncipha kwinqanaba le-estrogen ngenxa yesigxina sokumelana nomsebenzi (umzekelo, emva kokuhlinzwa okanye ngenxa yonyango lomzimba);
- utshintsho oluthile lomzimba emzimbeni, obangela ukuguga kwezinto ezisisiseko kunye neenkqubo zomntu.
I-postmenopausal isrophic vaginitis: iimpawu
Ibhinqa linokuziva lincinci phambi kwe-vagrocytic i-atrophic kunye nokugcina imiqondiso emininzi:
- buhlungu;
- ukuma kumfazi;
- ukubetha;
- kutsha;
- Dyspareunia (intlungu phambi, ngexesha okanye emva kokulala);
- ukucima rhoqo okanye ukunyaniseka;
- Kwangexesha elide kunokuba kungabonakali ukubonakala kwebala;
- Kwindawo ye-pubic kunye ne-labia, iimpawu zokukhawula ziyabonakala.
Ekubeni ama-capillaries eendongeni zelisini zincinci ngokwaneleyo, ukuphuma kwamanzi kungabakho kancinci kunye nomlingane. Kwezinye iimeko, le ntokazi ibhalwa ngodonga lwamazi.
I-postmenopausal vagrocytesitis: ukuthintela kunye nonyango
Kubalulekile ukuba abafazi asebekhulile babandakanye iimveliso zobisi kangangoko kunokwenzeka ekudleni kwabo, eziza kubakho ukungabikho kwe-lactobacilli echaphazelekayo ejongene ne-microflora yesini.
Indlela kuphela efanelekileyo yokuthintela ukuqala kwe-vagrocytic i-horrogen ekhethiweyo. Ulwaphulo lwe-Medicamental lufanele luqaliswe enye nesiqingatha kwiminyaka emithathu emva kokuqala kokuphuma kwesisu. Kule meko, kukho amathuba aphezulu kumfazi ukuphepha eso sifo.
Ukukhusela, unokuhlamba i-genitalia yangaphandle ubuncinane kabini ngosuku kunye nokudibaniswa kwe-potassium permanganate okanye ukunyuswa kwama-sage. Nangona kunjalo, ukuhlamba kufuneka kwenziwe ngaphandle kweentsuku ezine, ngaphandle koko umfazi unokunciphisa ukubuyiswa komzimba we-microflora ye-vaginal.
Kwimeko yokuxilongwa, ukunyangwa kwesibhedlele yowesifazane akudingeki, unyango luyenziwa kwisithuba sengqondo.
Ugqirha unokuyalela ukuba athathe i-estriol ngendlela ye-suppositories okanye amafutha. Kumele ilawulwe ngaphakathi kwisini ebusuku ngeveki ezimbini.
Amachiza aneempembelelo zenkqubo kufuneka asebenziswe kwiminyaka emihlanu. Ziquka: i-tibolone, ingelosi, i-estradiol, umntu, i-cliogest, klimodien.
Ubuncinane kabini kunyaka wekhalenda, ibhinqa idinga ukutyelela i-gynecologist ye-colposcopy, colpositis kunye nokuhlolwa kwe-pH yesini.
Xa kungabikho unyango olwaneleyo, izilonda ezincinci zingabonakala kwiindonga zesini.
Kwimeko yonyango eqalwe ngexesha, ukuhlaselwa kwesibhambathiso kudla ngokufanelekileyo: umfazi osizileyo uyanyamalala, i-microcirculation kunye ne-tonus yeendonga zesisu zibuyiselwe. Kwaye i-hormone yonyango yokubuyisela indawo ivumela ukuba kugcinwe izinga le-estrogens kwinqanaba elifunekayo.