Kodi kuchitira hydrosalpinx wa machubu mazira? Zikuonetsa kuti Khwelero

Mmodzi wa kuopsa kwa kutupa zokhudzana ndi matenda a machubu mazira - hydrosalpinx. Malinga ndi kafukufuku, ndi matenda mu 30% ya amayi a zaka ubereki. Kudwala chindiletsa wolemera pathupi mwana. Komabe, ngati chokwanira chithandizo mimba ndi zotheka. M'nkhani lero tikambirana momwe kuzindikira matenda m'njira yake, njira iliyonse ya chithandizo cha makono umafuna mankhwala.

Kapangidwe ndi ntchito ya machubu mazira

Kuti timvetse limagwirira ya matenda ndiponso zimayambitsa zotheka, m'pofunika wofufuza thunthu la. Uterine kapena mazira chubu - izo wophatikizidwa ndi lumens thupi awiri. m'litali ndi 10-12 cm. Mbali imodzi ya chubu amatsegula mu chiberekero, ndi malekezero ena ndi ulusi ndipo ili pafupi n'kuwasanganiza lapansi. Mothandizidwa ndi mabowo izi zonse m'mimba amalankhulira ndi kumaliseche.

Makoma a pa mazira chubu wapangidwa ndi zigawo zitatu: lakunja, mkati ndi minofu. Woyamba ukufanizidwa ndi peritoneum ndi ntchito atetezeke. Akulu wosanjikiza kumathandiza kuti kayendedwe contractile mwachindunji kwa a uterine patsekeke. Mkati mazira chubu ciliary epithelium akalowa. Ntchito yake yaikulu - lamulo la undulations imene dzira akulowa chiberekero momasuka. Pakati pa miyambo ya ciliated zaminyewa maselo glandular imakonzedwa. Ali ndi udindo kwa kupanga chinsinsi wapadera. Nkhanizi kuthandiza viability ya umuna, dzira ndi mwana wosabadwayo mu magawo oyambirira a chitukuko.

hydrosalpinx wa machubu mazira ndi chiyani?

matenda matenda amene n'kukumana ndi kusokonezeka kwa Ukalawu. Iwo amakhala ndi kudzikundikira mwapang'onopang'ono transudate mu lumen wa njira. Chifukwa cha chitoliro ndi n'kukhala mapangidwe, amene akufanana ndi thumba. Pa siteji koyamba za chitukuko cha ndondomeko pathological pafupifupi alibe kuonekera. Kawirikawiri matenda amawapeza pamene mkazi akutembenukira kwa gynecologist ndi kufunafuna zimayambitsa osabereka.

Madokotala mitundu zotsatirazi hydrosalpinx:

• lamanzere;
• amaganiza;
• amaganiza.

mtundu umodzi amaganiza za matenda yodziwika ndi maonekedwe a kutupa yekha pa chitoliro wina. Pankhaniyi, mkazi akhoza kutenga mimba okha, koma mosavuta mimba bwino halved. Pamene amgwirizano hydrosalpinx oletsedwa machubu onse. Kutenga mimba ndi amenewa matenda ndi zosatheka, ngati si mwamsanga kuchipatala. Kenako, mukhoza kupanga osabereka wonse umene Mwina wodzilamulira anyamule ndipo adzabala mwana wathanzi ndi ziro.

Payokha m'pofunika kuganizira kudwala aakulu. Akufotokozera pang'onopang'ono ndipo sayambitsa kusonyeza kuvutika kulikonse. Mkazi amamva bwino. Hydrosalpinx Tubala wapezeka mwangozi, pamene kuziwonanso gynecologist lapansi. Choncho, n'kofunika nthawi kukumana Kupenda njira ndi dokotala kuti.

zimagwirira chitukuko matenda

Kulakwila Ukalawu umayamba maziko a kutupa, monga salpingitis kapena salpingo. Zimachitika kukula nthenda ya minofu connective, anapanga adhesions angapo ndipo amamuyambitsa timabala. Kutupa pang'onopang'ono imafika ku zigawo zonse machubu mazira.

Villi kufa ciliated epithelium ndi minofu wosanjikiza ikutha kwathunthu yafupika. The lumen wa chubu kukula adhesions, akumusokoneza permeability ake. Mu M'mimbamo anapanga akuyamba kumanga chinsinsi. Chifukwa amapangidwa ndi zopangitsa epithelium poyankha kutupa zilipo. Choncho matenda akufotokozera Tubala - hydrosalpinx.

The zifukwa

Nthawi matendawa amayamba ndi kutsekedwa pakati gawo la Ukalawu. Kawirikawiri vuto amamvetsera thupi m'dera yotupa ndondomeko. wothandizila opatsirana kudutsa onse uplink ndi njira downlink. Mbali yoyamba idzagwiritsa zoberekera ziwalo (chiberekero, chiberekero, nyini). Pankhani chachiwiri chiphaso cha wothandizila opatsirana, limodzi ndi nthenda yotaya magazi kwa zakumapeto, impso chikhodzodzo. Nthawi zina limatupa aseptic chikhalidwe pamene yoyamba chitukuko cha matenda osiyanasiyana matenda.

Madokotala ndi zifukwa zotsatirazi gidrosalpinksa Tubala:

• mimba pafupipafupi, kuchititsa matenda curettage la chiberekero;
• ntchito chipangizo ndi intrauterine;
• hypothermia (imayendetsa zomera tizilombo pa chifooke chitetezo chokwanira);
• kusintha kuja ogonana;
• kutupa zokhudza dera la zokhudzana ndi thumba losunga mazira (oophoritis, adnexitis);
• infantilism kugonana ;
• adenomyosis;
• endometritis;
• ukazi mabakiteriya overgrowth.

Unilateral ndondomeko (hydrosalpinx kumanzere mazira chubu kapena basi) Nthawi zambiri kumachitika chifukwa kuvutika anatomical kapena piosalpinks chifukwa. Mu nkhani iyi, mafinya kwathunthu odzipereka, pali chabe katulutsidwe serous. Kusintha pathological ndondomeko zokhudza chiberekero, anapanga pa maziko a kutupa aakulu chifukwa cha wothandizila osiyanasiyana opatsirana.

chithunzi matenda

Kodi hydrosalpinx wa Ukalawu ndi zizindikiro? Pa siteji koyamba za chitukuko cha zizindikiro khalidwe la matenda zikusowa, popeza njira yotupa musati kuonetsa ntchito. Limatifotokozera, monga tanena kale, mwangozi, pamene anayendera pa gynecologist lapansi.

Monga kudwala matendawa pali yaitali matenda chithunzi. Kuchuluka katulutsidwe wa ntchofu zopangitsa epithelium kumabweretsa mipope refilling, kuti kuwonjezera kukula. Chifukwa cha ichi, mkazi akuwonekera Ndikumva chisoni pamimba m'munsi. Ngati kudwala kwa amakhala ndi khalidwe ziwiri, chizindikiro ichi kumaonekera mbali zonse. Nthawi zotheka kuwonjezeka kutentha kwa subfebrile zizindikiro. Nthawi zina, akazi amadwala kudzikundikira mofulumira a secretions ku nyini.

Pamene matenda "mazira chubu" hydrosalpinx zimakhudza mphamvu zoberekera za chamoyo. Pamene mipata kwathunthu kutsekedwa, dzira simungapeze mkati, kotero umuna zimachokeradi. kuphwanya iyi akutchedwa Tubala osabereka. Ngati kusiyana si kwathunthu oletsedwa, makutu mucosal ali ankawachotsera, ndi minofu minofu ya manja. Chifukwa cha kusintha mu mkazi kumaonjezera ngozi ya mimba ectopic.

Zosasangalatsa Vuto gidrosalpinksa ankaona kusiyana mazira chubu. Pakuti matendawa amakhala ndi zikamera wa kupweteka kwambiri m'dera m'munsi m'mimba, ndi tachycardia, kutsitsa magazi. Khungu pang'onopang'ono amaziralira, iye kuchita ndi bwino vesicles distinguishable thukuta. Ngati muli ndi zizindikiro zimenezi muyenera yomweyo kuitana gulu la zachipatala.

Hydrosalpinx ndi mimba

Akazi ndi hydrosalpinx mapulani mimba, laparoscopy bwino. njirayi amalola kuti abwezeretse patency a mipope, koma nthawi zambiri kusokonezedwa ntchito awo achibadwa. Komanso, zikuchepa kuchepetsa chiwerengero cha zolandilira kwa mahomoni lalikulu - estradiol ndi progesterone. mfundozi kungachititse kuti mimba ectopic.

Ngati ndondomeko pathological chimafikira okha chitoliro munthu, lingaliro n'zotheka. Komabe, pamaso pa gwero la kutupa mu mafupa a chiuno ndi chimawononga mwana wosabadwayo. Madzimadzi mkati ongokhala lymphocytes ndi atumiki poizoni. Choncho mimba ali osavomerezeka popanda mankhwala opaleshoni. Kuchotsa machubu mazira pamene hydrosalpinx sizichepetsa chilakolako chogonana akazi, sikumangotikhudza maziko ake m'thupi kapena mkombero wanu kusamba. Pamene ziwiri mawonekedwe a mimba matenda mwachibadwa zosatheka. Pankhaniyi, mkazi ndondomeko lidzawagwiritsenso bwino.

Resection la chubu mazira pamaso umuna m'galasi ndiyo kuchuluka imabwera lingaliro bwino ndi pafupifupi 30%. The Mapa ali kwambiri ngati yoyenera kuchita opaleshoni kuchotsa, m'malo mofuna kuti abwezeretse patency wa oviducts ntchito zosiyanasiyana zimene mungachite kuti laparoscopy.

Poyamba, ena amanena kuti kuchotsa kwa Ukalawu kumatanthauza kuphwanya mwa kundipatsako magazi ndi lamulo mantha la thumba losunga mazira ndi. maphunziro sanasamuke atsimikizire zimenezi. Kuchotsa chitoliro akhudzidwa pamaso lidzawagwiritsenso alibe mphamvu pa dziko la thumba losunga mazira ndi kulabadira kwawo kukondoweza ndondomeko mlingo umuna.

njira matenda

Ngati mukukayikira kuti munthu hydrosalpinx wa Ukalawu pamafunika kukaonana ndi gynecologist. Matenda a matenda ikuyamba ndi kuona wodwalayo. Pamene akuchita bimanual palpation zimadziŵika kudwala mu mawonekedwe a elongated mapangidwe mwamphamvu ndi mmodzi kapena mbali zonse nthawi imodzi. Ululu kusapeza mungakumane njirayi. Nditabwerera ku njira malangizo a matenda. Pakati pawo, zowaphunzitsa kwambiri yodziwika ndi njira zotsatirazi:

1. Transvaginal ultrasound. Timatha inu kuthandauza hydrosalpinx, anapereka malo, mawonekedwe ndi zoyerekeza kukula.
2. Hysterosalpingography. Amathandiza ngoziyo patency wa Ukalawu. Pa matenda wothandizila kusiyana ndi jekeseni opanikizika mu uterine patsekeke. Pambuyo pake, mndandanda wa zithunzi radiographic imene mkati ziwalo zoberekera amaona bwino.

Mu yochizira matenda, pali milandu kumene, akazi amenewa kafukufuku pakati pa awo. Komano, izo kumachititsa wa exacerbation kutupa aakulu.

A njira yodalirika kwambiri matenda imatengedwa laparoscopy gidrosalpinksa chiberekero. Ntchito njira imeneyi zimathandiza kuti aone mkhalidwe wawo ndi kutenga nkhani kudziwa wothandizila opatsirana ndi tilinazo ake opha tizilombo. Nthawi zina madokotala kupewa laparoscopy chifukwa cha invasiveness ake. aziloŵerera mwina patsogolo chitukuko cha adhesions.

Pamaziko a dokotala analandira zotsatira kafukufuku amatsimikizira kapena wotsutsa matenda kuyambirira amapereka malangizo chithandizo. Therapy pa kudwala angakhale ndiwofatsa kapena kugwira ntchito. Uliwonse wa embodiments mwatsatanetsatane kwambiri.

chithandizo ndiwofatsa

Therapy ayenera kuyamba mwamsanga kuchipatala matenda "hydrosalpinx wa Ukalawu." Chithandizo popanda opaleshoni akulimbikitsidwa akazi amene safuna kukhala ndi pakati, kapena mwamphamvu wamng'ono wa ndondomeko pathological. Pofuna kutupa mankhwala mankhwala. Nthawi mankhwala ndi mlingo wa mankhwala anatsimikiza ndi dokotala. Pankhaniyi, katswiri adzakhala kuganizira tilinazo tizilombo toyambitsa matenda mankhwala ntchito ndi chikhalidwe cha nthumwi causative.

chithandizo ndiwofatsa zikuphatikizapo mulinso kukondoweza kwa chitetezo chokwanira. Chifukwa chaichi, odwala kutumikiridwa immunomodulating mankhwala ( "Taktivin", "Timalin", "Imudon") ndi maofesi vitamini. Chimagwiritsidwa ntchito physiotherapy. Iwo sakudziwa kwathunthu kuchiza matenda, koma zimakhala zolimbikitsa kwambiri m'thupi. Ena mwa iwo:

• UHF;
• UFO;
• magnitorez;
• electrophoresis;
• endovaginal vibratory kutikita.

Ngati madokotala anandipeza anapezerapo hydrosalpinx wa Ukalawu, mankhwala n'chotheka kudzera mwa alowererepo pa opaleshoni.

mankhwala ntchito

Opaleshoni akulimbikitsidwa akazi onse amene analota kuyesa udindo wa mayi. Komanso, popanda opareshoni sangachite zinachitikira mofulumira mwapang'onopang'ono adhesions, komanso njira zovuta za matendawa.

Kodi kuchitira hydrosalpinx wa machubu mazira? Lero, monga njira yofunika ya laparoscopy kugwira ntchito ntchito kuthetsa matenda. Izi ndi zothandiza kwambiri ndi pa yomweyo wofatsa njira mankhwala. Pali mitundu ingapo ya njirayi. A chimake makamaka a dokotala amasankha mankhwala ndi thanzi wodwala, ndi chiberekero.

1. Tubektomiya. Pa ntchito imeneyi, dokotala anachita resection wa machubu limodzi kapena onse. Pakuti kaye choncho komwe kulibe ena chithandizo chosiyanasiyana matendawa.
2. Salpingoneostomiya. Ndondomeko zikutanthauza dzenje latsopano mu mapangidwe ndi mazira chubu.
3. Fimbriolizis. Opaleshoni mpheto umalimbana amasulidwe lint ku chitoliro mapeto adhesions khadi, madzimadzi kuchotsa.
4. Salpingoovariolizis. Pa ndondomeko, dokotala amadula mwa spikes mu lumen wa chubu.

Kaya mimba n'zotheka pambuyo machubu laparoscopy mazira? Hydrosalpinx - ichi ndi lalikulu kwambiri kudwala, wautali nthawi yomwe ndithudi zimakhudza thanzi la akazi. ntchito wopambana sanalonjeze kudya pathupi mwana. Ngati dotolo anatha kusunga chitoliro ndi kubwezeretsa patency awo, oviduct si kwathunthu ntchito. Cilia ciliated epithelium angasiye motility ndi akulu wosanjikiza zambiri zimathera kutenga. Chifukwa, izo zina ndi peristalsis yachibadwa. Choncho amayi pambuyo opaleshoni ali pachiopsezo cha mimba ectopic. Choncho odwala akulimbikitsidwa umuna ndi lidzawagwiritsenso.

zodzitetezera

Gidrosalpinksa chiberekero, mankhwala a Yehova amene akambidwa pamwamba chabe, ndi matenda. Komabe, pakuwonekera kwake angathe kupewedwa, ngati inu kusunga malangizo otsatirawa:

1. Zimafunika nthawi kuchiza matenda matenda. Ngati muli ndi ululu, secretions atypical kapena zizindikiro zina zosasangalatsa ayenera yomweyo funsani dokotala-gynecologist.
2. Nkofunika kusunga malamulo aukhondo munthu. Akusamba, madokotala akulangizidwa kuti atenge kawiri pa tsiku. Pa kusamba ayenera kusintha ukhondo pafupipafupi.
3. Ndi bwino kusiya chiwerewere ndi nthawi ntchito chotchinga kulera.
4. M'pofunika ndi moyo wathanzi, kuthetsa makhalidwe onse oipa.

Hydrosalpinx wa Ukalawu, ngati sanalandire chithandizo, akhoza kuchititsa mavuto aakulu. Zikuphatikizapo osabereka osati. Ngakhale pamene bwino lingaliro mwana ayenera kuti padera kapena mowiriza mimba.