Adhesions i roto i te kōhao puku o te wahine: tohumate me te maimoatanga

nga whekau katoa i roto i te puku , me te papatoiake wahine (korere kākano, kōpū, ovaries, tōu, hipoki tōngāmimi) e ki te membrane angiangi motuhake - te peritoneum. I roto i tona hanganga, he mea maeneene, me te he kahore knots. I roto i te take ano, ki te haamata te tukanga inflammatory i roto i te papatoiake (mumura o te ovaries, kōpū, korere kākano), haere tahi nei i peritonitis, puta peritoneal i runga i te paninga mata, e Kei roto pūtōtepe. Tenei taonga ko ahei o papa hononga o whekau ki ia atu, ka meinga te tukanga adhesion. Tenei hanga te reira i te arai mīhini tūturu ki te horapa o te mumura i roto i te papatoiake. Ko te meka ko e i muri i noho i te mutunga o te tui mumura.

tukanga piripiri i, e mahi ana e te ina arata'i tona mahi o te tiaki mate peritonitis atu ki te rangirua o te mahi o te ā- whekau o te papatoiake. Ko tōna mahi - ki te tiaki i te tinana i mumura horapa puta noa te kōhao puku. Na tahuri te reira i roto i taua i muri ko te maimoatanga o te peritonitis te hiahia akiaki ki te timata maimoatanga o te mate piripiri. Anake i roto i tenei take tino heke te tūponotanga o te wahi nui o adhesions. Otiia ki te riro te mumura kua ma'i, te nuinga pea, ka timata ki te whanake mate piripiri o te kōhao puku, kahore tohu e kitea ana, me nga tohu o waho. I roto i te take i taua, wā e ara mamae i roto i te puku o raro i te meangiti he hoki e taea ētahi wā kōroke.

Ko te tikanga matua o te maimoatanga o adhesions - he laparoscopy. Anake e taea tika tenei mahi kawe i te whawhe mohio rawa. Ki te taote laparoscope mahi wehenga o adhesions, i muri nei e ratou nekehia atu āta.

Ko te tikanga tuatahi o te wehenga o adhesions he:

• taiaho therapy, arā, tuaki o adhesions ki lasers,
• akvadissektsiya (meatia tenei tukanga e ki te wai)
• electrosurgery - tikanga, i roto i nei tapahia te tukanga piripiri e electrocautery.

I muri i te pokanga, me amohia e te manawanui maimoatanga prophylactic. I roto i te tikanga ki te ārai i te putanga o adhesions hou, whakamahia he maha o ngā tikanga.

Tuatahi, i roto i te kōhao papatoiake whakahaere ngā arai wai.

Tuarua, korere kākano me ovaries kāpui whakamahi films polymeric resorbable.

Tino maha, i muri i whakaritea te mahi tuatahi te ki te laparoscopy tātaritanga mana, e me te tono i roto i te marama torutoru. meatia tenei i roto i te tikanga ki te whakaoti i te hanganga o adhesions hou.

I tua atu, te tikanga taunaki ana te faitafá maimoatanga motuhake, e te hokonga o te pehi mumura me te pūtōtepe waipara i roto i te mata peritoneal. I tua atu, kei te whakaritea tikanga, e whakahohe i te tukanga o te whakakāhoretanga.

I ngā wā tukinotia adhesions i muri i te pokanga te reira.

Ko te tākuta ta te raau taero e whai ake nei:

1. āpiha Fibrinolytic, tātau pūtōtepe.
2. Anticoagulants, e tautāwhi i te tukanga o te upoo- toto.
3. Paturopi me āpiha anti-inflammatory.

Ko whakaatu mahi hauora e ka tīpakohia te talena maimoatanga takitahi i roto i te wā motuhake katoa.

Tino maha, e kore e ara laparoscopy kī e nga raruraru katoa e kua e pā ana ki te maimoatanga o tenei mate, ka e whakatau.

Ko te take i mā te whakamahi i te mahi taua me te maimoatanga i runga e tukua korere kākano me ovaries i adhesions. Ko te tukanga o te ora o ratou hanganga ā-, me te mahi e taea. Na i muri i ngā tukanga laparoscopic whai wahine ki te huihui ki roto i vitro kikiritanga (IVF) ki te hapu i te tamaiti.