Iphenya umsele wesibeletho: incazelo, izici nemiphumela

Atresia (imperforate) canal wesibeletho kungaholela isimiso wako noma ngokwengxenye, okuyinto kuba isithiyo uphume menses. Ngezinye izikhathi atresia le ndima wesibeletho futhi atresia we uteri Corpus. Esikhathini sawo sokuphila umsuka ukuvaleka ndima wesibeletho kungenzeka azalwa naso noma bathenga. cautery Akuphumelelanga futhi curettage kungabangela ukuvaleka ngisho imperforate canal wesibeletho. Ukubuyisela patency yayo noma aphendukele ekuthengiseni imisebenzi okuthiwa kumba canal wesibeletho.

izizathu imperforate

Ingabe Zikhona Izimo Ezenza ezinomthelela okuvela atresia:

• izinqubo sokuvuvukala umsele wesibeletho.
• Nezibazi kubangelwa izinqubo sokugembula.
• Ebuntwaneni izifo ezithathelwanayo (mumps, idiphtheria).
• Carelessly wachitha nokususa.
• Izilonda nge neoplasms abulalayo, endometritis, endocervite.
• Incurred ngesikhathi sokubeletha noma isisu ukuhlukumezeka.
• Burns isiteshi mucosa kubangelwa amakhemikhali.
• isiteshi electrocoagulation.
• Okuzenzekelayo yobudala atresia.

Ngemva bougienage canal wesibeletho ngokuvamile ubuyisela zonke imisebenzi.

Isakhiwo wesibeletho

SiGaba elincane phakathi emseleni wesibeletho kwesibeletho, ngu-1 cm, ngokuthi lesi siqephu sezwe. Lapha, endaweni mdweshu, elise os yangaphakathi. Front Lower lesizalo ingaphakathi bese bakha okuthiwa mdweshu ingxenye engezansi, okuyinto linendima ebalulekile phakathi nenkathi yokukhulelwa nokubeletha.

Ingxenye engezansi wesibeletho esehlela sangasese, futhi phezulu kunqoba ke. Ngo amantombazane nulliparous, njengoba umthetho, it has simise oyindilinga. Ngemva kokuzalwa kuka-wesibeletho kuba uthatha uhlobo a isilinda, isiteshi Ubuye ukuma cylindrical. elachitheka sangaphandle ngokuthi ukuvulwa wesibeletho, Sibonile ekuhloleni lwesitho sangasese sowesifazane. In iziguli nulliparous os zangaphandle uthatha uhlobo izimbotshana, isizathu salokhu - aphuke intamo ngesikhathi sokuzalwa. Ngo abesifazane nulliparous elachithwa iphuzu.

Iphenya umsele wesibeletho isetshenziswa kaningi. Mayelana indlela ukuchaza kabanzi ngezansi.

ukuhlola

Ukuze ukuhlolwa ingaphakathi lesizalo ukusetshenziswa, isibonelo, ephenya ngokuthengwa ingaphakathi lesizalo, ke curettage, ukuphatha imithi, uketshezi for Endoscopy lekutfola ngalo ingaphakathi lesizalo, imisebenzi ehlukahlukene - zonke lezi manipulations zenziwa ekunwetshweni umsele wesibeletho. Olwenziwe ngaphandle ukulungiselela kahle, bomsebenzi kanye nekhono, ukuxhaphaza enjalo kungaholela abalimele isiteshi lwamafinyila kanye, ngenxa yalokho, ukuze isiteshi olugcwele futhi imperforate.

Njengoba sekushiwo ngenhla, esinye sezizathu wesibeletho atresia ndima kungase kube ukuvuvukala isiteshi - endocervicitis. Lesi sifo ngokuvamile kakhulu kubangelwa cocci pathogenic, induku, ngezinye izikhathi amagciwane. Akukona okungavamile endocervicitis kuhlangene nezinye izifo ukuvuvukala (isib colpitis, oophoritis, endometritis).

Ezigulini ngezikhalazo ku osenyameni muco-ubovu, kungukuthi ephelezelwa ubuhlungu. Uma kubhekwa ukuvuvukala obonakalayo futhi ububomvu we mucosa kanye uketshezi kakhulu. Okwathatha isikhathi eside kangako isifo Yiqiniso kungaholela inqubo ukusabalala ebodeni kwemisipha indlala. Kulesi simo kuboniswa bougienage canal wesibeletho.

Endocervicitis Uma sisheshe satholakala esekelwe luhlolo yomtholampilo, smear esithweni sangasese futhi umsele wesibeletho. Esigabeni acute ukwelashwa ebekiwe antibiotic nezinqubo zendawo. amafomu ezingamahlalakhona yokwelashwa kudinga ujova imithi elwa namagciwane entanyeni, ukubhucunga nokunyakazisa umzimba, lendawo isixazululo ngenkasa protargola, ukucutshungulwa wesibeletho isixazululo ndima esiliva.

artreziya eyinhloko

Ukuhlonza Ukugula atresia eyinhloko kwenzeka enyangeni yokuqala. igazi kokuya esikhathini, ngaphandle kokuthola exit ngaphandle, ke aqoqana kwesibeletho, nichichima ke futhi ngilulekela. Ngakho impilo jikelele ehlupheka kakhulu. Uma usabalalisa igazi ngokusebenzisa amapayipi usungaqala ubovu ukuvuvukala amashubhu.

Uma ungenalo ubambe kumba umsele wesibeletho ngalesi sikhathi, kungaba nemiphumela ebuhlungu.

artreziya yesibili

atresia yesibili isikhathi eside ayinakuboniswa. Isiphetho sokuthi umuntu uphethwe yenziwa lapho isiguli siqala lwahlolwa ukuze kulungiswe inkinga yokungabi nenzalo. Uma tube igazi kudala isimiso, okwenza kwaba nzima ukuba hit iqanda kwesibeletho.

Cacisa sitholakele atresia ivumela ultrasound uphenyo, i-MRI, gistrosalpingoskopiya futhi ureteroscopy.

Ukuvaleka we wesibeletho canal - stenosis - kuyinto uyisithiyo esikhulu esibangela ukungabi Ukungena kwesidoda esibelethweni, okuholela nenzalo. Futhi ngenxa ukuvimbela amapayipi Iqanda ngeke ungene ngalo ingaphakathi lesizalo, futhi kukwenza kungenzeki kokukhulelwa. Aqede stenosis usebenzisa zokukhwabanisa ngokuthi "iphenya umsele wesibeletho." Leyo Enye imbangela atresia kukhona neoplasms. I kunazo owaziwa isimila esibulalayo - adenocarcinoma. Izimpawu zesifo: kwesisindo, ukuntuleka kwegazi emzimbeni ngenxa zokubona isikhathi eside, ubuhlungu esiswini.

izimila Benign ezithinta atresia nesenzakalo: fibroids, fibroma, ama-polyp, izinhlumba, fibroids, lesizalo leiomyoma, futhi i-endometriosis. Izimpawu lezi zifo zahlukahlukene ngempela: kuba buhlungu esesikhathini futhi sexual zokubona, ukwephulwa sokuzikhulula futhi ukuchama.
Ukunqunywa senziwa izimila benign histologically okuqukethwe kwesiteshi nokususa. Examination nokwelashwa zenzeka ngaphansi kolawulo ezibukwayo.

Nalapho esesikwa, e nokususa zokuxilonga, isisu kanye nezinye izinqubo zokwelapha kanye zokuvimbela inzalo ayilungile kungenzeka ukulimala wesibeletho, futhi kungaholela atresia.

Ukulungiselela ukuhlinzwa

Ingabe ukuxazulula izinqubo zokugula usebenzisa bougienage wesibeletho noma laser recanalization.

ukusebenza Bougienage wenziwa ngaphansi ukubulawa kwezinzwa okuvamile, ukuqaliswa yayo kudinga izifundo ezilandelayo:

• ephelele kakhulu segazi;
• Ukuhlaziya ukutheleleka;
• igazi ugcunsula kanye negciwane lesandulela ngculaza,
• colposcopy;
• antigen ka-hepatitis B no-C,
• coagulation;
• swab sangasese kanye umsele wesibeletho;
• ECG;
• esifubeni X-ray;
• CC bacteriological futhi sangasese;
• igazi oyisazi samakhemikhali ezinto eziphilayo;
• ultrasound;
• iseluleko kuchwepheshe.

Kodwa kwezinye izimo kungase kube kumba umsele wesibeletho ngaphandle izinzwa. On lokhu kamuva.

Njengoba ukuqhutshwa ukusebenza?

Bougienage ukuhlinzwa isiguli esibhedlela. Inqubo ihlala cishe 30 mi futhi wenziwa ngaphansi izinzwa wendawo noma jikelele. Ngezinye Ukuvalwa egcwele ukusebenza kwesiteshi wenziwa ngaphansi izinzwa jikelele, nge ukuvaleka okuncane eyanele izinzwa wendawo. Isiguli itholakala esitulweni ensimini izifo zabesifazane op, ubulili igebe, ziphathwe isinqandakuvunda ke wafutha lidocaine. Iphathwe analgesic futhi baqala ukuthi inwebe ngokwayo inqubo ekuphathweni lokuqala ne encane umlomo wombhobho bougienage, zilandelana okwandisa ububanzi Imibhobho esemzimbeni (medium, ezibanzi). Ukuhlangana kancane-kancane ukunwetshwa ndima ikhuthaza engashiyi ukwelashwa.

Ngemva ukubulawa kwezinzwa okuvamile isiguli kukhishelwa ngosuku olulandelayo, kanye ngemva wendawo - ngokushesha. Ngakho-ke, mhlawumbe bougienage canal wesibeletho ngaphandle izinzwa. Izibuyekezo basikisela ukuthi ukuchayeka ekwelashweni lezo ezelashelwa - izinsuku 7-10. Ihlelwe ngokulandelana kwezihloko ukusheshisa epithelialization ezibekiwe ikhandlela eqeda ukuvuvukala kanye amanxeba lize kuyimpilo ephelele umsele wesibeletho. Endabeni ka lokubuya kwesifo atresia yenzeka kwezindlela isiteshi alloplastic.

Izinyathelo zokuvikela kanye imperforate ukuvaleka ndima

1. Ukwelashwa nokuvikelwa izinqubo oyingozi futhi ezingalapheki ukuvuvukala kwesibeletho kanye umsele wesibeletho.
2. Ukuqhuba izivivinyo prophylactic for ekuhlonzweni futhi ukwelashwa kwezifo izifo zabesifazane kanye izimila.
3. Kuncono futhi abaneziqu zemfundo emikhakheni curettage ebambe, izisu ukuze ugweme ukulimala. zokubelethisa Qaphela ngokuvula kancane kancane wesibeletho.
4. izingxoxo esishoyo ukuze ugweme ukusetshenziswa engalawuliwe douches izixazululo nolaka, okuyinto le njongo akuhloselwe, futhi amakhemikhali nokukhandela imbeleko.

Ukuze zokuvimbela eyinhloko ebuntwaneni imperforate kufanele balondoloze yokuphila enempilo, umsebenzi, ukugwema ukungcoliswa kungenzeka yezifo ezithathelwanayo. Ngesikhathi ekhulelwe, zama ukungazivezi obala izici teratogenic ezithinta umntwana ongakazalwa.

Iphenya umsele wesibeletho: intengo

Izindleko incike esibhedlela futhi esifundeni. Intengo ephansi - ruble 600, esiphezulu - ruble 2000.

Iphenya umsele wesibeletho: Izibuyekezo

Le nqubo dilatation wesibeletho isetshenziswa isikhathi eside. Impendulo ugxile omuhle. Abesifazane kulula ukuyiphatha, ayivamile unika ukuxakeka. Ikakhulukazi uma Umkhawulo hhayi kakhulu liphinyiselwe futhi izinzwa wendawo.