I-salpingoophoritis noma i-adnexitis ukuvuvukala kwe-appendages ye-uterine (ama-ovari nama-tublopian tubes) abangelwa ama-microorganisms we-pathogenic. Kunezinhlobo ezinzima, ze-subacute nezindabuko ze-salpingo-oophoritis. Ukwelashwa okungenakuqhathaniswa kokuvuvukala kwama-appendages wesibindi ngokuvamile kubangelwa ukungasebenzi.
Ifomu elihle
I-adnexitis ephumelelayo iqhubeka ngokulimala ngokwanele, futhi kuyadingeka ukuyiphatha esibhedlela. Izidakamizwa eziyinhloko zokwelapha ukuvuvukala kwama-appendages yi-antibiotics, enqunywe kuye ngokuthi uhlobo lwe-pathogen. Ngokuvamile bhala izidakamizwa ezivulekile noma inhlanganisela yama-antibiotic - le ndlela isetshenziselwa ukutheleleka kwe-anaerobic.
Inhlanganisela ephumelelayo yama-antibiotics:
- i-gentamycin ne-levomycetin;
- lincomycin kanye ne-clindomycin;
- i-clindomycin ne-chloramphenicol;
- i-penicillin ne-kanamycin / gentamicin (ngokutheleleka kwe-anaerobic).
Kungakapheli izinsuku ezintathu owesifazane ubeka izinga lokushisa, futhi ubuhlungu esiswini buyancipha. Ukwelashwa okuqhubekayo kokuvuvukala kwe-appendages kuhlanganiswa ngamaphilisi eqembu lama-penicillin nama-aminoglycosides.
Ukuze ususe izimpawu zokudakwa, isiguli sifakwa i-droppers nge-glucose, i-polyglukin, i-hemodez, i-rheopolyglucose, amavithamini. Ukwelashwa kuhlanganiswa nama-antihistamines: i-dimedrol, i-suprastin.
Ifomu lesiguli: ukukhuphuka
Phakathi nokucindezeleka, ukwelashwa kokwelashwa kwezifakezelo kuhilela ukulwa namagciwane, ukumnika, ukukhipha imithi yokwelapha.
Uma kwenzeka ukukhungatheka kancane esibhedlela, asikho isidingo sokuphathwa ekhaya, kodwa ngokuhambisana nezincomo zesidokotela.
Ukusetshenziswa komlomo, ama-antibiotics asetshenziswa:
- i-abactal;
- i-bactrim;
- i-ofloxin;
- i-siflox.
Ukuze uthole isicelo se-topic ekwelapheni ukuvuvukala kwama-appendages khetha ama-suppository, ama-gel, ama-creams (i-clindamycin, i-dalacin) nezixazululo ze-douching (i-vagotyl, i-romazulan, i-miramistin). Ukwelapha kufanele kuhlanganiswe nge-immunomodulating izidakamizwa nama-multivitamini.
Ifomu elingapheli: ukuxolelwa
Ngemuva kokuhlukumezeka kokunyuka kwe-adnexitis physiotherapy kunconywa:
- i-electrophoresis ene magnesium, i-iodine, i-zinc, i-potassium;
- UHF-therapy;
- autohemotherapy;
- ukwelashwa kwe-ultrasound;
- i-vibromassage;
- umjovo we-aloe.
Lezi zinqubo ziyanciphisa ingozi yokunamathela, zibe nemiphumela yokuhlaziya kanye neyokuvuselela.
Ukuvuvukala okungapheli kwamagciwane okubeletha nakho kusho ukuphathwa ngodaka lokuphulukisa (ozokeritotherapy) nezicelo zeparafini; ukuchelela okusempeni okusebenzayo ngamanzi amaminerali (sulfide, chloride-sodium) kanye nokugeza okuhlinzayo.
Ukuze kudlule isikhathi sokuxolelwa, khetha ukuhlanganiswa kwezibeletho zomlomo ezihlangene - inkambo okungenani izinyanga ezingu-6.
Ngokuthandeka kuthinta impilo yeziguli ezine-adnexitis resort kanye ne-sanatorium yokwelashwa (kunconywa ukukhululwa okuqhubekayo).
Izinkinga kanye nokwelashwa okuhlinzekwayo
Ngokuvamile, kubantu besifazane abayephuza ukwelashwa, ukuvuvukala kwama-appendages kubangela izinkinga ezidinga ukunakekelwa kokuhlinzwa (i-peritonitis, i-abscess ye-pelvic, i-ectopic pregnancy).
Ukungenelela kokuhlinzeka kukuvumela ukuthi ususe ukunamathela, ukufakela okuhlanzekile nokuketshezi kwamanzi, ubuyekeze ubuciko bama-tubespial tubes. Ingozi yokungabi nalutho emva kokuhlinzwa akupheli.
Namuhla, ekwelapheni kokusebenza kokuvuvukala kwe-appendages ye-uterine, i-laparoscopy kanye ne-minilaparoscopy isetshenzisiwe - la makhinga okuhlinzeka cishe awashiyi noma yiziphi izibazi futhi ahlubuki kakhulu kunokwenyama.