Ukwelashwa Okungcono Kakhulu Kwe-Endometritis Kwabesifazane
Abesifazane abaningi bangathola i-endometritis ngaphandle kokwazi. Ngokuvamile, ungathola mayelana nokuba khona kwalesi sifo kuphela ngemva kokuhlolwa yi-gynecologist. Kungani i-endometritis ivela nokuthi ungayiphatha kanjani ngokuphumelelayo, buza odokotela

I-Endometritis ingenye yezifo ezivame kakhulu zokuvuvukala kwe-pelvic kwabesifazane. Uma kungekho ukwelashwa okufanele, lesi sifo singangena esigabeni esingapheli futhi sibangele ukungazali.

Ngokuvamile, i-endometritis ukuvuvukala kolwelwesi lwesibeletho (endometrium). Isizathu sokuthuthukiswa kwalesi sifo yizifo ezihlukahlukene ezithathelwanayo ezingena esibelethweni - isikhunta, amagciwane, amagciwane.1. Imvamisa, i-endometritis yenzeka ngokumelene nesizinda sokuncipha okujwayelekile kokuzivikela komzimba.

Izici eziyingozi zokuthuthukiswa kwe-endometritis:

  • ukubeletha okuyinkimbinkimbi;
  • noma yikuphi ukungenelela emgodini wesibeletho (i-diagnostic and therapeutic curettage, ukukhipha isisu);
  • izifo eziphansi zesitho sangasese;
  • izifo ezithathelwana ngocansi (njenge-gonorrhea noma i-chlamydia);
  • amanye ama-microorganisms (i-microbacteria ye-tuberculous, i-Escherichia coli, i-diphtheria bacillus, i-mycoplasma, i-streptococci, njll.);
  • ukungahambisani nemithetho yenhlanzeko eseduze.

Emithini yesimanje, izinhlobo ezinzima nezingapheli zesifo zihlukaniswa.

I-endometritis eyingozi

Kwenzeka ngokuzumayo, ngokuvamile ngokumelene nesizinda sokungenelela esibelethweni. Ibonakala ngezibonakaliso ezicacile zomtholampilo, phakathi kwazo izimpawu zokudakwa komzimba zivelele.

Izimpawu ze-endometritis engapheli:

  • ukwanda okubukhali kwezinga lokushisa;
  • Ukugodola;
  • izinhlungu zokudonsa ngaphansi kwesisu (ubuhlungu bunganikezwa emhlane ophansi, i-coccyx, isifunda se-inguinal);
  • ubuthakathaka jikelele;
  • ukulahlekelwa ukudla;
  • ukukhishwa kwe-purulent vaginal.

I-endometritis engapheli

Ifomu elingapheli lesifo ngokuvamile alibonakali futhi livame ukwenzeka lapho kungabikho ukwelashwa okwanele kokuvuvukala okunamandla.2.

- Ukusabalala kwe-endometritis engapheli akwaziwa kahle. Ngokusho kwabalobi bethu, kusukela ku-1 kuya ku-70% yeziguli ezingenayo inzalo noma ngemva kwemizamo engaphumeleli yokuqeda ukukhulelwa zitholakala ukuthi zine-endometritis engapheli. I-endometritis engapheli ingathathelwana: amagciwane, amabhaktheriya, izifo ezithathelwana ngocansi, kanye ne-autoimmune. Ngemva kokuqedwa kokukhulelwa, kunoma yikuphi, ukuxilongwa "kwe-endometritis engapheli" kwenziwa, - amanothi U-Anna Dobychyna, udokotela wezifo zabesifazane, udokotela ohlinzayo, iphini likadokotela omkhulu we-CER we-REMEDI Institute of Reproductive Medicine.

Izimpawu ze-endometritis engapheli

  • ukuphazamiseka kokuya esikhathini;
  • ukukhishwa okuncane okuncane ngaphambi nangemva kokuya esikhathini
  • ukuntuleka kokukhulelwa nokuphuphuma kwesisu.

Ekhuluma ngokwelashwa kwe-endometritis, i-obstetrician-gynecologist ibeka izidakamizwa ngokusekelwe imbangela yalesi sifo. Kungaba yi-antibacterial, i-hormonal, i-metabolic therapy, i-physiotherapy noma inhlanganisela yezidakamizwa.

Ubude besikhathi sokwelashwa buncike emlandweni. Uma isiguli singenalo ukungenelela emgodini wesibeletho, ukukhipha isisu, khona-ke umjikelezo owodwa wokuya esikhathini wanele ukwelapha i-endometritis nokubeka ukulungiswa kwe-hormonal efanele.

Endabeni yomlando we-gynecological othwele, ukwelashwa kungathatha izinyanga ezingu-2-3.

1. Imithi ye-endometritis kwabesifazane

Ukwelashwa kwe-antibacterial

Esigabeni sokuqala sokwelashwa kwe-endometritis kwabesifazane, ama-antibiotic abanzi asetshenziswa. Uchwepheshe wethu u-Anna Dobychina uphawula ukuthi ukwelapha ngama-antibiotic ngesikhathi sokukhulelwa kuboniswa kuphela ezimweni zokuqinisekiswa kwelabhorethri ye-microbial pathogen emgodini wesibeletho endaweni ebalulekile yomtholampilo.

Ukwelapha i-endometritis kwabesifazane, udokotela angase anikeze ama-antibiotics abanzi ngokungena kwamaseli aphezulu. Lezi zidakamizwa zihlanganisa i-amoxicillin, i-clindamycin, i-gentamicin, i-ampicillin3. Ukwelashwa kunconywa ukuthi kuqale kusukela ngosuku lokuqala lokuya esikhathini.

Izidakamizwa ze-Antifungal

Ukuvimbela i-candidiasis ngokumelene nesizinda sokusetshenziswa kwama-antibiotics, izidakamizwa ze-antifungal zinqunywe: iNystatin, Levorin, Miconazole, Ketoconazole, Itraconazole, Fluconazole nabanye.

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Izidakamizwa ezingaphili

Lapho kukhona ukutheleleka ngegciwane ngemuva kokwelashwa ngama-antibiotic, kusetshenziswa izidakamizwa ze-antiviral kanye ne-immunomodulatory, njenge-Acyclovir, Valciclovir, Viferon, Genferon.

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2. Amakhandlela e-endometritis

Ukukhethwa kwe-suppositories yangasese kuncike ezimpawu kanye nohlobo lwe-pathogen. Uma usebenzisa ama-suppositories, izithako ezisebenzayo azingeni emathunjini, kodwa zingena ngqo egazini kusuka ku-vagin, okunciphisa ingozi yokuthuthukisa i-dysbacteriosis nemiphumela emibi esibindi.

Esigabeni esibucayi sesifo, kusetshenziswa ama-suppositories e-antibacterial acindezela ukukhiqizwa kwamagciwane. Ekwelapheni uhlobo olungapheli lwe-endometritis, i-anti-inflammatory, immunostimulating, suppositories ye-antiseptic, njenge-Diclofenac, i-Galavit, i-Terdinan, i-Livarol, i-Lidaza nabanye, iphinde inqunywe.

Uhlu olubanzi lwezidakamizwa ezahlukene zisetshenziselwa ukwelapha ukuvuvukala kwesibeletho. Esigabeni esibucayi sesifo, ama-antibacterial e-systemic asetshenziswa. Ama-suppositories ngokuvamile anqunywa njengokwelashwa kwe-adjuvant.

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3. Ukwelashwa kwe-metabolic

Ukwelashwa kwe-Metabolic yisigaba sesibili sokwelashwa, okuhloswe ngaso ukuqeda umonakalo wesibili, okuhlanganisa ukuphazamiseka kwe-metabolic. Kunconywa ukusebenzisa amavithamini, ama-antioxidants, i-hepatoprotectors nama-enzyme (Wobenzym, Phlogenzym).

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4. I-Physiotherapy

Ngokusho kwe-obstetrician-gynecologist u-Anna Dobychina, ekwelapheni i-endometritis, amasu we-physiotherapy anethonya elikhulu: odonsa, ama-lasers, nama-ultrasounds. Umsebenzi we-physiotherapy kuleli cala ukuthuthukisa ukugeleza kwegazi kwezitho ze-pelvic, ukuthuthukisa izinqubo zokuvuselelwa kwe-endometrium, kanye nokwandisa ukuzivikela komzimba.4.

5. Ukwelashwa ngama-hormone

Ukwelashwa kwama-hormone kwezinye izimo kusetshenziswa ukugcina nokulungisa ukukhula kwe-endometrium. Njengomthetho, kulokhu, izisu zokuvimbela inzalo ezihlangene zinqunywa, isibonelo, i-Regulon ne-Novinet. Lapho uhlela ukukhulelwa, i-progesterone isetshenziswa.

Ukuvimbela i-endometritis

Ukuze uvimbele i-endometritis kwabesifazane, okokuqala, kuyadingeka ukuhlanganyela ekuvimbeleni izifo ezithathelwana ngocansi: ukunciphisa inani lokuya ocansini, sebenzisa amakhondomu, uthathe ama-swabs njalo ngezifo, futhi uma kwenzeka ukutheleleka, thola ukwelashwa okufika ngesikhathi. Futhi isici esibalulekile ukuvimbela ukukhipha isisu, ngakho udinga ukuthatha indaba yokuvimbela inzalo ngokungathi sína.

- Yiqiniso, ukukhulelwa okungakhuli kunzima kakhulu ukukuvimbela, ngakho-ke, uma lokhu kwenzeka, kuyadingeka ukuba ube ngaphansi kokuqondisa okujwayelekile futhi ulandele zonke izincomo ze-obstetrician-gynecologist. Lokhu kuzonciphisa izingozi esikhathini esizayo,” kuphawula u-Anna Dobychyna.

Imibuzo nezimpendulo ezidumile

Imibuzo ethandwayo mayelana ne-endometritis kwabesifazane iyaphendulwa udokotela ohlinzayo, udokotela wezifo zabesifazane we-European Medical Center u-Oleg Larionov.

Yini ebangela i-endometritis?

- Okokuqala, kufanelekile ukuhlukanisa i-endometritis, engahlotshaniswa nokukhulelwa, ne-endometritis, okwakuyinkinga ngemva kokubeletha, okuthiwa i-postportal endometritis. Umehluko ku-microflora ebangela lesi sifo.

I-Endometritis ngemva kokubeletha ivame kakhulu. Kubangelwa i-microflora, ngokuvamile engase ibe sesithweni sangasese, kodwa ingangeni endaweni eyinyumba yomgodi wesibeletho ngesikhathi sokubeletha. Nge-endometritis ye-postporal, kunezinhlungu ezinzima ngaphansi kwesisu, ukukhishwa okugcwele kwe-purulent noma okunegazi okuvela endaweni yangasese, izinga lokushisa lomzimba liyakhuphuka, futhi izinga lokushaya kwenhliziyo liyakhuphuka.  

I-Endometritis, engahlotshaniswa nokukhulelwa nokubeletha, ngokuvamile iwumphumela wezifo ezithathelwana ngocansi. Ibangelwa i-chlamydia, i-gonorrhea nezinye izifo. Futhi, imbangela ingase ibe ukungenelela kwezokwelapha, isibonelo, ukufakwa kwedivayisi ye-intrauterine, i-hysteroscopy nge-curettage yesibeletho, ukukhipha isisu.

Kungani i-endometritis iyingozi?

- Imiphumela engaba khona kanye nezinkinga ze-endometritis zihlanganisa: ukwanda kwengozi yokungazali, ukukhulelwa kwe-ectopic, ubuhlungu obungapheli be-pelvic, kanye ne-endometritis ephindaphindiwe. I-endometritis engapheli ingabangela ukwephulwa kwenkambo evamile yokukhulelwa, isibonelo, ukuphuphuma kwesisu okuzenzakalelayo, ukuzalwa ngaphambi kwesikhathi, ukuphuka ngaphambi kwesikhathi kwe-amniotic fluid.

I-endometritis yelashwa isikhathi esingakanani?

- Ukwelashwa kwe-endometritis ukuqokwa kwezidakamizwa ezilwa namagciwane. Yikuphi - kuncike kuhlobo lwe-endometritis. Isikhathi sokwelashwa ngokuvamile siyizinsuku eziyi-10-14. Kodwa-ke, uma ekwelapheni i-endometritis eyingozi ukuthuthukiswa okuphawulekayo akuzange kwenzeke phakathi namahora angu-24-48 alandelayo, kufanele ucabange ngokushintsha ukwelashwa kwama-antibiotic.
  1. Serebrennikova KG, Babichenko II, Arutyunyan NA New ekuxilongweni nasekwelapheni kwe-endometritis engapheli ekungazali. I-gynecology. 2019; 21(1):14-18. https://cyberleninka.ru/article/n/novoe-v-diagnostike-i-terapii-hronicheskogo-endometrita-pri-besplodii
  2. I-Plyasunova MP, i-Khlybova SV, i-Chicherina EN Ukuhlolwa okuqhathaniswayo kwemingcele ye-ultrasound kanye ne-Doppler ku-endometritis engapheli. Ukuxilongwa kwe-Ultrasonic nokusebenza. 2014: 57-64. https://cyberleninka.ru/article/n/effekty-kompleksnoy-fizioterapii-pri-chronicheskom-endometrite-ultrazvukovaya-i-dopplerometricheskaya-otsenka
  3. Zarochentseva NV, Arshakyan AK, Menshikova NS, Titchenko Yu.P. I-endometritis engapheli: i-etiology, umtholampilo, ukuxilongwa, ukwelashwa. I-Russian Bulletin ye-obstetrician-gynecologist. 2013; 13(5):21-27. https://cyberleninka.ru/article/n/hronicheskiy-endometrit-puti-resheniya-problemy-obzor-literatury
  4. I-Nazarenko TA, i-Dubnitskaya LV Amathuba okwelashwa kwe-enzyme ye-endometritis engapheli ezigulini zeminyaka yokuzala. Izinkinga zokukhiqiza kabusha 2007; 13(6):25-28. https://gynecology.orscience.ru/2079-5831/article/view/27873

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