Salpingo: kev kho mob, cov teebmeem, cov tsos mob, hom

Salpingo, kev kho mob ntawm mob ntaub ntawv uas yog nqa tawm tsuas yog nyob hauv lub tsev kho mob, yog cov uas lub gynecological kab mob. Nws muaj teeb meem - namely, txoj kev loj hlob ntawm peritoneal o, khi ntxiv lawm tshob, pelvic mob.

Ntawm nws cov pathogens pom chlamydia, gonococcus, ureaplasma, mycoplasma, kis kab mob, co muaj, Staphylococcus, E. coli, i.e. ob STD thiab conditionally pathogenic microorganisms. Lawv tau penetrate, feem ntau yog ascending txoj kev.

Heev feem ntau tus kab mob no yuav pib tom qab lub rho menyuam, yug, intrauterine tiv thaiv, xws li hysteroscopy, curettage, IUD zoo. Yog li ntawd, tom qab xws li manipulations tsim nyog tiv thaiv ntawm lub inflammatory txheej txheem, uas yog tshuaj tua kab mob.

Salpingo, uas nws kho mob yuav tsum tau nqa tawm tas, yog ib tus mob o ntawm lub appendages ntawm lub tsev menyuam. Nws yuav ua tau ib tug-ib tog thiab muab ob npaug rau-mog.

Feem ntau txoj kev-oophoritis. Yog hais tias pathogens yog gonococci, cov txheej txheem yog feem ntau ib tug ob-txoj kev.

Cov tsos mob salpingoophoritis nram qab no:

• kub taub hau;

• xeev siab;

• mob plab;

• tsis muaj zog;

• ua txhaum tso zis;

• kom nyob rau hauv cov ntshav dawb cell suav, thiab ua hauj lwm ceev mus rau sab laug.

Txawm li cas los, cov tsos mob no yog nrog los ntawm xws li lub xeev thiab, raws li ib tug khi cev xeeb tub, mob hnyuv tws. Yog hais tias koj muaj teeb meem nyob rau hauv kev mob, lub laparoscopy yog ua.

Yog hais tias nws yog txiav txim tias tus neeg mob muaj ib tug mob salpingo mog, ces muab tshuaj tua kab mob. Siv cov nram no tshuaj:

• tetracyclines (doxycycline);

• fluoroquinolones (ofloxacin);

• metronidazole;

• clindamycin;

• semisynthetic penicillins;

• macrolides.

Tsis tas li ntawd tsa detoxification txoj kev kho. Thaum laparoscopy yog ua qhov kev sib cais ntawm adhesions, kev ncaj ncees, aspiration ntawm kua.

Mob ntawm tus kab mob muaj xws li:

• rwj loj hlob conglomerate uas muaj plob tsis so tswj loops, pelvic peritoneum, zes qe menyuam, kav, raws li zoo raws li nws cov suppuration thiab perforation;

• pelvioperitonita txoj kev loj hlob;

• adhesions;

• ntxiv lawm tshob.

Tsis tas li ntawd mob oophoritis, kev kho mob yog nqa tawm lig los yog tua kab mob, tej zaum yuav ua mob. Cov tsos mob yog:

• mob plab uas tsub kom uas mob khaub thuas, mob khaub thuas, ua poj niam, lub siab lub ntsws thiab lub cev kev nyuaj siab;

• nrog mob cystitis thiab nquag tso zis;

• ntxiv lawm tshob vim ua txhaum ntawm khi patency.

Yuav kom kawm tau cov keeb kwm ntawm tus mob thiab siv laparoscopy. Txij li thaum tus kab mob no yuav tsum tau txawv los ntawm mob hnyuv tws, thiab lwm endometriosis.

Nyob rau hauv cov kev kho mob ntawm tus kab mob yuav tsum siv cov tshuaj tua kab mob tsuas yog thaum exacerbation. Tus so ntawm lub pom zoo physiotherapy. Ua ke nrog antibacterial tshuaj nyob rau hauv cov kev kho mob regimen xws li plasmapheresis, antiplatelet agents, adaptogens, immunostimulants, interferon npaj.

Raws li siv nemedikometoznogo kev kho mob carbonic, yodbromnye dej. Pib lawv kuj UHF, elektroforoez, magnetic teb, ultrasound.

Indications rau tsev kho mob:

• doubtful mob;

• tsis muaj txoj kev txhim kho;

• cev xeeb tub;

• inflammatory conglomerate;

• kub saum toj no 38 degrees.

Nyob rau hauv phais kho mob ntawm adhesions raug sib cais, cov hnab yas lub raj yog ua los nws patency. Txawm li cas los, fertility yog rov qab los tsuas nyob rau hauv 45% ntawm cov neeg.

Yog li, mob oophoritis, uas kho mob yog nqa tawm lig thiab tsis txaus, yuav muaj mob loj heev yuav raug txim. Ntawm lawv yog cov: ntxiv lawm tshob, mob, adhesions. Yog li ntawd, txoj kev kho thiab yog nqa tawm nyob rau hauv ib tug lub tsev kho mob.