Ukuvuvukala kweefowunethi kubasetyhini - iimpawu kunye nonyango kuzo zonke izigaba zesifo

Ukuvuvukala kweefowunethi kubasetyhini, iimpawu kunye nonyango oluxutyushwa ngokubanzi ngentla apha, liqela eliqhelekileyo lezifo phakathi kwabasetyhini bamaxesha ahlukeneyo. Ama-ovari kunye ne-uterine (fallopian) nezibhabhu, ezinokuthi ziyinkimbinkimbi zibizwa ngokuba yi-appendages, zichaphazelekayo.

Kutheni ukuvuvukala kweefowuni?

Iziqhotyoshelweyo ze-uterus zibaluleke kakhulu kwiinkqubo zesithwabhaka sokuzala, ezikwintlanzi encinci kwaye zihlobene ngokuthe ngqo. Kwiiyunithi, iiseli zesini zivuthwa rhoqo ngenyanga kwaye zigcinwe kwaye i-hormone yesondo iveliswa. Kwiindawo ezikufuphi zazo zimbini zee-fallopian tubes. Ezi zide, amathambo amancinci aphuma kwisiseko sesisu kwaye adibanise kwisisu esiswini, achukumisa ama-ovari ngokuncedisa i-pilias, i-filiform yinkqubo apho iiqanda ezichumayo zithunyelwa kwisibeletho.

Ukuvuvukala kwezixhobo zesalathisi kuhambelana neenkqubo ezithathelwanayo eziphuhliswa ngenxa yeemeko ezingapheliyo okanye ezingapheliyo. Amayeza asetyenziswayo angasasazeka kwiimitha kunye nama-ovari avela kumfazi wesifo esithintekayo, umonakalo, umsele womlomo wesibeleko okanye isisu. Kwezinye iimeko, ii-pathogens zihlasela iindonga ze-appendages, zingena kwigazi okanye i-lymph flow from nezinye izitho - isisu, isisu, imiphunga, njl.

Ngamanye amaxesha ukuphuhliswa kweenkqubo ezithathelwanayo kunye nokuvuvukala kwenzeka ngenxa yokuphulwa kwengqibelelo yeembrane zamangxube zala malungu ngexesha lokungenelela kokuhlinzwa, ukufakela kweso sixhobo se-intrauterine, ukuxhatshazwa ngokubeleka, ukuxilongwa kwegazi ngokunyanga. Ngokuqhelekileyo, ngenxa ye-hypothermia, ukuphazamiseka kwamanzi, ukungagcinwa kwemimiselo yococeko, ngokuchasene nemvelaphi yokunciphisa ukukhuseleka, ukuqaliswa kwe-microflora enokungcungcutheka eyenza ukuvuvukala kwenzeka. Izifo ezigugu zentsholongwane ziyakwazi ukungena ngexesha lokwabelana ngesondo.

Iimpawu eziqhelekileyo ezibangelwa ukuvuvukala kwezixhobo ze-uterine zi:

• staphylococci;
• streptococci;
• gonococci;
• enterococci;
• I-Mycobacterium isifo sofuba;
• E. coli ;
• Trichomonas;
• umviwa;
• mycoplasma ;
• ureaplasma ;
• chlamydia kunye nezinye.

Ukuvuvukala kweefowunethi kubasetyhini - iimpawu

Ukuqwalasela iimpawu kunye nokunyangwa kovulo lweefowunethi kubasetyhini, kuyafaneleka ukuphawula ukuba inkqubo ephambili ivela kwinkqubo enzima, apho, ukuba unyango olungalindelekanga okanye ukungabikho kwalo lukhawuleza lukwazi ukufudukela kwisigaba esingapheliyo. Ukuvuvukala kwezi zixhobo zeempawu zicacile:

• ukuwohloka ngokubanzi kwezempilo;
• intlungu kunye nokuphazamiseka ngexesha lokulala;
• intlungu ebuhlungu kwindawo ephantsi kwesisu, ukunyusa kwi-palpation nokunikezela kwisithili se-lumbosacral;
• ukwanda kwinqempa yomzimba ukuya kwi-38-39 ° C;
• khulisa;
• intloko;
• ubuhlungu besisu;
• ukuhluleka komjikelezo wesini;
• ukucima;
• ukuvuthwa rhoqo;
• ukukhulelwa kwintsholongwane kwisisu somzimba (i-purulent, serous, leucorrhoea).

Ukuvuvukala kwamacandendages - ukuxilongwa

Ukuxilongwa kusekelwe kwizikhalazo zesigulane, kunye nezi zilandelayo:

• uvavanyo lwamazinyo, kubandakanywa uvavanyo lokubonwa kwezilwanyana, umlomo wesibeleko ngokusebenzisa izibuko kunye nokuhlolwa kwethambo kwinqanaba lesisu kunye nesisu - ukuchonga ubungakanani, ubuzwe besisu, i-ovaries, iigupial tubes;
• I-ultrasound ye-appendages kunye nezinye izitho zeplasvis encinci i-transabdominal (i-sensor yefowuni ifakwa kwisisu ngesalathisi ezalisiweyo) okanye i-transvaginal (i-sensor ifakwe kwisini);
• uphando lwebhaktoriological ye-smear evela kwisibeleko-ukufumana inani lekorekocytes kunye nokusekwa kwee-agent ezithathelwanayo.

Kwiimeko ezinqabileyo ezinzima, i-laparoscopy imiselwe ngenjongo yokuxilonga - ukubonakaliswa kwee-tublopian tubes kunye nama-ovari usebenzisa isicu esikhethekileyo kunye netyhubhu ebandakanywe emhadini kwisisu esiswini. Ukongezelela, ukuvavanya ubuchule beetayipi, kukho isifundo esinokucetyiswa apho i-ejenti eyahlukileyo ifakwe kwi-uterus kwaye inkqubela yayo ibhalwa yimifanekiso ye-rengen.

Indlela yokuphatha ukuvuvukala kweefowuni?

Izigulane ezi zixilongo zihlala zibhedlele esibhedlele. Ukuba kukho ukuvuvukala okunzulu kwezixhobo, utyando lusekelwe kunyango lonyango lokukhusela i-microflora ye-pathogenic. Njengoko izakhono ezongezelelweyo zingasetyenziselwa iinkqubo zonyango lwe-physiotherapy: UHF, unyango lwe-laser, unyango lwe-ultrasound, njl. Isigulane siphakanyiswa ukuphumla, ukuphumla kombhede, ukunqatshelwa koonxibelelwano bezesondo.

Kwiimeko ezinzima kunye nokunyanzeliswa, unyango lokuvuvukala kwamacandelo angabamabhinqa kunokubandakanya ukuhlinzwa ukuze kususwe i-purulent exudate, i-dissection of adhesions, ukubuyiswa kwe-patal patency. Umsebenzi ungenziwa yi-laparoscopic (encinci ye-invasive) okanye indlela ye-laparotomic (evulekile), kuxhomekeke kubukhulu besilonda.

Ziziphi iidakamizi endizithathayo ngokuzibambela kwezi zixhobo?

Ukulungiselela ukonyulwa kweefowunethi kubasetyhini kunokuthiwa kuthathwe ngomlomo, kwaye kwimeko ephuculweyo kunye neimeko ezilukhuni, ezilawulwe nge-intramuscularly okanye ngaphakathi. Ukuba ukuvuvukala kweefowunithi kufumaneka, iipilisi okanye iinjenge zikhethwa ngokuqwalasela uhlobo lwe-pathogen. Amayeza okulwa namachiza kunye neziyobisi ezikhuselekileyo, izidakamizwa zilandelayo zidlalwa:

• i-penicillins (Ampicillin, Amoxiclav);
• i-cephalosporins (iCefotaxime, iCeftriaxone);
• i-macrolides (i-Erythromycin, i-Azithromycin);
• i-fluoroquinolones (i-Ofloxacin, i-Ciprofloxacin);
• i-tetracyclines (Doxycycline, Unidox Solutab);
• iziphumo ezivela kwi-nitromidazole (Metronidazole);
• aminoglycosides (Kanamycin, Gentamicin);
• iziyobisi ezingenayo (Nystatin, Fluconazole), njl.

Ukongeza, amaqela anamayeza angasetyenziswa:

• iziyobisi ezingekho-steroidal ezichasayo (Ibuprofen, Butadion);
• iivithamini nezamamineral complexes;
• i-immunostimulants (i-Polyoxidonium, i-Imunofan);
• probiotics (Linex, Vitaflor).

Amakhandlela ukuvuvukala kwezi zixhobo

Ukunyanga ukuvuvukala kwamacandelo angabesifazana ngokusebenzisa izidakamizwa zendawo akukwazi, zisetyenziswa kuphela njengenxalenye yonyango oluyinkimbinkimbi. Ngendlela yokwenza i-suppositories yezilwanyana, izidakamizwa ezinjalo ezichasayo kunye ne-antimicrobial zingancomeka:

• Hexicon;
• Betadine;
• Indomethacin;
• Clion-D et al.

Ukuvuvukala kwamacandelwana kubasetyhini - unyango kunye nezilwanyana zomntu

Ukuba ukuvuvukala kwezifowunelwa kufunyanwe kubasetyhini, iimpawu kunye neyeza kufuneka zilawulwe ngugqirha, kwaye kuphela imvume yakhe evunyelwe ukusetyenziswa kwamacandelo abantu. Phakathi kweendlela zokupheka ezidumile, ezithathwa ngamanyathelo omntu, ukuvuvukala kweefowuni kupheliswa ngokufanelekileyo ngokusetyenziswa kwe-decoction yombala we-calyx.

Liselo lithetha

Izithako:

• iintyatyambo zentyatyambo ezimisiwe - 50 g;
• amanzi - 1 litre.

Ukulungiselela nokusetyenziswa:

1. Thela impahla eluhlaza ngamanzi abilayo.
2. Ukugcinwa kwindawo yokuhlambela kwamanzi isiqingatha seyure, ukucoca.
3. Thatha i-100 ml kathathu ngosuku, ukhathele ngobusi.

Ukuvuvukala kwezixhobo ezixhamlayo - iingxaki

Xa ukuvuvukala kweefowunithi kukhula, ngenxa yokunyanga okungalunganga, iingxaki ezilandelayo ziyakhula:

• ikhefu elimhlophe;
• peritonitis;
• phuhliso lwenkqubo yokubambelela.

Ukuvuvukala kwezihlomelo - iziphumo

Izixhobo ezithintekayo kubasetyhini ziba yingozi kwindlela yokuqheleka yokukhulelwa, i-tk. umngcipheko wokuncedisa i-ectopic yomntwana ukhula kakhulu. Ngenxa yeenkqubo zokubambelela, ukuphuculwa kwe-obstruction of tublopian tubes, ukuphulwa kwenkqubo yokuhluthwa kwamaqanda emva kwesifo, ibhinqa linokuhlala linyumba.