Isifo sesifo sofuba sisho izifo ezithathelwanayo. Kuyashukunyiswa yi-pathogen enjalo njengendondo kaKoch . Cabanga ngalesi sifo ngokuningiliziwe, ake sithi izimbangela, izimpawu nezindlela zokwelashwa, ikakhulukazi ukwelashwa nokuxilongwa.
Isifo sesifo sofuba sibangela
Isifo sesifo sofuba besifazane asiveli njengesifo esizimele. Ngokuvamile kunesimweni semvelo, ngenxa yokusungula ukutheleleka kusuka ekugxilweni okuyinhloko. Ngakho-ke, amaphaphu aphethwe namathumbu angasebenza. Izici ezishukumisayo ezibangela ukufuduka kwe-pathogen nokuthuthukiswa kwesifo sofuba ohlelweni lokuzala kungaba:
- ukunciphisa ukuzivikela kwendawo ngenxa yokutholakala kwezinqubo ezithathelwanayo nokuvuvukala ohlelweni lokuzala - i-endometritis, i- adnexitis , i-salpingoophoritis;
- ukuxhumana okude nesiguli nesifo sofuba (ehlala, esebenza egumbini elifanayo);
- ukutholakala kwezinhlobo ezisebenzayo zesifo ku-anamnesis, kungakhathaliseki ukuthi yenzani inqubo yokwelapha.
Isifo sofuba socansi - izimpawu
Izibonakaliso zokuqala zesifo sofuba zezocansi zingabonakala ngokuqala kwenqubo yobushakama. Kodwa-ke, ingxenye enkulu yeziguli ezilelesi sifo yizinsikazi zonyaka wokuzala, oneminyaka engu-20-30 ubudala. Isifo sofuba sezitho zangasese sivame ukungena efomini elusiwe, isithombe sesitholampilo asikho ngokuphelele. Kulesi simo, ukwephulwa komsebenzi wokubeletha kuba yisibonakaliso esikhulu se-pathology. Masinyane ekuqaliseni izimbangela zokungakhulelwa kanye nokutholakala nesifo sofuba.
Ngaphezu kwalokho, ngokuvamile lesi sifo sihambisana nobuhlungu esiswini esingaphansi. Abanakho ukuxhumana nezinguquko ezishintshayo. Ukuba khona kwesibindi kungumphumela wenkambiso yokubamba iqhaza ku-pelvis encane noma umphumela wokulimala ekupheleni kwezinzwa. Phakathi kwezinye izibonakaliso zesifo, odokotela bahlukanisa izibonakaliso zokudakwa ngokweqile:
- ukuqina okuqhubekayo;
- ukwanda ngezikhathi ezithile ekushiseni kuya ku-37.5 degrees;
- ukujuluka okukhulu ebusuku;
- ukunciphisa ukudla;
- ukwehla kwesisindo somzimba.
Isifo sofuba sesisu - izimpawu
Isifo sofuba sesisu sesisimo sofuba njalo. Ngesikhathi esifanayo, izicubu ze-endometrial zenzalo yokuzala zilimazekile. Ngenxa yalokho, kukhona ukwephulwa kokusebenza kokuya esikhathini:
- i-amenorrhea - ukungabikho kokuya esikhathini;
- oligomenorrhoea - izikhalazo ezingavamile ze-cyclic;
- i-menorrhagia - esikhathini esibuhlungu.
Esikhathini esingapheli sesifo, abesifazane bakhononda ngokushisa okuncane, ukudonsa nokuhlunguphaza esiswini. Esikhathini esithuthukile, izinqubo ze-fibrotic zikhula, futhi amafayili e-fibrillation akhiwa. Ngenxa yalokho, umgodla we-uterine uguquka, okuvame ukuhambisana nokuthuthukiswa kwezinqubo ezithathelwanayo.
Isifo sofuba sama-ovaries kwabesifazane - izimpawu
Isifo sofuba sama-ovari esenzakalweni sabesifazane senziwa kaningi kakhulu kunezilonda ze-uterine. Ngalolu hlobo lwe-pathology, imvilophu yangaphandle ye-gonads ithinteka yi-pathogen. Kwezinye izimo, i-peritoneum ihileleke kule nqubo. Esigabeni sokunqotshwa kwe-parenchyma ye-ovary, inqubo ingakwazi ukuzinza. Ngenxa yalokho, izimpawu zalesi sifo ziyanyamalala, owesifazane uthi uyazizwa engcono. Noma kunjalo, lezo zinguquko zesikhashana. Isifo sofuba sama-ovari sibonakala yizimpawu ezilandelayo:
- njalo ngenyanga;
- kunciphisa emtheni wezakhi;
- ukubonakala kobuhlungu ngokuya esikhathini.
Isifo sofuba sezitho zangasese zangasese
Isifo sofuba sezitho zangasese kulabo besifazane, esinezitho zangasese kuphela, asivamile. Ngalolu hlobo lwesifo kulezi zindawo ezilonda izilonda. Zincane, kodwa kulula ukubona ngeso lengqondo. Isifo esinikezwa ngokushesha siba isizathu sokuxhumana nodokotela. Isifo sofuba sezitho zangasese zangaphandle kwabesifazane sihambisana nokushisa nokushaywa, okuphazamisa iziguli. I-Symptomatology ingakwazi ukunyamalala yedwa, futhi lesi sifo sifinyelela esimweni esifushane. Uma kungekho ukwelashwa, i-pathogen ingena esibelethweni.
Ukuthola isifo sofuba socansi
Ukuthola isifo sofuba se-appendages ye-uterine, odokotela basebenzisa izindlela zokwelapha. Okuyinhloko yi-test tuberculin. Umjovo ongaphansi komuthi we-tuberculin emkhakheni we-20, ngokuvamile u-50 TE. Emva kwalokhu, ukuphendula okugxile kuhlolwa. Ngesikhathi esifanayo, ukusabela okujwayelekile kwezinto eziphilayo kuya kwesingeniso nakho kuthuthukisa:
- ukwanda kancane kokushisa;
- Ukwandisa izinga lokushaya kwenhliziyo - ngaphezulu kuka-100 ngomzuzu;
- ukusheshisa kwe-ESR.
Izindlela eziqondile zokuxilongwa zihlanganisa izindlela ze-microbiological. Ngosizo lwabo, kungenzeka ukusetha isifo sofuba se-mycobacterium ngezicubu, izikhukhula zomzimba. Njengengxenye yokusetshenziswa kwesifundo:
- ukukhishwa emaphethweni okuzala;
- igazi lokuya esikhathini;
- ama-scrapes we-endometrium.
Ukwelashwa kwesifo sofuba sezitho zangasese
Ukungabikho kokwelashwa isikhathi eside kuholela ekuthuthukiseni izinkinga ohlelweni lokuzala. Ngakho-ke, ama-cysts ovariya nesifo sofuba sohlelo lokuzala ngokuvamile atholakala. Ukwelashwa kwenziwa ezikhungweni ezikhethekile zezokwelapha. Enhliziyweni yokwelashwa yi-chemotherapy nokusetshenziswa kwezidakamizwa ezintathu. Inkambo ikhethwe ngabanye, kucatshangelwa uhlobo lwezempilo, ukubekezela kwezidakamizwa. Imithi elandelayo ijwayelekile:
- I-Rifampicin 450-600 mg / usuku;
- I-Streptomycin - 0.5-1 g / ngosuku;
- Isoniazid - 300 mg / ngosuku.
Lezi zidakamizwa zibizwa ngokuthi izidakamizwa zokuqala - ezisetshenziswa ukulawula i-pathogen. Uma i-pathogen ingamelana nabo, uma isifo sofuba sezinsikazi zesisu singelapheki isikhathi eside, izidakamizwa zamagqadi wesibili ziyasetshenziswa:
- Kanamycin - 1000 mg / ngosuku;
- Lomefloxacin - 400 mg kabili ngosuku;
- I-Ofloxacin - kufika ku-400 mg izikhathi ezimbili ngosuku.
Ukwelashwa okungewona umuthi kuhlanganisa:
- ukusebenzisa izimali ezandisa ukwelashwa;
- I-phonophoresis ene-hydrocortisone
- ukusetshenziswa kwesimo se-sinusoidal;
- ukwelashwa kwe-amplipulse.