Endometritis na Ƙarshen gidan likita tana nufin wa] annan cututtuka na gynecological da ke haifar da haihuwar haihuwa. Tare da shi, ƙonewa yana rinjayar membrane mucous na cikin mahaifa, wanda kuma zai iya hayewa tsoka Layer. Bari muyi la'akari da abin da ya faru a cikin dalla-dalla, bari mu sanya ma'anar sa, alamu da hanyoyin hanyoyin farfadowa.
Endometritis na Ƙasar gida - haddasawa
Bayanin haihuwa bayan an haife shi a cikin yankin da aka ajiye a yanzu. A lokacin rabuwa da bayanburn, ana jin dadin jini. An kafa mummunar fuska, wanda shine mai saukin kamuwa da aikin microorganisms pathogenic. Duk da haka, ba koyaushe samun kamuwa ba. Ana cigaba da bunkasa ilimin pathology ta hanyar haifar da dalilai, ciki har da:
- raguwa na rigakafi na gida (kasancewar ciwon kumburi da ƙwayoyin cuta a cikin tsarin haihuwa);
- Hanyar aiki;
- rashin bin ka'idodin tsabtatawa mai tsabta a cikin kwanakin bazara.
Sau da yawa abin da ake buƙata don ci gaba da endometritis na postpartum shi ne rage jinkirin tsarin tashin hankalin (dawo da) na mahaifa, jinkirta na lop-hews. A wannan yanayin, ƙananan microorganisms masu aiki suna aiki a matsayin pathogens wanda zai haifar da rikici, wanda yake a cikin ƙananan adadin tsarin tsarin urogenital. Daga cikin su:
- staphylococcus aureus;
- streptococcus ;
- ƙwayoyin cuta.
Endometritis bayan ɓangaren caesarean
Ƙaddamar da endometritis bayan wadannan sunaye ne saboda aikin tiyata. Sabili da haka, tare da wadanda suke shirin wannanarean, yawan damuwa ba zai wuce kashi 5% ba, kuma idan akwai gaggawa na gaggawa, 22-80%. Endometritis na Ƙarshe, saboda sakamakon caesarean, sau da yawa yana faruwa a cikin mummunan tsari. Wannan shi ne saboda kamuwa da ciwon haɗari a cikin mahaifa da kuma yaduwa da sauri daga ƙonewa fiye da membrane mucous. A sakamakon haka, wasu cututtuka sun ci gaba:
- myometrium - lalacewar muscular Layer;
- metrotromboflebit.
Saboda tsarin kumburi, akwai cin zarafi na tsarin tafiyarwa a cikin bangon da aka watsa na mahaifa. Wannan zai iya haifar da suture abu. Rage aiki na kwangila na cikin mahaifa, saboda abin da fitowar na lochia yana da wuyar gaske kuma yana tsananta halin da ake ciki. Haka kuma cutar ta auku a ranar 4-5th kuma yana tare da:
- jiki jiki 38-39 digiri;
- launi;
- karuwa a yawan ƙwayoyin zuciya - tachycardia.
Endometritis bayan zubar da ciki
Ƙaddamarwa na ƙarshen mata a cikin mata zai iya haifar da zubar da ciki a baya. Harkokin aikin haɗakar da ke haifar da yunkurin mahaifa yana ƙara yawan yiwuwar wannan cuta ta bunkasa. Wannan shi ne saboda mummunar cututtuka na layin karshen endometrial. A sakamakon haka, dukan mucosa ya zama wani wuri mai rauni wanda zai iya zama mai saukin kamuwa da aikin pathogenic microorganisms. Rashin amincewa da tsabta da kulawar kiwon lafiya yana haifar da ci gaba da cututtuka.
Endometritis bayan haihuwa - bayyanar cututtuka
Domin gano lalacewar endometritis a cikin lokaci, kowane mahaifa ya kamata ya san bayyanar cututtuka na wannan cuta. Dangane da hoto na asibiti, an rarrabe nau'i uku na rikice-rikice, kowannensu yana da halaye na kansa:
- Hasken haske. Yana tasowa don kwanaki 5-12. Bugu da kari, a kan tushen yanayin lafiya, yanayin jiki yana zuwa digiri 38-39. Jihar kiwon lafiya ba ta shan wahala sosai. Marasa lafiya rahoton ciwon ciki a cikin mahaifa, wanda yana kwana 3-7. A lokacin da lalacewa, likitoci sun lura da ƙananan ƙaruwa a girman girman mahaifa. Lochias suna da jini a yanayi, har ma da mako guda bayan farawa.
- Nauyin nauyin. An kafa cutar a kwanaki 2-4 bayan haihuwar jaririn. A cikin kashi 25 cikin 100 na lokuta, ana haifar da endometritis a bayan bayanan chorioamnionitis bayan bala'in rikitarwa, maganin bawa. Tare da tsinkaya, tsinkayyar ƙarfin hali, ba a kiyaye cigaba da kyau ba kuma bayan 'yan kwanaki, za a iya lura da ƙwarewar mummunan. Mata suna damuwa game da:
- ciwon kai;
- rashin ƙarfi;
- ciwo a cikin ƙananan ciki;
- tashin hankali;
- zafin jiki yana da digiri 39.
- Shabby tsari. Fara a kan kwanaki 3-4. Cikin jiki ba zai wuce digiri 38 ba. A mafi yawan marasa lafiya, lochia shine launin ruwan kasa, amma to saccharum. Soreness na mahaifa ya cigaba da tsawon kwanaki 3-5. Dangane da farfado da farfasa, yawan zazzabi yana da kyau bayan kwanaki 5-10.
Karin bayani a cikin endometrium
Kira manyan alamun alamun endometritis na postpartum, dole ne a ce cewa an share shafewa da siffofin walƙiya na iya faruwa kusan ba a ganewa ga mace kanta ba. Duk da haka, ana nuna alamar endometritis a matsakaicin lokaci ta hanyar canza saurin hagu. Bayan haihuwar jaririn, an yad da hankalin yarinya, kuma mahaifiyar ta gyara lochia . Yawancin lokaci suna da jan ja, suna da ɗayan, ba tare da tsalle ba kuma wari mara kyau. Tare da ci gaba da tsarin mai kumburi, hoton ya canza gaba daya.
Lokacin da postometric farkon damuwa ya fara girma, lochia sau da yawa yana samun nauyin launin fata. Lokacin da aka bincika su, ana iya gano fasikancin tura. Nuna yatsun jini, wanda aka samo shi ne saboda mummunan fitarwa. A hankali, saukowa zai fara amfani da ƙanshi mara kyau. Halin yana buƙatar shigarwa na likita. Yayinda ake nazarin mace a cikin kujerar gine-gine, likitan likita ya rage jinkirin dawo da cikin mahaifa.
Binciken asibiti endometritis
Don gano asibiti na karshen postetatisis, likita mai ilimin likita ya kamata a bincika kawai tare da madubai. A mafi yawancin lokuta, canje-canje na shafar cervix. Bugu da ƙari, yana yiwuwa a tsammanin wani cin zarafi a cikin binciken jarrabawar kwayar halitta ta hanyar bango na ciki. Sakamakon ganewar asali na "endometritis" na postpartum ya kasance bisa sakamakon binciken gwaje-gwaje:
- gwajin jini;
- urinalysis;
- magungunan kwayan halitta na fitarwa daga cikin mahaifa (kafa nau'in pathogen);
- Duban dan tayi na ƙananan ƙwararru;
- hysteroscopy.
Endometritis - sakamakon
Idan ba a dace da farfadowa ba, ba tare da biyan takardun likita ba, akwai hadarin rikitarwa. A irin waɗannan lokuta, tsarin ƙwayar cuta ya zama tartsatsi kuma ya wuce zuwa gabobi masu makwabta. A wannan yanayin, likitocin sun rubuta rikice-rikice masu zuwa na endometritis na postpartum:
- pelvioperitonitis - kumburi na peritoneal serous membrane na kogin pelvic;
- peritonitis - kumburi na peritoneum;
- thrombophlebitis - wani tsari mai kumburi game da jini a cikin kananan ƙwararru;
- pelvic ƙuruwa - purulent mayar da hankali, da ciwon nasa ganuwar;
- sepsis.
Endometritis na Ƙasar gida - magani
Jiyya na endometritis na 'yan kasuwa farawa tare da kafa irin kwayar cutar da kuma dalilin da ya haifar da cutar. Dalili na farfadowa shine maganin antibacterial da anti-inflammatory. A cikin layi daya, rubuta kwayoyi don ƙara girman kare jikin. Don inganta fitarwa na lochia, yi amfani da antispasmodics. An zaɓi wannan hanya ta daban-daban, la'akari da ƙimar cin zarafi da kuma rashin tsananin bayyanar cututtuka.
Endometritis - magani, kwayoyi
Magungunan maganin rigakafi don cututtuka an umarce su suna la'akari da nonoyar nono. An yi amfani da penicillin da kuma céphalosporins. Daga cikin irin wa] annan maganin wajibi ne don rarraba:
- Cefuroxime;
- Ceftriaxone;
- Ofloxacin;
- Cefotaxime .
Sau da yawa suna sanya haɗin gwiwar, tare da gwamnatin da ake gudanarwa na metronidazole da maganin rigakafi na ƙungiyar lincomycin. Ba a yi amfani da wannan ba a cikin nono, yayin da suke shiga cikin madara. Idan ya cancanta, mace ta dakatar da tsawon lokacin nono. Jiyya tare da kwayoyi antibacterial an dakatar da awa 24-48 bayan ƙarfin asibiti.
Lokacin da endometritis ya haifar da kasancewar kyallen takalma a cikin kogin cikin mahaifa bayan gwaninta, ana yin magani. Ya haɗa da:
- ambaliyar fata;
- hysteroscopy;
- wankewa da ɗakin kifi tare da maganin antiseptics sanyaya (furacilin, dioxin 1%).
Wankewa yana bada shawara don rage zubar da kayan samuwa da maɗauran haɗari. Bugu da ƙari, wannan hanya yana rage yawan adadin da ake da shi, inganta tsarin lochia. Ana gudanar da samfurin bayan kwanaki 4-5, tare da bayarwa na halitta kuma bayan kwanaki 6-7 tare da sashen cesarean. Wata mace a wannan lokaci yana cikin asibitin.
Physiorapy tare da endometrium
Lokacin da cututtukan suka kamu da cututtuka, hanyoyi na yanayin jiki suna taimakawa wajen farfado da hanya. Daga cikin mafi yawan al'ada:
- Tsarin kutsawa na Nemuk - ya haɗa da yin amfani da halayen ƙananan ƙananan matakan da ake gudanarwa ta hanyar 4 electrodes;
- ƙididdigar ƙananan canji - ana amfani da su don fara gyarawa;
- acupuncture - yana da tasiri sosai.
Bayanin ƙaddamar da endometritis na postpartum
Don ware cututtukan, cututtuka, rigakafi ya kamata a fara a lokacin tsarawa. An shawarci likitoci su shirya a gaba don wannan tsari. Yin rigakafi na cututtuka ya shafi yarda da irin waɗannan matakai kamar:
- ganowa da kuma farfado da cututtukan cututtuka na tsarin haihuwa tun kafin tsarawa;
- rajista na dace don ciki;
- ziyara ta yau da kullum ga likita;
- Gudanar da aikin kulawa da aiki - shan takaddama ga haifuwa ta wurin alamomi na halitta, nazarin rabuwa bayan rabuwa, gudanarwa maganin maganin rigakafi bayan maganin wannan maganin ne don hana ƙwayar cuta.