Endometritis yog ib yam kab mob ntawm lub endometrium, uas yog, txheej sab hauv ntawm lub tsev menyuam mucosa. Feem ntau tshwm sim nrog rau qhov mob ntawm cov leeg nqaij - myometritis. Thoob plaws hauv kev coj khaub ncaws, lub endometrium hloov nws cov qauv, loj hlob ntxiv tom qab txhua qhov kev tsis lees paub, los npaj cov av rau kev sib txuas ntawm lub qe fertilized.
Nquag, uterine kab noj hniav muaj kev ntseeg siab tiv thaiv kab mob. Txawm li cas los xij, nyob rau hauv qee qhov xwm txheej, kev nkag mus ntawm cov kab mob pathological mus rau hauv lub tsev menyuam kab noj hniav tshwm sim, ua raws li kev loj hlob ntawm tus mob endometritis.
Feem ntau qhov kev ua txhaum cai no ua rau muaj menyuam tsis taus, nchuav menyuam, muaj teeb meem thaum cev xeeb tub thiab yug menyuam. Tsis tas li ntawd, kev tsis zoo ntawm kev noj qab haus huv tuaj yeem pom nyob rau lub sijhawm tom qab yug menyuam. Txhawm rau txiav txim siab seb yuav kho cov kab mob endometritis li cas, koj yuav tsum ua qhov kev kuaj mob kom paub meej kom paub qhov tseeb thiab txiav txim seb tus yam ntxwv ntawm tus kab mob.
Ntxhais kab mob
Ua ntej peb mus rau cov tsos mob thiab kev kho mob endometritis, koj yuav tsum nkag siab meej tias tus kab mob no yog dab tsi. Lub tsev menyuam muaj 3 txheej, pathology tsim nyob rau hauv lub puab txheej, uas kuj muaj 2 seem.
Superficial raug tsis lees paub nrog txhua lub caij cev khaub ncaws, thiab ib qho tshiab loj hlob los ntawm qhov basal. Thaum cev xeeb tub, qhov saum npoo atrophies, thiab tsim cov membranes koom nrog kev loj hlob ntawm fetus tshwm sim. Endometritis yog tus cwj pwm los ntawm kev mob ntawm cov txheej txheem basal, vim tias cov txheej txheem ua haujlwm tau hloov kho txhua lub sijhawm thaum cev xeeb tub. Nyob rau hauv ib txwm lub xeev, lub tsev me nyuam kwj dej tiv thaiv kev nkag mus ntawm cov kab mob, thiab cov mucosa yog kho tshiab kom tsis txhob sib sib zog nqus nkag mus rau hauv cov khaubncaws sab nraud povtseg ntawm lub tsev menyuam.
Kab mob tshwm sim los ntawm kev puas tsuaj rau cov mucosa, thaum nws txoj haujlwm tiv thaiv txo qis, thiab tseem muaj kev tiv thaiv tsis zoo. Daim ntawv mob hnyav feem ntau tshwm sim tom qab kev rho menyuam dhau los, kev yug menyuam, thiab ntau lwm yam kev ua haujlwm uas tau ua ntawm lub tsev menyuam. Daim ntawv mob ntev yog tsim nrog tsis kho mob endometritis. Feem ntau, cov txheej txheem inflammatory kis mus rau cov khaubncaws sab nraud povtseg ntawm lub tsev menyuam. Tus kab mob nws tus kheej tsis txaus ntshai, txawm li cas los xij, yog tias cov tsos mob ntawm endometritis tsis pom nyob rau lub sijhawm, kev kho mob yuav ntev, thiab cov teeb meem txaus ntshai kuj tuaj yeem tshwm sim.
Kev faib tawm
Nyob ntawm cov tsos mob, endometritis hauv cov poj niam tuaj yeem sib txawv heev, txawm li cas los xij, nyob rau hauv cov ntaub ntawv mob ntev, tsis muaj cov cim qhia meej. Raws li kev faib tawm uas twb muaj lawm, cov kab mob hauv qab no tau txawv:
- ntsim;
- subacute;
- chronic;
- exacerbation of chronic inflammatory.
Cov kab mob hnyav tuaj yeem ua rau focal lossis diffuse, thiab nyob rau hauv daim ntawv mob ntev, hypertrophic, atrophic, thiab cystic hom o tuaj yeem pom. Cov tsos mob thiab kev kho mob ntawm endometritis feem ntau yog nyob ntawm kev txiav txim siab hom kab mob tiag tiag, yog li tus kws kho mob yuav tsum pib ua ntau yam kev kuaj mob.
Kev tshwm sim
Nyob ntawm qhov ua rau mob, cov tsos mob thiab kev kho mob ntawm endometritis (daim duab) tuaj yeem sib txawv heev. Lub ntsiab provoking yam yog qhov swb ntawm cov khaubncaws sab nraud povtseg ntawm endometrium thiab nkag mus ntawm cov kab mob. Rau txoj kev loj hlob ntawm tus kab mob, kev nkag mus ntawm cov kab mob yog qhov tseem ceeb, nrog rau kev txo qis hauv kev tiv thaiv mechanisms. Kab mob tuaj yeem kis tau ntau txoj hauv kev:
- ntawm lub ncauj tsev menyuam lossis qhov chaw mos;
- by lymphogenous method;
- txoj kev hematogenous.
Nyob ntawm tus kab mob ua rau tus kab mob, nws tau muab faib ua cov endometritis tshwj xeeb thiab tsis tshwj xeeb. Ib hom tshwj xeeb yog cuam tshuam nrog kev tsim tawm hauv lub tsev menyuam kab noj hniav ntawm cov kab mob. Cov tsos mob uas tsis yog tshwj xeeb yog vim kev siv cov cuab yeej hauv lub cev, irradiation ntawm thaj chaw uterine, nrog rau kev ua txhaum ntawm lub xeev ntawm microflora, hormonal hloov hauv qhov tsis muaj kab mob.
Feem ntau muaj kev pheej hmoo yog cov neeg mob uas:
- yav tas los rho menyuam lossis nchuav menyuam;
- yog nyob rau lub sijhawm ntawm kev coj khaub ncaws;
- muajKev raug mob raug mob.
Endometritis tuaj yeem tshwm sim txawm tias douching ua tsis raug. Kuj tseem muaj kev pheej hmoo yog cov poj niam uas hnav cov khoom siv hauv tsev menyuam, raug kev txom nyem los ntawm kev mob ntawm lub ncauj tsev menyuam, thiab kuj muaj candidiasis.
Nws yog ib qho tsim nyog sau cia tias kev ua txhaum cai ntawm kev siv tampons yog qhov tseem ceeb, uas tuaj yeem ua rau muaj qhov tshwm sim ntawm toxic shock syndrome. Lwm qhov ua rau endometriosis tuaj yeem ua rau muaj kev ntxhov siab ntev, uas ua rau muaj kev pheej hmoo kis mob ntau ntxiv.
Cov tsos mob tseem ceeb
Raws li qhov xwm txheej ntawm chav kawm, cov kab mob hnyav thiab mob ntev yog qhov txawv. Cov tsos mob ntawm endometritis nyob rau hauv cov poj niam uas muaj mob hnyav tshwm sim nyob rau hauv thawj lub lim tiam tom qab yug me nyuam, rho menyuam thiab raug mob rau lub tsev me nyuam mucosa. Ntawm cov cim tseem ceeb ntawm chav kawm ntawm pathology, cov hauv qab no tuaj yeem paub qhov txawv:
- kev puas tsuaj ntawm kev noj qab nyob zoo;
- pab mob hauv plab plab;
- kub nce;
- uterine los ntshav.
Cov tsos mob thawj zaug ntawm endometritis yuav tsum tau kho tam sim ntawd, yog vim li cas koj thiaj li yuav tsum tau kuaj xyuas tam sim ntawd. Txoj kev kho yog tsom rau kev tshem tawm cov txheej txheem sib kis thiab tiv thaiv kev hloov pauv mus rau theem ntev.
Lub sijhawm mob hnyav yuav kav ntev li ib lim piam lossis ntev dua me ntsis. Nrog rau kev kho raws sijhawm, koj tuaj yeem ua tiav qhov txiaj ntsig zoo.
Cov tsos mob thiab kho mob endometritis ob pebtxawv ntawm qhov mob hnyav. Ntawm cov cim tseem ceeb ntawm kev ua txhaum cai yog cov hauv qab no:
- tsis xwm yeem ntawm kev coj khaub ncaws thiab lawv lub sijhawm;
- mob siab;
- hloov tus lej faib;
- los ntshav los ntawm qhov chaw mos sab nraum lub caij nyoog.
Qhov hnyav ntawm cov txheej txheem pathological yog txiav txim siab los ntawm qhov tob thiab lub sijhawm ntawm cov kev hloov pauv hauv cov qauv ntawm endometrium.
Diagnostics
Ua ntej txiav txim siab yuav kho endometritis li cas, koj yuav tsum tau ua tiav kev kuaj mob, uas suav nrog:
- kab lis kev cai kab mob txhawm rau kuaj cov kab mob;
- ultrasound scan;
- hysteroscopy;
- kev ntsuam xyuas morphological;
- PCR kuaj mob.
Kev kuaj mob dav dav yuav txiav txim siab qhov mob ntawm tus poj niam lub cev. Thaum kuaj xyuas ultrasound, tus kws kho mob tuaj yeem ntsuas qhov muaj cov kab mob pathological hauv lub tsev menyuam, nrog rau cov kab mob vascular. Thaum kuaj xyuas, nws muaj peev xwm txheeb xyuas tsis tau tsuas yog endometritis, tab sis kuj muaj lwm yam pathologies ntawm zes qe menyuam thiab uterus.
Txoj kev kho mob
Nyob ntawm cov tsos mob tam sim no, kev kho mob ntawm uterine endometritis yog xaiv nruj me ntsis rau txhua tus poj niam. Nyob rau hauv cov ntaub ntawv ntawm tus kab mob thawj, tus kab mob yuav kho tau yooj yim heev, qhov tseem ceeb tshaj plaws, kev kho tshuaj tua kab mob tuaj yeem pib tau raws sijhawm. Qhov no yuav zam kev txhim kho ntawm cov teeb meem loj. Tshem tawmdaim ntawv ntev yog qhov nyuaj dua. Yog tias muaj cov tsos mob ntawm uterine endometritis, tsuas yog kws kho mob tuaj yeem sau tshuaj kho. Nws yuav tsum suav nrog cov kev kho mob hauv qab no:
- tshuaj tiv thaiv kab mob;
- tshuaj kom normalize ntshav ncig hauv tsev menyuam;
- tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob;
- normalization ntawm qib hormonal;
- kho lub cev;
- tshuaj ntsuab;
- spa kho.
Thaum muaj cov tsos mob hnyav ntawm endometritis hauv cov poj niam, kev kho mob pib nrog kev teem sijhawm ntawm cov tshuaj tua kab mob dav dav, vim qhov no yuav tiv thaiv kev kis tus kab mob tom ntej. Nrog rau chav kawm asymptomatic ntawm tus kab mob thiab kev pheej hmoo ntawm kev xeeb tub, nws yog ib qho tsim nyog yuav tsum siv tag nrho cov txheej txheem kho mob, uas yuav tiv thaiv qhov tshwm sim ntawm cov teeb meem txaus ntshai.
Raws li cov tsos mob ntawm endometritis, kev kho mob ntawm cov poj niam yog ua tiav nruj me ntsis ntawm tus kheej, lub siab xav xeeb tub thiab muaj menyuam hauv lub neej yav tom ntej yuav tsum raug coj mus rau hauv tus account.
Tshuaj
Yog tias muaj cov tsos mob ntawm endometritis, kev kho mob yog nqa tawm hauv tsev kho mob nrog kev ua raws li lub cev thiab lub siab lub ntsws, nrog rau kev ua raws li cov cai hauv qab no:
- txaj;
- dej;
- food;
- so thiab pw tsaug zog.
Lub hauv paus ntawm kev kho tshuaj yog kev teem sijhawm ntawm cov tshuaj txhawm rau tshem tawm cov kab mob thiab ua rau muaj qhov tshwm sim, uas yog vim li casCov nyiaj hauv qab no raug muab:
- tshuaj tua kab mob - Amoxicillin, Metronidazole, Tinidazole;
- tshuaj tiv thaiv kab mob - Flucostat, Clotrimazole;
- tshuaj tiv thaiv kab mob - "Acyclovir";
- tshuaj rau normalization ntawm metabolism - "Actovegin", "Riboxin";
- tshuaj tiv thaiv - Diphenhydramine, Tavegil, Suprastin;
- probiotics - "Bifitrilak", "Bifiform", "Lactusan";
- immunomodulators - "Cycloferon", "Likopid";
- painkillers - "Nurofen", "Analgin";
- Yvitamin complexes.
Txhawm rau tshem tawm cov tsos mob ntawm endometritis, hom mob ntev yog kho nrog tshuaj tua kab mob, tshuaj hormonal, tshuaj tiv thaiv kab mob. Tsis tas li ntawd, nws yog ib qho tsim nyog yuav tsum tau ua cov txheej txheem ntxiv dag zog, nrog rau kev kho kom huv-kev kho mob.
Physiotherapy
Tom qab cov tsos mob hnyav zuj zus (daim duab), kev kho mob endometritis hauv cov poj niam yog ua los ntawm kev siv cov txheej txheem kho lub cev. Physiotherapy tuaj yeem ua tau zoo nyob rau theem mob thiab mob ntev ntawm tus kab mob. Nyob rau hauv tsev kho mob, magnetotherapy thiab electrophoresis feem ntau yog siv. Thaum xub thawj, lub magnetic teb cuam tshuam rau lub cev, normalizes reflex muaj nuj nqi ntawm cov ntaub so ntswg thiab lub cev. Ua tsaug rau kev siv cov txheej txheem zoo li no, nws muaj peev xwm tshem tawm qhov mob, mob, nce kev tiv thaiv, thiab ua kom cov metabolism sai.
Kev kho nrog cov nthwv dej sib nqus yog ua nyob rau theem subacute lossis ntev ntawm cov kab mob. Kev sib tham kav ntev li 10-15 feeb, qhov kev kho mob tau qhia rau 10-20 hnub. Thaum ua cov txheej txheem zoo li no, tus poj niam yuav muaj kiv taub hau thiab tsis xis nyob, txawm li cas los xij, qhov no tsis txaus ntshai.
Rau cov txheej txheem electrophoresis, siv tam sim no, uas ua rau muaj kev nkag mus sai ntawm cov tshuaj mus rau thaj tsam cuam tshuam. Rau cov txheej txheem, them electrodes yog siv, uas nyob rau hauv xws li ib tug txoj kev uas lub tsev menyuam nyob nruab nrab ntawm lawv. Cov txheej txheem no tso cai rau koj tshem tawm qhov mob thiab o hauv ob peb hnub ntawm kev siv tsis tu ncua.
Kev kho lub cev kho mob yog qhia nyob rau txhua theem ntawm tus kab mob. Nyob rau hauv daim ntawv mob, physiotherapy tsuas yog yuav tsum tau nyob rau theem rov qab. Contraindications suav nrog cov qog nqaij hlav, cev xeeb tub, thiab exacerbation ntawm cov txheej txheem inflammatory.
kev kho neeg zoo
Txhawm rau tshem tawm cov tsos mob ntawm endometritis, cov tshuaj pej xeem yog siv los ua kev kho mob ntxiv. Ntau yam tshuaj ntsuab siv los tshem tawm cov tsos mob ntawm tus kab mob, tab sis lawv tsis tuaj yeem tua kab mob thiab kab mob.
Thaum cov tsos mob ntawm endometritis tshwm sim hauv cov poj niam, kev kho mob nrog lwm txoj kev yuav tsum tau pib tam sim ntawd, vim nws nyuaj rau ua tiav qhov xav tau ntawm cov theem tom ntej. Hiav txwv buckthorn roj, uas yog siv los ua tampons, pab tau zoo heev. Cov chav kawm ntawm kev kho mob txuas ntxiv rau 10-12 hnub. Hiav txwv buckthorn roj pab tshem tawm o thiab txhawb cov ntaub so ntswg kho.
Sab hauv koj tuaj yeem noj ib lub decoction ntawm fern nplooj, thiabkuj yog ib tug sib tov ntawm zib mu, aloe thiab cawu cub. Kev kho mob yuav tsum tau ua tsuas yog nyob rau hauv ib tug complex, raws li qhov no yuav ua tau ib tug zoo tshwm sim. Txhawm rau kom tshem tawm cov tsos mob ntawm endometritis kom zoo, kev kho mob nrog pej xeem tuaj yeem ua tiav tom qab sab laj nrog koj tus kws kho mob.
Surgery
Kev phais tsuas yog yuav tsum tau ua yog tias cov kab mob tshwm sim los ntawm qhov muaj cov khoom siv hauv plab lossis qhov seem ntawm lub qe menyuam tom qab nchuav menyuam lossis rho menyuam. Kev cuam tshuam kev phais kuj tau qhia yog tias, tom qab yug me nyuam, tom qab yug me nyuam tseem nyob hauv uterine kab noj hniav.
Txhawm rau ntxuav lub tsev menyuam, kev tshem tawm tau pom, thiab tom qab ntawd muab cov tshuaj ntsev ntsev kom zoo rau qhov kub thiab txias.
Cov kab mob thaum cev xeeb tub thiab tom qab yug menyuam
Tus kab mob no ua rau muaj kev phom sij loj heev thaum cev xeeb tub. Kev kuaj mob raws sij hawm thiab kev kho mob yuav cawm tus me nyuam txoj sia, txwv tsis pub, thaum tus kab mob tshwm sim, tus me nyuam hauv plab yuav tuag.
Cov sab hauv ntawm lub tsev menyuam muab lub cev ib txwm muaj thaum cev xeeb tub. Txhua qhov kev hloov pauv cuam tshuam rau kev loj hlob ntawm tus menyuam hauv plab thiab tuaj yeem ua rau muaj qhov tshwm sim loj heev. Endometritis yog qhov txaus ntshai heev nkag mus rau hauv cov kab mob hauv lub tsev menyuam. Kev kis kab mob ntev ntev tuaj yeem ua rau muaj kev puas tsuaj ntawm placental kev tiv thaiv, kev puas tsuaj rau cov ntaub so ntswg thiab cov kabmob ntawm tus menyuam hauv plab.
Qhov no yog fraught nrog cov ntaub so ntswg txawv txav thiab kev loj hlob ntawm lub cev xeeb tub txaus ntshaikab mob - endometriosis. Tsis tas li ntawd, muaj kev tso tawm cov tshuaj lom uas tuaj yeem hloov lub cev xeeb tub.
Txhawm rau zam kom tsis txhob muaj qhov tshwm sim tsis zoo thiab muaj teeb meem, cov poj niam yuav tsum tau kuaj xyuas txawm tias ua ntej npaj cev xeeb tub. Ntawm cov tsos mob tseem ceeb ntawm endometritis yog mob hauv plab plab, kub taub hau, tawm purulent. Yog li ntawd, thaum thawj cov tsos mob tshwm sim, koj yuav tsum sab laj nrog kws kho mob uas yuav kuaj xyuas thiab sau ntawv kho kom tsim nyog.
Postpartum endometritis yog ib yam kab mob uas tshwm sim thiab tshwm sim raws li qhov teeb meem. Txheeb xyuas nws los ntawm kev kuaj ultrasound. Ntawm cov laj thawj tseem ceeb ntawm qhov tshwm sim ntawm qhov kev ua txhaum cai no yog cov hauv qab no:
- sijhawm yug ntev;
- txiv hmab txiv ntoo loj thiab nws txoj haujlwm tsis raug;
- preeclampsia;
- pelvis;
- poj niam laus;
- ntxov yug;
- qhov chaw tso quav tso zis ntxov ntxov;
- muaj kab mob sib kis.
Thaum cov tsos mob ntawm endometritis tshwm sim tom qab yug menyuam, kev kho mob pib nrog kev kuaj mob ultrasound. Kev kuaj xyuas cov poj niam uas muaj kev pheej hmoo tshwj xeeb yog xav tau, suav nrog cov uas tau rho menyuam dhau los, muaj mob pyelonephritis thiab tonsillitis, nrog rau cov teeb meem tom qab yug menyuam.
Muaj Teeb Meem
Kev kho tsis tau lossis xaiv txoj kev kho tsis raug tuaj yeem ua rau muaj ntau yamteeb meem thiab kab mob pathological, tshwj xeeb:
- kis tus kab mob mus rau hauv lub cev xeeb tub;
- zes qes tsim;
- Yuterine polyps, leiomyoma;
- Miscarriage;
- kev muaj menyuam.
Txhawm rau tiv thaiv kev txhim kho ntawm cov teeb meem txaus ntshai, koj yuav tsum ua raws li tag nrho cov lus pom zoo thiab cov lus qhia ntawm tus kws kho mob.
prophylaxis
Txhawm rau zam kev txhim kho ntawm endometritis, nws yog ib qho tsim nyog yuav tsum tau ua cov kev tiv thaiv kev tiv thaiv, uas muaj nyob rau hauv kev kho mob raws sij hawm ntawm cov txheej txheem inflammatory thiab kis, kab mob sib deev. Tsis tas li ntawd, nws yog ib qho tseem ceeb los tiv thaiv kev rho menyuam, ua tib zoo saib xyuas qhov chaw mos. Nws yog ib qho tseem ceeb uas yuav tau mus kuaj gynecological li niaj zaus kom kuaj pom pathology nyob rau theem pib.
