I-adnexitis engapheli isifo esibonakala inqubo yokuvuvukala emithanjeni yesisu (ama-tubes nama-ovari) ngokuphindaphindiwe okuphindaphindiwe. Ngaphandle kwenkathi yokucima amandla, isithombe somtholampilo (izimpawu kungenzeka ukuthi azikho) kucindezela inqubo yokuxilonga.
Izimbangela ze-adnexitis engapheli
Ukuvuvukala kwe-appendages ye-uterine kungumphumela womthelela ohlelweni lokuzala lwezinambuzane ezincane ze-pathogenic. Ukungena kwabo kungenzeka kokubili ukukhuphuka (okuvela ngaphandle) nokuhla (kusuka ezingxenyeni ezithintekayo ezithintekayo nezinhlelo). Phakathi kwezici ezibeka phambili ekuthuthukiseni i-adnexitis, kubalulekile ukuhlukanisa:
- izinqubo ezithathelwanayo ezingxenyeni eziphansi ze-pelvis encane;
- ukusetshenziswa kwesikhathi eside kwe-intrauterine zokukhulelwa;
- ukungabi nalomlingani ovamile wocansi;
- izifo ze-urinary system ( pyelonephritis , cystitis);
- ukubonakala kokuvuvukala kwezinye izitho kanye nezinhlelo (ukuxoshwa kwe-tonsillitis, i-tonsillitis);
- ukungenelela okuhlinzekwa ezithombeni zomzimba;
- ukuvela kwezisu ku-anamnesis.
I-adnexitis engapheli - izimpawu
Uma ukuvuvukala okungapheli kwamagciwane okubeletha kukhula, izimpawu zingase zingekho. Izimpawu zesifo sokubeletha owesifazane angalungisa kuphela ngesikhathi sokucindezela. Phakathi kwezibonakaliso ezikhona zalolu hlobo lwe-adnexitis kubalulekile ukuhlukanisa:
- ubuthakathaka obungaqondakali njalo;
- ukucindezelwa esithombeni esiphansi;
- ukukhathazeka esifundeni se-lumbar somlingiswa ozwakalayo;
- ukwanda kokushisa komzimba kuya kuma-38-39 degrees;
- ukwephulwa komjikelezo wokuya esikhathini sohlobo oluthile - ukwandisa isikhathi, ukubambezeleka, ukuguqula ivolumu, ukuhambisana nokubala kokukhipha;
- ukubonakala kokuphuma kwegazi okuphuma emgodini wesisu, hhayi okuhambisana nomjikelezo wokuya esikhathini.
I-adnexitis engakapheli kwesokudla
Ngalolu hlobo lwesifo, inqubo yokuvuvukala iyindawo yangakwesokudla, echaphazela ama-tubespian tubes nama-ovaries. Uma sicabanga nge-adnexitis engapheli, izimpawu zazo ezifihliwe ngezinye izikhathi, odokotela phakathi kwezimpawu zokuqala kuthiwa badonsela izinzwa ezibuhlungu ngakwesokudla. Ngokuvamile banikeza emuva nangemuva, i-sacrum. Esinye sezimbangela zokutholakala kwamathambo okuvela kulolu cala ukuguquka kwamanzi emathunjini okuphuma emathunjini okuphuma emithonjeni kanye ne-rectum eseduze.
I-adnexitis engakwesokunxele esisebunxele
Nge-adnexitis engakwesobunxele, ukuvuvukala kwezilinganiso zesobunxele zesisu kuwuphawu. Ukutheleleka kungenzeka kukwenyuka kusuka emgqeni ophansi wezocansi. Futhi, ukutheleleka kungasakazeka kusukela engxenyeni yesobunxele yamathumbu amakhulu - sigmoid kanye nesisu somzimba. Izinhlungu zitholakala endaweni yangakwesokunxele futhi zidonsa, zihlaba noma zisika. Banikeza futhi i-coccyx noma i-rectum. Ekuhlolweni okuyinhloko, odokotela bama-chronic adnexitis esiteji esibucayi bangathatha i-appendicitis. Lokhu kwenza kube nzima ukuxilonga nokuxilonga.
I-adnexitis yamazwe angapheli
Le adnexitis engapheli ibonakala ngokuthuthukiswa kokuvuvukala kokubili ama-ovari. Okokuqala, inqubo ye-pathological igxile kuma-tubespial tubes (salpingitis) bese ishintshela ama-ovari. Lesi sifo sihlale sihambisana nenkathi yokukhushulwa, ngakho-ke kulula ukubona izibonakaliso ze-adnexitis engapheliyo. Abesifazane lapho ebonakala ekhononda kudokotela mayelana nalokhu:
- ubuhlungu obunzima ngezikhathi ezithile esiswini esingaphansi kwezinhlangothi zombili;
- ukungezwani kwemisipha yomshini;
- ukunciphisa ukusebenza kahle;
- isimo sengqondo sishintsha, ukwesaba;
- ukulala;
- ukukhathala okusheshayo;
- ukuphakama isikhathi eside ekushiseni komzimba.
Njenganoma yisiphi isimo esingapheliyo, i-adnexitis engapheliyo yezizwe ezimbili, izimpawu kanye nokwelapha okuxoxwa ngakho kulesi sihloko, isikhathi eside asikwazi ukunikeza izimpawu. Ngenxa yalokhu, owesifazane unombono ophutha wokuthi lesi sifo siphelile. Ukuthuthukiswa kokucindezela kuyamphikisa. Lesi sifo sidabukisa lapho:
- ukwephulwa kwemithetho yokuhlanzeka ;
- ukwehlisa amandla omzimba;
- i-supercooling;
- izimo ezicindezelayo;
- izifo ezithathelwanayo.
I-adnexitis engapheli - ukwelashwa
Ngaphambi kokwelapha i-adnexitis engapheli, odokotela banikeza ukuhlolwa okuphelele okuhloswe ekuqaliseni imbangela nokukhomba uhlobo lwe-pathogen. Ngokusho kwemiphumela, kunqunywa ukwelashwa kwemithi, okuhloswe ngayo ukuhlanzwa kwesibindi sokugxila. Ngakho, kungenzeka ukunciphisa inkambo, ukuvimbela ukuphindaphinda esikhathini esizayo. Ngokuvamile, ukwelashwa kwesifo ezifana ne-adnexitis engapheli kuhlanganisa imithi elandelayo:
- anti-inflammatory;
- i-antibacterial;
- ama-immunostimulants;
- izidakamizwa ezingasebenzi.
Ngaphezu kokunakekelwa kwezidakamizwa, ukuze kukhishwe i-adnexitis ephakathi kwamanye amazwe, izinqubo ze-physiotherapy nazo zinqunywe. Bangakwazi ukususa izimpawu, ukusheshisa izinqubo zokuvuselela, ukuqeda ukuvuvukala. Phakathi kwezinqubo ezisetshenziselwa yilezi:
- i-electrophoresis;
- i-vibromassage;
- i-ultrasound kwisisu esingaphansi;
- ukwelashwa ngamanzi amaminerali kanye nodaka, izicelo ze- ozocerite (umkhiqizo owenziwe ngamafutha wegesi ).
Ukwelashwa kwe-adnexitis engapheli esigabeni esicacile
Ukweqisa kwe-adnexitis engapheli kuhambisana nokubonakala kwezibonakaliso ezinzima zokuvuvukala. Ukuqeda lokho, odokotela banquma izidakamizwa zokulwa nokulwa nezidakamizwa. Ukwelashwa kwesifo ngesigaba esibucayi ngempumelelo - kungenzeka ukuqeda zonke izifo eziphilayo ezikhuthele, ukuvimbela ukuthuthukiswa nokukhiqizwa kwazo. Ukukhethwa kwama-antibacterial agents kwenziwa ngabanye, kucabangela uhlobo lwe-pathogen nesigaba senqubo yokuvuvukala. Ukukhuluma ngendlela yokuphulukisa i-adnexitis engapheli, odokotela bakhuluma ngesidingo sokwenza izifundo eziphindaphindiwe zokwelapha.
Ukwelashwa kwe-adnexitis engapheli - izidakamizwa
I-antibiotics ye-adnexitis engapheli iyingxenye yokwelashwa okuqhubekayo okuqhubekayo. Ukuvinjelwa ekusetshenzisweni kwabo kungaba kuphela ukukhulelwa. I-Scheme yokwelashwa ikhethwe ngabanye. Ngokuvamile, odokotela basebenzisa ukusetshenziswa kwezidakamizwa eziningana zemithi elwa namagciwane. Phakathi kokubekwe ukwelashwa kwe-adnexitis engapheliyo:
- cephalosporins - Ceftriaxone, i-Cefotaxime;
- i-penicillins-i-Amoxicillin, i-Amoxiclav;
- i-fluoroquinolones - i-Ofloxacin, iphrofrofloxacin;
- ama-macrolide - i-Erythromycin, i-Leucomycin.
Amakhandlela ane-adnexitis engapheli asetshenziswa njalo. Phakathi kwezidakamizwa ezibekiwe:
- I-Hexicon;
- Flumisin;
- Terzhinan;
- I-Polizhinaks;
- I-Movalis.
Ngesikhathi esifanayo, amaqembu alandelayo wezidakamizwa angasetshenziswa njengengxenye yokwelapha okuyinkimbinkimbi:
- anti-inflammatory - Ibuprofen, Ibuklin, Voltaren;
- i-antifungal - i-Metronidazole, i-Nystatin.
I-adnexitis engapheli - ukwelashwa ngamakhambi abantu
Ukuqeda ukuvuvukala okungapheli kwama-appendages we-uterine kuvame ukusiza amakhambi abantu. Zisetshenziselwa ukuqondisa ukwelashwa okuyinhloko futhi emva kokubonisana nodokotela. Ake sicabangele izindlela zokupheka eziphumelelayo.
Ukuphulukisa itiye le-herbal kusuka ku-adnexitis
Izithako:
- I-St John's Wort - 1 tsp;
- chamomile - 1 ithisipuni;
- i-yarrow - 1 ithisipuni;
- Sage - 1 ithisipuni;
- phepha - 1 ithisipuni;
- amanzi - ilitha eli-1.
Ukulungiselela, uhlelo lokusebenza
- Amakhambi ahlanganiswe.
- Ingxube eholayo ihlanganiswe ne-thermo futhi ithululelwe ngamanzi abilayo.
- Bambelela ihora eli-1.
- Thatha ingilazi engu-1 izikhathi ezintathu ngosuku.
Amanzi okugaya nge-adnexitis
Izithako:
- I-Oak bark - amathisipuni ayisithupha;
- i-oregano - 4 tsp.
- altey - 1 ithisipuni;
- amanzi - ilitha eli-1.
Ukulungiselela, uhlelo lokusebenza
- Amakhambi ahlanganiswe futhi athululelwe ngamanzi abilayo.
- Misa imizuzu engu-30.
- Hlunga, uthele emgodini.
- Gcwalisa amanzi ashisayo abilisiwe, uqiniseke ukuthi izinga lokushisa alingekho ngaphezu kwama-45 degrees.
- Thatha amanzi okugeza - imizuzu engu-15 kabili ngosuku.
I-potato ijusi
Izithako:- amazambane - 3-5 izimpande izitshalo.
Ukulungiselela, uhlelo lokusebenza
- Amazambane ahlanzwa, ahlanzwe.
- Gubha nge-grater emihle.
- I-gruel eholayo ifakwe nge-gauze.
- Ijusi eliholayo lithathwa ekuseni - 100 ml.
I-adnexitis engapheli nokukhulelwa
Ngokuvamile, i-adnexitis engapheliyo iyisithiyo sokukhulelwa. Kodwa-ke, ngenkathi eqala, odokotela basungula njalo umama ozayo. Ukukhushulwa kungenzeka nganoma yisiphi isikhathi, okuyinto eyoyithinta kakhulu inqubo yokukhulelwa. Izinzwa ezibuhlungu zikhuluma nge-spasms ne-contraction ye-myometrium, ehambisana nokwanda kwezwi lesisu. Lesi simo sinokuzalwa kwangaphambi kwesikhathi (ngokukhuphuka emibhalweni kamuva) noma ukukhipha isisu okuzenzekelayo (ekuqaleni kokukhulelwa).
Akunakwenzeka ukukhipha ngokuphelele amathuba okutheleleka kwe-fetus. I-agent ye-causative ingangena emkhawulweni we-placental ibe yi-bloodstream jikelele. Ngaphezu kwalokho, ngokubeletha kuvame ukuthelela umntwana ngesikhathi sokudlula emgodini wokuzalwa. Njengoba kunikezwe lezi zici, kwezinye izimo, odokotela baqala ukuqhuba isigaba sokudla esihleliwe.
Ngingakhulelwa yini nge-adnexitis engapheli?
Odokotela bathi nge-adnexitis engapheli ungakwazi ukukhulelwa, kodwa inqubo yokubeletha igcwele izingozi eziningi, ukubopha kokubili umama ozayo nomntwana. Ngokuvamile, ukubeletha kuphazanyiswa ngesaziso esifushane - inqubo yokuvuvukala ingaba isithiyo ekuhambeni kweqanda elifakwe emanzini ngokusebenzisa ama-tubes ohlangothini olungena emkhunjini.
Indlela yokuphatha i-adnexitis ngesikhathi sokukhulelwa?
Ukuxilongwa kwe-adnexitis engapheli kwabaningi omama abalindele kuba izindaba ezimbi. Ngenxa yokungenakwenzeka kokusebenzisa izidakamizwa zokulwa namagciwane ngamazwi ambalwa, odokotela banamathela kumaqhinga alindelekile. Ukuvimbela ukuthuthukiswa kokukhushulwa,
- ukuhlunga ngegazi;
- physiotherapy.