Salpingo nokukhulelwa: yiziphi imiphumela? Salpingo - kuyini? Salpingo: ukwelashwa

Eminyakeni yamuva, abantu bobulili bubuhle uya sibhekene izifo ezihlukahlukene emkhakheni ngokocansi. Esinye sezifo ngokuvamile ezenzeka kuyinto ukuvuvukala izinto ezihlobene kwesibeletho. Wonke umuntu wesifazane kufanele ukwazi ukuthi ukuqhutshwa salpingo kuyini, izimpawu kanye nemiphumela yalesi sifo. Ake sizame ukuthola ngokuningiliziwe kulezi zindaba.

Salpingo: kuyini?

Okokuqala, ake sithi ukuthi salpingo (obizwa nangokuthi adnexitis) libhekisela ukuvuvukala le fallopian amashubhu amaqanda. Ngo iningi amacala lezi zitho kuhlobene futhi ngokuqondile engaphansi komunye nomunye. Odokotela ukuhlukanisa phakathi izinhlobo ezintathu zokugula: ukuvuvukala acute; ifomu subacute lesi sifo; ihora. salpingo.

Ngaphezu kwalokho, kukhona ngezigaba lesi sifo, okuyinto kuncike endaweni eyayinesidingo ukuvuvukala. Kukhona le subtypes ezilandelayo: ezingamahlalakhona salpingo lokuvunyelenwe ngato; ukuvuvukala leftside; salpingo emaceleni.

Izimbangela ukuvuvukala

Ezimweni eziningi, i-ejenti causative lesi sifo amabhaktheriya esifo. Zingase uzilungiselele njengoba contact olungavikelekile nomlingani ezingaqinisekisiwe noma ngokusebenzisa ukunakekelwa siqu yomuzi ngabangaphandle. Izilokazane ezincane ezivamile buhlungu lokho zingabameleli causative yesifo zihlanganisa lezi ezilandelayo: staphylococci futhi streptococci, gonococci no E. coli nezinye amagciwane eziningana.

Ngaphezu kwalokho, oophoritis acute kungadalwa ukutheleleka, okuyinto ekhona emzimbeni. Ngenxa obuthaka omzimba amagciwane sebehamba ngokukhululeka besuka ezweni ngemithambo yegazi futhi ungahlala noma iyiphi indawo evumelana kubo isitho. Ngu ingqondo zifo zihlanganisa sinusitis futhi sinusitis, umphimbo obuhlungu, ukuvuvukala emathunjini. Esimeni peritonitis ngokuvamile ukuthuthukisa salpingo oyingozi.

Izimpawu zesifo

Kuye ngokuthi yiziphi uhlobo lesi sifo ekhona owesifazane angase abe nezimpawu ezahlukene zesifo.

Ifomu acute

Kulokhu, lo wesifazane ekhononda imfiva okukhulu (kuze kube degrees 39). Futhi, isiguli sibe ubuthakathaka jikelele futhi umkhuhlane. Lapho siyathelelana endaweni imisipha lesizalo kungabonakala nasemkhakheni ubovu osenyameni evela ipheshana zangasese.

Owesifazane kwathiwa unesifo "acute salpingo Emaceleni" ozungeza ubuhlungu uhlangabezana esiswini engezansi, okuyinto zinganikwa ephansi emuva noma umlenze. Futhi, lolu hlobo sifo libhekene ezingemnandi ukuzwa ngokucindezela phakathi ocansini.

Uma ubulili fair akuzona ngesikhathi ukuze ubone udokotela futhi uthole ukwelashwa kufanele, ukuvuvukala izinto ezihlobene emasontweni ambalwa izoya esigabeni esilandelayo - salpingo subacute.

ifomu subacute

Kulesi sigaba, lo wesifazane uyaqhubeka ubuhlungu e aphansi ingxenye besisu. lokushisa umzimba kancane kancane kwehlisa bufike uhla evamile, ngakho lady eside ukukhathazeka. Kuleli qophelo, owesifazane Useqala ukucabanga ukuthi sekulula kakhulu, futhi wafumana amabutho akhe isifo. Nokho, empeleni akunjalo. Umzimba yiyona ubulili bubuhle iyeke ukulwa ukuvuvukala futhi kuthatha ama-bacterium ayingozi njengoba kakade ajwayelekile kuye.

ifomu Subacute ukuvuvukala samanje sasivumela eside. Masinyane lo dade wavula iba oophoritis ezingamahlalakhona. Kuyini futhi yini izimpawu has lolu hlobo sifo?

Ifomu okungamahlalakhona

Kulesi sigaba, lo wesifazane engazizwa ukungakhululeki kangako noma abangafundile nhlobo. Fever, elihlobene ne ukuvuvukala izinto ezihlobene, ayisaxhunyanisiwe uyalandelwa. Iya kancane ubuhlungu angavela zinyamalale bebodwa. Ngenxa usizo lokuqala abesifazane bavame ukusebenzisa amaphilisi ezinhlungu ezivamile, kodwa akulungile.

Ukwelapha eside imisiwe lesi sifo, mkhulu kungase kube nemiphumela. Ngo ezingamahlalakhona esiteji salpingo sohlangothi olulodwa noma zamazwe amabili esashiwo zimpawu ezilandelayo: ubuhlungu yansukuzonke esiswini aphansi, nakakhulu phakathi ukudedelwa igazi kokuya esikhathini nayo iyancishiswa libido, izaziso lowesifazane nyangazonke luningi nize okungajwayelekile.

exacerbation

Exacerbation ka salpingoophoritis ezingamahlalakhona singenzeka nge ukwehla kancane amasosha omzimba noma ngemva kokuzibeka elangeni oqinile. Kulokhu, owesifazane angaba ukugubha zonke izimpawu ezifanayo, okuyinto ine ifomu acute lesi sifo, kodwa kuhlanganiswe izimpawu ukuvuvukala ezingamahlalakhona.

engcupheni

Ngakho, amanye amaqiniso ngalesi sifo like salpingo (kunjani kukhona isifo, yini izimpawu zenzeka) usuwazi. Ungacabangi ukuthi uma unesifo, kuba isiqiniseko ukuba, kanye ukuvuvukala izinto ezihlobene. Ngubani engozini futhi abasethubeni lokuthola i-lokuthi kukhona salpingo isifo?

Ezimweni eziningi, lesi sifo sihlasela abesifazane emva kokubeletha noma isisu (uma ukutheleleka phakathi naleyo nqubo), lapho supercooling kwenzeka noma izimo njalo ezicindezelayo. Futhi, ukuvuvukala kungavuka wobulili bubuhle, abaphethwe ukuqunjelwa noma ukuvuvukala izitho eduze we komgodi ongaphakathi kwamathumbu.

sitholakele isifo

Ngokuzimela ukuzibizela kokutshelwa ngokukhubazeka kwengane cishe kungenakwenzeka. Ezimweni eziningi, le inhlolovo isiguli eyenziwa ngezigaba eziningana. Ake sihlole kubo ngokuningiliziwe.

Ucwaningo nenhlolovo

Uma uxhumana udokotela cishe njalo nesineke siphela inhlolovo. Udokotela uthola isikhathi esingakanani baphazamisa izimpawu eyavezwa uhlamvu yabo. Njengoba onguchwepheshe, sicela ucacise ukuthi lokuzalwa womuntu wesifazane noma isisu, indlela abaningi ezibandakanya nabo kwezocansi ayenakho. Udinga ukwazi ukuthi ngaphambili ezikhonjwe iyiphi ipheshana izifo zangasese, nokuthi ababephathwa ngayo. Udokotela ubhala yonke idatha ekhadini lesiguli siqu, bese wabe ukuhlolwa mathupha.

Ukuhlolwa esitulweni izifo zabesifazane

izimpawu awubufakazi salpingoophoritis uzwakalise ubuhlungu ku ukuhlolwa mathupha. Udokotela Uyaphenya ngokucophelela esifundeni kwesibeletho futhi ezihlobene, uphawula indawo yabo. Ngezinye ukufuduka emizimbeni kungenzeka izinsolo ukuvuvukala e ukhalo, okuyinto ingenye yezinkinga ukuvuvukala.

zocwaningo laboratory

Ngemva luhlolo izifo zabesifazane wenziwa kocingo impahla ahlolwe. Ezimweni eziningi, odokotela uhlole osenyameni lwesitho sangasese sowesifazane, lapho Amagciwane kungatholakala.

Lolu cwaningo luphinde Kunconywa ukuthi igazi. Ngokusho ezingeni kwamangqamuzana egazi amhlophe bese amangqamuzana abomvu egazi udokotela enquma ukuthi kukhona ukuvuvukala emzimbeni wesiguli.

ultrasound uphethwe

Kaningi eziya ziba zimbi salpingoophoritis kutholakala ukuthi uphethwe yini ngesikhathi luhlolo esebenzisa ultrasound. Kwezinye izimo, uphethwe kuba izindaba ezingalindelekile kwabesifazane. Kulokhu, uchwepheshe ungabona esikrinini kwezitho zangaphakathi isiguli. Uma lokhu zokugula Uboné kahle abavusa fallopian amashubhu. Futhi ngesikhathi luhlolo ultrasound udokotela waphawula ukwanda ubukhulu amaqanda futhi capsule zabo ezihambisanayo. Ngaphezu kwalokho, ukuhamba kwezitho okhalo isihlobo komunye nomunye kungatholakala. Lokhu kubonisa isimo ngoba inganakiwe futhi ibekwe ukuvuvukala ezingamahlalakhona.

laparoscopy

Uma ucwaningo akwanele, adnexitis (oophoritis) sitholakale ngesikhathi laparoscopy. Kulokhu, lo dokotela ifaka esiswini ezandleni lesiguli eziningana ezincane ngalo ubona konke okwenzekayo ngaphakathi esiswini, esikrinini esikhulu. Ngu indlela efanayo ungentiwa ukwelashwa ngesikhathi esifanayo, uma kudingeka kokungenela kuhlinzwa.

Ukwelashwa nokuvikelwa ukuvuvukala izinto ezihlobene

Kuye ngalokho inezimpawu salpingo, kanye nokwelashwa kufanele zibhekelele isibalo isibalo. Ngemva ahlolwe kahle emzimbeni futhi uphethwe udokotela esabela isiguli iqoqo izinyathelo ukuqeda ukuvuvukala. Ifomu acute lesi sifo cishe njalo ukulungiswa ngaphansi egadiwe ongoti. Ukuze wenze lokhu, owesifazane ethunyelwe esibhedlela. ukuvuvukala Okungalapheki ezingelapheka ekhaya, kodwa kulokhu kufanele ngokuqinile ukuhambisana nayo yonke izincomo udokotela wakho.

ukulungiswa olandelanayo

Uma owesifazane ine salpingo acute, izimpawu kanye nokwelashwa kuzoba kwencika oqondile. Ukwelashwa okufanele kwenziwe ngokushesha, kuthi izimpawu eziyinhloko ziye alukapheli, futhi lesi sifo awuphasiswa efomini subacute.

Ezimweni eziningi, ukuvuvukala acute iboshiwe izidakamizwa elwa namagciwane. Ngaphambi ukulungiswa kuyadingeka azokuqhubela isifundo ku luvelo izidakamizwa ezinjalo. Ngemva kokuthola lo dokotela ukuhlaziywa yi esabela amalungiselelo eziningana, isib, imijovo "Gentamycin" amaphilisi "Vilprofen" isidakamizwa "amoxicillin", kusho "Naksodzhin" nabanye.

Ngaphezu kwalokho, kubalulekile ukuba afeze yokwelapha co-Vitamin ukwandisa ukumelana ukutheleleka. Ezimweni ezinjalo, libeke izidakamizwa ezilandelayo: tincture Echinacea, uvithamini B no-C, kanye Izithako amaminerali eziyinkimbinkimbi.

Ngemva ukulungiswa engayitholi Kunconywa-bacterium inenzuzo ukubuyiselwa microflora, izimpushana asetshenziselwa le "Bifidkmbakterin" futhi "Lactobacterin", "Lineks" amaphilisi, amaphilisi "Atsipol", gel noma ikhandlela "Vagilak".

Uma kwakuba khona okubi kakhulu, kufanele ngempela iqhutshwe ukwelashwa yayo. salpingo Okungalapheki ngokuvamile esebenzisa isihluku ngemva ukucindezeleka futhi hypothermia. Yingakho, ngaphezu ukuphathwa eyisisekelo kuyadingeka ukuthatha sedatives Tablets "tenoten" lehla "Knott" isiraphu "Novopassit" futhi sigqoke ngokufudumele kubanda.

ukwelashwa kuhlinzwa

Uma owesifazane enezinwele amafomu eziphambili kakhulu ukuvuvukala, kungenzeka adinge ukuhlinzwa. Uma zitholiwe besisu ukuvuvukala, okudale salpingo, izimpawu kanye nokwelashwa ezifanelekayo. Njengoba neziqu encane amashubhu fallopian kungatholakala ngesikhathi uphethwe. Babukeka njengezihlahla izikhwama ezincane lapho ubomvu aqoqana. Ukudabuka ekhukhwini kungabangela ukuvuvukala peritonitis izitho eduze. Sekuyisikhathi ke kubalulekile ukususa laba zokwakheka.

Ezimweni eziningi, ukuhlinzwa wenziwa laparoscopically. kungaba zokuxilonga ngezinye izikhathi, kodwa ke ukuya yokumelapha. Isiguli iqondiswa esimweni izinzwa nokusebenzisa ezandleni ukususa neziqu enqamula ukuvuvukala, buyela izindikimba indawo yayo evamile. Futhi kokuhlola kuzo ngemibhobho Fallopian and plastic esiyolandelwa uma kunesidingo.

zokwelapha ongumphelelisi

Uma owesifazane kutholakala salpingo okungamahlalakhona, izimpawu kanye nokwelashwa okuyinto esixoxe kakade, therapy kungaba kwenziwe futhi indlela ehlukile. Kaningana, ubulili qotho kokutshelwa ngokukhubazeka kwengane inikezwa okugeza udaka noma tampons. Kakhulu ukuqeda kahle inqubo sokuvuvukala Radon nokugeza. Lemisebenti ingaphindze Physiotherapy, ultrasound futhi amagagasi kazibuthe kunikezelwe. Ngenxa izenzakalo ezinjalo ukuvuvukala kule komgodi ongaphakathi kwamathumbu noma limise ukuthuthukiswa yayo ingekho. Kufanele kuqashelwe ukuthi umphumela esigabeni ekwelapheni lesi sifo sihlasela.

Salpingo nokukhulelwa (imiphumela)

Omunye imiphumela esemqoka yalolu sifo ukungakwazi okukhulelwa ingane bebodwa. I amashubhu fallopian yizinwele ezincane (fimbriae) abakhona kulo. Kuyinto zona, seziphumele ukukhiqizwa kwamaqanda futhi kokukhulelwa usizo ukuhambisa amaqanda ukuze kwesibeletho. Ngemva kwalezi "iminwe" ukuvuvukala esivimba amanzi banamathelane, ngiyeke phansi ukuba umsebenzi.

Iphinde kungenzeka ukwakheka ukuvuvukala, othinta amashubhu fallopian iphinde ivimbele iseli lensikazi khulula ukuhambisa kubo. Enye yezinkinga njalo iningi lapho ekhulelwe ethunjini. Abesilisa amaseli encane ukuze bakwazi kalula ukungena la plenochki, kodwa amaqanda avundiswa kakade ayikwazi yehlela kwesibeletho futhi inamathela odongeni tube fallopian.

Futhi, ukungabi khona ukukhulelwa ngesikhathi isifo ingaba ngenxa yokuthi ukuthi amaqanda kuthiwa kanzima kahle. Kwezinye izimo, ukukhula follicular siyehla futhi eyeka iqanda owenza esisodwa. Uma-ovulation eyenzekile, le luteum Corpus, kwakhiwa endaweni le follicle, isebenza ezimbi kakhulu futhi likhipha kancane le-hormone, okuyilona elidingekayo ukuze sokuthuthukiswa sokukhulelwa.

Kanjani ukuze uthole okhulelwe salpinooforite?

Abesifazane abaningi ukubuza, "Uma uphethwe" salpingo okungamahlalakhona "kungenzeka ukukhulelwa?" Kuthiwa ngaphambi uhlela isidingo sengane azokuqhubela ahlolwe kahle emzimbeni kanye nokwelashwa. Okokuqala sidinga ukuthola ukuthi yini ombangela ukuvuvukala, futhi ukuze lubulale amagciwane abangela izifo. Ngemva kwalokho kudingeka kuqinise amasosha omzimba futhi ubuyisele microflora.

Ephambi kwezinduna ukuvuvukala kuyadingeka ukwazi isimo amashubhu fallopian. Ukuze wenze lokhu, olwenziwa hysterosalpingography (metrosalpingography). Ngaphansi kudivayisi ultrasound noma udokotela x-ray umshini ufaka ipayipi ku wesizalo sowesifazane, ngokusebenzisa yiwo ogelezela ukuthi bahluke ketshezi. Ngaphansi kwezimo ezivamile kufanele siphumele komgodi ongaphakathi kwamathumbu. It izobonwa phezu ultrasound qapha noma x-ray. Uma amashubhu fallopian ingahambeki ke kokungenela kuhlinzwa okudingekayo ukuze ababuyisele ekupheleleni umsebenzi wabo.

Kuthiwa ngisho nangemva ukwelashwa okunjalo amathuba ukuthi ukukhulelwa lincane kakhulu. Kwezinye izimo, imibhangqwana emva kweminyaka yokuzama akuphumelelanga iphendukele insemination yokufakelwa. Kulokhu, ukukhulelwa senzeka ngaphandle komzimba wentombi. Ngemva kwalokho, ummeli wobulili bebuthakathaka umbungu esibelethweni ihlala, isilungele okunamathiselwe. Kodwa ngisho kulesi simo akunakwenzeka ukuqinisekisa ukuthi ukukhulelwa uyokwakha.

Uma ezilimele fimbriae, ngaphezu kwakho konke, ukuhlinzwa ngeke ukukulethela yimuphi umphumela amashubhu fallopian. Buyisela lezi "iminwe" ezincane akunakwenzeka. Mhlawumbe ngemva kweminyaka embalwa, imithi ngeke ushiya kude phambili, kanye nochwepheshe uzothola indlela kanjani ukubuyisela fimbriae matted kuzo ngemibhobho fallopian. Nokho, okwamanje akukho indlela enjalo. Ngakho-ke kubalulekile ukuze kuqashwe impilo wesistimu wabo wokubeletha.

isiphetho

Kuyaphawuleka ukuthi ukwelashwa esifike ngesikhathi kwesibeletho has a Izibikezelo kahle. Iningi labesifazane, ngesikhathi ukuze ubone onguchwepheshe usizo ukukhulelwa ngempumelelo futhi uzale izingane. Yingakho kubaluleke kangaka ngesikhathi ukubonakaliswa lokuqala isifo ukuthemba odokotela abanolwazi.

Izimpawu yokuqala salpingoophoritis acute iyafana izimpawu ukukhula komntwana ethunjini, izinhlumba wesibeletho noma apoplexy, kanye ukuvuvukala appendix peritonitis. Mhlawumbe wena akazange aphume ukuvuvukala banal, kodwa zokugula sina, okungase kubangele ukufa. Musa ukudonsa kwi Ukuvakashela udokotela. Cela usizo ngesikhathi futhi uhlale unempilo!