Chenjera dumbu iri Gynecology: zviratidzo, zvinokonzera, kurapwa

The kunotoda chirwere umo mune simba marwadzo ari abdominal nharaunda, nhengo tsandanyama kunetseka chirwere uye rikwanise dumbu inonzi chair. Kana ukaona zviratidzo zvakadai akonzera "rubatsiro wokutanga", nekuti murwere ingada kuvhiyiwa.

Zviratidzo chirwere

Shoko rokuti "chakasimba dumbu" vanobatanidza pathologic pezvakaitwa vanoverengeka kuitika abdominal zvomukati. The zvinokonzera dambudziko iri vanoda kuziva vanachiremba, asi padivi zviratidzo kuziva wose. Izvi zvichabatsira kuti kunzwisisa kuti ndiyo nguva kuzodana medics.

chenjera dumbu iri Gynecology kiriniki, somunhu mutemo, zvakafanana Varwere zvose. Pakarepo, kurwadziwa kazhinji kunoitika apo chakaipa mamiriro utano. Kazhinji, vakadzi vanogona kunyange kuudza nguva chaiyo apo akazviratidza. Kazhinji, anotanga pamwe rezasi dumbu. Nokufamba kwenguva, marwadzo rinopararira yose mudumbu uye yakakura. Vamwe kunyange kumira uye anogona kurasikirwa kuziva.

Uyezve, pane zvimwe zviratidzo, iyo inogona chirwere rikwanise dumbu mu Gynecology. Zviratidzo zvingasanganisira: kurutsa, kuda kurutsa, abdominal nokushatiriswa zvirwere chokuita zvinoyerera negasi uye mutsvina yadzo. unofanira kudana "kutsanya" nepo akashuma kunotoda mufananidzo. Nyanzvi chete anogona kubata zvakaitika, uye murwire murwere profiled muchipatara.

Dzimwe nguva varwere uyewo kunyunyuta simba, dzungu, uye kunzwa kumanikidzwa vari horo.

kunokonzera matambudziko

Akatsanangura mamiriro ezvinhu inomuka apo womukati ropa, non-zvakananga zvomudumbu zvirwere, appendicitis, atsamwira chiropa, chirwatata. Kazhinji pane rikwanise dumbu mu Gynecology. Marwadzo zvingaratidza ane ectopic pamuviri, ovarian apoplexy, anogumbura zvirwere munhukadzi sikarudzi, kana kwacho muzvirongwa peritoneum. Sezvo Zviratidzo izvi zvinogona kuitika mune kusagadzikana kweropa iri yomukati sikarudzi. Izvi zvinogona kuitika, somuenzaniso kana Achitsaudzira makumbo idzodzo ovarian bundu, necrosis kana Achitsaudzira leiomyomata.

Rokuongorora misha yavo hazviiti. Naizvozvo, chenjera dumbu zvinokonzera (kusanganisira Gynecology) vanofanira kuziva chete vashandi vanokwanisa. Chero pamusoro matambudziko kunoda rainyatsoigona kuongorora chirwere. Help muchiitiko ichi anofanira yakapiwa nokukurumidza.

Selection nechirwere

Zvirwere, afunge chakasimba dumbu urwere, muri zvikuru ngozi. Naizvozvo, zvakakosha nekukurumidza kumisa zvakarurama zvawanikwa. The differential chirwere kuti rikwanise dumbu iri Gynecology anobvumira kuti haabatanidzi kuvapo dzimwe pathologies (semuenzaniso, appendicitis, pfungwa nomuviri zvemwana asati, cholecystitis, intestinal mhingaidzo iri rikwanise siyana) uye kuwedzera kuziva kwavo zvinokonzera.

Munguva ino murwere kunokosha. Somuenzaniso, mune vakadzi panguva kubereka, kubereka pavasikana vaduku navakadzi vakanga vasingaiti zvepabonde, unogona pakarepo ushe kubva zvingangoita pamuviri. Uyewo, vanowanzoita regai kuitika anogumbura zvirwere. Vanaamai vakadaro kashoma akatuma munhu gayinakorojisiti. Vangava appendicitis kana tibhii.

Asi kushaya mbereko pakarepo kunoratidza pfungwa mukana muchibereko zviri ovum iri kumicheto. Zvinogonekawo, kana ari mukadzi kare chakaziviswa ectopic pamuviri. Kana nhoroondo murwere akanga anogumbura zvirwere, zvinokwanisika kuti uyu ndiye mumwe nguva exacerbation.

Chirwere pamusoro intra-abdominal svota

Varapi inokosha kwete chete kuti tiite mashoko akakwana kuongorora, asiwo kuongorora murwere. Chete nenzira iyi inogona chirwere "rikwanise dumbu" (Gynecology). Emergency ruyamuro achava nokukurumidza kana chiremba achakwanisa pakarepo kunzwisisa chii chaita dambudziko.

Somuenzaniso, intra-abdominal chokubuda ratidza lethargy, adynamic, kumanikidza rutapudzo. Kutarisana murwere panguva imwe chete haazokwanisi miromo - cyanotic, kupomba - palpitations uye munyoro. Izvi zvinogona kuitika kana munhu ectopic pamuviri, ovarian apoplexy kana uterine perforation.

Muchiitiko chokutanga dambudziko riri kubatana kunonoka kuenda kumwedzi, spreadable rima zvinoyerera kubva nyinyo. Uyewo vakadzi zvinoita sokuti ndakatota ziya, zvinoita manyoka, svoto. Zvisinei, The tembiricha, anoramba zvakajairika.

Kana apoplexy ovary rikwanise dumbu iri Gynecology chirwere, mazuva kazhinji anoverengeka pashure kuguma kumwedzi. Izvi kunoitika anenge panguva ovulation. Vanofungidzirwa apoplexy kunogona kuva chiitiko kuti murwere aiva nhoroondo ovarian cysts.

About uterine perforation zviri Muzviitiko apo kusachengeteka kukuru dumbu chirwere kunoitika pashure akatevedzana gynecological nzira kana zvomusejari kupindira. Pain anogona kuitika mushure nhanganyaya kana kubviswa akamonyoroka, pamuviri kana dilatation uye curettage. Zviratidzo zvinogona kuitika zvinenge pakarepo pashure perforation kana mazuva 1-2, kana kachitanga peritonitis.

ectopic pamuviri

Mune zvimwe zviitiko zvinoitika kuti zai kwakunoitwa uye kachitanga kunze dumbu rusvingo. Izvi zvaitika, paavhareji, 1,3% pamuviri zvose. Kazhinji, zai ndee mune Fallopian chubhu - richiwanika muna 99% vose ectopic muchibereko. Asi pane mamiriro ezvinhu kana Inowanikwa ovaries, cervix kana dumbu. Pamuviri kukura mberi, sezvinoita mutemo, kusvikira vhiki 5-8. Pashure kune neTubhari pamuviri. Saka akadana yokuzviparadzanisa kubva ovum kubva masvingo uye makatodzinga ari abdominal mhango. Heyo calcify uye mummified. Asi dzimwe nguva zvimwe zvinoita Mugumisiro - pakakoromoka fallopian chubhu.

Muzviitiko apo zai pakarepo pashure ovulation, anogona vasiyana ovary kana peritoneal mhango. Mukupera zvakafamba wanamatira, kazhinji pane pemvura omentum kana chiropa.

Chenjera dumbu mu Gynecology zvingaitika kana nenyere atsamwira kana chidzivaidzo kuti naTubhari pamuviri. Mune zvimwe zviitiko, pane kunotoda yakasiyana mufananidzo.

The zvinokonzera ectopic pamuviri

Pamusoro kuonekwa pamusoro ovum kunze dumbu zvakakosha kunzwisisa mazano ari mberi kurapwa. Asi vanofanirawo kuziva kuti chii chakaita kuti muchibereko kwakadaro. Dzimwe nguva izvi zvinoitika apo dzokubereka infantilism. About dambudziko iri mubvunzo panyaya kana murwere ane refu uye chakakombama fallopian sepombi pamwe kunonoka peristalsis.

Kazhinji, kuti zai iri akasima, asati asvika dumbu, nokuti kuti mberi kwayo kufambira. Izvi zvinoitika muna anogumbura urongwa mu zvinoshandiswa, zvichiguma nokuumbwa adhesions nokuda yapfuura akavhiyiwa mudumbu kana zvibereko. Mukupera mhosva, ivo yakabereka ane namira rejira, havachanyatsogoni contractility.

Uyewo, inokanganisa pamusoro motility pakati pombi vane zvinhu zvinotevera:

- intrauterine mano;

- Zvikwepa endometriosis;

- nezvinetso kwemakemikari anobudiswa maitiro (adrenal chirwere, thyroid);

- kushushikana;

- progesterone gadziriro.

Inosimudzira mukana wokuti ectopic muchibereko pamusoro ovum uye bundu inotungamirwa ari chiuno. Vanogona Svinai chubhu uye kuvhiringidza dzose ndima zai.

Pasinei zvikonzero iyo ovum akanga dzakabatanidzwa mutopota, zvichatoipa mumwe. pamuviri Izvi akambomiswa. Uyezve, kana hazvigoni chirwere panguva uye kuti vasavhiringidza, zvichakutungamirira chokuti mukadzi pachake chiitiko chinosuruvarisa nokudzidza sei kuratidza kusachengeteka kukuru dumbu chirwere muna Gynecology.

ovarian apoplexy

In vakadzi dzokubereka zera vanogona kuva zvirwere kuti kukonzera intra-abdominal kubuda ropa. Izvi zvinogona kuva pakakoromoka (myocardial hematoma) ovary. Kuvhiringidza iyi kuvimbika ayo ropa kwaizotevera kutanga ropa abdominal mhango.

Chirwere kunotanga pakarepo-kutanga kurwadziwa, iyo kazhinji vemunyika rimwe divi. Zviratidzo peritoneal kutsamwa panguva kungaratidzwa zvakaneta. Zvakakosha kwete kuvhiringidza apoplexy pakati ovary uye okuwedzera, nokuti chiremba mufananidzo wakafanana mamiriro ezvinhu.

anomera

Zvakakosha kuziva zvose zvinobvira zvinokonzera rikwanise dumbu iri Gynecology. Handiti haisi nguva richiwanika pamusoro colour kubva intra-abdominal kubuda ropa. Uyewo vakati chirwere zvingaitika kana bundu Achitsaudzira makumbo abuda ovary, kana torsion (uye dzimwe nguva, necrosis) myoma raiva pedyo nebundu. Kukura ezvinhu akadaro kunobvira kana dzidzo - diki kukura uye riri pamusoro chinjwa refu gumbo.

Achitsaudzira bundu chinotanga marwadzo, ichiteverwa kurutsa kana kungoti svoto. ivo zvinowanzobatanidzwa unopinza kufamba kana muviri. Varwere vanotya pamberi rusvingo peritoneum, pane kunonoka ane chair. Skin rakachenuruka, akafukidza ziya inotonhora, mune varwere akurumidze kupomba, rurimi yakaoma. tembiricha muviri anogona akakwidziridzwa.

Kana Achitsaudzira myoma raiva pedyo nebundu marwadzo cramping, pane mufananidzo kudhaka - rurimi yakaoma, ganda, tembiricha kuti 38-39 ⁰ C, kuda kurutsa uye pazvinobvira kurutsa. Ropa Ipapo ngazviwedzerwe nhamba leukocytes. Gynecological ongororo pane ichiwedzerwa marwadzo.

anogumbura pezvakaitwa

Chenjera dumbu mukati Gynecology uye Obstetrics kunogona kuitika tikafunga achiipa zvirwere. Kungava kuzvimba yomunyika nhengo dzokubereka nadzo. Nokuda kwaizvozvi, murwere anogona kuva pelveo-peritonitis (apo kuyerera ari chiuno) kana peritonitis (abdominal mhango).

Matambudziko anogona kutanga:

- generalized chirwere vagura nechekumashure adneksita kana endometritis;

- vazvo siyana zvavakatemerwa panguva caesarean chikamu;

- perforation of dumbu (mushure tichibvisa);

- perforation piovara kana piosalpinks.

Muzviitiko izvi, kuti kurapwa anokuzviratidza zvichienderana, nokuda iyo yakatanga chakasimba dumbu syndrome.

nzira kurapwa

Pasinei zvikonzero, izvo zvakaita kuti zvakanga chirwere se "rikwanise dumbu mu Gynecology" uye anofanira kubatwa muchipatara. In Hemorrhagic kuvhunduka kana kurwadziwa zvakakosha kupa marwadzo relievers, kutanga hemostatic vamiririri, ropa Sevamiririri. Zvakakosha kuyeuka kuti pane ngozi rufu, saka chirwere inofanira pasina kunonoka akaita.

Kana ectopic pamuviri zvinogona kuonekwa pamberi nechitarisiko marwadzo, zvino iri kuvhiringidzwa mune vakaronga nenzira. Kazhinji, vanachiremba vanoita laparoscopic wokuvhiya kuburikidza diki incision uye akapora nembeu zai. Asi kakawanda yokupedzisira nzvimbo inogona kusimbiswa panguva apo murwere amburenzi vakauya kuchipatara pamwe chirwere kuti "rikwanise dumbu".

In Gynecology chinonyanya ngozi ndiyo mamiriro ezvinhu apo pane atsamwira yacho fallopian chubhu. Asi zhinji pamuviri inoguma ovum ropa vakadzingwa vapinde abdominal mhango. Izvi kazhinji achiperekedzwa intraperitoneal ropa uye anoita zviratidzo kurondedzerwa.

No zvishoma ngozi ndiyo zvokurwara uye apoplexy ovarian kana uterine perforation. Muzviitiko izvi, sezvo intra-abdominal ropa kunotanga. Dzimwe nguva kunyange zvinoda pakarepo pakatanga ropa-dzinomiririra anokosha zvigadzirwa.

Chero zvirwere anogumbura dzinodawo nenguva kurapwa uye kuongorora murwere ezvinhu.