Pyometra i loko o kahi pōpoki - nā hōʻailona a me ka mālama ʻana

Nā kumu o ka pyometra i nā pōpoki

ʻO nā kumu maʻamau o ka pyometra i nā pōpoki:

• ʻaʻole kaulike hormonal. ʻO ke koʻikoʻi, ka ʻai ʻole, nā maʻi autoimmune, nā pathologies hoʻoilina hiki ke lilo i mea hoʻonāukiuki;
• nā contraceptive hormonal, i hāʻawi ʻia e nā mea nona ka "i ʻole e uē ka pōpoki";
• hānau hānau paʻakikī;
• ʻO ka huna ʻana o ka cervical paʻakikī e pili ana me ka piʻi nui ʻana o ke kiʻekiʻe o ka progesterone i loko o ke kino o ka pōpoki ma hope o ka ovulation a me ka nāwaliwali ʻana o ka ʻōnaehana pale;
• hāpai wahaheʻe;
• nā maʻi o ka ʻōnaehana genitourinary i hana ʻia e streptococci, staphylococci, Escherichia coli a me nā mea ʻē aʻe;
• nā hāpai keiki i hoʻopau ʻia;
• nā hāpai koʻikoʻi i pau i ka hānau ʻana, ka make ʻana o ka pēpē intrauterine, ka decomposition intrauterine o ka pēpē a me nā anomalies ʻē aʻe;
• ka nui o ke kaumaha - hoʻopilikia maikaʻi i ke kūlana o ka hormonal background;
• ka hoʻonui ʻana o ka ʻiʻo pili i loko o ka lumen o ka cervix - pale i ka huna maʻamau o nā huna huna;
• ka hoʻokumu ʻana o ka ʻiʻo ma ka ʻāʻī;
• ka emi ʻana a i ʻole ka nele o ke kani o ka ʻōpū;
• nā hewa o ka mea nāna a kauka paha i ka wā o ka hānau ʻana i kahi pōpoki;
• nāʻeha o nā'ōpū pelvic, me nā iwi;
• nā neoplasms o kahi ʻano ʻokoʻa - hiki iā lākou ke ālai i ka canal cervical, e lilo i kumu o ka maʻi i ke kaʻina o ka pala o ka maʻi.

ʻO kēia mau kumu a pau o ka pyometra pili loa. Aia nā holoholona me ka estrus hakahaka, ma luna o 5 mau makahiki.

Pehea e ʻike ʻia ai ka pyometra i loko o kahi pōpoki?

Hiki ke hana ʻia ʻo Pyometra i loko o ka pōpoki ma nā ʻano ʻelua: wehe a pani ʻia. ʻO ka hōʻailona nui o ka puka ākea o ka maʻi ka hoʻokuʻu ʻana me kahi ʻala maikaʻi ʻole mai ka ʻāpana genital o ka holoholona. Hiki iā lākou ke wai, koko a purulent paha, like me ka mucus, me kahi hina hina a keʻokeʻo paha. Hiki nō hoʻi nā ʻano ʻokoʻa ʻē aʻe o ka kūlike a me ke kala, akā i nā hihia a pau, ua haʻalele lākou i nā waiwai maʻamau. ʻOkoʻa ka nui o nā mea huna me kahi ʻōpū hāmama - hiki iā lākou ke nui loa a i ʻole, liʻiliʻi. A ʻo ka ʻoiaʻiʻo, a ma kahi hihia ʻē aʻe, e lick ka holoholona i nā manawa āpau.

ʻO ke ʻano o ka pyometra i pani ʻia i kahi pōʻino i ke olakino a me ke ola o kahi pōpoki, no ka mea, e hōʻiliʻili ana ka exudate i loko o ka lua uterine, a ʻoi aku ka paʻakikī o ka ʻike ʻana i nā pathology. ʻIke ʻia nā hōʻailona o ka maʻi i ka wā i poino nui ai nā paia o ke kino, a ʻike ke kino i ka ʻona nui. ʻO nā hōʻailona o ka pathology i kēia hihia penei:

• ʻeha i loko o ka ʻōpū - i ka wā e paʻi ʻia ai, ʻoi aku ka ʻoi o ka pōpoki, ʻaʻole ʻae e hoʻopā ʻia;
• ʻaʻole i hoʻonohonoho pono ʻia ka neʻe ʻana e ka convulsions a me ka ʻiʻo spasms;
• hoʻemi a i ʻole, hoʻonui ʻia ka mahana o ke kino;
• ka manaʻoʻole, ke kaumaha, ka hiamoe;
• ka hoʻonui ʻana i ka nui o ka mimi i kēlā me kēia lā - hōʻike i ka hōʻino ʻana i ka hana kīkī;
• ka luaʻi;
• pathological, makewai nui;
• nele i ka makemake, luhi;
• pāhoehoe;
• ka mahuahua o ka nui o ka opu.

ʻO nā microorganisms pathogenic, nā huahana metabolic toxic, nā metabolites inflammatory i pyometra he hopena maikaʻi ʻole i nā ʻōnaehana o nā holoholona āpau: ka hanu, excretory, cardiovascular, nerve (lolo). Me ka hana hou ʻana o nā pathogens, hoʻomohala kahi pōpoki i kahi kūlana koʻikoʻi - septicemia. ʻO kēia keʻano o ka sepsis, kahi iʻikeʻia e ka piʻi wikiwiki a me kaʻona nui. ʻO ka nele o ka mālama pono a me ka mālama ʻana i ka pyometra i nā pōpoki hiki ke alakaʻi i ka haki ʻana o ka paia o ka ʻōpū a me ka peritonitis.

No ka mea, ʻike ʻia nā hōʻailona i hōʻike ʻia me ka pōʻino nui i ka ʻōpū, ʻo ka mea mua, pono ʻoe e nānā i nā loli i ka ʻano o ka holoholona. ʻO ke kaumaha, ka manaʻo ʻole, ka make wai, ka hōʻole ʻana i ka meaʻai - ʻo kēia a me nā hōʻailona ʻē aʻe i loaʻa i nā pae mua o ka ulu ʻana o ka mumū. Pono e hoʻomanaʻo ʻia hiki ke ulu ka pathology i kahi pōpoki hāpai.

lapaʻau '

I loko o ke keʻena, e nānā ka mea lapaʻau i ka holoholona, ​​​​e nīnau i ka mea nona ke ola o ka holoholona, ​​​​e hoʻolohe i nā hoʻopiʻi, a kuhikuhi i kahi hoʻokolokolo.

• Ho'āʻo koko biochemical maʻamau. ʻO ka nui o nā neutrophils e hōʻike ana i kahi kaʻina inflammatory mau. Dehydration, hōʻike ʻia nā maʻi e nā waiwai kiʻekiʻe o ka nui o ka protein. Hōʻike ʻia ka haki ʻana o nā ʻiʻo i ke kino e ka piʻi ʻana o ka urea, ka uric acid a me nā huahana ʻē aʻe o ka metabolism protein.
• ʻO ka hoʻokolokolo cytological o kahi hamo mai ka ʻōpū. ʻO ka bacteria i ʻike ʻia, nā leukocytes e haʻi e pili ana i ke alo o ka mumū.
• ʻO ka nānā ʻana i ka bacteriological o kahi smear mai ka waha. ʻO ka pahuhopu ke ʻike a hoʻokaʻawale i nā microorganisms no ke koho pololei ʻana i nā lāʻau antibiotic.
• X-ray. Hōʻike i ka noho ʻana o ka pus i loko o ka ʻōpū o ka pōpoki.
• Ultrasound o nā ʻāpana pelvic. E like me ka x-ray, akā me ka maopopo loa.
• ECG. Hāʻawi i ka ʻike e pili ana i ke kūlana o ka ʻōnaehana cardiovascular.

Hana ʻia ka maʻi ʻokoʻa me ka hāpai ʻana, nā kaʻina inflammatory i loko o ka vagina, nā loli pathological i nā puʻupaʻa, ka maʻi diabetes, nā maʻi i ka ʻōnaehana endocrine.

ʻO ka ʻikepili i loaʻa e hiki ai ke ʻike i ka exudate i loko o ka lua o ka ʻōpū, e hoʻoholo i kona nui, ke ʻano o ka pōʻino i ke kino, a koho i ke ʻano kūpono o ka mālama ʻana - conservative a i ʻole ka ʻokiʻoki.

Ka mālama ʻana i ka pyometra

Pehea e mālama ʻia ai ka pyometra i nā pōpoki? ʻO ka hana o ke ʻano conservative ka mālama ʻana i ka hana hānau. No kēia, hoʻohana ʻia ka lāʻau lapaʻau me nā lāʻau antibacterial a me ka hormonal. Manaʻo ʻia ka maikaʻi o ka mālama ʻana inā, i ka pau ʻana o ka mālama ʻana, hoʻi ka ʻōpū i kona nui maʻamau a manaʻo ka pōpoki. Hiki ke mālama ʻia nā ʻāpana i kēia hihia no kekahi mahina ʻē aʻe. Ma hope o ka mālama ʻana, ʻōlelo nā kauka e ʻae koke i ka holoholona e male. ʻO kēia ʻōlelo aʻoaʻo no ka ʻoiaʻiʻo ʻo ka papa o loko o ka ʻōpū i ka wā hāpai ʻaʻole hiki ke maʻalahi i nā hopena infectious. Ma hope o ka hānau ʻana, pono e wehe ʻia ka ʻōpū o ka pōpoki i mea e pale ai i ka hoʻi hou ʻana o ka pyometra.

Pono e hoʻomaopopo ʻia ua hana ʻia ka lāʻau lapaʻau ma nā ʻano he nui, a koi i ka holoholona e loaʻa i ka immunity ikaika a me ka ikaika kino. ʻO nā hormones a me nā lāʻau'alopelo e hoʻonāwaliwali nui i ka pūnaewele immune a ho'āʻo hoʻi i ka'ōpū o ka'ōpū. Hiki i kēia ke alakaʻi i nā pilikia penei:

• ka haki ʻana o ka paia o ka ʻōpū;
• peritonitis;
• nā anomalies i ka ulu ʻana o nā fetuses;
• hū ʻole;
• exacerbation o na ma'i mau.

I ka hoʻomaʻamaʻa, ʻoiai inā e hoʻomaikaʻi ke ʻano o ka holoholona, ​​​​e mau ana ka nui o ka hoʻi hou ʻana o ka pyometra. Paʻakikī ke kūlana e ka emi ʻana o ka palekana a me ka nui o nā hopena ʻaoʻao o nā lāʻau lapaʻau.

Ma kahi kokoke i 80-85% o nā hihia o ka lāʻau lapaʻau, ʻaʻole ia e hāʻawi i kekahi hopena, no laila ʻōlelo ka poʻe loea i kahi ʻano hana. ʻOi aku ka maikaʻi o ka hana ʻana i ka hana ma hope koke o ka hoʻokumu ʻia ʻana o ka maʻi maʻi, no ka mea, ma hope o ka manawa, e nāwaliwali ke kino o ka pōpoki, a inā e ulu ka hoʻihoʻi ʻana, ʻaʻole hiki iā ia ke hoʻomanawanui i ka anesthesia.

ʻO ka ʻokiʻoki ka lāʻau nui a me ka ulia pōpilikia no ka pyometra paʻa i loko o kahi pōpoki. Hoʻohana like ia i ka haki ʻana o ka paia o ka ʻōpū, nā kaʻina tumor o peritonitis. Hoʻokuʻu loa ka hana i ka hiki ke hoʻi hou i ka maʻi i ka wā e hiki mai ana, no ka mea, ua wehe ʻia ka ʻōpū a me nā ovaries. I kēia hihia, hiki ke hoʻohana ʻia ke ʻano maʻamau (scalpel) a i ʻole laparoscopic.

Pono e hoʻomaopopo ʻia ʻo ka hana e wehe i nā ʻōpū hānau o kahi pōpoki pili pū me nā pilikia. ʻO ka mea mua, paʻakikī ka hana a ke kauka ma ka loaʻa ʻana o nā mea purulent i loko o ka lua uterine. Me kona leo nui, aia kahi kiʻekiʻe o ka haki ʻana o ka paia o ke kino i ka wā o ka hana. No ka pale ʻana i kēia ʻano, hoʻokō mua ʻia ka hormonal therapy. Hāʻawi ka lawe ʻana i nā hormones i ka hoʻokuʻu ʻana i kahi nui o ka exudate purulent a me ka emi ʻana o ke kaomi i loko o ka lua uterine.

ʻO kekahi pilikia ʻo ka ulu ʻana o ke koko o loko. Eia kekahi, hiki i ka holoholona ke loaʻa ka hopena maikaʻi ʻole i ka suture ʻokiʻoki.

Eia naʻe, ʻaʻole pono ʻoe e makaʻu i kēlā mau pilikia, no ka mea, ke hoʻohālikelike ʻia me kēia, ʻoi aku ka koʻikoʻi o nā pilikia o ka pyometra.

Ka wā hoʻihoʻi: ka mea e hana ai

I mea e pale ai i ka hoʻokaʻawale ʻana o nā seams a i ʻole ka maʻi, ma ka hopena o ka hana, kau ʻia kahi bandage ma luna o ka holoholona. ʻO ka manawa hoʻoponopono, ma ka awelika, ʻelua pule. ʻO ka hoʻomaikaʻi ʻana i ke kūlana me kahi prognosis maikaʻi e hele mai ma kahi o 2-3 mau lā. I ka wā o ka hoʻihoʻi ʻana, pono ʻoe:

• ʻo ka lā mua e mālama ai i ka pōloli i ka pōloli, inā ʻaʻole hiki ke luaʻi;
• inā makemake ka puaʻa, hāʻawi i ka meaʻai kūlohelohe wale nō a ma ke ʻano ʻoki wale ʻia; inā ʻai ʻo ia i ka meaʻai ʻoihana, hāʻawi ʻia ka makemake i ka meaʻai pulu pulu i hoʻolālā ʻia no nā holoholona sterilized a nāwaliwali;
• e hoʻolako i ka pōpoki me ka wai maʻemaʻe ma ke kau ʻana i ke kīʻaha ma ka ʻaoʻao o kahi moe;
• Pono e hoʻolako ʻia kahi wahi no ka holoholona ma ka papahele, ʻoiai ʻo ka pōpoki ma hope o ka pyometra a me ke ʻoki ʻana he nāwaliwali loa ia e lele kiʻekiʻe.

Pono ka mea nāna e nānā pono i ka lawe ʻana i nā lāʻau i kuhikuhi ʻia e ka holoholona. ʻO ke kumu, he mau lāʻau antibacterial a me nā hōʻailona - antipyretic, anti-inflammatory, painkillers a me nā mea ʻē aʻe. He mea nui e mālama pono i ka hili. Pono e maʻemaʻe, me ka ʻole o nā hōʻailona o ka mumū, suppuration. Inā loaʻa ka ʻulaʻula nui, pehu, kahe koko a purulent paha, pono ʻoe e hōʻike koke i ka holoholona i kahi kauka.

Nā pilikia i hiki

ʻO ka pilikia nui me ka pyometra i loko o ka pōpoki ʻo ka peritonitis a me ka make ʻana o ka holoholona. Ke ulu nei ka peritonitis i ka wā e haki ai ka paia o ka ʻōpū: ninini ʻia ka pus e hoʻopiha ana i kona lua i loko o ka ʻōpū o ka ʻōpū.

ʻO ka pilikia ʻē aʻe he coma, hiki ke loaʻa me ka dehydration koʻikoʻi o ka holoholona. No ka mea, i ka wā coma ua pau loa ke kino, make ka pōpoki.

Ka wānana a me ka pale ʻana

ʻO ka pale maikaʻi loa no ka pyometra, ʻo ia ka hoʻopaʻa ʻana i ka pōpoki ma mua o ka wela mua a i ʻole ma hope koke (a hiki i hoʻokahi makahiki). ʻO nā hana pale ʻē aʻe he:

• ka nānā ʻana i ka holoholona, ​​ka nānā ʻana i ka holoholona i ka wā a ma hope o ka estrus;
• hiki i ka manawa kūpono i ke kauka i mua o ka liʻiliʻi o ka physiological a i ʻole nā ​​loli ʻano;
• kaohi ana i na pili alanui;
• hōʻoia i ka hana kino o ka pōpoki;
• ka meaʻai maikaʻi, ka pale ʻana i ka hemahema o nā meaʻai a me nā huaora;
• ka wehe ʻana i nā lāʻau lapaʻau e pili ana i nā hormones;
• me ka hāpai wahaheʻe - ka haʻalele ʻana i nā huahana e hoʻonāukiuki i ka lactation.

Eia kekahi, pono e kipa mau i ke keʻena lāʻau lapaʻau no nā hoʻokolohua olakino, ultrasound o nā ʻōpū pelvic, ʻoi aku ka nui inā pilikia ka pōpoki.