Signs of a woman's burning. Chronic inflammation in gynecology. The main types of women's illnesses

Gynecology is the gallery of clinical medicine. Vaughn takes care of the ailments of the woman's galley.

Important! In girls, cystitis is caused by the hit of a slash at the fir, as well as with vulvovaginitis, with any infection of the sich mihur.

Respect! Painful menstruation may be due to congestion of intrauterine contraceptives.

Important! Under the hour of likuvannya algomenorrhea it is not possible to get used to alcoholic drinks, gostroy їzhi. It is necessary to lead the right way of life, to unify the physical vanage and emotional stresses.

Women's State Organs (Anatomy)

Algomenorrhea

This illness is characterized by painful menstruation. Algomenorrhea is functional and organic. In addition, algomenorrhea can be primary (with infantilism or malformations of the development of the organs) and secondary (with endometriosis and inflammatory processes of the organs).

Cause

To functional algomenorrhea, the nervous system is afflicted. In addition, ailments can spread on aphids to infantilism.

Organic algomenorrhea is caused by malformations of the development of the organs, endometriosis, inflammation of the uterus and appendages.

Symptoms

Algomenorrhea is accompanied by severe pain, which, in the case of a functional form of illness, is on the eve of the first day of menstruation, and in the organic form, the stench is present during all menstruation and is strong.

Likuvannya ill women state bodies

With the help of algomenorrhea, it is good to help sik іz yagіd. For yoga preparation, the berries are weaved through a slitted fabric and zmishhuyut from the zucr. For 1 liter of juice, take 2 kg of zucru. Sik next take 2-3 tbsp. l. 3-4 times a day from a small amount of water.

In addition, it’s time to drink tea from peppermint and juice for a day. With this, it is recommended to lie more, and smear the lower abdomen with ichthyol ointment with vaseline. In the evening it is recommended to drink a cup of hot spiced ginger with zukr.

At the time of bright menstruation, it is recommended to take infusions of yagid and leaves of sunitsa fox: 1 tbsp. l. berries and leaves, taken in equal proportions, pour 2 bottles of cold boiled water and insist for 6-8 years, then proceed.

Take infusions of 0.5 tbsp. l. nicely.

Illness of the ignition character

Fuse gynecological diseases in women are often blamed for other diseases of state organs. As a rule, such bacteria as staphylococcus, streptococcus, Escherichia coli, gonococcus, tuberculosis bacillus, Trichomonas, fungi, anaerobic bacteria and other. The nature of that overbіg ill to lie down in the form of a health worker and suffocating forces to the body. For example, the immune system can develop sepsis.

The fuses of the ailment of the female organs can lead to the disruption of menstruation, without a period, a fleeting weekend and in.

The following types of ignitions are used to infect the female state organs:

· vulvitis(Incineration of the state organs and the entrance to the pikhva);

· vulvovaginitis(Incineration of the state organs and organs and pikhvi);

· vaginitis, or colpitis(Inflammation of the mucous membrane of pikhvi);

· gostrokintsev condylomas(multiple good-natured growths on the surface of the outer state organs and the entrance to the sanctuary);

· trichomoniasis(Incinerated pikhvi);

· endocervicitis(Inflammation of the mucous membrane of the cervical canal);

· cervical erosion;

· endometritis(Inflammation of the mucosal and m'yazovoy membranes of the uterus);

· metritis(Inflammation of all membranes of the uterus);

· parametritis(Inflammation of the navcoloma cells);

· pelvioperitonitis(Inflammation of the pelvis);

· saulpingo-oophoritis, or adnex t (inflammation of the uterine appendages).

Cause

Primary vulvitis is a result of neohaynosti and traumatization of state organs.

Video: Normal vision from pikhvi. Inflamed pikhvi.

The treatment of various infections in gynecology is the “bread” of modern commercial gynecology. In my practice, I simply use vicorous American and European standards of excellence and diagnostics - and, not surprisingly, the effect. In this publication, I would like to simply and briefly tell about those who are diagnosed and like the majority of people who are happy.

First, to clarify the chain of nutrition, I want to develop a sprinkling of myths:

  • do not make a diagnosis of "gardnerellosis" - the infection is called "bacterial vaginosis"
  • do not use the “treatment program for chlamydia, mycoplasmosis, ureaplasmosis, trichomoniasis, gardnerellosis, etc.” 17-30 thousand for sickness
  • human papilloma virus type 16.18 - does not mean that you will have cervical cancer
  • 5-7-10 preparations cannot be included in the scheme for the treatment of infections

Let's get smart!

Also, according to the WHO (All-World Organization for the Protection of Health) there are only 5 infections that are transmitted by the state route:

  • Syphilis
  • Gonorrhea
  • Chlamydia
  • Trichomoniasis

Other health workers, like herpes and the virus of papilloma people, are put out of ills, which are most importantly transmitted by the path.

For such workers like: ureaplasma and mycoplasma - we didn’t know about them, we’ll talk about them below.

The pathogens of infections can be specific (usually rehabilitated more often) and non-specific (intestinal flora, shkiri)

  • Vulvovaginitis
  • Cervicitis (inflammation of the cervix)
  • Inflammatory disease of the pelvic organs (PID) can be seen before them: endometritis (inflammation of the mucous membrane of the uterus), salpingitis (inflammation of the tubes), salpingo-oophoritis (inflammation of the tubes and ovaries), endometritis (inflammation of the mucous and m'ulcer membrane of the uterus) panmetr yak aggravated pelvic peritonitis (inflammation of the pelvis)

Now let's figure it out, if you have vaginas - then if you have a bad vision of pikhvi, then (because of a twinkling of lonely vipadkiv) you can be:

  • Trichomoniasis
  • Bacterial vaginosis (to cause damage to the flora)
  • Vulvovaginal candidiasis (thrush)
  • Atrophic vaginitis (in women with a frail age on aphids with hormone deficiency)
  • Chemical or allergic

I all!!! There is nothing more classy medicine of the world. Only a few causes (I repeat for a few lonely vipadkivs) can lead to a flare-up.

However, visualization of these paths can be accompanied by inflammation of the cervix and organs of the small pelvis.

Inflammation of the cervix calls out most often:

  • Gonococci (causes of gonorrhea)
  • Chlamydia (causing chlamydia)

Viruses papillomy people and іn can cause inflammation of the cervix, but also sprat with other manifestations.

When the organs of the small pelvis are inflamed, you can also see these paths, but if you do, there will be other symptoms.

Pіdbivaєmo pіdbags:
If you have not seen any of the paths, then you can only have: bacterial vaginosis, trichomoniasis, vulvovaginal candidiasis (thrush), gonorrhea, chlamydia, or inflammation of the pelvic organs. Rіdkіsnі become unrecognizable.

Now about the methods of diagnostics ... (the most deceiving yourself here)

In primary gynecological practice, only 4 methods of diagnosing infections are needed.

  1. Bacterioscopy of a smear (primary smear for flora)
  2. Bacteriological test (when the material is taken away on a special medium, it indicates sensitivity to antibiotics)
  3. PLR - (method of polymerase lanzug reaction) - allows you to identify the DNA of the bug
  4. Serological methods - allow, for a specific reaction of the body to infection, to confirm the presence, to indicate the stage (acute, chronic)

All of this arsenal is enough to diagnose all the necessary infections.

Now report about the skin method.

Bacterioscopy smear

This method is shown only:

  • The presence of the number of inflammations (for the number of leukocytes) - UVAGA! a lot of leukocytes due to the presence of inflammation can be a little later in the blood smear.
  • Diagnose such diseases (gonorrhea, trichomoniasis, thrush, bacterial vaginosis)
  • Detect non-specific flora (in case of inflammation caused by non-specific microorganisms)
  • Describe the state of normal flora pikhvi

In this rank, for the help of an excellent smear, it is your responsibility to make or turn on such a diagnosis:

  • Gonorrhea
  • Bacterial vaginosis (if and only 4 criteria for making a diagnosis in clinical practice to see a characteristic color, fishy smell and the presence of key cells in a smear)
  • Candidiasis vulvovaginitis (thrush)
  • Detect the presence of an ignition process in the pelvic organs (leukocytosis, nonspecific flora)
  • Trichomoniasis (folded diagnosis: in a folded smear in Trichomonas, flagella fall and stinks become invisible to macrophages (superior blood cells), that diagnosis can not be made, about trichomoniasis div. below)

Bacteriological culture

This method allows you to designate a warehouse of flora and a quantity of a health worker (so rich in yoga is not enough), and krіm tsgogo, install, to which antibiotics are the most sensitive.

Tank. posіv most often take from pihvi, cervical canal and empty uterus.

When dotsilno take a tank.

  • As a smear revealed a lot of leukocytes and nonspecific flora
  • In the program, there is no pregnancy or before a planned pregnancy (sowing is taken from the cervical canal and the empty uterus)
  • When PLR is detected in ureaplasma (sowing is carried out on a special medium)
  • When treating all types of PID

It’s all gone, there are no more wide-ranging witnesses. Assign bak.posiv in other ways, or just like that - not docily.

PLR

The most wide-spread method of diagnostics at the same time, and most of the surprises are associated with it.

This method of diagnostics allows the identification of the DNA of the bug, so that for an hour of using this method, we only need one nutrition - as the material needs a few specific fragments in the microorganism.

What can I say about it - a positive result can be found even though the microorganism is very small and even if the microorganism is already dead (but the DNA is lost).

If it is significant - if the control after the lure was carried out in advance (they lost the death of microorganisms) - you can say that the lure was not effective. In another way, make a diagnosis, despite the fact that there is very little sickness in the morning (there may be a value in nutrition about the need for treatment of ureaplasmosis).

Yakі іnfektsії mає zmil zmil diagnostuvat for help PLR:

  • Chlamydia (the smear does not show stench)
  • Human papilloma virus
  • Herpes simplex virus
  • Cytomegalovirus (might be more important before planned pregnancy or at noon)
  • Ureaplasma (Tilki Parva, T960 - nі)
  • Mycoplasma?

All other health problems are diagnosed by a perfect smear, otherwise they cannot be significant. І there is no way to detect the sensation by the PLR ​​method (gonorrhea, bacterial vaginosis or thrush). On the edge rarely, in the middle of the valleys it’s possible, but on the whole it’s okay - on the edge it’s not enough. Therefore, if you are told to give an analysis of the PCR at 10-15, then 20 workers - remember - it’s not enough!

Serological methods

With the use of the method, it is determined what is the number of cases, what is the contact of the body with a specific illness in a given hour. At the same time, the number of special blood proteins (immunoglobulins) is assessed, if there are a number of classes. As a rule, there are three classes M, G and A.

  • Immunoglobulins of class M (IgM) - are considered to be the first in the blood, immediately after the contact of the body with the ill person, the infection increases step by step, and that bu znikayut. That is the presence of IgM to talk about those who become ill at the acute stage and pass through your body at the same time.
  • Immune globulin class G (IgG) - in fact, it reflects the memory of the immune system about contact with the worker - it means that their presence is indicative of those who, if they were ill, the disease passed the acute phase (IgM known), what you were smashed, or you have an immunity to any awake. The concentration (titer) of this immunoglobulin upon contact with the alarm clock increases gradually with IgM, then IgM develops, and the IgG titer is taken at a high level and gradually changes.
  • Immunoglobulin class A (IgA) - the most important immunoglobulin for the protection of the mucoid immunity of the mucous membranes, and also a different form may be significant in case of increased blood titer in the diagnosis of chlamydia .

The titres (concentrations) of the descriptions of more immunoglobulins are different and the indications can be interpreted in different ways. Be sure that the titer of immunoglobulin becomes doubtful and the growth of whiskers is important for such an analysis.

Also, for the help of the serological method, you can assign:

  • presence of acute stage of illness (presence of IgM)
  • susceptibility to immunity to a specific alarm (Ig G susceptibility; for example, to rubella, hepatitis also)
  • establish the fact of a recent illness (high IgG indicators)
  • the fact of carrying (for example, for herpes - the presence of IgG)

Now let's take a look at how we practice in practice - the most wide-ranging tendencies.

Candidiasis vulvovaginitis (thrush)

Simitomi: Sverbіzh, bіlі Sirnі vіdіlennya
Analysis: enough to look around that infamous smear
Likuvannya: call for 1-2 doses of fluconazole (150 mg each - diflucan, diflanzone thinly) or candles - the range is great. Dodatkovo does not need anything.

bacterial vaginosis
Symptoms: bіlі vіrshkopodіbіbnі vіdіlennya, smell "ribi"
Analysis: enough to look around that smear (in smears - gardnerella and key cells), PCR and in. doslіdzhennya overworld.
Likuvannya: 2 options: Trichopolum (metronidazole) or ornidazole (ornidazole) 500 mg 2 times a day after or dalacin suppositories (clindamycin) - 3-5 days. All.

Trichomoniasis

Symptoms: watery stony visions of stately paths
Analysis: a glance, a smear (they often don’t show up in a smear), PCR (may not be shown), a reliable method - look at a smear after a fence in a nettle, but it’s practical not to break anything.
Likuvannya: A total of two preparations: metronidazole (Trichopolum) and ornidazole (Tiberal) are taken at the same time, 500 mg of two drugs per day after the next - 5 days. In 90% of cases, this is sufficient.

Trichomoniasis - video version:

Gonorrhea

Symptoms: greenish-yellow vision, maybe just kalamutni
Analysis: look around, smear, you can add PLR
Likuvannya: sound enough 1-2 injections (for example, Rocephin 1 gr. internally 1 time per day for 2 days)
If gonorrhea is associated with chlamydia or trichomoniasis, then give Trichopolum or Tiberal for 5 days before the treatment and take PLR ​​for chlamydia - if chlamydia is detected, the treatment is added.

Chlamydia

Symptoms: as a rule, there are no symptoms, but simply more strongly seen a changed color
Analysis: PLR, can be supplemented with a blood test for IgG and Ig A to chlamydia
Likuvannya: Sprat options: azithromycin (Sumamed) 1 gr. on the 1st-3rd-7th and 14th day of likuvannya one-time; wilprofen (jozomycin) 1t 2 times a day for 10-14 days (or 1 tab. 3 times a day for 10 days) - a lot of different schemes. Є y іnshі schemes koїtsya with іnshiy antibiotics, but stinks vikoristovuyutsya more. It is important - everyday immunomodulators, enzymes and other.

Herpes

Symptoms: sickly bulbs, like bursting and їх місі utvoryuyutsya erozії.
Analysis: looking around, PLR, blood for IgG and Ig M to herpes.
Likuvannya: acyclovir, valtrex - dosing schedules
Important: for a few days before the appearance of the bulbs, and after a complete infection, it is possible to infect a partner with herpes.

Kіlka slіv about ureaplasma and mycoplasma. On the back, a small glance.

Ureaplasma and mycoplasma

Video: Ureaplasma

The role of these health professionals in gynecological and urological practice is ambiguous. So it turned out that in our country, with the advent of the PCR diagnostics, health workers became on a par with infections that are transmitted by the state route, and the most innovative schemes of their healing began to spread.

At the first stop at the entrance to these bells, it was calm.

Dosі in America and the European countries of routine screening of patients for the analysis of their health is not carried out. The detection of ureaplasmas and mycoplasmas is recognized as laborious, and is mainly carried out in scientifically oriented laboratories. All the same, respect for these zbudniks at the entrance.

Ureplasmas and mycoplasmas are vvazhayutsya commensals (live at the norm) in stateways like people and women. For different reasons, more than 60% of sexually active women have ureaplasma.

Great respect for ureaplasma infection is attached to its role in obstetric pathology. Okremі doslіdzhennya pokazyuyut znachennja tsgogo zhbudnik at molding such stаnіv yak: horioamnіonіt, prechasny rozryv of fruit membranes, prechasni canopies, fetal hypotrophy. It is important to note that the ureplama in all of these depressions showed up in the navcoploid region, and not in the cervical canal.

The role of ureplasma infection was revealed in the development of pneumonia in newborns and chronic diseases of the leg, regardless of the type of birth. This alarm is seen in the trachea of ​​newborns, more importantly in people up to 34 years old. So, the new people have less than 2500 gr. ureplasma is seen in 34% of cases.

Vodnochas in full-term children ureaplasma infection legenia - rіdkіst. However, it is explained that the frequency of ureplasmic chorionamnitis (inflammation of the inflamed membranes) is up to 32 days. The presence of chorioamnionitis is indicated on the transplacental passage of immunoglobulins, which leads to the highest infection of newborns, who were born earlier than the term.

You remembered that in the current scheme of treatment I do not use vicorist immunomodulators and other preparations.

It's no secret that medicine does not win over immunomodulators in treatment schemes for ignition diseases. All immunomodulatory and immunostimulatory preparations presented on our market, including those of the drug industry. These drugs are not subject to clinical compliance with the GCP format, but the format itself is subject to acceptance by the whole world, transmitting evidence of the efficacy of drugs and showing the full range of possible side effects. The design of such doslіdzhen duzhe folds and vimogi to prepravіv vіvschenі. Such studies are, as a rule, international, multicenter and placebo-controlled.

The very idea of ​​an immunomodulator is not vile, prote, it is implemented very primitively. “Supporting” the immune system with the method of activating natural mechanisms to fight infection - this is how the main prescription of these drugs is regulated. However, the immune system is richly folded, less visible at first glance.

If a stimulating factor is introduced into the body, no one knows where the immune system will be. Activation of non-specific resistance to the sub-cause is theoretically responsible for the elimination of the exuberant effect of antibacterial preparations, for the analysis of the transfer of the entire immune system to the active position.

However, the problem lies in the fact that it is impossible to live in such a world in a specific skin patient, the immune system is activated, as long as it has been observed, as the mechanisms are activated in parallel, as if the system were vitiated and some kind of reversal effect in that one " emergency support” will be.

It can be easily assumed that a severe clinical effect due to such doping can lead to a greater frequency of recurrence of illness due to the fluctuations in the immune system. For the most part, it is possible to activate autoimmune processes, which is the least of it - the development of effects - a risk of the development of malignant diseases of the immune system.

Let us list all possible traces of licence, but the peculiarity of the introduction of the drug to the market transfers its trial and proves its safety. Such a thing was not destroyed by immunomodulators. Drugs have quickly jumped onto the market, and the system for identifying side effects of drugs is practically not practicable. We don’t know for ourselves, what a complication, what has already become, it’s true.

In this rank, I want to once again turn to the visual sensation of that stupendous logic. We have all the preparations in the country, which zahіdna the bulk of the glee of their patients, without the choice of immunomodulators and other additional benefits, those patients are vilified. So, it’s important to take risks and look at your own preparations, because you can’t get reliable certificates of safety, known to the whole world.

Need and not need analysis(video)

In retrospect, if a child has an inflamed leg and the diagnosis is confirmed, they prescribe medicinal preparations, like a drink every day. Pulmonologists pay respect to the fathers for those who:

  • drinking the most sparing components is permissible - Eufilin in the minimum dosage;
  • it is allowed to inject injections and vitamin supplements;
  • surgical intervention is prescribed only for extreme depression, if another method of chemotherapy does not help, bolstering the diagnosis.

The importance of the process of recognition may affect the physical activity of the child, special rights and other methods. Tse allow to activate the robot of the organism, viroblennya and vision of sputum from the organism. More specific is the process of renewal in different women.

Other stage of therapy

myelocytes neutral. 1

leucocytes 6..5

erythrocytes 3..73

hemoglobin0

PLATELETS05

stick nuclear

segmented

eosinophils

lymphocytes

Kind of the norm. Am I right?

hot bilirubin 7.8

Thanks for the tip.

Before him, like a rozpochati likuvannya, it is necessary to make a correct diagnosis, even if the leg is burned, it can take on different forms. Most often, there will be an alcoholic variety, hemophilic, post-traumatic pneumonia, and different stages are also identified.

It is necessary in order to be able to show 100% accuracy, how to exemplify pneumonia and psychosomatics, convalescence, and the nuances of a break. To that, whether it be likuvannya, it starts with a diagnosis, if you may need some clarification of the details.

  • eosinophilic pneumonia;
  • nosocomial pneumonia;
  • paracancrosic pneumonia;
  • Friedlander's pneumonia;
  • drіbnovognishchev middle degree of severity.

The differential method, for the help of which a diagnosis and all symptoms are made, may appear as the first stage on the beginning of therapy.

Tse allow with maximum accuracy to identify the nuances of the state, psychosomatics, and also specify the stage of development and those that can be used for chemotherapy and other methods, which require the permission of a pulmonologist.

At the first stage, as if passing the glee, you need to recognize chemotherapy, and after the completion - diagnostics, so that psychosomatics is cleared up. Pulmonologists pay respect to patients for the following nuances of the induction process:

  • Since eosinophilic pneumonia has been identified in a person, hemophilic or alcoholic diseases can be treated without strong analgesics;
  • when such types are detected, such as toxic pneumonia, adenovirus pneumonia and postoperative pneumonia, the most powerful drugs are prescribed;
  • You can beat the people's glee, which inspires breath, you can only after the weather with a pulmonologist.

The stagnation of chemotherapy is true for the skin stage of renewal and leaks. However, at the cob stage, it is necessary to start її z minimal dosing, so that in such a rank of experimental way it is possible to calculate the optimal concentration and pathogenesis, vicarious Eufilin.

In front of them, like zastosovuvaty faces, it is necessary to z'yasuvati perelіk protipozan and ymovіrnі skargi, psychosomatics is cleared up. It is important in case of respiratory diseases, if there is a great possibility of forming allergic reactions on the side of the body in older children. In some situations, there is a hemophilic variety or a type of middle location.

To add to the jubilation of the following, you should take into account vitaminization and immunization. It is better to consider therapy for inflammation of the leg at an early stage, if the symptoms do not threaten life, then it should be no more than 1 month and it is possible to exclude the development of recurrent reactions and overshoot.

Before the presented stage, proceed, as the disease was identified at the late stage, or if the therapy was not correct. Techniques of chemotherapy in this case are more forced and include non-medical factors, such as psychosomatics. You can drink the following components: Eufilin, Suprax and other tablets that optimize your breathing.

Іstotne znachennya nebhіdno nadavat that, yakі skargi є in patients and fallow vіd tsgogo kombinuvati, schob vilіkuvati pnevіkuvati yaknaishvidshe. The optimal cycle at the skin stage of the disease should be to respect the upper respiratory tract, antibacterial and analgesic, which will improve the respiratory system.

In some cases, depending on nutrition, like exalted in yalopneumonia, septic pneumonia and infarct pneumonia, pulmonologists point to those who need surgery, which is 100% of the pathogenesis.

At this stage, it is possible and necessary to apply additional techniques, Eufilin, as well as dyhal gymnastics, otherwise, for the sake of some preparations, and “practice” more quickly in older children.

At the third stage of therapy, which is the final one, there is often talk about surgical intervention. In connection with cym, the following nuances can be noted:

  • the operation may be to remove the great curdling of sputum and other negative components, which will help to normalize the activity of the leg;
  • in some cases, if you see pneumonia, it becomes stronger, there is a stagnation of a segment of the legenia or a sinus region;
  • introductory stage after the operation and additional part of the therapy, which may be given no less respect.

For this reason, it is necessary to drink such preparations, like Eufilin, like activating the breath, knowing more and more that swelling, like psychosomatics is obvious. Classification in this category may be of key importance, in order to identify the diagnosis of hemophilic, eosinophilic pneumonia, paracancrosic pneumonia, Friedlander's pneumonia, or post-traumatic pneumonia, the strongest analgesic components in doros bad kids.

In the case of vaginal renewal, the preparations, which are necessary to drink, should be the most sparing and in the minimum doses. Do not fence them with injections, proteo for their setting, it is necessary to carefully collect the area of ​​​​stosuvannya likarskogo zasobu.

At the vagіtnyh vіdnovlennya can zdіysnyuvatisya under the constant control of the pulmonologist, what a stezhitime for any changes in the camp of health.

Diagnosis of cancer legen

Under the cancer of legends in medicine, there is a group of evil neoplasms that are blamed on the cells of the legenium tissue and bronchial tubes. For cich puhlin, characteristic of the arch of the shvidka, growth and schilnist to metastasis.

The negative impact on the legends is inhaled by the repetition of carcinogens - speeches that sprout the development of the new creation. Before risk factors lie:

  • chicken - close to 85% of all patients with cancer and malignant chickens. Cigarette smoke has about 100 different carcinogens, and smoking one pack of cigarettes a day increases the risk of oncology in 10-25 times;
  • a robot with shkidlivyh minds of pracі - a robot on shkіdlivih virobnitstv, de people constantly contact with important metals (lead, mercury, chromium), toxic pollutants (mish'yak, asbestos and others) spriyaє viniknenny cancer legenіv;
  • living in the minds of a fermented atmosphere - people who live in industrial areas, near the fireworks enterprises, breathe in the air from the movement of toxic speeches, which will spread the cancer of the leg;
  • inflammation of the leg, especially tuberculosis and recurrent pneumonia;
  • contact with radioactive substances;
  • Promenevé navantazhennya - X-ray methods of diagnostics.

Than before the suspicions of cancer are legen, then the moment of success is the success of the success. It is important for him to know the signs of ailment. The clinical picture of cancer of the leg is manifested by the following symptoms:

  • cough, on the cob dry, and then watery;
  • hemoptysis - the swelling of the vede grows to the point that part of the blood-bearing vessels collapses and blood is drained into the lumen of the bronchi, as with a cough one sees names;
  • hoarseness in voice - develops with damage to the nerves (rotary and phrenic);
  • puffiness and swollenness of the individual for the rachel, crushed by the growing plump upper empty vein;
  • dyhal deficiency - cancer patients cease to cope with dyhal function, a backbone develops, severe weakness.

All recurring symptoms are considered to be specific signs of cancer of the leg. Krim them, the patient can be turbulent and show cancerous disease. Prior to the first symptoms, include:

  • Severe weakness;
  • boredom;
  • vtrata vaga;
  • Trival subfebrile temperature.

Important: in advanced cases, cancer of the legens, metastases of which affect other organs, are manifested by symptoms of damage to these organs.

Cancer stages of the legend

For the vitchiznyanoy classification, 4 stages of cancer are seen:

  • 1 stage- small puff with a size of up to 3 centimeters, which is localized in the boundaries of one legend segment;
  • 2 stage- plumpness up to 6 cm in diameter, which is localized in the boundaries of one legenous segment, may metastasize in the navcollegene lymph nodes;
  • 3 stage- tuft more than 6 cm, which grows into the suture segment and may metastasize in the navcollegene or mediastinal (middle) lymph nodes;
  • 4 stage- Puhlina, which grows in the vascular organs and may have distant metastases (in the brain, liver, etc.).

Vidpovidno up to these stages develops and the clinical picture of cancer - from a lung cough right up to cancerous pleurisy. Naigirshe feels ill for cancer of the legeniv 4th stage. At this stage, the survival rate is even lower - it may take 100 patients to die for a long time. International classification is more reported and is based on 3 indications:

  • T - puffy (її razmіri),
  • N - lymph nodes (number of affected lymph nodes),
  • M - presence of metastases.

In terms of the index, the order from the letter indicates the growth of the swelling (type 1 to 4), the damage to the lymph nodes (type 0 to 3) and the presence of metastases (0 - nі, 1 - є in distant metastases). To call respect: in this rank, the most favorable diagnosis looks like this: T1N0M0, and the most unfavorable - T4N3M1

The diagnosis of lung cancer is made on the basis of typical scars and these supplementary methods of obstezhennia. Skargi in cancer is more rehabilitated. Before laboratory and instrumental methods of diagnostics, one can note:

  • fluorography and radiography of the organs of the chest - allow to suspect cancer;
  • CT scan or MRI - allow you to establish more accurately between the swelling, to reveal metastatic lesions of the superfluous tissues;
  • bronchoscopy allows you to look at the bronchi in the middle, and if there is swelling, a biopsy is performed for histological follow-up;
  • ultrasound diagnostics is performed through the chest wall. Z її to help evaluate the expansion of the swelling and the steps of invasion in the affected tissue;
  • Vyvchennya blood on pukhlinnі markers. For the help of this method, it is possible to carry out screening for lung cancer, as well as evaluate the quality and effectiveness of treatment.

Cancer legen: exultation

Important: for the treatment of cancer, there is a need to use surgical methods, change and chemotherapy. Folk exaltation of cancer is a quackery and leads to the progression of illness, the growth of swelling and death of the patient.

Surgical treatment is more effective in the distant cancerous complex - swelling, regional lymph nodes, metastases. It is more common to shy away from seeing all the affected legends with unnecessary tissues. Peripheral cancer of the legenia is best seen.

Inflammation of female organs- the group of diseases in gynecology is wide and even wider. It includes a whole complex of pathologies that affect all aspects of the female reproductive system. Ide їх rozpodіl zvnіshnіh i vnutrіshnіh statevykh organіv.

So, before the ovnishnіh, it is accepted to bring the vulva, the great and small state of the lips, and the cervix of the uterus. And the uterus, uterine tubes, ovaries, as well as their connections, like an invisible part of the female state system, are brought up to the internal ones.

Most often, women of the reproductive age suffer from the problem of inflammation of the organs of the reproductive system.

Shards of the main method of transmission have already been three times in vogue not to steal articles of the act, incendiary blame is more important in the sexually active part of the female population. Middle week 20 - 40 years.

If necessary, it is necessary to designate that the group of risks of inflammation is occupied by girls and women, if there may be more than 3 state partners, in such a case the frequency of development of pathology grows in a sprat of times. Vaginitis, cervicitis, endometritis, cervical erosion and, more likely, adnexitis are seen from the widest inflammations.

Such igniting processes, like bartholin, are rarely fired. Even more often, the inflammation is due to the onset of infection, which is transmitted by the path. Therefore, when diagnosing and manifesting pathology, one should not forget about the type of injury. Among the infections that are transmitted by the state route, trichomoniasis, chlamydia and gonorrhea are currently leading.

Causes of inflammation of the female organs

If you need such illnesses, like vaginitis, cervicitis, then you need to take a lot of bells and whistles. Do not plant specific microorganism.

With a decrease in the protective forces of the body, mentally pathogenic microorganisms can also show their pathogenicity, as they normally stay with the female organism, but the immune forces do not allow them to show their actions.

Before them, it is important to mention staphylococcus, streptococcus, fungi of the genus Candida, and some viral parts. From pathogenic ones, give their negative influx of gonococci and others.

Officials

Stain stench in the form of a process:

Symptoms of illness

The stench can be absolutely different:

Form an illness

In the first place, I touch all the inflammation of the female organs through, which sprays the molding:

  • bacterial
  • Gribkova
  • Viral.

The same stages of ignition development:

  • Gostra
  • Pidgostra
  • Chronic
  • Latent.

See the flamboyant ailments of the female organs

Vulvitis

Tse inflamed ovnіshny vіddіlu vulva. Zustrichaetsya at the representatives of the female status, the girl is the most shy to the whole ignition process.

In this case, the frequency of inflammation is due to the fact that the vulva can be more accessible in the anatomical plan for penetration of the infectious factor.

In this hour, a few variants of the development of inflammation were seen, among them an infectious non-specific cause, as well as a specific inflammation and strophic injury, caused by a lack of a hormonal background.

Symptoms of vulvitis:

Tse fuse of the zovnіshny vіddіlu statevyh ways - . In the norm, stinks have even more important functions, directing them to mucus turning into pikhva, as well as oil for the safety of a complete act.

Let's take a look at the ailment of the report:

  1. The mechanism of infection is related to the anatomical features of rotting vines. For this reason, the vivid duct of rotting of the area before the day of remission, to that there is a wide access for the supply of microorganism.
  2. Can be wake-up callers from the vaginal medulla, or more open space through a tight anatomical ligament with the rectum.
  3. In addition, in order for the vigilante to reveal his pathogenic power, it is necessary to add provoking factors that can lead to reduced immunity, mainly of the human one. Before them, one can bring the shin with other people's tools or with old forests, under the rules of special hygiene, wearing tight whiteness, especially synthetic materials.
  4. Inflammation, which is rarely sizzling, it is important to blame at the age of 25 - 35 years, more often you can deal with other inflammatory pathologies of the state organs. Beginning the back, ring out, gostro.

Zhіnka appoints:

  1. Appearance of a strong painful teasing in the area of ​​the entrance to the pikhva.
  2. You can’t work normally, it’s important to sit and make contact impossible.
  3. On the state lip, you can palpate the light, the rosemaries can be different, from 2-3 cm to 10 cm, sum on the cob stage of m'yakuvat.
  4. Shkіra may increase the temperature compared with other plots.

Even if the inflammation does not change this stage, then it will turn into a chronic overshoot, such developments as brushes and abscesses.

If the illness transforms into an abscess, then the plumpness may have a thick consistency, the size of the disease is large, the shape is rounded and oval, and in some fluctuations there is a fluctuation. The burning camp breaks down, the temperature rises, signs of intoxication appear, sometimes it turns into fever. Inflammation of Bartholin's ridge will require shoe polishing.


Tse inflammation of the cervix. Vaughn є intermediary dilyankoy between internal and external statutory bodies. When you go to the pathological process of the mucous membrane. Shards of the cervix can be subdivided into two main branches - exocervix and endocervix.

On the ovnishnіh vіddіlakh, it is important to spread the rich spherical flat epithelium, which is also the middle one, which is cylindrical. The very inflammation of the cylindrical epithelium is the most safe, the shards move as a risk of the transition of yoga to the uterus.

Cervicitis can be caused by various agents, including bacteria, viruses and fungi. The presence of provocative officials can be of great importance, to saturate the development of inflamedness.

For cervicitis:

Most of the inflammation of the cervix is ​​asymptomatic. That is why it often happens less than an hour when I look at a woman by a fakhivtsy.

Less than in some ways, the visibility is seen from the statuary paths. Under an hour of pohvogo looking around, the redness of the mucous membrane, the presence of a hardened vessel baby, as well as moderate defects in the mucous membrane, are revealed. Zovnіshny zіva z'yavlyaєch pathological character, scho vіdokremlyuєtsya, vіd vіd vershkopodіbіbіbіbіnі to purulent.

The pathological process that is to be blamed on the outer part of the cervix. It is characterized by the presence of a defect in the mucous membrane.

This process can be blamed on women, whether or not women, but the frequency rises in sexually active women.

Middle age for groups 18 - 35 years old. Tse with frequent change of state partners.

I am especially concerned about the pathology of the disease in case of common papillomavirus infection with a defect in the mucous membrane.

The most unsafe types are 16 and 18, stench can take on the development of an oncological process. Most often it comes from the fires of the shiyts and pikhvu, which can become a legacy of the process.

Run out, ring out, asymptomatic. The woman does not feel pain through those that the cervix is ​​free of pain receptors, and therefore the inflamed appearance is less morphological. Maybe it’s less likely to show up with the appearance of bloody brown visions, especially after the state act.

It shows up more importantly when I look around at the mirrors by a gynecologist. It is possible to treat defects on the mucous membrane of the exocervix of the cervix, in this case, the cervix will not be evenly smooth tarot. It shows hyperemia, bleeding, defects in the mucous membrane, as well as signs of an old ignition process.

endometritis

This is the ignition process, which is characterized by damage to the mucous membrane of the empty uterus.

Pathological stasis of functional clitin, yakі vydkidayutsya during menstruation.

The process may be different, if not more severe or chronic.

Hospitality process may help clinic:

In case of chronic interruption of the process the symptomatology, as a rule, is erased. The pain syndrome in this case may be severely overrun, the pain is slightly pronounced. Won posilyuєtsya with physical navantazhenni, statutory act too soon.

In the autumn-spring period, there may be a sharpening of the process. The temperature during the chronic process does not rise, it is less likely to be subfebrile in a few episodes.

May also be indicated latent, when the clinic is already erased, but it’s usually found, shards are damaged in the body, and even more often develop complications, and likuvannya, as a rule, is not prescribed.

Tse wider inflamed ovaries in a woman. Even with an unsafe pathology, the shards of the hourly vilification process are brought to a development of ease. A group of risky inflammation of the appendages is formed by women of a young age, ce 20 - 30 years old.

Gostriy process begins to develop, sound quickly:

Inflamed ovaries can expand on adjacent tissues, which in some cases are aggravated by salpingo-oophoritis, pelvic peritonitis, and diffuse peritonitis.

When transitioning from an acute process to a chronic one, the pain syndrome becomes less pronounced This overheating can lead to a spike process in the pelvic organs.

The menstrual cycle may be disrupted, it is more difficult to get tired and during the day of ovulation. Latent overheating to produce up to bezploddya.

Tse igniter of the organs of the state system. You can show up at some stages of state bodies. The reason for this ignition is fungus of the genus Candida .

This is a mentally pathogenic alarm, which in normal conditions is on the skin coverings and mucous membranes, and in a normal state of immunity, it does not cause inflammation.

Characteristics of candidiasis:

  1. For the development of the pathological process, it is necessary to have provocative factors. Among them are severe endocrine and somatic illnesses, damage to the way of life, hygiene and eating, as well as ways of transmission.
  2. It is characterized by candidiasis inflamed by the appearance of a strong stinger that liver, which teases the mucous membranes and skin folds. In the area of ​​the wound, there are various manifestations of the swell, which is also accompanied by the thinning of the mucous membrane.
  3. For a woman, a similar symptom will cause damage to the burning camp., self-perception becomes worse, the quality of sleep changes, as well as nervousness and tolerance to stress. Sechovypuskannya is manifested by imperative positivity, rіzyami and in some sort of fluctuations, pronounced pain.
  4. Body temperature, as a rule, is normal. Sound out if you get a bacterial or viral infection.
  5. The main manifestation of candidiasis of the state organs is the clearest manifestation of the state of the art ways. Sound the color of their white or troch yellow. The consistency is thick, there may be small inclusions. For the rahunok itself, they call them sirni, and ill with thrush.


Infectious inflammation

- This fuse is a blow that can be brought up to a specific class. Viklikane is a specific microorganism that can lie up to gram-negative groups.

Illness characteristic:

  1. This alarm goes up to specific ones, it affects the mucous membrane of the sebaceous tract. As a result, there is an ignition process, which can hit all the drivers of the state system.
  2. Zbudnik is sensitive, to that the navkolyshny middle is a quick guinea.

Inflammation calls out more importantly among the women's status.

Symptoms:

Chlamydia

This is one of the specific ignition diseases of the sechostatic tract. At the present time, the pathology is much wider. Therefore, the causative agent of chlamydia is an internal cellular microorganism, which is tropic to the organs of the sechostatic system.

Vіn stable to the factors of the common medium, easily transmitted by contact, and also weakly responsive to drug use. To the very same fuse, the sickness of wealthy women is brought to a development of complexity. Among them, the most widespread are the spike process.

Chlamydia is most commonly seen in women ages 25-40. Given the given characteristics of the time, women are considered to be at risk of flare-ups through the temple of sexual activity, pregnancy planning, as well as frequent exposure to fahivtsiv with possible diagnostic findings.

Symptoms:

  1. Even more often, chlamydia does not manifest itself, or the symptoms are mild. Most of all, it is more inflamed, less likely to occur due to periodic pelvic pain and without it.
  2. One day a woman is turbulent and sees one of the state paths. There are sights that may have a pathological character, stinks become rare, may be clear, that sometimes accompany wintering. The wake-up call will sound in the ranking year, after 20 - 30 minutes after awakening.
  3. With a trival overrun, a pain syndrome appears, Scho may weakly overflow, posilyuєtsya with physical urge or statutory act Zgodnen to such complication as pozamatkova vagіtnіst or bezplyddya, pov'yazane s chronic inflammation in the empty uterus.

Tse virus damage to the organs of the reproductive system. It is called ill for the herpes simplex virus.

Іsnuє kіlka yogo raznovidіv, kozhen іz yakіh viklіkaє urazhennya ієї chi іnshої vіddіlu іn organіzmі.

In times where the damage to the organs of the reproductive system, zocrema, and other diseases are more important.

At the same time, it sounds like a person, so a woman, and a representative of a beautiful state is more smart to the point of pathology.

Vіkovі grupi, yakі mаyut zapalennya statevykh organіv, vyklikana herpes so raznі, but more tse 20 - 40 rokіv. A similar corridor of delusions is that in this period a person can mother the largest number of partners and sexual life is even more diverse.

Symptoms:

  1. It is characterized by the disease of radiation to the pathological process of the mucous membranes of the state organs, as well as of the skin curves.
  2. When you see it, the appearance of bulbs, as if they were filled with a rare mist, so that a trifle of a yellowish color can be seen. Razmіri danih utvoren raznі, vіd kіlkoh milimetrіv up to centimetres, tse s tim, scho can be angry. With this, pronounced soreness, constant fever, and with damage to the liver, are manifested.
  3. Nadalі elementi, pozavlenі zahisnoї plіvki, pokryvayutsya і picks and bacterial process can come to them. The burning camp changes, the temperature of the body and the growth of intoxication may rise.

Traces of burning illnesses

  1. One of the most wide-spread conditions is the transition of inflammation to a chronic one.
  2. From the other side, recurrence of the process can develop.
  3. When the cervix is ​​inflamed, a chronic process can develop due to further molding of the evil process.
  4. The upper state of the organs is shill to the development of the absence of childbearing in women of the reproductive age, as well as innocence and mimicry.
  5. In women, the menstrual cycle can be disrupted during the heating processes and menstruation becomes more painful and more severe.
  6. With a massive fire, a rotten cavity can be blamed, as it will require prompt treatment.
  7. In times of widening inflammation on the vascular organs, there is a risk of threatening life.

Celebration

Vulvitis

  1. In girls, and in case of non-specific damage, it is possible to accelerate the recognition of signs. Before them, we can see good varieties with anti-inflammatory effects, such as Furacilin, Chlorhexidine or calendula.
  2. In case of severe inflammation, there may be antibacterial agents against the virus, as well as antifungal agents in the presence of creams and gels.

The Danish type of inflammation, I mean, as a rule, the recognition of a complex treatment.

  1. In the development of the process, it is necessary to turn off the virus infection of the cervix. Zastosovuyutsya tabletovanі zasobi and mіstseі forms of medicinal preparations.
  2. With an exact clarified cause of inflammation, the symptoms are picked up with improved sensitivity, and with a non-specific process of inflammation, it sounds good with a correctly selected ignition without problems.
  3. Zhіntsi do not need hospitalization in a hospital, as well as interruption of the working process.

Endometritis and adnexitis

Tsі zapalennya vymagayut obov'yazkovogo and svoєchasnogo lіkuvannya through high rizik rozvitku ossladnen.

The mode will be selected after the process has been skipped:

  1. In severe camps, hospitalization is required to the hospital. Ethiopathogenetic therapy is considered antibacterial or anti-rusal treatment. The route of administration is chosen exclusively parenteral, only after the end of the treatment you can choose the tablets from the tablet form.
  2. Of course, it is necessary to carry out detoxification therapy. For which vicarious blood substitutes and isotonic differences are used in combination with vitamins.
  3. After the main course, it is necessary to conduct anti-relapse courses, directing to zabіgannya development is easy or repeated fires.
  4. When molded about the light or the transition of inflammation to other organs with the development of a purulent process, it will be necessary to surgically insert it into the veins, extirpation and drainage from the infection of antibacterial diseases.

Tactics at the time of fallow at the stage of the ignition process:

  1. At the cob stages, there may be an indication of antiseptic drugs and antibiotics, as well as medical antiseptics.
  2. With the development of a purulent process, the development of a purulent discharge or transition to an abscess requires surgical insertion with distant drainage of a scorched empty.
  3. The appointment of thermal or physiotherapy before the emptying is completely contraindicated, shards can be brought to the generalization of the process.

Inflammation of the state organs will require the recognition of etiotropic therapy, not antifungal infection. The form of medical precautions is selected depending on the level of injury:


  1. With vulvitis You can either use creams or different ones that may have antifungal activity. Before them, there is a rozchin of grub soda, which is applied to the skins of the warp and scorch.
  2. When ignited, empty pikhvi it is possible to use not only the form of cream and ointment, but also the most effective and widened vaginal suppositories or tablets. Tse mozhut buti drugs only with an antifungal mechanism or a complex diet (inexpensive or). Of course, in combination with medical therapy, systemic tablet forms are prescribed.

Duzhe often candidiasis shillny to relapse. At times, it is necessary to systematically recognize the bones for the presence of a sign of burning.

Other illnesses

  1. The exultation of the fuse, caused, it is necessary to follow the exact confirmation of the cause. For whom it is necessary to choose for the purpose of exercising sensitivity. After carrying out the polishing, the next step is to carry out additional control of the polishing.
  2. This is a special group of ailments of the female organs. In the event of a viral infection, the need for obov'yazkovenya inflamed from the indications of antiviral drugs. Surgical exuberance of the ignition process is becoming very popular. Among them are diathermocoagulation and cryodestruction.

Jubilation with folk traditions

The folk therapy itself is widely promoted, in order to overcome the ailment of state organs.

Prevention

It is necessary to give a broader understanding of what gynecological pathology is worth.

For the prevention of inflammation, follow a number of rules:

Treatment of ignition diseases can be complex and include:

1. Etiotropic likuvannya, directed at the liquidation of the alarm clock. In this way, antibacterial preparations, sulfanilamide, and in case of specific etiology of disease, vicarious preparations are used;
2. Promotion of immune infection;
3. Advancement of global resistance to the body before infections (suspension of preparations and groups of biostimulants);
4. Physiotherapy;
5. In severe cases, due to the effect of conservative therapy, stop surgical treatment.

Pharmacotherapy

At the stage of intensification of the ignition process, a complex treatment is begun from antibacterial therapy. Most often stop antibiotics. Groups of penicillins, cephalosporins, thynamycins, macrolides, monobactams, chloramphenicol, aminoglycosides, polymyxins, rifamycins and other groups. Preparations of this group are effective in infections caused by gram-positive bacteria (streptococci, staphylococci, pneumococci, etc.), spirochetes and other pathogenic microorganisms. The stench may have a bactericidal effect on microorganisms that are in the phase of growth.

Antibacterial effect of coatings due to the specific nature of penicillin inhibition of the biosynthesis of the cellular wall of microorganisms. The following preparations belong to the group level, such as: benzylpenicillin sodium sil, phenoxymethylpenicillin, oxacillin sodium sil, methicillin-sodium, ampicillin, ampiox-sodium, sultamicilin (unazine), amoxicillin, ticarcil pen), carbene cilin (geopen), carfecilin, mezlocilin (baiben ), cloxacillin (clobex), flucloxacillin, clonacom-R, piteracillin (psipen, pipraks), bacampicillin (penbac), penamecillin (maripen).

Before the group of cephalosporins, the following preparations should be applied:

  • cephalexin,
  • cefadroxil,
  • cefazolin,
  • cefapirin,
  • cefuroxine,
  • cephradine and others.

Also, for the treatment of ignition processes, preparations of the tetracycline group are prescribed: tetracycline hydrochloride, doxycycline, monocycline and others. Oleandomycin, erythromycin, midecamycin (macropen), clarithromycin (clacid) are included in the macrolide group. Complex preparations are being developed to treat macrolides and tetracyclines: oletethrin, tetraolean, ericycline.

The aminoglycoside groups include gentamicin, monomycin, kanamycin, amikacin, dibekacin, etc. The polimexin group is represented by drugs and polymexin and polymexin M. The rifampicin group is included in the rifamycin group.

For the use of the ignition process, sulfanilamide preparations are also needed.

Sulfanilamide may have chemotherapeutic activity in infections due to gram-positive and gram-negative bacteria, such as the simplest chlamydia. It is due to the main reason for the destruction by microorganisms necessary for their development of growth factors - folic and dihydrofolic acids and other speeches, to the molecules of which include para-aminobenzoic acid. Sulfanilamides are ingested by microbial cellular replacement of para-aminobenzoic acid and thereby disrupt the bypass of their exchange processes. From the group of sulfanamide preparations, sulfadimethoxine, sulfalene, biseptol, bactrim, sulfatone, groseptol, etc.

Prior to biogenic stimulants, there should be preparations of the animal-like plant exhalation, which, when introduced into the body, give a stimulating infusion and speed up the regeneration process. Before biostimulants, which are used in medical practice, there are preparations from roslin (aloe extract), tissues of creatures and humans (placenta susceptibility), as well as from firth mud (FIBS) and peat (peat).

Aloe extract, rare for injections- a preparation of canned, fresh or dried aloe leaves. Inject daily 1 ml daily (maximum additional dose 3-4 ml), course 30-50 injections.

Fibs for injections- Biogenic stimulator from the firth of the brud. Under the skin, inject 1 ml once a day, for a course of 30-35 injections.

Peloid distillate- Biogenic stimulator - a product of firth brud. Under the skin, inject 1 ml once a day, for a course of 30-35 injections.

Gumizol- Raschin fractions of sea liquor brud 0.01%. Zastosovuyt vnutrishnyom'yazovo and way electrophoresis. administer internally, starting with 1 ml daily in the first 2-3 days, if well tolerated, continue introducing 2 ml 1 time per day for 20-30 days.

Placenta extract for injection- an aqueous extract from the human placenta preserved in the cold. Under the skin, inject 1 ml daily or every other day.

fermenti- preparations to wash the straighteners by pouring into the enzymatic processes of the body. Enzyme preparations and proteolytic drugs (trypsin, chymotrypsin) are used in treating gynecological diseases. Trypsin is an endogenous enzyme that breaks down peptide bonds in protein molecules. The stagnation of trypsin is grounded on yogo zdatnosti rasschepyvaty with a mystial infusion of necrotic tissue and fibrinous tissue, razryadzhuvati secretions, exudates, blood clots. Crystalline trypsin is administered internally at 5-10 mg 1-2 times a day for a course of 6-15 injections. Trypsin is also used for additional electrophoresis. The action of another enzymatic preparation is similar to that of trypsin.

With the method of promoting a specific immune infection, it is necessary to zastosovuyut preparations that correct the process of immunity. For this vicarious preparations are used: pirogenal, prodigiozan, levomizol, glyceram.

Pyrogenal- whole lipopolysaccharide, which is used in the process of life of microorganism Pseudomonas aeruginosa and in; may be pyrogenic.

Vulvitis

Likuvannya complex, including zastosuvannya mіstsevyh and zagalnozmіtsnuvalnyh zabіv. It is shown the treatment of concomitant diseases (diabetes, pustular lesions, helminthiasis, cervicitis thinly), in the phase of which vulvitis often develops. In case of acute vulvitis of the dvіchi-trichi for a day, carry out the toilet of the ovnishnіshnіh stateovih organs with warm potassium permanganate (1:10000), warm infusion of chamomile, 2-3% with boric acid, instill lotions with furacilin (1:5000) 3-4 strike at day, masking the vulva with 5% anesthetic ointment. In case of vulvitis caused by mentally pathogenic microbes, furazolidone with polymyxin M sulfate in powder form is prescribed mastically. In case of acute leaks, sitz baths with potassium permanganate or infusion of chamomile 2-3 times a day, 10 quills are recommended.

Bartoline

In the acute stage, conservative pharmacotherapy is used: antibacterial agents (antibiotics, sulfonamides, nitrofurans, biseptol); analgesics (candles with Belada, antipyrine, cefekop); autohemotherapy is regional at 5-7 ml/m every other day. Misceva therapy: cryotherapy (30-40 quills each; lotions with Burov's native land, lead water, furacilin 1:5000). In case of polypshenni I will be shown physiotherapy (KUF-promenі, UHF, microkilometers of the centimeter range); for the duration of the improvement (after 2-4 days) - thermal procedures (heating pads, solux, Minina lamp) are shown in addition to ointment applications (ichthyol, Vishnevsky ointment).

Surgical treatment is carried out for the presence of an abscess infection. In the chronic stage of illness, non-drug treatment is carried out at the sight of thermal procedures (brud, ozocerite, paraffin); laser therapy.

Colpitis

Pharmacotherapy. Etiotropne treatment is carried out with antibiotics and antibacterial methods after the susceptibility of the alarm to them is indicated. The main method of stosuvannya is mystcevy. Antibiotics zastosovuyut at a total amount of penicillin 300,000 OD and 5 ml of 0.25% lysozyme for 8 days; also, antibiotics zastosovuyut in apparently vaginal suppositories (penicillin or neomycin up to 100,000 OD, furazolidone 0.05 g). In apparently vaginal sticks, furazolidone is ingested in combination with polymyxin M.

With colpitis, the use of estrogen-containing drugs is indicated: ointment (folikulin - 500 OD, lapolin - 30 g); vaginal candles (folliculin - 500 OD, boric acid - 0.1 g, cocoa oliya - 1.5 g), or 3-5 drops of folliculin (1000 OD) are buried in pikhva, the course of treatment is 10-15 days. For medical procedures, the vaginal application of potassium permanganate 1:6000, rivanol 0.5-0.1% should be applied for no more than 3-4 days. In the case of a reversed process, it is necessary to take a dose of additional medicine: it is possible to ingest biseptolu-480 internally, 2 tablets 2 times a day (once a day later), tetracycline 0.2 g 5 times per doba, erythromycin 0.5 g 4 smash for good . Biostimulants are also prescribed (scarlet, fibs, sklopodibne body thinly). As a method of immune stimulation - levomizole (Decaris) intravenously with a dose of 0.0025 g/kg for 3 days.

Non-drug treatment. Vykoristovuyut physiotherapy in the presence of a deep ultraviolet treatment, electrophoresis with 1% novocaine or 10% calcium chloride on the area of ​​the outer organs.

Endocervicitis

At the acute stage of illness, etiotropic treatment is carried out (antibacterial treatment to improve the susceptibility of microorganisms to antibiotics, sulfanilamide). In the chronic form, therapy with immunomodulators (decaris, T-activin, 1 ml of 0.01% of different varieties is carried out). Mistseve rejoicing should be carried out after the calming down of the hosts of flare-ups: douching or baths with 1-3% protargol discord, 1-2% argentum, 3% water peroxide, vagotil, rivanol, furacilin 1:5000; vaginal ointment tampons (with antibiotics, nitrofurans, glucocorticoids, antimycotic drugs); instillation of emulsions in the endocervix of the levosin, the course of treatment is 7 days.

Video

Treatment of ignition processes of non-specific etiology of the upper limb of state organs

endometritis gostrius

Pharmacotherapy includes serious and mischievous pleasures. More glamor includes antibacterial therapy, immunostimulatory and detoxification therapy.

  1. In antibacterial therapy, broad-spectrum antibiotics are used; additionally, one-hour recognition of a combination of not less than 2 antibiotics at maximum doses with improved sensitivity of microflora. The combination includes synthetic penicillins (6.0 g per doba), tseporin, kefzol, cefamizin (6.0 g per doba), kanamycin (2 g per doba), gentamicin (160 mg per doba), in which case the most effective combination of zeporin oxacillin, ampicillin and gentamicin, levomycetin and limcomycin. Antibiotics are supplemented with sulfanilamides (etazol intravenously at a dose of 10% at a dose of 10.0 ml after 12 years), nitrofurans (in the middle - at 0.8 g per doba, internally at a dose of 0.1% of furagina at a drop of 400-800 ml), metronidazole (klion) intravenously, 100 ml of skin 8 years a day, 5 ml per whilin, for 7 days. Also, preparations of the tetracycline group are prescribed at a dose of 0.75 g per doba intravenously after 8 years. For the prevention of candidiasis, nystatin 2 million OD per doba, levorin 1 million OD per doba are prescribed. When treating vicarious endometritis, the administration of antibiotics at an additional dose in the uterine cavity through the posterior cleft or endometrium is administered.
  2. As an immunostimulant zastosovuyut: thymolin - 10 mg / m 1 time for doba 7 days; T-activin - 1 ml of 0.01% intravenously 1 time per day for 5 days; timogen - 100 mcg intravenously 5-7 days; Immunoglobulin - 5 ml intravenously or intraperitoneally every other day, 5 doses.
  3. Antiseptic therapy includes antiseptic salicylic acid (aspirin), pyrazolone (analgin, butadione), paraaminophenol (paracetamol), indolocytic (indomethacin, methindol), proteonic (ibuprofen) acids. They are prescribed in therapeutic doses, 1 tablet 3 times a day.
  4. Detoxification therapy. General infusion -1250 ml per doba: rheopolyglucin 400 ml, blood plasma, 10% glucose 400 ml, Ringer 250 ml. Therapy also includes vitamins and antihistamines. Miscellaneous treatment includes vacuum aspiration of the empty uterus, dbailivy curettage of the uterus and trivaliy intrauterine dialysis. The emptying of the uterus is carried out with antiseptics and antibiotics (furacilin, water peroxide, dimexide, chlorophyll). Physiotherapy - pulsed ultrasound, electrophoresis of midi, zinc, laser therapy, vibration massage.

Chronic endometritis

The main jubilant factors are physiotherapy. Most often, the magnetic field of UHF, microchip of the centimeter range, ultrasound in a pulsed mode, electrophoresis of midi and zinc are used. Effective liquor mud, ozocerite, paraffin, sulfide, radon water (baths, polish). Desensitization therapy is also prescribed - diphenhydramine, suprastin, pipolfen. Under the hour of menstruation, broad-spectrum antibiotics are indicated.

Salpingoophoritis

Hostry salpingo-oophoritis before complex therapy:

  1. antibacterial;
  2. detoxification;
  3. desensitizing;
  4. immunotherapy;
  5. enzyme therapy;
  6. non-drug treatment.

1. In case of antibacterial therapy, treatment is carried out one hour with two or more antibiotics: one day with synthetic penicillins (ampicillin, oxacillin, methicillin, ampiox) - 3.5 g / dose, probenicide - 1 g in the middle, tetracycline - according to 0.5 g 4 times per day stretching 7 days. It is possible to take cephalosporins - 2.0 g / dobu, intravenously, give tetracycline intravenously - 0.5 g 4 times a day for 7 days.

The most effective are the following therapeutic combinations:

a) doxycycline - 0.1-0.2 g / dose intravenously for 7 days; cephalosporin (cephaloridine) 4.0 g / dose. i / m; cephalic - 2.0-3.0 g / dob. in / m, in / in; claferan - 2.0 g per doba. in / m .;

b) dalacin C - 300-600 mg intravenously, internally after 8-12 years, then 900-1200 mg intravenously after 12 years and gentamicin - an additional dose of 2.4-3.2 mg/kg body weight after 6 -8 years stretching 6-8 days; brulamycin - an additional dose of 2-3 mg/kg body weight intravenously, intravenously after 6-8 years; kanamycin - 1.5-2 g / dobu. after 8-12 years.

The main antibiotics that are used in the treatment of acute salpingo-oophoritis lie before the group of penicillins, cephalosporins, aminoglycosides, macrolides, tetracyclines, levomycetin and antibiotics of various groups. The complex treatment of vicory also has nitrofuran - 0.3 g per doba, metronidazole - 0.5-1.5 g per doba; biseptol - 1.92 g / dobu, dimexide 20% razzin intravenously with 100.0 ml 5% glucose variant, chlorophyllipt - 0.25% variant - 2-4 ml intravenously strumine 2-4 times per dobu - Stretch 5-10 days

2. Detoxification therapy includes infusion therapy: gemodez intravenously drip 100 ml 1 time for 3-4 days, glucose-vitamin retail - 1000-1500 ml with a complex of vitamins intravenously drip. The hot spray of the infusion should be 40 ml of 1 kg of body mass.

3. Desensitization therapy. Stop antihistamine drugs - diphenhydramine, pipolfen, suprastin, tavegil; preparations of calcium chloride, gluconate - 3% intravenously dropwise, 200 ml; autohemotherapy, 5-7 ml internally according to the scheme; histaglobulin administered subcutaneously in 2 ml every 3-4 days.

Glucocorticoids are indicated in the acute, intermediate stages - prednisolone - 5 mg per dose for 5 days, then following the dose increase regimen for 25 days, then the dose is adequately reduced to the end.

4. Immunotherapy. Apply thymalin internally at a dose of 10-20 mg for 5-10 days, taktivin - for 1 ml for 5-10 days, thymosin for 1 mcg/kg of body weight for 20-30 days, thymogen - for 20-30 days 100 mcg 5-7 days, gamma globulin 12-15 ml 10% IM 1 time for 20 days 3-4 injections; pyrogenal and prodigiosan are prescribed after the acute process subsides.

5. Enzyme therapy. Lysozyme vikoristovuyut mistsevo 0.5% emulsion, as well as internally; trasilol - intravenously dripping up to 50,000. OD for extraction for 3 days.

6. Non-drug treatment. Cryotherapy - vaginal and ovnishnya abdominal hypothermia - up to 2-3.5 years on the extraction. Hyperbaric oxygenation - vice 1.5-3 atm. - Protyagom 1-1.5 years per day, treatment course 6-7 procedures. Also, exchange plasmaphoresis, ultraviolet blood exchange, extracorporeal hemosorption, laser therapy, reflex therapy are performed.

In case of aggravation of severe salpingo-oophoritis, molding of miscarriages of the uterine appendages (pyosalpinx, ovarian abscess, tubal ovaries), ailments are shown promptly.

Chronic salpingo-oophoritis

Treatment with antibiotics is indicated in cases of acute process. Widely used for pain relief (paracetamol, indomethacin and other); sedative and neurotropic drugs (nozepam, phenazepam); desensitizing agents (diphenhydramine, pipolfen); tonic diseases (eleutherococcus, pantocrine, leuzea); hormonal correction of secondary hypofunction of the ovaries in the first place before testing functional diagnostics; enzymes (ronidase, lidase, trypsin, chymotrypsin, caripazim).

During physiotherapy, ultrasound, phonophoresis, medical electrophoresis, UHF, UHF, magnetic fields; laser therapy, likuvalnu gymnastics, likuvalny massage and psychotherapy.

Pelvioperitonitis

It has been accepted to see general and medical therapy for peritonitis. Operatively introduced to smut in likuvanni peritonitis. Treatment of peritonitis stage, including preoperative preparation, prompt delivery, intensive postoperative period.

Pharmacotherapy of pelvioperitonitis in accordance with the scheme of treatment of acute salpingo-oophoritis. With timely and correctly carried out litigation, it is often possible to get away with operational work.

Parametritis

Treatment of parametritis, as well as pelvioperitonitis, is carried out by complex therapy, which includes antibacterial therapy, desensitization, detoxification therapy, symptomatic treatment, physiotherapeutic treatment. For the presence of the effect in conservative therapy, surgical treatment is carried out.

Treatment of ignition processes of state organs in specific etiology

Trichomoniasis

Treatment of trichomoniasis can be complex and include specific therapy (anti-trichomoniasis diseases) in combination with broad-spectrum antibiotics, immunostimulants, biostimulants, vitamins. Likuvannya guiltily carried out like a banquet, so і mіstseve.

For specific therapy, the drugs and groups of imidazoles (metronidazole, prapor, trichopolum) should be used according to the regimen.

Scheme No. 1
1st day - 1.5 g / dobu for 3 doses after 8 years; 2nd day - 1.25 g / dobu for 3 doses after 8 years; 3rd day 1.0 g/dobu; 4th day - 0.75 g / dobu; Day 5 - 0.5 g / dobu for 2 doses.

Scheme No. 2
1st day 0.5 g 2 times a day; 2nd day 0.25 g 3 times a day; given 4 days sleep 0.25 g 2 times a day

Scheme No. 3
0.25 g 2 times a day (0.5 g/dobu); b) nitazole (alienitrazol, tricholaval) - 0.1 g 3 times a day; c) tinidazole (fasizhin, triconidazole) - 2.0 g/dobu one time (4 tablets daily daily), or 0.5 g (1 tablet) skin 15 times a day (2 g/dobu) - 1 day.

The dosage regimen also includes nitrofuran (furagin 0.1-0.15 g 3 times a day, furadonin 0.1-0.15 g 4 times a day - 7 days), antibiotics (tetracycline 0.3 g 5 times a day). ) , Gave 0.2 g 5 times per dose - up to a course dose of 10.0 g, litacycline 0.3 g 2-3 times a day, doxycycline - 0.3 g first dose, then 0.1 g 4 times a day day ).

Mistsevo prescribe: Trichopolum 0.5 g/dobu (in tablets, suppositories), clotrimazole (1 vaginal suppository per day - 6 days), Klion-D (vaginal tablets: 500 mg of metranidazole and 150 mg of miconazole - 1 tablet in piva ) - 10 days), nitazol (in candles, suspensions - 15 days), powdered antibiotics (gramicidin); pimafucin (1 tablet for pixiv - 20 days), nitrofuran preparations.

Immunotherapy includes preparations - pyrogenal, autohemotherapy, T-activin, thymalin. Biostimulants and vitamin therapy are carried out according to the globally accepted scheme.

Gonorrhea

The recovery of gonorrhea begins with antibacterial therapy - to stop broad-spectrum antibiotics: benzylpenicillin - intramuscularly at 60,000 - 400,000 OD after 3 years (for a course - 4.2-6.8 million OD), bicilin 1, 3, 5 - in / m 600000 OD after 24 years (for the course - 3.6 million OD), ampicillin 0.5 g / m after 4 years (for the course - 8.0 g), ampioks - in / m - 2.0 g / doba (course 15.0-21.0 g), oxacillin - intravenously, 0.5 g 5 times per doba (course - 10.0 - 14.0), caffecilin - internally, 0.5 g 3 times per doba ( course 5.0-8.0 g), levomycetin - intravenously at 0.5 g 4 times per doba (course 6.0-10.0 g), tetracycline - internally at 0.3 g 5 times per doba (course 5 0-10.0 g), doxycycline - in the middle of 0.1 g 2 times per doba (course 1.0-1.5 g), rifampicin - in the middle of 0.3-0.6 g 1-2 times per dobu dobu (course 1.5 g-6.0 g). Sulfanilamide - biseptol 2 tablets 2 times (course 16-20 tablets), sulfatone - 2 tablets 2 times per dose (course - 4.2 g - 7.0 g).

Immunotherapy

They see specific and non-specific immunotherapy for gonorrhea. Specific immunotherapy for the transmission of vicarious gonovaccine. Pochatkov dose IM 200-400 million microbial antibodies in 1-2 days, then increase the dose by 150-300 million and bring up to 2 billion microbial antibodies (6-8 injections). Non-specific immunotherapy - pirogenal (primary dose of 25-50 MPD i / m, increase by 25-50-100 MPD to the maximum dose (not more than 1000 MPD) in the fall due to the reaction to the body, course - 10-15 injections; autohemotherapy methyluracil.

For accelerated regression of inflammatory infiltrates in the affected organs, a biostimulator is prescribed, the treatment course is 15 to 25-30 days.

Candidiasis

Treatment of patients with genital candidiasis is treated with antifungal antibiotics and synthetic drugs: amphotericin B - internally dropwise 50,000 OD in 500.0 ml of 5% glucose level - daily, course - 4-8 days (with breaks), total dose 2 million OD; amphoglucamine (in tablets) - 200,000 OD 2 times for extraction for 10-14 days; mycoheptin - internally for 200,000-250,000 OD 2 times for production, for 10-14 days; nistatin - in the middle of 500,000 OD up to 1,000,000 OD, for production up to 6,000,000-8,000,000 OD, course - 14 days; Levorin - in the middle of 400,000 OD 2-3 times a day for 10-12 days.

Use vaginal suppositories for clotrimazole, polygynax, pimafucin, terzhinan vaginal tablets, Klion-D, batrafen vaginal cream. With a prophylactic method, vicorist nizoral at a dose of 200 mg / doubling hour (2-5 months).

From non-drug therapy, it is necessary to carry out physiotherapy (ultrasound, diathermy, UHF, UHF, microchip), balneotherapy, exercise therapy, sanatorium treatment.

Mycoplasmosis (ureaplasmosis)

Treatment begins with antibiotics, active among mycoplasmas: doxycycline (vibramycin) - 100 mg of bipartite per day for 10 days; course - 20 g; erythromycin - 500 mg 4 days a day for 14 days; tetracycline - 0.5 g 4 times a day 1-2 days, the course is up to 27.0 g. Gentamicin is administered intravenously at 40 mg skin for 8 years 5-7 days, the course is 600-840 mg.

In the minds of a hospital, morphocycline can be administered intravenously with 5% glucose. Medically indicated ointment tampons with 1-3% tetracycline ointment, 1% erythromycin ointment, vaginal tablets, cream, clotrimazole suppositories, klion-D.

From non-drug treatment, the most indicated physiotherapy is inductotherapy, UHF, electrophoresis, ultrasound, phonophoresis through tetracycline, erythromycin ointment, low-frequency impulse jets, ozocerite, paraffin.

Tuberculosis of female organs

Treatment includes specific and non-specific therapy.

Specifically, the transmission of etiotropic chemotherapy, which may have a bacteriostatic effect on mycobacteria. The first line of drugs - GINK drugs: tubazid (single dose 0.3-0.6 g, dobova 0.6-0.9 g), ftivazide (single dose 0.5-1.0 g, dobova 1.0- 2.0 g), saluzide (single dose 0.5-1.5 g, dobova -2.0 g), PAX - (single dose 4.0-5.0 g, dobova 9.0-15.0) ;

Drugs of another series: etionamide (single dose 025-05 g, dobova 075-10 g); tibon, thioacetazone (single dose 0.03-0.005 g, dobova - 0.06-0.1 g).

The most effective combinations of chemotherapy drugs: GINK + kanamycin + PAS (tibon - in case of intolerance); GINK+PASK; GINK + rifampicin + etambutol; GINK + rifampicin + PAS; ethambutol + rifampicin and in. In case of significant changes in the appendages, treatment is carried out with a series of drug combinations (isoniazid, benemycin, ethambutol). Trivality of rejoicing - 12-18 months.

Non-specific therapy includes fermentotherapy (leadase 64 OD i / m 30-40 days, or vicorist candles with ronidase). 30% of antioxidants in vicarious extract of alpha-tocopherol acetate - 1 ml of intravenous daily, a course of 50-60 injections; 30% sodium thiosulfate - 10 ml intravenously in 1-2 days (course 40-50 injections). Carry out hydrotubation from a variety, which should cover 30% of the variety, sodium thiosulfate - 10 ml, lidase - 64 OD, penicillin 1 million OD, novocaine 0.25% of the variety.

From non-drug treatment to stop physiotherapy. SMT-electrophoresis, phonophoresis with hydrocortisone, mud treatment, balneotherapy.

For the effectiveness of the effect of conservative therapy and obvious indications, surgical treatment should be carried out.