Mishonga nokuti kuzvimba zvinoshandiswa. Kuzvimba zvinoshandiswa vakadzi

Dzokubereka nadzo dzomunhu rinosanganisira yakatarwa nechitarisiko uye munyika sikarudzi, kusanganisira kwemakemikari anobudiswa omumuviri, iyo pamwe chete navamwe kukonzera kubereka. Nyaya iyi zvichida ndiyo dambudziko guru rose revanhu, nokuti ndizvo zvinobatsira kuti kuvapo kwemarudzi zvedu zvose, uye kuwedzera yevagari panyika.

zvinokonzera njodzi

Zvisinei, vagari vazhinji pasi, kunyange vachiziva pamusoro kwomuzvarirwo mugumo vakadzi, regai kudzivirira utano hwavo, vane tsika dzakaipa uye ndezvimwewo kazhinji supercooled, regai kutevedza mitemo utsanana. Imhaka nzira iyi youpenyu anogona kuva zvakasiyana zvirwere dzokubereka nadzo nhengo iri pelvic mhango. In vakadzi, ivo nyore uye saka kakawanda kupfuura vanhu, vari pasi kurwisa-siyana zvinokonzera zvirwere. Saka dzakabudirira endometritis, imwe kuzvimba ovaries uye zvinoshandiswa pachavo mumasero pabonde, nyinyo, cervix. Zvimwe zvinoita ngozi kuvakadzi vari kushandisa intrauterine pamuviri mano, kakawanda tichibvisa (pamuviri), non-nyanzvi dzokurapa manipulations pamusoro sikarudzi unzenza, refu-refu. The anatomical nemamiriro munhurume dzokubereka nadzo akadaro kuti kupinda chirwere muna yokubereka turakiti yavo ndoda kunoenda uye kuoma. Zvisinei, kana kukabatanidzwa yaivhuvhuta ezvinhu (immunodeficiency, kwenguva refu hypothermia) anogona kuva kuzvimba epididymis muvarume.

migumisiro

Anogumbura pezvakaitwa ari sikarudzi kukonzera pfupi (uye chamber siyana - a kwenguva refu kana kunyange zvechigarire) kurasikirwa pamuviri ushande. Izvi zvinoitika achinyanya nokuti zai pakusangana zvakafanira kuenzaniswa akaisawo akanaka ezvinhu, nokuti kunyange kuburikidza kudzivirirwa dzepabonde kuonana nenzira urume simuka vakawanda nezvipingamupinyi. Uye kana pasina hanya vakadzi utano kazhinji kuva endometritis (mucous Kamudzira lesion pamusoro dumbu), kuzvimba zvinoshandiswa vakadzi (ovaries uye fallopian sepombi - adnexitis kana salpingo). The chikuru zviratidzo boka iri zvirwere yakapinza (chakasimba) kana dzava (kupomhodza) abdominal marwadzo. Uyezve, vari yakakura vasati kana panguva yekutevera. Kunyanya runozivisa marwadzo panguva kurara, ungaderedza libido. Varwere kazhinji chokunyunyuta pamusoro kumwedzi dysfunction, izvo kunooneka pacharo ari pamutemo, kuwedzera / kudzikira uwandu pazviridzwa, uyewo kuratidzwa kudhaka, vakawanda simba, fivhiri, chills.

manyuko chirwere

Zvinokonzera anogumbura kuchinja sikarudzi zvevarume nevakadzi vane chirwere. A zvinoshandiswa lesion kunoitika kuburikidza nhengo dzinobudisa kana hematogenous kupararira kubva anyatsoona. Kazhinji vaviri extragenital kuratidzwa chakasimba kana chisingaperi maronda (carious mazino, bronchitis, sinusitis, tibhii, appendicitis) uye nhengo dzokubereka zvirwere matambudziko (chlamydia, mwandabvu, trichomoniasis). Saka, vangava kwemabhakitiriya, nemavhairasi, fungal nevamiririri.

Causative kurapwa

Chiremba pashure kwazvo bvunzurudzo uye kuongorora murwere ibasa mishonga panguva kuzvimba zvinoshandiswa. Mukutanga chirwere, kunyanya kana kwakasimbiswa chakasimba vakagadzwa zvinodhaka asingaurayiwi basa chakarondedzera chiito. Parallel iyi chinobviswa swab ari nhengo dzokubereka turakiti Aftercrops utachiona hwakakura ari inotonhorera svikiro iri microbiological murabhoritari kuziva zvayo mhando. Somugumisiro, pashure nyaya iri kugadziriswa, chii mishonga kurapa kuzvimba zvinoshandiswa murwere.

kurapa

Sarudza inonyatsobudirira kurapwa mune chimwe chiitiko. Kazhinji akagadzwa chete mishonga kuti kuzvimba zvinoshandiswa - a "Amoxicillin", "Doxycycline", "Clindamycin" "Chloramphenicol", "Gentamicin," "Lincomycin". Ndirwowo inonyanyoshandiswa akashandisa haana monotherapy uye kunzwisisa. Kuti aite izvi, akasarudza mubatanidzwa zvinodhaka anoverengeka kuti kunokurumidza budiriro rekuva emuchina, uye kutanga, kuderedza kuzvimba zvinoshandiswa vakadzi. Kuwedzera ichi dzinoitwa pathogenetic uye symptomatic kurapa zvainanga Kuderedza pezvakaita murwere uye kubviswa zvimwe cheni yacho pakati chokutsva. Saka, kana chirwere yakatanga kuzivikanwa uye ari rikwanise chokutambudzika, zvingangoita murwere kuchaita varumbidze inpatient kurapwa. Ikoko iye ane kuita mubhedha zororo, kuti zvinodiwa mishonga kuti kuzvimba zvinoshandiswa kana dzimwe nhengo dzokubereka nadzo, uyewo sulfonamides, analgesics kuderedza marwadzo uye kusimbisa nevasori, kusimbisa zvirwere. Kana hosha iri subacute chokutambudzika kuti kurapwa zvaiitwa kuti physiotherapy awedzera nokungwarira. A nyaya echirwere - uye kunyange balneotherapy.

differential kuongorora chirwere matambudziko

Zvisinei, kana, maperembudzi Isimba rakadini rinogona kubudiswa kwenguva refu yapfuura kana kwete murwere kuti akuteerere utano, achizviita kushandisa kwavo inorwisa mabhakitiriya nokuda kuzvimba zvinoshandiswa nguva, kakawanda kacho zvakadaro, pane zvakawanda yematambudziko, kwete chete zvinoguma mbereko, asi zvinoda nokukurumidza kurapwa. Panguva Chaiyo chirwere zvirwere dzokubereka basa kazhinji matambudziko chaizvo, sezvo varwere kwenguva refu "takura netsoka dzavo," Paunotanga chirwere uye kwachiremba chete pashure chimiro zviratidzo zvikaramba. Panguva iyi, zviratidzo chirwere akafanana nedzimwe hosha dzakawanda: endometritis, peritonitis, renal chikofu, uye saka chiremba anogona kuita chirwere chete pahwaro munhoroondo hwakadzama zvokurapa uye kuongororwa panyama, rabhoritari (KLA, OAM, PCR, immunological nzira IFA uye IFA) uye richishanda kuferefeta ( Ultrasound). Zvinokoshawo uye dzomunyika tsvakurudzo kusununguka inoratidza zvava kundiomera kufambisa muviri zvinoshandiswa ovary.

kuchirapa nzira

Kunyange kana marapirwo ari pasi pokudzora anokwanisa kutungamirira kuti kunaya zvakakwana murwere, munguva yemberi kunofanira kudzivisa yaivhuvhuta ezvinhu kuti muviri. Somuenzaniso, hazvina zvakafanira kwenguva refu kuti mumigwagwa kana mukamba kuchitonhora, zvakakodzera kuitisa kwazvo utsanana nhengo dzokubereka nadzo, arambe yako kumwedzi uye nguva kuona chimiro chipi, kunyange zviduku zviratidzo. Zvaizova zvakanaka zita murwere zapomnilaneobhodimoe mishonga kuti kuzvimba zvinoshandiswa. Iye anofanira kuchengetwa mundangariro vari dzimwe kuguma zvinodhaka Somuenzaniso, -tsillin (zvose zvinodhaka rwokusarudza kubva boka penicillins, ivo yakafara-chakarondedzera, basa kana noutachiona). Izvi zvinokonzera zvirwere (anokwanisa kukonzera kuzvimba zvinoshandiswa vakadzi), mishonga iyo akariita penicillins uye aminoglycosides (kazhinji kupedza -mitsin), vakawanda stafillo-, streptococci, pepto-, peptostreptokokki, enterobacteria uye bacteroides.

An Danho pakurapa

Kana pasina zvainoita akaronga zvinodhaka kana mubatanidzwa inoverengeka mazuva 3 (maawa 72) Uyezve ushandiswe mushonga "clindamycin". Zviri semisynthetic asingaurayiwi boka lincosamides, iro rine raidudzwa bactericidal basa. Uye zvinotora sokuvapo murwere anodzoka chaiko muviri tembiricha uye zviratidzo kuzvinetsa pamusoro visceral peritoneum asingadi kunyangarika. Shure kwaizvozvo "clindamycin" chinodhaka anomiswa uye vodzokera yapfuura kurapwa nzira, i.e. mubatanidzwa kuti penicillin uye aminoglycosides nomuromo kuti 5 mazuva.

dziviriro

In zvakafanana, vakadzi vanofanira kuudzwa kuti yaunodya pamusoro antifungal zvinodhaka, sezvo raparadzwa kwete chete utachiona iri mishonga, asi kuipa kasvisto, uye izvi zvingaita kuti kusembura zvinhu uye kubatana kuramba mishonga yakawanda inorwisa mabhakitiriya. Kana munguva chirwere ichi mukadzi ane pachena zvikuru kudhaka zviratidzo (fivha, nomusoro, kunzwa simba, kurwadziwa rezasi mudumbu kana kudzika shure, chokuita kumwedzi, dzungu, kuda kurutsa uye kurutsa, kusashivirira kune chiedza mikana yakawanda yokukurudzira, etc ..), Izvo ndeakaita chakakomba mamiriro murwere, mufambiro aizomupa kurapa, kuti rikurumidze pakatangira nguva yokuti gadziriro. Kana, zvisinei, panguva kureba chirwere, murwere akatanga namira chirwere, zvakakodzera uyewo chisarudzo mishonga.