Saktosalpinks: yog dab tsi? Yuav ua li cas yuav ua tau kuv kho saktosalpinks ce?

Muaj ntau cov poj niam uas mob nyob rau hauv lub qis lub plab mob sau "saktosalpinks". Yuav ua li cas yog nws, dab tsi cov tsos mob tuab tus kab mob no, yuav ua li cas nws yuav kho? Cov lus nug no txaus siab ntawm cov neeg mob nrog inflammatory dab nyob rau hauv lub epididymis.

Lub tswvyim saktosalpinksa

Saktosalpinks - yog dab tsi? Tus kab mob no tshwm sim nyob rau hauv cov poj niam uas yog cov nquag mus inflammatory kab mob ntawm lub qhov chaw mos kabmob, thiab nyob rau hauv cov neeg uas raug kev txom nyem los ntawm ntxiv lawm tshob. Ntau tshaj 100,000 cov poj niam nyob rau hauv Russia tshuaj mob txhua xyoo saktosalpinks. Nws yog sau tseg hais tias nws tshwm sim feem ntau nyob rau hauv cov poj niam hnub nyoog 15-25 xyoo, tshwj xeeb tshaj yog tom qab thawj zaug kev sib deev com, yog tias koj tsis siv hnab looj. Ib tug loj tus naj npawb ntawm kev sib deev nrog kuj yuav ib tug uas yuav tau rau o.

Kev kho mob ntawm tus txheej txheem no yuav tsum ua kom ntev thiab complex, xws li ib tug ntau yam ntawm tshuaj thiab phais txoj kev thiab ib tug plurality ntawm pab pawg ntawm cov tshuaj. "Yuav ua li cas yuav koj kho saktosalpinks ce?" - Qhov no lo lus nug yuav nug tus kws kho mob tsuas yog tom qab subacute thiab tshem tawm ntawm ntau yam teeb meem.

hom

Yog li ntawd, ib tug ncaj ntau pathology yog saktosalpinks. Yuav ua li cas yog nws, peb pom tawm. Tam sim no cia tus nrog hom. Saktosalpinks tshwm sim kab noj hniav thiab folikulyarny. Nyob rau hauv thawj cov ntaub ntawv, cov kua yog sau nyob rau hauv ib ntu ntawm txoj hlab qe raj raws li cystic growths. Nyob rau hauv lub thib ob - ib tug plurality ntawm cov hlwv nyob rau hauv ib tug hlab qe raj.

Adrift nws yog mob los yog mob, thaum lub sij hawm ntawm exacerbation yog hloov los ntawm remissions.

Tus txheem ntawm qhia piosalpinks thaum cov ntsiab lus yog hais nrog kua paug, hydrosalpinx - serous cov ntsiab lus.

Feem ntau cov feem ntau cov kab mob no yog unilateral thaum muaj ib tug yeeb nkab yog cuam tshuam, thiab nyob rau hauv cov ntaub ntawv ntawm ob mog kab noj hniav tsim nyob rau hauv ob qho tib si kav.

ua rau

Hlab qe raj - txoj cai uas muab kev sib txuas lus nrog rau cov menyuam thiab zes qe menyuam thauj qe los yog zygote (fertilized ovum) mus rau lub tsev me nyuam. Mucosa ntawm cov kabmob ua ib daim card uas tau los txiav ntws mus rau lub tsev me nyuam, absorbed los yog tshem tawm los ntawm lub ncauj tsev menyuam kwj dej.

Kev pab tiv thaiv yog muab los ntawm ib tug ascending kab mob ntawm lub qog ua kua plug lub ncauj tsev menyuam kwj dej thiab lwm yam kua uas yog ua los ntawm lub puab khaubncaws sab nraud povtseg ntawm qhov chaw mos kabmob. Cov hauj lwm zoo ntawm no tiv thaiv yog txo thaum lub sij hawm ntawm ovulation thiab ua poj niam. Qhov no qhia rau cov tsos ntawm cov thawj tsos mob tam sim ntawd tom qab ua poj niam.

O tej zaum yuav tshwm sim los ntawm ib tug ntau yam ntawm kab mob, uas feem ntau yog los ntawm koj qhov chaw mos ascending txoj kev. Feem ntau cov feem ntau nws yog chlamydia, mycoplasma los yog gonorrhea. Ib txhia kab mob muaj peev xwm txeem mus rau hauv lub raj los ntawm lub thiaj-hu ua kev sib cuag, xws li peritonitis. Mob Ntsws, Staphylococcus, tus kab mob Streptococcus feem ntau txeem lymphogenous los yog hematogenous txoj kev. Tau cov kev taw qhia ntawm tus neeg saib xyuas los ntawm lub cev cov ntshav vim casting nws mus rau hauv lub lumen hlab thaum lub sij hawm ua poj niam.

Vim hais tias cov muaj tej yam yuav tsum tau muab sau tseg hysteroscopy, tsev menyuam curettage, IUDs, endometrial me. Me nyuam, rho me nyuam tawm tej zaum yuav ua rau saktosalpinksa. Cov kab mob uas kis tau thaum sib deev, los ntawm kev tiv thaiv zoo com tau yooj yim mus rau mus rau hauv lub lumen ntawm txoj hlab qe menyuam thaum kom uterine muaj peev xwm.

Yuav ua li cas tshwm sim nyob rau hauv cov kav dej?

Thaum o tshwm sim mucosal defensive cov tshuaj tiv thaiv rau kab kev - ua lub kua zis. Nws tsis muaj lub sij hawm los daws, thiab thiaj li muaj muaj fibrous cords uas delimit ib tug inflammatory infiltrate, uas ntxiv impedes cov kev huv huv ntawm lumen. Maj mam, cov yeeb nkab yuav zoo li cystic qaum.

Lub ntsiab tsos mob

Qhov tseem yam ntxwv cov tsos mob ntawm tus kab mob no yog mob uas tshwm sim:

• tam sim ntawd tom qab menses;
• thaum lub sij hawm ovulation;
• thaum lub sij hawm kev sib deev com;
• tej zaum yuav tsis tseg lov tawm thiab tsis muaj kev kho mob;
• mas nyob rau hauv lub plab mog thiab nyob rau hauv lub lumbar cheeb tsam.

Nyob rau hauv tas li ntawd txhawj xeeb tsam plab, tej zaum yuav muaj ib tug kub taub hau, xeev siab thiab ntuav.

teeb meem

Muaj ntau ntau lub neej-hem txim ntawm o. Nyuab saktosalpinks (nws yog dab tsi, peb mam li qhia rau koj) yog tsis yooj yim dua. Ua ntej tshuaj tua kab mob saktosalpinksa lub neej no yog hais txog 1%. Cuaj kaum, tus lub neej no tus nqi yog ntau dua nyob rau hauv cov neeg mob thaum nws yog nyuab los ntawm cov kev sib tawg ntawm lub rwj thiab tubovarialnogo ostroprervavsheysya ectopic cev xeeb tub.

Lig teeb meem muaj xws li mob hu ua pelvic mob, tubovarialny paug, hydrosalpinx, khi ntxiv lawm tshob thiab ectopic cev xeeb tub.

Qhov ntau yam ntawm tus kab mob hu ua pelvic mob yog 4 lub sij hawm ntau dua nyob rau hauv cov poj niam uas tau raug tshuaj lawm nrog ib tug kab saktosalpinks dua li cov uas raug kev txom nyem los ntawm aseptic o ntawm lub pelvic kabmob. Cov neeg uas saktosalpinks kho tsis phais, thoob plaws lub neej txaus siab hais tias qhov gnawing mob.

Tubovarialny rwj yog ib tug ntawm cov tseem ceeb tshaj plaws thiab loj teeb meem, uas tshwm sim nyob rau hauv 15% ntawm cov poj niam nrog inflammatory kab mob ntawm lub pelvic kabmob. Nyob rau hauv ib nrab ntawm cov neeg mob thiaj paub hais tias unilateral saktosalpinks sab laug los yog txoj cai. Yog li uas sown, thiab aerobic thiab co kab mob. Qhov no txoj kev yuav koom nrog lub zes qe menyuam, lub tsev menyuam, plab mog thiab tej zaum lub hnyuv. Tubovarialnoe kawm ntawv nyob rau so los yog ncua nyob rau hauv kev kho mob muaj peev xwm ua rau tuag. Nws tau raug qhov tseeb hais tias saktosalpinks tshwm sim thaum hnav ib intrauterine ntaus ntawv rau ntau tshaj 5 xyoo, paum hysterectomy, tom qab lub follicle tej rau IVF los yog kev sib tawg ntawm cov hnyuv diverticulum.

Qhov feem ntau heev thiab mob mob saktosalpinksa yog ntxiv lawm tshob, uas yog nyuaj rau kho. Cov lus, ntau tshaj 50% ntawm ntxiv lawm tshob mob tshwm sim tom qab o ntawm txoj hlab qe menyuam.

Ectopic cev xeeb tub - ib tug yam tab kaum uas feem ntau tshwm sim tom qab saktosalpinksa vim lub fact tias cov qog ua kua yeeb nkab ntaus thiab tag tsis tau ua nws tiv thaiv zog thiab nta ntawm lub oviduct.

diagnostics

Yuav kom txiav txim saktosalpinksa tsuas yog ib qho kev soj ntsuam xyuas gynecologist. Paub meej tias tus kab mob no yuav hu ua pelvic ultrasound, hysteroscopy, laparoscopy. Cov yav tas txoj kev tso cai tsis tau tsuas yog rau kev tshawb nrhiav tab sis kuj yuav kho saktosalpinks.

Kev txiav txim ntawm tus xov tooj ntawm leukocytes nyob rau hauv cov ntshav count, leukocyte suav, erythrocyte sedimentation tus nqi muab ib tug hais txog ntawm tus tau taub dej khawb rau txhab ntawm lub cev. Qhia lub pathogen kev ntsuam xyuas kom pab tau tus poj niam caws kwj dej muaj thiab tsis muaj kua bakposev no cov ntaub ntawv uas nyob rau hauv as tawm rau tshuaj tua kab mob nyhav.

kev kho mob

Siv ib tug ntau ntawm kev ntsuas mus tshem tawm saktosalpinks. Kev kho mob yog nqa tawm yam tsis tau lub lag luam gynecological department siv ntau pab pawg ntawm cov tshuaj uas tsis yog raug rau lub inflammatory txheej txheem los yog pathogen, tab sis kuj yuav normalization zog ntawm tag nrho cov kab mob.

Tag nrho cov neeg uas saktosalpinks kho tsis hlais tawm lawm, hais tias ntev-lub sij hawm kev kho mob. Nws muaj xws li tshuaj tua kab mob, antimicrobials, antivirals, Txoj kev lis ntshav, resorbable txoj kev kho, vitamins, immunomodulators. Ib tug zoo-xaiv cov tshuaj pab tau tshem ntawm cov kab mob xws li saktosalpinks.

Kev kho mob los ntawm kev phais no yog siv nyob rau hauv cov kev tshwm sim hais tias conservative kev kho tsis coj cov nyhuv. Feem ntau cov feem ntau siv laparoscopic excision los yog thaum tsim nyog (tsis ua hauj lwm los yog kim heev tseem ceeb adhesions) tshem tawm ntawm txoj hlab qe raj. Tab sis niaj hnub laparoscopic hom kev kawm pub rau "kho" txoj hlab qe menyuam. Rau lub hom phiaj no colliotomy, salpingoplastika, thiab fimbrioplastika salpingostomy tsim (tsim ntawm lub kawg seem ntawm cov yeeb nkab).

Tom qab tubektomii ntuj fertilization yog tsis yooj yim sua, li ntawd, nyob rau hauv cov ntaub ntawv no, yog siv IVF tom qab saktosalpinks kiag li eradicated. Xyuas ntawm cov kws kho mob hais tias kwv yees li 35% ntawm cov neeg, cov txheej txheem yog yuav mus nyob rau ntse.

Acupuncture, herbal tshuaj thiab meditation txheej txheem - yog lwm txoj kev uas yuav siv los kho saktosalpinks. Kev kho mob tsis muaj kev phais yuav tsum tsis txhob pib nrog cov txoj kev. Lawv muaj peev xwm tsuas yog siv raws li ib tug pab.

kho qoj ib ce

Yuav ua li cas yuav ua tau kuv kho saktosalpinks ce? Firstly, nws yuav tsum tau ua tsuas yog tom qab conservative los yog phais kho mob thiab tshem tawm ntawm lub mob txheej txheem. Nyob rau tib lub sij hawm teem tseg ce uas ua rau kom:

• kev tiv thaiv ntawm adhesions;
• yuav txo tau ntawm residual los ntawm o;
• pab txoj kev ntshav ncig ntawm lub pelvic kabmob;
• restoration ntawm anatomical kabmob kev sib raug zoo;
• ntxiv dag zog rau ligamentous apparatus;
• stimulation ntawm metabolic dab;
• ntxiv dag zog rau pelvic pem teb nqaij;
• kom ua hauj kab mob;
• normalization ntawm lub cev kev kawm thiab mus ob peb vas.

Nyob rau hauv cov ntaub ntawv no, cov kev kho mob siv tej yam yooj yim gymnastic thiab ua tsis taus pa, restorative thiab tshwj xeeb ce, lub cev txoj kev kho cov teeb meem nyob rau hauv no pathology, thiab yog li tiv thaiv tau tus tsim ntawm caws pliav nqaij.