Izimbalwa ezinzulu ezibangela iintlungu zeplavic zihlala zixesha elifutshane. Nangona kunjalo, intlungu ingaba namandla kakhulu, umzekelo, kunye ne-dysmenorrhea - imeko ebuhlungu eyenzeka nge-spasms ye-uterus ngexesha lokuya esikhathini. Ezinye izizathu ezinzulu kunye neziqhelekileyo zokuba buhlungu obuhlungu obungapheliyo kunye nobuhlungu obukhulu be-pelvic ziyi-inflammatory disease, ukukhulelwa kwe-ectopic kunye ne-endometriosis.
Ezinye izizathu zentlungu
I-pathology ye-anus ne-rectum inokubangelwa yintlungu ye-pelvic kwaye idla ngokubonakala kwi-back back. Kwiimeko ezininzi ezingavumelekanga, ubuhlungu be-pelvic bunokuvela kwizifo ezinjenge-myoma ye-uterine, i-appendicitis, iingxaki zamathumbu namathumbu, kunye neengcingo zamalungu omzimba we-pelvic. Ukuba intlungu ayigqiba ixesha elide, kufuneka ufunde ugqirha. Izifo ezivuthayo eziphambene nezifo (PID) zibandakanya ukuvuvukala kwesisu, ama-tublopian tubes kunye nama-ovari ngenxa yesifo. Isizathu esiqhelekileyo kwezi zifo ngu-chlamydia, isifo sesifo esithathelwana ngesondo esenzeka kwi-50-80% yamatyala e-PID. Ezinye izinto ezinokubangela izinto zibandakanya i-gonorrhea kunye ne-anaerobic infections. I-PID iyakwenzeka ngokukhawuleza okanye ngenxa yongenelelo lophulo lwe-pelvic okanye emva kokusungulwa kweso sixhobo se-intrauterine (IUD). Kwimeko yokugqibela, eso sifo senziwa ngokuqhelekileyo phambi kosuleleko lwe-chlamydial.
Iimpawu
Intlungu ihlala ihlala kwiiyure eziliqela, iindawo eziphantsi kwendawo yesisu kunye ne-suprapubic kwaye ibuhlungu, iyabuhlungu. Ngamanye amaxesha kunokuba lukhulu kwaye luqinise ngexesha lokulala. Ubuhlungu buvame ukubonakala ngokuhamba ngokukhawuleza kwaye kunciphise ukuba loo ntokazi ilala okanye ihleli ngokuthula. Ezinye iimpawu ziquka intlungu ngexesha lokucoca kunye nomkhuhlane. Ngamanye amaxesha ubuhlungu bunzima kangangokuba loo ntokazi ayikwazi ukuhamba kwaye ivakalelwa ngumsindo, kodwa iimeko ezinjalo azifaneki; Ngokuqhelekileyo intlungu ilula.
Diagnostics
Ekubeni akukho luhlalutyo olucacileyo oluqinisekisa i-PID yowesifazane, ukuxilongwa kusekelwe kwiziphumo zophando olubanzi. Ixabiso elithile lokuxilonga lunjalo iimpawu ezinjengobuhlungu bomlomo wesibeleko kunye nezivalo zangasese (izigulane zamathambo ezijikeleze umlomo wesibeleko) kunye nokuhlolwa kwamanzi.
Unyango
Kwiimeko ezinzima, unyango kwisibonelelo esibhedlele kunye namayeza alawulwayo ngaphakathi. Kwezinye iimeko, unyango lwenziwa ngaphandle-isigulane, kunye namayeza alawulwa ngaphakathi. Uninzi lwabasetyhini abane-PID engathandabuzekiyo kufuneka baphumelele uvavanyo lwe-chlamydia, kwaye ngokufanelekileyo-ukuba bahlolwe kwi-kliniki ekhethekileyo ye-urine. Kwiiklinikhi ezinjalo, oogqirha baya kunikwa kuphela ukuba bahlolwe i-chlamydia, kodwa kwakhona ukuba kuyimfuneko ukuba bafumane unyango lwe-antibiotics ngaphambi kokuphela kokukhulelwa okanye ukufakwa kwe-IUD. Ukukhulelwa kwe-Ectopic inquma imeko apho iqanda elitsalisiweyo lithela khona ngaphandle kwesibeleko, ngokuqhelekileyo kwi-tube fallopian. Oku kuya kwenzeka ngenxa yokutshatyalaliswa kwamathambo e-fallopian, ahlala ekhula ngenxa yentsholongwane ye-chlamydial. Emva kweeveki ezi-2-4 emva kokuchumisa i-ovum, ityhubhu ye-uterine ingaphula, ihamba kunye nentlungu ebuhlungu kunye nokuphuma kwamanzi.
Iimpawu
Iintlungu zidla ngokukhawuleza kwaye zihlala kwindawo esezantsi, kwesobunxele okanye kwesobunxele. Intlungu inokuba namandla kangangokuba umfazi akanako ukuhamba. Nangona kunjalo, ngamanye amaxesha iimpawu zingenakuqondakala ukuba zikhohlise zombini ugqirha kunye nomfazi ongenakutsho ngokuthe ngqo oko kukukhathazayo. Ukuba kukho ukuphuma kwamanzi kwangaphakathi, isigulane sibonakala sibukhali, siziva sinyanisekile kwaye sidilika kwaye sinokuphelelwa amandla xa sizama ukuma. Njengomthetho, intetho ibonisa ukuba le ntokazi inokulibaziseka okanye impawu engaqhelekanga yokuya esikhathini, ngaphezu koko, unokuziva iimpawu ezizimeleyo zokukhulelwa kwangaphambili. Nangona kunjalo, ngamanye amaxesha ukukhulelwa kwe-ectopic kungazibonakalisa phambi kwexesha lesinye isisu.
Diagnostics
Xa uvavanyo lwesisu, ugqirha usoloko ufumana intlungu emagqabini esini (indawo yesisu ejikeleze umlomo wesibeleko) ecaleni apho isigulane siva intlungu. Esinye isifo sinokunyuka kobukhulu bebhubhu ye-fallopian, enokuqinisekiswa yi-ultrasound. Uvavanyo lokukhulelwa luvame ukuba luncedo.
Unyango
Ukukhulelwa kwe-Ectopic kudinga amanyathelo angxamisekileyo, kuba yimeko esongela ubomi. Kwiimeko ezininzi, ukuhlinzwa okuvulekileyo okanye i-laparoscopy yenziwa. Kwiimeko ezinqabileyo, unyango lukhawulelwe kwi-injection ye-methotrexate.