Ukuvuvukala okukhulu kwama-ovari. Ukwelapha

Ukwelashwa kokuvuvukala kwama- ovari (ama-appendages) esiteji esibucayi kwenziwa esibhedlela. Ngakho-ke, izimo ezidingekayo zidalwa ukuphumula kwengqondo nangokomzimba kwesiguli. Izinyathelo zokwelapha zihlanganisa ukuqokwa kokudla okulula kalula, inani elidingekayo liketshezi (itiye, isiphuzo se-alkaline, i- mors).

Iziguli ezitholakale zine- adnexitis enzima (ukuvuvukala kwama- ovari) ziphathwa ngezidakamizwa zokulwa ne-antibacterial ezinemiphumela eminingi ehlukahlukene, izidakamizwa, izidakamizwa eziphikisayo. Okubhalwe phansi kanye nokuhlaziya (ukuvimbela noma ukunciphisa imithi yokwelapha).

Lapho wenza ukwelapha okulwa namagciwane, izidakamizwa zikhethwa ngokusekelwe kobuzwe be-pathogen. Kulesi simo, umthamo wesidakamizwa kufanele unikeze ukuhlushwa okukhulu ekugqaseni, lapho kwakukhona ukuvuvukala kwama-ovari. Ukwelashwa kwe-adnexitis enzima kwenziwa ngezidakamizwa ezivela eqenjini lama-penicillin (i-Ampiox, i-Ampicillin), i-tetracycline (i-tetracycline, i-doxycycline), i-fluoroquinolones (i-Oflocacin), ama-macrolides (i-Erythromycin, i-Azithromycin), i-aminoglycosides (i-Gentamicin), i-lincosamide (i-Clindamycin), i-nitroimidazoles (i-Metronidazole). Kungcono ukusebenzisa izidakamizwa ezisebenza isikhathi eside (i-Amoxicillin, i-Ampicillin nabanye). Uma kunengozi yezinkinga ze-septic, i-anaerobic noma i-flora ehlanganisiwe ehambisana nokuvuvukala okukhulu kwama-ovarian, ukwelashwa kunqunywe izinhlanganisela ezihlukahlukene zama-antibiotics, isibonelo, i-Levomycetin ne-Gentamycin, i-Chloramphenicol ne-Clindamycin nabanye. Ku-microflora ye-anaerobic, umphumela we-bactericidal usebenza yi-Metronidazole yezidakamizwa.

Ukuze kuqedwe izimpawu zokudakwa ezihambisana nokuvuvukala okukhulu kwama-ovari, ukwelashwa kuhlanganisa ukwelapha okukhipha imithi. Kuhilela ukwethulwa kwamaprotheni amalungiselelo, izixazululo ze-glucose nezinye izinto.

Endabeni yokwakheka kwamafomu okuvuvukala okuqhamuka ngokumelene nesizinda se-adnexitis, ukungenelela kokuhlinzwa (laparoscopy) kuboniswa. Ngesikhathi sokusebenza, ukususwa kwe-pus kanye nokunisela kwesilonda ngemithi elwa namagciwane kanye nezinambuzane. Lapho ukwelashwa ukuvuvukala kwama-ovari (ama-appendages), indlela isetshenziselwa ukukhipha okuqukethwe ngaphakathi kwe-tumor saccate ngokushaya ama-vaginal vaginal kanye nokuphathwa kwendawo yama-antibiotics.

Ezimweni zokuthuthukiswa kwe-fusion e-purulent ku-appendages (amathuba okuvula i-abscess, ukwehluleka kwe-renal nezinye izinkinga), ukususwa okuhlinzekwayo kuboniswa, ngoba akunakwenzeka ukuphatha ukuvuvukala kwama-ovari.

Ngemuva kokuqedwa kwazo zonke izibonakaliso ze-adnexitis enzima, ngesikhathi sokuguqula isigaba sokuhlukumezeka, izinqubo ze-physiotherapeutic zibekiwe. Zihlanganisa i-ultrasound, i-vibromassage, i-electrophoresis ene-potassium, i-magnesium, i-zinc esiswini esingaphansi.

I-adnexitis enamandla ngokungabikho kwezinyathelo zokwelapha okufika ngesikhathi esedlule idlula ukuvuvukala okungapheli ngezikhathi ezithile eziphuthumayo. Endabeni yezimo ezinjalo, izinyathelo zokwelapha ziyafana ne-adnexitis enzima (ukulala esibhedlela, ukumnika, ukulwa negciwane, ukwelashwa okungahambi kahle, kanye namavithamini).

Ngemuva kokunciphisa izimpawu zokukhushulwa kwe-adnexitis engapheli, injection ye-aloe, izinqubo ze-physiotherapeutic (i-electrophoresis esebenzisa izidakamizwa, ukwelashwa kwe-UHF, vibromassage) kunconywa. Izinqubo zenziwa ngokulawula okuqhubekayo phezu kwelabhoriyetha kanye nemigomo yemitholampilo. Kumele kuqashelwe ukuthi physiotherapy ikhuthaza resorption of ukuvuvukala, ukususwa ubuhlungu syndrome, ukunciphisa ukwakheka ukunamathela. Ukuphumelela ngodaka lwezokwelapha, ukuchelela kwesiswini ngamanzi amaminerali (sulfide, chloride-sodium), ukwelashwa kweparafini. Okubaluleke kakhulu ukunamathela embusweni wokudla okunempilo.