Ukuvuvukala kwama-appendages kubantu besifazane - izimpawu nokuphathwa kuzo zonke izigaba zesifo

Ukuvuvukala kwama-appendages kubantu besifazane, izimpawu kanye nokwelashwa okuxoxwa ngayo ngokuningiliziwe ngezansi, yiqembu elivamile lezifo phakathi kwabesifazane abaneminyaka ehlukene. Ama-ovaries nama-uterine (fallopian) amashubhu, okuyizintambo ezibizwa ngokuthi i-appendages, ayathinteka.

Kungani ukuvuvukala kwama-appendages?

Izinamathiselwe ezithombeni ziyizingxenye ezibalulekile zesistimu yokuzala abesifazane, etholakala esikhwameni esincane futhi zihlobene eduze. Emaqanda ama-ovari, amangqamuzana ezocansi avuthwa njalo ngenyanga futhi agcinwa futhi ama-hormone ezocansi akhiqizwa. Endaweni eseduze nabo kukhona amashubhu amabili angama-fallopian. Lezi zindebe ezinde, ezincane ezithatha kusukela esibelethweni sesisu bese zixhuma emgodini wesisu, zithinta ama-ovari ngosizo lwe-pilias, i-filiform inqubo lapho amaqanda okukhulelwa ahanjiswa khona esibelethweni.

Ukuvuvukala kwe-appendages yalesi sizathu kuhlotshaniswa nezinqubo ezithathelwanayo ezithuthuka ngenxa yezici ezingapheli noma ezingavamile. Amagciwane afinyelelekayo angasakazeka emathangeni ase-fallopian kanye nama-ovari avela kumgogodla wesifazane wokuqala, ureterter, umgogodla wesibeletho noma isisu. Kwezinye izimo, amagciwane ahlasela izindonga ze-appendages, angena egazini noma e-lymph ukugeleza kwezinye izitho - amathumbu, isambatho sesisu, amaphaphu, njll.

Ngezinye izikhathi ukuthuthukiswa kwezinqubo ezithathelwanayo nokuvuvukala kwenzeka ngenxa yokwephulwa kobuqotho bezinambuzane ezimangcwaba zalezi zitho ngesikhathi sokungenelela kokuhlinzwa, ukufakwa kwedivaysi ye-intrauterine, ukuhlukunyezwa kokubeletha, ukuxhaphazwa kokuzalwa komzimba. Ngokuvamile, ngenxa ye-hypothermia, ukukhathazeka okwesaba, ukungahloniphi imithetho yokuhlanzeka, ngokumelene nesizinda sokunciphisa ukuzivikela, kusebenze ukuqhuma kwe-microflora eyakha amathuba okuvutha. Izifo ezifobalalayo zokutheleleka ziyakwazi ukungena phakathi kocansi.

Izifo ezifuywayo ezivamile ezibangelwa ukuvuvukala kwezidalwa ze-uterine ziyi:

• i-staphylococci;
• streptococci;
• i-gonococci;
• i-enterococci;
• I-Mycobacterium isifo sofuba;
• E. coli ;
• I-Trichomonas;
• ukhetho;
• i-mycoplasma ;
• ureaplasma ;
• chlamydia nokunye okunjalo.

Ukuvuvukala kwama-appendages kwabesifazane - izimpawu

Uma sicabangela izimpawu kanye nokwelashwa kokuvuvukala kwamaphesenti kwabesifazane, kubalulekile ukuthi siqaphele ukuthi inqubo ephuthumayo inqubo ephuthumayo, okungathi uma ukwelashwa okungahambi kahle noma ukungabikho kwayo kushesha ukuthuthela esigabeni esingavamile. Ukuvuvukala kwe-appendages yezimpawu kubonakala ngokucacile:

• ukuwohloka kwempilo jikelele;
• ubuhlungu nokuhlukumeza ngesikhathi sokulala;
• ubuhlungu obukhulu endaweni engaphansi kwesisu, ukuqinisa ukondla nokunikeza isifunda se-lumbosacral;
• ukwanda kokushisa komzimba kuya ku-38-39 ° C;
• ukujuluka okukhulu;
• ikhanda;
• isisindo soreness;
• ukwehluleka komjikelezo wokuya esikhathini;
• ukuvula;
• ukuvuthwa okubuhlungu njalo;
• ukukhishwa kwamagciwane okuvela emthonjeni wesisu (purulent, serous, leucorrhoea).

Ukuvuvukala kwama-appendages - ukuxilongwa

Ukuxilongwa kusekelwe izikhalazo zesiguli, kanye nezinyathelo ezilandelayo zokuxilonga:

• ukuhlolwa kwegazi, kuhlanganise nokuhlola okubonakalayo kwesifazane, isisu somlomo wesibeletho ngokusebenzisa izibuko kanye nokuhlolwa kwe-palpation kusuka eceleni kwebesifazane nesisu - ukunquma ubukhulu, ukuzwela kwesibeletho, ama-ovari, amashubhu angama-fallopian;
• I-Ultrasound ye-appendages nezinye izitho ze-pelvis encane i-transabdominal (inzwa yedivaysi ifakwa esiswini ngesibisi esigcwele) noma i-transvaginal (inzwa ifakwa ngaphakathi kwesisindo);
• i-laboratory yocwaningo lwe-bacteriological of the smear kusuka emlonyeni wesibeletho - ukunquma inani lama-leukocyte nokusungulwa kwama-agent angeneleleki.

Ezimweni ezinzima ezingavamile, i-laparoscopy inqunywe ngenjongo yokuxilonga - ukubukeka kwamatayipi we-fallopian nama-ovari usebenzisa idivayisi ekhethekile ne-tube efakwe emgodini emgodini wesisu. Ngaphezu kwalokho, ukuhlola ubuciko be-tublopian tubes, ukutadisha kunganconywa lapho i-agent ehlukile ehliswa khona esibelethweni futhi intuthuko yayo ibhalwe ngezithombe ze-rengen.

Indlela yokuphatha ukuvuvukala kwama-appendages?

Iziguli ezitholakalayo zivame ukungena esibhedlela esibhedlela. Uma kukhona ukuvuvukala okunamandla kwe-appendages, ukwelashwa kusekelwe ekwelapheni kwezokwelapha ukuvimbela i-microflora ye-pathogenic. Njengoba izindlela ezengeziwe zingasetshenziswa izinqubo ze-physiotherapy: i-UHF, i-laser therapy, i-ultrasound therapy, njll. Isiguli siphakanyiswa ukuphumula, ukuphumula kombhede, ukwenqaba oxhumana nabo ocansi.

Ezimweni ezinzima futhi ezinganaki, ukwelashwa kokuvuvukala kwezibopho ezingaphansi kwabesifazane kungabandakanya ukuhlinzwa ukukhipha i-exudate yokuvuvukala evuvukalayo, ukuxoshwa kokunamathela, ukubuyiselwa kwe-tubal patency. Ukusebenza kungenziwa nge-laparoscopic (encane encane) noma indlela ye-laparotomic (evulekile), kuye ngokuthi ubukhulu besilonda.

Yiziphi izidakamizwa okufanele ngizithathe ngokuvuvukala kwe-appendages?

Ukulungiswa kokwelashwa kwezikhwama ezitholakala kwabesifazane kungathathwa ngomlomo, futhi ezimweni eziphuthumayo nezinkimbinkimbi, zilawulwe ngokungahambisani noma ngokuzenzekelayo. Uma ukuvuvukala kwe-appendages kutholakala, amaphilisi noma izijovo zikhethwa ngokucabangela uhlobo lwe-pathogen. Ema-antibiotic kanye nezidakamizwa ze-antifungal, lezi zidakamizwa ezilandelayo zivame ukushiwo:

• i-penicillin (i-Ampicillin, i-Amoxiclav);
• cephalosporins (i-Cefotaxime, i-Ceftriaxone);
• ama-macrolide (i-Erythromycin, i-Azithromycin);
• i-fluoroquinolones (i-Ofloxacin, i-Ciprofloxacin);
• i-tetracyclines (i-Doxycycline, i-Unidox Solutab);
• izidakamizwa ze-nitromidazole (Metronidazole);
• aminoglycosides (Kanamycin, Gentamicin);
• izidakamizwa ezingasebenzi (Nystatin, Fluconazole), njll.

Ngaphezu kwalokho, amaqembu anjalo angasetshenziswa:

• izidakamizwa ezingekho-steroidal anti-inflammatory (Ibuprofen, Butadion);
• i-vitamin ne-mineral complexes;
• ama-immunostimulants (i-Polyoxidonium, i-Imunofan);
• ama-probiotics (i-Linex, i-Vitaflor).

Amakhandlela wokuvuvukala kwama-appendages

Ukwelapha ukuvuvukala kwama-appendages kwabesifazane ngokusebenzisa izidakamizwa zendawo akukwazi, kusetshenziselwa kuphela njengengxenye yokwelapha okuyinkimbinkimbi. Ngendlela ye-suppositories yama-vaginal, izidakamizwa ezinjalo zokulwa nokuvuvukala nezama-antimicrobial zinganconywa:

• I-Hexicon;
• IBetadine;
• Indomethacin;
• I-Clion-D et al.

Ukuvuvukala kwama-appendages kwabesifazane - ukwelashwa ngamakhambi abantu

Uma ukuvuvukala kwama-appendages kutholakala kwabesifazane, izimpawu kanye nokwelapha kufanele zilawulwe udokotela, futhi kuphela imvume yakhe evunyelwe ukusetshenziswa kwamasu abantu. Phakathi kokupheka okuthandwayo, okuphathwa ngamakhambi omuntu, ukuvuvukala kwama-appendages kususwa ngokuphumelelayo ngokusebenzisa ukusetshenziswa kwe-decoction yombala we-calyx.

I-prescription isho

Izithako:

• omisiwe flower izimbali - 50 g;
• amanzi - ilitha eli-1.

Ukulungiselela nokusebenzisa:

1. Thela impahla eluhlaza ngamanzi abilayo.
2. Ukusekela ekugezeni kwamanzi isigamu sehora, ukuhlunga.
3. Thatha i-100 ml kathathu ngosuku, uthakaze uju.

Ukuvuvukala kwama-appendages - izinkinga

Uma ukuvuvukala kwama-appendages kukhula, ngenxa yokwelashwa okungalungile, izinkinga ezilandelayo zingase zithuthuke:

• i-abscess yamapulangwe;
• i-peritonitis;
• ukuthuthukiswa kwenqubo yokunamathela.

Ukuvuvukala kwe-appendages - imiphumela

Izithasiselo ezithintekayo kubantu besifazane ziba yingozi endleleni ejwayelekile yokukhulelwa, tk. ingozi yokunamathiswa kwe-ectopic ye-fetus isanda kakhulu. Ngenxa yenkambiso yokunamathela, ukuthuthukiswa kokuvinjelwa kwamatayipi angama-fallopian, ukwephulwa kwenqubo yokuvuthwa kwamaqanda emva kwesifo, owesifazane angahlala engenalutho.