Adhesive disease

Nyob rau hauv xyoo tsis ntev los no, lub prevalence ntawm adhesions nyob rau hauv lub tshav pob ntawm gynecology tau nce significantly. Qhov ntau tshaj plaws ua rau ntawm tus kab mob yog inflammatory kev. Cov kab mob nyob hauv plab me me tuaj yeem tshwm sim los ntawm kev mob ntawm lub tsev menyuam, plab hnyuv ntxwm peritoneum thiab appendages. Tsis zoo tshaj, nyob rau hauv tas li ntawd mus kis kab mob, tej zaum yuav hnav ib ntev kauv, rho menyuam, kev sib deev mob, ua adhesions nyob rau hauv lub plab mog. Cov tsos mob ntawm tus kab mob no nyob ntawm seb qhov kev sib kis ntawm kev sib txawv.

Muaj peb qho kev kuaj mob - mob, sib quas ntus thiab mob ntev. Nyob rau hauv cov kab mob mob ntawm tus kab mob, qhov mob hnyuv mob maj mam nce, cov neeg mob tau hnov mob los ntawm xeev siab, qee zaus ntuav. Qhov kub ntawm lub nce, lub plawv dhia nce. Nias ntawm lub plab teb nrog ib tus mob mob ntse. Yog li ntawd, cov kab mob nplaum ua rau muaj kev mob loj heev - protein ntau thiab dej ntsev metabolism puas cuam tshuam, ntshav siab poob qis, thiab qhov tso tawm 24 xuab moos tso zis. Nrog rau daim ntawv sib txawv, kev hnov mob yog ib zaug, qee zaum yog mob raws plab los yog cem quav. Nyob rau hauv daim ntawv ntev, txij li lub sij hawm mus rau lub sij hawm muaj mob pob txaim, rub tawm rau hauv qis dua zaum peb ntawm lub plab. Adhesive peritoneum muaj cov tsos mob zoo sib xws. Qhov txaus ntshai ntawm tus kab mob no nyob rau hauv qhov pib ntawm rhuav tshem ntawm lub hlab plawv hlab, uas ua rau persistent infertility.

Ib tug txhim khu kev qha mob yuav tsum muab tso rau xwb tom qab ib tug xov tooj ntawm cov kev tshawb fawb thiab ntsuam, xws li ib tug smear rau lub paum muaj, PCR, MRI lub plab mog, hu ua pelvic ultrasound, ib tug diagnostic laparoscopy. Txoj kev tom kawg yog ib qho kev cuam tshuam, tab sis tib lub sij hawm, txoj kev txheeb xyuas kev mob siab tshaj plaws.
Adhesive kab mob nyob rau hauv ua ke nrog nrog rhuav txhua ntawm txoj hlab qe menyuam txiav txim siv hysterosalpingography, thaum nkag tau rau hauv lub tsev me nyuam cov ntaub ntawv ntawm contrasting xim, thiab ces X-ray xeem yog nqa tawm. Txoj kev kho mob muaj txiaj ntsig zoo nyob raws li theem ntawm kev kis tus txheej txheem ntawm kev tsim tawm. Cov neeg tuaj yeem tuaj yeem pom cai rau ntau xyoo rau tus kws kho mob pojniam nrog tus kws kuaj mob, thiab tsuas yog laparoscopy ua rau nws tsis tuaj yeem paub tseeb tias nws muaj kev txhawj xeeb, tab sis kuj yuav kho tus kab mob tib lub sijhawm.

Cov kab mob nplaum yuav kho tau phais thiab kev txuag. Nrog rau kev sib kis thiab kab mob ntawm tus kab mob, qhov kev kho mob zoo tshaj plaws yog laparoscopy. Concurrently, conservative therapy yog siv los txhim kho cov nyhuv kho. Cov ntaub ntawv ntev kho tau tsuas yog kho tau zoo xwb.

Yuav kom sib ntaus los tiv thaiv tus kab mob, ua ntej ntawm tag nrho cov, nws yog ib qhov tsim nyog yuav tau xyuas seb yog vim li cas nws tshwm sim. Nyob rau hauv lub rooj plaub uas lub ua yog urogenital kab mob, kev kho yuav tsum tau raws kev coj rau kev kho mob ntawm lub qhov pib kab mob. Rau qhov no, tshuaj tiv thaiv (corticosteroids, NSAIDs) thiab tshuaj tua kab mob. Yog tias tus kab mob no tshwm sim los ntawm endometriosis, kev kho mob nrog hormonal thiab anti-inflammatory tshuaj yog tus kws kho mob, nrog rau cov kev kho mob thiab kev kho mob.

Fermentotherapy yog siv dav thaum siv cov tshuaj siv fibrinolytic. Lawv qhov kev txiav txim yog raws li kev sib tw ntawm fibrin (chymotrypsin, trypsin, longidase). Cov tshuaj no yuav siv tau rau kev tsis txaus siab ntawm qhov me me. Thaum tsis muaj mob, qhov kev siv physiotherapy, uas muaj sab hauv laser thiab lwm txoj kev kho magnetic-laser. Txoj kev kho kom zoo yog siv tau rau thaum ntxov ntawm kev ua haujlwm. Nyob rau hauv lwm yam mob, tus pom zoo kho thiab diagnostic laparoscopy.