Kutupa kwa mapulogalamu a amayi, zizindikiro ndi chithandizo cha zomwe zikufotokozedwa mwatsatanetsatane, ndi gulu lofala la matenda pakati pa akazi a mibadwo yosiyanasiyana. Mazira a mazira ndi chiberekero (ma falsipian) ma tubes, omwe mumatopewa amatchedwa appendages, amakhudzidwa.
Nchifukwa chiyani kutupa kwa mapulogalamu?
Zilumikizidwe za chiberekero ndi ziwalo zofunika za uchembere wamkazi, womwe uli pamphepete mwazing'ono ndipo umagwirizana kwambiri. Mu mazira ambiri, maselo a kugonana ali opsa mwezi ndi kusungidwa ndi mahomoni opatsirana pogonana. Kumayandikana nawo pafupi ndi ma tubes awiri. Izi ndizomwe zimakhala zotalika, zomwe zimachokera pansi pa chiberekero ndikuzilumikiza pamimba, zimakhudza mazira ndi chithandizo cha pilias, njira za filiform zomwe mazira omwe amaberekedwera amachokera pachiberekero.
Kutupa kwa mapulogalamuwa kumayanjanitsidwa ndi njira zopatsirana zomwe zimakhalapo chifukwa cha zinthu zowopsya kapena zosadziwika. Mankhwala opatsirana amatha kufalikira ku mazira ndi mazira oyamba kuchokera kumtunda, kumaliseche, khola lachiberekero kapena chiberekero. Nthawi zina, tizilombo toyambitsa matenda timayendera makoma a mapuloteni, kulowa m'magazi kapena mitsempha yotuluka ku ziwalo zina - m'matumbo, chikhodzodzo cha mkodzo, mapapo, ndi zina zotero.
Nthawi zina chitukuko cha matenda opatsirana ndi kutupa chimapezeka chifukwa chophwanya kukhulupirika kwa ziwalo izi panthawi ya opaleshoni, kukhazikitsa chipangizo cha intrauterine, kupweteka kwa kubadwa, matenda opatsirana pogonana. Kaŵirikaŵiri, chifukwa cha hypothermia, mantha oopsa, osasunga malamulo a ukhondo, motsutsana ndi kuchepa kwa chitetezo choteteza thupi, kutsegula kwachitsulo kake komwe kumachititsa kuti kutupa kumachitika. Tizilombo ta tizilombo toyambitsa matenda timatha kulowa mkati mwa kugonana.
Mavitamini omwe amachititsa kutupa kwa chiberekero cha uterine ndi awa:
- staphylococci;
- streptococci;
- gonococci;
- enterococci;
- Mycobacterium chifuwa chachikulu;
- E. coli ;
- Trichomonas;
- wosankhidwa;
- mycoplasma ;
- ureaplasma ;
- chlamydia ndi zina zotero.
Kutupa kwa mapulogalamu a akazi - zizindikiro
Poganizira zizindikiro ndi chithandizo cha kutupa kwazigawo za amayi, tiyenera kuzindikira kuti choyamba chimakhala chovuta kwambiri, chomwe chingachitike mwamsanga ngati sichipezeka mwamsanga. Kutupa kwa mapulogalamu a zizindikiro ndi bwino:
- kuwonongeka kwakukulu kwa thanzi;
- kupweteka ndi kusokonezeka panthawi yogonana;
- ululu waukulu m'mimba mwa m'mimba, kuonjezera pamimba ndi kupereka ku dera la lumbosacral;
- kuwonjezeka kutentha kwa thupi kufika 38-39 ° C;
- thukuta;
- mutu;
- kupweteka kwa minofu;
- kulephera kwa msambo;
- kukhetsa;
- kukodza kosavuta;
- Kutaya magazi kuchokera kumatenda opatsirana (purulent, serous, leucorrhoea).
Kutupa kwa mapuloteni - matenda
Matendawa amachokera pa zodandaula za wodwalayo, komanso zotsatirazi:
- Kuyezetsa magazi, kuphatikizapo kuyang'anitsitsa kugonana, chiberekero pogwiritsa ntchito magalasi ndi kupima mawere kuchokera kumbali ndi mimba ndi mimba - kudziwa kukula, kukhudzidwa kwa chiberekero, mazira, mazira;
- Zomwe zimagwiritsidwa ntchito pazithunzithunzi ndi ziwalo zina za pepala laling'onoting'ono ndilopachimake (chithunzithunzi cha chipangizochi chimayikidwa pamimba ndi chikhodzodzo chodzaza) kapena transvaginal (sensa imaikidwa mukazi);
- kachipatala kafukufuku wa chifuwa cha chiberekero - kudziwa chiwerengero cha leukocyte ndi kukhazikitsidwa kwa opatsirana opatsirana.
Mu zovuta zovuta kwambiri, laparoscopy imayikidwa ndi cholinga chodziwitsa - kuyang'ana kwa mazira ndi mazira osowa pogwiritsa ntchito chipangizo chapadera chokhala ndi chubu chomwe chimapangidwira mu dzenje pamimba. Kuonjezera apo, kuti aone momwe zimachitikira ziphuphu zazing'ono, phunziro lingalimbikitsidwenso pamene wothandizira osiyana amayamba mu chiberekero ndipo zomwe zikuchitika zikulembedwa ndi zithunzi za rengen.
Momwe mungachitire kutupa kwa appendages?
Odwala omwe ali ndi matendawa amachiritsidwa kuchipatala. Ngati pali kutupa koopsa kwa mapuloteni, mankhwalawa amachokera kuchipatala kuti ateteze tizilombo toyambitsa matenda. Monga njira zowonjezera zingagwiritsidwe ntchito njira za physiotherapy: UHF, laser therapy, mankhwala opatsirana ndi ultrasound, etc. Wodwala amalimbikitsidwa kupuma, kupuma kwa kama, kukana kugonana.
Pa milandu yovuta komanso yosasamalidwa, chithandizo cha kutupa kwa mavitamini a amayi chikhoza kuphatikizapo opaleshoni kuchotseratu kutupa kwa purulent exudate, kusokonezeka kwa adhesions, kubwezeretsedwa kwa tubal patency. Opaleshoniyi imatha kuchitidwa ndi laparoscopic (minimally invasive) kapena njira ya laparotomic (yotseguka), malingana ndi kukula kwake.
Ndi mankhwala ati omwe ndiyenera kutenga ndi kutupa kwa mapulogalamu?
Kukonzekera kwa chithandizo cha kutupa kwa mapulogalamu a amayi kungatengedwe pamlomo, ndipo mwadzidzidzi ndi zovuta zovuta, zimagwiritsidwa ntchito molakwika kapena mwachangu. Ngati kutupa kwa mapulogalamuwa kumapezeka, mapiritsi kapena jekeseni amasankhidwa poganizira mtundu wa tizilombo toyambitsa matenda. Ma antibayotiki ndi mankhwala osokoneza bongo, mankhwalawa amapezeka nthawi zambiri:
- penicillins (Ampicillin, Amoxiclav);
- cephalosporins (Cefotaxime, Ceftriaxone);
- macrodes (Erythromycin, Azithromycin);
- fluoroquinolones (Ofloxacin, Ciprofloxacin);
- tetracyclines (Doxycycline, Unidox Solutab);
- zochokera ku nitromidazole (Metronidazole);
- aminoglycosides (Kanamycin, Gentamicin);
- mankhwala osokoneza bongo (Nystatin, Fluconazole), ndi zina zotero.
Kuphatikiza apo, magulu oterewa angagwiritsidwe ntchito:
- mankhwala osagwiritsa ntchito mankhwala oletsa kutupa (Ibuprofen, Butadion);
- mavitamini ndi mineral complexes;
- immunostimulants (Polyoxidonium, Imunofan);
- ma probiotics (Linex, Vitaflor).
Makandulo a kutupa kwa appendages
Kuchiza kutupa kwa mapiritsi a amayi kudzera mu mankhwala am'deralo sangathe, amagwiritsidwa ntchito ngati gawo limodzi la mankhwala ovuta. Mu mawonekedwe a abambo okhudzana ndi chikazi, mankhwala osokoneza bongo ndi mankhwala ophera tizilombo angakhale othandizidwa:
- Hexicon;
- Bwenzi;
- Indomethacin;
- Clion-D et al.
Kutupa kwa mapulogalamu a amayi - mankhwala ndi mankhwala ochiritsira
Ngati kutupa kwa mapulogalamuwa kumapezeka mwa amayi, zizindikiro ndi mankhwala ayenera kuyang'aniridwa ndi dokotala, ndipo ndi chilolezo chake amaloledwa kugwiritsa ntchito njira zamakono. Zina mwa maphikidwe otchuka, omwe amachiritsidwa ndi mankhwala ochizira, kutupa kwa mapulogalamuwo kumathetsedwa bwino pogwiritsa ntchito mtundu wa calyx.
Malemba amatanthauza
Zosakaniza:
- zouma maluwa - 50 g;
- madzi - lita imodzi.
Kukonzekera ndi ntchito:
- Thirani madzi ndi madzi otentha.
- Kusamalira pa kusamba kwa madzi theka la ora, kuti muzisakaniza.
- Tengani 100 ml katatu patsiku, okoma ndi uchi.
Kutupa kwa appendages - mavuto
Pamene kutupa kwa mapuloteni akuyamba, chifukwa cha chithandizo cholakwika, zotsatirazi zingakhalepo:
- purulent abscess;
- peritonitis;
- Kupititsa patsogolo ndondomeko yomatira.
Kutupa kwa mapulogalamu - zotsatira
Zozizwitsa zomwe zimakhudzidwa ndi amayi zimakhala zoopsya pa nthawi yomwe ali ndi mimba, tk. chiopsezo cha ectopic attachment ya fetus chimakula kwambiri. Chifukwa cha zothandizira zomangamanga, kupititsa patsogolo kutsekedwa kwa miyendo ya fallopi, kuphwanya njira yosasitsa mazira pambuyo pa matenda, mkazi akhoza kukhala wosabereka.