Adhesions na pelvis

Adhesions na na pelvis nwere ike ime n'ihi na mbufụt ma ọ bụ ịwa ahụ aka na mpaghara ebe a. Ọtụtụ mgbe ndị inyom na-adịghị aghọta na ha na-ata ahụhụ site na ọrịa a.

Esi na ya pụta na mgbaàmà nke adhesions na pelvis nwere ike na-esonụ:

• pelvic mgbu;

• infertility;

• ntachi;

• ectopic ime;

• mkpọchi;

• varicose veins;

• mmekọahụ dysfunction;

• mgbu n'oge mmekọahụ ;

• mebiri nke emetụta ngwa ọrụ;

• ntighari mbufụt.

Otú ọ dị, ọrịa na-atụgharị ndị dọkịta na-eme, dị ka a na-achị, ndị nsogbu na ọdịdị ime na pelvic mgbu, nke na-ike. N'ihi mbufụt mere site nonspecific ma ọ bụ STD pathogens n'etiti pelvic ibili adhesions.

Dị ka ọnụ ọgụgụ, 50% of inyom bụ ndị hụrụ adhesions na pelvis ahụrụ chlamydia. Ọtụtụ mgbe ndị na-akpata ọrịa bụ gonococcus, na ndị na-abụghị kpọmkwem pathogens.

Ha na-eduga ka eziokwu ahụ bụ na lumen nke fallopian akpa emechi ka ha gbagọrọ agbagọ. Nke a na-egbochi ọbara ọcha si n'ahụ abanye egg, na njikọta spam adịghị ime.

Ọ bụrụ na ọ ka na-eme, ma ndị zaigọtụ apụghị ịbanye akpanwa na oge ruru ka ihe mgbochi nke ọjà, na ọ ga-ịkụbanye na mgbidi. N'ihi ya, e nwere ihe ectopic ime, nke dị nnọọ ize ndụ n'ihi nwaanyị. Nyere ịzọpụta ndụ na ahụ ike nwere ike na-adọ nchoputa site n'oge ultrasound na endoscopy.

Nke a elu usoro na-enye ohere nchọpụta nke adhesions na pelvic daa ọrịa tutu amama ozugbo. Nrụpụta endoscopy na-anọghị nke a enweghị nchịkwa usoro na ọkpọkọ averages 55%. Ugboro ugboro ọrụ impractical.

Ma nyagide usoro ke pelvis, nke ọgwụgwọ bụ mgbanwe na ịkpa, dị ka a na-achị, na-kpamkpam tutu amama nwere ike ịbụ. Otú ọ dị, n'oge a na technology nwere ike budata melite ọrịa na-arịa.

Conservative ọgwụgwọ - iwepu mbufụt, anata immunomodulators na enzymes na-eme ka spikes ọzọ mgbanwe ma gbochie ha ịgụkwu akwụkwọ. Ọzọkwa irè bụ apịtị ọgwụ, physiotherapy na pelvic ịhịa aka n'ahụ.

Iji kpochapụ mkpali ọgwụ ọjọọ na-e, nke na-enwe mmetụta ọsọ ọsọ pathogens. Tupu na mere kụrụ n'ubi na DNA nchọpụta nsogbu iji nyere aka chọpụta ha.

Ma si eme nke ọgwụgwọ na-ekpebi ogo nke usoro. Mgbe ụfọdụ, ọ dị mkpa mbụ bee ẹdude adhesions surgically. Nke a na-eme site laparoscopy, nke na-eji maka nchoputa na ọgwụgwọ. Otú ọ dị, adhesions pụrụ kpụrụ ọzọ, otú ọ dị mkpa ịnọgide na-enwe mmetụta na mgbanwe ọgwụgwọ.

Laparoscopy a na-eme nanị ole na ole he. Site na ha, anyị na-ewebata ndị dị mkpa ngwá ọrụ, gụnyere a pụrụ iche ngwa anya ngwaọrụ. Dọkịta na-enyocha ndị peritoneum, akpanwa, akpa, ovaries. Ụlọ ọgwụ mgbe a na ime bụ site 1 3 ụbọchị. A izu gasịrị, a kacha abụọ nwaanyị nwere ike na-aga ọrụ.

Iji zere nke a ọnọdụ, ọ dị mkpa prophylactic ọgwụgwọ mgbe ịwa ahụ, ite ime na ọbụna laparoscopy. Mbufụt nke na-eduga ná guzobe adhesions na 30% nke ikpe, nwekwara ike so jikoro iji gbochie ha na omume.

N'ihi ya, nyagide usoro ke pelvis agwọ kpamkpam agaghị ekwe omume, ma ọ nwere ike budata melite ọrịa na-arịa. Mgbe nke ogwugwo na mgbanwe ọgwụgwọ nke pelvic mgbu na-ebelata, na e nwere a-ekwe omume nke na-aghọ ime. Dị ka ọnụ ọgụgụ, na Russia na ọ bụ a ọrịa na-eme infertility ke karịa 4 nde. Di na nwunye.