Tus poj niam txoj kev noj qab haus huv yog tus yuam sij rau nws tsev neeg thiab niam txiv kev zoo siab. Yog li ntawd, lub luag hauj lwm tseem ceeb ntawm niaj hnub gynecology yog kev tiv thaiv thiab kev kho mob ntawm ntau yam pathologies nyob rau hauv cov poj niam qhov chaw mos. Kev mob ntawm cov appendages, cov tsos mob uas txhua tus poj niam yuav tsum tau ntsib tsawg kawg ib zaug hauv nws lub neej, yog kab mob uas yuav tsum tau kho tam sim.
Kev phom sij yog dab tsi
Nrog ib qho kev mob gynecological tshwm sim, ua ntej ntawm tag nrho cov, yeej ib txwm muaj kev pheej hmoo rau kev loj hlob ntawm kev loj hlob. Yog li ntawd, yog tias pom muaj cov tsos mob ntawm cov kab mob zoo li no, yuav tsum muaj kev sab laj tshwj xeeb. Tom qab tag nrho, qhov tshwm sim ntawm tus kab mob nyob ntawm seb qhov kev kho mob raws sij hawm thiab txaus.
Ua rau mob
Feem ntau, ntau yam kab mob thiab kab mob tuaj yeem ua rau muaj kev txhim kho ntawm o ntawm cov kab mob hauv cov poj niam (cov tsos mob zoo ib yam li kev tawm tsam ntawm mob plab hnyuv lossis lub raum colic). Feem ntau, xws li provocateurs kis taukev sib deev. Cov no feem ntau yog chlamydia, trichomonas, mycoplasmas, kab mob herpes thiab lwm yam kab mob. Txawm li cas los xij, cov no tuaj yeem yog cov neeg nyob hauv cov kab mob pathogenic microflora, uas ib txwm muaj nyob rau ntawm daim tawv nqaij ntawm peb lub cev - streptococci, candida, staphylococci thiab lwm yam microbes.
Kab mob tuaj yeem tshwm sim los ntawm ntau yam kab mob uas "poob los saum toj". Tsis tshua muaj, tab sis tseem muaj peev xwm ua txhaum ntawm cov txheej txheem inflammatory tuaj yeem yog cov kab mob pathogens uas nkag mus rau hauv cov qog ntshav los ntawm cov ntshav thiab cov qog ntshav. Lawv nkag mus rau hauv lub plab system ntawm tus poj niam los ntawm ob lub raum, lub ntsws thiab, kuj ceeb tias, lub qhov ncauj kab noj hniav nrog ib tug mob caj pas los yog cov kab mob ntawm cov hniav. Cov kab mob zoo li no ua rau mob ntawm cov hlab ntsha hauv plab, thiab tom qab ntawd ntes cov zes qe menyuam.
Nws tseem tuaj yeem ua rau qhov ua rau mob ntawm cov kab mob hauv cov poj niam (ob qho tib si cov tsos mob thiab cov kab mob tau hais tawm, nrog rau lub sijhawm lossis qhov mob tsis tu ncua, ua npaws) yog hypothermia, rho menyuam, ua haujlwm hauv tsev menyuam, ectopic cev xeeb tub, yug me nyuam, siv cov cuab yeej intrauterine, thiab lwm yam. Qhov tshwm sim ntawm qhov tshwm sim ntawm qhov tsis xav tau pathology yuav yog qhov kev kuaj mob tsis raug lossis kev kho tsis zoo.
Yog li ntawd, cov tsos mob ntawm o ntawm cov appendages lawv tus kheej tsuas yog qhov tshwm sim ntawm kev kis tus kab mob uas twb tau nyob hauv cov kab mob genitourinary ntawm tus poj niam.
Kev txhim kho ntawm pathology
Thaum cov kab mob phem nkag mus rau hauv lub tsev menyuam, lawv ua tiav hauv nws cov kab noj hniav, npog ntau thiab ntau qhov chaw, maj mam ntes cov hlab ntsha. ATRaws li qhov tshwm sim, lub cev pib ua kom tuab: cov kua paug tawm, adhesions tshwm sim. Yog tias tus kab mob no tsis quav ntsej lossis kho tsis raug rau theem no, tus txheej txheem kis mus ntxiv thiab twb ntes cov zes qe menyuam.
Nrog rau cov tsos mob ntawm o ntawm zes qe menyuam thiab appendages nyob rau hauv cov poj niam, cov kev hloov pathological tshwm sim - soldering ntawm lub fallopian hlab thiab zes qe menyuam. Raws li ib tug tshwm sim ntawm xws formations, obstruction ntawm cov hlab ntsha tshwm sim, uas entails cov tsos ntawm ectopic cev xeeb tub thiab impossibility ntawm ib tug tag nrho. Nws tshwm sim tias thaum lub sij hawm o, kev hloov pauv pathological pib kis mus rau ib puag ncig peritoneum, yog li yeej ib txwm muaj kev pheej hmoo ntawm cov kab mob septic txaus ntshai.
Muaj ntau hom mob, thiab txhua tus ntawm lawv muaj theem thiab ntws yam ntxwv.
Salpingitis: cov tsos mob, cov tsos mob, qhov tshwm sim
Kab mob pathology ntawm cov hlab ntsha uas tshwm sim los ntawm kev kis kab mob hu ua salpingitis. Hauv qhov mob hnyav ntawm tus kab mob no, cov neeg mob yws:
- rau qhov mob hnyav hauv plab plab;
- ua npaws thiab kub taub hau;
- chiv thiab qaug zog.
Cov tsos mob ntawm o ntawm cov appendages hauv subacute thiab ntev daim ntawv muaj cov chaw kho mob tshem tawm, yog li, txhawm rau kuaj xyuas kom raug, yuav tsum muaj qee qhov kev sim thiab kev tshawb fawb ultrasound.
Qhov tshwm sim ntawm cov kab mob inflammatory no yog qhov cuam tshuam ntawm ib los yog ob qho tib si hauv cov hlab ntsha, qhov tshwm sim ntawm purulent tubo-ovarian formations. Yuav tsum muajkev kho mob nrog tshuaj tua kab mob.
Salpingitis nws tus kheej yog qhov tsawg heev. Feem ntau tshwm sim nrog kev koom tes hauv cov txheej txheem inflammatory ntawm zes qe menyuam (salpingoophoritis, los yog adnexitis) los yog ua ke nrog o ntawm lub tsev menyuam (endometritis).
Adnexitis
Salpingoophoritis (adnexitis) yog cov txheej txheem inflammatory uas ib txhij tshwm sim nyob rau hauv ob qho tib si cov hlab ntsha thiab zes qe menyuam. Nws yog tus cwj pwm los ntawm qhov mob hnyav thiab mob hauv plab plab, qhov kub thiab txias, lub voj voog tsis zoo, kev qaug zog thiab lwm yam tsos mob. Kev kho mob ntawm cov kab mob hauv cov poj niam thiab cov kab mob no, thiab lwm yam kab mob zoo sib xws, yuav tsum tau mus ntsib tus kws kho mob tam sim ntawd.
Adnexitis yog qhov txaus ntshai nyob rau hauv uas nrog kev mob ntev ntev nws provokes qhov tshwm sim ntawm cov txheej txheem nplaum hauv cov hlab ntsha. Qhov no yog qhov ua rau poj niam muaj menyuam tsis taus.
Los ntawm lub raj, cov kua paug tuaj yeem nkag mus rau hauv lub plab kab noj hniav, uas yuav ua rau muaj kab mob peritonitis, qhov tshwm sim ua rau muaj kev phom sij rau lub neej. Physiological hloov nyob rau hauv lub zes qe menyuam, taw qhia lawv tus kheej nrog cov tsos mob ntawm o ntawm appendages, entail cov tsos ntawm uterine los ntshav thiab lub voj voog tsis zoo. Txij li thaum lub zes qe menyuam yog ib feem tseem ceeb ntawm cov tshuaj hormonal, malfunctions nyob rau hauv lawv cov hauj lwm tsis mus unnoticed rau tag nrho lub cev. Muaj kev pheej hmoo ntawm ntau hom kab mob mammological thiab mob ntawm cov thyroid caj pas.
Cov tsos mob thiab cov cim qhia ntawm oophoritis
Kab mob pathology ntawm zes qe menyuam yog oophoritis. Niaj hnub no gynecology distinguishes ntawm mob,subacute thiab chronic form.
Nyob rau hauv mob hnyav, cov neeg mob yws:
- rau qhov mob tsis tu ncua hauv plab plab, tawg mus rau lub lumbar lossis sacrum;
- tso zis ntau zaus nrog mob hnyav thiab mob plab;
- nce lub cev kub nrog kub taub hau thiab malaise;
- tawm paug tawm;
- mob hnyav thaum sib deev.
Ntawm kev kuaj mob, gynecologist txiav txim siab qhov loj ntawm zes qe menyuam. Thaum kuaj pom tseeb, tus neeg mob yuav tsum tau mus pw hauv tsev kho mob sai nrog kev kho mob hauv tsev kho mob.
chav kawm Subacute yog ib hom kab mob tsawg heev. Feem ntau tshwm sim ua ke nrog tuberculosis lossis mycosis.
Kev kuaj mob tsis tu ncua ntawm cov tsos mob thiab kev kho mob ntawm cov kab mob ntawm cov kab mob, nrog rau nws qhov ua tsis tiav, ua rau muaj tus kab mob ntev. Nyob rau hauv cov ntaub ntawv no, tus kab mob kis tau ib tug protracted chav kawm nrog periodic exacerbations. Mob o ntawm lub zes qe menyuam yog tus cwj pwm los ntawm npub, mob ib ce nyob rau hauv lub puab tais. Cov kev xav tsis zoo tuaj yeem ua rau muaj zog nrog qhov pib ntawm lub voj voog. Hauv qhov no, muaj qhov tso tawm me ntsis, mob thaum muaj kev sib deev thiab kev xeeb tub tsis tau.
Dab tsi yog qhov txaus ntshai ntawm endometritis
Cov tsos mob ntawm o ntawm lub tsev menyuam thiab cov appendages yog cov tsos mob ntawm cov mucous txheej ntawm endometrium ua ke nrog o ntawm cov leeg nqaij txheej ntawm lub cev xeeb tub thiab tej zaum yuav muaj cov duab qhia. Lub physiological feature ntawm lub mucous daim nyias nyias ntawm lub uterine kab noj hniav yog yuav tsum tau hloov kho nrog lub sij hawm tuaj txog ntawm txhua lub voj voog tshiab,nyob rau hauv kev npaj rau kev txuas ntawm lub qe fertilized, thiab tsis kam yog fertilization tsis tshwm sim.
Ntau zaus, vim qee qhov txheej txheem inflammatory tshwm sim los ntawm ntau yam kev phais, kev yug menyuam thiab cov kab mob sib kis, cov khoom ntawm cov qe menyuam hauv plab thiab cov placenta tseem nyob hauv lub tsev menyuam. Maj mam, qhov chaw zoo yog tsim rau kev loj hlob ntawm cov kab mob pathogenic, thiab kev hloov pauv tsis zoo hauv endometrium tshwm sim.
Kev tshwm sim ntawm endometritis yog kev coj khaub ncaws, uterine los ntshav, los ntshav ntawm lub sijhawm, purulent serous tawm nrog ib qho tsis kaj siab tsw, tsis xis nyob thiab mob thaum muaj kev sib deev.
Endometritis hauv txhua qhov nws tshwm sim tau kho hauv tsev kho mob siv tshuaj tua kab mob thiab tshuaj hormonal.
Diagnosis
Kev txheeb xyuas ntawm txhua hom kev mob ntawm cov kab mob hauv cov poj niam (cov tsos mob feem ntau tuaj yeem zoo ib yam li cov tsos mob ntawm qhov mob plab hnyuv, cystitis, lub raum colic lossis lwm yam kab mob ntawm lub plab hnyuv siab raum) yuav tsum tau ua tsuas yog los ntawm tus kws tshaj lij. Kev kuaj mob yog ua los ntawm tus neeg mob cov lus tsis txaus siab, sau cov anamnesis ntawm cov kab mob, kuaj gynecological, ultrasound thiab kuaj ntshav kuaj ntshav thiab smears.
tshuaj ntsuab: kho mob ntawm appendages
Cov neeg mob kuaj pom tias muaj qhov mob ntawm lub appendages raug kho hauv tsev kho mob, vim tias tseem muaj kev hem thawj ntawm cov teeb meem septic txaus ntshai (kev loj hlob ntawm parametritis,pelvioperitonitis lossis peritonitis).
Nyob ntawm hom kab mob thiab daim ntawv ntawm nws cov chav kawm, xaiv ib qho kev kho mob rau tus kheej. Tus neeg mob feem ntau yog muab tshuaj tua kab mob, absorbable therapy thiab physiotherapy. Hauv qhov xwm txheej tseem ceeb, kev phais mob tuaj yeem ua tau.
kev kho neeg zoo
Muaj ntau txoj hauv kev uas tuaj yeem siv los tiv thaiv gynecological o. Ntau tus poj niam qee zaum tau ua tiav zoo tshem tawm cov tsos mob ntawm qhov mob ntawm appendages hauv tsev. Kev kho mob nyob rau hauv cov ntaub ntawv no muaj nyob rau hauv complex nyhuv ntawm ib txwm tshuaj thiab tshuaj.
Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias nyob rau hauv cov ntaub ntawv mob thiab mob ntev ntawm cov kab mob gynecological, kev siv qee yam tsis yog kev lig kev cai yuav txawv heev. Yog li, piv txwv li, hauv cov txheej txheem mob hnyav, nws tsis pom zoo kom sov so hauv da dej kub, thaum nyob rau hauv cov ntaub ntawv mob ntev ntawm tus kab mob, ua kom sov thiab ntau yam douching tuaj yeem ua rau muaj txiaj ntsig zoo.
Tsis txhob hnov qab tias cov txheej txheem inflammatory nyob rau hauv lub plab mog ntawm tus poj niam feem ntau yog ib tug pathology ntawm tus kab mob. Yog li ntawd, kev kho mob ntawm cov tsos mob ntawm o ntawm appendages nrog pej xeem tshuaj tsuas yog ib qho kev ntsuas ntxiv rau cov nyhuv antibacterial.
Kev tiv thaiv kab mob gynecological
Txhawm rau tiv thaiv kev txhim kho ntawm cov txheej txheem inflammatoryzes qe menyuam thiab appendages yuav tsum ua raws li cov cai yooj yim tab sis tseem ceeb heev. Ua ntej tshaj plaws, kev kis kab mob ntawm qhov chaw mos, hypothermia thiab kev ntxhov siab yuav tsum raug zam. Thaum thawj cov tsos mob ntawm tus txheej txheem inflammatory, nws tsis yog yuav tsum tau ncua mus ntsib mus rau lub tsev kho mob antenatal rau "tom qab". Kev kuaj mob ntawm tus kab mob nyob rau hauv cov theem thaum ntxov ntawm kev loj hlob feem ntau txiav txim siab nws qhov tshwm sim. Ntxiv mus, mus ntsib kws kho mob gynecologist txhua rau lub hlis yog ib txoj hauv kev zoo tshaj plaws los tiv thaiv tsis yog tsuas yog mob ntawm cov kab mob xwb, tab sis kuj tseem muaj lwm cov poj niam pathologies loj.
Qhov tshwm sim ntawm kev tsis saib xyuas thiab mob ntev ntawm cov kab mob no yog kev xeeb tub, kev siv tshuaj thiab tshuaj hormonal mus tas li, lossis muaj peev xwm hem kom plam poj niam gonads tag nrho. Yog li ntawd, nrog rau cov tsos mob ntawm o ntawm appendages, txawm tias koj hnov mob heev, koj tsis tuaj yeem tsis quav ntsej cov cim ntawm lub cev - poj niam txoj kev noj qab haus huv yav tom ntej ncaj qha nyob ntawm qhov no. Saib xyuas koj tus kheej thiab noj qab haus huv!
