ADNEKSIT

ADNEKSIT (Adnexitis; az lot. adn¬exa – zoid), salpingooforit, gazaki zoidhoi bachadon (lulahoi bachadon va tukhmdon). Mikrobhoi gunoguni bemorizo – stafilokokkho, streptokokkho va g. boisi A. megardand. Bazan A. hangomi ba bachadon dokhil kardani moddahoi gunoguni khimiyavi (mas., yod, spirt) niz paydo meshavad. Mikrobho ba zoidhoi bachadon az mahbalu bachadon (dar vaqti isqot, khususan isqote, ki berun az bemo- riston guzaronda meshavad, tavallud, aloqai jinsi), inchunin bo khunu limfa az digar uzvu boftaho (hangomi bemorihoi gunoguni siroyati, mas., sil, guludard va gazaki uzvhoi daruni) vorid megardand. Tamomi omilhoe, ki qobiliyati difoii organizmro sust mekunand, yane khunuk khurdan, khastagi, hayajoni asabiyu ruhi va g., inchunin rioya nakardani qoidahoi gigienai shakhsi boisi inkishofi A. megardand. Hangomi A.-i shadid poyoni shikam, atrofi chorband, khususan dar vaqti qazoi hojat, peshobroni va kori jismoni sakht dard mekunad. Harorati badan bazan to 390S baland meshavad; dar holathoi vaznini bemori dil behuzur shuda, shakhs qay va shikamash dam mekunad. Agar bemor sari vaqt va durust muolija karda, tartibi koru zindagiro rioya namoyad, zud va purra shifo meyobad. Muolija, odatan, dar bemorkhona, bazan dar khona (agar dukhtur tavsiya kunad) guzaronida meshavad. Hangomi dar khona nigoh doshtani bemor hamai tainoti dukhturro qati ijro kardan lozim ast; ba shikam garmkunak guzoshtan mumkin nest, zero in boisi pahn gardidani gazak va shiddat yoftani bemori megardad. Ikhroji harruzai najosat va peshob zarur ast. Aloqai jinsi va istemoli khurokihoi tund man meboshad; hangomi baland shudani harorati badan boyad bisyortar bioshomid (limuchoy va g.). Past shudani harorati badan va sabuk gashtani dard hanuz manoi purra shifo yoftanro nadorad; binobar in be rukhsati dukhtur qabuli doruro kam yo qat va rejaro vayron naboyad kard, zero dar chunin mavridho iltihob to okhir tabobat nashuda, muzmin megardad. Hangomi A.-i muzmin bemori dar natichai khunuk khurdani mariz, khastagi, dar vaqti hayz va bad az isqot shiddat yofta, dard ziyod, harorati badan baland meshavad; az uzvhoi tanosul khuni bisyor va bo dard meoyad. Kafsherak (spayki)-hoe, ki dar natichai iltihob dar naychahoi bachadon paydo meshavand, saddi rohi nufuzpazirii onho shuda, imkon dorad ba homilagii berun az bachadon yo benasli ovarda rasonand. Dar surati durudaroz idoma yoftani A. (beshtar az 2 – 3 sol) mumkin ast ikhtiloli neyroendokrini sar zanad. YAne bemor asaboni va tundmizoch shuda, zud khasta megardad; farbeh yo bar- aks, yakbora kharob meshavad; faoliyati tukhmdonho khalal meyobad, dar naticha hayz nomurattab gashta, zan bor namegirad. Baroi purra shifo yoftan, muolichai muntazam va duru daroz lozim ast. Dukhtu- ron baroi tabobati A. dar ikhtiyori khud vositahoi gunogun dorand. Hususan tai- noti fizioterapevti, muolichai sanatoriyu kurorti, varzishi shifoi, doruhoi ziddi gazak va g. muhim meboshand. Baroi baland shudani qobiliyati difoii organizm varzishi sabuk (dar vaqti oromii bemori), sayru gasht dar havoi toza, iste- moli khuroki sergizo, sabzavot va mevaho zarur ast. Mavridi avch giriftani bemori ( dardi poyoni shikam, bad shudani ahvol va g.) sari vaqt ba dukhtur murochiat namuda, tainoti uro boyad hatman ichro kard. Dav- ri muolichai tainkardai dukhturro qat va khudsarona in yo on doruro istemol namudan mumkin nest. Dar davrai muolicha az haml yoftan khuddori kardan lozim; dar surati homila shudan isqoti haml man ast, chunki on charayoni bemoriro vaznin megardonad (homilagi ba tabobat yoftani A. musoidat mekunad).
Baroi takroran avch nagiriftani A. boyad az sarmo khudro ehtiyot kard. Poyro tar kardan, dar rui sang va zamini nam nishastan (khususan dar vaqti hayz) man ast; dar havoi khunuk va nam libosi garm pushidan lozim. Badi shifo yoftan, zan boyad kamash 3 moh tahti nazorati dukhtur qaror girad. Azbaski zoidhoi bachadon beshtar hangomi ba uzvhoi chinsi dokhil shudani mikrobho illat meyoband, az isqot va aloqai chinsii tasodufi khuddori boyad namud. Qoidahoi gigienai shakhsi, inchu- nin bad az isqot va tavallud tavsiyahoi behdoshtii makhsusro rioya kardan zarur ast. Nig. niz ba maqolahoi Isqot, Davrai badi tavallud.
Ad.: Norvits E.R. (va dig.), Naglyadnie akusher- stvo i ginekologiya, M., 2003; Ginekologiya, M., 2005.
M. F. Dodkhoeva.