I-Adnexitis - kuyini kubesifazane, izizathu?
Abesifazane abatholwa ukuthi bane-"adnexitis", yiluphi uhlobo lwesifo abakwazi ngaso sonke isikhathi. Inqubo yokuvuvukala ethinta ama-tubespian tubes, ama-ovaries, athole igama elinjalo. Kubonakala ikakhulukazi emantombazaneni, abesifazane abasebasha abaneminyaka engama-20-30. Ngokuvamile odokotela bangasebenzisa isichazamagama sokuphulwa - i-salpingoophoritis. Izifo zitholakala ngokwehlukana (salpingitis, oophoritis), ngenxa yokuxhumana okuqondile kokuhlelwa kwe-anatomical komunye nomunye.
I-Adnexitis ibangela
Lesi sifo sibhekene namabhaktheriya e-pathogenic angena ohlelweni lokuzala kusuka ngaphandle. Ukuqaphela lesi sifo i-adnexitis ejulile, izizathu zokuqala kwayo, izifo ezidalwa yizilwanyana eziphilayo ezibizwa ngokuthi:
- i-gonococcal (i-gonorrheal adnexitis);
- induku yesifo sofuba;
- i-chlamydia;
- E. coli.
Ngokuthuthukiswa kwe-adnexitis, kukhona ukwephulwa kwezingxenye eziphezulu zezintambo zezicubu zamathambo. Ngenxa yalokho, zithatha imikhiqizo yomsebenzi obalulekile wezinambuzane ezinama-pathogenic. Leli qiniso lidala i-adnexitis, ukwelashwa okumele kuqalwe ngokushesha. Ukuze kuhlinzekwe ukwelashwa okulungile, odokotela benza ukuxilongwa okunzima ukuze bathole uhlobo oluqondile lwe-pathogen.
I-Adnexitis - izimpawu kubesifazane
Njenganoma isiphi isifo sokuvuvukala, i-adnexitis ibonakala ukuwohloka kwempilo yonke ngokumelene nesimo sokushisa komzimba okwandisiwe. Umcabango wokuqala wokuvakashela owesifazane kubanda. Kodwa ukukhwehlela, ukungqubuzana komzimba akusekho, okwenza amantombazane acabange. Ukuze ukhiphe isifo, kubalulekile ukwazi izibonakaliso ze-adnexitis kwabesifazane. Kufanele kucatshangelwe ukuthi kungaba yinkimbinkimbi futhi engapheli, okwenza inqubo yokwelapha ihluke.
I-adnexitis enamandla - izimpawu
Leli fomu lesifo linesiqalo esheshayo. Owesifazane uphawula ukuwohloka okubukhali esimweni esijwayelekile, inhlalakahle. I-adnexitis ephawulekayo ibonakala ngokubonakaliswa okulandelayo:
- izikhukhula;
- ukushisa komzimba okwandisiwe;
- ukuzwa kwama-aches;
- ikhanda;
- isicasuli;
- ukuhlanza;
- ukucasula;
- ukwesaba.
Phakathi kwezibonakaliso ezithile ezikhomba ngqo kulokhu kuphulwa, kufanelekile ukuphawula:
- ngezikhathi ezithile, ubuhlungu obuhlungu emathunjini aphansi;
- i-irradiation yobuhlungu emhlane ophansi.
I-adnexitis engapheli - izimpawu
Leli fomu le-adnexitis liqala ukungabikho kokwelashwa isikhathi eside, nangenxa yokungavumelani nezincomo nemiyalelo yezokwelapha ekwelapheni kwesigaba esilula. Lesi sifo sibonakala ngezikhathi ze-episodic zokucindezela. Ezimweni ezinjalo, izibonakaliso ezilandelayo ze-adnexitis ezingapheli ziyaqaphela:
- ubuthakathaka;
- ukushisa komzimba okwandisiwe;
- ukucindezeleka, ubuhlungu obuqhubekayo esiswini esingaphansi somlingisi obala;
- ukuphazamiseka komsebenzi wezocansi, ukwehlisa isifiso ngenxa yomsebenzi wezintambo ezingasebenzi kahle;
- ukuhluleka komjikelezo;
- ukubonakala kokukhishwa kwamakhemikhali;
- ukukhathazeka ngesikhathi socansi.
Kumele kuqaphele ukuthi esimweni esingapheli sabesifazane kaningi ukuphazamiseka nokuphazamiseka ohlelweni lokugaya ukudla (ubuchopho). Kubandakanyeka ohlelweni nasesimisweni se-excretory - i-pyelonephritis, i-cystitis ivame ukuphawula. Ubuningi nobude bokugeleza kokuya esikhathini kuyashintsha: ivolumu yegazi ekhishwe ingakhuphuka noma iyancipha, kanti inqubo ngokwayo iba buhlungu. I-antibiotics ye-adnexitis engapheli isetshenziselwa umthamo ophansi.
Indlela yokuphatha i-adnexitis?
Le nqubo yokwelapha, njengokwelashwa kwe-adnexitis kwabesifazane, inezinto ezimbalwa ezikhethekile. Ukuqala kwalo kulandelwa inqubo ende yokuxilongwa. Ihlanganisa:
- smears kwi microflora wesifazane;
- ama-smears avela ku-urethra;
- ukuhlolwa kwegazi, urinalysis;
- Ukuhlolwa kwe-Ultrasound.
Ukwelashwa kwe-adnexitis - izidakamizwa
Ama-antibiotics ane-adnexitis akha isisekelo sokwelapha. Ideal - lapho ngaphambi kokuqala ukwelashwa, isifundo senziwa ngobuzwe be-pathogen kuma-antibacterial agents. Ngenxa yokungabi nesikhathi nesidingo sokuqala kokuqala ukwelashwa, odokotela basebenzisa usizo lwezokwelapha ngama-wide spectrum. Ngokufanayo, izidakamizwa ezilwa nokuvuvukala zibekiwe. Ngokwenza kanjalo, basebenzisa:
- I-Gentamicin. Ikhubaza ngokuqinile ukukhula nokuphindaphinda kwe-pathogen, ngokushesha kufinyelela ekugxilweni okusheshayo kokuvuvukala. Faka kwangaphakathi, izikhathi ezimbili ngosuku. Inkambo ihlala izinsuku ezingu-8-9.
- Amoxiclav. Ihanjiswe kwifomu etafulwe. Ngokuvamile kuyithebhulethi engu-1, izikhathi ezintathu ngosuku. Ngendlela elula, ukwanda komthamo we-6000 mg ngosuku kungenzeka. Inkambo ihlala cishe izinsuku ezingu-7.
- Terzhinan. Ibonisa izidakamizwa zohlobo oluthile lwesenzo. Unemiphumela emibi yokulwa ne-antibacterial and anti-inflammatory. Sebenzisa amaphilisi wesifazane - 1 ngehora ngalinye, izinsuku ezingu-5 zilandelana.
- I-Polizhinaks. Lezi zikhandlela ezine-adnexitis zisusa ngokuphelele izimo ezivuthayo. Ukuvama kokwamukelwa kanye nobude besikhathi kunqunywa ubukhulu be-disorder, symptomatology. Ngokuvamile, odokotela bakhetha ama-suppository amabili ngosuku emzimbeni, ekuseni nakusihlwa, izinsuku ezingu-7.
Ngemuva kwezinyathelo ezinzima zesimiso sokuvuvukala, odokotela baqala ukwelashwa okuvuselelayo. Kuhlanganisa physiotherapy:
- i-vibromassage;
- Ukushisa;
- i-ultrasound.
I-Adnexitis - ukwelashwa ekhaya
Ukusetshenziswa kwemithi yendabuko kuyinkinga eyengeziwe ekwelapheni kwesifo. Ngaphambi kokwelapha i-adnexitis ekhaya, ukuthatha amakhambi omuthi, kufanelekile ukubonisana nemithi. Phakathi kweziphephelo eziphumelelayo ze-adnexitis kumele kuthiwe:
- Lungisa ingxube ye-herbs clearing, i-sporicha (amagremu angu-30), insimu yama-horsetail (20 g), amaqabunga omisiwe enambuzane (10 g), i-oak bark (5 g). Amapuni wezipuni amabili athululela ama-0.5 amalitha amanzi abilayo, vala ngokuqinile ngesembozo bese ushiya ihora eli-1. Emva kwalokho, ukuhlunga, ukuphuza ngezigaba ezincane kulo lonke usuku, phakathi kokudla. Ngefomu elimnyama uthathe amasonto angu-2-3, ongenasifo - kufika ezinyangeni ezingu-3-4.
- Ukuze isipuni 1 se-wintergreen, i-wintergreen, u-borry, uhlanganise futhi uthele i-litre elilodwa lamanzi abilisiwe, ihora eli-1 ligcizelelwe. Thatha ingilazi izikhathi 4 ngosuku. Baphuza izinsuku ezingu-100.
- Nge-adnexitis, ukwelashwa kwayo, ukukhipha ukuvuvukala, ama-douchings ayenziwa usebenzisa i-decoction yemithi. Thatha amagremu angama-30 e-oak gark, chamomile, sage, amaqabunga enambuzane, amabhasikidi e-arnica, i-horsetail ne-thyme. Izipuni ezingu-3 zenhlanganisela zithelela i-1 litre lamanzi abilayo, zibeke emlilweni bese upheka imizuzu engu-7. Hlunga, upholile futhi usebenzise i-douching, mhlawumbe ngaphambi kokulala. Inkambo yamaviki amathathu: owokuqala nsuku zonke, isikhathi esilandelayo-1 ezinsukwini ezimbili.
I-adnexitis engapheli - ukwelashwa
Inqubo yokwelashwa yalolu hlobo lwe-disorder yenziwa izinyanga ezimbalwa. Ngaphambi kokwelapha i-adnexitis engapheli, odokotela benza ngokucophelela ukuxilongwa. Ukukhishwa kwe-agent causative, isici esicasulayo, yisisekelo sokuphumelela kokwelapha. Ukwelashwa okufanayo kuhlanganisa:
- izinqubo ze-physiotherapeutic: ukwelashwa ngodaka, i-parafini, ukuchelela kwesisindo ngezingxenye ezimbi zamaminerali;
- ukwandisa ukuvikelwa komzimba;
- ukungabikho kwezifo zocansi;
- ukwelashwa kwe-spa.
I-prophylaxis ye-adnexitis
Noma yisiphi isifo kulula ukuvimbela kunokwelapha. Ukuvimbela ukuvuvukala kwama-appendages kudlala indima ebalulekile ekuvikeleni ukuvuvukala kwesistimu ye-genitourinary. Ibonisa ukuthi:
- ukususwa kwe-supercoolings;
- ukuvimbela ukutheleleka ngokocansi;
- ukunamathela emithethweni yobungani obuseduze;
- ukwelashwa okwesikhashana okuphazamiseka kwesistimu yokuzala;
- ukukhipha izisu.
I-adnexitis engapheli nokukhulelwa
Umbuzo ojwayelekile abesifazane abawubuza kuleso sifo ukukhathazeka ukuthi umuntu angakhulelwa nge-adnexitis. Amathuba okukhulelwa ayancishisiwe, kodwa awaqedwa ngokuphelele. Uma ulandela imiyalelo, izincomo, i-adnexitis, ukwelashwa okwenziwa ngaphansi kokuqondiswa udokotela, ungawina. Inqubo yokuhlela ukukhulelwa iphela ngempumelelo. Imiphumela ejwayelekile ye-adnexitis, evimbela ukukhulelwa okuvamile, yilezi:
- ukwephulwa kobuciko bama-tubes wesibeletho;
- ukwehluleka kwe-peristalsis evamile ye-tube fallopian - ekhulelwe, iqanda alifinyeleli emgodini wesibindi;
- ukusebenza okungavamile kwama-ovari (umjikelezo ovuzayo).