Azikhuli kwi kwisisu nabasetyhini: iimpawu kunye nonyango

Onke amalungu e esisu kunye isinqe amabhinqa (tubes, wesibeleko, amaqanda, ezinqeni, isinye) zizele inwebu ekhethekileyo obhityileyo - le peritoneum. Kubume bayo, oko agudileyo kwaye akukho amaqhina. Kwimeko enye, ukuba inkqubo kwiintetho ezikralayo, iqala kwi isinqe (ukudumba zamaqanda, isibeleko, tubes), nto leyo lukhatshwa peritonitis, peritoneal ivela ukutyabeka ngaphezulu, elibandakanya fibrin. Le into iyakwazi imiphezulu lib amalungu angaphakathi kunye namanye, ebangela inkqubo adhesion. Oku kwenza kube umqobo yendalo ngomatshini ekusasazweni ukudumba kwi isinqe. Kodwa, inyaniso kukuba emva ekuyekeni ingenamthungo komtshiso kuhlala.

inkqubo enamathelayo, nto leyo sisetyenziswe xa umsebenzi wayo yokukhusela esinye isifo peritonitis kukhokelela ukuphazamiseka ekusebenzeni lwangaphakathi amalungu isinqe. umsebenzi wayo - ukukhusela umzimba ukudumba twa lonke kwisisu. Ngoko kwenzeka ukuba emva kokuba unyango lwe peritonitis kukuba ukuqala unyango lwesifo enamathelayo yesizathu esingxamisekileyo. Kuphela kule meko amathuba inxalenye enkulu azikhuli kakhulu lihlile. Kodwa ukuba komtshiso iye ezondeleyo, mhlawumbi, aya kuqalisa ukuphuhlisa isifo enamathelayo le kwisisu ngaphandle iimpawu ezibonakalayo iimpawu zangaphandle. Kwimeko enjalo, kuvela intlungu osesiswini ngelixa okupholisa kwakhona kunokwenzeka amaxesha nokuqunjelwa.

Indlela engundoqo unyango lwe azikhuli - is laparoscopy. Kuphela lo msebenzi ngokuchanileyo ukwenza i zazo elumke kunene. Ngenxa ugqirha laparoscope owenza ukwahlulwa azikhuli, emva koko, ziyasuswa ngenyameko.

Eyona ndlela iphambili wokwahlukaniswa azikhuli zezi:

• laser therapy, oko kukuthi, asike of azikhuli laser,
• akvadissektsiya (le nkqubo yenziwe ngamanzi)
• electrosurgery - ndlela, apho inkqubo enamathelayo usikwe yi electrocautery.

Emva kotyando, isigulane kufuneka baye kufumana unyango umbala. Ukuze kuthintelwe ukuvela azikhuli ezintsha, wasebenzisa iindlela.

Okokuqala, em- zangasese ilawulwa ulwelo ezahlukeneyo umqobo.

Okwesibini, tubes kunye amaqanda lisibekele usebenzisa bhanyabhanya resorbable polymeric.

Amaxesha amaninzi, emva kokuba umsebenzi wokuqala wabelwa ukuya kulawulo laparoscopy diagnostic, ekufuneka isetyenziswe kwiinyanga ezimbalwa. Oku kwenziwa ukuze ukugqiba ukuyilwa azikhuli ezintsha.

Ukongeza, ugqirha ngokuqhelekileyo ukuba usebenzise unyango olulodwa, nto leyo ibonkala ukucinezela nokudumba fibrin nokufumba kumphezulu peritoneal. Ukongezelela, ithetha ukuba umsebenzi, nto leyo yenza inkqubo ngamanyala.

Ngokwemveli azikhuli emva kotyando iphathwa ngaloo ndlela.

Ugqirha ubeka amachiza zilandelayo:

1. arhente Fibrinolytic, dutywa fibrin.
2. Anticoagulants, leyo zinqanda inkqubo igazi ekunqandeni.
3. Elwa arhente anti-ukudumba.

Kodwa yezonyango ibonisa ukuba irejimeni yonyango baya kukhethwa ngamnye kuzo zonke iimeko ezithile.

Lidla nokuba laparoscopy akuqinisekisi ukuba zonke iingxaki sizibandakanya unyango lwesi sifo, kuya kuthi isonjululwe.

Isibakala sokuba ngokusebenzisa umsebenzi onjalo kwaye unyango ngasentla tubes kunye amaqanda bekhululwe azikhuli. Kodwa inkqubo kwakhona kobume lwabo lwangaphakathi kunye nokusebenza akunakwenzeka. Ngoko emva iinkqubo laparoscopy abasetyhini kufuneka ukubhenela neqanda (IVF) ukukhawula umntwana.