Matenda a adnexitis ndi matenda omwe amachititsa kutupa m'mimba ya chiberekero (ma tubes ndi mazira ovindira) omwe amatha kubwerera mobwerezabwereza. Kunja kwa nthawi ya kuchulukitsika, chithunzi cha kuchipatala (zizindikiro mwina sizingakhale) zimaphatikizapo ndondomeko yowunikira.
Zimayambitsa matenda aakulu a adnexitis
Kutupa kwa chiberekero cha chiberekero ndi zotsatira za zotsatira zokhudzana ndi kubereka kwa tizilombo toyambitsa matenda. Kulowa kwawo kuli kotheka kukwera (kuchoka kunja) ndikutsika (kuchokera ku ziwalo zotsatizana ndi machitidwe). Zina mwa zinthu zomwe zimapangitsa kuti adnexitis ikule bwino, m'pofunika kusiyanitsa:
- njira zowonjezera m'munsi mwa mapewa aang'ono;
- kugwiritsa ntchito njira zamakono zapiruterine;
- kusowa kwa chibwenzi chogonana nthawi zonse;
- matenda a urinary system ( pyelonephritis , cystitis);
- Kukhalapo kwa malingaliro a kutupa mu ziwalo zina ndi machitidwe (matayilitis, tonsillitis);
- Njira zothandizira opangira ziwalo;
- Kukhalapo kwa mimba ku anamnesis.
Matenda a adnexitis - zizindikiro
Pamene kutupa kosapitirira kwa majekeseni ukuyamba, zizindikiro zikhoza kukhala palibe. Zizindikiro za matenda omwe mayi angathe kukonza pokhapokha atakula. Zina mwa zizindikiro zotheka za mtundu uwu wa adnexitis ndikofunikira kusiyanitsa:
- zofooka zosadziwika nthawi zonse;
- kupanikizika m'mimba pamunsi;
- kupweteka mu dera lamapiri la khalidwe lachisangalalo;
- kuwonjezeka kutentha kwa thupi kufika madigiri 38-39;
- Kuphwanya kwa kusamba kwa chikhalidwe china - kuwonjezeka nthawi, kuchedwa, kusintha kwa voliyumu, kusinthasintha ndi mtundu wa kutaya;
- maonekedwe a purulent discharge kuchokera kumaliseche, osagwirizana ndi msambo.
Matenda osayenera a adnexitis
Ndi mtundu uwu wa matenda, njira yotupa ikuwonekera kumanja, kumakhudza mazira ndi mazira. Poganizira adnexitis yoteroyo, zomwe zizindikiro zawo zimakhala zobisika nthawi zina, madokotala pakati pa zizindikiro zoyamba amatchedwa kukopa zowawa kumbali yoyenera. Kawirikawiri amapereka kumbuyo ndi ntchafu, sacrum. Chimodzi mwa zifukwa zomwe zingayambitse matendawa kuchokera kumbali iyi ndi kusintha kwina kwa matumbo a m'mimba kuchokera ku zowonjezereka ndi kumtunda komwe kuli pafupi.
Matenda osakanikirana ndi adnexitis
Kwa adnexitis kumanzere, kutupa kwa zigawo za kumanzere za chiberekero ndi khalidwe. Matendawa amatha kukwera kuchokera kumtunda wa m'mimba. Komanso, matendawa akhoza kufalikira kumbali ya kumanzere ya m'matumbo akulu - sigmoid ndi m'mimba m'mimba. Zowawazo zimapezeka kumalo kumanzere ndipo zimakoka, kupondaponda kapena kudula. Amatha kuperekanso kwa coccyx kapena rectum. Pa kafukufuku wapadera, madokotala a matenda aakulu a adnexitis mu sitepe yovuta akhoza kutenga appendicitis. Izi zimapangitsa kuti zikhale zovuta kufotokoza ndi kuganizira.
Matenda achilendo osakanikirana
Izi zowopsa kwambiri za adnexitis zimadziwika ndi chitukuko cha kutupa m'magawo awiri. Choyamba, njira yokhala ndi vutoli ndi yoperewera kwa mazira (salpingitis) ndiyeno amasintha kwa mazira. Matendawa nthawi zonse amakhala ndi nthawi yowonjezereka, choncho zimakhala zosavuta kuzindikira kuti zizindikiro za matenda osaphatikizapo amatha. Akazi akawoneka akudandaula kwa dokotala ponena za:
- kupweteka kwa nthawi ndi nthawi m'mimba pamunsi kumbali zonse;
- kupweteka kwa minofu ya osindikiza;
- kuchepa kwachangu;
- kusinthasintha maganizo, mantha;
- kusowa tulo;
- kutopa mwamsanga;
- kuwonjezeka kwa nthawi yaitali kutentha kwa thupi.
Monga mtundu uliwonse wosalephereka, zizindikiro zamtundu wa adnexitis, zizindikiro ndi chithandizo chomwe chikufotokozedwa m'nkhaniyo, kwa nthawi yaitali sungapereke zizindikiro. Chifukwa cha ichi, mkazi ali ndi lingaliro lolakwika kuti matendawa adatha. Kupititsa patsogolo kwa kuchulukira kumatsutsana naye. Matendawa amakula pamene:
- kuphwanya malamulo a ukhondo ;
- kufooka kwa chitetezo cha mthupi;
- chithunzi;
- zovuta;
- matenda opatsirana.
Matenda a adnexitis - mankhwala
Musanayambe kulandira matenda a adnexitis, madokotala amapereka ndondomeko yowonjezereka yotsimikizira cholinga chake ndi kudziwa mtundu wa tizilombo toyambitsa matenda. Malingana ndi zotsatira, njira ya mankhwala imayikidwa, yomwe ikukhudzana ndi kuyang'ana kwa kutukumula. Choncho, n'zotheka kuthetsa maphunzirowo, kuti tipewe kubwerera mmbuyo. Kawirikawiri, mankhwala opatsirana monga matenda aakulu monga adnexitis amaphatikizapo mankhwala otsatirawa:
- anti-inflammatory;
- antibacterial;
- chithunzi;
- mankhwala osakaniza.
Kuphatikiza pa mankhwala osokoneza bongo, kuti asatengere chithandizo chamankhwala chosamalidwa chonchi, zizindikiro za physiotherapy zimaperekedwanso. Amatha kuchotsa zizindikiro, kufulumizitsa njira zowonongeka, kuthetsa kutupa. Zina mwa njira zomwe zikugwiritsidwa ntchito ndi:
- electrophoresis;
- vibromassage;
- ultrasound pamunsi pamimba;
- mankhwala ndi mchere wamadzi ndi matope, ntchito ya ozocerite (mankhwala ophera mafuta).
Kuchiza kwa matenda aakulu a adnexitis m'kati mwachangu
Kuchuluka kwa matenda aakulu a adnexitis kumaphatikizapo kuoneka kwa zizindikiro zoopsa za kutupa. Kuti athetse, madokotala amapereka mankhwala oletsa antibacterial ndi anti-inflammatory drugs. Kuchiza kwa matendawa m'kati mwabwino - ndikothetsa kuthetsa tizilombo toyambitsa matenda, kuteteza chitukuko ndi kubereka. Kusankhidwa kwa antibacterial mawonekedwe kumachitika payekha, kuganizira mtundu wa tizilombo toyambitsa matenda ndi sitepe ya kutupa. Kuyankhula za momwe angachiritse matenda aakulu a adnexitis, madokotala amalankhula za kufunikira kochizira mobwerezabwereza.
Chithandizo cha matenda aakulu a adnexitis - mankhwala
Maantibayotiki a adnexitis osaphatikizapo amapanga chithandizo chopitilira chachikulu. Kuletsa kugwiritsa ntchito kwawo kungangokhala mimba. Chithandizo cha mankhwala chimasankhidwa payekha. Kawirikawiri, madokotala amagwiritsa ntchito magulu angapo a mankhwala oletsa antibacterial. Zina mwazofunikira zothandizira matenda a adnexitis:
- cephalosporins - Ceftriaxone, Cefotaxime;
- penicillins-Amoxicillin, Amoxiclav;
- fluoroquinolones - Ofloxacin, Ciprofloxacin;
- macrodes - Erythromycin, Leucomycin.
Makandulo okhala ndi adnexitis nthawi zambiri amagwiritsidwa ntchito. Zina mwa mankhwala olamulidwa:
- Hexicon;
- Flumisin;
- Terzhinan;
- Polizhinaks;
- Movalis.
Pa nthawi yomweyi, magulu otsatirawa angagwiritsidwe ntchito monga gawo la mankhwala ovuta:
- anti-inflammatory - Ibuprofen, Ibuklin, Voltaren;
- antifungal - Metronidazole, Nystatin.
Matenda a adnexitis - mankhwala ndi mankhwala ochiritsira
Kuchetsa kutupa kosatha kwa mapiritsi a uterine nthawi zambiri kumathandiza mankhwala ochiritsira. Amagwiritsidwa ntchito ngati chithandizo cha mankhwala akuluakulu ndipo atakambirana ndi dokotala. Tiyeni tione maphikidwe ogwira mtima.
Kuchiza tiyi wamchere kuchokera ku adnexitis
Zosakaniza:
- Wotchuka wa St. John - 1 tsp;
- chamomile - supuni 1;
- yarrow - supuni 1;
- msuzi - supuni 1;
- tembenuzani - supuni 1;
- madzi - lita imodzi.
Kukonzekera, ntchito
- Zitsamba zimasakanizidwa.
- The chifukwa kusakaniza ndi yokutidwa ndi thermos ndi kutsanulira ndi madzi otentha.
- Imani ola limodzi.
- Tengani kapu imodzi katatu patsiku.
Mankhwala osamba ndi adnexitis
Zosakaniza:
- Makungwa a Oak - ma tepuni 6;
- oregano - 4 tsp.
- altey - supuni 1;
- madzi - lita imodzi.
Kukonzekera, ntchito
- Zitsamba zimasakanizidwa ndi kutsanulira ndi madzi otentha.
- Imani mphindi 30.
- Sakanizani, tsanulirani mu beseni.
- Sungani madzi owiritsa otentha, onetsetsani kuti kutentha sikudapitirira madigiri 45.
- Tengani malo osambira - 15 Mphindi kawiri pa tsiku.
Madzi a mbatata
Zosakaniza:- mbatata - 3-5 mizu mbewu.
Kukonzekera, ntchito
- Mbatata zimatsukidwa, zatsukidwa.
- Tsukani pa chabwino grater.
- Gruel imayambitsidwa ndi gauze.
- Madzi amachotsedwa m'mawa - 100 ml.
Matenda a adnexitis ndi mimba
Kawirikawiri, adnexitis yosagwirizanitsa nthawi zonse imalepheretsa mimba. Komabe, pamene akuyamba, madokotala amapitiriza kuyang'anitsitsa amayi amtsogolo. Kuchulukitsa kungathe kuchitika nthawi iliyonse, yomwe ingasokoneze mchitidwe wa mimba. Zomwe zimapweteka zimayankhula zapasms ndi contractions za myometrium, zomwe zikuphatikizapo kuwonjezeka kwa kamvekedwe ka chiberekero. Matendawa amadzala ndi kubadwa msinkhu (ndi kuwonjezereka m'mawu amtsogolo) kapena kuchotsa mimba modzidzimutsa (kumayambiriro kwa mimba).
Sizingatheke kupatulapo kuthekera kwa kachilombo ka mwana. Wothandizira mankhwalawa amatha kulowa mkati mwachitsulo cholowera ku magazi. Kuonjezera apo, ndi kubereka nthawi zambiri kumapatsira mwanayo panthawi yomwe amatha kubereka. Chifukwa cha izi, nthawi zina madokotala amapita kukachita chigawo cha kesara.
Kodi ndingatenge mimba ya adnexitis?
Madokotala amanena kuti ndi adnexitis osatha mukhoza kutenga mimba, koma njira yothetsera mimba imadzaza ndi zoopsa zambiri, kumangirira amayi ndi amayi omwe ali m'tsogolo. Kawirikawiri, kugonana kumasokonezeka mwamsanga - njira yotupa ikhoza kusokoneza kayendetsedwe ka dzira la feteleza kupyolera mu mazira opita mu uterine.
Kodi mungatani kuti mukhale ndi adnexitis pa nthawi ya mimba?
Kupezeka kwa adnexitis kosatha kwa amayi ambiri oyembekezera amakhala nkhani yovuta. Chifukwa chakuti n'zosatheka kugwiritsa ntchito mankhwala osokoneza bongo mwachidule, madokotala amatsatira machenjerero oyembekezera. Pofuna kupewa chitukuko cha kuwonjezereka,
- masewera olimbitsa thupi;
- physiotherapy.