Adnexitis, izimpawu

Ukuba khona ukuvuvukala e ezikhiqiza amaqanda, amashubhu fallopian, ngokuthi adnexitis. Izimpawu zalesi sifo, ikakhulukazi okungamahlalakhona, ngokuvamile azinakwa noma isifo kungenzeka iphutha noma iyiphi enye.

Izimbangela adnexitis, izimpawu zesifo.
Isizathu esikhulu lesi sifo cishe njalo Amagciwane. Lokhu kungenziwa strepto - futhi Staphylococcus, Escherichia coli, Escherichia, agent causative of isipatsholo, njll Ezimweni eziningi, ukuvuvukala amashubhu fallopian kubangela adnexitis, ogama izimpawu salpingitis efanayo .. Lesifo ingena ekuntweleni, hematogenous nendlela lymphogenous, ukuvuvukala kungabangela umonakalo kwezinye izitho, ezifana appendicitis. Ukuvuvukala kuhilela amashubhu fallopian futhi ezikhiqiza amaqanda, ukwakha nhlanganisela. Ngo okulandelayo kungenzeka wesibeletho izicubu ukubhujiswa kanye nokuthuthukiswa ithumba (pioovar), lesizalo nemisipha abahilelekile kulandzelana nekuhlunga tinsita. Kukhona ifomu acute, sub-acute nokuvuvukala ezingamahlalakhona. Ifomu ezingamahlalakhona lesi sifo ongase aphathwe yisifo ngenxa adnexitis oyingozi.

adnexitis olunamandla, izimpawu
Ngemva contact ngamagciwane e esibelethweni, ikakhulukazi lihambisana izici ingqondo (hypothermia, ukuvuvukala kule amashubhu kanye ezikhiqiza amaqanda, buthaka amasosha omzimba) eba adnexitis oyingozi. Izimpawu zesifo zinezikhathi kuqala acute, obhekwe ubuhlungu besisu ephansi, iqolo, okuyinto zinganikwa ku ingemuva. Kukhona imfiva, izinga lokushisa emzimbeni liphume, kungenziwa kahle ukuchama. Ubuhlungu besisu ephelezelwa izimpawu yokucasuka we peritoneum ngakhoke eyiphutha appendicitis. Amandla incike ukubonakaliswa emitholampilo ye lwegciwane kanye impendulo umzimba.
Ngendlela ezingamahlalakhona izimpawu zezifo ngaphezulu lisuswe. Ubuhlungu akuzona okukhulu, obtuse. Amazinga aliphumi noma ifinyelela subfebrile. Vela ubovu osenyameni esithweni sangasese. Ukwehluleka kungenzeka umjikelezo wokuya esikhathini, ukopha enezinkinga, izinkinga lokukhulelwa (ukungazali zesibili). Kuthinta amashubhu fallopian. I mucosa we Pipe endosalpingit iyaqala kancane kancane ekuthumbeni zonke izingqimba. Umphumela adhesion futhi ingcina inqubo, kanye tube iba esingaweleki. Lokhu kungaholela ukuba ningabi nje kuphela ukungabi nenzalo. Ukwephula outflow ka exudate zanqwabelana kuholela hydrosalpinx, noma piosalpinks gemosalpinksu. Ngokuvamile eba pelvioperitonit. Lesi sifo eba nokunwetshiwe isikhathi esikukhompiyutha exacerbation kanye ukuvuvukala ezolile.

sitholakele isifo
Noma yiziphi izimpawu ngenhla adneksita, kuyinkomba i ukuvakashelwa ngokushesha wezifo zabesifazane. izinyathelo okuphoqelekile zokuxilonga zihlanganisa: Ukuhlolwa esibukweni, palpation esiswini, igazi smear phezu flora amaseli angavamile, ultrasound, laparoscopy endoscopic uma kunesidingo.
Nge palpation ubuhlungu nokuvuvukala, palpable esibelethweni lakhulisiwe futhi tube fallopian. Kungase kube izimpawu peritoneal omuhle. Ngokuvamile, ukuhlaziywa igazi leukocytosis ezinkulu, kukhuphuke ESR. I smear lwesitho sangasese sowesifazane ezinophawu ukwanda kwenani leukocyte kungase lwegciwane ngabodwa, ekutholweni kuvelana antibiotic. US-isithombe kungacacisa ngokunembe kakhudlwana indawo kugcwele ukuvuvukala, khona ukuvuvukala kanye abscesses al.

ekwelapheni lesi sifo
Kuyadingeka ukwelashwa ngemithi elwa namagciwane, ikhumbula lwegciwane. Carry analgesia spasmolytics esetshenziswa ne-calcium chloride. Ngo subacute esiteji ebekiwe Physiotherapy, udaka. Kubalulekile ukuvakashela njalo udokotela wezifo zabesifazane ukugwema isikhathi lwaluyophola ukwelapha izifo kohlelo genitourinary.