Adhesions nyob rau hauv lub plab kab noj hniav ntawm cov poj niam: cov tsos mob thiab kev kho mob

Tag nrho cov kabmob nyob rau hauv lub plab mog thiab lub plab mog cov poj niam (hlab qe menyuam, lub tsev me nyuam, zes qe menyuam, qhov quav, hauv zais zis) yog them nrog ib tug tshwj xeeb nyias nyias nyias - tus peritoneum. Nyob rau hauv nws cov qauv, nws yog du thiab muaj tsis muaj cov pob caus ntawd. Nyob rau hauv tib cov ntaub ntawv, yog hais tias tus inflammatory txheej txheem pib nyob rau hauv lub plab mog (o ntawm lub zes qe menyuam, lub tsev me nyuam, txoj hlab qe menyuam), uas yog nrog los ntawm peritonitis, peritoneal tshwm nyob rau hauv tus nto txheej, uas muaj fibrin. Qhov no tshuaj yog muaj peev xwm sawv ntawm tsevneeg chaw ntawm hauv nruab nrog cev nrog txhua lwm yam, ua rau cov adhesion txheej txheem. Qhov no ua rau nws ib tug tej yam ntuj tso txhua yam teeb meem mus rau lub kis mob nyob rau hauv lub plab mog. Tab sis qhov tseeb yog hais tias tom qab lub cessation ntawm leeg o nyob twj ywm.

Adhesive txheej txheem, uas yog tua thaum nws muaj nuj nqi ntawm kev tiv thaiv peritonitis kab mob ntxiv yuav ua rau muaj kev cuam tshuam ntawm cov hauj lwm ntawm lub sab hauv nruab nrog ntawm lub plab mog. Nws muaj nuj nqi - mus tiv thaiv lub cev los ntawm o kis thoob plaws hauv lub plab kab noj hniav. Yog li ntawd nws hloov tawm hais tias tom qab cov kev kho mob ntawm peritonitis yog ib qho mob ceev heev yuav tsum tau pib kho mob ntawm nplaum kab mob. Tsuas yog nyob rau hauv cov ntaub ntawv no qhov tshwm sim rau ib tug loj feem ntawm adhesions considerably poob. Tab sis yog hais tias tus mob tau ua mob, feem ntau yuav, yuav pib tsim nplaum kab mob ntawm lub plab kab noj hniav tsis pom cov tsos mob thiab lwm yam tshwm sim. Nyob rau hauv xws li ib tug cov ntaub ntawv, tej zaum tshwm sim mob nyob rau hauv lub qis lub plab thaum txias yog tseem tau tej zaum kuj cem quav.

Lub ntsiab txoj kev kho mob ntawm adhesions - yog laparoscopy. Tsuas yog lub lag luam no yuav meej nqa tawm ib tug heev yuav luag tsis manipulations. Nrog rau cov laparoscope kws phais neeg ua kev sib cais ntawm adhesions, tom qab uas lawv raug muab tshem tawm kom zoo zoo.

Lub hom txhais tau tias ntawm kev sib cais ntawm adhesions yog:

• laser txoj kev kho, piv txwv li, phais cov adhesions nrog lasers,
• akvadissektsiya (txoj kev ua no yog ua li cas nrog dej)
• electrosurgery - txoj kev, nyob rau hauv uas lub nplaum txheej txheem yog txiav los ntawm electrocautery.

Tom qab qhov phais, tus neeg mob yuav tsum tau yauv prophylactic kev kho mob. Nyob rau hauv thiaj li yuav tiv thaiv tau cov emergence ntawm tshiab adhesions, siv ib tug xov tooj ntawm txoj kev.

Firstly, nyob rau hauv lub pelvic kab noj hniav muab ntau yam teeb meem ua kua.

Secondly, txoj hlab qe menyuam thiab zes qe menyuam envelop siv resorbable polymeric films.

Heev feem ntau, tom qab thawj zaug lag luam yog muab rau ib tug tswj diagnostic laparoscopy, uas yuav tsum tau ua ntawv thov nyob rau hauv ib tug ob peb lub hlis. Qhov no yog ua nyob rau hauv thiaj li yuav ua kom tiav lub tsim ntawm tshiab adhesions.

Nyob rau hauv tas li ntawd, tus kws phais feem ntau xav tshwj xeeb kev kho mob, uas purports mus suppress o thiab fibrin deposition nyob rau hauv lub peritoneal nto. Tsis tas li ntawd, txhais tau tias yog muab, uas qhib hauv tus txheej txheem ntawm txoj kev sib nrauj.

Feeb adhesions tom qab phais kho li.

Tus kws kho mob prescribes nram qab no tshuaj:

1. Fibrinolytic agents, dissolving fibrin.
2. Anticoagulants, uas inhibit tus txheej txheem ntawm cov ntshav txhaws.
3. Tshuaj tua kab mob thiab anti-inflammatory agents.

Tab sis kev kho mob xyaum qhia tau hais tias cov kev kho mob regimen yuav xaiv ib lub zuj zus nyob rau hauv tag nrho cov kev mob.

Heev feem ntau, txawm laparoscopy tsis guarantee hais tias tag nrho cov teeb meem uas yog txuam nrog rau cov kev kho mob ntawm tus kab mob no, yuav tau daws.

Qhov tseeb hais tias los ntawm kev siv xws li ib lub lag luam thiab lub saum toj no kev kho mob hlab qe menyuam thiab zes qe menyuam yog tso tawm los ntawm adhesions. Tab sis tus txheej txheem ntawm rov qab los ntawm lawv cov nrog cov qauv thiab ua tau hauj lwm yog tsis yooj yim sua. Yog li ntawd tom qab laparoscopic cov txheej txheem cov poj niam muaj mus rau chaw uasi mus rau hauv vitro fertilization (IVF) xeeb tub ib tug me nyuam.