A tsarin tsarin cututtuka na gynecological a cikin mata masu haihuwa, yawancin cututtuka na asali ya bambanta daga 3% zuwa 70%, wanda shine saboda yawancin canji a cikin adadin abubuwan lura, ƙwarewar tabbatarwar kwayar cutar ta ganewar, da bambance-bambance a cikin magungunan marasa lafiya da kuma abubuwan da aka bincika. Duk da fadada tsarin tushe na kwayoyin halitta, endometritis, bayyanar cututtuka da kuma maganin wanda zai iya bambanta da muhimmanci dangane da bayyanuwar asibiti, masu aikin likita sun fuskanci matsaloli tare da ganewa da maganin cutar. Wannan fasalin ya bayyana ta hanyar fasalitattun yanayi a yanayin zamani: ƙaruwa mai karfi na microflora pathogenic zuwa kwayoyi, maye gurbin tsarin ilimin kwayar cutar da cutar tare da karuwa a furen hoto, da tsawon lokaci na jiyya.
Menene endometritis a cikin mata?
Endometritis ƙari ne a cikin asibiti da kuma morphological wanda ke da rikicewar canje-canje a cikin ƙarshen halitta na asali na ƙwayar cuta, wanda ya haifar da wani cin zarafin "karbar" iyawa da canzawar cyclic na nama. Haka kuma cutar ta haifar da raguwa a cikin haihuwa, rashin cin zarafin aiki, ɓarna, tarin ciwon tayi, rashin haihuwa. A lokaci guda, tasiri na farfadowa na endometrial baya wuce 60-68% ba.
Ƙananan endometritis: bayyanar cututtuka da magani
Hanyar magungunan farko, wadda ba ta wuce bayan mahaifa, ta taso ne sakamakon sakamakon hawan magungunan ciwon maɗaukaka tare da canjin mahaifa. Mafi sau da yawa, kwayoyin shigar da endometrium tare da lalata mutuncin ɗakun hanji na ciki - a lokacin zubar da ciki, tace jiki na cikin mahaifa da wuyan ƙuƙwalwa, sakawa da na'urar intrauterine da sauran ayyukan.
Alamomin m endometritis:
- karuwa a cikin yawan zazzabi;
- jin zafi, zafi a cikin ƙananan ciki;
- bayyanar wani abu mai rarrafe mai rarrabe daga jikin jini.
Matakan bincike:
- tarin na emenesis (rashin / kasancewar safarar intrauterine, necrosis na kumburi mucous);
- Gynecological jarrabawa (ya nuna wani karamin mahaifa);
- binciken bincike bacteriological (ƙayyade ƙananan ƙwayoyin microbial);
- Duban dan tayi na ƙwayoyin pelvic;
- laparoscopy (ya sa ya yiwu a bincika appendages, cire wasu m pathologies);
- endometrial biopsy.
Jiyya da hangen nesa
Maganar endometritis mai mahimmanci na buƙatar maganin rigakafi. Hanyar mai kumburi yana rinjayar basal Layer na endometrium saboda kamuwa da cuta tare da nonspecific / takamaiman pathogens. Bayanai masu karewa na ƙarsometrium suna da alaka da tasirin jima'i na jima'i, "aikin" tare da yawan yawan kwayoyin halitta waɗanda ke tsayar da ƙwayoyin cutarwa. Da farko na al'ada, wannan shamaki ya ɓace, wanda ya sa kamuwa da cuta daga jikin mucous zai yiwu. Shirin maganin ya haɗa da maganin kwayoyin cutar da physiotherapy. Sanarwar yana da kyau: tare da magani mai kyau da dace, cikakken dawowa ya faru a cikin kwanaki 7-10.
Arshen endometritis na yau da kullum: bayyanar cututtuka da magani
Labaran lokaci na ƙarshe shine cuta wadda, saboda launi na ciwon daji na endometrium, canje-canje na aiki na biyu yana faruwa wanda ya rushe matsayin mai karɓar hali da canji na cyclical jikin mahaifa. A cikin kashi 95% na shari'un, ChE yana da mummunan hali, tsokani da kwayoyin halitta, da jima'i da daukar kwayar cutar, da kuma tasowa bayan yin amfani da intrauterine. A cikin kashi 5 cikin dari na ƙwayoyin cuta, ChE ya taso ne sakamakon sakamakon kamuwa da cuta tare da lymphogenic, hematogenic, hanyar saukowa daga ƙananan ƙwayar cuta. Ƙarƙashin ƙamantuwa da ƙayyadaddun takaddama, wanda lalacewar mycoplasmas, fungi, kwayoyin cuta, ƙwayoyin cuta, lalacewa na ƙarshe ke haifarwa.
Endometrite daga cikin mahaifa - abubuwan da aka saɓawa a ciki:
- rage yawan tsaro na kare jiki na jiki;
- yanayi mara kyau, yanayi mara kyau, rashin abinci mai gina jiki;
- M-inflammatory cututtuka;
- neuroendocrine pathologies, hauhawar jini;
- mai kumburi koda cuta;
- nakasassu na nakasassu, STDs, anemia, cututtuka na bronchopulmonary;
- cututtuka na tsarin haihuwa na mace;
- Amfani da ƙwayoyin intrauterine, na tsawon lokaci zuwa wannan sashe;
- da yawa daga cikin kayan aiki na kayan aiki a cikin ɗakin kiɗa;
- rikitarwa bayan haihuwa / cikiwar wani yanayi mai cututtuka-mai kumburi;
- cututtuka na cervix / farji;
- Radiation far a cikin yankin pelvic.
Kwayoyin cututtuka na ƙarshen gado:
- cin zarafin aiki. Kasancewar ci gaba mai ƙin ƙananan ƙananan ƙananan ƙwayoyin cuta yana haifar da rashin aiki na nakasassu a cikin kashi 50-60% na marasa lafiya - wannan yana nuna ne daga amenorrhea, algodismenorei, oligomenorrhea. Abun hankalin na yau da kullum shine haɓakaccen dan lokaci da kuma tuntuɓar tuntube, yin amfani da kowane wata, ciwo mai tsanani;
- ciwo na ciki, mahaukaciyar hanzari na jini;
- rushewar aiki na gastrointestinal tract. Rashin jin daɗi a lokacin motsi na zuciya, da maƙarƙashiya, damuwa, flatulence, rage yawan ci;
- yanayin yanayin mura-kamar. Da zazzabi, zazzabi, ciwon jiki, general malaise.
Arshen endometritis na zamani: bayyanar cututtuka da magani, ganewar asali
Binciken asali na ƙarshen ƙaƙƙarfan ƙaddara yana dogara ne akan nazarin tarihin mai haƙuri, bayyanar cututtuka, binciken nazarin halittu akan endometrium, wanda aka yi a ranar 7-10th na sake zagayowar.
Abubuwan da ke tattare da ganewar kwayoyin halitta na ƙarshen zamani:
- inflammatory infiltrates, wanda ya ƙunshi lymphoid aka gyara a kusa da jini da gland, mafi sau da yawa sau da yawa. A cikin bayyanar, kwakwalwan suna kama da nau'in kwakwalwa kuma an gano su a cikin dukkan sassan sashin aikin;
- gaban kwayoyin cutar plasma;
- taƙaitaccen tsinkayyar stroma, wanda aka kafa tare da dogon lokaci na aikin mai kumburi, a wasu lokuta, manyan yankuna masu girma;
- lalacewar ɓarna na ganuwar suturar karfin jiki wanda ke nunawa a bayan tushen cututtuka mai tsanani da kuma ci gaba da gudana daga cikin ƙarshen.
Yin gargajiya
Daidaitan zinariya a kula da ChE shine tsarin matakan da ake nufi don kawar da ƙananan kumburi da kuma kawar da illa ga tsarin mai kumburi, ciki har da kawar da sinadarai na nama, lalacewa na biyu, sake farfado da na'urorin mai karɓa da kuma ƙananan jini na ƙarshen ciki. Makirci mai mahimmanci ya kamata ya zama mai karɓa kuma yana da cikakkiyar barazana kuma ya dogara ne akan sakamakon bincike mai zurfi.
Sakamakon farfajiya CHE:
- Kashe wani wakili na rushewa ko ragewa a ayyukan bidiyo. Tsarin maganin antimicrobial ya kamata a tabbatar da cire wani nau'in kwayoyin halitta, ciki har da trichomonads, chlamydia, streptococci, gonococci, da ƙwayoyin cuta. A wasu lokuta, likitoci sun tsara wasu darussa tare da canji na kungiyoyi na magani, wanda ya zaɓa daga sakamakon binciken binciken kwayoyin halitta na kogin mahaifa da farji, mataki na tsarin kumburi da siffofin hoto. A cikin layi daya, gyaran gyarawa na rigakafi an gudanar.
Drugs: haduwa da nitroimidazoles (Metronidazole, Ornidazole) da kuma fluoroquinolones (Ciprofloxacin, Ofloxacin, Levofloxacin), hade da penicillin kare tare da macrolides (Spiramycin, Roxithromycin). Idan kamuwa da cututtuka na bidiyo ne, ana amfani da analogues masu amfani da kwayoyin halitta (Valtrex, Acyclovir).
Gingwadon yiwuwar samfurin illa ga endometrium da kuma kawar da sakamakon sakamakon lalacewar marasa lafiya: sabuntawa na metabolism, aiki da hemodynamics na masu karɓa na nama. Magunguna da ke nuna rashin cin zarafi na aikin haifuwa an tsara su ne na zamani na hormone, wanda aka tsara don ƙara yawan yiwuwar shigarwa.
Shirye-shirye: na kwayoyin halitta (Actovegin)
Physiotherapy: magnetotherapy, electropulse far.
Babbar mahimmanci don maganin ci gaba: karuwa mai yawa a cikin aikin mai cutar, maganin bayyanuwar cututtuka na cututtuka, sabuntawa da kuma tsarin halittar jiki, sake farfadowa da haihuwa.
Candles tare da ChE
Ana amfani da kyandiyoyi a maganin cututtuka na yau da kullum don ƙarin magani na gida don cimma nasarar dawo da sauri. Suna hana rikici ta hanyar mummunan kwayoyin halittu akan cutar da maganin rigakafi, kada ka yarda da ci gaba da rikitarwa mai tsanani da kuma lalacewa ta biyu daga mahaifa daga magungunan kwayan cutar daga ƙananan genitalia.
A wace yanayi ne kyandir ke amfani da ita:
- babban cutometritis, wanda ke tare da dysbiosis na vaginal;
- ƙonewa na cervix / farji;
- lalacewa na ƙarshe;
- adhesions a cikin rami na kogin da ke cikin ƙananan hanyoyi.
Irin nau'ikan zane-zane:
- hade. Ya ƙunshi: Neomycin (cututtukan aminoglycoside), Ternidazole (maganin antimicrobial), Prednisolone (wakili glucocorticoid), Nystatin (magani na antifungal);
- tare da antiseptic. Candles tare da betadine (iodine-dauke da wakili) da kuma tare da chlorhexidine (antiseptic);
- tare da tsire-tsire. Yi jin daɗi, warkaswa, antimicrobial, sakamako mai ƙyama.
Ba za a iya la'akari da zane-zane na al'ada ba kamar yadda tsarin hanyar CHE yake. Sanya su ga likita kawai, la'akari da matakin, hoto na asibiti da lafiyar mace. Tsawancin lokaci na jiyya tare da kyandir na 12-14 days.
Endometritis na Ƙasar gida: bayyanar cututtuka da magani
Endometritis na Ƙarshen ciki shine ƙonewa na mucosa mai ciki wanda ke faruwa bayan bayarwa. A cikin kashi 10 cikin dari na ƙwayoyin ƙwayar ƙwayar cuta suna ƙaura zuwa kasusuwan muscular na mahaifa, yana haifar da ci gaban endomyometritis. An gano cutar PE sau da yawa - wannan ne saboda dalilai da dama: amfani da yaduwar ƙwayoyi masu tasowa, karuwa a cikin mota na aiki a lokacin bayarwa, da tarawa na maganin kwayoyin halitta a asibitoci, yin amfani da corticosteroids wanda ke nuna halin aikin immunosuppressive. Ya kasance mai saurin canji da kuma matsala na mata masu rikitarwa - matan yau da nau'o'in jahilci, tare da cututtuka na karin, bayan gyaran halayen hasara, tare da kamuwa da kwayar cuta, wadanda ke da haɗari ga ƙwayar cuta, sun cika.
Endometritis bayan haihuwa - symptomatology
A 5-10th rana bayan haihuwa, da yawan zafin jiki ya kai zuwa 38-39 digiri, mai ƙarfi sanyi ya fara, bugun jini ƙara zuwa 85-100 kara a minti daya. A cikin jinin, adadin leukocytes da ramin erythrocyte sedimentation yana ƙaruwa, an ƙaddamar da ciwon ciwon ciki da tabo. Abun ciki mai zurfi "farawa" a ranar 2-3 bayan bayarwa. A kashi 25 cikin dari na lokuta yana tasowa bayan sassan cearean ko aiki mai ƙyama. Rashin rauni, ciwon kai, zafi na ciki, anorexia, ciwon zuciya, tachycardia, high fever (sama da digiri 39) an lura. Bayan kwanaki 1-2, maɗauran mahaifa ta zama zalunci. Rashin ciwon ƙarancin ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa ne sau da yawa rikitarwa ta hanyar ciwon zuciya, wadda take kaiwa ga shigar da microbes a cikin kogin peritoneal da peritonitis.
Jiyya na endometritis na postpartum
Dole ne farfadowa ta PE ya kamata ya zama cikakke, wanda ake nufi da gano wuri na ƙin ƙonewa, rarrabuwa da magungunan cutar, kunna kare rayukan jiki da detoxification. Abubuwan da ke tattare da jiyya sune maimaitawa, antibacterial, jiko (jaraba mai ciwo), amfani da kwayoyi da rage yawan mahaifa. Wasu lokuta ana nuna alamar ƙwayar cikin mahaifa, siffofin mai tsanani na endometritis na buƙatar yin amfani da plasmapheresis - kawar da wani abu mai mahimmanci na plasma jini, microbes, toxins, cryoglobulins. An kiyasta tasirin farfadowa a cikin kwanaki 7, idan babu wani sakamako mai kyau, za a warware matsalar da za a cire cire cikin mahaifa.
Jiyya na endometritis tare da mutane magunguna
Hanyar mutane don magance endometritis suna da tasiri, idan an yi amfani da su bayan shawarwari tare da likita wanda zai zaɓa mafi kyawun haɗin Allunan da magunguna.
Jiko na ivy. Ɗauki teaspoon na ganye mai yayyafi, ku zuba milliliters 250 na ruwan zãfi, na dage 12-14 hours. Ku kawo jiko a tafasa, cire daga zafin rana, dagewa minti 10-15, sauƙi. Yi amfani da sau uku a rana don milliliters 100. Don dandano, zaka iya ƙara sugar ko zuma. Contraindications: mutum rashin haƙuri, anemia, ciki.
Tattalin ganye. Ƙwayoyin magani suna lalata kamuwa da cuta, mayar da mutunci na mucosa, dakatar da tsarin ƙin ƙwayar cuta:
- valerian tushe, yarrow, Mint, furanni heather, birch ganye, buckthorn haushi, blackberry ganye;
- ciyawa Goose geese, valerian tushe, Mint ganye, buckthorn haushi;
- ciyawa street, herb tansy, licorice tushe, aira.
- Broth of St. John's wort. Ɗauki manyan kayan lambu, zuba gilashin ruwan zãfi, sa wuta, tafasa don minti 15-20, magudana. Sha broth sau uku a rana don 50 milliliters a kan komai cikin ciki.
Jiko na fern. Tablespoon ganye na fern (crushed) daga 250 milliliters na ruwan zãfi, nace minti 15-20, magudana. Ku ci 50-70 milliliters sau hudu a rana kafin abinci. Hanyar magani shine kwanaki 14-21.
Lamba tare da aikin antibacterial:
- tare da tafarnuwa. Rage kumburi da kamuwa da cuta. Kwafa albasa da tafarnuwa, a yanka a wurare 2-3, a cikin man kayan lambu, a nannade cikin gauze, a cikin farji na tsawon sa'o'i 10-12;
- tare da teku buckthorn man fetur. Hanzarta mucosal waraka;
- tare da plantain. Soothe da taimaka warkar da mucous mahaifa. A wanke sabo ne na ganye, kara, hada da man fetur. Yi juyawa a cikin kullun, a cikin farji don 10-12 hours.
Endometritis da endometriosis: menene bambanci?
Duk da irin wadannan sunayen, endometriosis da endometritis su ne daban-daban cututtuka daban-daban. Ta hanyar halayensa, endometriosis yayi kama da ƙananan neoplasms, ba shi da alaka da matakan kumburi na rigakafin ilimin halitta a endometrium, ya bambanta da su ta hanyar asibiti da kuma bincike-bincike-bincike.
Babban bambanci
Endometriosis - samuwar nau'ikan naman alade, kama da tsari ga mucosa na uterine. Tumors suna kan bango abubuwan haɗari na hormonal, waɗanda aka gano a cikin yankin pelvic - daga cikin mahaifa da ovaries zuwa ga mafitsara da kuma hanji. Ba a fahimci irin wannan cuta ba, likitoci sun yarda da cewa endometriosis yana da lahani a cikin tsarin rigakafi. Saboda rashin lafiyar cuta, ana haifar da endometrium. Endometritis wani tsari ne na ƙwayar ƙwayar jikin mahaifa na tushen asali, wanda ke haifar da hyperplasia endometrial.
Janar hoto
A lokacin haila tare da endometriosis, an ƙi yawan membrane mucous, tare da jini ya zubar da kwayoyin halitta wanda ya sake shiga cikin tubes na fallopian, ya kafa kuma ya fara raba, "gina" sabon nama kusa da sanyi zuwa ƙarsometrium. An kafa kumburi - endometriosis yana cigaba. Maganar tsarin tsarin ilimin lissafi ya kara matsalolin halin da ake ciki: adadin nodes yayi girma a ci gaba na geometric, da kauri daga cikin endometrium melts. Tare da endometritis, saboda karuwa mai yawa a cikin kauri daga jikin mutum mai launi, an kaddamar da lokacin dan lokaci. An fitar da harsashi kuma a mayar da shi a sassan, tare da fitarwa na yau da kullum.
Matsaloli
Endometritis: mayar da hankali na ƙonewa ya ƙyale yiwuwar shigarwa na amfrayo a cikin endometrium.
Endometriosis: mai rauni endometrium ya rasa ikon yin amfani da amfrayo a cikin kanta kuma ya riƙe shi. Gyara kewaye da kowane yanki na pelvic, ƙwallon kafa yana nuna shiri don "dauka" tayin, wanda zai haifar da rashin daidaituwa cikin tsarin jiki.
Zan iya yin ciki tare da endometrium?
Daga cikin mata masu fama da cututtuka, 97% su ne mata / 'yan mata masu haihuwa wanda kawai ya jaddada muhimmancin cutar ta hanyar tasirinta akan haihuwa. Shin yiwuwar haihuwa tare da endometrium? Ainihi, a. Halin da ake ciki na endometrium da ayyukan haifa suna kiyaye su a farkon mataki na cutar saboda ciwon hanyoyin da suka dace, wanda tasiri ya dogara ne akan aikin mahaukaciyar cuta, yanayin tsarin rigakafin, da kuma daidaita tsarin ka'idojin hormonal.
Arshen endometritis da IVF
A cewar WHO, yawan mijin auren da ke cikin ƙasarmu yana da kyakkyawan hali don ƙãrawa, wanda zai haifar da ƙara yawan yawan shirye-shiryen haɓaka mai taimakawa. Abin takaici, yawan adadin kayan embryos ya zama mai girma - a matsakaita 50-60%. Ɗaya daga cikin mahimman dalilai na rashin nasarar IVF shirye-shiryen shine cututtuka na endometrium, endometritis ciki har da. Tsarin kwayoyin cutar da kwayoyin cuta a cikin endometrium na tsawon lokaci da yawa (ganowa) a cikin endometrium yana haifar da mummunar lalacewa na tsarin jiki, da hana cike da lafiya da kuma sanya gurbin embryos. Lalacewar canjin cyclic da haɓakawa (sake farfadowa) na endometrium ya rage yawan ci gaba da suka samu nasara kuma ya rage tasiri na IVF gaba daya.
Dalilin rashin haihuwa a cikin endometrium:
- lalacewa ga aikin mai karɓa na mahaifa tare da rashin aiki na fahimtar lafiya game da aikin hormonal;
- fiye da matakin zartar da estradiol, wanda yana da mummunar tasiri a kan aikin rawaya a lokacin na biyu na sake zagayowar;
- deformation na karkace tarin da ba su fuskanci damuwa ta ciki-takamaiman;
- cin zarafin jini na al'ada a cikin mahaifa;
- ci gaba a cikin ɗakun hanji na mahaifa wanda ke rushe tsarin gabatarwar oocyte;
- lalacewa ta atomatik na spermatozoa kama a tarko a cikin ɗakin kifin ciki;
- gyare-gyare na ƙananan ƙananan tubes saboda ƙaurawar kamuwa da cuta zuwa gabobin da ke kusa da su.
Babban haɗari shine ChE, kamar yadda ya zo da hoto mai ban mamaki. A cikin mummunar cututtuka, mace tana damu da bayyanar da bayyanar cututtukan da ke nunawa ga likitoci. Bugu da ƙari, tsarin mai zurfi, wanda ya bambanta da na yau da kullum, ya fi dacewa da farfadowa.
Shirye-shiryen shirin pre-IVF
Marasa lafiya waɗanda suka sami gazawa / rashin cin zarafi na embryo a cikin tarihin likita dole ne su dauki shiri na farko (shiri don daukar ciki), wanda ya hada da rigakafi, bincike da maganin warkewa. Bayan an shirya shirye-shiryen farko, tasiri na farko na IVF a kan tushen ƙarsometritis shine 45-50% a matsakaici.
Sakamakon jarrabawa:
- Duban dan tayi daga cikin mahaifa / appendages, nazarin bacteriological bincike na aspirate daga cikin mahaifa da kuma separable daga cervix;
- gwajin dopplerometric na appendages da mahaifa tare da ƙuduri na jini a cikin yankin pelvic;
- kimantawa na matsayi na rigakafi;
- Tabbatar da matakin hormones na pituitary gland shine yake, thyroid gland shine yake. jima'i na jima'i;
- binciken nazarin halittu na kwayoyin halittu don rashin kulawa da cututtuka.
Fasali na IVF a endometrium
Hormonal goyon bayan watanni 3-5. An shirya shirye-shiryen la'akari da bayanai na gwajin gwaje-gwaje da kuma shekarun mace. Yana ba da dama don sake farfado da farfadowa na masu karɓar mahaifa don abubuwan haɗarin hormonal:
- mata da matakan al'ada na endometrium (8 millimeters ko fiye) da kuma jini na al'ada ta al'ada a cikin arteries basal an rubuta Dydrogesterone ciki, 10 MG sau biyu a rana. Jiyya hanya - 10 days (daga 16 zuwa 25 ranar sake zagayowar);
- Marasa marasa lafiya da aka rage wacce ake ba da umurni an rubuta wa mata a kan kwaya sau ɗaya a rana (kwanaki 28) ko kuma yin aikin farfadowa tare da hormones (Estradiol + Dydrogesterone);
- mata da ke da tarihin haɗuwa da rage yawan jini a cikin jiragen ruwa tare da ragewa a cikin kauri daga cikin endometrium, sun kafa farfadowa na yanayi da kuma tafarkin acupuncture.
- Tabbatar da cin zarafin jini ya dace da farfadowa da dacewa tare da masu amfani da kwayoyin halitta, da jami'in antiplatelet da jami'in phlebotonic.
- A gaban ɓoye pathogenic a cikin mahaifa ya rubuta kwayoyin antiviral da antibacterial.
- Tare da karkacewa a cikin aiki na tsarin rigakafin, anyi aikin farfadowa na immunomodulatory.
- Sanya hanyoyin da za su inganta jini don inganta jini da kuma kara yawan kariya daga gida.
Endometritis, bayyanar cututtuka da kuma maganin wanda yafi dogara ne akan mummunan hoton hoton - mummunar cuta mai banƙyama, wanda ke haifar da rashin haihuwa da rashin kuskure. Sakamakon ganewar marigayi, tsarin kulawa mara kyau na iya haifar da fitowarwar kamuwa da cuta ta hanyar kullun, don haka a farkon alamun alamar farawa ya kamata a tuntuɓi likita da farawa ta hanyar farfadowa.