I-Pyometra ekati - izimpawu nokwelashwa

Izimbangela ze-pyometra emakati

Izimbangela ezivamile ze-pyometra emakati zihlanganisa:

• ukungalingani kwe-hormonal. Ukucindezeleka, ukungondleki, izifo ezizimele, izifo zofuzo zingase zibe izici ezicasulayo;
• ukuvimbela inzalo kwama-hormone, abanikazi abaningi abanikeza "ukuze ikati lingakhamuki";
• ukubeletha okunzima;
• ukukhishwa komlomo wesibeletho okunzima okuhlotshaniswa nokwanda okubukhali kwezinga le-progesterone emzimbeni wekati ngemva kokuvuthwa kwe-ovulation kanye nokunciphisa ngesikhathi esisodwa kwamasosha omzimba;
• ukukhulelwa okungamanga;
• izifo ze-genitourinary system ezibangelwa i-streptococci, staphylococci, Escherichia coli nabanye;
• ukukhulelwa okuphazamisekile;
• ukukhulelwa okunzima okuphelile ekuzalweni, ukufa kwe-intrauterine fetus, ukubola kwe-intrauterine ye-fetus nokunye okungaqondakali;
• isisindo esiningi - sithinta kabi isimo sesizinda se-hormonal;
• ukwanda kwezicubu ezixhumene ku-lumen yomlomo wesibeletho - kuvimbela ukugcinwa okujwayelekile kwezimfihlo zomlomo wesibeletho;
• ukwakheka kwezicubu ezibomvu entanyeni;
• ukunciphisa noma ukungabi khona kwethoni yesibeletho;
• amaphutha omnikazi noma udokotela ngesikhathi sokubeletha ekati;
• ukulimala kwezitho ze-pelvic, kuhlanganise namathambo;
• ama-neoplasms emvelo ehlukile - angavimba umsele womlomo wesibeletho, abe umthombo wokutheleleka ngenqubo yokubola kwe-tumor.

Zonke lezi zimbangela ze-pyometra zihlobene eduze. Ezisengozini yizilwane ezine-estrus engenalutho, ezineminyaka engaphezu kwengu-5.

I-pyometra ivela kanjani ekatini?

I-Pyometra ekati ingenzeka ngezindlela ezimbili: ivulekile futhi ivaliwe. Isibonakaliso esiyinhloko sefomu elivulekile lesifo siphuma ngephunga elimnandi elivela emgudwini wobulili wesilwane. Zingaba uketshezi, igazi noma i-purulent, i-mucus-like, enombala ompunga noma omhlophe. Okunye okuhlukile kokuvumelana nombala nakho kuyenzeka, kodwa kuzo zonke izimo kuchezuka ngokusobala kumanani avamile. Umthamo wezimfihlo ngesibeletho esivulekile nawo uyahlukahluka - angaba maningi kakhulu noma, ngokuphambene nalokho, alula. Futhi eqinisweni, futhi kwelinye icala, isilwane esifuywayo sizokhotha ngaso sonke isikhathi.

Ifomu elivaliwe le-pyometra libeka ingozi empilweni nasempilweni yekati, ngoba i-exudate inqwabelana emgodini wesibeletho, futhi kunzima kakhulu ukuthola i-pathology. Izimpawu ezisobala zesifo zenzeka lapho izindonga zesitho zilimale kakhulu, futhi umzimba uhlangabezana nokudakwa okukhulu. Izimpawu ze-pathology kuleli cala zimi kanje:

• ubuhlungu besisu - uma ucindezelwa, ikati ligijima kakhulu, alivumeli ukuthintwa;
• ukungahambi kahle kokunyakaza okubangelwa ukudlikizela kanye nokugoqa kwemisipha;
• ukunciphisa noma, ngokuphambene, ukwanda kokushisa komzimba;
• ukunganaki, ukucindezeleka, ukozela;
• ukwanda komthamo womchamo wansuku zonke - kubonisa ukwephulwa kokusebenza kwezinso;
• ukuhlanza;
• i-pathological, ukoma okukhulu;
• ukuntula isifiso sokudla, ukukhathala;
• isifo sohudo;
• ukwanda kobukhulu besisu.

Ama-microorganisms we-Pathogenic, imikhiqizo ye-metabolic enobuthi, ama-metabolites avuthayo ku-pyometra anomphumela omubi kuzo zonke izinhlelo zesitho sesilwane: ukuphefumula, ukukhishwa, inhliziyo, imizwa (ubuchopho). Ngokukhiqizwa kwenqwaba yamagciwane, ikati liba nesimo esibucayi kakhulu - i-septicemia. Lolu uhlobo lwe-sepsis, olubonakala ngokuqhubekela phambili okusheshayo nokudakwa okunzima. Ukuntuleka kokunakekelwa okufika ngesikhathi kanye nokwelashwa kwe-pyometra emakati kungaholela ekuqhekekeni kodonga lwesibeletho kanye ne-peritonitis.

Njengoba izimpawu ezibalwe zibonakala ngomonakalo omkhulu esibelethweni, okokuqala, udinga ukugxila ekushintsheni ekuziphatheni kwesilwane. Ukucindezeleka, ukunganaki, ukoma, ukwenqaba ukudla - lezi nezinye izimpawu zenzeka kakade ezigabeni zokuqala zokuthuthukiswa kokuvuvukala. Kumele kukhunjulwe ukuthi i-pathology ingakhula nasekati elikhulelwe.

Diagnostics

Emtholampilo, udokotela wezilwane uzohlola isilwane, abuze umnikazi ngezimo zokuphila zesilwane, alalele izikhalazo, futhi anikeze ukuhlolwa.

• Ukuhlolwa kwegazi okujwayelekile kwe-biochemical. Inani elikhulu lama-neutrophils libonisa inqubo yokuvuvukala eqhubekayo. Ukuphelelwa amanzi emzimbeni, ukutheleleka kuboniswa amanani aphezulu amaprotheni aphelele. Ukuwohloka kwezicubu emzimbeni kuboniswa izinga elikhulayo le-urea, i-uric acid neminye imikhiqizo ye-protein metabolism.
• Ukuhlolwa kwe-Cytological kwe-smear evela esithweni sangasese. Amabhaktheriya atholakele, ama-leukocyte azokutshela mayelana nokuba khona kokuvuvukala.
• Ukuhlolwa kwe-bacteriological ye-smear evela esithweni sangasese. Inhloso ukuthola nokucacisa ama-microorganisms ukuze kukhethwe kahle ama-antibiotic.
• I-X-ray. Ibonisa ubukhona bobovu esibelethweni sekati.
• I-Ultrasound yezitho ze-pelvic. Okufanayo ne-x-ray, kodwa ngokuqiniseka okukhulu.
• I-ECG. Inikeza ulwazi mayelana nesimo sesimiso senhliziyo nemithambo yegazi.

Ukuxilongwa okuhlukile kwenziwa ngokukhulelwa, izinqubo zokuvuvukala esithweni sangasese, izinguquko ze-pathological ezinso, isifo sikashukela, ukuphazamiseka ohlelweni lwe-endocrine.

Idatha etholiwe yenza kube nokwenzeka ukukhomba i-exudate emgodini wesibeletho, inqume umthamo wayo, izinga lokulimala kwesitho, futhi ukhethe indlela efanele yokwelashwa - i-conservative noma ukuhlinzwa.

Ukwelashwa kwe-pyometra

Iphathwa kanjani i-pyometra emakati? Umsebenzi wendlela yokulondoloza ukulondoloza umsebenzi wokuzala. Kulokhu, kusetshenziswa imishanguzo ye-antibacterial kanye ne-hormonal. Ukwelashwa kubhekwa njengempumelelo uma, ekupheleni kokwelashwa, isibeletho sibuyela kubukhulu baso obuvamile futhi ikati lizizwa linelisekile. Izabelo kuleli cala zingabonwa enye inyanga. Ngemuva kokwelashwa, odokotela bayeluleka ngokushesha ukuvumela isilwane ukuba sihlangane. Lesi sincomo sibangelwa ukuthi ungqimba lwangaphakathi lwesibeletho ngesikhathi sokukhulelwa cishe alunangozi emiphumeleni ethathelwanayo. Ngemva kokubeletha, isibeletho sekati kufanele sisuswe ukuze kugwenywe ukuphindaphinda kwe-pyometra.

Kumele kuqashelwe ukuthi ukwelashwa kwezidakamizwa kwenziwa ngezigaba eziningana, futhi kudinga ukuthi isilwane sibe nokuzivikela okuqinile namandla omzimba. Ama-hormone nama-antibiotics enza buthaka kakhulu isimiso somzimba sokuzivikela ezifweni futhi enze kusebenze ukufinyela kwesibeletho. Lokhu kungaholela ezinkingeni ezilandelayo:

• ukuphuka kodonga lwesibeletho;
• i-peritonitis;
• anomalies ekukhuleni kwe-fetus;
• ukungabi nenzalo;
• ukwanda kwezifo ezingapheli ezikhona.

Eqinisweni, ngisho noma isimo sesilwane sithuthuka, amathuba okuphindaphinda kwe-pyometra ahlala ephezulu. Isimo siyinkimbinkimbi ngokuncipha kokuzivikela komzimba kanye nenani elikhulu lemiphumela emibi yezidakamizwa.

Cishe ku-80-85% wezimo zokwelashwa kwezidakamizwa, akunikezi noma yimuphi umphumela, ngakho ochwepheshe batusa indlela yokusebenza. Kungcono ukwenza ukuhlinzwa ngokushesha ngemva kokusungulwa kokuxilongwa, ngoba ngokuhamba kwesikhathi umzimba wekati uzoba buthakathaka nakakhulu, futhi uma ukuphindaphinda kuvela, ngeke ukwazi ukubekezelela i-anesthesia.

Ukuhlinzwa kuwukwelashwa okuyinhloko nokuphuthumayo kwe-pyometra evaliwe ekati. Okufanayo kusebenza ekuqhekekeni kodonga lwesibeletho, izinqubo zesimila ze-peritonitis. Ukuhlinzwa akufaki nhlobo ukuthi kungenzeka ukuthi lesi sifo siphinde siphinde sibe khona esikhathini esizayo, ngoba kukhishwa kokubili isibeletho nama-ovari. Kulokhu, indlela ejwayelekile (i-scalpel) noma i-laparoscopic ingasetshenziswa.

Kumele kuqashelwe ukuthi ukuhlinzwa kokukhipha izitho zokuzala zekati nakho kuhlotshaniswa nezingozi. Okokuqala, umsebenzi kadokotela uyinkimbinkimbi ngokuba khona kokuqukethwe kwe-purulent emgodini wesibeletho. Ngomthamo wayo omkhulu, kunamathuba aphezulu okuqhekeka kodonga lwesitho ngesikhathi sokusebenza. Ukuvimbela lesi simo, ukwelashwa kwe-hormonal kwenziwa kuqala. Ukungena kwamahomoni kunomthelela ekukhululweni kwenani elithile le-purulent exudate kanye nokuncipha kwengcindezi emgodini wesibeletho.

Enye ingozi ukuthuthukiswa ukopha kwangaphakathi. Ngaphezu kwalokho, isilwane singase sibe nokusabela okungalungile kumthungo wokuhlinzwa.

Kodwa-ke, akufanele wesabe izinkinga ezinjalo, ngoba uma uqhathanisa nalokhu, izinkinga ze-pyometra ziyingozi kakhulu.

Isikhathi sokutakula: okufanele ukwenze

Ukuze ugweme ukuhlukana kwe-seams noma ukutheleleka, ekupheleni kokusebenza, i-bandage ifakwa esilwaneni. Isikhathi sokuvuselela sithatha, ngokwesilinganiso, amasonto amabili. Ukuthuthukiswa kwesimo nge-prognosis enhle kwenzeka cishe ezinsukwini ezingu-2-3. Ngesikhathi sokuphumula uzodinga:

• usuku lokuqala ukugcina ikati lilambile, ngaphandle kwalokho kungase kube nokuhlanza;
• uma isilwane sinesifiso sokudla, sinikeze ukudla okungokwemvelo kuphela futhi ngendlela echotshoziwe kuphela; uma edla ukudla kwasezimbonini, okuthandwa kakhulu kunikezwa ukudla okusemathinini okumanzi okwenzelwe izilwane ezibulewe inzalo nezibuthakathaka;
• hlinzeka ikati ngamanzi ahlanzekile ngokubeka inkomishi eduze nombhede;
• indawo yesilwane esifuywayo kumele ifakwe phansi, ngoba ikati ngemuva kwe-pyometra nokuhlinzwa libuthakathaka kakhulu ukuthi lingagxumela phezulu.

Umnikazi kufanele aqaphe ngokuqinile ukuthathwa ngesikhathi kwemithi enqunywe yisilwane. Ngokuyinhloko, lezi yizidakamizwa ezilwa namagciwane kanye nezimpawu - i-antipyretic, anti-inflammatory, painkillers nabanye. Kubalulekile ukuqinisekisa ukunakekelwa okufanele kwe-seam. Kufanele ihlanzeke, ingabi nezimpawu zokuvuvukala, i-suppuration. Uma kukhona ubomvu obunzima, ukuvuvukala, ukukhishwa kwegazi noma i-purulent, udinga ukukhombisa isilwane ngokushesha kudokotela wezilwane.

Izinkinga ezingenzeka

Ingozi enkulu nge-pyometra ekati i-peritonitis nokufa kwesilwane esilandelayo. I-Peritonitis iqala uma kwenzeka ukuphuka kodonga lwesibeletho: ubomvu bugcwalisa umgodi walo buthululelwa emgodini wesisu.

Enye inkinga i-coma, engenzeka ngokuphelelwa amanzi kakhulu kwesilwane. Njengoba ngesikhathi se-coma umzimba uyancipha kakhulu, ikati liyafa.

Ukubikezela kanye nokuvimbela

Ukuvimbela okungcono kakhulu kwe-pyometra ukukhipha ikati ngaphambi kokushisa kokuqala noma ngokushesha ngemva kwayo (kuze kube unyaka ubudala). Ezinye izinyathelo zokuvimbela zihlanganisa:

• isimo sengqondo sokunaka isilwane, ukubhekwa kwesilwane ngesikhathi nangemva kwe-estrus;
• ukufinyelela okufika ngesikhathi kudokotela phambi kwezinguquko ezincane zomzimba noma zokuziphatha;
• imingcele yokuxhumana nomgwaqo;
• ukuqinisekisa umsebenzi womzimba wekati;
• ukudla okunomsoco, ukuvimbela ukuntuleka kwezakhi namavithamini;
• ukukhishwa kwezidakamizwa ngokusekelwe kuma-hormone;
• ngokukhulelwa okungamanga - ukukhishwa kwemikhiqizo evusa i-lactation.

Ngaphezu kwalokho, kubalulekile ukuvakashela njalo umtholampilo wezilwane ukuze uhlolwe udokotela, i-ultrasound yezitho ze-pelvic, ikakhulukazi uma ikati lisengozini.