Mafi kyawun Magani ga Endometritis a Mata
Yawancin mata na iya samun endometritis ba tare da saninsa ba. Sau da yawa, za ku iya gano game da kasancewar cutar kawai bayan jarrabawar likitan mata. Me yasa endometritis ke faruwa da kuma yadda za a bi da shi yadda ya kamata, tambayi likitoci

Endometritis yana daya daga cikin cututtukan da ke haifar da kumburi a cikin mata. Idan babu maganin da ya dace, cutar na iya shiga cikin matsayi na yau da kullum kuma ya haifar da rashin haihuwa.

Gaba ɗaya, endometritis wani kumburi ne na rufin mahaifa (endometrium). Dalilin ci gaban cutar shine nau'in cututtuka daban-daban da ke shiga cikin mahaifa - fungi, kwayoyin cuta, ƙwayoyin cuta1. Sau da yawa, endometritis yana faruwa a kan bangon raguwar rigakafi gaba ɗaya.

Abubuwan haɗari don ci gaban endometritis:

  • rikitarwa haihuwa;
  • duk wani tsoma baki a cikin rami na mahaifa (bincike da warkewa curettage, zubar da ciki);
  • ƙananan cututtuka na tsarin al'aura;
  • cututtuka da ake ɗauka ta hanyar jima'i (kamar gonorrhea ko chlamydia);
  • sauran microorganisms (tuberculous microbacteria, Escherichia coli, diphtheria bacillus, mycoplasma, streptococci, da dai sauransu);
  • rashin bin ka'idojin tsaftar jiki.

A cikin maganin zamani, an bambanta nau'in cutar mai tsanani da na yau da kullum.

Cutar cututtuka na endometritis

Yana faruwa ba zato ba tsammani, sau da yawa akan bangon tsoma baki a cikin mahaifa. Yana da alamun bayyanar asibiti, daga cikinsu akwai alamun maye na jiki.

Alamun m endometritis:

  • karuwa mai kaifi a cikin zafin jiki;
  • jin sanyi;
  • ja zafi a cikin ƙananan ciki (za'a iya ba da zafi ga ƙananan baya, coccyx, yankin inguinal);
  • rashin ƙarfi gabaɗaya;
  • asarar ci;
  • purulent farji fitarwa.

Na kullum endometritis

Tsarin cutar na yau da kullun yana da asymptomatic kuma sau da yawa yana faruwa idan babu isasshen magani na kumburi mai kumburi.2.

- Ba'a san yaɗuwar endometritis na yau da kullun ba. A cewar mawallafanmu, daga 1 zuwa 70% na marasa lafiya da rashin haihuwa ko bayan yunƙurin da ba a yi nasara ba don kawo karshen ciki an gano su tare da endometritis na kullum. Na kullum endometritis na iya zama kamuwa da cuta: ƙwayoyin cuta, kwayoyin cuta, jima'i cututtuka, kazalika da autoimmune. Bayan ƙarewar ciki, a kowane hali, an gano ganewar asali na "na kullum endometritis" - bayanin kula. Anna Dobychyna, likitan obstetrician-gynecologist, likitan fiɗa, mataimakin babban likita na CER na Cibiyar RemeDI na Magungunan Haihuwa.

Alamun na kullum endometritis

  • cututtukan haila;
  • magudanar haske kafin haila da bayan haila
  • rashin ciki da zubar ciki.

Da yake magana game da maganin endometritis, likitan obstetrician-gynecologist ya rubuta kwayoyi bisa dalilin cutar. Yana iya zama antibacterial, hormonal, metabolism far, physiotherapy ko hadaddun kwayoyi.

Tsawon lokacin jiyya ya dogara da tarihin. Idan mai haƙuri ba shi da shisshigi a cikin rami na uterine, zubar da ciki, to, wata hailar sake zagayowar ta isa ta bi da endometritis kuma ta tsara shirye-shiryen hormonal da suka dace.

A cikin yanayin tarihin gynecology mai nauyi, jiyya na iya ɗaukar watanni 2-3.

1. Magungunan endometritis a cikin mata

Magungunan rigakafi

A mataki na farko na lura da endometritis a cikin mata, ana amfani da maganin rigakafi masu yawa. Masanin mu Anna Dobychina ya lura cewa maganin rigakafi a lokacin daukar ciki ana nuna shi ne kawai a lokuta na tabbatar da dakin gwaje-gwaje na ƙwayoyin cuta na ƙwayoyin cuta a cikin rami na mahaifa a cikin mahimmancin asibiti.

Don kula da endometritis a cikin mata, likita na iya rubuta maganin rigakafi masu yawa tare da shigar da kwayar halitta mai girma. Wadannan kwayoyi sun hada da amoxicillin, clindamycin, gentamicin, ampicillin3. Ana bada shawarar farawa daga ranar farko ta haila.

Magungunan rigakafi

Don rigakafin candidiasis a kan bango na yin amfani da maganin rigakafi, an wajabta magungunan antifungal: Nystatin, Levorin, Miconazole, Ketoconazole, Itraconazole, Fluconazole da sauransu.

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Magungunan rigakafi

A gaban kamuwa da kwayar cutar kwayar cutar kwayar cutar bayan maganin rigakafi, ana amfani da magungunan antiviral da immunomodulatory, irin su Acyclovir, Valciclovir, Viferon, Genferon.

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2. Kyandir don endometritis

Zaɓin magungunan farji ya dogara da alamun bayyanar cututtuka da nau'in pathogen. Lokacin amfani da suppositories, abubuwan da ke aiki ba su shiga cikin hanji ba, amma suna shiga cikin jini kai tsaye daga farji, wanda ke rage haɗarin haɓaka dysbacteriosis da mummunan tasiri akan hanta.

A cikin mummunan lokaci na cutar, ana amfani da maganin kashe kwayoyin cuta wanda ke hana haifuwa na ƙwayoyin cuta. A cikin lura da na kullum nau'i na endometritis, anti-mai kumburi, immunostimulating, antiseptik suppositories, kamar Diclofenac, Galavit, Terdinan, Livarol, Lidaza da sauransu.

Ana amfani da magunguna daban-daban don magance kumburin mahaifa. A cikin mummunan mataki na cutar, ana amfani da kwayoyin cutar antibacterial na tsarin. Mafi yawan lokuta ana rubuta suppositories azaman magani na adjuvant.

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3. Magungunan ƙwayar cuta

Magungunan ƙwayar cuta shine mataki na biyu na jiyya, wanda ke nufin kawar da lalacewa na biyu, ciki har da cututtuka na rayuwa. An ba da shawarar yin amfani da bitamin, antioxidants, hepatoprotectors da enzymes (Wobenzym, Phlogenzym).

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4. Jiyya

A cewar masanin ilimin mahaifa-gynecologist Anna Dobychina, a cikin maganin endometritis, dabarun ilimin likitancin jiki suna da tasiri mai girma: maganadisu, lasers, da ultrasounds. Ayyukan physiotherapy a cikin wannan yanayin shine don inganta jinin jini na gabobin pelvic, inganta matakai na farfadowa na endometrium, da kuma ƙara yawan kariya na rigakafi.4.

5. Hormone far

Ana amfani da maganin hormone a wasu lokuta don kulawa da daidaita ci gaban endometrium. A matsayinka na mai mulki, a cikin wannan yanayin, an ba da izinin haɗe-haɗe na baka, misali, Regulon da Novinet. Lokacin shirya ciki, ana amfani da progesterone.

Rigakafin endometritis

Don hana endometritis a cikin mata, da farko, ya zama dole a shiga cikin rigakafin cututtukan da ake ɗauka ta hanyar jima'i: rage yawan jima'i, amfani da kwaroron roba, ɗaukar swabs akai-akai don cututtuka, kuma idan akwai kamuwa da cuta, sha magani na lokaci. Har ila yau, wani muhimmin al'amari shi ne rigakafin zubar da ciki, don haka kuna buƙatar ɗaukar batun hana haihuwa da mahimmanci.

- Tabbas, ciki wanda ba ya tasowa yana da wuyar hanawa, sabili da haka, idan wannan ya faru, ya zama dole a kasance a karkashin kulawa na yau da kullum da kuma bin duk shawarwarin likitancin mahaifa-gynecologist. Hakan zai rage haɗarin nan gaba,” in ji Anna Dobychyna.

Shahararrun tambayoyi da amsoshi

Shahararrun tambayoyi game da endometritis a cikin mata suna amsawa likitan tiyata, likitan obstetrician-gynecologist na Cibiyar Kiwon Lafiya ta Turai Oleg Larionov.

Menene ke haifar da endometritis?

– Da farko, yana da daraja raba endometritis, ba hade da ciki, da kuma endometritis, wanda ya kasance mai rikitarwa bayan haihuwa, abin da ake kira postportal endometritis. Bambanci a cikin microflora wanda ke haifar da cutar.

Endometritis bayan haihuwa yana da yawa. Ana haifar da shi ta hanyar microflora, wanda yawanci zai iya zama a cikin farji, amma ba ya shiga yanayin da bakararre na cikin mahaifa a lokacin haihuwa. Tare da endometritis na baya-bayan nan, akwai ciwo mai tsanani a cikin ƙananan ciki, yawan zubar da jini ko zubar da jini daga al'aura, zafin jiki yana tashi, kuma bugun zuciya yana ƙaruwa.  

Endometritis, wanda ba shi da alaƙa da ciki da haihuwa, yawanci shine sakamakon cututtukan da ake ɗauka ta hanyar jima'i. Yana haifar da chlamydia, gonorrhea da wasu cututtuka. Har ila yau, dalilin zai iya zama magungunan likita, alal misali, shigarwa na na'urar intrauterine, hysteroscopy tare da maganin maganin mahaifa, zubar da ciki.

Me yasa endometritis ke da haɗari?

– Matsaloli masu yiwuwa da rikitarwa na endometritis sun haɗa da: ƙara haɗarin rashin haihuwa, ciki ectopic, ciwon ƙwanƙwasa na yau da kullun, da maimaita endometritis. Endometritis na yau da kullun na iya haifar da cin zarafi na al'ada na ciki, alal misali, zubar da ciki ba tare da bata lokaci ba, haihuwar da bai kai ba, fashewar ruwan amniotic da wuri.

Har yaushe ake maganin endometritis?

– Maganin endometritis shine nadin magungunan kashe kwayoyin cuta. Wanne - ya dogara da nau'in endometritis. Tsawon lokacin jiyya yawanci kwanaki 10-14 ne. Duk da haka, idan a cikin lura da m endometritis wani gagarumin ci gaba bai faru a cikin na gaba 24-48 hours, ya kamata ka yi tunani game da canza kwayoyin far.
  1. Serebrennikova KG, Babichenko II, Arutyunyan NA New a cikin ganewar asali da kuma lura da na kullum endometritis a cikin rashin haihuwa. Gynecology. 2019; 21 (1): 14-18. https://cyberleninka.ru/article/n/novoe-v-diagnostike-i-terapii-hronicheskogo-endometrita-pri-besplodii
  2. Plyasunova MP, Khlybova SV, Chicherina EN Kwatanta kimantawa na duban dan tayi da sigogin Doppler a cikin endometritis na yau da kullun. Ultrasonic da aikin bincike. 2014: 57-64. 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. Na kullum endometritis: etiology, asibiti, ganewar asali, magani. Rubutun Rasha na likitan obstetrician-gynecologist. 2013; 13 (5): 21-27. https://cyberleninka.ru/article/n/hronicheskiy-endometrit-puti-resheniya-problemy-obzor-literatury
  4. Nazarenko TA, Dubnitskaya LV Yiwuwar enzyme far na kullum endometritis a marasa lafiya na haihuwa shekaru. Matsalolin haifuwa 2007; 13 (6): 25-28. https://gynecology.orscience.ru/2079-5831/article/view/27873

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