ʻO nā lāʻau lapaʻau maikaʻi loa no ka Endometritis i nā wahine
Hiki i nā wāhine he nui ke loaʻa i ka endometritis me ka ʻike ʻole. ʻO ka manawa pinepine, hiki iā ʻoe ke ʻike e pili ana i ka hele ʻana o ka maʻi ma hope o ka hoʻokolokolo ʻana e ka gynecologist. No ke aha e ulu ai ka endometritis a pehea e mālama pono ai, e nīnau i nā kauka

ʻO ka Endometritis kekahi o nā maʻi pelvic maʻamau i nā wahine. I ka loaʻa ʻole o ka lāʻau lapaʻau kūpono, hiki i ka maʻi ke hele i kahi pae maʻi a hoʻoulu i ka infertility.

Ma keʻano laulā, ʻo ka endometritis kahi mumū o ka ʻili o ka ʻōpū (endometrium). ʻO ke kumu o ka ulu ʻana o ka maʻi he mau pathogens infectious e komo i loko o ka ʻōpū - fungi, bacteria, virus.1. ʻO ka pinepine, hele mai ka endometritis i ke kua o ka emi ʻana o ka pale.

Nā kumu pilikia no ka ulu ʻana o ka endometritis:

  • hanau paʻakikī;
  • kekahi hana i loko o ka uterine cavity (diagnostic and therapeutic curettage, abortion);
  • nā maʻi maʻi maʻi o lalo;
  • nā maʻi i lawe ʻia e ke kāne (e like me ka gonorrhea a i ʻole chlamydia);
  • nā microorganisms ʻē aʻe (tuberculous microbacteria, Escherichia coli, diphtheria bacillus, mycoplasma, streptococci, etc.);
  • ka hoʻokō ʻole i nā lula o ka hoʻomaʻemaʻe pili.

I ka lāʻau lapaʻau hou, ʻike ʻia nā ʻano acute a me nā ʻano maʻi o ka maʻi.

ʻO ka endometritis nui

Hiki koke, pinepine e kū'ē i ke kua o nā hana i loko o ka'ōpū. Hōʻike ʻia ia e nā hōʻike maʻi maʻi, ma waena o nā hōʻailona o ka ʻona o ke kino e hoʻomāhuahua.

Nā hōʻailona o ka endometritis acute:

  • ka piʻi nui o ka mahana;
  • haʻalulu;
  • ka huki ʻana i ka ʻeha ma ka ʻōpū o lalo (hiki ke hāʻawi ʻia ka ʻeha i ke kua lalo, coccyx, ʻāpana inguinal);
  • nāwaliwali laulā;
  • lilo o ka makemake ʻole;
  • hoʻoheheʻe ʻana o ka wahine purulent.

ʻO ka endometritis mau

ʻO ke ʻano maʻamau o ka maʻi he asymptomatic maʻamau a loaʻa pinepine i ka loaʻa ʻole o ka mālama pono ʻana i ka ʻeha nui.2.

— ʻAʻole ʻike maopopo ʻia ka nui o ka endometritis maʻi. Wahi a kā mākou mea kākau, mai ka 1 a 70% o nā maʻi me ka infertility a i ʻole ma hope o ka hoʻāʻo ʻole ʻana e hoʻopau i ka hāpai ʻana ua ʻike ʻia me ka endometritis maʻi. Hiki ke hoʻopili ʻia ka endometritis maʻi: nā maʻi, nā maʻi bacteria, nā maʻi i hoʻouna ʻia i ka wahine, a me ka autoimmune. Ma hope o ka pau ʻana o ka hāpai ʻana, i kēlā me kēia hihia, hana ʻia ka hōʻailona o ka "endometritis maʻamau", - memo ʻO Anna Dobychyna, ka obstetrician-gynecologist, ke kauka lapaʻau, hope luna kauka no CER o ka REMEDI Institute of Reproductive Medicine.

Nā hōʻailona o ka endometritis mau loa

  • nā pilikia menstrual cycle;
  • liʻiliʻi liʻiliʻi ma mua a ma hope o ka haʻalele ʻana
  • nele i ka hāpai ʻana a me ka hāʻule ʻole.

Ma ke kamaʻilio ʻana e pili ana i ka mālama ʻana i ka endometritis, kuhikuhi ka obstetrician-gynecologist i nā lāʻau lapaʻau e pili ana i ke kumu o ka maʻi. Hiki iā ia ke antibacterial, hormonal, metabolic therapy, physiotherapy a i ʻole ka paʻakikī o nā lāʻau lapaʻau.

ʻO ka lōʻihi o ka mālama ʻana ma muli o ka mōʻaukala. Inā ʻaʻole i loaʻa i ka mea maʻi nā hana i loko o ka ʻōpū o ka ʻōpū, nā ʻōpū, a laila lawa ka menstrual cycle e mālama i ka endometritis a kuhikuhi i ka hoʻomākaukau hormonal kūpono.

I ka hihia o kahi moʻolelo gynecological kaumaha, hiki ke mālama ʻia ka mālama ʻana i 2-3 mau mahina.

1. Nā lāʻau lapaʻau no ka endometritis i nā wahine

ʻO ka lāʻau lapaʻau antibacterial

I ka pae mua o ka mālama ʻana i ka endometritis i nā wahine, hoʻohana ʻia nā antibiotic ākea ākea. Hoʻomaopopo kā mākou mea loea ʻo Anna Dobychina e hōʻike ʻia ka lāʻau antibiotic i ka wā hāpai i nā hihia o ka hōʻoia ʻana o ka hale hana o kahi pathogen microbial i loko o ka lua uterine i kahi titer koʻikoʻi.

No ka mālama ʻana i ka endometritis i loko o nā wahine, hiki i ke kauka ke kuhikuhi i nā lāʻau antibiotic ākea ākea me ke komo kiʻekiʻe. ʻO kēia mau lāʻau lapaʻau he amoxicillin, clindamycin, gentamicin, ampicillin3. Hoʻomaka ka lāʻau lapaʻau mai ka lā mua o ka menstruation.

Nā lāʻau antifungal

No ka pale ʻana i ka candidiasis e kūʻē i ke ʻano o ka hoʻohana ʻana i nā lāʻau lapaʻau, ua kuhikuhi ʻia nā lāʻau antifungal: Nystatin, Levorin, Miconazole, Ketoconazole, Itraconazole, Fluconazole a me nā mea ʻē aʻe.

hōʻike hou aku

Nā lāʻau Antiviral

Ma ke alo o kahi maʻi maʻi ma hope o ka lāʻau antibiotic, hoʻohana ʻia nā antiviral a me nā lāʻau immunomodulatory, e like me Acyclovir, Valciclovir, Viferon, Genferon.

hōʻike hou aku

2. Nā kukui no ka endometritis

ʻO ke koho o nā suppositories vaginal e pili ana i nā hōʻailona a me ke ʻano o ka pathogen. I ka hoʻohana ʻana i nā suppositories, ʻaʻole komo nā mea hana i loko o ka ʻōpū, akā hoʻopili pololei ʻia i loko o ke koko mai ka vagina, e hōʻemi ana i ka hopena o ka hoʻomohala ʻana i ka dysbacteriosis a me nā hopena maikaʻi ʻole i ke ake.

I ka manawa koʻikoʻi o ka maʻi, hoʻohana ʻia nā suppositories antibacterial e kāohi i ka hana hou ʻana o nā pathogens. I ka mālama ʻana i ke ʻano o ka endometritis, anti-inflammatory, immunostimulating, antiseptic suppositories, e like me Diclofenac, Galavit, Terdinan, Livarol, Lidaza a me nā mea ʻē aʻe.

Hoʻohana ʻia ka nui o nā lāʻau lapaʻau e mālama i ka mumū o ka ʻōpū. I ka pae koʻikoʻi o ka maʻi, hoʻohana ʻia nā mea antibacterial systemic. Hoʻonohonoho pinepine ʻia nā suppositories ma ke ʻano he lāʻau adjuvant.

hōʻike hou aku

3. Metabolic therapy

ʻO ka Metabolic therapy ka papa ʻelua o ka mālama ʻana, kahi e hoʻopau ai i ka pōʻino lua, me nā maʻi metabolic. Manaʻo ʻia e hoʻohana i nā huaora, antioxidants, hepatoprotectors a me nā enzymes (Wobenzym, Phlogenzym).

hōʻike hou aku

4. Halekino

Wahi a ka obstetrician-gynecologist Anna Dobychina, i ka mālama ʻana i ka endometritis, he mana nui nā ʻenehana physiotherapy: magnets, lasers, a me ultrasounds. ʻO ka hana o ka physiotherapy i kēia hihia ʻo ia ka hoʻomaikaʻi ʻana i ke kahe o ke koko o nā ʻōpū pelvic, hoʻomaikaʻi i nā kaʻina hana o ka hana hou ʻana o ka endometrium, a me ka hoʻonui ʻana i ka pale pale.4.

5. Hormone therapy

Hoʻohana ʻia ka hormone therapy i kekahi mau hihia e mālama a maʻamau i ka ulu ʻana o ka endometrium. Ma ke ʻano he kānāwai, i kēia hihia, ua kuhikuhi ʻia nā contraceptive waha i hui ʻia, no ka laʻana, Regulon a me Novinet. Ke hoʻolālā ʻana i ka hāpai ʻana, hoʻohana ʻia ka progesterone.

Ka pale ʻana i ka endometritis

No ka paleʻana i ka endometritis i nā wāhine,ʻo ka mea mua, pono e komo i ka paleʻana i nā maʻi maʻi: e ho'ēmi i ka heluna o ka moekolohe, e hoʻohana i ka condom, e lawe mau i ka swabs no nā maʻi, a ma ka hihia o ka maʻi, e hana i ka manawa kūpono. ʻO kekahi ʻano koʻikoʻi ka pale ʻana i ka hāpai keiki, no laila pono ʻoe e noʻonoʻo pono i ka pilikia o ka contraception.

- ʻOiaʻiʻo, paʻakikī loa ka pale ʻana i ka hāpai ʻole ʻana, no laila, inā e kū kēia, pono ia e mālama mau ʻia a hahai i nā ʻōlelo aʻoaʻo a kahi obstetrician-gynecologist. E hōʻemi kēia i nā pilikia i ka wā e hiki mai ana, "wahi a Anna Dobychyna.

Nā nīnau a me nā pane kaulana

Ua pane ʻia nā nīnau kaulana e pili ana i ka endometritis i nā wahine kauā, obstetrician-gynecologist o ka European Medical Center Oleg Larionov.

He aha ke kumu o ka endometritis?

- ʻO ka mea mua, pono e hoʻokaʻawale i ka endometritis, ʻaʻole pili me ka hāpai ʻana, a me ka endometritis, kahi pilikia ma hope o ka hānau ʻana, ka mea i kapa ʻia ʻo postportal endometritis. ʻO ka ʻokoʻa i ka microflora e hoʻomaka ai ka maʻi.

He mea maʻamau ka endometritis ma hope o ka hānau ʻana. Hoʻokumu ʻia ia e ka microflora, ka mea maʻamau i loko o ka ʻōpū, akā ʻaʻole i komo i loko o ke kaiapuni sterile o ka lua uterine i ka wā o ka hānau ʻana. Me ka postporal endometritis, loaʻa nā ʻeha nui ma ka ʻōpū haʻahaʻa, purulent nui a kahe koko paha mai ka ʻāpana genital, piʻi ka mahana o ke kino, a piʻi ka puʻuwai puʻuwai.  

ʻO ka Endometritis, ʻaʻole pili me ka hāpai ʻana a me ka hānau ʻana, ʻo ia ka hopena o nā maʻi i lawe ʻia e ka wahine. Hoʻokumu ʻia ia e ka chlamydia, gonorrhea a me nā maʻi ʻē aʻe. Eia kekahi, ʻo ke kumu paha he hana lapaʻau, no ka laʻana, ka hoʻokomo ʻana i kahi mea intrauterine, hysteroscopy me ka curettage o ka ʻōpū, abortion.

No ke aha e pilikia ai ka endometritis?

– Hiki i nā hopena a me nā pilikia o ka endometritis: piʻi aʻe ka pilikia o ka hānau keiki ʻole, ka hāpai ʻana o ka ectopic, ka ʻeha pelvic mau, a me ka endometritis mau. Hiki i ka endometritis maʻi ke hōʻeha i ke ʻano maʻamau o ka hāpai ʻana, no ka laʻana, ka hāʻule ʻole ʻana, ka hānau mua ʻana, ka haki ʻana o ka wai amniotic.

Pehea ka lōʻihi o ka mālama ʻana i ka endometritis?

- ʻO ka mālama ʻana i ka endometritis ke koho ʻana i nā lāʻau antibacterial. ʻO ka mea - pili i ke ʻano o ka endometritis. ʻO ka lōʻihi o ka mālama ʻana he 10-14 mau lā. Eia nō naʻe, inā i ka mālama ʻana i ka endometritis acute ʻaʻole i loaʻa kahi hoʻomaikaʻi nui i loko o nā hola 24-48 e hiki mai ana, a laila pono ʻoe e noʻonoʻo e pili ana i ka hoʻololi ʻana i ka lāʻau antibiotic.
  1. Serebrennikova KG, Babichenko II, Arutyunyan NA ʻO ka mea hou i ka hōʻailona a me ka mālama ʻana i ka endometritis maʻi i ka infertility. Ka maʻi kino. 2019; 21(1):14-18. https://cyberleninka.ru/article/n/novoe-v-diagnostike-i-terapii-hronicheskogo-endometrita-pri-besplodii
  2. Plyasunova MP, Khlybova SV, Chicherina EN Hoʻohālikelike hoʻohālikelike o nā ʻāpana ultrasound a me Doppler i ka endometritis mau. Ultrasonic a me ka hana diagnostics. 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. ʻO ka endometritis maʻi: etiology, clinic, diagnostic, treatment. ʻO Russian Bulletin o kahi obstetrician-gynecologist. 2013; 13(5):21-27. https://cyberleninka.ru/article/n/hronicheskiy-endometrit-puti-resheniya-problemy-obzor-literatury
  4. Nazarenko TA, Dubnitskaya LV Hiki i ka enzyme therapy o ka endometritis maʻi i nā maʻi o ka makahiki hānau. Nā pilikia o ka hānau keiki 2007; 13(6):25-28. https://gynecology.orscience.ru/2079-5831/article/view/27873

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