Ho ruruha ha li-appendages ho basali, matšoao le phekolo eo ho buuoang ka eona ka ho qaqileng ka tlase, ke sehlopha se tloaelehileng sa mafu ho basali ba lilemo tse fapaneng. Li-mae a bomme le li-tuberpian (tublopian) li-tubes, tse rarahaneng li bitsoa appendages, lia ameha.
Ke hobane'ng ha ho ruruha ha likaroloana?
Li-attachments tsa li-uterus ke litho tsa bohlokoa tsa tsamaiso ea basali ea ho ikatisa, e nyenyane ea pelvis le e amana haufi-ufi. Li-mae a bomme, lisele tsa thobalano li ratoa ka khoeli le khoeli 'me li bolokiloe le li-hormone tsa thobalano. Haufi le haufi le bona ho na le li-tubes tse peli tsa majoe. Tsena ke lithapo tse telele, tse tšesaane tse atisang ho tloha botlaaseng ba sebete le ho li hokahanya ka mpeng, ho ama mae a bomme ka thuso ea pilias, mekhoa ea filiform eo mahe a nonneng a fetisetsoang ka popelong.
Ho ruruha ha li-appendages tsa sesosa ho amahanngoa le mekhoa e tšoaetsanoang e hlahang ka lebaka la lintho tse sa feleng kapa tse sa tloaelehang. Mahlaseli a tšoaetsanoang a ka fetela ka har'a methapo ea majoe le mae a bomme ho tsoa boteng ba mosali, mokokotlo, kankere ea mokokotlo kapa sebete. Maemong a mang, likokoana-hloko li hlasela maboteng a likaroloana, tse kenang mali kapa lithōle li tsoa likarolong tse ling - mala, malapa a moriana, matšoafo, joalo-joalo.
Ka linako tse ling nts'etsopele ea ts'oaetso e tšoaetsanoang le ea ho ruruha e etsahala ka lebaka la ho tlōla botšepehi ba lisele tse joalo nakong ea ho kenngoa ha lijo, ho kenya mochine oa intrauterine, khatello ea tsoalo, ho hlahlojoa ha basali ka tsela e nepahetseng. Hangata, ka lebaka la hypothermia, ho tšoenyeha ho tšabehang, ho se boloke melao ea bohloeki, ho fapana le ho fokotseha ha tšoaetso ea tšoaetso ea HIV, ho ts'oanela ho ruruha ha microflora ho etsahalang ho etsahalang. Likokoana-hloko tse phelang tsa tšoaetso li khona ho kenella nakong ea thobalano.
Likokoana-hloko tse tloaelehileng tse bakang ho ruruha ha lihlopha tsa uterine ke:
- staphylococci;
- streptococci;
- gonococci;
- enterococci;
- Mycobacterium lefuba;
- E. coli ;
- Trichomonas;
- mokhethoa;
- mycoplasma ;
- ureaplasma ;
- chlamydia le tse ling tse joalo.
Ho ruruha ha likarolo tsa basali - matšoao
Ha re nahana ka matšoao le phekolo ea ho ruruha ha likarolo tsa basali, re lokela ho hlokomela hore mohloli o ka sehloohong o hlaha ka mokhoa o thata, oo, haeba phekolo e sa lebelloang kapa ho se be teng ka potlako e khona ho fallela sethaleng se sa foleng. Ho ruruha ha li-appendages tsa matšoao ho hlakile:
- ho senyeha ha bophelo bo botle;
- bohloko le ho se utloise bohloko nakong ea thobalano;
- bohloko bo boholo sebakeng se ka tlaase tsa mpa, ho eketsa ho otla le ho fana ka sebaka sa lumbosacral;
- ho eketsa mocheso oa 'mele ho 38-39 ° C;
- ho fufuleloa ho eketsehileng;
- hlooho;
- mesifa ea mesifa;
- ho hloleha ha nako ea ho ea khoeling;
- ho senya;
- ho noa ha nako e bohloko;
- phekolo ea mafu ho tsoa pampiring ea genital (purulent, serous, leucorrhoea).
Ho ruruha ha li-appendages - ho hlahlojoa
Tlhahlobo e thehiloe litletlong tsa mokuli, hammoho le mehato e latelang ea ho hlahloba:
- ho hlahlojoa ha basali, ho kopanyelletsa le ho hlahloba pono ea botšehali, sekoti ka liipone le ho hlahloba malapa ho tloha ka lehlakoreng la botšehali le mpa - ho fumana boholo, botumo ba sefuba, mae a bomme, li-tublopian tubes;
- Li-appendages le likarolo tse ling tsa pelvis e nyenyane ke transabdominal (mocheso oa mochine o kenngoa mpeng ka senya e tletseng) kapa transvaginal (senamo e kenngoa ka botšehali);
- laboratori ea li-bacteriological study of smear ho tloha molomong oa malapa - ho fumana palo ea leukocyte le ho thehoa ha basebetsi ba tšoaetsanoang.
Maemong a sa tloaelehang a thata, laparoscopy e laeloa ka morero oa ho hlahloba - ho bonahatsa li-tublopian tubes le mae a bomme ho sebelisa mochine o khethehileng o nang le tube e kenngoa ka sekoting ka mpeng. Ho phaella moo, ho hlahloba hore na maqhubu a fallopian ke afe, thuto e ka buelloa moo moemeli ea fapaneng a kenngoa ka popelong le tsoelo-pele ea eona e ngotsoe ke litšoantšo tsa rengen.
Tsela ea ho phekola ho ruruha ha li-appendages?
Bakuli ba nang le lefu lena ba atisa ho kenngoa sepetlele sepetlele. Haeba ho na le ho ruruha ho matla ha li-appendages, phekolo e thehiloe holafo ea bongaka ho thibela microflora ea pathogenic. Ha mekhoa e meng e ka sebelisoa mekhoa ea physiotherapy: UHF, laser therapy, therapy ea ultrasound, joalo-joalo. Mokuli o khothalletsoa ho phomola, phomolo ea boroko, ho hana ho kopanela liphate.
Maemong a maholo le a hlokomolohuoang, phekolo ea ho ruruha ha likaroloana ho basali e ka kenyelletsa ho buoa ho tlosa exudate ea ho ruruha, ho phalla ha li-adhesions, ho tsosolosoa ha tubal patency. Ts'ebetso ena e ka etsoa ka laparoscopic (e fokolang e nyenyane) kapa mokhoa oa laparotomic (o bulehileng), ho itšetlehile ka tekanyo ea leqeba.
Ke lithethefatsi life tseo ke lokelang ho li nka ka ho ruruha ha li-appendages?
Litokisetso tsa phekolo ea ho ruruha ha likarolo tsa basali li ka nkoa ka molomo, 'me ka liketsahalo tsa tšohanyetso le tse rarahaneng, li laoloa ka tsela e entramuscularly kapa intravenously. Haeba ho ruruha ha li-appendages ho fumanoa, lipilisi kapa liente li khethiloe ho nahanela mofuta oa pathogen. Li-antibiotics le lithethefatsi tse sa tsitsang, hangata meriana e latelang e behiloe:
- penicillin (Ampicillin, Amoxiclav);
- cephalosporins (Cefotaxime, Ceftriaxone);
- li-macrolides (Erythromycin, Azithromycin);
- fluoroquinolones (Ofloxacin, Ciprofloxacin);
- methapo ea tetracycline (Doxycycline, Unidox Solutab);
- li-derivatives tsa nitromidazole (Metronidazole);
- aminoglycosides (Kanamycin, Gentamicin);
- lithethefatsi tse sa thekeseleng (Nystatin, Fluconazole), joalo-joalo.
Ho phaella moo, lihlopha tse joalo tsa meriana li ka sebelisoa:
- li-anti-inflammatory (non-steroidal anti-inflammatory) (Ibuprofen, Butadion);
- metsoako ea vithamine le ea diminerale;
- li-immunostimulants (Polyoxidonium, Imunofan);
- li-probiotics (Linex, Vitaflor).
Li kerese bakeng sa ho ruruha ha li-appendages
Pheko ea ho ruruha ha likarolo tsa basali ka lithethefatsi tsa moo ha li khone, li sebelisoa feela e le karolo ea phekolo e rarahaneng. Ka mokhoa oa ho thibela bokhachane, lithethefatsi tse joalo tse khahlanong le ho ruruha le li-antimicrobial li ka khothaletsoa:
- Hexicon;
- Betadine;
- Indomethacin;
- Clion-D et al.
Ho ruruha ha likaroloana ho basali - kalafo ka mekhoa ea batho
Haeba ho ruruha ha li-appendages ho fumanoa ho basali, matšoao le phekolo li lokela ho laoloa ke ngaka, 'me feela ka tumello ea hae ba lumelloa ho sebelisa mekhoa ea batho. Har'a li-direpe tse tloaelehileng, tse phekoloang ka mekhoa e mebe, ho ruruha ha li-appendages ho felisoa ka katleho ka ho sebelisoa ha ho khetholla 'mala oa calyx.
Tokiso e bolela
Lijo:
- tse omisitsoeng lipalesa lipalesa - 50 g;
- metsi - litara e le 1.
Litokisetso le tšebeliso:
- Tšela lisebelisoa tse tala ka metsi a belang.
- Ho ts'ehetsa ka ho itlhatsoa ka metsing halofo ea hora, ho e hloekisa.
- Nka 100 ml ka makhetlo a mararo ka letsatsi, monate le mahe a linotši.
Ho ruruha ha li-appendages - mathata
Ha ho ruruha ha li-appendages ho hlaha, ka lebaka la kalafo e sa lokelang, mathata a latelang a ka 'na a hlaha:
- sesepa sa purulent;
- peritonitis;
- nts'etsopele ea mokhoa oa ho khomarela.
Ho ruruha ha likaroloana - liphello
Likamano tse tšoaetsanoang ho basali li ba kotsi kotsing e tloaelehileng ea bokhachane, tk. kotsi ea ho kopanya ectopic ea fetus e eketsehile haholo. Ka lebaka la mekhoa ea ho khomarela, ho ntlafatsoa ha ho thibela li-tublopian tubes, tlōlo ea mokhoa oa ho nonoa ha mahe ka mor'a lefu, mosali a ka lula a le nyopa.