Saktosalpinks: ndichiyani? Kodi ndingatani kuchiza saktosalpinks Zochita?

akazi ambiri ndi ululu m'munsi pamimba matenda chionetsero "saktosalpinks". N'chiyani chimene zizindikiro zimaonetsa matenda, bwanji kuchiritsidwa? mafunso awa chidwi odwala ndi njira yotupa mu epididymis lapansi.

Lingaliro saktosalpinksa

Saktosalpinks - ndichiyani? matenda kumachitika akazi amene sachedwa matenda yotupa ziwalo zoberekera, ndi amene amadwala osabereka. akazi oposa 100,000 mu Russia ndi matendawa pachaka saktosalpinks. Iwo ananena kuti limapezeka nthawi zambiri mu akazi zaka 15-25, makamaka kugonana woyamba kugonana, ngati inu mulibe ntchito kondomu. A ambiri mwa ophatikidzana kugonana akhoza kukhala chinthu chiopsezo cha kutupa.

Chithandizo cha ndondomekoyi ayenera kukhala yaitali ndi zovuta, kuphatikizapo njira zosiyanasiyana achire ndi opaleshoni ndi kuchuluka kwa magulu a mankhwala. "Kodi inu kuchiza saktosalpinks Zochita?" - Funso limeneli akhoza kufunsa dokotala pambuyo subacute ndi Kupha mavuto osiyanasiyana.

mitundu

Kotero, kudwala zofala ndi saktosalpinks. Kodi izo, ife tinapeza. Tsopano tiyeni kuthana ndi mitundu. Saktosalpinks zimachitika M'mimbamo ndi folikulyarny. Mbali yoyamba, ndi madzi anadzadza mu gawo lina la chubu mazira monga zophuka enaake. Lachiwiri - ndi kuchuluka kwa cysts mu umodzi chubu mazira.

Akazitumiza ndi pachimake kapena aakulu, pamene nthawi ya exacerbation m'malo mwa kuchotsedwa.

Nkhani za piosalpinks nawo pamene zili limaoneka mafinya hydrosalpinx - zili serous.

Nthawi zambiri matenda ndi unilateral pamene chitoliro munthu anakhudzidwa, Tikanena iwiri amaganiza M'mimbamo lomenyera mipope onse.

zimayambitsa

Mazira chubu - ulamuliro umene amapereka kulankhulana ndi chiberekero ndi n'kuwasanganiza kusamutsidwa dzira kapena zygote (ukala linagwira) kuti chiberekero. Mucosa ziwalo izi umabala chinsinsi chimene wasinthira mabala kuyenda kwa chiberekero, odzipereka kapena kuchotsedwa mwa ngalande khomo lachiberekero.

Kutetezedwa ndi matenda kukwera kwa mucous pulagi m'njira khomo lachiberekero ndi zakumwa zina zimene zimapangidwa ndi zigawo lamkati la ziwalo zoberekera. Mphamvu ya chitetezo izi yafupika nthawi ya ovulation ndi kusamba. Ikufotokoza maonekedwe zizindikiro woyamba yomweyo pambuyo kusamba.

Kutupa choncho chifukwa zosiyanasiyana tizilombo, nthawi zambiri amachokera ku nyini akukwera njira. Nthawi zambiri ndi chlamydia, mycoplasma kapena chinzonono. matenda ena amatha kulowa mu chubu ndi kukhudzana otchedwa, monga peritonitis. TB, staphylococcus, streptococcus zambiri kudutsa lymphogenous kapena hematogenous njira. N'zotheka oyamba wothandizila mwa magazi kusamba chifukwa akuponya mu timachubu lumen pa msambo.

Chifukwa zinthu chiopsezo tisaiwale hysteroscopy, chiberekero curettage, lupu, endometrial biopsy. Kubereka, mimba zikhoza saktosalpinksa. Matenda amene opatsirana pogonana, kugonana mosadziteteza mosavuta kudutsa mu lumen wa Ukalawu pa uterine mphamvu okwera.

Kodi chimachitika mu mipope?

Pamene kutupa amapezeka mucosal kumbuyo anachita ndondomeko opatsirana - kuwonjezeka linanena bungwe madzimadzi. Iye alibe nthawi kuwathetsa choncho pali zingwe fibrous kuti delimit ndi yotupa adzalowerera, zomwe zina saphunzira kudziyeretsa lumen wa. Pang'onopang'ono, chitoliro ingaoneke monga enaake chingwe.

Zizindikiro zazikulu

Kwambiri khalidwe chizindikiro cha matenda ndi ululu amenewa amapezeka:

• atangotha menses;
• pa ovulation;
• panthawi yogonana;
• Mwina nthawi kusiya ndipo popanda chithandizo;
• makamaka pamimba ndi mu dera lumbar.

Komanso nkhawa bloating, mwina ndi malungo, kunyansidwa ndi kusanza.

zosokonezeka

Pali zambiri moyo pachiswe zotsatira za kutupa. saktosalpinks zovuta (icho chiri, ife ndikuuzani) si zachilendo. Pamaso imfa mankhwala saktosalpinksa anali za 1%. Komabe, amafa ndi apamwamba kwambiri milandu anthu pamene zovuta ndi chophukacho wa abscess ndi tubovarialnogo ostroprervavsheysya mimba ectopic.

zosokonezeka anachedwa monga aakulu m'chiuno ululu, abscesses tubovarialny, hydrosalpinx, Tubala osabereka ndi mimba ectopic.

Mwina ululu aakulu m'chiuno nthawi 4 apamwamba mu akazi amene anapezeka ndi saktosalpinks opatsirana kuposa anthu amene amadwala aseptic kutupa ziwalo m'chiuno. Amene saktosalpinks anawachiritsa popanda opaleshoni, moyo akudandaula kuti nthawi zonse gnawing ululu.

Tubovarialny abscess ndi imodzi mwa mavuto zofunika kwambiri ndi aakulu, kunachitika 15% ya amayi ndi matenda yotupa ziwalo m'chiuno. Mu theka milandu matenda saktosalpinks unilateral lamanja kapena lamanzere. Choncho ndi mbewu, ndi aerobic mabakiteriya ndi anaerobic. Zimenezi Mwina tingachotsedwe pa mazira, chiberekero, pamimba ndi zina intestine. Tubovarialnoe maphunziro yopuma kapena kuchedwa mankhwala kungachititse kuti imfa. Izo zatsimikiziridwa kuti saktosalpinks kumachitika pamene kuvala chida intrauterine kwa zaka zoposa 5, ukazi hysterectomy, pambuyo follicle puncture kwa lidzawagwiritsenso kapena chotupa za m'mimba diverticulum.

Nthawi zambiri ndi woopsa vuto la saktosalpinksa ndi osabereka, amene ali ovuta kuchiza. Powerengera, oposa 50% milandu osabereka zimachitika pambuyo kutupa Ukalawu.

Ectopic mimba - vuto mobwerezabwereza kuti zikadzatha saktosalpinksa chifukwa chakuti chitoliro mucous anakantha ndi kwathunthu analephera kugwira ntchito zake zoteteza ndi maonekedwe a oviduct lapansi.

diagnostics

Kudziwa saktosalpinksa imodzi yokha yoyendera gynecologist. Tsimikizani matenda m'chiuno ultrasound, hysteroscopy, laparoscopy. The njira yamasika amalola osati matenda komanso kuchitira saktosalpinks.

Khama la chiwerengero cha leukocytes mu magazi okwanira, leukocyte udindo, mlingo erythrocyte sedimentation apereka umboni wa kuthekera zotupa septic za thupi. Kupeza mayesero tizilomboto kuthandiza khomo lachiberekero ngalande zomera ndi secretions bakposev nkhaniyi pa TV michere kwa chiwopsezo mankhwala.

chithandizo

Gwiritsani ntchito njira zosiyanasiyana za miyeso kuthetsa saktosalpinks. Chithandizo ikuchitika popanda opareshoni dipatimenti matenda m'magulu osiyana mankhwala osati bwanji ndondomeko yotupa kapena tizilomboto, komanso kuti normalization wa ntchito za chamoyo wonse.

Onse amene saktosalpinks anawachiritsa popanda opaleshoni kuti mankhwala kuti yaitali. Pamafunikanso mankhwala antimicrobials, antivirals, kulowetsedwa mankhwala resorbable, mavitamini, immunomodulators. A mankhwala loyenera kungakuthandizeni kuchotsa matenda monga saktosalpinks.

Chithandizo ndi opaleshoni ntchito kukachitika kuti mankhwala ndiwofatsa wosatenga kwenikweni. Ambiri ntchito laparoscopic excision kapena ngati pakufunika kutero (wolephera kapena zochuluka kwambiri adhesions) kuchotsa chubu mazira. Koma njira zamakono laparoscopic kulola kuti "kukonza" ndi chiberekero. Pakuti colliotomy cholinga, salpingoplastika, ndi fimbrioplastika salpingostomy mapangidwe (mapangidwe yomaliza ya chitoliro a).

Pambuyo tubektomii zachilengedwe umuna n'zosathekadi, kotero mu nkhani iyi, ntchito lidzawagwiritsenso pambuyo saktosalpinks kwathunthu kutheratu. Reviews madokotala kuti pafupifupi 35% la milandu, ndondomeko zikuchitika bwinobwino.

Kutema mphini, mankhwala mankhwala ndi njira kusinkhasinkha - njira zina zimene zimagwiritsidwa ntchito kuchiza saktosalpinks. Chithandizo popanda opaleshoni sayenera kuyamba ndi njira zimenezi. Iwo angakhoze kokha ntchito ngati othandiza ndi.

zolimbitsa thupi achire

Kodi ndingatani kuchiza saktosalpinks Zochita? Choyamba, muyenera kuchita pokhapokha ndiwofatsa kapena opaleshoni mankhwala ndi kuwonongedwa kwa ndondomeko pachimake. Pa nthawi yomweyo yoikidwiratu masewera olimbitsa thupi amathandiza kuti:

• kupewa adhesions;
• kuchepetsa zotsatira yotsalira kutupa;
• bwino magazi ziwalo m'chiuno;
• kubwezeretsa anatomical asapita ziwalo;
• kulimbikitsa zida ligamentous;
• kukondoweza njira kagayidwe kachakudya;
• kulimbikitsa m'chiuno pansi minofu;
• kuonjezera kukana matenda;
• normalization wa ntchito thupi ndi maganizo.

Pankhaniyi, mankhwala amagwiritsa gymnastic yosavuta ndi kupuma, zobwezeretsa ndi wapadera Zochita mankhwala zokhudza mavuto mu kudwala zimenezi, ndipo motero chinalepheretsa mapangidwe minofu yovulazidwa.