I-salpingoophoritis okanye i-adnexitis ukuvuvukala kwezixhobo ze-uterine (ii-ovari kunye nama-tublopian tubes) ezibangelwa yi-microorganisms ze-pathogenic. Kukho iintlobo ezinzulu, ezixhatshazayo kunye ezingapheliyo ze-salpingo-oophoritis. Ukunyanga ngokungenakunqanda ukuvuvukala kwezixhobo zohlobo lwe-uterine kubangelwa ukuba kungabikho kobuthathaka.
Ifomu efanelekileyo
I-adnexitis enobuchule iqhubeka ibuhlungu ngokufanelekileyo, kwaye kuyimfuneko ukuyiphatha esibhedlele. Amachiza aphezulu ekunyangeni ukuvuvukala kwezi zixhobo ezichasayo ziyi-antibiotics, ezichazwe ngokuxhomekeka kwimihlobo ye-pathogen. Zivame ukuchaza iziyobisi ezininzi okanye idibanti ye-antibiotic - le ndlela isetyenziselwa ukusuleleka kwintsholongwane ye-anaerobic.
Inhlanganisela efanelekileyo yamachiza:
- gentamycin kunye nevomycetin;
- i-lincomycin kunye ne-clindomycin;
- clindomycin kunye ne-chloramphenicol;
- ipenicillin kunye ne kanamycin / gentamicin (ngenxa yokusuleleka kwe-anaerobic).
Kwiintsuku ezintathu le ntokazi ibonisa ukushisa, kwaye intlungu ebundwini iyancipha. Ukunyanga okuqhubekayo ukuvuvukala kweefowendages kuncediswa ngamacwecwe eqela leepenicillins kunye ne-aminoglycosides.
Ukususa iimpawu zokuxhatshazwa, isigulane sifakwa i-droppers ne-glucose, i-polyglukin, i-hemodez, i-rheopolyglucose, iivithamini. Ulwaphulo luyaxhaswa ngama-antihistamines: dimedrol, suprastin.
Ifomu engapheliyo: ukunyanzeliswa
Ngexesha loxinzelelo, unyango lwezonyango lwe-appendages lubandakanya i-antibacterial, ukumnika i-infusion, ukuchithwa kweyeza.
Xa kunzima ukukhushulwa esibhedlele, akukho mfuneko yokuba uphathwe ekhaya, kodwa ngokuhambelana neengcebiso zegqirha.
Ukusetyenziswa komlomo, iyeza-antibiotic zisetyenziswa:
- bactal;
- bactrim;
- ofloxin;
- siflox.
Ukusetyenziswa kwesicatshulwa ekwenzeni ukutshabalala kwamacandelo afaka i-suppositories, i-gel, i-creams (i-clindamycin, i-dalacin) kunye nesisombululo sokubhabhisa (i-vagotyl, i-romazulan, i-miramistin). Ulwaphulo kufuneka luncediswe nge-immunomodulating drugs kunye nama-multivitamines.
Ifomu elingapheliyo: ukuxolelwa
Emva kokunciphisa ukunyuka kwe-adnexitis physiotherapy kunconywa:
- electrophoresis nge magnesium, iodine, zinc, potassium;
- UHF-unyango;
- autohemotherapy;
- unyango lwe ultrasound;
- vibromassage;
- injola ye-alo.
Ezi nkqubo ziyanciphisa umngcipheko wokubambelela, zineempembelelo zokuhlaziya.
Ukugqithisa okungapheliyo kwezixhobo ze-uterine kuthethwa ngonyango kunye nodaka lokuphilisa (ozokeritotherapy) kunye nezicelo zeparafini; Ukunkcenkceshela okwenziwe ngamanzi ngamanzi amaminerali (i-sulfide, i-chloride-sodium) kunye nokuhlambela.
Ukugqithisa ixesha lokuxolelwa, khetha i-contraceptive yomlomo ngokudibeneyo-inkqubo yeenyanga ezili-6.
Ukuthandeka ngokufanelekileyo kwimpilo yezigulane ezinezonyango ezingapheliyo zonyango kunye neyonyango (kunconywe ukuxolelwa okuqhubekayo).
Iingxaki kunye nokunyangwa ngonyango
Ngokuqhelekileyo, kwabasetyhini abalibazise ukwelashwa, ukuvuvukala kwezi zixhobo zivusa iingxaki ezidinga ukungenelela kwindlela yokuhlinzwa (peritonitis, abscess abscess, pregnancy ectopic).
Ingenelelo yokuphanda ikuvumela ukuba ususe ukuxhasana, ukulungelelanisa kunye nokwenziwa kwamanzi, ubuyisele ubujamo beetayiti. Umngcipheko wokungabikho kwengqondo emva kokuhlinzwa akuphendulwanga.
Namhlanje, kwindlela yokusebenza yokuvuvukala kwezixhobo ze-uterine, i-laparoscopy kunye ne-minilaparoscopy zisetyenzisiwe-ezi ndlela zokugqithisa aziyi kushiya naziphi izibazi kwaye zibuhlungu kakhulu kunokuba zenzeke.