Antibiotics ukuba ukudumba ezihlobene. Ukudumba ezihlobene kwabasetyhini

Inkqubo okuzala woMntu ibandakanya isethi amalungu zangaphandle nezangaphakathi obuni, kuquka kwamadlala yonyango, apho kunye nabanye igalelo yokuzala. Olu phawu mhlawumbi ingxaki siphambili lonke uluntu, kuba loo nto inceda ukugcina ubukho lweentlobo lethu kwindalo iphelele, nokwandisa abemi umhlaba.

ubungozi

Noko ke, abantu abaninzi emhlabeni, bengazi lutho isiphelo yendalo ngabafazi, musa ukukhusela impilo yabo, babe imikhwa emibi nokuziphatha kakubi zidla supercooled, musa ukuthobela imithetho kococeko lomntu buqu. Kungenxa yale ndlela ngobomi ukuphuhlisa iintlobo zezifo amalungu uhlelo zokuzala em- zangasese. Xa abafazi, zibe sesichengeni ngakumbi kwaye ngoko rhoqo kunabantu, ziphantsi ukuhlaselwa zee-arhente ezahlukeneyo esosulelayo. Ngoko kuphuhliswa endometritis, kukukrala zamaqanda kunye ezihlobene ngokwabo kwamadlala ngokwesondo, lobufazi, wesizalo. Eminye imiba kwabasetyhini ukusetyenziswa kakubi, ixesha elide izixhobo zocwangciso intrauterine, kokuphalwa rhoqo (isisu), zazo zonyango ezingezo-yobungcali kwi zangasese. Isakhiwo yokwakheka yenkqubo oyindoda sokuzala yokuba kwii zokugula phecana abo angasese kuqhelekile kwaye kunzima kakhulu kancinci kakhulu. Noko ke, xa zidibene iimeko ezimbi (immunodeficiency, emzimbeni ixesha elide) ukuze aphuhlise ukudumba epididymis emadodeni.

imiphumela

iinkqubo ukudumba kwi amalungu obuni kukhokelela okwethutyana (kwaye kwiintlobo eliphezulu - okuqhubekayo okanye ngokusisigxina) alahlekelwe umsebenzi okuzala. Oku kwenzeka ubukhulu becala ngenxa yokuba iqanda ukuchumisa kuyimfuneko ukutshatisa iseti iimeko zivuma, ngenxa yokuba nkqu ngokudibana ngesondo ngokungakhuselekanga ngendlela yobudoda sivuke ezininzi iingxaki. Ke xa kungekho inkxalabo malunga nempilo abasetyhini basoloko ukuphuhlisa endometritis (uxakaxa inwebu sisilonda esidumbileyoesingaphakathi of wesibeleko), ukudumba ezihlobene kwabasetyhini (amaqanda kunye tubes - adnexitis okanye salpingo). Iimpawu eziphambili eli qela kwezifo zazo zitsolile (etsolo) okanye ezibuhlungu (ekudambiseni) iintlungu esiswini. Ngaphezu koko, ukuba ziyanyuswa phambi okanye ngexesha sexesheni. Ingakumbi uphawu iintlungu ngexesha iintlobano, yehle yobuntu. Izigulane badla ezikhala kwekhono sexesheni, esizibonakalisa kwi mgaqweni, ukwanda / nokunciphisa inani ukhetho, kwakunye wabonakala kunxilwe, ubuthathaka jikelele, ifiva, kuthibaza.

imithombo zosulelo

Ubangelwa utshintsho ukudumba kwi esini amadoda kunye nabafazi uyingozi kakhulu. A sisilonda esidumbileyoesingaphakathi ezithweni kwenzeka ngokusebenzisa emithanjeni okanye ukusasazeka hematogenous kuphuma kumthombo lokuqala. Amaxesha amaninzi zombini kubonakaliswa extragenital of izilonda oyingozi okanye engapheliyo (amazinyo carious, iphika, sinusitis, isifo sephepha, appendicitis) kunye obuni izifo iingxaki (chlamydia, ukuvuza ngaphantsi, itrichomoniasisi). Ngenxa yoko, ukuze babe yintsholongwane, egazini, arhente ezinzwaneni.

unyango Causative

Ugqirha emva ndlebe olunzulu kunye zoviwo isigulane unikela antibiotics ngexesha ezihlobene komtshiso oko. Xa kusekwangoko isifo, ingakumbi ukuba liqulunqe iziyobisi etsolo kuqeshwa umsebenzi zintsholongwane spectrum ezibanzi amanyathelo. Okuhamba ithathwa swab le iphecana zangasese Aftercrops pathogen ngendlela medium kwezondlo elabhoratri ekuzakuqalwa ukugqiba udidi yayo. Ngenxa yoko, emva kokuba le umba isonjululwe, yintoni antibiotics ukuba ukunyanga ukudumba ezihlobene umguli.

therapy

Khetha amayeza sisebenzayo kwimeko ethile. Rhoqo abaqeshwe yi-antibiotics okufanayo ukudumba ezihlobene - i "Amoxicillin", "Doxycycline", "Clindamycin" "Chloramphenicol", "Gentamicin," "Lincomycin". Kubalulekile kwakhona ukuba ngoyena usetyenziswa rhoqo nga monotherapy kunye ezintsonkothileyo. Ukuze wenze oku, ukhethe indibanisela amachiza eziliqela ekufezekisweni ekhawulezileyo ezithile malunga ezintle, kunye kuqala kwiinto zonke, ukuba ukunciphisa ukudumba ezihlobene kwabasetyhini. Ukongeza kule zibakho unyango pathogenetic kwaye kwangumqondiso zijoliswe ekunciphiseni imeko yomguli kunye nokususwa amanye amakhonkco kwikhonkco of komtshiso oko. Ngoko ke, ukuba isifo yachongwa kuqala kwaye kwisigaba etsolo, kungenzeka isigulane unikwe unyango izigulane. Apho kufuneka ukuba athobele alale, ukuthatha nemithi eziyimfuneko ukudumba ezihlobene okanye kwezinye iinxalenye uhlelo zokuzala, kwakunye sulfonamides, analgesics kuphele iintlungu kunye arhente luqilima, ukomeleza amajoni omzimba. Ukuba sifo kwisigaba subacute kwirejimeni yonyango lwe physiotherapy yongezwe ngokuqaphela. Ityala bezifo - nkqu balneotherapy.

uxilongo mahluko iingxaki

Ukuba, ke, esi sifo efihlakeleyo ixesha elide elidlulileyo okanye hayi isigulane iliso impilo yabo, ukusetyenziswa self-ezenziwe ezifo ukudumba ezihlobene, ngokufuthi ngakumbi kwiimeko ezinjalo, kukho ezininzi iingxaki, nto nje kuphela nenzalo, kodwa zifuna unyango ngokukhawuleza. uxilongo kwangethuba izifo umsebenzi sokuzala rhoqo yingxaki kakhulu, njengoko izigulane ixesha elide "aqhubeke iinyawo zabo," kwisigaba sokuqala sifo bafune unyango kuphela emva kokuvela ziqhubeka. Kweli nqanaba, imiqondiso sifo ziyafana nezinye izifo ezininzi: endometritis, peritonitis, cyst sezintso, ngoko ugqirha ungenza sifo kuphela ngokusekelwe yimbali eneenkcukacha zonyango nokuxilongwa kwemizimba yabo, yelebhu (pat, OAM, PCR, iindlela ngumzimba Ifa kunye Ifa) kunye nophando zomculo ( ultrasound). Kwakhona kubalulekile kwaye uphando Midwifery lwangaphakathi lubonisa limited waso ukuhamba maqanda.

amacebo zonyango

Nokuba uphathwa phantsi kweliso abakhokele fanelekela ku bachache ngokupheleleyo yomguli, kwixesha elizayo kufuneka ukuphepha iimeko esibi ngenxa eziphilayo. Umzekelo, akukho mfuneko yokuba ixesha elide ukuba esitratweni okanye kwigumbi ebandayo, kuyimfuneko ukuba aqhube nococeko ngokucokisekileyo amalungu esini, ukugcina umjikelo kwakho exesheni kwaye ngexesha ukuqaphela ukubonakala na, nkqu iimpawu ezincinane. Bekuya kuba mnandi igama nemithi zapomnilaneobhodimoe nomonde ukudumba ezihlobene. Yena kufuneka zigcinwe kwimemori ukuba nje ezinye ekupheleni ichiza, umzekelo, -tsillin (zonke iziyobisi azikhethele ukusuka kwiqela penicillins, ukuba abanzi-spectrum, eyabelwe xa igciwane). Ezi izifo (abangela ukudumba ezihlobene e abafazi), unyango kwaba penicillins kunye aminoglycosides (kuvame ukuphela -mitsin), uninzi stafillo-, streptococci, pepto-, peptostreptokokki, enterobacteria kunye bacteroides.

Inyathelo owongezelelweyo unyango

Ukuba akukho nafuthe ichiza ekujongwe okanye indibanisela eziliqela ngethuba leentsuku ezi-3 (iiyure eziyi-72) Ukongezelela koko emiselweyo amayeza "clindamycin". Kuyinto semisynthetic iqela iiantibhayotiki lincosamides, nto leyo iba umsebenzi ngokukhawuleza bactericidal. Kwaye kuthatha nje imbuyekezo umguli ukuba ubushushu bomzimba eqhelekileyo kunye iimpawu kwinwebu peritoneum visceral akuthethi shwaka. Emva koku "clindamycin" ichiza wayeka abuyele inkqubo unyango yangaphambili, ngamanye indibanisela penicillin kunye aminoglycosides ngomlomo iintsuku ezi-5.

ukuvimbela

Ngaxeshanye, abasetyhini kufuneka aboniswe lokuthathwa iziyobisi nokubola, njengoko kutshatyalaliswa kuphela amagciwane kunyango kunye nemithi, kodwa iintyatyambo eziqhelekileyo, yaye oku kungakhokelela ekubeni ukuqhubela phambili kwale meko kunye ukuxhathisa uqhagamshelwano elwa ezininzi. Ukuba ngeli sifo umntu wasetyhini uneempawu ezicacileyo kakhulu ukunxila (ifiva, intloko ebuhlungu, imvakalelo yobuthathaka, iintlungu ezisezantsi esiswini okanye ngaphantsi umva, ezinxulumene nako, isiyezi, isicaphucaphu nokugabha, ukunyamezelana kwizinto ukukhanya, njl ..), ezichaza imeko kakhulu nomonde, ukuziphatha iimela unyango, ukuze kukhawuleziswe ixesha lokuqala amalungiselelo. Ukuba, ke, ebudeni ukuphakama usulelo, isigulane waqalisa isifo yokuncamathelisa, kuyimfuneko kwakhona unyango isisombululo.