Apoplexy ntawm lub zes qe menyuam yog thaum muaj xwm txheej gynecological, uas yog los ntawm kev ua txhaum ntawm kev ncaj ncees ntawm kev sib deev caj pas. Cia peb xav txog lub ncauj lus nyob hauv ntau dua, txheeb xyuas qhov ua rau, hom thiab cov cim qhia ntawm tus kabmob ntawm zes qe menyuam, cov qauv thiab cov kev kho mob.
Qes qe menyuam puav (apoplexy) - ua rau
Yug nqaij qaub ncaug, ua rau muaj qhov sib txawv, tshwm sim li ntawm 1-3% ntawm cov poj niam uas muaj tus kab mob gynecological. Cov kev ua txhaum feem ntau raug rau cov ntxhais 20-35 xyoo. Qhov no yog vim yog qhov tseeb tias apoplexy ntawm lub zes qe menyuam feem ntau yog kev cuam tshuam los ntawm kev hloov ntawm kev hloov, uas hloov los ntawm kev nce ntshav hauv lub cev qhov chaw mos ntawm tus me pelvis. Apoplexy ntawm sab qaum kev zes qe menyuam yog tsawg, vim tias tsis muaj ntshav txaus.
Yog li, nyob rau hauv 90% ntawm cov poj niam nrog no pathology, qhov teeb meem no yog nyob nruab nrab ntawm lub voj voog lossis ob feem ob. Tam sim ntawd nyob rau lub sij hawm no muaj nce hauv cov kab mob ntawm cov hlab ntsha, ua kom lawv muaj ntshav nyob hauv lub ntim ntau dua. Vim li ntawd, lub siab ntawm cov nqaij mos ntawm zes qe menyuam tuaj, uas tsis tuaj yeem ua rau lub nra, raug puas tsuaj. Tsis tas li ntawd, muaj cov ntsiab lus tseem ceeb tshaj plaws:
- neuroendocrine mob;
- inflammatory kab mob ntawm kev ua me nyuam, nrog los ntawm sclerotic cov kev hloov hauv cov zes qe menyuam;
- stagnation hauv plab mog;
- varicose leeg ;
- dhau ntawm kev ua kom cev nqaij daim tawv nyob nruab nrab ntawm lub voj voog;
- anomalies ntawm qhov chaw ntawm qhov chaw mos plab hnyuv siab raum;
- qog nyob hauv plab me me;
- cuam tshuam ntawm cov ntshav coagulation system;
- kuaj mob hauv chaw mos;
- mob plab;
- tsausmuag kev sib deev.
Cov qe menyuam plab zom - cov ntaub ntawv
Thaum xav txog qhov ua rau ntawm cov nqaij mos ntawm zes qe menyuam, peb nco ntsoov tias tus kab mob no muaj ntau ntau yam. Yog li ntawd, nyob ntawm seb qhov tshwm sim muaj kab mob zoo li cas, cov ntaub ntawv hauv qab no xws li kev tawg ntawm kev zes qe menyuam yog:
- mob heev - nrog mob qhov mob, mob xeev siab thiab ntuav, kub cev;
- Anemic - qhov txawv ntawm qhov tshwm sim ntawm ib lub raj tawg uas tshwm sim nrog ectopic cev xeeb tub, lub plab tseem ceeb yog los ntshav.
Tsis tas li ntawd, muaj ib qho kev faib tawm ntawm tus kabmob ntawm zes qe menyuam ntawm cov ntshav ntawm cov ntshav. Nws yog ncaj qha siv rau kev muab tso ua ke ntawm qhov kev kho mob ntawm kev kho mob. Cov kws kho mob tau muab hu ua:
- qib me me - qhov ntim ntawm cov ntshav tawm ntawm qhov chaw mos plab tsis tshaj 100-150 ml;
- nruab nrab - cov ntshav poob hauv cov kev txwv ntawm 150-500 ml;
- hnyav - qhov ntim ntawm ploj ntshav tshaj 0.5 liters.
Apoplexy ntawm ovary - mob siab heev
Apoplexy ntawm txoj kev zes qe menyuam txoj sia, mob heev, yog ib yam muaj zog, tho mob, uas yog los ntawm xeev siab. Daim duab ntawm tus mob plab - qhov nro ntawm cov nqaij ntshiv ntawm lub plab, qhov kev txo ntawm kev sib deev, pallor ntawm daim tawv nqaij, mob siab dag, ua rau muaj qhov yuam kev kuaj mob. Feem ntau, kws phais neeg yuam kev yog yuam kev mob hnyuv tws. Thaum tsis muaj ntshav los ntshav, tsis pub ib tus pojniam tuaj yeem tshawb nrhiav nws tus kheej thiab nrhiav kev kho mob.
Hemorrhagic daim ntawv ntawm tus kabmob ntawm zes qe menyuam
Vim yog lub peculiarities ntawm cov ntshav txaus, ntshav ntom ntshav, apoplexy ntawm txoj kev zes qe menyuam muaj ntau. Hemorrhagic (ntshav qab zib) daim ntawv no muaj nrog ntshav los ntawm cov qau ntshav. Feem ntau nws yog sab hauv - cov ntshav tau nchuav rau hauv plab kab noj hniav. Tus cwj pwm ntawm cov tsos mob tshwm sim:
- tsis muaj zog;
- pallor ntawm daim tawv nqaij;
- kiv taub hau;
- tsaus muag;
- ib tug ntse poob hauv cov ntshav siab;
- nce lub plawv dhia;
- lub qhov ncauj qhuav ntawm cov kaus hniav membranes;
- ntuav;
- nce zaus ntawm kev txiav txim siab;
- nquag nquag txav rau qhaw.
Apoplexy ntawm ovary - cov tsos mob
Thaum tus kabmob tawg ntawm lub zes qe menyuam tuaj lawm, cov tsos mob yog li ntawd hais tias nws tsis yooj yim yog tsis tuaj yeem tsis tau qhov pib ntawm cov kab mob pathological. Cov poj niam pom ib qho kev mob tshwm sim, ntse mob hauv plab. Nws yog qhov tshwm sim ntawm lub siab ntawm receptors ntawm ovary ntaub so ntswg, cov nyhuv ntawm cov ntshav ntawm lub peritoneum. Qhov no ua rau muaj cov pob zeb ntawm cov leeg hauv plab. Tus mob muaj qhov chaw ntshiab meej, tshwm sim los ntawm sab qaum lub tswb qhov puas. Cov poj niam ntawv:
- tsis muaj zog heev;
- kiv taub hau;
- ntuav;
- xeev siab;
- tsis nco qab.
Nrog mob siab heev ntawm kev mob ntsws, hemorrhage rau lub plab kab noj hniav tsis tuaj. Ntshav tawm hauv cov nqaij ntawm cov keeb, lub cev daj. Hauv qhov no, daim duab saib ntawm cov mob hemorrhagic thiab mob heev yog zoo sib xws. Thaum kuaj xyuas ib tug poj niam nyob rau hauv ib lub rooj zaum gynecological, lub tsev me nyuam muaj qhov loj me me, lub zes qe menyuam tsis zoo heev thiab mob heev. Qhov chaw mos vaults tob, ua dawb.
Qes qe menyuam yug ntses - kabmob
Nrog kev pab los ntawm ultrasound ntawm pelvic plab hnyuv siab raum, nws yog tsis yooj yim sua kom pom tau tej kev hloov no. Tus kws kho mob pom tau tsuas yog ib lub clump ntawm cov ntshav nyob hauv qhov chaw. Ncaj qha thiab qhov no yog lub apoplexy ntawm lub zes qe menyuam ntawm ultrasound. Rau qhov sib txawv ntawm kev mob, yuav tsum tau kuaj xyuas tus poj niam hauv lub rooj zaum. Ntxiv rau, los txiav txim rau kev ua txhaum cai siv:
- tsim ntawm hemoglobin;
- puncture ntawm posterior posterior posterior vaginal;
- laparoscopy.
Cov xwm txheej tshwm sim ntawm qhov ua txhaum cai yog mob hnyav, mob tsis xis nyob hauv nruab nrab lossis hauv ib nrab ntawm kev coj khaub ncaws. Txhua lub hlis tom qab tus kabmob noj qe menyuam muaj peevxwm rov tuaj lossis tsis tuaj. Tam sim ntawd cov kev mob nkeeg feem ntau yog qhov qhia txog kev soj ntsuam ntawm qhov kev ua me nyuam. Thaum ntxov paub thiab tau txais kev pabcuam thaum muaj xwm ceev pab cuam tshuam tsis zoo rau qhov teebmeem, ua kom ntev mus ntev.
Qes qe menyuam noj tshuaj - kev kho mob
Nrog xws li ib tug pathology ua ib qho kev sib tawg ntawm zes qe menyuam, kev kho mob yuav tsum muaj kev kho mob kub ceev. Mob hnyav heev tuaj yeem ua rau tuag taus. Cov kev kho kom txuag tau kho yog tshwj xeeb tshaj plaws rau cov neeg mob sib txawv, thaum muaj cov cim hauv kev los ntshav. Nrog rau cov tsos mob nce ntxiv, qhov nce ntawm qhov ntim ntawm cov ntshav ploj, kev kho phais yog yuav tsum tau ua. Lub algorithm ntawm kev kho mob ua yog ncaj qha ntsig txog kev tshwm sim, qhov hnyav ntawm cov tsos mob, qhov vastness ntawm lub yeej ntawm cov ntaub so ntswg uterine.
Qes qe menyuam - tsis kho phais
Conservative kev kho mob ntawm cov zes qe menyuam noj dawb yog ua tau nrog ib qho kev tsis txaus ntseeg ntawm qhov chaw mob ntawm caj pas. Txoj kev kho tus mob no yog siv yog hais tias qhov ntim ntawm tus neeg mob cov ntshav ploj tsis tshaj 150 ml. Thaum ua li ntawd, lawv siv:
- ice rau hauv qab ntawm lub plab;
- hemostatic preparations (Etamsilate);
- antispasmodics - Papaverina hydrochloride, Tab sis-Shpa;
- vitamins - thiamine, pyridoxia, cyanocobalamin.
Nyob rau hauv theem rov qab, tom qab tshem tawm ntawm lub sij hawm ntev, physiotherapy yog sau rau ib tug sai rov qab:
- electrophoresis nrog calcium chloride;
- Microwave therapy;
- dej ntawm Bernard ;
- diathermy.
Txoj kev kho kom txuag tau kho yog tshwj xeeb tshaj tawm rau hauv tsev kho mob, raws li kev saib xyuas tas li ntawm cov kws kho mob. Nrog rau kev txhim kho ntawm ib qho kev rov ua mob ntawm qhov mob, deterioration ntawm tus mob, instability ntawm hemodynamic tsis, nce nyob rau hauv lub ntim ntawm cov ntshav sau hauv cov kab noj hniav ntawm peritoneum, tus kabmob zes qe menyuam yuav tsum tau phais kev pab. Nws yog ua los ntawm laparoscopy, uas ua rau lub sij hawm rov qab kho.
Apoplexy ntawm ovary - ua hauj lwm
Qhov no ntawm txoj kev kho yog qhov tseem ceeb tshaj plaws rau apoplexy. Thaum lub sij hawm ua hauj lwm, cov kws kho mob xyuas qhov chaw ntawm qhov lesion, muab cov ntshav tawm hauv plab kab noj hniav, thiab npog lub zes qe menyuam. Muaj mob loj ntawm lub caj pas, cov lus nug tshwm sim ntawm yuav tshem tawm li cas. Thaum lub zeeg ntawm lub zes qe menyuam, qhov kev lag luam yog qhov yuav tsum tau ua hauv qab no:
- Nyob rau hauv lub plab kab noj hniav ntau tshaj 150 ml ntawm cov ntshav uas tsim, uas yog rau ultrasound;
- ua qhov kev txuag kev kho mob tsis tuaj yeem coj qhov kev xav tau tshwm sim hauv 2-3 hnub;
- Muaj ib qho kev xav tau kev sib txawv ntawm cov kab mob gynecological thiab phais mob.
Qes qe menyuam yaus - qhov yuav tshwm sim
Tom qab cov kabmob ntawm lub zes qe menyuam, nrog kev kho mob tsis kho, cov teeb meem nram qab no yuav ua tau:
- hemorrhagic poob siab ;
- nplaum txheej txheem hauv me me lub plab;
- rov qab rupture ntawm lub caj pas;
- theem nrab ntxiv;
- kev ua hauj lwm lethal.
Kuv puas cev xeeb tub tom qab kuv tus kabmob zes qe menyuam?
Cev xeeb tub tom qab apoplexy ntawm lub zes qe menyuam tau. Yog tias cov hlau tsis tau raug tshem tawm thaum lub caij ua haujlwm, tus poj niam muaj txoj hauv kev los ua niam. Txawm li cas los xij, qhov kev xav tau nrog 1 ua hauj lwm caj pas. Kev txhawj xeeb ntawm cov kws kho mob thaum npaj plab yog tshwm sim los ntawm spikes hauv lub plab me me. Cov formations tiv thaiv kev ua haujlwm ntawm lub cev ovulatory. Rau normalize lawv, ntau cov neeg mob raug yuam siv tshuaj hormonal, anti-inflammatory tshuaj. Kev cev xeeb tub yuav ua tsis tau thaum qog ob qho tib si raug muab tshem tawm hauv kev phais mob.