Endometritis yakakomba ingabatanidza: Zviratidzo neMarapirwo

Mumwe zvezvinokonzera hadzi kushaya mbereko ndiyo rikwanise endometritis. The zvinokonzera chirwere ichi vari kusiyane asi kazhinji ndiwo mugumisiro gynecological mupfungwa. Kuchiita kuti pathological kwacho muviri kukura yematambudziko ngozi. Saka zvinokosha kuti kugona vepakutanga nzendo chirwere.

Chii endometriosis?

Endometrium - ari kushanda dumbu, iyo anochinja mamiriro ayo panguva kuenda kumwedzi. Ose mwedzi nayo kuzodzosera inokura uye dzinokura, kugadzirira kuda kuti zai pamberi. Kana pamuviri hakuitiki, iyo yaishandiswa goko yakabvaruka kure. Kazhinji, muchibereko chemusikana kunodzivirirwa kubva kupinda pakati pathogenic kasvisto. Asi pasi zvimwe zvinhu, chirwere anogona kuwira nyore kupinda yokubereka nayo, Nokumukira ane anogumbura norudaviro - endometritis. chirwere ichi zvinoda kurapwa pakarepo. Kushaya nenguva kurapwa kungaita kuti zvimwe kupararira chirwere.

By yezvakaita kuyerera akapora chakasimba uye chisingaperi endometritis. Mumwe chimiro chirwere ane maitiro kunotoda mufananidzo uye kunoda marapiro. More zvakadzama uchadzidza pamusoro rikwanise endometritis nyaya ino.

Description of chirwere

An chenjera endometritis chinorehwa anonyanya yomuka kuzvimba iri romukati rukoko yacho dumbu. kukura kwayo Kazhinji anosimudzirwa siyana gynecological evanhu. Kuunganidza clots ropa, kukwana nokubviswa placenta kana fetus zai residues - zvose izvi zvinoita kuti pave zvakanaka mamiriro ezvinhu kukura ane chirwere chichingoitwa.

Dysmenorrhea anooneka chenjera kurwadziwa rezasi mudumbu nzvimbo, kusangana nekutsi kwemukadzi zvinoyerera ane kwakanaka yakaipa. Vamwe tembiricha inokwira, pane kusagadzikana kana vanhurume. Zvikurukuru chirwere chakakomba kunoitika vakadzi vanoshandisa intrauterine mano. Zviratidzo hosha yokutanga chikonzero kurapwa pakarepo kuna chiremba. Kana zvakanaka akasarudzwa kurapa kurapwa rinoguma kunaya zvakakwana.

The kukonzera chirwere

Chenjera endometritis hwapedyo bedzi mune dzichipfekeka rukoko yacho dumbu. Izvi kunoitika nokuda kukuvadza kune zvivako ayo. Somugumisiro, mashoko pathogenic kasvisto anogona takasununguka kupinda mumuviri udzamu. Hatigoni zvokuimba kukuvadza romukati lining pamusoro dumbu zvinogona kukonzerwa:

• curettage pashure pamuviri ;
• poromoka douching;
• Loop kupinza;
• achirova-rova dumbu;
• pakuongorora fallopian sepombi.

Dysmenorrhea iri semhosva Poly etiology zvirwere. Zvinoita kuti pave rose boka utachiona. Dzimwe nguva hunodzorwa chete mumwe wevamiriri vayo. Vakawanda causative vaishandira chirwere ndedzinotevera: boka B streptococci, Escherichia coli coli, chlamydia, Proteus, Klebsiella uye Mycoplasma.

Zvinofanira kucherechedzwa kuti muviri womukadzi utano pachako kukuvadza endometrium kazhinji chinokurwadzai kukura zvakakomba yematambudziko. Nokuda kushoma zvinoda mumwe rukungiso. Somuenzaniso, vazodzikisa kutapata kana kushaya zvinokosha utsanana. Somugumisiro, mawa kusakarongeka izvi zvinhu (kukuvara + bacteria + rukungiso) uye nezvechinhu chimwe chirwere zvose nezviratidzo zvayo.

The zvinoratidza zvokurwara rokutanga

Chenjera endometritis ari dzinoratidzwa raidudzwa kunotoda mufananidzo. Zviratidzo zvokutanga Kazhinji kuoneka pazuva rechitatu pashure chirwere. Pakati pavo pane zvinotevera:

1. Kuwedzera tembiricha. Kwakadaro zvakaitwa nhengo kunowanzoguma chakasimba rwarisa kwendangariro.
2. Achishandisa kurwadziwa rezasi abdominal nzvimbo. Vanogona tichiratidza kuti sacrum kana perineum. Kuzvimba mumuviri kunoita kuti paumbwe vanoshingaira pakugadzira vanoshingaira zvinhu kuti marwadzo.
3. Kusangana nekutsi kwemukadzi buditsa. Character secretion kunobva chirwere utachiona. Somuenzaniso, kana munhu utachiona hweHIV kuva rikwanise catarrhal endometritis. Zviri randinenge nokuratidzwa serous exudate. Kana noutachiona muziso-nokukwezva chakavanzika chakaziviswa pus. Vanachiremba tsanangura rwayo maererano vakawanda ropa masero machena kuti nokushingaira makwikwi pathogenic kasvisto. Zvisinei, chirwere vakawanda pamwe serous-purulent (zvakasiyana) secretions.
4. Uterine ropa. chiratidzo ichi kunoitika nokuda kuparadzwa basal rukoko yacho endometrium.

Kuzvimba kuti kuitwawo chirwere ruchigona nokukurumidza kupararira pedyo nhengo. Saka, kurapwa vanofanira kutanga pakarepo.

Kupatsanura pakati chenjera endometritis

Pane zvimiro zviviri chirwere: catarrhal uye purulent. Mumwe nomumwe wavo kunoratidzwa dzakananga kunotoda mufananidzo.

Chenjera suppurative endometritis kukura somugumisiro pamuviri kana pashure yokusununguka. Mune zvisingawanzoitiki Muzviitiko, maperembudzi pashure pokuwa munhu akaipa bundu. It kunoratidzwa kuunganidza purulent secretions mudumbu, izvo zvinoita kuti tikwanise pachena zvirwere yomuchipatara dawo kupinda kwayo mhango. Purulent endometritis pachena nefivha uye marwadzo zviri rezasi mudumbu nzvimbo.

Kana pane kugara catarrhal chimiro kusangana nekutsi kwemukadzi iyeye serous exudate. Panyaya iyi, murwere kashoma chokunyunyuta pamusoro abdominal kurwadziwa kana fivhiri. The chirwere Kazhinji kunokonzera kushaya mbereko. Zvisinei, nenguva kurapwa kudzivisa chirwere ichi.

Oga vanofanira kufunga rikwanise postpartum purulent-catarrhal endometritis. Muna 20% zviitiko chirwere mushure cesarean, uye 5% mugumisiro kuzvimirira genera. chiratidzo chake chokutanga - kurwadziwa zvikuru rezasi abdominal nharaunda chisingazivi kuenda pamusoro nguva. Uyewo, vakadzi chokunyunyuta pamusoro nefivha, chills, atypical pakuonekwa kusangana nekutsi kwemukadzi kubuda pamwe netsvina pus.

nzira nechirwere

Pakutanga kubvunza ane gayinakorojisiti kunokosha kutaura zvose chinovhiringidza zviratidzo, kuvhiya, zviitiko pamuviri. Nokuti vanofungidzirwa endometriosis vakaperekedza rokuongorora pamusoro gynecological cheya pamwe kwairayirwa palpation. Panguva Diagnostics nyanzvi anonyatsoteerera kuti kukura dumbu. Hazvifaniri ngazviwedzerwe uye inorwadza sei kubata.

Zvikasadaro, iwe unofanira uwane kuzviongorora. It kunoreva smears uye chirimwa zvinhu kuona mhando mumiriri, siyana ayo zvinodhaka. Sezvo kungadiwa nemakemikari uye sokuora miedzo ropa. Kuziva leukocytosis uye nokukurumidza ESR kazhinji anoratidza rikwanise endometritis.

Chimwe chirwere nzira dzawo ndiyo Ultrasound. Kuziva muchidzidza, ropa clots uye pus ari dumbu, thickening masvingo aro, kuchinja echogenicity pakati munyama yaishandiswa kuzosimbisa rokutanga zvawanikwa. Kazhinji kuzvimba zvinopfuura mwero nomuviri, kusvika ovaries uye fallopian sepombi. Kuparadzirwa pathological muitiro zvinogonawo kurondwa tichibatsirwa Ultrasound.

zvinodhaka kurapa

Pakurapa chirwere rinoitwa zvachose, nokuti mukana septic yematambudziko. Murwere hako kuratidzwa kuti mubhedha. It anofanira nechokwadi mumuviri uye mupfungwa nokunyaradza.

Chii mishonga vari nachiremba nechirwere kuti "rikwanise endometritis '? Treatment zvinoreva pacharo inorwisa mabhakitiriya. Panguva padariro nechirwere, chiremba inoitisa bacteriological zodzera kuongorora kuti kuona mhando nayo utachiona chirwere uye ayo aikanganiswa zvimwe zvinodhaka. Results dziripo hapana kwokutanga pane vhiki imwe. Naizvozvo, panguva kutanga kwekupwanyiwa kurapwa murwere ushandiswe mishonga inorwisa mabhakitiriya. Dzinoratidzwa zvinotevera inonyatsobudirira mishonga "Ampicillin", "amoxicillin", "Gentamycin", "Lincomycin".

Kana zvakasiyana microbic Maruva inokurudzirwa mubatanidzwa zvinodhaka zvakawanda. Nokuda kakawanda kubatana kwakaita anaerobic kasvisto ari pathological kwacho ari kurapwa zvaiitwa chinamatidzwa "metronidazole". Kubvisa migumisiro kudhaka vakaratidza intravenous sesaline uye mapuroteni mhinduro. Uyewo, marapirwo zvaiitwa yemanyorero zvinosanganisira immunomodulatory, Anti fungal, uye antihistamines. Pashure nokubviswa rikwanise chokutambudzika hosha basa physiotherapy uye girudoterapii.

Mabatirwo zvavo mishonga

Munguva ichangopfuura, kurwisa zvirwere zvakawanda, varwere vanosarudza kushandisa Quick tsika varapi. Dysmenorrhea anoonekwa kuti chirwere chakakomba, kana kuteerera, aigona kutungamirira zvoutano. Naizvozvo, pakurapa pathological muitiro anofanira mubasa chiremba anokwanisa. Kuti vawane yakatsiga kuchirapa kushanda zvinoda kugadzwa nemimwe mishonga.

Mushure pamuviri, vanachiremba kakawanda rokuongorora rikwanise purulent-catarrhal endometritis. Kunyange XVII remakore aitoziva pamusoro chirwere. Uyezve, zvaionekwa tyava zvose maternity zvipatara. Kurwara, izvo zvishoma nezvishoma ichichinja sepsis, achiti upenyu ose ichangogadzwa fledged amai wechipiri. Muenzaniso uyu zvinoratidza zvakare kuti haufaniri kuzvidzora medicate.

zvinogoneka yematambudziko

Kusavapo nomazvo pakurapa chirwere kunogona kukonzera matambudziko. Pakati pavo, rakajairika anonzi ari mberi kupararira chirwere kuti pedyo nhengo. Somugumisiro, pakupedzisira pane chepfu ropa - sepsis.

Untreated endometritis mune nenguva nenzira kunoitawo kuti zvinotevera ezvinhu:

• chronization pathologic muitiro;
• pyometra (kuunganidza pus muna dumbu);
• oophoritis uye salpingitis (kuzvimba fallopian sepombi, zvinoshandiswa).

Pakupera matambudziko ari chirwere chinogona kunzi kumwedzi zvinetso, uye kushaya mbereko. Saka zvinokosha pane chiratidzo chirwere kutanga kutsvaka rubatsiro vakakodzera. Yakakwana kurapwa chinoita basa rinokosha iri kudzivirira chakakomba yematambudziko.