Kev kho mob zoo tshaj plaws rau endometritis hauv poj niam
Ntau tus poj niam tuaj yeem mob endometritis yam tsis paub txog. Feem ntau, koj tuaj yeem paub txog qhov muaj tus kabmob tsuas yog tom qab kuaj xyuas los ntawm gynecologist. Vim li cas endometritis tshwm sim thiab yuav kho li cas kom zoo, nug cov kws kho mob

Endometritis yog ib qho ntawm cov kab mob pelvic inflammatory tshaj plaws hauv cov poj niam. Thaum tsis muaj kev kho kom raug, tus kab mob tuaj yeem mus rau theem ntev thiab ua rau muaj menyuam tsis taus.

Feem ntau, endometritis yog ib qho mob ntawm cov kab mob ntawm lub tsev menyuam (endometrium). Qhov ua rau ntawm kev loj hlob ntawm tus kab mob yog ntau yam kab mob uas nkag mus rau hauv lub tsev menyuam - fungi, kab mob, kab mob.1. Feem ntau, endometritis tshwm sim tawm tsam keeb kwm ntawm kev txo qis hauv kev tiv thaiv kab mob.

Kev pheej hmoo rau kev loj hlob ntawm endometritis:

  • nyuaj yug menyuam;
  • ib qho kev cuam tshuam hauv uterine kab noj hniav (kev kuaj mob thiab kho kev tshem tawm, rho menyuam);
  • kab mob ntawm qhov chaw mos;
  • kis kab mob sib deev (xws li gonorrhea lossis chlamydia);
  • lwm yam kab mob (tuberculous microbacteria, Escherichia coli, diphtheria bacillus, mycoplasma, streptococci, thiab lwm yam);
  • tsis ua raws li cov cai ntawm kev nyiam huv huv.

Hauv cov tshuaj niaj hnub no, cov kab mob mob hnyav thiab mob ntev yog qhov txawv.

Mob endometritis

Muaj tshwm sim tam sim ntawd, feem ntau tawm tsam keeb kwm ntawm kev cuam tshuam hauv tsev menyuam. Nws yog tus cwj pwm los ntawm kev kho mob tiag tiag tshwm sim, ntawm cov cim qhia ntawm intoxication ntawm lub cev predominate.

Cov tsos mob ntawm mob endometritis:

  • ib tug ntse nce nyob rau hauv kub;
  • ua daus no;
  • rub mob hauv plab plab (mob tuaj yeem muab rau sab nraub qaum, coccyx, thaj tsam inguinal);
  • cov tsis muaj zog dav dav;
  • tsis qab los noj mov;
  • purulent qhov chaw mos tawm.

Mob endometritis

Daim ntawv mob ntev ntawm tus kab mob feem ntau yog asymptomatic thiab feem ntau tshwm sim thaum tsis muaj kev kho mob txaus ntawm tus mob o.2.

- Feem ntau ntawm cov kab mob endometritis ntev tsis paub meej. Raws li peb cov kws sau ntawv, los ntawm 1 txog 70% ntawm cov neeg mob uas muaj menyuam tsis taus lossis tom qab kev sim tsis ua tiav kev xeeb tub raug kuaj pom tias muaj mob endometritis. Cov kab mob endometritis ntev tuaj yeem kis tau: kab mob, kab mob, kab mob sib deev, nrog rau autoimmune. Tom qab tshem tawm ntawm cev xeeb tub, nyob rau hauv txhua rooj plaub, qhov kev kuaj mob ntawm "chronic endometritis" yog ua, - sau ntawv Anna Dobychyna, obstetrician-gynecologist, kws phais neeg, tus thawj kws kho mob rau CER ntawm REMEDI Lub Tsev Kawm Ntawv ntawm Kev Kho Mob.

Cov tsos mob ntawm tus mob endometritis

  • kev coj khaub ncaws tsis zoo;
  • scanty lub teeb tawm ua ntej thiab tom qab coj khaub ncaws
  • tsis muaj cev xeeb tub thiab nchuav menyuam.

Hais txog kev kho mob ntawm endometritis, obstetrician-gynecologist sau tshuaj raws li qhov ua rau ntawm tus kab mob. Nws tuaj yeem yog tshuaj tua kab mob, hormonal, metabolic therapy, physiotherapy lossis complex ntawm cov tshuaj.

Lub sijhawm kho yog nyob ntawm keeb kwm. Yog tias tus neeg mob tsis muaj kev cuam tshuam hauv lub tsev menyuam, kev rho menyuam tawm, tom qab ntawd ib qho kev coj khaub ncaws yog txaus los kho endometritis thiab sau cov tshuaj hormonal tsim nyog.

Nyob rau hauv cov ntaub ntawv ntawm lub nra hnyav gynecological keeb kwm, kev kho mob yuav kav 2-3 lub hlis.

1. Tshuaj rau endometritis hauv poj niam

Antibacterial kev kho mob

Thaum thawj theem ntawm kev kho mob endometritis hauv cov poj niam, broad-spectrum tshuaj tua kab mob yog siv. Peb tus kws tshaj lij Anna Dobychina sau tseg tias kev kho tshuaj tua kab mob thaum cev xeeb tub yog qhia tsuas yog nyob rau hauv qhov chaw kuaj pom tias muaj kab mob microbial nyob rau hauv lub tsev me nyuam kab noj hniav hauv qhov chaw kho mob tseem ceeb.

Txhawm rau kho cov kab mob endometritis hauv cov poj niam, tus kws kho mob tuaj yeem sau tshuaj tua kab mob dav dav nrog kev nkag mus ntawm tes. Cov tshuaj no muaj xws li amoxicillin, clindamycin, gentamicin, ampicillin3. Kev kho mob yog pom zoo kom pib txij thawj hnub ntawm kev coj khaub ncaws.

Cov tshuaj tiv thaiv kab mob

Rau kev tiv thaiv ntawm candidiasis tiv thaiv keeb kwm yav dhau los ntawm kev siv tshuaj tua kab mob, tshuaj tua kab mob tau sau tseg: Nystatin, Levorin, Miconazole, Ketoconazole, Itraconazole, Fluconazole thiab lwm yam.

qhia ntau ntxiv

Antiviral tshuaj

Nyob rau hauv lub xub ntiag ntawm tus kab mob tom qab siv tshuaj tua kab mob, tshuaj tua kab mob thiab immunomodulatory tshuaj, xws li Acyclovir, Valciclovir, Viferon, Genferon.

qhia ntau ntxiv

2. tswm ciab rau endometritis

Kev xaiv ntawm qhov chaw mos suppositories nyob ntawm cov tsos mob thiab hom kab mob. Thaum siv cov tshuaj suppositories, cov khoom xyaw nquag tsis nkag mus rau hauv cov hnyuv, tab sis yog absorbed ncaj qha rau hauv cov ntshav los ntawm qhov chaw mos, uas txo cov kev pheej hmoo ntawm kev tsim dysbacteriosis thiab tsis zoo rau lub siab.

Nyob rau hauv lub mob theem ntawm tus kab mob, antibacterial suppositories yog siv uas suppress lub reproduction ntawm pathogens. Hauv kev kho mob ntawm cov kab mob endometritis, tshuaj tiv thaiv kab mob, immunostimulating, antiseptic suppositories, xws li Diclofenac, Galavit, Terdinan, Livarol, Lidaza thiab lwm yam, ntxiv rau.

Ntau hom tshuaj sib txawv yog siv los kho qhov mob ntawm lub tsev menyuam. Nyob rau theem mob ntawm tus kab mob, cov kab mob tua kab mob yog siv. Suppositories feem ntau yog muab raws li kev kho mob ntxiv.

qhia ntau ntxiv

3. Kev kho mob metabolic

Kev kho mob metabolic yog theem thib ob ntawm kev kho mob, uas yog txhawm rau tshem tawm cov kev puas tsuaj thib ob, suav nrog cov kab mob metabolic. Nws raug nquahu kom siv cov vitamins, antioxidants, hepatoprotectors thiab enzymes (Wobenzym, Phlogenzym).

qhia ntau ntxiv

4. Kev kho lub cev

Raws li obstetrician-gynecologist Anna Dobychina, nyob rau hauv kev kho mob ntawm endometritis, physiotherapy cov txheej txheem muaj ib tug zoo lub zog: hlau nplaum, lasers, thiab ultrasounds. Lub luag haujlwm ntawm physiotherapy nyob rau hauv cov ntaub ntawv no yog los txhim kho cov ntshav khiav ntawm lub plab mog plab hnyuv siab raum, txhim kho cov txheej txheem ntawm regeneration ntawm endometrium, nrog rau ntxiv dag zog rau lub cev tiv thaiv kab mob.4.

5. Kev kho tshuaj hormones

Kev kho tshuaj hormone yog siv nyob rau hauv qee kis los tswj thiab normalize qhov kev loj hlob ntawm endometrium. Raws li txoj cai, nyob rau hauv rooj plaub no, cov tshuaj tiv thaiv kab mob sib xyaw ua ke tau sau tseg, piv txwv li, Regulon thiab Novinet. Thaum npaj cev xeeb tub, siv progesterone.

Kev tiv thaiv ntawm endometritis

Txhawm rau tiv thaiv endometritis hauv cov poj niam, ua ntej ntawm tag nrho cov, nws yog ib qho tsim nyog yuav tsum koom nrog kev tiv thaiv kab mob sib kis: txo tus naj npawb ntawm kev sib deev, siv cov hnab looj tes, tsis tu ncua siv swabs rau kis kab mob, thiab yog tias muaj kab mob, tau txais kev kho mob raws sij hawm. Tsis tas li ib qho tseem ceeb yog kev tiv thaiv kev rho menyuam, yog li koj yuav tsum tau ua qhov teeb meem ntawm kev tiv thaiv kab mob tiag tiag.

- Tau kawg, kev xeeb tub tsis tsim nyog yog qhov nyuaj heev los tiv thaiv, yog li ntawd, yog tias qhov no tshwm sim, nws yuav tsum tau nyob rau hauv kev saib xyuas tsis tu ncua thiab ua raws li tag nrho cov lus pom zoo ntawm obstetrician-gynecologist. Qhov no yuav txo qhov kev pheej hmoo yav tom ntej, "saib Anna Dobychyna.

Nrov lus nug thiab lus teb

Cov lus nug nrov txog endometritis hauv cov poj niam tau teb Tus kws phais neeg, obstetrician-gynecologist ntawm European Medical Center Oleg Larionov.

Dab tsi ua rau endometritis?

- Ua ntej tshaj plaws, nws tsim nyog cais endometritis, tsis cuam tshuam nrog cev xeeb tub, thiab endometritis, uas yog ib qho teeb meem tom qab yug me nyuam, lub npe hu ua postportal endometritis. Qhov sib txawv ntawm microflora uas ua rau tus kab mob.

Endometritis tom qab yug me nyuam muaj ntau heev. Nws tshwm sim los ntawm microflora, uas feem ntau tuaj yeem nyob hauv qhov chaw mos, tab sis tsis nkag mus rau qhov chaw tsis muaj menyuam hauv lub tsev menyuam thaum yug menyuam. Nrog postporal endometritis, muaj mob hnyav hauv plab plab, profuse purulent los yog ntshav tawm ntawm qhov chaw mos, lub cev kub nce, thiab lub plawv dhia nce.  

Endometritis, tsis cuam tshuam nrog kev xeeb tub thiab kev yug menyuam, feem ntau yog tshwm sim los ntawm kev sib deev kis kab mob. Nws yog tshwm sim los ntawm chlamydia, gonorrhea thiab lwm yam kab mob. Tsis tas li, qhov ua rau tuaj yeem yog kev kho mob, piv txwv li, kev teeb tsa ntawm lub tsev menyuam, hysteroscopy nrog curettage ntawm lub tsev menyuam, rho menyuam.

Vim li cas endometritis txaus ntshai?

- Tej yam tshwm sim thiab cov teeb meem ntawm endometritis muaj xws li: muaj kev pheej hmoo ntawm infertility, ectopic cev xeeb tub, mob pelvic mob, thiab recurrent endometritis. Cov kab mob endometritis ntev tuaj yeem ua rau muaj kev ua txhaum ntawm kev xeeb tub, piv txwv li, nchuav menyuam, yug ntxov ntxov, ntxov ntxov rupture ntawm amniotic kua.

Yuav kho endometritis ntev npaum li cas?

- Kev kho mob ntawm endometritis yog teem caij tshuaj tua kab mob. Uas - nyob ntawm daim ntawv ntawm endometritis. Lub sijhawm ntawm kev kho mob feem ntau yog 10-14 hnub. Txawm li cas los xij, yog tias kev kho mob endometritis mob hnyav tsis tau tshwm sim hauv 24-48 teev tom ntej, koj yuav tsum xav txog kev hloov kho tshuaj tua kab mob.
  1. Serebrennikova KG, Babichenko II, Arutyunyan NA Tshiab nyob rau hauv kev kuaj mob thiab kev kho mob ntawm endometritis nyob rau hauv infertility. Gynecology. 2019; 21(1):14-18. Tsab ntawv xov xwm no tshwm sim thawj zaug https://cyberleninka.ru/article/n/novoe-v-diagnostike-i-terapii-hronicheskogo-endometrita-pri-besplodii
  2. Plyasunova MP, Khlybova SV, Chicherina EN Comparative evaluation of ultrasound and doppler parameters in chronic endometritis. Ultrasonic thiab functional diagnostics. 2014: 57-64. Tsab ntawv xov xwm no tshwm sim thawj zaug 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. Mob endometritis: etiology, chaw kho mob, kuaj mob, kho. Lavxias teb sab Bulletin ntawm obstetrician-gynecologist. 2013; 13(5):21-27 : kuv. Tsab ntawv xov xwm no tshwm sim thawj zaug https://cyberleninka.ru/article/n/hronicheskiy-endometrit-puti-resheniya-problemy-obzor-literatury
  4. Nazarenko TA, Dubnitskaya LV Muaj peev xwm ntawm kev kho enzyme ntawm cov mob endometritis nyob rau hauv cov neeg mob ntawm lub hnub nyoog yug me nyuam. Teeb meem ntawm kev yug me nyuam 2007; 13(6:25-28) : kuv. Tsab ntawv xov xwm no tshwm sim thawj zaug https://gynecology.orscience.ru/2079-5831/article/view/27873

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