Daawaynta ugu Fiican ee Endometritis ee Haweenka
Dumar badan ayaa ku dhici kara endometritis iyagoon ogeyn. Badanaa, waxaad ogaan kartaa jiritaanka cudurka kaliya ka dib baaritaanka dhakhtarka haweenka. Waa maxay sababta endometritis u dhaco iyo sida loo daweeyo si wax ku ool ah, weydii dhakhaatiirta

Endometritis waa mid ka mid ah cudurrada bararka miskaha ee ugu caansan dumarka. Maqnaanshaha daawaynta saxda ah, cudurku wuxuu geli karaa marxalad joogto ah wuxuuna sababi karaa dhalmo la'aan.

Guud ahaan, endometritis waa barar ku dhaca xuubka ilmo-galeenka (endometrium). Sababta horumarinta cudurku waa cuduro kala duwan oo faafa oo gala ilmo-galeenka - fungi, bakteeriyada, fayrasyada1. Inta badan, endometritis wuxuu ku dhacaa asalka hoos u dhaca guud ee difaaca.

Qodobbada khatarta ah ee horumarinta endometritis:

  • dhalmada adag;
  • faragelin kasta oo lagu sameeyo daloolka ilmo-galeenka (daawaynta ogaanshaha iyo daaweynta, ilmo iska soo rididda);
  • caabuqyada hoose ee xubinta taranka;
  • caabuqyada galmada lagu kala qaado (sida jabtada ama kalamiidiya);
  • microorganisms kale (microbacteria tuberculous, Escherichia coli, diphtheria bacillus, mycoplasma, streptococci, iwm);
  • u hoggaansami la'aanta xeerarka nadaafadda.

Daawooyinka casriga ah, noocyada ba'an iyo kuwa daba-dheeraada ee cudurka ayaa la kala saaraa.

Endometritis ba'an

Waxay u dhacdaa si lama filaan ah, oo badanaa ka soo horjeeda asalka faragelinta ilmo-galeenka. Waxaa lagu gartaa astaamo muuqda oo bukaan-socod ah, kuwaas oo ay ka mid yihiin calaamadaha sakhradda jirka.

Calaamadaha endometritis ba'an:

  • koror xooggan oo heerkulka;
  • qarqaryo;
  • jiidashada xanuunka caloosha hoose (xanuunka waxaa la siin karaa dhabarka hoose, coccyx, gobolka inguinal);
  • daciifnimo guud;
  • cunto xumo;
  • dheecaan ka soo baxa siilka.

Endometritis raaga

Nooca dabadheeraad ah ee cudurku badanaa waa asymptomatic wuxuuna badanaa ku dhacaa maqnaanshaha daaweyn ku filan oo barar degdeg ah.2.

- Baahitaanka endometritis raaga si sax ah looma oga. Sida laga soo xigtay qorayaashayada, laga bilaabo 1 ilaa 70% bukaanada qaba dhalmo la'aanta ama ka dib isku dayo aan lagu guuleysan oo lagu joojinayo uurka waxaa lagu ogaadaa endometritis dabadheeraad ah. Endometritis dabadheeraad ah wuxuu noqon karaa mid faafa: fayrasyada, bakteeriyada, cudurada galmada lagu kala qaado, iyo sidoo kale difaaca jirka. Ka dib joojinta uurka, kiis kasta, ogaanshaha "endometritis raaga" ayaa la sameeyaa, - qoraalo Anna Dobychyna, dhakhtarka haweenka-haweenka, dhakhtarka qalliinka, ku xigeenka dhakhtarka CER ee machadka RemeDI ee daawaynta taranka.

Calaamadaha endometritis raaga

  • cilladaha wareegga caadada;
  • dheecaan khafiif ah oo yar ka hor iyo ka dib caadada
  • uur la'aan iyo dhicis.

Isagoo ka hadlaya daawaynta endometritis, takhtarka dhalmada-dhakhtarka haweenka ayaa qoraya dawooyin ku saleysan sababta cudurka. Waxay noqon kartaa bakteeriyada, hormoonnada, daaweynta dheef-shiid kiimikaadka, daaweynta jimicsiga ama daroogooyinka kakan.

Muddada daaweyntu waxay ku xiran tahay taariikhda. Haddii bukaanku aanu lahayn faragelin ku saabsan daloolka ilmo-galeenka, ilmo iska soo rididda, ka dibna hal wareeg oo caadadu waxay ku filan tahay in lagu daaweeyo endometritis oo u qoro diyaarinta hormoonnada habboon.

Marka laga hadlayo taariikhda cudurrada haweenka ee culeyska leh, daaweyntu waxay socon kartaa 2-3 bilood.

1. Daawooyinka endometritis ee haweenka

Dawaynta bakteeriyada

Marxaladda koowaad ee daaweynta endometritis ee haweenka, antibiyootiga ballaaran ayaa loo isticmaalaa. Khabiirkeena Anna Dobychina waxay xustay in daawaynta antibiyootiga inta lagu jiro uurka lagu tilmaamo kaliya kiisaska xaqiijinta shaybaarka ee cudur-sidaha microbial ee ku jira godka ilmo-galeenka ee titer kiliinikada muhiimka ah.

Si loo daaweeyo endometritis ee haweenka, dhakhtarku wuxuu qori karaa antibiyootiko ballaaran oo leh unug gelin sare leh. Daawooyinkaan waxaa ka mid ah amoxicillin, clindamycin, gentamicin, ampicillin3. Daaweynta waxaa lagula talinayaa in laga bilaabo maalinta koowaad ee caadada.

Daawooyinka fangaska

Ka-hortagga candidiasis ee ka soo horjeeda asalka isticmaalka antibiyootiga, daawooyinka fangas ayaa loo qoraa: Nystatin, Levorin, Miconazole, Ketoconazole, Itraconazole, Fluconazole iyo kuwa kale.

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Dawooyinka lidka-fayraska

Marka uu jiro caabuq fayras ah ka dib daaweynta antibiyootiga, daawooyinka fayraska iyo immunomodulatory ayaa loo isticmaalaa, sida Acyclovir, Valciclovir, Viferon, Genferon.

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2. Shumacyada endometritis

Doorashada suufka siilka waxay ku xiran tahay calaamadaha iyo nooca cudur-sidaha. Markaad isticmaalayso suppositories, maaddooyinka firfircooni ma galaan mindhicirrada, laakiin waxay si toos ah u galaan dhiigga siilka, taas oo yaraynaysa khatarta ah inay yeeshaan dysbacteriosis iyo saamaynta xun ee beerka.

Marxaladda ba'an ee cudurka, suppositories bakteeriyada ayaa loo isticmaalaa in la xakameeyo taranka ee cudurada. Daawaynta qaabka daba-dheeraada ee endometritis, anti-bararka, immunostimulating, suppositories antiseptik, sida Diclofenac, Galavit, Terdinan, Livarol, Lidaza iyo kuwa kale, ayaa sidoo kale loo qoraa.

Daawooyin kala duwan oo kala duwan ayaa loo isticmaalaa in lagu daweeyo caabuqa ilmo galeenka. Marxaladda ba'an ee cudurka, wakiilada bakteeriyada habaysan ayaa la isticmaalaa. Suppositories waxaa inta badan loo qoraa daawaynta adjuvant.

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3. Daaweynta dheef-shiid kiimikaadka

Daaweynta dheef-shiid kiimikaadka waa marxaladda labaad ee daaweynta, taas oo loogu talagalay in lagu baabi'iyo dhaawaca labaad, oo ay ku jiraan cilladaha dheef-shiid kiimikaadka. Waxaa lagu talinayaa in la isticmaalo fitamiinada, antioxidants, hepatoprotectors iyo enzymes (Wobenzym, Phlogenzym).

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4. Jimicsiga jirka

Sida laga soo xigtay dhakhtarka haweenka-dhakhtarka haweenka Anna Dobychina, daawaynta endometritis, farsamooyinka jimicsiga jireed waxay leeyihiin saameyn weyn: magnets, lasers, iyo ultrasounds. Hawsha daaweynta fiisigiska ee kiiskan waa in la hagaajiyo socodka dhiigga ee xubnaha miskaha, hagaajinta hababka dib u soo kabashada endometrium, iyo sidoo kale kordhinta difaaca difaaca.4.

5. Daawaynta hormoonka

Daaweynta hoormoonka ayaa loo isticmaalaa xaaladaha qaarkood si loo ilaaliyo loona caadiyeeyo koritaanka endometrium. Sida caadiga ah, kiiskan, isku-darka ka-hortagga uur-qaadista afka ayaa loo qoraa, tusaale ahaan, Regulon iyo Novinet. Marka la qorsheynayo uurka, progesterone ayaa la isticmaalaa.

Ka hortagga endometritis

Si looga hortago endometritis haweenka, ugu horreyntii, waxaa lagama maarmaan ah in la sameeyo ka hortagga cudurrada galmada lagu kala qaado: la yareeyo tirada galmada, isticmaal kondhomyada, si joogto ah u qaado suufka caabuqyada, iyo haddii ay dhacdo infekshan, qaado daaweyn waqtigeeda ah. Sidoo kale arrin muhiim ah ayaa ah ka hortagga ilmo soo rididda, markaa waxaad u baahan tahay inaad si dhab ah u qaadato arrinta ka hortagga uurka.

- Dabcan, uur aan korineynin aad ayey u adag tahay in laga hortago, sidaas darteed, haddii ay taasi dhacdo, waxaa lagama maarmaan ah in la ilaaliyo kormeer joogto ah oo la raaco dhammaan talooyinka dhakhtarka dhalmada- haweenka. Tani waxay yaraynaysaa khatarta mustaqbalka, ayay tiri Anna Dobychyna.

Su'aalaha iyo jawaabaha caanka ah

Su'aalaha caanka ah ee ku saabsan endometritis ee haweenka ayaa laga jawaabay dhakhtarka qalliinka, dhakhtarka haweenka-haweenka ee Xarunta Caafimaadka Yurub Oleg Larionov.

Maxaa sababa endometritis?

- Marka hore, waxaa habboon in la kala saaro endometritis, oo aan la xiriirin uurka, iyo endometritis, taas oo ahayd dhibka dhalmada ka dib, waxa loogu yeero endometritis postportal. Farqiga u dhexeeya microflora ee keena cudurka.

Endometritis dhalmada ka dib waa wax caadi ah. Waxaa keena microflora, kaas oo caadi ahaan ku jiri kara siilka, laakiin ma galo deegaanka nadiifka ah ee daloolka ilmo-galeenka xilliga dhalmada. Marka uu jiro postporal endometritis, waxaa jira xanuuno aad u daran oo ah caloosha hoose, dheecaan badan ama dheecaan dhiig leh oo ka imaanaya xubinta taranka, heerkulka jidhka ayaa kor u kaca, garaaca wadnaha ayaa kordha.  

Endometritis, aan la xiriirin uurka iyo dhalmada, badanaa waa natiijada caabuqyada galmada lagu kala qaado. Waxaa keena kalamiidiya, jabtada iyo xanuunada kale qaarkood. Sidoo kale, sababtu waxay noqon kartaa waxqabadyo caafimaad, tusaale ahaan, rakibidda qalabka intrauterine, hysteroscopy oo leh daaweynta ilmo-galeenka, ilmo iska soo rididda.

Waa maxay sababta endometritis khatar u yahay?

- Cawaaqibta suurtagalka ah iyo dhibaatooyinka endometritis waxaa ka mid ah: khatarta dhalmo la'aanta oo kordhay, uurka ectopic, xanuunka miskaha ee joogtada ah, iyo endometritis oo soo noqnoqda. Endometritis daba-dheeraatay waxay sababi kartaa xad-gudub ku ah koorsada caadiga ah ee uurka, tusaale ahaan, dhicis iskeed ah, dhalmo dhicis ah, dillaac degdeg ah ee dheecaanka amniotic.

Intee in le'eg ayaa la daaweeyaa endometritis?

– Daawaynta endometritis waa ballan dawooyinka bakteeriyada. Taas oo - ku xiran tahay qaabka endometritis. Muddada daawadu caadi ahaan waa 10-14 maalmood. Si kastaba ha ahaatee, haddii daawaynta endometritis ba'an horumar la taaban karo ma dhicin 24-48 saacadood ee soo socda, markaas waa in aad ka fikirto beddelo therapy antibiyootiga.
  1. Serebrennikova KG, Babichenko II, Arutyunyan NA Cusub ee ogaanshaha iyo daaweynta endometritis dabadheeraad ah ee dhalmo la'aanta. Cilmiga haweenka 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 Qiimaynta isbarbardhigga ee ultrasound iyo Doppler ee endometritis dabadheeraad ah. Baarista Ultrasonic iyo functional. 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. Endometritis raaga: etiology, rugta caafimaadka, ogaanshaha, daaweynta. Buugga Ruushka ee dhakhtarka dhalmada-haweenka. 2013; 13 (5):21-27. https://cyberleninka.ru/article/n/hronicheskiy-endometrit-puti-resheniya-problemy-obzor-literatury
  4. Nazarenko TA, Dubnitskaya LV Suurtagalnimada daaweynta enzyme ee endometritis dabadheeraad ah ee bukaanka da'da taranka. Dhibaatooyinka taranka 2007; 13 (6):25-28. https://gynecology.orscience.ru/2079-5831/article/view/27873

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