Salpingoophoritis kana adnexitis ndiko kuputika kweuterine appendages (mazai uye fallopian tubes) inokonzerwa nemakiriniki emagetsi. Kune maitiro akaoma, subacute uye asingagumi e salpingo-oophoritis. Kusaporesa kurapwa kwehutachiona hunoita kuti munhu ave nekushaya simba.
Acute fomu
Acute adnexitis inowedzera zvinorwadza zvakakwana, uye inofanirwa kuchirapa muchipatara. Iyo mishonga yakakura yekurapa kwekudzivirira kwezvinyorwa zvinonzi antibiotics, izvo zvinorayirwa zvichienderana nerudzi rwepathogen. Kazhinji vanoronga mishonga yakakura-yakawanda kana kusanganiswa kwemishonga inorwisa mabhakitiriya - iyi nzira inoshandiswa pakufungidzirwa vanaerobic utachiona.
Kubatanidza kunobudirira kwemishonga inorwisa mabhakitiriya:
- gentamycin uye levomycetin;
- lincomycin uye clindomycin;
- clindomycin uye chloramphenicol;
- penicillin uye kanamycin / gentamicin (nokuda kwehutachiona hwevanaerobic).
Mumazuva matatu mukadzi wacho anowanzoita kutonhora, uye kurwadziwa mumimba kunowedzera. Kuwedzera kurapwa kwekuputika kwezvipfeko kunowedzera nemapiritsi eboka re penicillin uye aminoglycosides.
Kuti abvise zviratidzo zvekudhakwa, murwere anogoverwa droppers ne glucose, polyglukin, hemodez, rheopolyglucose, mavitamini. Therapy inowedzerwa ne antihistamines: dimedrol, suprastin.
Chimiro chekupera: kuwedzera
Munguva yekuwedzera, kurapwa kwekuputika kwezvinyorwa zvinosanganisira antibacterial, infusion, deensitizing therapy.
Kana zvichida kuwedzera kuwedzera mukurapa, hapana chikonzero chekurapwa pamusha, asi maererano nesarudzo dzechiremba.
Pamusoro pemashandisirwo emumuromo, ma antibiotics anoshandiswa:
- abactal;
- bactrim;
- ofloxin;
- siflox.
Pamusoro pekushandiswa kwepamusoro pekushandiswa kwekuputika kwezvinyorwa zvinosarudza suppositories, gel, creams (clindamycin, dalacin) uye mhinduro dze douching (vagotyl, romazulan, miramistin). Therapy inofanira kuwedzererwa nehutachiona hwemishonga uye multivitamines.
Chimiro chekupera: kuregererwa
Mushure mekutsvaira kwekuwedzererwa kwechirwere chinonzi adnexitis physiotherapy inokurudzirwa:
- electrophoresis ne magnesium, iodine, zinc, potasium;
- UHF-therapy;
- autohemotherapy;
- ultrasound therapy;
- vibromassage;
- injection yeAloe.
Aya maitiro anoteredza dambudziko rekubatanidza, kuva nemafungiro akafanana uye ekugadzirisa zvinokonzera.
Kurwara kwechirwere chechibereko chekuberekwa kunorevawo kurapa nekuporesa dhaka (ozokeritotherapy) uye maparafini; kushingaira kunyorera kumadzimai nemaminerari emvura (sulfide, chloride-sodium) uye mabhedha ekurapa.
Kuti apedze nguva yekuregererwa, sarudza kusanganiswa kwemishonga yekudzivirira - chirongwa chemwedzi inenge mitanhatu.
Nenzira inofadza inobata hutano hwevarwere vane chirwere chisingaperi chine adnexitis resort uye sanatorium kurapwa (yakakurudzirwa kuregererwa kusingaperi).
Matambudziko uye kurapwa
Kakawanda, mumadzimai anononoka kurapwa, kuputika kwezvinyorwa zvinokonzera zvinetso zvinoda kupindira chirwere (peritonitis, absvic pelvic, ectopic pregnancy).
Kupindira kwekuvhiya kunokubvumira kuti ubvise zvinyorwa, purulent uye mafunguro emvura, kudzorera patency ye fallopian tubes. Dambudziko rekusununguka mushure mekuvhiyiwa haritauri.
Mazuva ano, mumabasa ekurapa kwekuputika kweuterine appendages, laparoscopy uye minilaparoscopy zvinoshandiswa - maitiro aya ekuvhiya haafaniri kusiya chero marwadzo uye haasuruvara kupfuura kudarika kwekugara.