Adhesions na abdominal uji eze nke ndị inyom: mgbaàmà na ọgwụgwọ

All na akụkụ ke afo na pelvis nwanyi (fallopian akpa, akpanwa, ovaries, ikensi, eriri afo) na-kpuchie na a pụrụ iche mkpa akpụkpọ - na peritoneum. Na ya Ọdịdị, ọ bụ ezigbo onye na ọ dịghị ihe mara akpụ. N'otu ikpe, ma ọ bụrụ na ndị mkpali usoro na-amalite pelvis (mbufụt nke ovaries, akpanwa, fallopian akpa), nke na-esonyere peritonitis, peritoneal na-egosi na n'elu mkpuchi, nke ihe mejupụtara fibrin. Nke a na umi bụ ike nke na bonding ebupụta nke esịtidem akụkụ nke ọ bụla ọzọ, na-eme adhesion usoro. Nke a na-eme ka ya a eke n'ibu mgbochi mgbasa nke mbufụt na pelvis. Ma nke bụ eziokwu bụ na mgbe cessation nke onuete mbufụt anọgide.

Nyagide usoro, nke na-gburu mgbe ya ọrụ nke na-echebe peritonitis ọrịa n'ihu na-eduga ná emeghasịkwa nke ịrụ ọrụ nke esịtidem akụkụ nke pelvis. Ya ọrụ - iji chebe ndị ozu mbufụt gbasaruru abdominal oghere. N'ihi ya, ọ na-enyo na mgbe ọgwụgwọ nke peritonitis bụ mkpa na-amalite usoro ọgwụgwọ nke nyagide ọrịa. Naanị na nke a gbasara nke puru omume a akụkụ buru ibu nke adhesions ukwu mgbada n'usoro. Ma ọ bụrụ na mbufụt aghọwo ala ala, dịcha, ga-amalite ịzụlite nyagide ọrịa nke abdominal uji eze na-enweghị anya mgbaàmà na mpụga ihe ịrịba ama. N'ọnọdụ dị otú ahụ, mgbe ụfọdụ na-ebilite mgbu ke ala afo mgbe obi jụrụ na-ekwe omume mgbe ụfọdụ afọ ntachi.

Isi usoro ọgwụgwọ nke adhesions - bụ laparoscopy. Naanị a na ime nwere ike n'ụzọ ziri ezi-ebu a nnọọ aghụghọ manipulations. Na laparoscope dọkịta na-awa anamde nkewa nke adhesions, mgbe nke ha na-ewepụ anya.

Ụzọ bụ isi nke nkewa nke adhesions bụ:

• laser ọgwụ, ie, dissection nke adhesions na lasers,
• akvadissektsiya (a usoro na-eme na mmiri)
• electrosurgery - usoro, nke na nyagide usoro na-ebipụ site electrocautery.

Mgbe ịwa ahụ, onye ọrịa ga-ata prophylactic ọgwụgwọ. Iji gbochie ntoputa nke ọhụrụ adhesions, eji ọtụtụ ụzọ.

Firstly, na pelvic oghere ndinọ dị iche iche ihe mgbochi mmiri mmiri.

Nke abuo, fallopian akpa na ovaries envelop iji resorbable polymeric fim.

Ọtụtụ mgbe, mgbe mbụ ime ihe a na kenyere a akara-achọpụta ọrịa laparoscopy, nke a ga-etinyere na a ọnwa ole na ole. Nke a na-eme iji mezue guzobe ọhụrụ adhesions.

Ke adianade do, dọkịta na-awa na-emekarị na-atụ aro pụrụ iche ọgwụgwọ, nke purports-ebelata mbufụt na fibrin deposition na peritoneal n'elu. Ọzọkwa, ụzọ e kenyere, nke rụọ ọrụ na usoro nke mgbasa ya.

Omenala adhesions mgbe ịwa ahụ na-emeso otú.

The dọkịta na-edepụta na-esonụ ọgwụ ọjọọ:

1. Fibrinolytic mmadụ, dissolving fibrin.
2. Anticoagulants, nke inhibit usoro ọbara clotting.
3. Ọgwụ nje na mgbochi mkpali mmadụ.

Ma agwọ ọrịa na-egosi na ọgwụgwọ Usoro ga-ahọrọ n'otu n'otu niile kpọmkwem ikpe.

Ọtụtụ mgbe, ọbụna laparoscopy anaghị ekwe nkwa na nsogbu nile na na-metụtara ọgwụgwọ nke ọrịa a, ga-egbo.

The eziokwu na site na iji dị otú ahụ ọrụ na n'elu ọgwụgwọ fallopian akpa na ovaries na-ẹkesiode adhesions. Ma usoro nke mgbake nke ha esịtidem Ọdịdị na-arụ ọrụ bụ agaghị ekwe omume. N'ihi ya, mgbe laparoscopic usoro inyom nwere-amalite na vitro njikọta (IVF) turu ime a nwa.