Salpingoophoritis yog ib yam kab mob uas tshwm sim los ntawm kev mob ntawm zes qe menyuam thiab cov hlab ntsha hauv plab. Nws tsis tshwm sim los ntawm nws tus kheej, tab sis vim yog kev cuam tshuam ntawm kev ua rau muaj kev cuam tshuam.
Nws tshwm sim li cas? Cov tsos mob dab tsi qhia tias muaj tus kab mob no? Kev kuaj mob ua li cas? Nws puas tuaj yeem kho tau thiab dab tsi xav tau rau qhov no? Qhov no thiab ntau ntxiv yuav tsum hais tam sim no.
Pathogenesis
Ua ntej peb mus saib cov ntaub ntawv hais txog cov tsos mob thiab kev kho mob ntawm salpingo-oophoritis, nws yog ib qho tsim nyog los tham txog dab tsi ua rau nws tshwm sim. Tej zaum yuav muaj ntau yam laj thawj.
thawj yog kab mob kab mob. Ua ntej, txhua yam kab mob pathogenic nkag mus rau hauv poj niam lub cev - Mycobacterium tuberculosis, gonococcus, E. coli, streptococcus, staphylococcus, thiab lwm yam. Ces, yog hais tias tus poj niam tsis quav ntsej cov tsos mob thiab tsis xav txog nws tsim nyog los pib kho, cov kab mob no pib tsim thiab multiply.. Yog li ntawd, pathogenic microflora kis thoob plaws lub cev. Cov kab mob nkag mus rau hauv lub cev, mus rau hauv cov ntaub so ntswg. Thiab lawv tuaj yeem, yog tias muaj kev tiv thaiv tsis muaj zog thiab kev tiv thaiv sab hauv, nkag mus rau hauv cov hlab ntsha, tom qab ntawd - mus rau hauv zes qe menyuam.
Tsis tas li, cov khoom siv feem ntau ua rau mob vim ua haujlwm dhau, tiv thaiv tsis muaj zog, da dej txias.
Ntau tus kab mob feem ntau tshwm sim tawm tsam keeb kwm ntawm tus kab mob sib kis. Tus neeg sawv cev ua rau hauv thaj chaw pelvic tuaj yeem tau txais los ntawm qhov tseem ceeb - purulent plugs hauv tonsils lossis maxillary sinus.
Ib tug ntxhais tuaj yeem kis tus kab mob vim tsis muaj kev tiv thaiv kev sib deev. Tshwj xeeb tshaj yog tias nws tshwm sim thaum cev xeeb tub, tom qab rho menyuam lossis lwm yam kev cuam tshuam hauv lub cev.
Los ntawm txoj kev, cov appendages tuaj yeem ua rau mob vim qhov kev phais ntawm cev xeeb tub. Yog tias nws ua tsis raug lossis lub sijhawm no tus neeg mob lub cev tsis muaj zog.
Yog tias peb tham txog qhov ua rau muaj kev ntxhov siab, ces lawv muaj xws li kev ntxhov siab, hypothermia, tsis noj zaub mov zoo thiab ua haujlwm ntau dhau.
Acute stage
Ua ntej, nws tsim nyog luv luv qhia cov duab kho mob, thiab tom qab ntawd mus rau kev xav txog cov hauv paus ntsiab lus ntawm kev kho mob salpingo-oophoritis.
Yog li, theem mob hnyav pib nrog cov tsos mob:
- mob hauv plab plab ntawm qhov mob hnyav uas tawm mus rau lub plab thiab qhov quav.
- Txoj kev tsis txaus siab, hais lus ntawm sab ntawm qhov mob.
- Mucoid lossis purulent paugcharacter.
- Fever.
- Zoo thiab tso zis tsis zoo.
- Irritations ntawm peritoneum (cov tsos mob ntawm kev tiv thaiv cov leeg), uas tau kuaj pom los ntawm palpation.
- nce erythrocyte sedimentation tus nqi, leukocytosis nrog kev hloov mus rau sab laug (kuaj los ntawm kev kuaj ntshav xa mus rau kev tshuaj xyuas).
Raws li txoj cai, kuaj pom ob sab salpingo-oophoritis. Kev kho mob tsis tuaj yeem ncua. Tsis tas li ntawd, tus kab mob no feem ntau ua ke nrog o ntawm lub tsev menyuam.
Tus kab mob no feem ntau nrog algomenorrhea (mob khaub thuas) thiab menorrhagia (ntev ntev thiab hnyav).
Nws tseem ceeb heev uas yuav tsum nco ntsoov tias nrog kev nce hauv qhov mob, cov qog purulent saccular tuaj yeem tsim hauv thaj tsam ntawm cov appendages. Qhov no hu ua tubo-ovarian abscess. Nrog rau tus kab mob no, lub raj mis thiab zes qe menyuam tsuas yaj. Raws li qhov tshwm sim, ib kab noj hniav raug tsim, muaj cov ntsiab lus purulent.
Kev kho mob salpingo-oophoritis
Yog tias tus poj niam tau kuaj pom tias muaj mob hnyav ntawm lub appendages, nws yuav raug mus rau hauv tsev kho mob tam sim ntawd. Nyob rau hauv qhov mob hnyav ntawm cov appendages, kev kho mob tsuas yog ua nyob rau hauv qhov chaw nyob ruaj khov.
Cov kws kho mob tau muab tshuaj tua kab mob dav dav los ntawm kev txhaj tshuaj rau hauv cov hlab ntsha lossis kev txhaj tshuaj intramuscular. Tsis tas li ntawd, ib tug poj niam tau muab txhais tau tias, kev txais tos uas yog tsom rau inhibiting kev loj hlob ntawm anaerobes - parasites uas tau txais lub zog nyob rau hauv tej yam kev mob uas tsis muaj oxygen.
Koj tseem yuav tau tshem tawmCov tsos mob ntawm kev qaug cawv. Ua li no, tus neeg mob tau muab cov tshuaj tso rau hauv cov hlab ntsha, los ntawm cov tshuaj vitamins thiab cov tshuaj tau txhaj rau hauv cov hlab ntsha.
Yuav tsum tau noj cov tshuaj immunomodulators. Yog poj niam muaj mob ces nws lub cev tsis muaj zog. Thiab nws yog ib qho tsim nyog los txhawb lub cev tiv thaiv kab mob los ntawm kev siv tshuaj, uas suav nrog cov tshuaj uas tuaj yeem ua rau nws muaj zog.
Raws li tau hais ua ntej, nrog rau tus kab mob no, kev txhim kho ntawm peritonitis lossis tsim cov purulent sacs hauv thaj tsam ntawm cov appendages tsis suav nrog. Qhov no tshwm sim tsuas yog hauv cov xwm txheej hnyav, tab sis yog tias qhov no tshwm sim, ces kev cuam tshuam kev phais yog qhov tseem ceeb.
Tam sim no ua kev phais laparoscopic. Ib tug poj niam raug txiav rau ntawm phab ntsa sab hauv plab 2-3 centimeters ntev, thiab tom qab ntawd tag nrho cov kev tsim nyog tau ua tiav.
Yog hais tias peb tham txog kev pab thawj zaug, tsuas yog siv qhov txias rau thaj tsam suprapubic xwb. Kev siv lub tshuab cua sov yog contraindicated.
Subacute theem
Thaum tham txog cov tsos mob thiab kev kho mob salpingo-oophoritis, qhov teeb meem no tsis tuaj yeem tsis quav ntsej. Cov theem subacute yog tus cwj pwm los ntawm kev txhim kho ntawm qhov mob tsuas yog hauv zes qe menyuam lossis hauv cov hlab ntsha fallopian. Nws yog tus yam ntxwv los ntawm cov tsos mob hauv qab no:
- Kub kub.
- Zoo hauv plab plab.
- Kev qaug zog.
- mob plab hauv plab, hnyav dua los ntawm kev sib deev.
- Colitis.
- Irregularities in menstrual cycle.
- Hlawv thiab khaus ntawm qhov chaw mos. Kev xav zoo ib yam li cov poj niam tau ntsib thaumthrush.
Qhov teeb meem yog tias daim ntawv subacute zoo li tus poj niam khaub thuas hauv ntau qhov tsos mob. Thiab lawv mus nrawm heev.
Yog tus ntxhais tsis mus ntsib kws kho mob, tab sis tsuas yog pib khaws tshuaj rau nws tus kheej, txawm tias txias, ces tus kab mob yuav kis mus rau mob salpingo-oophoritis. Thiab kev kho mob ntawm daim ntawv no yog qhov nyuaj heev.
kho mob rau theem subacute
Yog tias tus kws kho mob tau sau ntawv kho mob raws sijhawm (thiab qhov no nyob ntawm lub sijhawm sau ntawv ntawm tus neeg mob rau kev kuaj mob), ces nws yuav muaj peev xwm tiv thaiv kev tsim cov cicatricial hloov hauv lub tsev menyuam, uas yog fraught nrog tsis muaj ntxiv lawm tshob..
Tus kws kho mob tau sau qee yam tshuaj rau kev kho mob salpingo-oophoritis. Lawv cov npe yog dav heev:
- Antiviral suppositories, txhaj tshuaj thiab tshuaj. Cov tshuaj zoo tshaj plaws yog Clindacin, Acyclovir, Betadine thiab Terzhinan.
- Tshaj tawm. Lawv pab txo qhov mob. Cov tshuaj feem ntau yog Neolgin, No-Shpa thiab Ibuprofen.
- Tus neeg saib xyuas kev noj qab haus huv. Lawv txo cov kev tsis haum tshuaj. Feem ntau cov tshuaj "Dimedrol", "Suprastin", "Tavegil", "Diprazin" thiab "Diazolin".
- Immunomodulators. Qhov tseem ceeb ntawm lawv qhov kev txais tos twb tau hais ua ntej lawm. Ib qho tshuaj zoo tshaj plaws hauv pawg no yog Cycloferon.
- Tshuaj tua kab mob. Tus poj niam xav tau dab tsi nyob ntawm tus kab mob uas ua rau tus kab mob. Lawv tuaj yeem sau tshuaj "Cefotaxime" thiab "Ceftriaxone", lossis lawv tuaj yeem sau tshuaj macrolides thiab"Doxycycline"..
- YProbiotics. Tsim nyog rau normalization ntawm microflora ntawm qhov chaw mos thiab cov hnyuv. Dav dav "Profibor", "Bifiform" thiab "Lineks".
- tshuaj hormonal. Yog tsis muaj lawv, nws yog ib qho nyuaj rau normalize lub cev ntas. Muaj ntau ntau ntawm lawv - "Regulon", "Yarina", "Lindinet", "Jess", "Klayra", thiab lwm yam. Cov tshuaj yog muab los ntawm obstetrician-gynecologist tom qab kuaj tus neeg mob thiab kawm nws cov kev xeem.
Raws li koj tuaj yeem pom, kev kho mob salpingo-oophoritis, uas cov hlab ntsha tsis tau cuam tshuam, zoo li yooj yim dua, tsis zoo li cov ntaub ntawv dhau los.
kab mob chronic
Daim foos no kuaj tau yog tias tus poj niam tau muaj mob ntau lub hlis. Thiab ua ntej tham txog kev kho mob ntawm tus mob salpingo-oophoritis, koj yuav tsum paub seb tus kab mob mus rau theem no li cas.
Yog li, qhov no yog txheej txheem polyetiological ntawm cov xwm txheej pathological. Ua ntej, cov ntaub so ntswg ntawm cov khoom nruab nrog cev raug puas tsuaj, ces o tshwm sim. Thiab tag nrho cov no yog vim lub luag haujlwm tseem ceeb ntawm cov kab mob cab thiab lwm yam kab mob pathogenic.
Nyob ntawm qhov tseeb yog tus kab mob, raws nraim li cas nws nkag mus rau hauv lub cev, thiab los ntawm cov txheej txheem dab tsi tus kab mob tsim, ib qho kab mob tshwj xeeb thiab tshwj xeeb raug cais tawm.
Nws tseem yuav tsum tau muab sau tseg tias tus kab mob tuaj yeem ua mob ntev vim yog kev kho tsis raug lossis kho tsis raws sijhawm ntawm ob tog salpingo-oophoritis.
Yog tus poj niam raug tus kab mob no, nws muajkev zam txim. Nws tus mob zoo tuaj, thiab cov tshuaj tiv thaiv inflammatory tsis tau hais. Tag nrho cov cim yuav ploj mus tag nrho. Tab sis tom qab ntawd qhov exacerbation ntawm salpingo-oophoritis yog ua tau. Kev kho mob hauv qhov no yog qhov tsim nyog tam sim. Feem ntau "kev sib kis" ntawm tus kab mob ua rau muaj qhov tshwm sim:
- Kev txhim kho ntawm endometritis. Sab hauv mucous ntawm phab ntsa uterine ua o.
- Pelvic fiber ntau ua rau mob.
- Kev txhim kho ntawm cov txheej txheem purulent.
- Tsim cov kab noj tsawg uas muaj cov paug (abscess).
- Phlegmon. Qhov no yog lub npe purulent acute diffuse o uas tsis muaj ciam teb.
- Kev hloov pauv hauv qib hormonal.
- Kev tsim ntawm adhesions. Yog hais tias tus kab mob no kav ntev, ces cov hlwb puas ntawm zes qe menyuam los yog hlab ntsha fallopian yog hloov. Vim lawv, qhov sib txawv narrows. Qhov no ua rau muaj menyuam tsis taus lossis ua rau muaj kev pheej hmoo ntawm cev xeeb tub tom qab ectopic.
Feem ntau, mob salpingo-oophoritis, kev kho mob uas tam sim no yuav tham txog, yog hom kab mob nyuaj tshaj plaws hauv nqe lus nug, vim nws cuam tshuam txog kev ua haujlwm thiab hormonal hloov hauv poj niam lub cev.
Sib ntaus sib tua mob ntev
Nws tseem yuav tsum tau tham txog nws, txij li peb tab tom tham txog cov tsos mob thiab kev kho mob salpingo-oophoritis ntawm cov poj niam. Tau kawg, nyob rau hauv cov ntaub ntawv no, raws li nyob rau hauv tag nrho lwm yam, tag nrho cov lus pom zoo thiab kev kho mob yog tsim los ntawm tus kws kho mob.
Kev kho mob salpingo-oophoritis nrog tshuaj tua kab mob thiab tshuaj ntawm lwm pawg tsis yog thoob ntiaj teb. Txhua yam dej num txawv nyob ntawm seb yuav ua li cascov txheej txheem inflammatory tab tom ua haujlwm.
Tsis tas li, tus kws kho mob cais piav qhia txog kev kho mob rov qab thiab kev ua haujlwm uas yuav tsum tau ua thaum lub sijhawm tshem tawm. Tag nrho cov lus pom zoo yuav tsum ua raws. Qhov no yuav pab kom tsis txhob muaj qhov hnyav, uas ua rau muaj teeb meem ntau.
Yog hais tias feem ntau los piav txog cov lus pom zoo, ces txoj kev kho mob zoo li no:
- Yam yuav tsum tau ua, uas txhais tau tias txwv kev ua haujlwm ntawm lub cev muaj zog.
- Koj yuav tsum noj tshuaj uas muaj txiaj ntsig zoo rau tus neeg kis tus kabmob.
- Yuav tsum haus tshuaj tiv thaiv kab mob.
- Yuav tsum tau noj cov tshuaj antispasmodics, uas yuav pab txo cov suab nrov ntawm cov leeg nqaij ntawm phab ntsa ntawm cov hlab ntsha.
- Yuav tsum tau noj tshuaj tiv thaiv kab mob kom txo tau qhov mob hnyav ntawm kev tsis haum tshuaj uas tshwm sim los ntawm kev kis kab mob.
- Ua detoxification.
Tom qab kev kho mob ntawm salpingo-oophoritis, qhov hnyav ntawm cov tshuaj tiv thaiv kab mob tau txo qis. Nov yog qhov qhia txog kev zam txim.
Lub sijhawm no, kev ntsuas yuav tsum tau ua txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau kis tus kabmob, yog tias ua tau. Tsis tas li ntawd, ib tug poj niam yuav tau rov ua nws txoj kev tiv thaiv kab mob, thiab, yog tias tus kws kho mob pom zoo, ua raws li cov txheej txheem hauv qab no.
Lwm yam kev kho mob
Lawv kuj yuav tsum hais. Kev kho mob ntawm salpingoophoritis tuaj yeem suav nrog ntau cov txheej txheem sib txawv txhawm rau tshem tawm qhov teeb meem. Ntxiv rau qhov saum toj no, cov hauv qab no tau xyaum:
- Ntxhis lub vaults ntawm qhov chaw mos. Nws yog siv los txhaj tshuaj tua kab mob ncaj qha rau hauv lub plab mog.
- Ultrahigh zaus inductothermy. Nws qhia txog qhov cuam tshuam ntawm cov appendages siv lub tshuab hluav taws xob ntau zaus. Hauv cov ntsiab lus yooj yim, cov txheej txheem yog ua raws li qhov raug thermal.
- Magnetotherapy. Ib txoj hauv kev los ntawm kev kho mob lwm yam.
- Kev kho mob salpingo-oophoritis nrog tam sim no. Nws muaj cov nyhuv neurostimulating, vasodilating thiab yas.
- Kev kho mob hauv tsev kho mob-dispensary.
- Plasmapheresis. Qee cov ntshav tau coj los ntawm tus neeg mob, ntxuav cov kab mob, thiab rov qab mus rau lub cev.
- Gynecological massage ntawm lub tsev menyuam. Nws yog tsom rau kev rov ua haujlwm ntawm zes qe menyuam, nrog rau tshem tawm qhov tsis xws luag hauv cov appendages. Ua manually los ntawm tus kws kho mob.
Hauv feem ntau ntawm cov neeg mob hnyav, nws muaj peev xwm tiv tau tus kab mob los ntawm ib qho ntawm cov txheej txheem teev tseg. Tab sis qhov no tsuas yog tias tus neeg mob tsis quav ntsej qhov mob thiab mus rau kev kuaj mob kom paub meej tias qhov kev kuaj mob. Kev kho mob hauv qhov no yuav ua tau raws sijhawm thiab ua tau zoo.
Txawm li cas los xij, nyob rau hauv cov xwm txheej nyuaj, tsis saib xyuas, ib tus yuav tsum siv rau kev ntsuas hnyav. Namely, rau kev tshem tawm ntawm appendages.
Txoj kev ua neeg
Yog tias koj ntseeg qhov kev tshuaj xyuas, kev kho mob ntawm salpingo-oophoritis nrog cov khoom npaj rau tus kheej kuj tseem siv tau. Cov kws kho mob feem ntau tsis ntseeg txog qhov kev thov no, tab sis raws li kev tiv thaiv kev tiv thaiv, qee qhov "cov tshuaj" yuav pab tau. Nov yog qee cov zaub mov txawv:
- In equalsproportions mix qhuav linden thiab chamomile. Ncuav 50 grams ntawm resulting sib tov rau hauv saucepan thiab ncuav 1 liter dej. Xa lub thawv rau qhov hluav taws kub thiab boil. Tom qab ntawd tshem tawm, txias thiab lim. Siv cov txiaj ntsig decoction rau sitz da dej lossis douching rau 14 hnub.
- Sib tov sib npaug ntawm rowan, strawberry thiab hawthorn txiv hmab txiv ntoo, hlua, nettle, mint, birch nplooj thiab immortelle paj. Ncuav 20 grams ntawm sau nrog boiling dej (400 ml). Tshem tawm mus rau qhov chaw txias tsaus kom infuse. Nws tuaj yeem siv tom qab 12 teev. Koj yuav tsum haus peb zaug ib hnub twg, 70 ml rau 10-14 hnub.
- Koj tuaj yeem sim kho salpingo-oophoritis nrog cov tshuaj pej xeem uas muaj tshuaj tua kab mob thiab desensitizing nyhuv. Nws yog tsim nyog los sib tov nyob rau hauv sib npaug proportions cov txiv hmab txiv ntoo ntawm alder, licorice, elecampane, aralia rhizome, immortelle, horsetail, hlua thiab qus sawv. Chop txhua yam. Ncuav 30 grams ntawm sib tov nrog boiling dej (0.5 l). Rau 8 teev, xa mus rau qhov chaw qhuav thiab txias. Ces lim. Haus hauv 5 koob tshuaj ib hnub, ib txwm tom qab noj mov. Hoob kawm tsawg kawg yog kaum hnub.
- Cov rhizomes ntawm marsh iris yuav tsum tau crushed. Ncuav ob peb tablespoons ntawm cov nroj tsuag nrog boiling dej (200 ml). Tshem tawm rau 3 teev nyob rau hauv qhov chaw qhuav. Ces lim. Haus 3 tablespoons plaub zaug ib hnub twg, los yog siv rau douching. Hoob kawm yog ob lub lis piam.
- Crushed echinacea nyob rau hauv tus nqi ntawm 15 grams ncuav kho mob cawv (500 ml). Kaw lub thawv thiab cia nws brew nyob rau hauv ib chav txias tsaus. Cia nws brew rau 14 hnub, co qee zaus. Tom qab ntawd ntxiv me ntsis boiled dej kom dilute lub fortress. Noj 6 zaug hauv ib hnub5 tee rau kaum hnub.
Kev kho neeg pej xeem ntawm salpingo-oophoritis yog nrov. Muaj ntau ntau yam zaub mov txawv. Tab sis ua ntej koj pib noj cov tshuaj hauv tsev, koj yuav tsum sab laj nrog koj tus kws kho mob. Txwv tsis pub, koj tuaj yeem ua mob rau koj tus kheej.
Kev Tiv Thaiv
Nov yog qhov kawg. Ib tug ntxhais yuav tsis muaj mob salpingo-oophoritis yog tias nws yog:
- Nco ntsoov tias txawm tias ib qho kev sib deev tsis muaj kev tiv thaiv tuaj yeem ua rau kis tus kab mob.
- Siv kev tiv thaiv - hnab looj tes, tshuaj suppositories thiab tshuaj rau qhov chaw mos. Nws yuav tsum nco ntsoov tias qhov kev coj ncaj ncees thiab kev ncaj ncees ntawm tib tus khub tsis tas yuav zam qhov muaj tus kab mob STD.
- Mus ntsib kws kho mob tsis tu ncua nrog tus khub txhawm rau kuaj xyuas. Koj tuaj yeem ua tau ua ke ua ntej thawj qhov kev sib raug zoo tshwm sim.
- Zam kev sib deev qhov quav tsis muaj kev tu cev ua ntej.
- Ua raws li kev noj zaub mov kom zoo, uas suav nrog tag nrho cov microelements thiab vitamins tsim nyog rau poj niam lub cev. Tus kws qhia noj zaub mov tuaj yeem pab nrog nws muab tso ua ke.
Thiab qhov tseem ceeb tshaj - thaum muaj 2-3 lub cim ntawm tus kab mob, koj yuav tsum tsis txhob yig mus ntsib kws kho mob. Yog tias koj xav kom zam dhau qhov tshwm sim saum toj no thiab kim, tsis tas li tsis muaj kev kho mob nyuaj, koj yuav tsum tsis txhob quav ntsej cov tsos mob.
