Adhesions ari abdominal mhango nevakadzi: zviratidzo uye kurapwa

Ose nhengo iri mudumbu uye chiuno vakadzi (fallopian sepombi, dumbu, ovaries, mugaranhoko, dundira) akafukidzwa chaiwo mutete Kamudzira - the peritoneum. In yayo chimiro, zviri kumeso uye asina nokusunungura mapfundo. In chete nyaya, kana kushoma kunotanga chiuno (kuzvimba ovaries, dumbu, fallopian sepombi), izvo achiperekedzwa peritonitis, peritoneal rinowanikwa panyika unhani, izvo unotora fibrin. fuma iyi anokwanisa kwokuva hukawanika ose nhengo dzomukati nemumwe, kukonzera adhesion rikurumidze. Izvi zvinoita kuti munhu wechisikigo zvokuimba chipingamupinyi kupararira kuzvimba ari chiuno. Asi chokwadi ndechokuti pashure kumira musono kuzvimba zviripo.

Namira mutoo, iyo akaurayiwa kana kwayo kushanda kudzivirira peritonitis chirwere mberi inotungamirira nokuvhiringidzirwa kushanda dzomukati nhengo yacho chiuno. Its basa - kudzivirira muviri kubva kuzvimba rakapararira munyika abdominal mhango. Saka zvinoitika kuti pashure kurapa peritonitis chinhu kudiwa kwokukurumidzira kutanga kurapwa kuti namira chirwere. Chete iyi mukana hombe chikamu adhesions zvakati ungaderedza. Asi kana kuzvimba rava kwaramba, Ungangove, vachatanga kukudziridza namira chirwere ari abdominal mhango pasina zvinooneka zviratidzo uye kwokunze zviratidzo. Pakadaro, neapo simuka kurwadziwa yepazasi mudumbu apo kutonhora Zvinogonekawo dzimwe nguva kupatira.

The nzira chikuru mabatiro adhesions - ndiko laparoscopy. Chete oparesheni iyi inogona zvakarurama basa rimwe namano manipulations. Tiine laparoscope chiremba anoita kupatsanurwa adhesions, pashure zviri Vakasimuka nokungwarira.

The chikuru achishandisa kupatsanurwa adhesions ndiwo:

• Laser mushonga, kureva, kwetsinga pamusoro adhesions pamwe lasers,
• akvadissektsiya (nzira izvi zvinoitwa ne mvura)
• electrosurgery - nzira, umo namira muitiro unotemwa ne electrocautery.

Ndavhiyiwa, murwere aifanira prophylactic kurapwa. Kuitira kudzivisa kwaita adhesions matsva, inoverengeka nzira.

Chekutanga, ari pelvic mhango raitongwa siyana chipingamupinyi mvura.

Chechipiri, fallopian sepombi uye ovaries envelop kushandisa resorbable polymeric mafirimu.

Kakawanda, pashure rokutanga kushanda iri kupiwa kudzora chirwere laparoscopy, izvo zvinofanira kushandiswa kwemwedzi mishomanana. Izvi zvinoitwa kuti vapedze nokuumbwa adhesions itsva.

Mukuwedzera, chiremba kazhinji anokurudzira kubatwa, izvo rinoongorora nezvaJesu kudzvinyirira kuzvimba uye fibrin deposition mune peritoneal pamusoro. Uyezve, zvinoreva vanotumirwa, izvo Activate chirongwa pokutaura.

Pachivanhu adhesions pashure pokuvhiyiwa ikarapwa napo.

Chiremba prescribes zvinotevera zvinodhaka:

1. Fibrinolytic vamiririri, Kuparadzwa fibrin.
2. Anticoagulants, izvo tunodzivisa muitiro kweropa.
3. Mishonga uye Anti-anogumbura nevamiririri.

Asi okurapa kunoratidza kuti kurapa zvaiitwa chichange kusarudzwa nomumwe vose zvakananga nyaya.

Kazhinji, kunyange laparoscopy hakuvimbisi kuti zvose nezvinetso chokuita nokurapa chirwere ichi, zvichange kugadziriswa.

Chokwadi kuti nokushandisa akadaro kuvhiyiwa uye pamusoro kurapwa fallopian sepombi uye ovaries vanosunungurwa kubva adhesions. Asi pfungwa kuzoita dzavo womukati marongerwo uye kushanda hazvibviri. Saka pashure laparoscopic nzira vakadzi vane kushandisa ezvokunambira kunze kwomuviri waamai muchangosangana (IVF) kuti pamuviri.