Tizilombo toyambitsa matenda amatanthauza matenda opatsirana. Zimakwiyidwa ndi tizilombo toyambitsa matenda ngati wandolo wa Koch . Ganizirani za matendawa mwatsatanetsatane, tiyeni tizitchula zifukwa, zizindikiro ndi njira zamankhwala, makamaka mankhwala ndi matenda.
Chifuwa cha ziwalo zimayambitsa
Chifuwa cha ziwalo zoberekera chachikazi sichimakhala ngati matenda odziimira okhaokha. Kawirikawiri zimakhala zachiwiri mu chilengedwe, monga zotsatira za chiwopsezo kuchokera pachiyambi. Momwemonso, mapapo ndi matumbo omwe amakhudzidwa akhoza kuchita. Zokhumudwitsa zomwe zimayambitsa kusamuka kwa tizilombo toyambitsa matenda ndi chitukuko cha chifuwa chachikulu mu chiberekero chingakhale:
- kuchepetsa chitetezo cha m'deralo chifukwa cha kukhalapo kwa njira zochizira ndi zotupa mu njira yobereka - endometritis, adnexitis , salpingoophoritis;
- kugwirizana kwambiri ndi wodwala ndi chifuwa chachikulu (kukhala moyo, kugwira ntchito m'chipinda chimodzi);
- Kukhalapo kwa mitundu yovuta ya matendawa mu anamnesis, mosasamala kanthu kuti malowa amapezeka bwanji.
Tizilombo toyambitsa matenda - zizindikiro
Zizindikiro zoyambirira za chifuwa chachikulu cha chifuwa zingayambitse poyambira pa msinkhu. Komabe, chiwerengero chachikulu cha odwala omwe ali ndi matendawa ndi akazi a msinkhu wobereka, zaka 20-30. Chifuwa cha ziwalo zoberekera kawirikawiri chimayamba mu mawonekedwe ochotsedwa, chithunzi cha kuchipatala sichipezeka. Pankhani iyi, kuphwanya ntchito yobereka kumakhala chizindikiro chachikulu cha matenda. Posakhalitsa pofuna kukhazikitsa zifukwa za kusabereka komanso kupezeka ndi chifuwa chachikulu.
Kuwonjezera apo, nthawi zambiri matendawa amaphatikizidwa ndi ululu m'mimba pamunsi. Iwo alibe kugwirizana ndi kusintha kwa kusintha. Kukhalapo kwa kupweteka ndi chifukwa cha ntchito yomatira pamatumbo aang'ono kapena zotsatira za kuwonongeka kwa mitsempha. Zina mwa zizindikiro za matendawa, madokotala amasiyanitsa zizindikiro za kumwa mowa mwauchidakwa:
- chofooka nthawi zonse;
- Kuwonjezeka kwanthawi ndi nthawi mu kutentha kwa madigiri 37.5;
- kutuluka thukuta usiku;
- kuchepetsa chilakolako;
- kuchepa kwa kulemera kwa thupi.
Chifuwa cha chiberekero - zizindikiro
Chifuwa cha chiberekero ndi mtundu wambiri wa matenda. Pa nthawi imodzimodziyo, minofu ya endometrial ya chiberekero yawonongeka. Chifukwa chake, pali kuphwanya kwa msambo:
- amenorrhea - kusowa kwa msambo;
- oligomenorrhoea - zobisika zopanda pake;
- menorrhagia - kupweteka kwa msambo.
Pa matendawa, amayi amadandaula za kutentha, kutengeka ndi kupweteka m'mimba. Pakapita patsogolo, mawonekedwe a fibrotic amayamba, ndipo mawonekedwe a fibrillation amapangidwa. Zotsatira zake, chiberekero cha uterine chimasintha, zomwe nthawi zambiri chimaphatikizidwa ndi chitukuko cha njira zowonjezera.
Chifuwa cha m'mimba mwa amayi - zizindikiro
Chifuwa chachikulu cha m'mimba mwa amayi chimapezeka mobwerezabwereza kuposa uterine zilonda. Ndi mtundu uwu wamatenda, envelopu yakunja ya gonads imakhudzidwa ndi tizilombo toyambitsa matenda. Nthawi zina, peritoneum imakhudzidwa. Pakati pa kugonjetsedwa kwa parenchyma ya ovary, njirayi ikhoza kukhazikika. Zotsatira zake, zizindikiro za matendawa zikutha, mkaziyo akunena kuti akumva bwino. Komabe, kusintha koteroko ndi kanthawi. Chifuwa chachikulu cha m'mimba mwake chikuwonetsedwa ndi zizindikiro zotsatirazi:
- osayenerera mwezi uliwonse;
- kuchepa kwa voliyumu;
- maonekedwe a ululu ndi msambo.
Chifuwa cha ziwalo zoberekera zakunja
Chifuwa chachikulu cha ziwalo zoberekera mwa amayi, ndi abambo ndi abambo okha omwe amakhudzidwa, ndizochepa. Ndi mtundu uwu wa matenda m'madera amenewa amapanga zilonda zam'mimba. Zing'onozing'ono, koma zosavuta kuziwona. Chizindikiro chodzidzimutsa chimakhala chifukwa chothandizira dokotala. Chifuwa cha chiwalo cha kunja kwa amayi chimaphatikizapo ndi kuyaka ndi kuyabwa, komwe kumasokoneza odwala. Chizindikiro chimatha pokhapokha, ndipo matendawa amapita mwakachetechete. Ngati palibe mankhwala, tizilombo toyambitsa matenda timalowa m'chiberekero.
Kuzindikira kwa chifuwa chachikulu cha chiberekero
Kuti adziwe kuti chifuwa chachikulu cha chiberekero cha ma chiberekero, madokotala amagwiritsa ntchito njira zopangira ma laboratory. Njira yaikulu ndiyeso la tuberculin. Katemera wambiri wa tuberculin mu mlingo wa 20, kawirikawiri 50 TE. Pambuyo pa izi, zomwe zimayankhidwa zimayesedwa. Pa nthawi yomweyi, zomwe zimachitika zamoyo kumayambiriro ndikuyambanso:
- kuwonjezeka pang'ono kwa kutentha;
- Kuwonjezeka mu kuyima kwa mtima - oposa 100 pa mphindi;
- kupititsa patsogolo kwa ESR.
Njira yeniyeni yowunikirayi imaphatikizapo njira za microbiological. Ndi chithandizo chawo, n'zotheka kukhazikitsa chifuwa chachikulu cha mycobacterium m'magazi, madzi amadzi. Monga nkhani ya phunziroli:
- kumasulidwa kuchokera ku chiwalo cha chiwerewere;
- kumaliseche;
- zokopa za endometrium.
Kuchiza kwa chifuwa chachikulu cha ziwalo zoberekera
Kutalika kwa mankhwala kwa nthawi yayitali kumabweretsa chitukuko cha mavuto m'thupi. Choncho, mavalasi okhala ndi chifuwa chachikulu cha chiberekero amapezeka nthawi zambiri. Mankhwalawa amapangidwa m'mabungwe apadera azachipatala. Pamtima mwa mankhwalawa ndi chemotherapy ndi kugwiritsa ntchito mankhwala atatu. Maphunzirowa amasankhidwa payekha, kuganizira mtundu wa matenda, kulekerera kwa mankhwala. Mankhwala otsatirawa ndi ofala:
- Rifampicin 450-600 mg / tsiku;
- Streptomycin - 0.5-1 g / tsiku;
- Isoniazid - 300 mg / tsiku.
Mankhwala awa amatchulidwa ngati mankhwala oyambirira - amagwiritsidwa ntchito pofuna kuteteza tizilombo toyambitsa matenda. Ngati tizilombo ta tizilombo toyambitsa matenda sitilimbana nawo, pamene chifuwa chachikulu cha ziwalo zoberekera chachikazi sichichiritsidwa kwa nthawi yayitali, mankhwalawa akugwiritsidwa ntchito:
- Kanamycin - 1000 mg / tsiku;
- Lomefloxacin - 400 mg kawiri pa tsiku;
- Ofloxacin - mpaka 400 mg kawiri pa tsiku.
Chithandizo chopanda mankhwala chikuphatikizapo:
- kugwiritsa ntchito ndalama zomwe zimachulukitsa chitetezo;
- Phonophoresis ndi hydrocortisone
- kugwiritsa ntchito sinusoidal currents;
- mankhwala amplipulse.