Viem nhiem co quan sinh duc nu

Tags: Co quan sinh duc nu, Bo phan sinh duc nu, quan he tinh duc, co tu cung, cac dieu kien, am dao, vi khuan, co the, thuan loi, viem nhiem, ton thuong, benh, dau, thai, trung


Bo phan sinh duc nu co cau tao giai phau dac biet voi nhieu ngoc ngach, nhieu nep nhan, nhieu lo tuyen thuan loi cho man benh cu tru va phat trien.

I. Yeu to gay benh va cac dieu kien thuan loi :

- Benh nguyen hay gap: lau cau khuan,  chlamydia trachomatis, hemophilus ducreyl, Tricomonas vaginalis, gardnerella vaginalis, candida albicans, virus u nhu, virus herpes

Duong lay: quan he tinh duc, noi sinh, thay thuoc kham benh khong dam bao vo trung

- Cac dieu kien thuan loi: Bo phan sinh duc nu co cau tao giai phau dac biet voi nhieu ngoc ngach, nhieu nep nhan, nhieu lo tuyen thuan loi cho man benh cu tru va phat trien. Duong sinh duc nu thong vao o bung o dau loa voi trung lam dieu kien cho vi khuan phat trien vao phuc mac gay viem tieu khung, hanh kinh hang thang kem theo bong niem mac tu cung de lai ton thuong trong buong tu cung, mau kinh la moi truong nuoi cay vi khuan thuan loi nen viem nhiem cang de phat trien

II.Viem am ho, am dao:

1.Viem do vi khuan:

- Binh thuong phu nu o tuoi sinh san Estrogen lam cho te bao am dao tiet nhieu glycogen va glycogen duoc truc khuan doderlin von co trong am dao bien thanh axit lactic khien moi truong am dao tro thanh toan tinh khong thuan loi cho vi khuan phat trien

- Khi phu nu man kinh estrogen giam, moi truong am dao khong toan nua, kha nang bao ve cua am dao khong con, am dao de bi viem

- Trong truong hop khac suc de khang giam sut, dai thao duong, co thai ... va mot so luong lon vi khuan co doc tinh cao tan cong o at cung co  the gay viem am dao do vi khuan thong thuong

- Benh nguyen: Gardenerella vaginalis, Mycoplasma homitis, vi khuan ky khi

- Trieu chung: Khi hu hoi, ngua bo phan sinh duc, am dao co nhung not do

- Xet nghiem: Benh pham tren phien kinh + KOH --- boc mui tanh ca

Dieu tri: Thut am dao axit axetic 1%

Flagyl 1g/ngay x 7 ngay, hoac uong lieu duy nhat 2g

Dat Flagyl moi toi 1v x 2 tuan

Tai phat co the dung 2 dot

Hinh minh hoa

2.Viem am dao do Trichomonas

Benh nguyen: Trung roi Trichomonas vaginalis

Khi tham kham hoac dat mo vit, thanh am dao co nhung not tron hoac bau duc.

Soi tuoi thay hinh anh trung roi

Dieu tri: ca vo va chong: Metronidazol  1g/ngay x 7 ngay.

Vo: Dat them Metronidazol trong vong 10 ngay.Tieu chuan khoi la tim Trichomonas 3 vong kinh lien tiep (-)

3.Viem am dao do nam

- Benh nguyenb: Candida albicans

- Dieu kien thuan loi: Kha nang tu bao ve co the giam sut: dai duong, co thai

- Trieu chung: Ngua am ho, co vet lan do o sinh duc ngoai

- Xet nghiem: Co soi nam, test tanh ca(-)

- Dieu tri: Dat Nystatin 100mg am dao moi toi  1v

Mycostatine, Meconazol 100mg moi toi 1v trong vong 3 toi

Thut am dao bang Natri bicacbonat  1-2%, bom Glyceryl borat 30%

4.Benh lau

- Benh nguyen: Lau cau khuan Neisseria gonorrhoea thuong  gay viem am ho am dao, co tu cung, voi trung

- Trieu chung: Thoi gian u benh 2- 6 ngay

Khi hu am dao nhu  mu xanh, vang. Chong co tien su dai dat dai buot, dai ra mu

- Bien chung: Viem tieu khung, vo sinh, chua ngoai tu cung, say thai, nhiem khuan, de non, lau mat tre so sinh

- Dieu tri: khang sinh cephalosporin the he thu 3

Hinh minh hoa

5.Giang mai

- Benh nguyen: Xoan khuan giang mai Treponema pallidum. Sau khi bi nhiem benh tro thanh benh toan than, vi khuan co the lay sang con qua rau thai

- Trieu chung: Gom 3 giai doan

+Thoi ky 1: Xuat hien sau giao hop khoang 3 tuan, ton thuong o am ho la sang (chancre) giang mai, vet loet tron, bo cung hoi noi cao tren mat da, khong dau, khong ngua kem theo hach ben, co the gap sang o am dao va co tu cung. Sang thuong tu khoi sau 2- 6 tuan du khong dieu tri.

+Thoi ky 2: Xay ra sau 6 tuan --> 9 thang sau nhiem benh, vi khuan da vao mau de lay lan. Ton thuong la ban do va choi sui dinh lai thanh tung dam, bo cung, xuat tiet va hoai tu, o khap noi tren co the nhu da, long ban tay, got chan, niem mac mieng, co kem theo hach ben

+Thoi ky 3: Ton thuong la gom (gumma) giang mai, la not loet, co the dau, phu ne do boi nhiem, co hach viem di kem.

- Xet nghiem: cac phan ung huyet thanh VDRL(Veneral Disease Research Laboratory) va RPR (Rapid Plasma Reagin) ngoai ra co the thay xoan khuan trong benh pham lay tu sang hoac hach ben

- Dieu tri: Benzathin penicillinG 2,4 trieu/tuan x 3 tuan (dieu tri ca chong voi lieu tuong tu)

- Bien chung: Say thai lien tiep, da oi, di dang thai, giang mai bam sinh

6.Viem am dao do thieu Estrogen

Do thieu estrogen nen bieu mo am dao bi teo, te bao giam glycogen, pH, am dao khong toan, khong tu bao ve va chong vi khuan duoc

- Nguyen nhan: Phu nu da man kinh, phu nu da cat bo 2 buong trung

- Trieu chung: am ho kho, teo, dau. Dat mo vit am dao dau, thanh am dao mong, de chay mau, co tu cung nho

- Dieu tri: Mycrofollin 0,05mg 1v/ngay.Tai cho  Colpotrophine trong 10-20 ngay

7. Sui mao ga (Condyloma):

La benh do virus loai Papilloma nhom 6 hay 11, u benh 3- 6 thang

Ton thuong la cac khoi sui o da vung moi lon, moi be, tien dinh, am dao, co tu cung mau hong nhat

- Dieu tri: Dot dien, dot nhiet, boi thuoc Podophylin tren be mat khoi u, dieu tri cho ca chong neu bi.

III.Viem co tu cung

Viem co tu cung cap: Thuong do lau cau, mot so truong hop khac co the do Staphyloccocus hemophylus vaginalis ... sau nao pha thai nhiem trung, ne, do ruc

IV.Viem phan phu

- Nguyen nhan: Do quan he tinh duc voi nguoi bi benh, do thay thuoc tham kham hoac lam thu thuat khong dam bao vo trung.

- Benh do: lau cau, chlamydia trachomatis, cac vi trung o co tu cung, tu cung gay benh do mat can bang noi tiet, mien dich hay do thu thuat.

- Cac dieu kien thuan loi: Tuoi tre <25 tuoi, chat nhay co tu cung nhieu, sinh hoat tinh duc manh, ve sinh chua chu dao. Quan he tinh duc rong rai, mang dung cu tu cung.

-Trieu chung: Dau ha vi va  hai ho chau, sot, khi hu ban

Dat mo vit kham thay co khi hu chay tu tu cung ra, am dao co tu cung do, an tu cung dau, hai phan phu phu ne an dau.

- XN: bach cau da nhan cao song co toi 50% BC van binh thuong. Chan doan huyet thanh voi Chlamydia, lau cau, giang mai.

Lay benh pham cay vi trung.

Dieu tri: Neu dieu tri dung va kip thoi het dau, sot, trieu chung thuc the giam. Phai dieu tri khang sinh du lieu.

Sieu am duong am dao neu co khoi viem duong kinh >8cm phai can thiep phau thuat tranh khoi mu vo vao o bung gay viem phuc mac.

Di chung co the co: u nuoc voi trung do dinh loa voi trung, dinh voi buong trung. Co the tro thanh man tinh, thinh thoang co nhung dot tien trien cap tinh: Sot dau.Vo sinh do viem tac voi trung.



VietBao.vn (Theo Benh)
Tìm hiểu: Co quan sinh duc nu, Bo phan sinh duc nu, quan he tinh duc, co tu cung, cac dieu kien, am dao, vi khuan, co the, thuan loi, viem nhiem, ton thuong, benh, dau, thai, trung

Xem Bản Tiếng Việt Có Dấu: Viêm nhiễm cơ quan sinh dục nữ

Ban co the doc ban tieng Viet co dau cua bai viet Viêm nhiễm cơ quan sinh dục nữ bang cach nhan chuot vao duong dan tren.

Lien he ve tin Viem nhiem co quan sinh duc nu

Nhan xet, hay lien he ve tin Viem nhiem co quan sinh duc nu co the gui bang duong dan o duoi. Ban nen gui kem tieu de bai viet Viem nhiem co quan sinh duc nu de lam tham khao. Bai viet nay thuoc chuyen de Nhung dieu nen biet trong chuyen muc Suc khoe.

Cac tin khac:

Xem tiep ... Nhung dieu nen biet
Kenh Tin RSS Kenh Tin RSS | Du Bao Thoi Tiet | Lich Xem TV | Lien He - Contact | Quang Cao | Viec Lam | Dieu Kien Su Dung | Bao Ve Tinh Rieng Tu | Sitemap

Copyright©2008 VietBao.vn, Thu Vien Thong Tin Tong Hop Viet Nam va The Gioi, phien ban thu nghiem phan mem Viet Bao Viet Nam, beta 1.0