Postpartum endometritis inoreva kune zvirwere zvechirwere zvinokonzera kuberekwa kwakapfuura. Nezvo, kupisa kunokanganisa mucous membrane yechipfuva, iyo inokwanisawo kuyambuka musero. Ngationgororei kuputsa kwepamusoro, ngatitumidze zvikonzero zvaro, zviratidzo uye nzira dzerapi.
Postpartum endometritis - zvinokonzera
Endometritis mushure mekusununguka kunoumbwa munzvimbo iyo placenta yaimbove iripo. Penguva yekuparadzaniswa kwekutsvaga, mutezo yeropa inotambudzwa. Chironda chepamusoro chinoumbwa, chinokanganisa chiito chepathogenic microorganisms. Zvisinei, haisi kugara uine utachiona. Kubudirira kwehutano kunoshandiswa nekukonzera zvinhu, pakati peizvi:
- kuderedzwa kwehutachiona hwemunharaunda (kuvapo kwechirwere chisingaperi chine utachiona uye chinotapukira mumutambo wekubereka);
- kushanda kwenguva refu;
- kwete-kuchengetedza kwemitemo yehukama hwehukama munguva yekutora nguva.
Kazhinji zvinotarisirwa kuti kuve nekugadzirwa kwemashure ekupedzisira endumutritis ndiko kunonoka kwekugadzirisa (kubvisa) kwechibereko, kuchetwa kwekuvhara-hews. Muchiitiko ichi, mishonga inopindira inoita sezvirwere zvinokonzera kukanganisa, izvo zviripo mune zvishoma muhurongwa hwehurogenital. Pakati pavo:
- staphylococcus aureus;
- streptococcus ;
- ma virus.
Endometritis mushure mechikamu caesarean
Kukudziridza endometritis mushure mokusiya izvi kunowanzokonzerwa nekuvhiyiwa kwekukurumidza. Saka, nechinangwa chekudzivirira, kuwedzerwa kwepotometritis hakupfuuri 5%, uye kana pakaitika dambudziko rinoitika, 22-80%. Postpartum endometritis, semigumisiro yekesarea, kazhinji inowanikwa yakaoma. Izvi zvinokonzerwa nehutachiona hwekudzivirira pachibereko uye kupararira nokukurumidza kwokuputika kunze kwemukati membrane. Somugumisiro, dzimwe zvirwere zvinobva:
- myometrium - muscular layer damage;
- metrotromboflebit.
Nemhaka yekuvhiringidza, pane kutyora kwezvekugadzirisa zvinhu mumusvingo wakafukidzwa wechibereko. Izvi zvinogona kukonzerwa nehutu hwezvinhu. Yakagadziriswa chibvumirano chechibvumirano chechibereko, nekuda kwekuti kubuda kwechichia kwakaoma uye kunowedzera mamiriro acho ezvinhu. Chirwere ichi chinoitika pazuva re4-5 uye rinoperekedzwa ne:
- kutsetseka kwemuviri 38-39 degrees;
- chills;
- kuwedzera kwehuwandu hwemakumbo emwoyo - tachycardia.
Endometritis mushure mokubvisa pamuviri
Postpartum endometritis muvakadzi inogona kukonzerwa nekubvisa pamuviri munguva yakapfuura. Kupindira kwepayenzi kunobata uterine cavity kunowedzera mikana yekushaiwa kwechirwere ichi. Izvi zvinokonzerwa nekushungurudzika kwakanyanya kwekupedzisira kwepomometri. Somugumisiro, mucosa yose inova maronda panotarisana nezviito zvepathogenic microorganisms. Kusapindirana nehutano uye hutano hwekurapa kunotungamirira kukura kwe endometritis.
Endometritis mushure mekusununguka - zviratidzo
Kuti vaone postpartum endometritis munguva, amai vose vanofanira kuziva zviratidzo zvechirwere ichi. Zvichienderana nekliniki yemifananidzo, zvitatu zvekuvhiringidzika zvakasiyana, imwe neimwe ine zvayo:
- Chimiro chechiedza. Inokura kwemazuva 5-12. Panguva imwecheteyo, pakatarisana nehupenyu hwehupenyu huripo, kutonhora kwemuviri kunokwira kusvika 38-39 digiri. Mamiriro ehutano haatamburi zvakawanda. Varwere vanorondedzera kunetseka mubereki, iyo inotora mazuva 3-7. Paanorpation, vanachiremba vanotaura kuwedzera zvishoma muhukuru hwechibereko. Lochias ane ropa muzvisikwa, kunyange kwevhiki mushure mokutanga.
- Heavy form. Chirwere chacho chinoumbwa mumazuva 2-4 mushure mokuberekwa kwechecheche. Muchikamu che25 kubva pamatambudziko, endometritis inoumbwa pamucheto we chorioamnionitis mushure mekutengesa kwakaoma, kupindira kwekuvhiya. Nekucherechedza kwenguva refu, kushingaira, kuvandudzwa kwakanaka hakuoneki uye shure kwemazuva mashomanana, simba rakaipa rinogona kutaurwa. Vakadzi vane hanya nazvo:
- headaches;
- kushaya simba;
- kurwadziwa mucheche pasi;
- kurara kunetseka;
- iyo inotonhora ine 39 degrees.
- Shabby fomu. Inotanga pa 3-4 mazuva. Icho kutonhora kwemuviri hausi kupfuura madigiri 38. Mune varwere vakawanda, lochia inotanga kubhururuka, asi inobva yaenda ku saccharum. Kusuruvara kwechibereko kunopfuurira kwemazuva mashanu. Kurwisana nemamiriro ekurapa, kutonhora kunowanzoitwa mushure memazuva mashanu kusvika ku10.
Zvinyorwa mu endometrium
Kudana zviratidzo zvakanyanya zvepotopum endomitritis, inofanira kurehwa kuti maitiro akajeka uye akajeka anogona kuitika zvisinganzwisisiki kumukadzi pachake. Zvisinei, postpartum endometritis inogara ichiratidzwa nekushandura kubuda kwemudzimai. Mushure mokuberekwa kwechecheche, uterine cavity yakasunungurwa, uye amai vanogadzirisa lochia . Kazhinji vane ruvara rutsvuku, ivo vakajairika, vasina mahwende uye kunhuhwirira kwakashata. Nekuvandudzirwa kwekuvhiringidza, mifananidzo inochinja zvachose.
Apo postpartum early endometritis inokura, iyo lochia inowanzowana hunyoro hunyoro. Kana ivo vachiongororwa, kusvibiswa kwepus kunogona kuonekwa. Inotarisa kumativi eropa, ayo anoumbwa nekuda kwekubuda kwakaoma. Zvishoma nezvishoma, kubuda kunotanga kutora kunhuhwirira kunofadza. Mamiriro ezvinhu anoda kupindira mune zvokurapa. Paanoongorora mukadzi mune chigaro chechirwere chechikadzi, chiremba anoongorora anononoka kugadzirisa kwechibereko.
Kuongororwa kwemashure ekupedzisira endometritis
Kuti uongorore acute postpartum endometritis, gynecologist ane ruzivo unoda kuongororwa chete nemirazi. Muzviitiko zvakawanda, kuchinja kunobata pamuviri. Mukuwedzera, zvinokwanisika kufungidzira kutyorwa mu bimanual kuongororwa kwechirwere chemuviri kuburikidza nekunze kwemuviri pamadziro. Kuongororwa kwe "postpartum endometritis" kunoitwa pamagumisiro emigumisiro yeongororo yekuongorora:
- kuongorora ropa;
- urinalysis;
- bhakitiriya tsika yekubudiswa kubva mumuviri (inogadzira rudzi rwepathogen);
- Ultrasound yediki pelvis;
- hysteroscopy.
Endometritis - migumisiro
Kana kusina kurapa kwakakodzera, kusawirirana nemirairo yezvehutano, kune ngozi yezvinetso. Mumamiriro ezvinhu akadaro, kupisa kunowanzopararira uye kunopinda nhengo dzomunharaunda. Muchiitiko ichi, vanachiremba vanonyora zvinetso zvinotevera zve postpartum endometritis:
- pelvioperitonitis - kuvhiringidzika kwe peritoneal serous membrane yedanda;
- peritonitis - kuputika kwe peritoneum;
- thrombophlebitis - chirwere chekuvhiringidza chinokanganisa mishonga yeropa mumatombo maduku;
- kubvisa kwepachivi - purulent pfungwa, ine masvingo aro;
- sepsis.
Postpartum endometritis - kurapwa
Kurapa kwemashure ekupedzisira endumutritis kunotanga nekugadzirwa kwechirwere chepathogen uye chikonzero chakakonzera chirwere. Chikonzero cherapi ndiyo antibacterial uye anti-inflammatory drugs. Mukufananidza, ronga madhiragi kuti uwedzere kudzivirirwa kwomuviri. Kuvandudza kuputika kwechichia, shandisa antispasmodics. Dzidzo yakasarudzwa pane imwe neimwe, ichifunga nezvehuwandu hwekuputsa uye kuoma kwezviratidzo zvayo.
Endometritis - kurapa, zvinodhaka
Mishonga inorwisa mabhakitiriya ye endometrium inorayirwa kufungisisa kuenderera mberi kwekunwisa. Semisynthetic penicillins uye cephalosporins inoshandiswa . Pakati pemishonga yakadaro yakakosha kugovera:
- Cefuroxime;
- Ceftriaxone;
- Ofloxacin;
- Cefotaxime .
Kazhinji sarudza regimen yakabatana, pamwe chete nekutonga kwe metronidazole nemishonga inouraya ye lincomycin. Izvozvo hazvina kushandiswa pakuyamwisa, sezvazvinopinda mumukaka. Kana zvichidiwa, mukadzi wacho anomira kwenguva yekuyamwisa. Kurapa nemishonga inorwisa mabhakitiriya inomiswa 24-48 maawa mushure mekuwedzera kwekliniki.
Apo endometritis inokonzerwa nekuvapo kwemasukisi muuterine cavity mushure mekucheka, kurapwa kwekuvhiya kunoitwa. Inosanganisira:
- vacuum aspiration;
- hysteroscopy;
- kushambwa kweuterine cavity ne-reflective antiseptics (furacilin, dioxin 1%).
Kushambidza kunokurudzirwa kuti kuderedze kubatwa kwezvinhu zvakakanganiswa uye zvinokonzerwa nehupfu. Mukuwedzera, iyo nzira inoderedza zvakanyanya kuwanda kwe purulent discharge, inovandudza nzira ye lochia. Kushandiswa kunoitwa mushure memazuva mana kusvika kumashanu, nekutengeswa kwezvisikwa uye shure kwemazuva 6-7 nechikamu chekusiya. Mukadzi panguva ino ari muchipatara.
Physiotherapy ne endometrium
Kana chirwere chacho chiri endometritis, nzira dzehutachiona hwepelotherapeutic dzinobatsira kuderedza dzidzo. Pakati pezvinhu zvakajairika:
- Kushandiswa kwemazuva ano kwepatro yeNyamuk - kunosanganisira kushandiswa kwemashure ekudzikisa kwepasi uye mashizha anoshandiswa kuburikidza nemagetsi mana;
- pulsed streams of frequency low - used for early rehabilitation;
- acupuncture - ine chimiro chisinganzwisisiki.
Prophylaxis ya postpartum endometritis
Kuti usabvisa chirwere chacho, endometritis, kudzivirira kunotanga pachinangwa chekuita pamuviri. Vanachiremba vanorayirwa kuti vagadzirire mberi kwekuita izvi zvinotarisirwa. Kudzivirirwa kwepometritis kunosanganisira kutevera zviyero zvakadai se:
- kuonekwa uye kurapwa kwezvirwere zvisingaperi zvekuberekwa asati aita pamuviri;
- kubhadhara panguva yakakodzera yekudzivirira;
- kugara uchishanyira chiremba;
- kunyoresa kutungamira kwebasa - kutora kusawirirana kune kuberekwa kuburikidza nekuberekwa kwezvisikwa zvenyama, kuongorora kuberekwa kwakaparadzaniswa, kutungamirira mishonga inorwisa mabhakitiriya mushure mekuvhiya kwechirwere ichi kudzivirira utachiona.