Pelviconitis amatchedwa kutupa kwa peritoneum. Kwa amayi, vutoli limayamba chifukwa cha kutukumuka kwa purulent mu mapulogalamu, kuphatikizapo mavuto pambuyo pochotsa mimba ndi kubala.
Zomwe zimayambitsa pelvioperitonitis m'magazi amagazi ndi opatsirana opatsirana omwe adutsa kuchokera ku ziwalo zazimayi zomwe zimatuluka kumalo ozungulira. Izi ndi E. coli ndi zina zomwe zimakhala ndi tizilombo toyambitsa matenda, gonococci, ndi zina zotero.
Zizindikiro za pelvioperitonitis
Njira yaikulu ya peritonitis imadziwika ndi kutchulidwa ndi zizindikiro zoopsa:
- ululu waukulu wamimba;
- kutentha thupi ndi kufooka;
- zikopa, kunyoza ndi kusanza;
- chiwonongeko;
- kutupa ndi kutupa kwa mimba;
- kuzunzidwa kovuta ndi kusamalidwa.
Panthawiyi, njira zovuta zowonongeka zimapezeka mkati mwa pelvis: peritoneum imatembenuka yofiira ndi kutupa, serous exudate imasonkhanitsa, yomwe pamapeto pake imakhala yopanda chilema ndipo imapanga chifuwa chachikulu. mwachangu fibrin amapangidwa, soldering peritoneum ndi mphete zamagumbo ndi epiponon.
Pelvioperitonitis mu zizindikiro zake zimakhala zofanana ndi zizindikiro za mimba yamatumbo , kupweteka kwa mpweya ndi apoplexy ya ovary, appendicitis. Dokotala yekha ndi amene angadziwe bwinobwino momwe angapewere njirayi, koma zonsezi zimafuna kusamalidwa mwamsanga ndi kuika mwamsanga wodwala kuchipatala.
Kuchiza kwa pelvioperitonitis
Ngati mukuganiza kuti mukuyamba kukhala ndi pelvioperitonitis, nthawi yomweyo chipatala ndi chofunikira. Wodwala amaikidwa mudiresi ya amayi, ngati panthawi yosonkhanitsa a anamnesis mfundo izi zikufotokozedwa:
- mayi posachedwapa anabala (postpartum pelvioperitonitis);
- wodwalayo anachotsa mimba, anayamba kupopera kapena kuchita zina mwachangu;
- panali opaleshoni pa maukwati;
- anachiritsidwa kuti adziwe matenda a venereal (gonorrheal pelvioperitonitis);
- ali ndi chifuwa chachikulu kapena chosachiritsika cha chiberekero, mazira, mazira, chiberekero.
Nthawi zina, wodwala amatumizidwa ku opaleshoni yambiri.
Ndikofunika kuti musatengere ma analgesics pamene zizindikiro za matendawa zikuwonekera, mwinamwake matendawa sangakhale nawo.
Chitani gynecologic pelvioperitonitis ndi mankhwala amphamvu opha tizilombo, komanso kuchitapo kanthu kuti muwononge thupi. Mzimayi ayenera kusamala kwambiri, abweretse chimbudzi pamunsi ndikukhala kuchipatala mpaka atachiritsidwa.