Endometritis ndechimwe chezvirwere zvevakadzi zvakakomba zvinogona kutungamirira kumigumisiro yakaipa yakadaro seutterine kubuda ropa, kupererwa kwepamuviri uye kunyange kutadza. Ndicho chikonzero nei zvakakosha kuziva kuti endometritis inoratidzirwa sei, kukwanisa kusiyanisa zviratidzo zvekugara kwenguva refu uye yakaoma endometritis munguva yekurapa iyo pasina kumirira zvinetso.
Zvinokonzera endometritis
Endometrite ndeyekuvhiringidza kwechinyorwa chezviviri zvinokonzera chibereko kubva mukati (inonzi endometrium). Ichi chirwere chinonyanya kukonzerwa nehutachiona hwakapinda mukati mumiriri weuterine, iyo isina maturo netsanangudzo. Izvi zvinoitika:
- nekuda kwekuchinja mu microflora yemukadzi (semuenzaniso, ne dysbiosis);
- pamusana pekutyora kwekugadzirwa kwechiberekero chemuviri wekodha kana kukanganiswa kwehomoni mumuviri;
- semugumisiro wekugadzikana kwevanhu vakawanda;
- nekuita zvepabonde zvepabonde;
- nekuda kwekusateerera kwehutano hwehupi.
Mukuwedzera, endometritis inogona kukura mumukadzi mushure mekusununguka, kubvisa pamuviri, kuiswa kwechigadzirwa chemukati uye zvimwe zvekurapa. Mune shoko, chirwere chacho hachioma kupinda mukati mechibereko, uye iwe unofanirwa kuva wakangwarira kuona zviratidzo zvekutanga kwechirwere munguva.
Zviratidzo zvekupedzisira zvemastometritis
Nechokujeka uye chinononoka endometritis, chimiro chemakiriniki chechirwere chacho chakasiyana zvakasiyana. Semuenzaniso, mumagetsi ekupedzisira, mukadzi ari kunetseka pamusoro pemarwadzo ari mudumbu rezasi, fever ye 38-39 ° C, chills, utera, ropa (less purulent) kubuda kubva mumukadzi. Chirwere chacho chinokurumidza kukurumidza, uye zviratidzo zvakanyorwa zvinowanikwa kare mumazuva 3-4 mushure moutachiona.
Zviratidzo izvi (zvikurukuru nekuwedzera kwakanyanya kwekushisa kunze kwezviratidzo zveimwe zvirwere) zvinosungirwa kukuendesa kune imwe nzvimbo mukutarisana kwevakadzi. Kana zviine pamwe nekubuda ropa kwakanyanya, ichi ndicho chiitiko chekurumidza kupinda muchipatara. Nzira yakaoma ye endometritis inofanira kurapwa muchipatara: munyaya iyi, vanachiremba vanowanzoronga mishonga inorwisa mabhakitiriya uye droppers kuti ibvise kudhakwa.
Zviratidzo zvekusingaperi endometritis kazhinji hazvirevi pachena: idzi dzinowedzera nguva dzinosuruvarisa marwadzo mudumbu rezasi, kuora kwechiberekero nekuongorora gynecological. Kugoverwa mu endometrium kazhinji kunopera, kusvibisa; dzinogona kuonekwa mushure mekunge apedza kuenda kumwedzi kana mukati mekutenderera. Chimiro chisingagumi chemapetometritis chinogona kuitika nekuda kwechimiro chisina kutenderwa, mushure mekugadziriswa kwepurogiramu yekurapa, zvakare. Pamusoro pekukosha kweizvi apa ndiyo maitiro ezvirwere zvemuviri.
Kuongororwa kwemastometritis
Kuti vaongorore endometritis, vanachiremba vanowanzoshandisa nzira dzinotevera.
- Kuongorora gynecological (iwe unogona kuona kuwedzera mukati mechiberekero uye kusuruvara kwayo, zvichiita zvinetso nenzira yekuzvimba kwezvinyorwa).
- Poll yemurwere: kunyunyuta kwake uye kucherechedza kwaro.
- Kuongorora kweropa (iyo yakakwirira yeeukocyte uye ESR inowanzoratidza kuvepo kwekuvhiringidza mumuviri).
- Kuongororwa kwebhizinesi (PCR) yezvipembenene zvakavanzwa zvinogona kukonzera zvirwere.
- Transvaginal ultrasound, iyo inokubvumira kuti uone kana chibereko chacho chakawedzerwa, chii chakareba endometrium chando, kana kune solderings mukati mechiberekero (kana pane kusafungirwa kwekusingaperi endometritis). Zvisinei, pazvigadzirwa zvehuzi, zvinyorwa zvisinganzwisisiki zve endometritis zvinogona kuonekwa.
- Endometrial biopsy ndiyo inonyatsodzidza kuongorora, iyo, zvisinei, inoshandiswa chete mumatambudziko akaoma.
- Hysteroscopy - kuongorora uterine cavity kuburikidza nechigadzirwa chinokosha - hysteroscope. Iyo inoshandiswa kwete kungoongororwa chete, asiwo kune dzimwe gynecological manipulations, asi ine zvinopesana zvakasiyana, kusanganisira uterine kubuda ropa.
Kana iwe uchifungidzira endometritis, sangana nechiremba pakarepo. Kana mushonga wacho uri munguva, ipapo chirwere chinonzi endometritis chakasara shure hachizoiti kuti uwedzere kufunganya.