Pachimake pamimba ku matenda achikazi: zizindikiro zimayambitsa, chithandizo

The matenda matenda amene pali amphamvu lakuthwa ululu m'dera m'mimba, ndi ziwalo minofu maganizo chisokonezo ndi pachimake pamimba otchedwa mpando. Ngati inu mungazindikire zizindikiro ayenera kuyambitsa "thandizo", chifukwa wodwalayo angafunike opaleshoni.

zizindikiro za matenda

Mawu akuti "pachimake pamimba" kuphatikiza njira zingapo pathologic kunachitika ziwalo m'mimba. Zimayambitsa vutoli muyenera kupeza madokotala, koma zizindikiro m'munsili ayenera kudziwa aliyense. Izi zidzathandiza kuti kudziwa kuti ndi nthawi kuyitana medics.

pachimake pamimba ku chipatala matenda achikazi, monga ulamuliro, ndi ofanana odwala onse. Mwadzidzidzi ululu zambiri kumachitika pamene boma yachibadwa thanzi. Nthawi zambiri, akazi ngakhale kukuuzani nthawi yeniyeni zinaoneka. Nthawi zambiri, zikuyamba ndi pamimba m'munsi. M'kupita kwa nthawi, ululu kufalikira mu pamimba nakweza. Ena ngakhale kuyima ndi akhoza kutaya kutsitsimuka.

Komanso, pali zizindikiro zina, sipangakhalenso matenda pachimake pamimba ku matenda achikazi. Zizindikiro ingakhale monga iyi: kusanza, kukhumudwa m'mimba, matenda kugwirizana ndi kumaliseche mpweya ndi ndowe. udzamutche ndi "kudya" pamene lipoti chithunzi matenda. Akatswiri yekha akhoza kuthana ndi chimene chinachitika, nadzampereka mtima profiled kuchipatala.

Nthawi zina odwala komanso amadandaula kufooka, chizungulire, ndi kumverera kwa kuthamanga mu chotulukira lapansi.

amachititsa mavuto

Anafotokoza zinthu zimachitika ngati magazi mkati, si yeniyeni m'mimba matenda, appendicitis, chophukacho chiwindi, ndulu. Nthawi zambiri pali pamimba pachimake mu matenda achikazi. Ululu zingasonyeze mimba ectopic, yamchiberekero enaake owononga, matenda yotupa wa kumaliseche wamkazi, pamene zimachitika peritoneum lapansi. Pamene zizindikiro zimenezi zingachitike matenda a magazi mu kumaliseche lamkati. Izi zingachitike, mwachitsanzo pamene kupotoza miyendo formations chotupa yamchiberekero, necrosis kapena kupotoza leiomyomata.

Matenda nyumba zawo zosatheka. Choncho, pachimake zimayambitsa pamimba (kuphatikizapo matenda achikazi) ayenera kupeza yekha ndi anthu oyenerera. Aliyense mavuto pamwamba kumafuna matenda woyenera. Thandizo mu nkhani iyi ayenera kuperekedwa mwachangu.

Kusankha matenda

Matenda amene amayambitsa vuto la pamimba pachimake, ndi oopsa zokwanira. Choncho, n'kofunika posachedwapa kukhazikitsa matenda zolondola. The masiyanidwe matenda a pamimba pachimake mu matenda achikazi zimathandiza kuti achotse pamaso pa pathologies ena (mwachitsanzo, appendicitis, kapamba, cholecystitis, matumbo kutsekeka m'njira ya pachimake) ndi imathandizira pa chizindikiritso cha zimayambitsa awo.

Mu m'badwo uno wa mtima n'kofunika. Mwachitsanzo, akazi pa kusintha kwa thupi, kusintha mu atsikana ang'onoang'ono amene sanachitepo zachiwerewere, inu athanso kulamulira zingatheke mimba. Komanso, kawirikawiri sizichitika matenda yotupa. odwala amenewa kawirikawiri anatumiza kwa gynecologist a. Iwo akhoza kukhala ndi appendicitis kapena chifuwa chachikulu.

Koma osabereka chithandizo yomweyo amatanthauza kuti pali kuthekera kwa implantation wa linagwira mu chubu. Ndi zotheka, ngati mkazi kale zidavumbulutsidwa mimba ectopic. Ngati mbiri wodwalayo anali matenda yotupa, n'zotheka kuti izi ndi imodzi mwa nthawi ya exacerbation.

Matenda a magazi kwapakati pa-m'mimba

Madokotala zofunika osati kuti achite kafukufuku mwatsatanetsatane, komanso kufufuza mtima. Only mu njira izi zikhoza anapezeka "pachimake pamimba" (matenda achikazi). Thandizo adzakhala msanga ngati dotolo adzatha yomweyo kumvetsa zimene zinachititsa vutolo.

Mwachitsanzo, kwapakati pa-m'mimba haemorrhage amasonyeza ulesi, adynamic, kuthamanga kuchepetsa. Nkhope wodwala pa yemweyo nthawi wotumbululuka milomo - cyanotic, zimachitika - palpitations ndi wofatsa. Izi angayambe pamene mimba ectopic, yamchiberekero enaake owononga kapena uterine perforation.

Mbali yoyamba vuto limodzi ndi kuchedwa kusamba, spreadable kumaliseche mdima ku nyini. Komanso akazi zikuoneka clammy thukuta, nkotheka m'mimba, kunyansidwa. Kutentha, akukhalabe yachibadwa.

Pamene enaake owononga n'kuwasanganiza pachimake pamimba ku matenda achikazi matenda, masiku zambiri angapo pambuyo pa mapeto a kusamba. Izi zimachitika pafupifupi pa ovulation. Amaganiziridwa enaake owononga kungakhale kukachitika kuti wodwalayo anali ndi mbiri ya cysts yamchiberekero.

About perforation uterine ndi milandu kumene ndi pachimake pamimba syndrome zikadzatha mndandanda wa ndondomeko matenda kapena njira opaleshoni. Ululu angagwe pambuyo oyamba kapena kuchotsa helix, mimba kapena dilatation ndi curettage. Zizindikiro angayambe pasanapite nthawi kuchokera perforation kapena pambuyo masiku 1-2, pamene iyo iyamba kukhala peritonitis.

mimba ectopic

Nthawi zina zimachitika kuti dzira amamangirira n'kuyamba kukhala kunja kwa mpanda chiberekero. Zimenezi zikachitika, pafupifupi 1.3% mimba onse. Nthawi zambiri, dzira chili mu chubu chiberekero - kumachitika mu 99% ya implantation onse ectopic. Koma pali zinthu zikapezeka mu thumba losunga mazira, chiberekero kapena pamimba. Mimba chitukuko akupitiriza, monga ulamuliro, kwa masabata 5-8. Pambuyo kuti pali Tubala mimba. Chotero anaitana detachment wa linagwira ndi zipupa ndi athamangitsidwe wa zonse m'mimba. Apo izo calcify ndi mummified. Koma nthawi zina wina zotheka zotsatira - kusiyana mazira chubu.

Nthawi anthu kumene ukala dzira yomweyo pambuyo ovulation, mwina Ufumuyo kwa n'kuwasanganiza kapena peritoneal patsekeke. Zikatero ndi kukondana, nthawi zambiri padziko omentum kapena chiwindi.

Pachimake pamimba ku matenda achikazi kumachitika pamene chitoliro chotupa kapena kusokoneza wa mimba Tubala. Nthawi zina, pali zosiyana matenda chithunzi.

Zimayambitsa mimba ectopic

Pa kudziwika kwa linagwira kunja chiberekero n'kofunika kumvetsetsa njira za mankhwala ndi zina. Komanso muyenera kupeza zimene zinachititsa kuti implantation amenewa. Nthawi zina zimenezi zimachitika pamene infantilism maliseche. Za vuto funso ngati pamene wodwalayo yaitali ndi tortuous Ukalawu ndi peristalsis pang'onopang'ono.

Nthawi zambiri, ndi dzira ndi anapatsa, asanafike chiberekero, chifukwa chakuti patsogolo ake mochedwa. Izi zimachitika mu yotupa njira mu zokhudzana, chifukwa mapangidwe adhesions chifukwa cha yapita ntchito pamimba kapena pa machubu. Zikatero, anapanga ndi nsalu zomatira, mkhutu contractility.

Komanso, zoyipa pa motility wa mapaipi ndi zinthu zotsatirazi:

- intrauterine zipangizo;

- endometriosis mipope;

- mavuto ndi dongosolo endocrine (adrenal matenda, chithokomiro);

- nkhawa;

- kukonzekera progesterone.

Kuchuluka imabwera ectopic implantation wa linagwira ndi chotupa mapangidwe mu mafupa a chiuno ndi. Iwo akhoza kufinya chubu ndi kusokoneza ndimeyi zachilendo kwa dzira.

Kaya zifukwa zomwe linagwira anali Ufumuyo chitoliro, ndi zotsatira adzakhala chimodzi. mimba Izi linasokonekera. Komanso, ngati simungathe apezeke pa nthawi ndi pakamwa, izo zidzapangitsa kuti mfundo kuti mkazi chondichitikira chisoni kudziwa anasonyeza pachimake pamimba syndrome ku matenda achikazi.

yamchiberekero enaake owononga

Mu akazi a zaka ubereki angathe matenda chopatsa magazi kwapakati pa-m'mimba. Zimenezi zingakhale kusiyana (m'mnyewa wamtima hematoma) n'kuwasanganiza. Izi kusokonezeka kwa okhulupirika ake ndi kukha mwazi ndi wotsatira chiyambi magazi zonse m'mimba.

Disease akuyamba ndi mwadzidzidzi-isanayambike pachimake ululu, omwe kawirikawiri isanafalikire mbali imodzi. Zizindikiro za peritoneal mkwiyo pa nthawi yomweyo tingasonyezere ofooka. Nkofunika kuti kusokoneza enaake owononga wa n'kuwasanganiza ndi zakumapeto, chifukwa chithunzi matenda ndi ofanana tikukumana.

zotupa

Nkofunika kudziwa zimayambitsa onse amene alipo pachimake pamimba ku matenda achikazi. Ndipotu, si nthawi zonse kumachitika ndi limakhala magazi kwapakati pa-m'mimba. Komanso anati syndrome kumachitika pamene chotupa kupotoza miyendo anayamba pa n'kuwasanganiza, kapena torsion (ndi zina, necrosis) myoma mfundo. Kukula ngati vuto ndi zotheka ngati maphunziro - kukula yaing'ono ndipo lili pa makina mwendo yaitali.

Kupotoza chotupa chimayamba ndi ululu lakuthwa, kenako anayamba kusanza kapena kungoti nseru. iwo amaganizira kayendedwe lakuthwa kapena thupi. Odwala yomangika kutsogolo khoma la peritoneum, pali akuchedwa wa mpando. Khungu wotumbululuka, yokutidwa ndi thukuta ozizira, odwala ndi zimachitika mofulumira, youma lilime. Thupi kutentha akhoza m'mwamba.

Pamene kupotoza myoma mfundo ululu cramping, pali chithunzi cha kuledzera - lilime youma, khungu, kutentha kwa 38-39 ⁰ C, kunyansidwa ndi kusanza zotheka. Magazi ndiye ziwonjezeke chiwerengero cha leukocytes. Matenda Kupenda muli chodziwa ululu.

njira yotupa

Pachimake pamimba ku matenda achikazi ndi obstetrics kumachitika ndi maziko a akuchuluka matenda. Kungakhale kutupa ziwalo zoberekera. Chifukwa cha ichi, wodwala angathe pelveo-peritonitis (pamene ukuyenda mu mafupa a chiuno ndi) kapena peritonitis (m'mimba zibowo zam'mano).

Mavuto mukhoza kuyamba ndi:

- zowombetsa mkota matenda, akudutsa pa maziko adneksita kapena endometritis;

- matabwa divergence ziletso pa gawo la Kaisara;

- perforation la chiberekero (pambuyo kuchipala);

- perforation piovara kapena piosalpinks.

Mu milandu, mawonetseredwe matenda zosiyanasiyana malinga, chifukwa chimene anayambitsa pachimake pamimba syndrome.

njira za chithandizo

Kaya zifukwa, zomwe zinachititsa kuti zimene anapeza kuti "pachimake pamimba ku matenda achikazi" ndipo ayenera kulandira chithandizo kuchipatala. Mu hemorrhagic mantha kapena ululu ndikofunika kupereka ululu relievers, timathandiza wothandizila hemostatic, mmalo magazi. Nkofunika kukumbukira kuti pali chiopsezo cha imfa, matenda ayenera kukhala mwamsanga.

Ngati mimba ectopic angathe kuonedwa pamaso maonekedwe a ululu, ndiye linasokonekera m'njira anakonza. Childs, madokotala kuchita laparoscopic opaleshoni kupyolera ang'ambe thupilo kakang'ono ndipo anachira ubwamuna dzira. Koma nthawi zambiri malo otsiriza kungathandize udzakhazikitsidwa pa nthawi imene wodwala mu ambulansi anabweretsa ku chipatala ndi matenda a "pamimba pachimake".

Mu matenda achikazi owopsa zili pamene pali anawononga wa mazira chubu. Koma ambiri a mimba umatha ndi linagwira magazi anawachotsa mu zonse m'mimba. Izi zambiri limodzi ndi magazi intraperitoneal ndipo amachititsa zizindikiro anafotokoza.

No zochepa oopsa ndi kudwala ndi enaake owononga yamchiberekero kapena uterine perforation. Mu milandu, monga kwapakati pa-m'mimba magazi ayamba. Nthawi zina amafuna oyamba atangochimwa katundu wapadera magazi m'malo.

matenda aliwonse yotupa amafuna chithandizo yake ndi kuwunika mmene alili.