Endometritis ezinjeni: izimpawu kanye nokwelashwa

Ukuvimbela ukuthuthukiswa kwe-pathology ngokuvala inzalo isilwane esifuywayo kuyisinqumo esifanele uma ukukhwelana nokuzalwa kwemidlwane kungahleliwe. Njengoba i-endometritis enja iholela ezinkingeni eziningi, kufanelekile ukuqonda ukuthi yiziphi izimpawu ezibonisa lesi sifo nokuthi yikuphi ukwelashwa okunikezwa odokotela bezilwane.

Izimbangela ze-endometritis ezinjeni

Isici esiyinhloko esibangela i-endometritis ukuphazamiseka kwe-endocrine okwandisa izinga le-estrogen egazini lesilwane esifuywayo. Le pathology iholela ekuguqulweni kwezindonga zemithambo yegazi. Ukuba khona kwezinto eziphilayo ze-pathogenic esibelethweni kubangela ukulimala kwe-endometrium. Ngakho-ke, isici sesibili ukutheleleka kwe-viral-bacterial kubangela izinqubo zokuvuvukala ngokudakwa komzimba wenja. I-vaginitis, izifo zezitho zangasese, uhlelo lwe-genitourinary lungabangela lesi sifo.

Ezinye izici ezithinta i-pathology:

• ukukhulelwa okungamanga (ukukhulelwa), okunzima kabili ngonyaka, okuhambisana nokuvuvukala okukhulu kwezingono, ukwanda kwesisu, ukukhuluphala nokubukeka kobisi;
• ukulimala kwesistimu yokuzala, ukuphuka nokuguguleka ezindongeni zesibeletho, uma inja izala imidlwane emikhulu, izifo ezihlukahlukene ngesikhathi sokubeletha;
• ngemva kokubeletha, isibeletho esingena kahle asisuswa ngokuphelele, okungaholela ekuthelelekeni;
• ukufa kwemidlwane ngesikhathi sokubeletha noma esibelethweni, ukukhishwa okungaphelele noma ukukhishwa kabusha kwe-fetus, ukutheleleka ngesikhathi sokubeletha ngemishini engeyona oyinyumba;
• izifo ezinzima nezingamahlalakhona zezitho zangaphakathi ze-etiology ezithathelwanayo kanye ne-parasitic;
• ukudluliswa kokutheleleka kusuka kowesilisa kuya kowesifazane ngesikhathi sokukhwelana. I-Endometritis izozibonakalisa ngemva kokungena kokutheleleka kusuka esithweni sangasese ukuya emgodini wesibeletho wenja.

Odokotela bezilwane baqaphela izici ezinomthelela ekuthuthukisweni kwe-pathology: ukuntuleka kwezinto ezibalulekile zezinto eziphilayo emzimbeni wenja ngesikhathi sokuzala imidlwane, ukungasebenzi komzimba okwanele ngesikhathi sokukhulelwa.

Izimpawu zesifo

I-Endometritis ezinjeni ingaba nezinhlobonhlobo zezimpawu, kuye ngokuthi igciwane lingakanani, futhi liyahlukahluka ukusuka komnene kuya kobukhali kanye ne-hyperacute.

Kunezinhlobo ezinzima nezingapheli ze-endometritis.

I-Acute ihlanganisa i-endometritis ne-metritis, eyinkimbinkimbi ukutheleleka kwabesifazane abasanda kubeletha. Njengoba igama lisho, leli fomu liyisikhashana, ngakho-ke kufanele liqashwe ngokukhethekile umnikazi ukuze athole izimpawu.

Kufanele uxhumane nodokotela wakho wezilwane uma uhlangabezana:

• ukukhishwa kwe-purulent, okunegazi (kwesinye isikhathi kumnyama noma okunsundu) kokuvumelana okuqinile kusuka ku-loop enephunga elibolile, elibabayo;
• ubuhlungu be-palpation ye-cavity yesisu, isisu sanda ngokubukeka;
• ukwanda kokushisa komzimba ngaphezu kwama-40,5 ° C;
• ukoma, ukulahlekelwa ukudla, ukuhlanza, isifo sohudo;
• ukunganaki, ukucindezeleka okuvamile, ukozela, ukwenqaba ukudlala, ukuhamba.

Esigabeni sokuqala, i-endometritis ingase ingazwakali ngenxa yendawo yayo encane. Inqobo nje uma ingaholeli ekubhujisweni kwezicubu nokudakwa komzimba, izinqubo ze-metabolic ziyagcinwa.

Uma inja isanda kubeletha futhi incela ibele, izimpawu zokuncipha kokukhiqizwa kobisi noma ukwenqaba ukuncelisa imidlwane kungase kubonise isidingo sokubiza udokotela wezilwane. Ngokufanayo, uma sekudlule izinyanga ezingu-1-1,5 kusukela ku-estrus yokugcina, kodwa ukukhishwa ku-loop noma ezinye izimpawu eziyisixwayiso zibonakala, umnikazi kufanele futhi ahlele ukuvakashela udokotela wezilwane.

Uhlobo olungapheli lwe-endometritis lwenzeka uma inja ingazange ilashwe ngokugcwele ifomu elibukhali noma kukhona ukungalingani kwe-hormonal. Ihluka efomini elibukhali ngezimpawu ezithambile, ukukhathala kanye nokubonakaliswa komtholampilo "okuntantayo". Leli fomu lingahlala izinyanga ezimbalwa. Izinja ezithintekile zizala imidlwane ebuthakathaka noma efile enezimpawu ze-sepsis. Ngokuthuthuka kwalesi sifo, ukukhishwa kwe-purulent kusuka ku-loop kubonakala. Esikhathini esizayo, ngokuncipha kokuzivikela komzimba, isimo singase siguqukele esigabeni esibucayi ngisho nese-purulent, esiyingozi esilwaneni.

Izimpawu eziyinhloko ze-endometritis engapheli zihlanganisa:

• ukwephulwa komjikelezo we-estrus - ubude bayo, izikhawu zesikhathi ukusuka komunye ukuya komunye, 
• ukulahlekelwa isisindo,
• ekuzalweni, imidlwane ibuthakathaka, nge-pathologies, ivame ukufa ngokushesha ngemva kokuzalwa.

Ukuxilongwa kwe-Endometritis

Ukusungula izimbangela zesifo, indlela yokuxilongwa okuhlukile isetshenziswa, lapho isimo somtholampilo sogulayo siqinisekiswa ngokuhlolwa kwelebhu. Udokotela wezilwane uzodinga idatha nge-estrus, ukubeletha, ukuhlinzwa, ulwazi ngezimpawu ezishaqisayo ezivela kumnikazi. Isici esibalulekile incazelo yezimfihlo ezivela ku-loop. Bangakwazi ukuthwebula izithombe ukuze bangakhohlwa imininingwane, ukucacisa imvamisa, umbala, ukuhambisana.

Ngemuva kokuhlolwa okujwayelekile, ukuhlolwa kwe-ultrasound yesimo sesibeletho kanye nezindonga zaso kwenziwa, ukuba khona kwama-neoplasms - ama-cysts nama-tumors kutholakala.

Izifundo zaselabhorethri zihlanganisa:

• ukuhlolwa kwegazi okujwayelekile komtholampilo,
• i-blood chemistry,
• ukuhlaziya umchamo jikelele,
• ukuhlaziywa kokukhishwa kwesitho sangasese sowesifazane.

Ngesikhathi sokuhlolwa komtholampilo, udokotela wezilwane uqoqa i-exudate ekhishwe esibelethweni ukuze abone i-agent causative yokutheleleka. Isiko lebhaktheriya emithonjeni yezakhi zomzimba liyadingeka ukuze kunqunywe ukutheleleka.

Uma ukuxilongwa kuqinisekiswa, udokotela wezilwane uthuthukisa uhlobo oluthile lokwelashwa.

Ukwelashwa kwe-Endometritis

I-Endometritis enja akulula ukwelapha: lesi sifo sicashile ngokuhamba kwezigaba ezinzima. Ukwelashwa kukhethiwe kuye ngemiphumela yezifundo, isigaba se-endometritis, isimo somtholampilo wenja futhi ngokwemibandela siqukethe izigaba ezintathu.

Ukwelashwa ngama-antimicrobial kuhlanganisa ukunquma ama-antibiotic abanzi.

Ukwelashwa kwe-Symptomatic kuqeda izimpawu zokudakwa. Kulokhu, izidakamizwa zinqunyelwe ukubuyisela ibhalansi kasawoti wamanzi (isibonelo, ama-droppers e-intravenous of glucose solutions kanye ne-Ringer-Locke). Ziyadingeka uma inja inoketshezi olukhulu ngenxa yohudo noma ukuhlanza. Emazingeni okushisa aphezulu, isilwane siboniswa izidakamizwa ze-antipyretic.

Ukwandisa ukumelana komzimba, inkambo yama-immunomodulators iyadingeka.

I-endometritis ethuthukisiwe ezinjeni ingelashwa ngokuhlinzwa. Lokhu kwenzeka lapho umzimba ungaphenduli ekwelashweni okulondolozayo; udokotela unquma ukungenelela kokuhlinzwa, lapho kukhishwa isibeletho nama-appendages. Ukuhlinzwa kuboniswa uma kunengozi enkulu yokuqhekeka kwezitho zangaphakathi ngenxa yobomvu obuqoqwe. Esikhathini se-postoperative, i-complex of rehabilitation therapy izodingeka.

Ukuphumelela kokwelashwa kuncike ezintweni eziningi, phakathi kwazo ubudala benja, ukuba khona kwezifo ezingapheli zezitho zangaphakathi kanye nesimiso senhliziyo, isibindi nezinso akubalulekile kangako.

ukuvikela izifo

Ukuvimbela i-endometritis ukunciphisa izimbangela ezivusa ukuthuthukiswa kwenqubo yokuvuvukala.

Kusukela ku-estrus yokuqala, kubalulekile ukurekhoda kujenali ehlukile noma incwadi yezilwane ezifuywayo izinsuku zokuqala nokuphela komjikelezo, inkimbinkimbi yenkambo, ukubeletha noma eminye imisebenzi.

Indlela enesibopho enqubweni yokukhwelana nokubeletha. Ngalesi sikhathi, isibeletho sivulekile, i-endometrium iqina, imvelo isengozini kunoma yiziphi izinambuzane ezincane ze-pathogenic. Ngesikhathi sokubeletha, kuyadingeka ukubiza udokotela wezilwane ekhaya, ukuze ugweme ukulimala: ukuqhuma komlomo wesibeletho, ukuqhekeka. Umnikazi kufanele agcine ukuhlanzeka: geza izandla, uwaphathe nge-antiseptic, sebenzisa izinsimbi eziyinyumba kuphela kanye nokusula.

Ukudla okunomsoco kubalulekile enja enempilo. Kodwa kubaluleke kakhulu ukunamathela ekudleni okugcwele ngesikhathi sokukhulelwa kanye ne-lactation.

Uma umnikazi engahleli ukuzalanisa, ukuvala inzalo kuyanconywa esilwaneni esifuywayo.

Ukugoma okufika ngesikhathi kanye nokwelashwa kwe-antiparasite kuzosindisa inja ezifweni ezingase zibe nomthelela oqondile ezithweni zokuzala futhi zingafaka isandla ku-endometritis.

Kubalulekile ukuqapha lapho inja ihamba khona, ixhumana nobani, ukuthi indawo yokuhamba ihlanzekile kangakanani. Ukunakwa okukhethekile kufanele kukhokhwe kulokhu ngesikhathi se-estrus: kufanele uzame ukuhamba ezindaweni ezithule, kude nokuhamba nezinye izinja.

Umnikazi kufanele anake isimo sesilwane ukuze aqaphe izinguquko ezingenzeka emazingeni e-hormonal. Ngokunakwa ngokucophelela, ithuba lemiphumela emibi lincane, ngakho-ke isisekelo sokuvimbela izifo ukunaka nokunakekela isilwane.

Izinkinga ezingenzeka

Ngokuqhubeka kwalesi sifo, ukutheleleka kusakazeka kumashubhu e-fallopian, kungene ezingxenyeni ezijulile zesibeletho, kubangela izinqubo ezingenakuguqulwa emzimbeni wenja. Izinkinga nge-endometritis ethuthukisiwe zingaba ukungazali, i-sepsis, noma ngisho nokufa kwesilwane esifuywayo.

I-Pyometra (noma i-purulent endometritis) ukuvuvukala okunamandla kwesibeletho noma amashubhu e-fallopian. Lesi sifo esibi kakhulu sibizwa ngokuthi yizinkinga zangemva kokubeletha. I-Pyometra ivame ukuba nenkambo ye-hyperacute, ethinta ulwelwesi lwesibeletho. Umehluko wawo ukukhishwa kwe-purulent ngephunga elingathandeki. Ngenxa yenqubo yokutheleleka ngokushesha, leli fomu libonakala ngokudakwa nokwanda okubukhali kwezinga lokushisa lomzimba wenja. Le pathology iyingozi kakhulu empilweni yenja futhi idinga ukungenelela okuphuthumayo kokuhlinzwa.

I-Peritonitis ukuvuvukala okunamandla kwe-serous membrane, engathuthuka ngokumelene nesizinda se-endometritis. Lokhu kuyinkinga engathi sína edinga ukwelashwa okuphuthumayo kwe-endometritis enja, njengoba impilo yesilwane esifuywayo ihamba ngewashi.

Ngomlomo wesibeletho ovulekile, i-catarrhal endometritis iyakhula. Ukuphuma okumuncu okunamafinyila nobomvu kuvela kuluphu. Inja ayiphumuli, ivame ukuzikhotha ngaphansi komsila.

Ngesibeletho esivaliwe, i-endometritis efihliwe iyaqhubeka. Izabelo azikwazi ukuphumela ngaphandle, okwenza kube nzima ukuxilonga. Kodwa zikhona futhi ziqongelela emgodini wesibeletho, okuholela ekunwetshweni kwawo futhi kusongela ngokuphuka okukhulu kanye nobuthi begazi. Kuyabonakala ukuthi isisu sowesifazane siyancibilika, ku-palpation kubuhlungu esibelethweni.

I-Sepsis (noma ubuthi begazi) ingaba yinkinga ye-endometritis. Ukutheleleka kusakazeka kusuka esibelethweni kuwo wonke umzimba, ngokungabikho kokwelashwa okuphuthumayo kungabangela ukufa kwesilwane esifuywayo.

Imiphumela ngisho nasezinjeni eziphathwayo ayilula. Kunezinkinga ngendlela yokwehluleka kwezinso, ezingaba yizihlala isikhathi eside; ngenxa yezinqubo esibelethweni, ubukhulu bayo buyanda, ezinye izitho zangaphakathi ziyasuswa futhi, ngenxa yalokho, imisebenzi yazo ikhubazekile. Uma ungayinaki lesi sigaba se-endometritis, ukuphuka kwesibeletho kungase kwenzeke, i-peritonitis ingase ivele, okuyinto, ngeshwa, ngokuvamile iphetha ngokufa kwenja.

Uhlobo olungapheli lwe-endometritis lucashile ngoba i-endometritis esivele ilalisiwe ivela kaningi ngenkambo ecashile nezimpawu. Ngisho nangemva kokuhlinzwa okuphumelelayo nokwelashwa okulandelayo, kunengozi yezinkinga. Ukuvimbela i-endometritis ezinjeni kulula kunokulwa nesifo, ngakho-ke akufanele ulahlekelwe ukuqapha kwakho: ngezimpawu ezishaqisayo, kungcono ukubonisana nodokotela wezilwane.

I-athikili ayikona ukubizela esenzweni!

Ukuze uthole ukucwaninga okuningiliziwe kwenkinga, sincoma ukuthi uxhumane nochwepheshe.

Buza udokotela wezilwane

Julayi 7 2020

Kubuyekezwe: February 13, 2021