I-adnexitis engapheliyo isifo esibonakaliswe yinkqubo yokuvuvukala kwii-appendages zesisu (izibhabhane kunye nama-ovari) ngokuphindaphinda kwakhona. Ngaphandle kwexesha lokukhubeka, umfanekiso weklinikhi (iimpawu kungenzeka ukuba zingekho) ziyinkimbinkimbi inkqubo yokuxilonga.
Iimbangela ze-adnexitis engapheliyo
Ukuvuvukala kwezixhobo zokuzalisa i-uterine kubangelwa yimpembelelo kwinkqubo yokuzala yezityalo ezincinci ze-pathogenic. Ukungena kwabo kunokwenzeka ukuba banyuka (ukusuka ngaphandle) kwaye behla (ukusuka kwizitho ezichaphazelekayo kunye neenkqubo). Phakathi kwezinto ezibangela ukuphuhliswa kwe-adnexitis, kubalulekile ukuhlula:
- iinkqubo ezithathelwanayo kwiindawo ezingezantsi zeplavis;
- Ukusetyenziswa kwexesha elide lokukhusela i-intrauterine;
- ukungabikho komlingani wesondo rhoqo;
- izifo ze-urinary system ( pyelonephritis , cystitis);
- Ubukho bokugxeka kwezinye izitho kunye neenkqubo (i-tonsillitis, tonsillitis);
- ukungenelelo ngoncedo kwizitho zengqumbo;
- ubukho bokukhupha isisu e-anamnesis.
I-adnexitis engapheliyo
Xa ukuvuvukala okungapheliyo kwezilwanyana ze-uterine kukhula, iimpawu zingasekho. Iimpawu zentsholongwane ibhinqa liyakwazi ukulungisa kuphela ngexesha lokuxhatshazwa. Phakathi kweempawu ezibonakalayo zale fom ye-adnexitis kuyimfuneko ukuhlula:
- ubuthathaka obungapheliyo;
- uxinzelelo kwisisu esezantsi;
- ukunyameka kwindawo eselunxwemeni yomntu onomsindo;
- ukwanda kwindleko yomzimba kwi-38-39 degrees;
- ukuphulwa komjikelezo wokuya kwimihla yohlobo oluthile - ukwandisa ixesha, ukulibaziseka, ukutshintsha kwimiqulu, ukuhambelana kunye nombala wokukhutshwa;
- ukubonakala kokuphuma kwinqwelo ephuma kwisisu, kungabandakanywa nomjikelezo wesini.
I-adnexitis engaphaya kwesokudla
Ngolu hlobo lwesifo, inkqubo yokuvuvukala yindawo yangasese, ichaphazela ama-tubespian tubes kunye nama-ovari. Ngokuqwalasela i-adnexitis engapheliyo, imiqondiso yezinye iindawo ezifihlakeleyo, oogqirha phakathi kweempawu zokuqala abizwa ngokutsala ukuvakalelwa koluhlungu kwicala lasekunene. Ngokuphindaphindiweyo banikela emqolo nangaphantsi, i-sacrum. Esinye sezizathu ezibangelwa ukuhlaliswa kwezilwanyana ukusuka kulolu cala yi-transition ye-intestinal flora ukusuka kwizihlomelo kunye ne-rectum ezikufuphi.
I-adnexitis engasemva kwesigxina
Kwi-adnexitis engasekhohlo, ukuvuvukala kwamacandelwana asekhohlo ebelethwayo kuyimpawu. Usulelo luya kwenzeka lukhuphuka ukusuka kwinqanaba eliphantsi lokuzala. Kwakhona, usulelo luyakwazi ukusasaza ukusuka kwicala lasekhohlo lomzimba wamathumbu omzimba - sigmoid kunye nomathumbu wehla. Iintlungu zihlala kwindawo yangasekhohlo kwaye ziyakudonsa, zibambe okanye zenze. Baya kunika kwakhona i-coccyx okanye i-rectum. Kwimviwo ephambili, oogqirha be-adnexitis engapheliyo kwisigaba esichukumisayo bangathatha i-appendicitis. Oku kwenza kube nzima ukuxilonga nokuxilonga.
I-adnexitis yamazwe angapheliyo
Le adnexitis engapheli ibonakaliswa nokuphuphuma kwezibini zomzimba. Okokuqala, inkqubo ye-pathological igxininise kwiibhubhu ze-fallopian (salpingitis) ize ishintshe kwi-ovari. Esi sifo sihlala sihamba kunye nexesha lokuxakeka, ngoko ke izibonakaliso ze-adnexitis ezingapheliyo zilula ukuzibona. Abafazi xa ebonakala ekhononda kugqirha malunga:
- Intlungu ebuhlungu kwimeko yesibini esezantsi;
- uxinzelelo lweemisipha zogcino;
- ukunciphisa ukusebenza;
- ukuguquka kwemizwelo, ukwesaba;
- kulala;
- ukukhathala ngokukhawuleza;
- Ukunyuka kwexesha elide kumbushushu womzimba.
Njengawo nawuphi na uhlobo olungapheliyo, i-adnexitis engapheliyo emibini, iimpawu kunye nonyango oluxutyushwa ngalo kwinqaku, ixesha elide alikwazi ukunika iimpawu. Ngenxa yoko, umfazi unombono ophosakeleyo ukuba isifo sele siphelile. Ukuphuhliswa kwengxakatho kuyamphikisa. Esi sifo sibuhlungu xa:
- ukuphulwa kwemithetho yokucoceka ;
- ukubuthathaka komzimba;
- i-supercooling;
- imeko ezixinzelelekileyo;
- izifo ezithathelwanayo.
I-adnexitis engapheliyo
Ngaphambi kokunyanga i-adnexitis engapheliyo, oogqirha banika uviwo olunzulu olujolise ekumiseni imbangela nokuchonga uhlobo lwe-pathogen. Ngokutsho kweziphumo, kuqeshwe ikhosi yeyeza, ejoliswe kwi-sanation yokugxilwa komzimba. Ngaloo ndlela, kunokwenzeka ukunciphisa ikhosi, ukukhusela ukuphindaphinda kwixesha elizayo. Ngokuqhelekileyo, unyango lwesifo esinjenge-adnexitis esingapheli luquka amachiza alandelayo:
- ezichasayo;
- antibacterial;
- i-immunostimulants;
- yobisi.
Ukongeza kwonyango lweziyobisi, ukwenzela ukuba ungabandakanyi i-adnexitis engapheliyo, i-physiotherapy iinkqubo zichazwe. Bangakwazi ukususa iimpawu, ukukhawulezisa iinkqubo zokuvuselela, ukuphelisa ukuvutha. Phakathi kweenkqubo ezisetyenziswayo:
- electrophoresis;
- vibromassage;
- i-ultrasound kwisisu esezantsi;
- unyango ngamanzi amaminerari kunye nodaka, izicelo ze- ozocerite (umkhiqizo owenziwe ngombhalo weoli).
Unyango lwe-adnexitis engapheliyo kwisigaba esichukumisayo
Ukunyuka kwe-adnexitis engapheli kuhamba kunye nokubonakala kweempawu ezinzima zokuvuvukala. Ukuze kupheliswe, oogqirha bawachaza izidakamizwa ezichasayo nezichasayo. Ukunyangwa kwesi sifo kwinqanaba elincomekileyo-kunokwenzeka ukuphelisa zonke ii-pathogens ezisebenzayo, ukukhusela ukuphuhlisa nokuveliswa kwazo. Ukunyulwa kwama-antibacterial agents kwenziwa ngokwamanye, ngokuqwalasela uhlobo lwe-pathogen kunye nesigaba senkqubo evuthayo. Ukuthetha ngendlela yokuphilisa i-adnexitis engapheliyo, oogqirha bakhuluma ngesidingo sokufunda ngokuphindaphindiweyo kweyeza.
Unyango lwe-adnexitis engapheliyo - iziyobisi
I-antibiotics ye-adnexitis engapheliyo yakha unyango oluqhubekayo oluphambili. Ukuchaswa ekusebenziseni kwabo kunokuphela kokukhulelwa. Isicwangciso sonyango sikhethwe ngabanye. Ngokuqhelekileyo, oogqirha basebenzisa ukusetyenziswa kwamanye amaqela eziyobisi ezichasayo. Phakathi kwemimiselo yonyango lwe-adnexitis engapheliyo:
- cephalosporins - Ceftriaxone, iCefotaxime;
- i-penicillins-Amoxicillin, i-Amoxiclav;
- i-fluoroquinolones - i-Ofloxacin, iProfrofloxacin;
- macrolides - i-Erythromycin, iLeucomycin.
Amakhandlela ane-adnexitis engapheli asetyenziswa rhoqo. Phakathi kwezidakamizwa ezimiselweyo:
- Hexicon;
- Flumisin;
- Terzhinan;
- Polizhinaks;
- Movalis.
Ngelo xesha, amaqela alandelayo angasetyenziswa njengenxalenye yonyango oluyinkimbinkimbi:
- ezichasayo-Ibuprofen, Ibuklin, Voltaren;
- i-antifungal - i-Metronidazole, i-Nystatin.
I-adnexitis engapheliyo-unyango kunye nezilwanyana zomntu
Ukuphelisa ukuvuvukala okungapheliyo kwezixhobo ze-uterine kudla ngokunceda izilwanyana zabantu. Zisetyenziswe njengesigxina kwonyango oluphambili kwaye emva kokubonisana nodokotela. Makhe siqwalasele iindlela zokupheka ezifanelekileyo.
Ukuphilisa i-herbal tea kwi-adnexitis
Izithako:
- I-St. John's Wort - 1 tsp;
- i-chamomile - 1 ithisipuni;
- i-yarrow-1 ithisipuni;
- i-sage - 1 ithisipuni;
- i-1 teaspoon;
- amanzi - 1 litre.
Ukulungiselela, isicelo
- Iifom zixutywe.
- Umxube obangelwayo ugutyungwe nge-thermos kwaye wathululelwa ngamanzi abilayo.
- Ukunyusa 1 iyure.
- Thatha iglasi eli-3 kathathu ngosuku.
Ibhebha yokugula kunye ne-adnexitis
Izithako:
- I-Oak bark - 6 ithisipuni;
- i-oregano - 4 tsp.
- altey - 1 ithisipuni;
- amanzi - 1 litre.
Ukulungiselela, isicelo
- Iitrob zixutywe kwaye zathululelwa ngamanzi abilayo.
- Ukumisa imizuzu engama-30.
- Fayile, uthele kwisitya.
- Ungazalisi amanzi ashushu abilisiwe, uqinisekise ukuba ukushisa akungekho ngaphezu kwama-45 degrees.
- Thatha iibhotile zokuhlambela - imizuzu eyi-15 kabini ngosuku.
Ijusi lebhotile
Izithako:- iifatate - 3-5 izityalo zengcambu.
Ukulungiselela, isicelo
- Iitapile zihlambulukile, zihlanjwe.
- Gubha kwi-fine grater.
- I-gruel eyiphumela ifakwe kwi-gauze.
- Ijusi ephumayo ithathwa ekuseni - 100 ml.
I-adnexitis engapheliyo nokukhulelwa
Ngokuqhelekileyo, i-adnexitis engapheliyo iyimqobo yokukhulelwa. Nangona kunjalo, ngexesha lokuqalisa kwakhe, oogqirha bahlala bebeka iliso rhoqo kumama ozayo. Ukukhushulwa kunokwenzeka nanini nayiphi na ixesha, okuya kuphazamisa indlela yokukhulelwa. Iimvakalelo ezibuhlungu zithetha nge-spasms kunye nokuphambana kwe-myometrium, ehambelana nokunyuka kwetoni yesisu. Le meko iqulethwe ngokuzalwa ngaphambi kokuzalwa (kunye nokugqithisa kwimimiselo kamva) okanye ukukhupha isisu (ekuqaleni kokukhulelwa).
Akunakwenzeka ukuba ungabandakanyi ngokupheleleyo ukusuleleka kwintsholongwane. I-agent causative ingena ngaphakathi kwinqanaba le-placental kwi-bloodstream jikelele. Ukongezelela, ukuhanjiswa kwexesha kubakho ukuthelela umntwana ngexesha lokungena kwinqanaba lokuzalwa. Ngenxa yokuba le miba, kwezinye iimeko, oogqirha bathatha inxaxheba ekuqhubeni isigaba se-caesarean ecwangcisiweyo.
Ngaba ndiyakhulelwa i-adnexitis engapheliyo?
Oogqirha bathi nge-adnexitis engapheliyo unokukhulelwa, kodwa inqubo yokwenza isisu inobungozi obuninzi, ubambelele kumama ozayo kunye nomntwana. Ngokuqhelekileyo, isisu siphazamisekile kwisaziso esifutshane - inkqubo yokuvuvukala ingaba ngumqobo ekuhambeni kweqanda elichumayo ngokusebenzisa ama-tublopian tubes kwisigxina se-uterine.
Indlela yokuphatha i-adnexitis ngexesha lokukhulelwa?
Ukuxilongwa kwe-adnexitis engapheliyo omama abaninzi abalindayo baba ziindaba ezimbi. Ngenxa yokungenakwenzeka kokusebenzisa izidakamizwa ezichasene neendlela ezifutshane, oogqirha banamathele kwiindlela zobuqili. Ukuthintela ukuphuhliswa koxinzelelo,
- ukuhluthwa kwegazi;
- physiotherapy.