Akufufuza mpata m'njira khomo lachiberekero: malongosoledwe, makhalidwe ndi zotsatira

Atresia (imperforate) ngalande khomo lachiberekero kungayambitse kutsekeka yake kapena tsankho, amene akukhala chopinga kwa kuchoka pa menses. Nthawi zina atresia wa ndimeyi khomo lachiberekero ndi atresia wa corpus uteri. Mu chiyambi chake kuchepetsa za ndime khomo lachiberekero kungakhale kobadwa nako kapena kugula. Atalephera cautery ndi curettage zingachititse kuchepetsa ngakhale imperforate ngalande khomo lachiberekero. Kubwezeretsa patency achisangalalo ake kuti ntchito wotchedwa akufufuza mpata ngalande khomo lachiberekero.

zifukwa imperforate

Zinthu kulimbikitsa zosayembekezereka wa atresia:

• njira yotupa wa ngalande khomo lachiberekero.
• Amamuyambitsa timabala chifukwa cha njira pathological.
• Childhood matenda opatsirana (mumps, diphtheria).
• Mosasamala anakhala kuchipala.
• Zotupa ndi neoplasms zilonda, endometritis, endocervite.
• Anakhumudwitsa pobereka kapena kupwetekedwa mimba.
• Burns njira mucosa chifukwa cha mankhwala.
• njira electrocoagulation.
• Mowiriza zaka atresia.

Pambuyo bougienage ngalande khomo lachiberekero zambiri limabwezeretsa ntchito zonse.

Kapangidwe ka khomo pachibelekeropo

Chigawo kakang'ono pakati pa ngalande khomo lachiberekero ndi chiberekero, pafupifupi 1 cm, wotchedwa Korinto. Apa, mu malo Korinto, ili os mkati. Front wotsika uterine M'mimbamo ndi kupanga otchedwa Korinto m'munsi gawo, yomwe amagwira ntchito yofunika kwambiri pa mimba ndi kubereka.

The mmunsi mwa khomo pachibelekeropo akutsika mu nyini, ndi pamwamba limatuluka pamwamba. Atsikana nulliparous, monga ulamuliro, ali mawonekedwe conical. Mwana akabadwa, chiberekero amakhala kunadetsa zimatengera mtundu wa yamphamvu, ndi njira komanso ali ndi mawonekedwe cylindrical. Kunja okhetsedwa otchedwa khomo lachiberekero kutsegula, chomwe Kupenda ukazi. Odwala nulliparous os kunja zimatengera mtundu wa slits, chifukwa cha ichi - kuthyola khosi nthawi yobereka. Mu akazi nulliparous anakhetsa mfundo.

Akufufuza mpata m'njira khomo lachiberekero ntchito nthawi zambiri. Za njira anafotokoza mwatsatanetsatane m'munsimu.

diagnostics

Kuyang'anira wa uterine M'mimbamo kuti zawo, mwachitsanzo, akufufuza mpata wa uterine M'mimbamo, izo curettage, utsogoleli wa mankhwala, madzi kwa matenda endoscopy wa uterine M'mimbamo, ntchito zosiyanasiyana - mwai awa onse ali ndi yowonjezera ngalande khomo lachiberekero. Imachitika popanda kukonzekera yake, Luso ndi wokhoza, mpheto amenewa kungachititse kuti anavulala mucous njira ndi, monga Motero, kuti njira kuchepetsa ndi imperforate.

Monga tanenera kale pamwambapa, chifukwa choyamba khomo lachiberekero atresia ndimeyi kungakhale kutupa njira - endocervicitis. matenda nthawi zambiri chifukwa cha cocci tizilombo, ndodo, nthawi zina mavairasi. Osati infrequently endocervicitis pamodzi ndi matenda ena yotupa (mwachitsanzo, colpitis, oophoritis, endometritis).

Kuyambira odwala madandaulo pa kumaliseche muco-purulent, si limodzi ndi zowawa. Kuwaona noticeable kutupa ndi redness wa mucosa ndi profuse katulutsidwe. Protracted matenda N'zoona kungayambitse ndondomeko inafikira pa akulu linga la England lapansi. Pankhaniyi imasonyezedwa bougienage ngalande khomo lachiberekero.

Endocervicitis matenda zochokera kuzionetsetsa matenda, smears ku nyini ndi ngalande khomo lachiberekero. Mu gawo pachimake mankhwala zotchulidwa mankhwala ndi njira m'deralo. mitundu ya mankhwala aakulu Pamafunika jekeseni mankhwala antibacterial mu khosi mankhwala thupi, m'dera ulimi wothirira njira protargola, processing khomo lachiberekero ndimeyi siliva njira.

artreziya chachikulu

Kupeza Vuto atresia chachikulu zidzachitika mwezi woyamba. msambo, popanda kupeza ndi kuchoka kunja, izo amasonkhana chiberekero, wosefukira ndi kutambasula. Choncho thanzi akukhudzidwira akuvutika kwambiri. Ngati ta magazi kupyolera mu mipope angayambe purulent kutupa machubu.

Ngati mulibe kusungira akufufuza mpata m'njira khomo lachiberekero pa nthawi imeneyi, zotsatira zake zingakhale aakulu.

artreziya yachiwiri

Secondary atresia nthawi yaitali sasonyezedwa. matenda A amapangidwa pamene wodwala liyamba aone osabereka. Kamodzi mu chubu magazi amalenga kutsekeka, kupanga n'zosatheka anagunda dzira mu chiberekero.

Kulongosola bwino matenda a atresia amalola ultrasound kafukufuku, Kujambula, gistrosalpingoskopiya ndi ureteroscopy.

The kuchepetsa wa khomo lachiberekero ngalande - stenosis - ndi cholepheretsa malowedwe a umuna mu chiberekero, zikubweretsa osabereka. Ndipo chifukwa cha kutsekeka kwa mapaipi dzira simungathe kulowa mu uterine M'mimbamo, amenenso kukhala kosatheka kuti umuna. Kumatha stenosis ntchito mpheto amatchedwa "akufufuza mpata m'njira khomo lachiberekero." Chinthu china atresia ndi neoplasms. The odziwika bwino kwambiri zilonda chotupa - adenocarcinoma. Zizindikiro za matenda: kuwonda, magazi m'thupi chifukwa zoonera yaitali, kupweteka pamimba.

Chosaopsa zotupa imakhudza pakutchulidwa atresia: fibroids, fibroma, ndi tizilombo ting'onoting'ono, cysts, fibroids, uterine leiomyoma, ndi endometriosis. Zizindikiro za matenda amenewa ndi osiyanasiyana ndithu: ndi ululu kusamba ndi kugonana, zoonera, kuphwanya defecation ndi pokodza.
Khama wapangidwa chosaopsa zotupa histologically njira zili kuchipala. Kuona ndi mankhwala zidzachitika pansi pa ulamuliro zithunzi.

Pa ntchito, mu matenda kuchipala, mimba ndi njira zina zachipatala komanso kulera pachithunzichi kumachitika choipa khomo lachiberekero, komanso zingachititse kuti atresia.

Kukonzekera opaleshoni

Kodi kuthetsa njira kudwala ntchito bougienage khomo lachiberekero kapena laser recanalization.

ntchito Bougienage imagwiridwa pansi ochititsa dzanzi ambiri, chifukwa kukhazikitsa zimafuna maphunziro zotsatirazi:

• wathunthu magazi;
• Analysis pa matenda;
• magazi chindoko ndi HIV;
• colposcopy;
• antigens a chiwindi B ndi C;
• coagulation;
• swab ya nyini ndi ngalande khomo lachiberekero;
• ECG;
• pachifuwa X-ray;
• bacteriological CC ndi nyini;
• magazi sayansi;
• ultrasound;
• malangizo katswiri.

Koma nthawi zina pangakhale akufufuza mpata m'njira khomo lachiberekero popanda mankhwala oletsa ululu. Pa lino.

Monga anapeza ntchito?

Bougienage kwa opaleshoni ya wodwala anavomereza kuchipatala. ndondomeko kumatenga pafupifupi 30 mi ndipo anachita pansi mankhwala oletsa ululu pamalopo kapena ambiri. Pa kutsekedwa zonse za ntchito njira imagwiridwa pogonekedwa ndi mankhwala ambiri, ndi pang'ono kuchepetsa okwanira mankhwala oletsa ululu pamalopo. Wodwala ili pa matenda mpando kugwira ntchito m'munda, kugonana kusiyana anachitira ndi antiseptic, ndiye sprayed lidocaine wa. Kutumikiridwa analgesic ndi kuyamba kukuza yokha Dongosolo loyamba ndondomeko ndi narrowest nozzle bougienage, successively kuwonjezera awiri a nozzles (sing'anga, yotakata). Pang'onopang'ono kuwonjezeka ndimeyi amalimbikitsa yosalekerera chithandizo.

Pambuyo mankhwala ochititsa dzanzi ambiri wodwala akatulutsidwa tsiku lotsatira, ndipo pambuyo wamba - nthawi yomweyo. Choncho, makamaka bougienage ngalande khomo lachiberekero popanda mankhwala oletsa ululu. Reviews amati kukhudzana kunja odwala mankhwala - masiku 7-10. Timitu kuti imathandizira epithelialization mankhwala odana ndi yotupa ndi chilonda-kuchiritsa kandulo mpaka machiritso lathunthu la ngalande khomo lachiberekero. Mu nkhani ya muyambirenso atresia implantation wa alloplastic njira yokumba.

Mulinso njira kupewa ndi kuchepetsa ndimeyi imperforate

1. Chithandizo cha pachimake ndi aakulu njira yotupa la chiberekero ndi ngalande khomo lachiberekero.
2. Kuchititsa mayeso prophylactic kwa kudziwika oyambirira ndi mankhwala a matenda matenda ndi zotupa.
3. Woyenera ndi oyenerera atagwira curettage, mimba pofuna kupewa ngozi. obstetrics kusamala ndi kutsegula mwapang'onopang'ono khomo pachibelekeropo.
4. kukambirana ofotokozera pofuna kupewa ntchito kusalankhula wa wotsukira njira aukali, amene Mwaichi sinafike, ndi mankhwala kulera.

Kupewa chachikulu cha imperforate ubwana ayenera kukhala ndi moyo wathanzi thupi, kupewa kudetsedwa zotheka matenda opatsirana. Woyembekezera, musayese poyera kuti zinthu teratogenic zokhudza mwana wosabadwa.

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