Chronic adnexitis chirwere chinoratidzirwa nekuputira muzvirongwa zvechibereko (tubes uye maovha) nekudzoka zvakare. Kunze kwemazuva ekuwedzera, kliniki yemufananidzo (zviratidzo zvingave zvisipo) zvinomanikidza chirongwa chekuongorora.
Zvinokonzerwa nekugara kwenguva refu adnexitis
Kuvhiringidza uterine appendages kunokonzerwa nemigumisiro yekubereka kwezvirwere zvepathogenic microorganisms. Kupindira kwavo kunobvira zvose zvichikwira (kubva kunze) uye zvichiburuka (kubva kune dzimwe nhengo dzakapoteredzwa nhengo dzehurongwa uye zvirongwa). Pakati pezvikonzero zvakakonzera kusvika pakuvandudzwa kweadnexitis, zvakakosha kusiyanisa:
- zvirwere zvinotapukira muzvikamu zviduku zvepepu duku;
- kushandiswa kwenguva refu kwezvinonzi contrarauterine contraceptive;
- kusava newaini nguva dzose yepabonde;
- zvirwere zvekuvhenekera ( pyelonephritis , cystitis);
- kuvapo kwekutarisa kune dzimwe nhengo uye maitiro (tonsillitis, tonsillitis);
- kupindira kwokuvhiya muzvikamu zvemuviri;
- kuvapo kwekubvisa pamuviri mu anamnesis.
Chronic adnexitis - zviratidzo
Kana kusagadzikana kwechirwere chechibereko chekuberekwa kuchikura, zviratidzo zvingave zvisipo. Zviratidzo zvehutachiona mukadzi anogona kugadzirisa chete panguva yekuwedzera. Pakati pezvinogona zviratidzo zvemufananidzo uyu we adnexitis zvakakosha kusiyanisa:
- nguva dzose isingaverengeki kusimba;
- kudzvinyirira mumimba pasi;
- kushungurudzika munharaunda yenharaunda yemunhu ane ruzha;
- kuwedzera mumuviri wekushisa kusvika ku 38-39 digiri;
- kukanganisa kwekuenda kumwedzi kwechimiro chakasiyana - kuwedzera nguva, kunonoka, kuchinja muhuwandu, kusagadzikana uye ruvara rwekubuda;
- chimiro che purulent discharge kubva mumadzimai echikadzi, asingabatanidzwi nekuenda kumwedzi.
Nguva yakarurama kurudyi-side adnexitis
Nechirwere ichi, chirwere chinopisa chinowanikwa panzvimbo yakarurama, chinokonzera fallopian tubes uye mazai. Tichifunga nezvechirwere chakadai chisingaperi, zviratidzo zvaro dzimwe nguva dzakavanzwa, vanachiremba pakati pekutanga zviratidzo vanonzi vanodhonza kunzwa kunorwadza murutivi rworudyi. Kazhinji vanopa mumucheto kumashure nehudyu, sacrum. Chimwe chezvikonzero zvinokonzera kugona kwehutano kubva kune rumwe rutivi ndiko kunogona kuchinja kwemukati wemaruva kubva kune zvinyorwa uye rectum iri pedyo.
Chirwere cheseri-sided adnexitis
Kune kuruboshwe rwemaodzanyemba adnexitis, kuputika kwezvigadzirwa zvemanheru zvechiberekero chiratidzo. Utachiona hunogona kuitika huchikwira kubva kumucheto wepasi wepabonde. Uyewo, hutachiona hunogona kupararira kubva kuruboshwe rwomukati mukuru - sigmoid uye pasi mukati. Marwadzo anowanikwa munzvimbo yakasara uye ari kudhonza, kuvhara kana kucheka. Vanokwanisawo kupa kupa coccyx kana rectum. Pachinyorwa chekutanga, vanachiremba vemazuva ano adnexitis munharaunda yakaoma inogona kutora chikamu. Izvi zvinoita kuti zvive zvakaoma kufungidzira uye kuongororwa.
Chirwere chemazuva maviri chinonzi adnexitis
Ichi chisingaperi chine adnexitis inoratidzirwa nekukura kwekutsvaira mukati maviri mavari. Kutanga, chirwere chekudzivirira chirwere chakakosha kune fallopian tubes (salpingitis) uye zvino inoshanduka kune mavhavha. Chirwere ichi chinogara chiri pamwe chete nenguva yekuwedzera, naizvozvo zviratidzo zvekusingaperi kwechirwere chinonzi adnexitis zviri nyore kuona. Vakadzi paanooneka vachikanganwira kune chiremba pamusoro pe:
- acute periodic pain in the lower belly on both sides;
- kukanganiswa kwemisungo yemudhinda;
- kupera kwekugadzirisa;
- mafungiro akachinja, kutya;
- kugona;
- kuneta zvakaneta;
- kuwedzera kwenguva refu kutsika yemuviri.
Kufanana nemhando ipi zvayo isingarangarirwi, mazana ekupedzisira ane adnexitis, zviratidzo uye kurapa izvo zvinokurukurwa munyaya yacho, kwenguva refu haigone kupa zviratidzo. Nemhaka yeizvi, mukadzi ane maonero asina kunaka kuti chirwere chacho chave chichiripo. Kubudirira kwekuwedzera kunomupomera. Chirwere ichi chinopera apo:
- kukanganisa mitemo yehutsanana ;
- kuderedza simba remuviri;
- supercooling;
- zvinodzvinyirira mamiriro;
- zvirwere zvinotapukira.
Chronic adnexitis - kurapa
Vasati vabata chirwere chisingaperi chine adnexitis, vanachiremba vanopa kuongorora kukuru kwakagadziriswa pakugadzirisa chikonzero uye kuziva chirwere chepathogen. Maererano nemigumisiro, imwe nzira yekurapa inosarudzwa, iyo inotarirwa kucheneswa kwekutsvaira kwekuvhiringidza. Nokudaro, zvinokwanisika kuderedza chikoro, kudzivirira kudzokera zvakare mune ramangwana. Kazhinji, kurapwa kwechirwere chakadai sechirwere chinonzi adnexitis chinosanganisira mishonga inotevera:
- anti-inflammatory;
- antibacterial;
- immunostimulants;
- antifungal drugs.
Mukuwedzera kune kurapwa kwezvinodhaka, kuitira kuti usabvisa chisingararamiki chinonzi adnexitis, physiotherapy nzira inorayirwa zvakare. Vanogona kubvisa zviratidzo, kukurumidza kuita zvirongwa zvekugadzirisa, kubvisa kupisa. Pakati pezvinoshandiswa zvinoshandiswa ndezvi:
- electrophoresis;
- vibromassage;
- ultrasound padumbu rezasi;
- kurapwa nemaminerari emvura uye dope, kushandiswa kweozocerite (yakagadzirwa nemafuta emvura).
Kurapa kwechirwere chine adnexitis muchikamu chakaoma
Kuwedzera kwechirwere chisingaperi chine adnexitis chinowirirana nekuonekwa kwezviratidzo zvakakomba zvekuputika. Kuti iparadze, vanachiremba vanorwisa antibacterial uye anti-inflammatory drugs. Kurapa kwechirwere muchengeti wakaoma zvakanaka - zvinokwanisika kubvisa zvirwere zvose zvinoshandiswa, kudzivirira kubudirira kwavo uye kubereka. Kusarudzwa kwe antibacterial agents kunoitwa mumwe nomumwe, zvichifunga rudzi rwepathogen uye danho rekuvhiringidza. Kutaura nezvenzira yekurapa chirwere chisingaperi chine adnexitis, vanachiremba vanotaura pamusoro pekudiwa kwekudzokororwa kwemakirini emishonga.
Kurapa kwechirwere chine adnexitis - madhiragi
Mishonga inorwisa mabhakitiriya yenguva refu adnexitis inoumba hutano huripo huripo. Kuvhiringidza kushandiswa kwavo kunogona kungova pamuviri. Chirongwa chekurapa chinosarudzwa pachavo. Kazhinji, vanachiremba vanoshandisa kushandiswa panguva imwe chete kwemazana emapoka emishonga inorwisa mabhakitiriya. Pakati pezvinorayirwa kurapwa kwekugara kwenguva refu adnexitis:
- cephalosporins - Ceftriaxone, Cefotaxime;
- penicillins-Amoxicillin, Amoxiclav;
- fluoroquinolones - Ofloxacin, Ciprofloxacin;
- macrolides - Erythromycin, Leucomycin.
Makhanduru ane chronic adnexitis anoshandiswa kakawanda. Pakati pemishonga yakanyorwa:
- Hexicon;
- Flumisin;
- Terzhinan;
- Polizhinaks;
- Movalis.
Panguva imwecheteyo, mapoka anotevera emishonga anogona kushandiswa sechikamu chekurapa kwakanyanya:
- anti-inflammatory - Ibuprofen, Ibuklin, Voltaren;
- antifungal - Metronidazole, Nystatin.
Chronic adnexitis - kurapwa nemishonga yevanhu
Kurega kusingaperi kuvhiringidzika kwechibereko chinowanzobatsira maitiro evanhu. Dzinoshandiswa sechirevo chekurapa kukuru uye mushure mekubvunzurudza nachiremba. Ngationei mapeji anobudirira.
Kuporesa herbal tea kubva kune adnexitis
Zvisungo:
- St. John's Wort - 1 tsp;
- chamomile - 1 teaspoon;
- yarrow - 1 teaspoon;
- sage - 1 teaspoon;
- shanduka - 1 teaspoon;
- mvura - 1 litre.
Kugadzirira, kushanda
- Herbs anosanganiswa.
- Musanganiswa unoguma unofukidzwa ne thermos uye inodururwa nemvura yakatsva.
- Simbisa 1 awa.
- Tora girazi 1 katatu pazuva.
Zvirwere zvekushambadza ne adnexitis
Zvisungo:
- Oak bark - mashupuni 6;
- oregano - 4 tsp.
- Altey - 1 teaspoon;
- mvura - 1 litre.
Kugadzirira, kushanda
- Mishonga inosanganiswa uye inodururwa nemvura inopisa.
- Simbisa maminitsi makumi matatu.
- Futa, dururira mubhesheni.
- Usazadza mvura inopisa yakabikwa, uchiva nechokwadi chokuti kutonhora kwakanga kusingasviki 45 degrees.
- Tora mabhedha egungwa - 15 maminitsi kaviri pazuva.
Mbatatisi jisi
Zvisungo:- mbatatisi - 3-5 midzi midzi.
Kugadzirira, kushanda
- Mbatata inoshambidzwa, yakashambidzwa.
- Bvisa pa grater yakanaka.
- Gruel inogadziriswa inobatanidzwa nejaize.
- Iyo jisi inoguma inotorwa mangwanani - 100 ml.
Chronic adnexitis uye pamuviri
Kazhinji, chisingaperi chisingabatsiri chinonzi adnexitis chinopinganidza pamuviri. Zvisinei, munguva yekutangira kwake, vanachiremba vanogadzirisa nguva dzose kutarisira amai vamangwana. Kuwedzera kunogona kuitika panguva ipi zvayo, iyo inogona kukanganisa kuitika kwekuita pamuviri. Zvinorwadza zvinorwadza zvinotaura nezvemapasimusi uye zvinyorwa zve myometrium, iyo inowirirana nekuwedzera kwekutaura kwechibereko. Iyi mamiriro akazara nekuberekwa nguva isati yamboitika (pamwe nokuwedzerwa mumagariro akazotevera) kana kubvisa pamuviri kamwechete (pakutanga kwekudzivirira).
Hazvibviri kubvisa zvachose kukwanisa kwehutachiwana hwe fetus. Iko-causative agent inogona kupinda mukati mechidzikidziro chinopinda muropa rose. Mukuwedzera, nekuendesa kunowanzobata mwana muchechi kuburikidza nekuberekwa kwemvura. Zvichigoverwa izvi, mune dzimwe nguva, vanachiremba vanoshandisa kuitisa chikamu chakarongeka chechiesarea.
Ndingaita here kuti ndive nekwakanaka kwechirwere chinonzi adnexitis?
Vanachiremba vanoti izvi zvisingagumi zvekudzivirira unogona kutora pamuviri, asi nzira yekuita gumbo yakazara nehungwaru hwakawanda, kuvhara vose amai vane ramangwana uye fetus. Kakawanda, gumbo rinokanganisa nekucherechedza kwenguva pfupi - chirwere chinoputika chinogona kuva chipingamupinyi kune kufamba kweii rinoberekwa kuburikidza ne fallopian tubes muuterine cavity.
Nzira yekurapa adnexitis panguva yekudzivirira?
Kuongororwa kwekugara kwenguva refu adnexitis kune vanaamai vanotarisira vanova nhau dzinotyisa. Nemhaka yekusakwanisa kwekushandisa antibacterial madzimai pamashoko mashomanana, vanachiremba vanoomerera kune mazano anotarisira. Kudzivirira kusimbiswa kwekuwedzera,
- gynecological massage;
- physiotherapy.