Mankhwala kwa kutupa zokhudzana ndi. Kutupa kwa zokhudzana ndi akazi

Dongosolo zoberekera za mwamuna zikuphatikizapo ya ziwalo kunja ndi mkati maliseche, kuphatikizapo zopangitsa endocrine, amene pamodzi ndi zina amathandiza kubalana. Mbali imeneyi mwina vuto lalikulu lonse la anthu, chifukwa ndi zimene amathandiza kuli mitundu wathu m'chilengedwe chonse, ndi kuonjezera chiwerengero cha dziko.

Zina mwa zifukwa

Komabe, anthu ambiri a dziko lapansi, ngakhale kudziwa za tsogolo chilengedwe cha akazi, musati thanzi lawo, ndi zizolowezi zoipa ndi chiwerewere nthawi zambiri supercooled, musati kutsatila malamulo a ukhondo. Ndi chifukwa cha moyo umenewu angathe zosiyanasiyana matenda a dongosolo Ziwalo zoberekera mu M'mimbamo m'chiuno. Mu akazi, iwo ali osatetezeka ndipo chotero zambiri kuposa amuna, zagonjetsedwa kwa matenda wothandizila osiyanasiyana opatsirana. Choncho anayamba endometritis, kutukusira kwa thumba losunga mazira ndi zokhudzana okha zopangitsa kugonana, kumaliseche, khomo pachibelekeropo. Zina chiopsezo cha akazi ndi zachiwerewere, yaitali ntchito zipangizo intrauterine kulera zosiyanasiyanazi, kawirikawiri kuchipala (mimba), mwai sanali dokotala pa kumaliseche. Kapangidwe anatomical cha ziwalo zoberekera za mwamuna ndi chotero kuti malowedwe matenda kapepala kakuti awo maliseche ndi zochepa wamba ndi zovuta zambiri. Komabe, pamene ophatikizana zinthu chokhwima (immunodeficiency, yaitali hypothermia) angathe kutupa kwa epididymis anthu.

zotsatira

njira yotupa ziwalo zoberekera kuyambitsa zosakhalitsa (ndi mitundu patsogolo - ndi yaitali ngakhale mpaka kalekale) imfa ya ntchito ubereki. Izi zimachitika makamaka chifukwa dzira kuti umuna m'pofunika kuti agwirizane ya zinthu zabwino, chifukwa ngakhale mosadziteteza kukhudzana kugonana njira ya umuna aziimirira ambiri mwa mavuto. Ndipo pamene palibe nkhawa za umoyo wa amayi nthawi zambiri kukhala endometritis (mucous nembanemba chotupa ya m'chiberekero), kutupa kwa zokhudzana ndi akazi (thumba losunga mazira ndi chiberekero - adnexitis kapena salpingo). Zizindikiro zikuluzikulu za gulu la matenda ndi lakuthwa (pachimake) kapena wosweka (kuchepetsa) ululu m'mimba. Komanso, iwo nakweza pamaso kapena pa msambo. Makamaka khalidwe la ululu kugonana, utachepa libido. Odwala Kawirikawiri wa kukanika kusamba, amene kumaonekera mu osasamba, kuwonjezeka / kucheperachepera chiwerengero cha masankhidwe, komanso maonekedwe a kuledzera, kufooka ambiri, malungo, kuzizira.

magwero a matenda

Zimayambitsa kusintha yotupa mu kumaliseche a amuna ndi akazi amene opatsirana. A chotupa zokhudzana kumachitika mwa lymphatic kapena hematogenous kufala kwa limatiphunzitsa. Nthawi zambiri onse mawonetseredwe extragenital a zotupa pachimake kapena aakulu (carious mano, matenda, sinusitis, TB appendicitis) ndi maliseche matenda mavuto (chlamydia, chinzonono, trichomoniasis). Motero, angakhale mabakiteriya, tizilombo, mafangasi wothandizira.

chithandizo Causative

The dokotala pambuyo zoyankhulana mokwanira ndi mosamala mtima kumene mankhwala pa kutupa zokhudzana. Mu matenda oyambirira, makamaka ngati zachitika mankhwala pachimake anapangana ndi mankhwala ntchito yotakata sipekitiramu wa kanthu. Likufanana ndi izi atengedwa swab wa mkazi maliseche thirakiti Aftercrops tizilomboto mu sing'anga michere mu zasayansi microbiological kudziwa mtundu wake. Chifukwa, pambuyo pa nkhani imeneyi anathana, zimene mankhwala kuchiza kutupa kwa zokhudzana wodwala.

mankhwala

Sankhani mankhwala yothandiza kwambiri pa nkhani inayake. Nthawi zambiri zoikidwa ndi mankhwala chimodzimodzi kutupa zokhudzana ndi - ndi "Amoxicillin", "Doxycycline", "Clindamycin" "Chloramphenicol", "gentamicin," "Lincomycin". Ndi amene kaŵirikaŵiri ntchito monotherapy ndi zovuta. Kuti tichite zimenezi, anasankha osakaniza mankhwala angapo kupambana othamanga wa mphamvu zabwino, ndipo woyamba wa zonse, kuti kutupa m'malo olumikizirana mafupa a zokhudzana ndi akazi. Powonjezera ikuchitikira pathogenetic ndi symptomatic mankhwala umalimbana kuchepetsa mkhalidwe wa mtima ndi kuchotsa maulalo ena mu unyolo kutupa. Choncho, ngati matendawa koyamba kuzindikiridwa ndi mu gawo pachimake, zikuoneka wa wodwalayo amalangiza mankhwala inpatient. Apo iye ali kutsatira bedi zina, kutenga mankhwala zofunika kutupa kwa zokhudzana kapena mbali zina za ziwalo zoberekera, komanso sulfonamides, analgesics kuti kupweteka ndi kulimbitsa wothandizira, kulimbikitsa chitetezo cha m'thupi. Ngati matenda ali mu gawo subacute mankhwalawa chakudya cha physiotherapy anawonjezera mosamala. Nkhani cha matenda - ndipo ngakhale balneotherapy.

masiyanidwe matenda a mavuto

Koma ngati nthendayo zobisika kwa nthawi yaitali zinapita kapena ayi wodwalayo kuwayang'anira matenda, kudzikonda anapanga ntchito mankhwala kwa kutupa zokhudzana ndi, zambiri mu Zikatero, pali zambiri mavuto, osati chifukwa mu osabereka, koma amafuna chithandizo mwamsanga. Panthawi yake matenda a matenda a ntchito za uchembere wabwino ndi zimavuta kwambiri, monga odwala kwa nthawi yaitali "kunyamula pa mapazi awo," gawo koyamba kwa matenda ndi kuchipatala pokhapokha maonekedwe a mupitirizabe kusonyeza zizindikiro. Pa nthawi imeneyi, zizindikiro za matenda ofanana ndi matenda ena ambiri: endometritis, peritonitis, chotupa aimpso, ndi dokotala sangathe kupanga matenda kokha pamaziko a mbiri zambiri zachipatala zoona thupi, zasayansi (KLA, OAM, PCR, immunological njira IFA ndi IFA) ndi zofufuza zoimbidwa ( ultrasound). M'pofunikanso ndi mkati uzamba Kafukufuku wasonyeza zochepa kuyenda zokhudzana n'kuwasanganiza.

machenjerero achire

Ngakhale ngati mankhwala ndi kuyang'aniridwa ndi kutsogolera woyenera kuchira zonse za mtima, m'tsogolo ayenera kupewa zinthu chokhwima kwa chamoyo. Mwachitsanzo, si koyenera kwa nthawi yaitali kukhala pa msewu kapena chipinda ozizira, m'pofunika kuchita ukhondo mokwanira ziwalo zoberekera, mungawononge mkombero wanu kusamba ndi nthawi muzindikire maonekedwe a aliyense, ngakhale zizindikiro zazing'ono. Zingakhale zabwino dzina mtima zapomnilaneobhodimoe mankhwala kwa kutupa zokhudzana ndi. Iye ayenera kusungidwa mu kukumbukira ndi zina mapeto a mankhwala Mwachitsanzo, -tsillin (mankhwala a kusankha kwa gulu la penicillin, ali yotakata-sipekitiramu, anatumizidwa pamene matenda). Izi wothandizila opatsirana (angathe kuchititsa kutupa kwa zokhudzana ndi akazi), mankhwala a amene anapanga izo penicillin ndi aminoglycosides (zambiri zikuthera -mitsin), ambiri stafillo-, streptococci, pepto-, peptostreptokokki, enterobacteria ndi bacteroides.

Sitepe zina mankhwalawa

Ngati ziribe mphamvu pa mankhwala anafuna kapena osakaniza angapo m'masiku 3 (maola 72) Komanso Kwalamulidwa mankhwala "clindamycin". Ndi semisynthetic mankhwala gulu lincosamides, amene ali kutchulidwa bactericidal ntchito. Ndipo zimatengera bola akadzabweranso mtima kutentha yachibadwa thupi ndi zizindikiro za mkwiyo wa peritoneum choipidwa Kodi kutha. Zitatha izi "clindamycin" mankhwala ndi anaima ndi kubwerera ndondomeko yapita chithandizo, i.e. osakaniza penicillin ndi aminoglycosides pakamwa masiku 5.

kupewa

Mu yomweyi, akazi ayenera analangiza kudya mankhwala antifungal, monga waonongeka osati tizilombo toyambitsa matenda pa chithandizo ndi mankhwala, koma zomera bwinobwino, ndipo zimenezi zingayambitse aggravation za moyo ndi kugwirizana kukana opha tizilombo kwambiri. Ngati pa matenda mkazi ali ndi zoonekeratu matenda kuledzera (malungo, kupweteka kwa mutu, kumverera kwa kufooka, kupweteka m'munsi pamimba kapena kuchepera kumbuyo, amagwirizana ndi kusamba, chizungulire, kunyansidwa ndi kusanza, tsankho zikuchitika kuwala, etc ..), omwe amaonetsera chikhalidwe kwambiri mtima, khalidwe kulowetsedwa mankhwala mofulumira kuyamba nthawi kukonzekera. Koma ngati pa msinkhu wa matenda, wodwalayo anayamba matenda zomatira, m'pofunika komanso kusamvana mankhwala.