Salpingoophoritis kapena adnexitis ndi kutupa kwa chiberekero cha chiberekero (mazira ndi mazira oyipa) chifukwa cha tizilombo toyambitsa matenda. Pali mitundu yosiyanasiyana ya salpingo-oophoritis yovuta, yambiri komanso yowopsa. Kuperewera mosayembekezeka kwa kutupa kwa ziwalo za uterine nthawi zambiri kumayambitsa kusabereka.
Fomu yoyenera
Zovuta za adnexitis zimakula mopweteka kwambiri, ndipo nkofunika kuchiza kuchipatala. Mankhwala aakulu ochizira kutupa kwa mapulogalamu ndi mankhwala omwe amauzidwa malinga ndi mtundu wa tizilombo toyambitsa matenda. Kawirikawiri perekani mankhwala osokoneza bongo kapena mankhwala ophatikizapo ma antibiotics - njira imeneyi imagwiritsidwa ntchito poyikira kuti alierobic.
Kugwiritsa ntchito maantibayotiki:
- gentamycin ndi levomycetin;
- lincomycin ndi clindomycin;
- clindomycin ndi chloramphenicol;
- penicillin ndi kanamycin / gentamicin (chifukwa cha anaerobic infection).
Pakadutsa masiku atatu mkaziyo amaimirira kutentha, ndipo kupweteka m'mimba kumachepa. Mankhwala othandizira kutupa kwa mapulogalamuwa amathandizidwa ndi mapiritsi a gulu la penicillin ndi aminoglycosides.
Pochotsa zizindikiro za kumwa mowa, wodwalayo amaikidwa kuti azikhala ndi shuga, polyglukin, hemodez, rheopolyglucose, mavitamini. Mankhwalawa amathandizidwa ndi antihistamines: dimedrol, suprastin.
Maonekedwe apamtima: kuwonjezereka
Panthawi yovuta kwambiri, chithandizo chamankhwala cha kutupa kwa mapulogalamuwa chimaphatikizapo antibacterial, infusion, mankhwala osokoneza bongo.
Ngati pangokhala zovuta pang'ono ku chipatala, palibe chifukwa chochiritsira kunyumba, koma malinga ndi zomwe adokotala akupereka.
Pogwiritsira ntchito pamlomo, antibiotics amagwiritsidwa ntchito:
- chopereka;
- bactrim;
- ofloxin;
- siflox.
Kugwiritsa ntchito mapuloteni pochizira kutupa kwa mapuloteni kumatchula suppositories, gels, creams (clindamycin, dalacin) ndi njira za douching (vagotyl, romazulan, miramistin). Mankhwalawa ayenera kuwonjezeredwa ndi mankhwala osokoneza bongo ndi ma multivitamini.
Maonekedwe apamtima: kukhululukira
Pambuyo powonjezereka kwa kuwonjezereka kwa adnexitis physiotherapy tikulimbikitsidwa:
- electrophoresis ndi magnesium, ayodini, zinki, potaziyamu;
- UHF-mankhwala;
- autohemotherapy;
- chithandizo cha ultrasound;
- vibromassage;
- jekeseni wa aloe.
Njirazi zimachepetsa chiopsezo cha ma adhesion, kukhala ndi zotsatira zowonongeka komanso zowonongeka.
Kutupa kosatha kwa mapiritsi a uterine kumatanthauzanso mankhwala ochiritsa matope (ozokeritotherapy) ndi mapulogalamu a parafini; ulimi wothirira bwino wazimayi ndi madzi amchere (sulfide, kloridi-sodium) ndi kusamba kosamalidwa.
Kupatula nthawi ya kukhululukidwa, konzekerani kuphatikizapo njira zothandizira kulandira mankhwala - mwambo wa miyezi isanu ndi umodzi.
Zochita zimakhudza thanzi la odwala omwe ali ndi matenda aakulu adnexitis ndi sanatorium mankhwala (akulimbikitsidwa kuti apitirize kukhululukira).
Zovuta ndi mankhwala opaleshoni
Kawirikawiri, mwa amayi omwe amachedwetsa chithandizo, kutupa kwa mapulogalamuwa kumayambitsa mavuto omwe amafunika opaleshoni yopititsa patsogolo (peritonitis, abscess yamimba, ectopic pregnancy).
Njira yothandizira opaleshoni imakulolani kuti muchotse ma adhesion, purulent ndi ma fluid formations, kubwezeretsanso kuti mazira amatha. Kuopsa kwa kusabereka pambuyo poti opaleshoni sikunayambe.
Masiku ano, pa chithandizo cha opaleshoni cha kutupa kwa chiberekero cha uterine, laparoscopy ndi minilaparoscopy amagwiritsidwa ntchito - njira zamakono zopangira opaleshoni sizimasiya zipsera ndipo zimapweteka kwambiri kusiyana ndi chikhalidwe cha chikhalidwe.