Adhesion

Kubatanidza mabhandi ezvisikwa-zvine turu zvinyoro zvinoumba pakati pemeso maviri mukati memuviri uye zvinokonzeresa kuti vanamatire pamwechete.

Nekufamba kwemuviri, nhengo dzemukati senge ura kana chibereko zvinowanzo kwanisa kuchinja uye kutsvedza zvakapfuura. Izvi zvinodaro nekuti izvi zvinyama nenhengo zviri mudumbu zvine nzvimbo dzakatsetseka, dzinotsvedza. Kuzvimba (kuzvimba), kuvhiya, kana kukuvara kunogona kukonzera kunamatira kuumba uye kudzivirira kufamba uku. Kubatana kunogona kuitika chero kupi zvako mumuviri, kusanganisira:

• Majoini, akadai sebendekete
• Maziso
• Mukati medumbu kana chiuno

Kubatana kunogona kukura kana kusimba nekufamba kwenguva. Matambudziko anogona kuitika kana kunamatira kuchikonzera nhengo kana chikamu chemuviri ku:

• Kumonyoroka
• Dhonza kubva panzvimbo
• Kutadza kufamba zvakajairika

Ngozi yekuumba kunamatira yakakwira mushure mekubaya ura kana nhengo dzechikadzi. Kuvhiya uchishandisa laparoscope kashoma kukonzeresa kubatana pane kuvhiya kwakavhurika.

Zvimwe zvikonzero zvekunamatira mudumbu kana chiuno zvinosanganisira:

• Appendicitis, kazhinji kazhinji apo apendikisi painovhurika (kutsemuka)
• Gomarara
• Endometriosis
• Zvirwere mudumbu uye muchiuno
• Radiation kurapwa

Kubatana kwakakomberedza majoini kunogona kuitika:

• Mushure mekuvhiyiwa kana kushungurudzika
• Nemamwe marudzi eArthritis
• Nekunyanyisa kwekubatana kana tendon

Kubatana mumajoini, tendon, kana ligaments zvinoita kuti zvinyanye kufambisa mubatanidzwa. Izvo zvinogona zvakare kukonzera kurwadziwa.

Kubatana mudumbu (mudumbu) kunogona kukonzera kuvhara kwematumbo. Zviratidzo zvinosanganisira:

• Kuvhara kana kuzvimba kwedumbu rako
• Kuzvimbirwa
• Kusvotwa uye kurutsa
• Kusisakwanise kupfuudza gasi
• Marwadzo mudumbu ari akaomarara uye akamonyoroka

Kusungirirwa mumapapiro kunogona kukonzera kwenguva refu (kusingaperi) kurwadziwa kwepamuviri.

Kazhinji yenguva, kunamatira hakugone kuonwa uchishandisa x-rays kana imaging bvunzo.

• Hysterosalpingography inogona kubatsira kuona kunamatira mukati mechibereko kana fallopian machubhu.
• X-ray yemudumbu, barium kusiyanisa zvidzidzo, uye CT scans zvinogona kubatsira kuona kuvharika kwematumbo kunokonzerwa nekunamatira.

Endoscopy (nzira yekutarisa mukati memuviri uchishandisa chubhu inochinjika ine kamera diki kumagumo) inogona kubatsira kuongorora kunamatira:

• Hysteroscopy inotarisa mukati mechibereko
• Laparoscopy inotarisa mukati medumbu uye chiuno

Kuvhiya kunogona kuitwa kupatsanura kunamatira. Izvi zvinogona kurega nhengo ichiwanikwazve kufamba kwakanaka uye kuderedza zviratidzo. Zvisinei, njodzi yekunamatira kwakawanda inokwira nekuvhiya kwakawanda.

Zvichienderana nenzvimbo yekunamatira, chipingamupinyi chinogona kuiswa panguva yekuvhiyiwa kubatsira kubatsira kudzora mukana wekunamatira kunodzoka.

Mhedzisiro yacho yakanaka muzviitiko zvakawanda.

Kubatana kunogona kukonzera kusagadzikana kwakasiyana, zvichienderana nematinji akanganiswa.

• Mune ziso, kunamatira kweiyo iris kune lens kunogona kutungamira kune glaucoma.
• Mumatumbo, kunamatira kunogona kukonzera kusakwana kana kuzara ura.
• Kusungirirwa mukati memukati wechibereko kunogona kukonzera mamiriro anonzi Asherman syndrome. Izvi zvinogona kukonzeresa kuti mukadzi ave nemwedzi isina kutangira uye kutadza kubata pamuviri.
• Pelvic kunamatira uko kunosanganisira kuora kwematopian tubes kunogona kutungamira mukushaya mbereko uye matambudziko ekubereka.
• Abdominal uye pelvic kunamatira kunogona kukonzera kurwadziwa kusingaperi.

Fonera wako mupi wezvehutano kana iwe uine:

• Marwadzo emudumbu
• Kutadza kupfuudza gasi
• Nausea uye kurutsa izvo hazviendi
• Marwadzo mudumbu ari akaomarara uye akamonyoroka

Pelvic kunamatira; Intraperitoneal adhesion; Intrauterine kunamatira

• Pelvic kunamatira
• Ovarian cyst

Kulaylat MN, Dayton MT. Matambudziko ekuvhiya. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 12.

Kuemmerle JF. Zvirwere zvekuputira uye anatomic zvemukati, peritoneum, mesentery, uye omentum. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 133.

National Institute of Chirwere cheshuga uye Digestive uye Kidney Zvirwere webhusaiti. Kubata mudumbu. www.niddk.nih.gov/health-information/digestive-diseases/abdominal-adhesions. Yakagadziridzwa June 2019. Yakasvika munaKurume 24, 2020.