Mu machitidwe a amayi omwe ali ndi zaka za kubala, mafupipafupi a endometritis amasiyana ndi 3% mpaka 70%, chifukwa cha kusiyana kwakukulu kwa chiwerengero cha zochitika, zovuta zokhudzana ndi chidziwitso cha morphological za matendawa, kusiyana kwa odwala ndi zomwe anazifufuza. Ngakhale kukula kwa mankhwala osokoneza bongo, endometritis, zizindikiro ndi chithandizo chimene chingakhale chosiyana kwambiri malingana ndi mawonetseredwe a chipatala, madokotala amatha kukhala ndi mavuto ena ndi matenda a matendawa. Izi zimafotokozedwa ndi zochitika za endometritis mu mikhalidwe yamakono: kuwonjezeka kukana kwa tizilombo toyambitsa matenda tizilombo toyambitsa matenda, kusinthika kwa chidziwitso cha matendawa ndi kuwonjezeka kwa mbeu za tizilombo, komanso nthawi yayitali.
Kodi endometritis ndi yotani kwa akazi?
Endometritis ndi matenda a kachipatala ndi a morphological omwe amadziwika ndi kusintha kwakukulu kwa endometrium ya chiyambi cha kutupa, komwe kumapangitsa kuti kuphwanya kwa "kulandira" kukhoza kusinthika kwa minofu. Matendawa amachititsa kuchepa kwa amayi, kuchepa kwa msambo, kusokonekera kwa ubongo, kubereka kwa mwana, kubereka. Pa nthawi imodzimodziyo, kupambana kwa mankhwala otchedwa endometrial mankhwala sikudutsa 60-68%.
Zovuta kwambiri za endometritis: zizindikiro ndi chithandizo
Njira yotupa yotupa yomwe siimapitirira chiberekero, imayamba chifukwa cha kuwonjezeka kwa wodwala opatsirana pogwiritsa ntchito ngalande yachiberekero. Kawirikawiri, mabakiteriya amapita ku endometrium ndi kuwonongeka kwa umphumphu wa chibelekero cha chiberekero - panthawi yochotsa mimba, kukopa thupi la chiberekero ndi khosi lamkati, kuika chipangizo cha intrauterine ndi zina.
Zizindikiro za m'mimba yotchedwa endometritis:
- kuwonjezeka kwakukulu kwa kutentha;
- zowawa, ululu m'mimba pamunsi;
- maonekedwe a purulent olekanitsidwa ndi kachilombo ka HIV.
Zosowa:
- Kusonkhanitsa anamnesis (kupezeka / kupezeka kwa intrauterine kulowerera, necrosis ya mfundo yamkati);
- Kuyeza magazi (kumasonyeza chiberekero chokulitsa);
- kafukufuku wa mabakiteriya (amachititsa kuti mitundu ya tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda)
- Ultrasound ya ziwalo zamimba;
- laparoscopy (amatha kuyesa mapulogalamu, osaphatikizapo mankhwala ena opaleshoni);
- endometrial biopsy.
Chithandizo ndi matenda
Zovuta kwambiri za endometritis zimadalira maantibayotiki. Njira yotupa imakhudza ubongo wa endometrium chifukwa cha matenda omwe ali ndi tizilombo toyambitsa matenda. Zotetezera za endometrium zimagwirizana kwambiri ndi zotsatira za mahomoni ogonana, "ntchito" mogwirizana ndi magulu a maselo omwe amachititsa kuti tinthu tomwe timayambitsa matendawa tisawonongeke. Poyamba kusamba, vutoli limatha, lomwe limapangitsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Mankhwalawa amaphatikizapo mankhwala opha tizilombo komanso physiotherapy. Kuvomereza kwabwino kumakhala koyenera: ndi chithandizo chokwanira ndi cha panthaŵi yake, kuchira kwathunthu kumachitika masiku 7-10.
Chronic endometritis: zizindikiro ndi chithandizo
Matenda a endometritis ndi matenda omwe, chifukwa cha zilonda zapakati zoopsa za endometrium, kusintha kwachiwiri kumachitika kumene kumasokoneza chikhalidwe cha mchere komanso kusintha kwa thupi la uterine. Pazifukwa 95%, ChE ndizosiyana kwambiri, zimakhumudwitsidwa ndi tizilombo toyambitsa matenda, matenda opatsirana pogonana, ndipo zimachokera pakutha kwa intrauterine. Pakati pa 5%, ChE imayamba chifukwa cha matenda opatsirana pogonana, otsika, otsika kuchokera ku foci. Sungani zopanda pake komanso zenizeni, zomwe zimapangidwa ndi mycoplasmas, bowa, mabakiteriya, mavairasi, endometritis aakulu.
Endometrite ya chiberekero - zifukwa zowonongeka:
- kuchepetsa chitetezo cha mthupi mwa thupi;
- mikhalidwe yosakhutiritsa, zizolowezi zoipa, kusowa kwa zakudya m'thupi;
- Matenda opweteka kwambiri;
- neuroendocrine pathologies, matenda oopsa kwambiri;
- matenda opweteka a impso;
- zolephera zapadera, matenda opatsirana pogonana, matenda a magazi, matenda a bronchopulmonary;
- matenda a chiberekero cha amayi;
- Kugwiritsira ntchito kwa nthawi yaitali intrauterine spirals, kupita ku gawo losungirako;
- chiwerengero chachikulu chothandizira kuthandizira mu uterine;
- zovuta pambuyo pa kubala / mimba za chikhalidwe chowotcha;
- matenda opatsirana pogonana;
- Mankhwala opatsirana pogwiritsa ntchito mankhwala oopsa.
Zizindikiro za matenda otchedwa endometritis:
- Kuphwanya kusamba. Kukhalapo kwa chipsinjo chopitirirabe m'matumbo aang'ono kumapangitsa kuti pang'onong'ono kuchepa kwa msinkhu pakati pa odwala 50-60% - izi zikuwonetsedwa ndi amenorrhea, algodismenorei, oligomenorrhea. Zidandaulo zomwe zimakhala zofala kwambiri ndizomwe zimachitika pakati pathu ndi zochepetsana, zowonjezera mwezi, zopweteka zapakhosi;
- kupweteka kwa m'mimba, kutuluka magazi kwachiberekero;
- kusokoneza kayendedwe ka m'mimba. Kusokonezeka pa nthawi ya matumbo, kudzimbidwa, kuphulika, kukhumudwitsa, kuchepetsa chilakolako;
- zokhudzana ndi matenda a chimfine. Chiwindi, malungo, thupi la thupi, malaise ambiri.
Matenda a endometritis: zizindikiro ndi chithandizo, matenda
Kuzindikira matenda a endometritis osatha kumaphatikizapo kusanthula mbiri ya wodwala, zizindikiro za matenda, maphunziro a morphological endometrium, omwe amachitidwa pa tsiku la 7-10th.
Zomwe zimayambitsa matenda a morphological matenda a endometritis:
- Kutupa kumalowa mkati, komwe kumakhala ndi ziwalo zam'mimba zomwe ziri pafupi ndi mitsempha ya mitsempha ndi glands, nthawi zambiri mosiyana. Maonekedwewo, foci amafanana ndi follicles ndipo amapezeka m'magawo onse a zowonongeka;
- kukhalapo kwa maselo a plasma;
- malingaliro ochepa a stroma, opangidwa ndi nthawi yaitali yotentha, nthawi zina, malo akuluakulu osangalatsa;
- kupweteka kwamakono a makoma a mitsempha ya minofu yomwe imawonekera motsatira maziko a zizindikiro zoopsa ndi kutuluka kwa endometritis kwa nthawi yaitali.
Chithandizo chamankhwala
Ndondomeko ya golide yothandizira ChE ndi njira yowonjezera yomwe ikuwongolera kuthetsa kutupa ndi kuthetsa zotsatira za kutupa, kuphatikizapo kuchotsa minofu ischemia, kuwonongeka kwachiwiri, kubwezeretsedwa kwa zipangizo zamakono komanso zowonjezereka za endometrium. Ndondomeko yovutayi iyenera kukhala yovomerezeka komanso yovomerezeka komanso yogwirizana ndi zotsatira za kufufuza kozama.
Zotsatira za mankhwala CHE:
- Kuthetsa wothandizira owonongeka kapena kuchepa mu ntchito ya tizilombo. Mankhwala oletsa tizilombo toyambitsa matenda ayenera kuonetsetsa kuti kuchotsa mitundu yosiyanasiyana ya tizilombo toyambitsa matenda, kuphatikizapo trichomonads, chlamydia, streptococci, gonococci, ndi mavairasi. Nthaŵi zina, madokotala amapereka maphunziro angapo ndi kusintha kwa mankhwala, kusankha kumene kumadalira zotsatira za tizilombo toyambitsa matenda tizilombo toyambitsa matenda ndi ukazi, siteji ya kutupa ndi zochitika pa chithunzi cha kuchipatala. Mofananamo, kuthetsa kutetezeka kwa chitetezo cha mthupi kumachitika.
Mankhwalawa: nitroimidazoles (Metronidazole, Ornidazole) ndi fluoroquinolones (Ciprofloxacin, Ofloxacin, Levofloxacin), kuphatikizapo penicillin yotetezedwa ndi macrolides (Spiramycin, Roxithromycin). Ngati matendawa alipo, amagwiritsidwa ntchito nucleoside analogues (Valtrex, Acyclovir).
Kukonzekera kwa mphamvu zomwe zimakhala zovuta za endometrium ndi kuthetsa zotsatira za matendawa: kubwezeretsedwa kwa kagayidwe kamene kamayambitsa matenda, maselo ndi zamoyo zam'madzi. Odwala omwe amatsutsa bwino ntchito yobereka amakhala opatsirana pogwiritsa ntchito mankhwala omwe amachititsa kuti pakhale mwayi wokhazikika.
Kukonzekera: mankhwala osokoneza bongo (Actovegin)
Physiotherapy: magnetotherapy, mankhwala a electropulse.
Njira zazikulu zothandizira chithandizo: kuchepa kwakukulu mu ntchito ya wothandizira opatsirana, mpumulo wa mawonetseredwe a chipatala cha matenda, kubwezeretsedwa kwa zojambula ndi morphological dongosolo la minofu, kubwezeretsedwa kwa kubereka.
Makandulo ndi ChE
Makandulo akuchiza matenda otchedwa endometritis amagwiritsidwa ntchito ngati mankhwala ena omwe amapezeka kumudzi kuti athe kupulumutsidwa mwamsanga. Amapewa kuwonongeka kwa vaginali ndi tizilombo toyambitsa matenda motsutsana ndi chiyambi cha kumwa maantibayotiki, musalole kuti chitukuko cha mavuto aakulu ndi chiwonongeko chachiwiri ku chiberekero ndi mabakiteriya a m'mimba ya m'mimba.
Kodi ndi mitu iti yomwe makandulo amagwiritsidwa ntchito:
- zovuta za endometritis, zomwe zikuphatikiza ndi ubongo wa dysbiosis;
- kutupa kwa chiberekero / umaliseche;
- endometritis osatha;
- kumamatira mu chiberekero cha uterine / chipika cha pakhosi laling'ono.
Mitundu ya mavitamini amaliseche:
- kuphatikiza. Zili ndi mankhwala: Neomycin (aminoglycoside antibiotic), Ternidazole (mankhwala osokoneza bongo), Prednisolone (glucocorticoid agent), Nystatin (mankhwala osokoneza bongo);
- ndi mankhwala oyambitsa matenda. Makandulo ndi betadine (okonzeka ndi ayodini) ndi chlorhexidine (antiseptic);
- ndi zomera za mankhwala. Khalani otonthoza, machiritso, antimicrobial, anti-inflammatory effect.
Ma suppository wamagetsi sangathe kuonedwa ngati njira yaikulu ya mankhwala a CHE. Awapereke kwa katswiri yekha, kulingalira pa siteji, chithunzi chachipatala ndi chisankho chonse cha mkaziyo. Nthawi yayitali ya mankhwala ndi makandulo ndi masiku 12-14.
Postpartum endometritis: zizindikiro ndi mankhwala
Postpartum endometritis ndi kutupa kwa chiberekero cha uterine chomwe chimachitika mutatha kubereka. Mu 10-12% ma milandu yotupa imasunthira ku mimba yosanjikiza ya chiberekero, zomwe zimayambitsa chitukuko cha endomyometritis. PE imapezeka kawirikawiri - imayambitsidwa ndi zifukwa zingapo: kufalikira kwa kagwiritsidwe kake ka njira zowonongeka, kuwonjezeka kwafupipafupi pa opaleshoni panthawi yobereka, kuwonjezeka kwa tizilombo toyambitsa matenda tizilombo toyambitsa matenda m'zipatala, kugwiritsa ntchito corticosteroids yomwe imadziwika ndi chiopsezo cha immunosuppressive. Iye adasintha kwambiri ndi amayi ambiri omwe ali ndi akazi ambiri lero - omwe ali ndi mitundu yosiyanasiyana ya kusabereka, ndi matenda osapatsirana, pambuyo poti amachititsa kuti thupi lisamayende bwino, ali ndi kachilombo ka HIV, omwe ali pachiopsezo chachikulu cha matenda opatsirana.
Endometritis pambuyo pobereka - symptomatology
Pa tsiku la 5-10th patha kubadwa, kutentha kumakwera kufika madigiri 38-39, kutentha kwakukulu kumayamba, kuphulika kumawonjezeka mpaka 85-100 kugunda pa mphindi. M'magazi, chiwerengero cha leukocyte ndi mlingo wa zerythrocyte sedimentation kumawonjezera, kupweteka kwa uterine ndi spotting ndizokhazikitsidwa. Matenda otchedwa "endometritis" amayamba "tsiku" 2-3 mutatha kubereka. Pa 25% ya milandu imayamba pambuyo poyeretsa kapena ntchito yovuta. Kufooka, kupweteka mutu, kupweteka kwa m'mimba, anorexia, chills, tachycardia, kutentha thupi (pamwamba pa madigiri 39). Pambuyo masiku 1-2, uterine secretions kukhala purulent. Postpartum endometritis nthawi zambiri zimakhala zovuta ndi matumbo a m'mimba, omwe amachititsa kuti tizilombo tizilombo toyambitsa matenda tilowe m'mizere ya peritonitis ndi peritonitis.
Kuchiza kwa postpartum endometritis
Thandizo la PE liyenera kukhala lokwanira, lokhazikika poyang'ana kutentha kwa thupi, kutsegula kwa wodwalayo, kutsegula thupi kuteteza thupi ndi kutulutsa mankhwala. Zomwe zimapanga mankhwala ndizobwezeretsa, antibacterial, infusion (infravenous infusion) mankhwala, kugwiritsa ntchito mankhwala omwe amachepetsa chiberekero. Nthawi zina kupaleshoni kwa chiberekero kumasonyezedwa, mitundu yovuta ya endometritis imayenera kugwiritsa ntchito plasmapheresis - kuchotsedwa kwa zigawo zosadziwika za plasma ya magazi, tizilombo toyambitsa matenda, poizoni, cryoglobulins. Kupindula kwa mankhwala kumayembekezeka masiku asanu ndi awiri, popanda chifukwa chabwino, funso lochotsa chiberekero limathetsedwa.
Kuchiza kwa endometritis ndi mankhwala ochiritsira
Njira zamankhwala zothandizira endometritis zimakhala zothandiza, ngati mutagwiritsa ntchito mutatha kufunsa dokotala yemwe angasankhe kugwiritsidwa kwabwino kwa mapiritsi ndi mankhwala ochiritsira.
Kulowetsedwa kwa ivy. Tengani supuni ya masamba osweka, kutsanulira 250 milliliters a madzi otentha, tsatirani maola 12-14. Bweretsani kulowetsedwa kwa chithupsa, kuchotsani kutentha, kuumirira 10-15 Mphindi, mavuto osamalitsa. Gwiritsani ntchito katatu pa tsiku kwa 100 milliliters. Kwa kulawa, mukhoza kuwonjezera shuga kapena uchi. Kusiyanitsa: kusagwirizana, kuperewera kwa magazi, mimba.
Anasonkhanitsa zitsamba. Mitengo ya mankhwala imayambitsa matendawa, kubwezeretsanso umphumphu wa mucosa, asiye kutupa:
- valerian mizu, yarrow, timbewu tonunkhira, heather maluwa, birch masamba, buckthorn makungwa, masamba a mabulosi akuda;
- udzu wa udzu, valerian mizu, masamba a timbewu, makungwa a buckthorn;
- udzu pamsika, therere tansy, licorice mizu, aira.
- Msuzi wa wort St. John's. Tengani supuni yaikulu ya zitsamba, kutsanulira kapu ya madzi otentha, kuyatsa moto, wiritsani kwa mphindi 15-20, kukhetsa. Imwani msuzi katatu patsiku kwa 50 milliliters pamimba yopanda kanthu.
Kulowetsedwa kwa fern. Pakani masamba a supuni 250 milliliters a madzi otentha, imani maminiti 15-20, kukhetsa. Idyani 50-70 milliliters kanayi pa tsiku musanadye chakudya. Njira ya mankhwala ndi masiku 14-21.
Pangani mankhwala oletsa antibacterial:
- ndi adyo. Kutupa kolimbana ndi matenda. Peel clove wa adyo, kudula 2-3 malo, choviikidwa mu masamba mafuta, wokutidwa gauze, kuika mukazi chifukwa 10-12 maola;
- ndi mafuta a buckthorn mafuta. Kufulumizitsa machiritso a mucosal;
- ndi plantain. Zilimbikitseni ndikuthandizani kuchiritsa chiberekero cha mucous. Sambani masamba atsopano a plantain, pogaya, kusakaniza ndi mafuta. Sakanizani chisakanizocho mu gauze, kenani mukazi chifukwa cha maola 10-12.
Endometritis ndi endometriosis: ndi kusiyana kwanji?
Ngakhale mayina ofanana, endometriosis ndi endometritis ndi matenda osiyana kwambiri. Malinga ndi zizindikiro zake, endometriosis ikufanana ndi matenda osokoneza bongo, osagwirizana ndi zotupa zamasewera a chitetezo cha mthupi mu endometrium, zimasiyanasiyana ndi chipatala ndi deta-diagnostic data.
Kusiyana kwakukulu
Endometriosis - kupanga mapuloteni otetezeka, ofanana ndi kapangidwe ka uterine mucosa. Ziphuphu zimapangika kumbuyo kwa zosawonongeka zam'madzi, zomwe zimapezeka m'madera am'mimba - kuchokera pachiberekero ndi mazira ndi chikhodzodzo ndi m'matumbo. Tizilombo toyambitsa matenda tizilombo toyambitsa matenda sitikumvetsetsa bwino, madokotala amakhulupirira kuti endometriosis ndi chilema ku chitetezo cha mthupi. Chifukwa cha matenda a chitetezo cha m'thupi, endometrium imachepetsedwa. Endometritis ndi njira yotupa ya chiberekero cha chiberekero cha matenda opatsirana, zomwe zimabweretsa endometrial hyperplasia.
Chithunzi chachikulu
Pakati pa msambo ndi endometriosis, chiwalo chamtunduwu chimakanidwa, ndi kuthamanga kwa magazi maselo a endometrial alowetsanso mitsempha yamagetsi, kukhazikitsa ndikuyamba kugawanika, "kumanga" minofu yatsopano pafupi ndi endometrium. Node imapangidwa - endometriosis ikupitirira. Kukhazikitsa kwa chiwerengero cha matendawa kumapangitsa kuti chiwerengerocho chikhale chochuluka: chiwerengero cha nodes chimakula mumayendedwe a chilengedwe, makulidwe a endometrium amasungunuka. Ndi zotupa za endometritis, chifukwa cha kuchuluka kwakukulu kwa makulidwe a chiberekero cha uterine, kuchepa kwa nthawi ya kusamba kukugwedezeka. Chipolopolocho chimachotsedwa mkati ndipo chimabwezeretsedwanso m'magawo ena, ndikukhala ndi magazi okwanira nthawi zonse.
Mavuto
Endometritis: cholinga cha kutukusira sizingatheke kuti kukhazikika kwa mwana wosabadwayo kumapeto kwa endometrium.
Endometriosis: endometrium yofooka imalephera kuthetsa kamwana kameneko ndikugwira. Kufalikira ponseponse m'kati mwa pakhosi, zizindikiro zimasonyeza kuti ndi okonzeka kutenga "fetus" kamene kamayambitsa kusamvana kwathunthu m'thupi.
Ndingathe kutenga mimba ndi endometrium?
Pakati pa amayi omwe ali ndi mapumtritis, 97% ndi amayi / atsikana a zaka za kubala omwe amangogogomezera kufunika kwa matendawa chifukwa cha momwe amachitira pa chonde. Kodi mimba ingatheke ndi endometrium? Zopeka, inde. Kumvetsetsa kwa endometrium ndi ntchito zobereka kumakhala kusungidwa pang'onopang'ono pa njira yoyamba ya matenda chifukwa cha kukhalapo kwa njira zowonjezerapo, zomwe zimadalira mwachindunji ntchito ya opatsirana, machitidwe a chitetezo cha mthupi, ndi malamulo oyenera a mahomoni.
Matenda a endometritis ndi IVF
Malinga ndi WHO, kuchuluka kwa mabanja osakwatiwa m'dziko lathuli kuli ndi chizoloŵezi chowonjezeka, chomwe chimabweretsa kuwonjezeka kwa chiwerengero cha mapulogalamu othandizira omwe akuthandizira kubereka. Mwamwayi, chiwerengero cha mazira omwe sagwiritsidwa ntchito bwino ndi otsika kwambiri - pafupifupi ndi 50-60%. Chimodzi mwa zifukwa zazikulu za kulephera kwa mapulogalamu a IVF ndi matenda a endometrium, endometritis kuphatikizapo. Kukhalitsa kwa nthawi yaitali komanso kawirikawiri kumagwiritsa ntchito mavairasi ndi mabakiteriya mu endometrium kumayambitsa kuwonongeka kwakukulu kwa minofu, kuteteza kuika kwabwino kwa thupi ndi mitsempha ya mazira. Kuphulika kwa kusintha kwa njuchi ndi kufalikira kwa thupi (endenerrium) kumachepetsanso nthawi zambiri zomwe zimapangika bwino ndipo zimachepetsanso mphamvu ya IVF.
Zifukwa za kusabereka mu endometrium:
- kuwonongeka kwa ntchito yolandirira chiberekero ndi kusagwira ntchito yowona bwino kwa mankhwala;
- kuposa chiwerengero cha estradiol, chomwe chimakhala ndi zotsatira zoyipa pa ntchito ya chikasu m'kati mwachiwiri;
- Kusokonekera kwa zitsulo zomwe sizimakhala ndi mimba;
- kuphwanya magazi ochizira mu chiberekero;
- chitukuko mu chiberekero cha utenine chomwe chimasokoneza kayendedwe ka oocyte;
- Kuwonongeka kwachangu kwa spermatozoa kunagwedezeka mu uterine;
- kusintha kwa mtundu wa ziwalo za mazira chifukwa cha kusamuka kwa matenda ku ziwalo zozungulira.
Choopsa chachikulu ndi ChE, chifukwa chimakhala ndi chithunzi chojambulidwa. Mu zovuta kwambiri za m'mimba, mayi amamva nkhawa za zizindikiro zomwe zimamupangitsa kuti atembenukire kwa madotolo. Kuwonjezera apo, ntchito yovuta, mosiyana ndi yachilendo, imayankha bwino mankhwala.
Ndondomeko yoyeserera ya IV-IVF
Odwala omwe ali ndi kulephera / kuperewera kwa msinkhu wawo mu mbiri yawo ya zachipatala ayenera kukonzekera pregravid (kukonzekera mimba), zomwe zimaphatikizapo njira zothandizira, zowonetsera komanso zothandizira. Pambuyo pokonzekera kukonzekera kwa mphamvu yokoka, mphamvu yoyamba yoyesa IVF kutsogolo kwa endometritis ndi 45-50% pafupipafupi.
Maphunziro a zochitika:
- Ultrasound ya chiberekero / appendages, mabakiteriya akuyesa aspirate kuchokera ku chiberekero ndi kulekanitsidwa ku chiberekero;
- Kuyezetsa magazi kwa chiwerengero cha chiberekero ndi chiberekero ndi kutsimikiza kwa magazi m'magazi;
- kuunika kwa chikhalidwe cha mthupi;
- kutengera kuchuluka kwa mahomoni a chithokomiro, chithokomiro cha chithokomiro; mahomoni ogonana;
- morphological kuyesa kwa chidziwitso cha chiopsezo cha kunyalanyaza matenda.
Mbali za IVF mu endometrium
Thandizo la Hormonal kwa miyezi 3-5. Kukonzekera kumasankhidwa poganizira deta ya mayeso a labotale ndi zaka za mkaziyo. Zimathandiza kuti chizoloŵezi cha uterine chimapezeke ku zotsatira zake:
- Azimayi okhala ndi mammita asanu ndi awiri (8 millimeter kapena kuposerapo) ndipo magazi omwe amapezeka m'mitsempha ya basal amapatsidwa Dydrogesterone mkati, 10 mg kawiri pa tsiku. Njira yopatsirana - masiku khumi (kuyambira 16 mpaka 25 tsiku cycle);
- Odwala omwe ali ndi mpweya wochepa wa m'mimba amauzidwa kuti Femiston piritsi kamodzi patsiku (masiku 28) kapena kuchita mankhwala opangira mahomoni (Estradiol + Dydrogesterone);
- amayi omwe ali ndi mbiri ya kuphatikiza kwa kuchepa kwa magazi m'mitsuko ndi kuchepa kwa makulidwe a endometrium, kuika chithandizo chamagetsi ndi njira yodzipiritsa.
- Kuphwanya kovomerezeka kwa magazi kumadalira mankhwala oyenera ndi anticoagulants, antiplatelet agents ndi aphlebotonic agents.
- Pamaso pa tizilombo toyambitsa matenda m'chiberekero timapereka mankhwala oletsa tizilombo toyambitsa matenda ndi antibacterial drugs.
- Chifukwa chosiyana ndi kayendetsedwe ka chitetezo cha mthupi, matenda opatsirana pogonana amachitidwa.
- Perekani njira za physiotherapy zomwe zimapangitsa kuti magazi aziyenda komanso kuwonjezera chitetezo cha m'midzi.
Endometritis, zizindikiro ndi chithandizo chimene chimadalira kwambiri kulemera kwa chithunzi cha matenda - matenda aakulu ndi osayenerera, omwe amachititsa kuti asabereke komanso atuluke. Kupeza chithandizo cham'tsogolo, chithandizo chosachiritsika cha mankhwala chingachititse kuti mitundu yambiri ya matenda ichitike, choncho pazizindikiro zoyambirira ziyenera kufunsa dokotala ndikuyamba njira yothandizira.