Ua rau tom qab phais plab (pelvic) kab noj hniav adhesion

Lub plab pelvic cov ntaub so ntswg adhesion yog dab tsi?

Kev tsim ntawm adhesions yog ib hom kev mob tshwm sim ntawm fibroplasia. Cov yam ntxwv uas ua rau adhesion yog complex, uas yog ib feem cuam tshuam rau kev tsim ntawm ntxhib nto ntawm lub plab hnyuv kab mob, ischemic raug mob, lub zos inflammatory teb, immunohypia, immunohyperplasia los yog immunodeficiency, thiab lwm yam.

Mechanical los yog tshuaj stimulation ntawm lub plab hnyuv kwj dej thaum lub sij hawm phais plab, nrog rau kev phais, ischemia, lub sij hawm ntev raug thiab qhuav stimulation ntawm lub plab hnyuv kwj dej, plab ntshav, kua paug, exudate thiab txawv teb chaws lub cev stimulation, yuav ua rau serous membrane raug mob thiab ua rau inflammatory teb, rhuav tshem qhov sib npaug ntawm kev tso tawm ntawm fibrinogen thiab fibrinolysis hauv peritoneal mesothelium hlwb, thiab ua rau fibroblast proliferation. Ua los ntawm kev tso zis ntau ntxiv ntawm collagen fibers.

Ischemia ua rau muaj kev loj hlob ntawm cov capillaries tshiab, uas tsim fibrous adhesion tom qab kev tsim kho, thiab tom qab ntawd ua rau pom kev cuam tshuam hauv plab hnyuv thiab lwm qhov chaw.

Tam sim no, muaj ob lub laj thawj tseem ceeb rau kev mob plab plab: peritoneum yog txhawb thiab puas los ntawm ntau yam. Peritoneal o lossis raug mob ntawm peritoneal fibrin exudation: xws li txo cov haujlwm fibrinolytic, fibrin deposition mechanical persistent adhesion; Yog tias qhov kev ua ntawm fibrinolytic yog qhov qub, qhov fibrinolytic ntawm adhesion tsis yog adhesion.

Adhesive ileus yog plab hnyuv txhaws los ntawm plab hnyuv adhesion los yog intraperitoneal adhesion, uas yog ib qho tshwm sim, thiab nws tus nqi tshwm sim rau 20 feem pua ​​~ 40 feem pua ​​​​ntawm txhua yam ntawm ileus. Adhesive ileus yog lub plab hnyuv adhesion tsim tom qab phais plab, mob thiab raug mob. Cov kab mob plab hnyuv loj tshwm sim los ntawm cov nplaum nplaum yog hom ileus ntau tshaj.

Singclean kho mob sodium hyaluronate gel rau anti-adhesion yog tsim los ntawm rov qab disaccharide units ntawm glucuronic acid thiab N-acetylglucosamine, nws cov tshuaj formula yog (C₁₄H₂₁TSIS MUAJ₁₁)_n. Nws yog siv rau kev tiv thaiv thiab txo cov adhesions postoperative ntawm lub plab thiab pelvic phais. Nws muaj kev nyab xeeb, ntuj thiab absorbable, yog li nws yuav tsis muaj kev phiv rau peb lub cev. Nws yog daim ntawv thov ceev thiab yooj yim los tiv thaiv los yog txo cov adhesion tsim. Vim yog tsiaj keeb kwm dawb, nws zoo biocompatibility rau peb lub cev.