Adhesions mu zonse m'mimba mwa akazi: zizindikiro ndi mankhwala

ziwalo zonse pamimba ndi mafupa a chiuno akazi (chiberekero, chiberekero, mazira, rectum, chikhodzodzo) okutidwa ndi wapadera woonda Kakhungu - ndi peritoneum. Pa kapangidwe ake, ndi yosalala ndipo alibe mfundo. Ngati chomwecho, ngati ndondomeko yotupa kumayambira mafupa a chiuno ndi (kutupa thumba losunga mazira ndi chiberekero, chiberekero), amene anatsagana ndi peritonitis, peritoneal limapezeka pa ❖ kuyanika padziko, amene limapangidwa Ulimbo. mankhwala amatha pamalo mgwirizano wa ziwalo wina ndi mzake, kuchititsa ndondomeko guluu wolimba kwambiri. Izi zimapangitsa kuti masoka makina chotchinga kufala kutupa mu mafupa a chiuno ndi. Koma mfundo ndi yakuti pambuyo kutha kutupa msoko kukhala.

Zomatira ndondomeko, amene anaphedwa pamene ntchito yake kuteteza matenda peritonitis zina kumabweretsa kusokonezeka kwa ntchito kwa mkati ziwalo mafupa a chiuno ndi. Ntchito yake - kuteteza thupi ku kutupa inafalikira mu zonse m'mimba. Choncho likukhalira kuti pambuyo mankhwala a peritonitis kukufunikira kuyamba chithandizo cha matenda zomatira. Only mu nkhani iyi Mwina gawo lalikulu la adhesions kwambiri utachepa. Koma ngati kutupa wakhala aakulu, osalephera, kuyamba kukhazikitsa matenda zomatira wa zonse m'mimba popanda zizindikiro zowoneka ndi zizindikiro kunja. Zikatero, nthawi zina uka ululu pamimba m'munsi pamene yozizira n'zothekanso zina kudzimbidwa.

The njira yaikulu ya chithandizo cha adhesions - ndi laparoscopy. Only opaleshoni molondola achite mwai wochenjera kwambiri. Ndi laparoscope dokotalayo ndi amene amachita kulekana kwa adhesions, kenako iwo achotsedwa mosamala.

Njira yoyamba ya kulekana kwa adhesions ndi:

• laser mankhwala ie, kung'ambika wa adhesions ndi lasers,
• akvadissektsiya (ndondomeko zimenezi ndi madzi)
• electrosurgery - njira, imene ndondomeko zomatira Kadulidwa ndi electrocautery.

Pambuyo pa opaleshoni, wodwalayo ayenera kukumana mankhwala prophylactic. Pofuna kuteteza zikamera wa adhesions latsopano, ankagwiritsa ntchito njira.

Choyamba, mu M'mimbamo m'chiuno kutumikiridwa zosiyanasiyana chotchinga madzi.

Kachiwiri, chiberekero ndi thumba losunga mazira uzikuta ntchito resorbable mafilimu polymeric.

Nthawi zambiri, pambuyo opaleshoni yoyamba amagwira ntchito kulamulira matenda laparoscopy, zimene ziyenera kugwiritsidwa ntchito mu miyezi ingapo. Izi zachitika kuti amalize mapangidwe adhesions latsopano.

Komanso, dokotala zambiri akuonetsa chithandizo chapadera, amene chipilala chojambulidwa kubisa kutupa ndi Ulimbo mafunsidwe a padziko peritoneal. Komanso, njira amapatsidwa, amene yambitsa ndondomeko ya kuvunda.

Pachikhalidwe adhesions pambuyo opaleshoni amaliona potero.

dokotala n'kukulemberani mankhwala zotsatirazi:

1. Fibrinolytic wothandizira, Kutha Ulimbo.
2. Anticoagulants, amene ziletsa ndondomeko ya clotting magazi.
3. Maantibayotiki ndi wothandizila odana ndi yotupa.

Koma zachipatala mchitidwe limasonyeza kuti kamwedwe mankhwala anasankha payekha milandu onse yeniyeni.

Nthawi zambiri, ngakhale laparoscopy sizitanthauza kuti mavuto onse amene ali oyanjana ndi mankhwala a matenda, zithetsedwe.

Chakuti pogwiritsa ntchito zoterezi ntchito ndi mankhwala pamwamba chiberekero ndi thumba losunga mazira ndi kumasulidwa ku adhesions. Koma ndondomeko ayambe dongosolo awo mkati ndi kufufuta n'zosatheka. Choncho pambuyo njira laparoscopic akazi amachita mu m'galasi umuna (Lidzawagwiritsenso) kuchilandira mwana.