Salpingo: chithandizo, zotsatira, zizindikiro, mitundu

Salpingo, chithandizo cha mitundu wokonda yomwe ikuchitika yekha mu chipatala, ndi kutsogolera matenda matenda. Iwo ali ndi zosokonezeka - ndicho, chitukuko cha kutupa peritoneal, Tubala osabereka, m'chiuno ululu.

Mwa tizilombo toyambitsa matenda ake a chlamydia, gonococcus, ureaplasma, mycoplasma, tizilombo matenda, anaerobic zomera, Staphylococcus, E. coli, i.e. onse STD ndi tizilombo salembedwa tizilombo. Iwo kudutsa, kawirikawiri akukwera njira.

Nthawi zambiri matenda lidzayamba pambuyo pa mimba, kubadwa, intrauterine zikunena, kuphatikizapo hysteroscopy, curettage, IUD mayikidwe. Choncho, pambuyo mwai zofunika kupewa ndondomeko yotupa, amene mankhwala.

Salpingo, amene mankhwala ayenera kuchitidwa kwenikweni, ndi kutukusira kwa zokhudzana la chiberekero. Zimakhala mmodzi ndiye amaganiza ndi iwiri amaganiza.

Ambiri bwino-oophoritis. Ngati tizilombo toyambitsa matenda ali gonococci, njira zambiri-njira ziwiri.

Zizindikiro salpingoophoritis zotsatirazi:

• malungo;

• nseru;

• ululu m'mimba;

• kufooka;

• kuphwanya pokodza;

• kuwonjezera woyera achiyesa maselo a magazi, ndi kuloza lamanzere.

Komabe, zizindikiro izi limodzi ndi limati amenewa ndi monga mimba Tubala, pachimake appendicitis. Ngati muli ndi bvuto lopanga matenda, ndi laparoscopy imagwiridwa.

Ngati anatsimikiza kuti wodwalayo ali pachimake salpingo amaganiza, ndiye mankhwala mankhwala. Gwiritsani ntchito mankhwala zotsatirazi:

• tetracyclines (doxycycline);

• fluoroquinolones (ofloxacin);

• mankhwala a metronidazole;

• clindamycin;

• semisynthetic penicillin;

• macrolides.

Komanso yoikidwiratu detoxification mankhwala. Pamene laparoscopy imagwiridwa kulekana kwa adhesions, konzanso, chiyembekezo cha madzimadzi.

Zovuta za matendawa ndi monga:

• abscess chitukuko yense kuti tichipeza matumbo zingwe zopota, m'chiuno peritoneum, n'kuwasanganiza, mapaipi, komanso suppuration ake ndi perforation;

• pelvioperitonita chitukuko;

• adhesions;

• osabereka.

Komanso pachimake oophoritis, mankhwala ikuchitika mochedwa kapena inadequately, angakhale aakulu. Zizindikiro ndi:

• ululu m'mimba kuti kumawonjezera ndi chimfine, chimfine, kusamba, maganizo ndi thupi nkhawa;

• limodzi ndi cystitis pachimake pafupipafupi pokodza;

• osabereka chifukwa kuphwanya patency Tubala.

Kuphunzira mbiri ya matenda ndi ntchito laparoscopy. Popeza matenda ayenera kusiyanitsidwa ndi appendicitis aakulu, ndi endometriosis kunja.

Mankhwalawa matenda amafuna kugwiritsa ntchito mankhwala pokhapokha pamene exacerbation. Otsala a physiotherapy analimbikitsa. Pamodzi ndi mankhwala antibacterial mankhwalawa kamwedwe monga plasmapheresis, wothandizila antiplatelet, adaptogens, immunostimulants, kukonzekera interferon.

Monga ntchito nemedikometoznogo chithandizo carbonic, yodbromnye madzi. Kugwiritsa iwo nawonso UHF, elektroforoez, maginito, ultrasound.

Zikuonetsa kuti hospitalization:

• N'zokayikitsa matenda;

• palibe kusintha;

• mimba;

• yotupa yense;

• kutentha kuposa madigiri 38.

Mankhwala opaleshoni ya adhesions munalekanitsidwa, chubu pulasitiki imagwiridwa kubwezeretsa patency ake. Komabe, chonde abwezeretsedwa okha 45% ya milandu.

Choncho, pachimake oophoritis, amene mankhwala ikuchitika mochedwa ndipo kuchepa, mavuto aakulu. Ena mwa iwo: osabereka, ululu, adhesions. Choncho, mankhwala ndi ikuchitika kuchipatala.