Kupereka kwa madandaulo a amayi omwe nthawi zambiri mazira amawadwala, amayi nthawi zambiri samadziwa zifukwa zomvetsa chisoni. Pofuna kukhazikitsa chinthu chomwe chinapangitsa kuti izi zichitike, kufufuza mwatsatanetsatane kachitidwe ka kubereka kumafunika. Ganizirani vutoli mwatsatanetsatane, ndikufotokozera zomwe zimayambitsa maonekedwe.
Mazira a mavava amatanthauza zifukwa
Amayi ambiri amakhulupirira kuti zimakhala zopweteka atafufuza mkaziyo kuti adziwe chifukwa chake ndi kuyankha funso la wodwalayo. Bwanji ma ovariya amamva kupweteka komanso kuthetsa ululu. Izi ziyenera kunenedwa kuti nthawi zambiri kupweteka kwa ziwalo za kugonana zimayambitsidwa ndi matenda a chiberekero. Zina mwa zovutazi, madokotala amadziŵa zotsatirazi:
- njira yotupa;
- matenda a hormoni ;
- zochitika ngati zotupa;
- Kuphwanyidwa kwa intrauterine kukula kwa njira yobereka (congenital anomalies);
- Kuphwanya maonekedwe a ziwalo zoberekera mkati;
- zovuta zokhudzana ndi msambo .
Ovary amavulaza pasanapite mwezi uliwonse
Zojambula zojambula m'mimba mwake zimapezeka nthawi yamadzulo. Matendawa ndi wamba. Zimakhudzana ndi kusakwanira kwa thupi la chikasu. Kumapeto kwa kayendetsedwe kabwino kameneka, kamangidwe kameneka kakuchitika, kamene kamatulutsa progesterone. Kusakwanira kokwanira kungapangitse kusintha mu chiwindi cha chiberekero. Chotsatira chake, mkaziyo amachititsa kupweteka kwambiri m'mimba mwake. Zotsatira zotsatirazi ndizochita izi:
- kusinthana kumverera kowawa kumbali imodzi (malingana ndi ma ovary ovum amachokera);
- Pali neobylnye, mazhujushchie yomwe imaperekedwa kuchokera kumtunda wa mkazi.
Mazira a m'mimba mwake amadwala nthawi ya kusamba
Monga momwe madokotala amasonyezera, zofiira za kugonana sizimapweteka pa nthawi ya kusamba. Chomwe chimatchedwa "kupweteka kupwetekedwa m'mimba mwake", komwe amayi amadandaula, ndi malo omwe amapezeka mumimba. Zimagwirizana kwambiri ndi kusintha kumeneku komwe kumachitika mu chiberekero pa nthawi ya kusamba. Mucous membrane ya chiberekero pokhalapo palibe kubadwa kumayamba pang'onopang'ono flake. Izi zimayambitsa ululu wopweteka.
Zomwe zimapweteka pa nthawi ya kusamba zimatha kuwonjezereka komanso kupweteka kwambiri kwa uterine myometrium. Choncho limbalo limathandiza kuchotsa mitsempha yotentha yotchedwa endometrium, otsalira a dzira, omwe amafa osapangidwanso. Kupweteka kwakukulu kumapweteka. Amatha kufotokozedwa kwambiri kotero kuti amaswa kachitidwe kake ka tsiku la mtsikana, amachepetse bwino.
Malinga ndi ululu mwachindunji m'mimba mwake, zimakwiyitsa:
- kukhalapo kwa cysts;
- kusokoneza;
- nkhawa.
Ovary amavulaza pa nthawi ya ovulation
Atsikana ambiri amadandaula kuti akudwala kwambiri pakati pa mapangidwe a mazira. Chisoni pa nthawi ino chikugwirizana kwambiri ndi kuphwanya kwa umphumphu wa chiwalo cha kunja kwa kugonana. Pamene ovulation , dzira lokhwima limasiya chiphalaphala chomwe chili mu ovary, mpaka pamimba. Pa nthawi yomweyi, chiwonongeko chazing'ono chimakhalabe pa tsamba lachitukuko. Magazi ang'onoang'ono amachotsedwa.
Mwachidziŵikire madzimadziwa amalowa m'kati mwa peritoneum, zomwe zimayambitsa kukwiya kwake. Chifukwa cha izi, ovary amavuta pamene ovulating. Zizindikiro zotsatirazi zikusonyeza kuti ululu umagwirizana ndi njirayi:
- ululu umawoneka pakati pa ulendo;
- mwina maonekedwe a excretions;
- Kuchuluka kwa matenda opweteka - kuchokera maminiti angapo mpaka maola angapo;
- ululu nthawi zonse umagwirizana.
Ovary amavuta pambuyo pa ovulation
Ululu waukulu m'mimba mwa mavairasi mu theka lachiwiri la msambo ungagwirizane ndi kusintha kwa chigawo cha endometrial. Kusintha kwa mahomoni mu gawoli kumawonjezera kukula kwa maselo a chigoba chamkati cha chiberekero. Kotero chiberekero chakonzekera kuti chikhomwe chitheke. Ngati sizichitika, njira zothetsera kusintha zikuyamba. Mahomoni amasintha, myometrium imachulukitsa ntchito yake. Kuchepetsa mwachindunji kusanjikiza kungayambitse kupweteka. Pa chifukwa chomwecho, mazirawa amakhala opweteka pambuyo pa kusamba.
Ovariya amadwala panthawi yoyembekezera
Kawirikawiri, amayi omwe ali pamalowa amauza madokotala kuti mazira awo amadwala panthawi yomwe ali ndi mimba, kumayambiriro koyamba. Poyambitsa zifukwazi, zikuonekeratu kuti palibe kugwirizana pakati pa zowawa zopweteka komanso kusintha kwa ziwalo za kugonana. Zina mwa zifukwa zomwe zimayambitsa kupweteka, kukokera ululu m'mimba mwa mazira ambiri pamene mwanayo akunyamula, amuna amodzi amasiyanitsa:
- Kuwonjezeka kwa kukula kwa chiberekero. Chiwalo chogonana ndi tsiku lililonse la mimba chimakula. Chifukwa cha kusintha kumeneku, pali kusintha kwa malo ozungulira mazira ndi ma tubes: iwo amakulira ndipo ali pamwamba pa malo awo ozoloŵera.
- Kuwonjezereka kwa zida zogwiritsira ntchito chiberekero ndi zowonjezera. Chifukwa cha kukula kwa fetus, mitsemphayi imakhala ndi katundu wambiri, ndipo mavuto amapezeka mwa iwo.
Kulimbana ndi kusintha kwa thupi, ndi kuchepetsa mawonetseredwe kwa amayi apakati kuthandizira:
- kudya;
- kutsata boma;
- zochita masewera olimbitsa thupi.
Ululu mu mazira ambiri pa nthawi yogonana
Ululu wopweteka mu ovary nthawi yogonana nthawi zambiri umakhala chifukwa cha kusokonezeka kwake. Mzimayi akukumana ndi mavuto aakulu, nthawi zina zimakhala zowawa kwambiri kuti amve mankhwala opweteka. Zifukwa zofotokozera chifukwa cha ma ovari amatha panthawi yogonana, zambiri. Mwachinthu chachikulu:
- matenda ndi kutupa njira mu mazira ambiri - adnexitis;
- polycystic ovary ;
- cervicitis;
- kuuma kwa nyini;
- kumamatira m'matumbo aang'ono.
Mazira a mazira amatha pambuyo pa kugonana
Kupweteka m'mimba mwa mazira ambiri pambuyo pa kugonana kungayambitsidwe ndi mphamvu yambiri ya minofu ya abambo. Chodabwitsa ichi chimatchedwa "gynecology" vaginismus. Kuonjezera apo, kupweteka kumbali yakumanzere kapena kumanja kungayambitsidwe ndi chiwawa, chilakolako chogonana. Kulowera kozama, chosankha cholakwika chokhala ndi malo amachititsa ululu m'mimba pamunsi. Pofuna kuthana ndi vutoli, ndibwino kufunsa ndi wodwalayo.
Kupweteka kwapakati pa chisawawa
Kupweteka koopsa mu ovary kungakhale chizindikiro cha kukhalapo kwa cysts. Mapangidwe amenewa ndi malo odzaza ndi madzi. Chimodzimodzinso pamene chikukula chimakula kukula kwa kugonana. Kwa nthawi yayitali ndi kukula kochepa kwa ma cysts mulibe chizindikiro chamagetsi. Matenda a ululu ndi omwe amatha kupitirira 3 masentimita. Pa nthawi yomweyo, amatsatiridwa ndi zizindikiro zotsatirazi:
- ululu uli ndi malo omveka bwino - amawoneka mbali imodzi;
- kumverera kowawa kwa kukoka kapena khalidwe lopweteka;
- nthawi zambiri amakwiya ndi kugonana;
- kumakhala ndi magazi ochepa omwe amachititsa kuti magazi asatuluke.
Kodi mazira oyipa amapweteka bwanji?
Kupweteka m'mimba mwake kumatha kukhala wodziletsa okha ndi matenda a ovari - pamene kupweteka kumayambitsidwa ndi njira zowonongeka. Mavuto ena amafunika kuwongolera kuchipatala, mankhwala apadera. Malangizowo omwe atsikana amalandira kuchokera kwa madokotala pachisokonezo ichi ndi chikhalidwe chovomerezeka:
- kusunga mtendere;
- kuchotsedwa pa zochitika zochitika;
- kupeŵa mavuto, mikangano;
- ndi ululu waukulu, mukhoza kutenga analgesics ndi antispasmodics.
Kutenga kwa Ovariya
Pofuna kudziwa bwino matenda omwe amachititsa ululu m'mimba mwake, zomwe zimayambitsa chizindikiro ichi, madokotala amatha kufufuza bwinobwino wodwalayo. Pa nthawi yomweyi, mndandanda wa njira zogwiritsira ntchito zimadalira matenda omwe akuyembekezeka. Pakati pa mayeso ozama ndi kafukufuku oterowo, pamene ma thumba losunga mazira amatha, titha kusiyanitsa:
- Ultrasound yazing'ono za pelvis ndi ziwalo za m'mimba;
- mayeso a magazi (ambiri ndi azamoyo);
- kuyesa magazi kwa mahomoni;
- Smears kuchokera ku urethra, umaliseche ndi chiberekero;
- kuyambitsa mkodzo.
Kukonzekera zopweteka m'mimba mwake
Kusankhidwa kwa mankhwala, pamene ovariya akudwala kwambiri, adokotala akugwira ntchito yokha. Pokhapokha atayang'anitsitsa wodwalayo, atakhazikitsa chifukwa chenichenicho, amasankhidwa njira yothandizira mankhwala. Kawirikawiri, kupweteka kumayambitsa matenda opatsirana. Pankhaniyi, maziko a mankhwala amapangidwa ndi maantibayotiki:
- tetracycline (doxacyclin) - ali ndi zochita zosiyanasiyana, amatha kumenyana ndi protozoa;
- penicillin (Oxacillin, Ampicillin) - amadziwika kuti bactericidal effect;
- Lincosamides (Clindamycin) - kulepheretsa kukula ndi kuberekana kwa tizilombo toyambitsa matenda;
- macrolides (azithromycin) - amakhala ndi zotsatira zowononga mabakiteriya, amakhala ndi zotsatira zotsutsana ndi streptococci, mycoplasmas, staphylococci, chlamydia;
- nitroimidazoles (Metronidazole) - yogwira motsutsana ndi tizilombo toyambitsa matenda a anaerobic.
Mankhwalawa amakhalanso ndi suppositories kwa ululu wa ovari, woperekedwa kwa akazi. Fomu yotereyi imakuthandizani kuthetsa zizindikiro msanga, kuchepetsa moyo wa wodwalayo. Kupereka zochitika zapanyumba, suppositories amachepetsa mawonetseredwe a matenda, kupweteka, kusokonezeka kumatayika patapita ntchito zingapo za mankhwala.