Cov Adherative Adhiations yog ib qho tseem ceeb tseem tsis tau muaj kev ntxhov siab ntawm kev phais mob. To taub yog dab tsi adhesions yog, yuav ua li cas lawv daim ntawv, thiab lub peev xwm tej teeb meem uas lawv tuaj yeem ua rau lawv muaj peev xwm ua tau cov kws kho mob thiab cov neeg mob. Cov ntawv no tshawb txog kev kawm txuj ci tom qab adhesions thiab vim li cas kev tiv thaiv lawv teeb meem.
Adhesion yog dab tsi?
Adhesion yog hais txog kev tsim ntawm kev sib txuas tsis sib haum ntawm cov ntaub so ntswg lossis cov plab hnyuv siab raum uas ib txwm muaj. Tom qab kev phais mob, lub cev lub cev kev kho tau zoo tuaj yeem ua rau cov ntaub ntawv tso tawm hauv fibrous nyob ib ncig ntawm qhov chaw phais. Cov tshuaj nplaum no ua rau cov ntaub so ntswg lossis cov plab hnyuv siab raum los lo ua ke, cuam tshuam lawv txoj haujlwm ib txwm muaj thiab qee zaum ua rau muaj mob hnyav.
Adhesions daim ntawvs yog li cas?
Kev tsim cov adhesions yog ib txoj kev ua haujlwm uas muaj ntau yam xwm txheej:
Kev puas tsuaj thiab cov ntaub so ntswg puas
Kev phais mob lossis kev raug mob tuaj yeem ua rau cov ntaub so ntswg puas tsuaj, ua rau lub ntsej muag zoo ntawm kev kho cov lus teb.
Inflammatory teb
Nce cov kab mob sib xyaw ua ke ua rau muaj kev sib koom tes, nrog kev sib cav sib ceg, cov tshuaj histamine, cov tshuaj lom neeg, kev ntxhov siab ntau, thiab dawb radicals.
Fibrin nag lossis daus
Fibrin, ib qho protein ntau rau cov ntawv tsim, yog muab tso rau cov qe ntshav dawb thiab macrophages.
Tsis zais hauv fibrinolytic system
Nquag, Fibrinolytic system dissibves tshaj fibrin. Ib qho kev txo qis hauv nws cov kev ua si cuam tshuam kev sib npaug, tso cai rau fibrin rau kev sau cia.
Kev Ntsiav FibRightblast thiab Vascularization
Fibreblast hlwb thiab cov hlab ntshav tshiab them tus txiv neej ua ke, tsim cov nplaum kom ruaj khov.
Qhov ntau {-}}}} Cov txheej txheem sib tw piav qhia tias yog vim li cas cov adhesions tuaj yeem tsim tau sai tom qab phais tas, qee zaum tsis dhau sijhawm.
Cov chaw nthuav dav ntawm Adhesions
Adhesions tuaj yeem tshwm sim hauv ntau qhov chaw ntawm lub cev, nrog cov chaw nquag muaj xws li:
Plab kab noj hniav:hnyuv, lub siab, lub plab, thiab lwm yam plab hnyuv siab raum
Pelvic cheeb tsam:Lub tsev menyuam, Paj Qaum Ntuj, ovaries
Tendons thiab sib koom tes
Spine thiab tus txha caj qaum
Qhov tshwm sim ntawm adhesions yog siab: 67-93% tom qab phais mob plab thiab nce mus txog 97% Kev qhib Gynecologic Pelvic Ot li Al., 2001.
Cov teeb meem ntawm adhesions
Adhesions muaj ntau dua li ib qho me postoperative tsis yooj yim - Lawv tuaj yeem ua rau mob hnyav.
Sab plab
Kev qhia pob txha hauv plab yuav ua rau cov kabmob sab hauv los txuas rau qhov chaw phais mob lossis lwm tus. Qhov no tuaj yeem ua rau sib ntswg lossis ncab cov plab hnyuv siab raum, ua rau cov teeb meem me me xws li mob plab lossis kev mob plab.
Pelvic adhesions
Hauv thaj av Pelvic, Adhesions feem ntau cuam tshuam rau kev ua haujlwm. Dhau li ntawm kev phais mob, cov xwm txheej zoo li endometrisosis thiab pelvic mob mob yog qhov ua rau.
Kev quav me me (SBO)
Ib qho kev cuam tshuam hnyav tshaj plaws yog SBO, qhov twg adhesions rub lossis kink lub plab hnyuv me, thaiv cov hnyuv. SBO yuav tsum tau kho mob sai; Cov rooj plaub tsis raug tshem tawm tuaj yeem ua rau tuag taus. Hauv Tebchaws Meskas, SBO cov nyiaj tau los kwv yees li 300,000 li 30,000 tus neeg tuag ib xyoos ib zaug, nrog 65%% los ntawm cov kab mob adhesive reddy & cappell, 2017; Ray li al., 1998.
Vim li cas kev tiv thaiv teeb meem
Muab lub siab ntev heev thiab muaj peev xwm ua rau muaj kev tiv thaiv, tiv thaiv yog qhov tseem ceeb. Cov tswv yim muaj txiaj ntsig tuaj yeem suav cov qauv kev phais mob me me thiab kev siv cov khoom siv kho mob tsim los txo cov tshuaj nplaum adhesion, xws li anti- adhesion gels thiab kev thaiv. Piv txwv li, cov khoom lag luam zoo liSingSlean Qhov phais anti - adhesion gelMuab lub cev lub cev uas tiv thaiv cov ntaub so ntswg los ntawm kev ua ke los ua ke thaum lub sijhawm kho kom zoo, txo qis kev pheej hmoo ntawm cov kev phom sij thiab txhim kho cov neeg mob cov txiaj ntsig.
Kev kho mob ntawm posterative adhesions
Tswj cov adhesions txuas ntxiv yuav tsum muaj kev sib xyaw ua ke ntawm kev phais thiab tsis - kev phais. Thaum muaj mob hnyav uas muaj cov tshuaj nplaum uas muaj kev cuam tshuam nrog kev pehawm hauv plab lossis kev phais mob adhesiolysis (kev phais mob adhesions) yuav tsim nyog. Txawm li cas los xij, kev phais mob nws tus kheej tuaj yeem ua rau cov nplaum nplaum tshiab tshiab, kev tiv thaiv thaum lub sijhawm ua haujlwm tseem ceeb.
Ib lub tswv yim zoo yog siv los tiv thaiv ov - kua nplaum. Cov khoom lag luam xws liSingSlean Qhov phais anti - adhesion gelUa raws li kev thaiv lub cev ib ntus ntawm cov ntaub so ntswg, tiv thaiv kev sib txuas tsis meej thaum lub cev kho kom zoo. Cov gels yooj yim thov, biocompible, thiab maj mam nqus los ntawm lub cev, txo txoj kev pheej hmoo ntawm cov nplaum thiab txhim kho rov qab cov posteroupative rov qab.
Tuaj txog::
Lawkakos T., Thomakos N., zoo PM, Dervenis C., Young Balitoneeal Adhesions: ETiology, Pathophysiology, thiab tshuaj ntsuam qhov tseem ceeb. Khawb. Kev phais . 2001; 18: 260-273.
Rami reddy sr, cappell ms. Kev tshuaj xyuas cov txheej txheem ntawm kev kuaj mob, kuaj mob, thiab kho cov hnyuv sab. Cur Gastroenterol Rep . 2017; 19 (6): 28.
Ray NF, Denton Wg, Tus neeg Henderson SC, Henderson SC, Perry S. Mob plab adhesiolysis: Kev siv nyiaj pw hauv Tebchaws Meskas hauv 1994. 186 (1): 1-9.
