Esingayenza ngaphandle kokuthi siphathe endometritis izinkomazi?

Endometritis - ukuvuvukala, esizibonakalisa ulwelwesi kwesibeletho. Ngokombono walaba izinkomo zangasese uhlelo, kwesibeletho umzimba ebucayi kakhulu, okuyinto ngokuvamile manifest ukuvuvukala izinqubo. Nokho, endometritis kungenziwa ngokuthi alulona olwawo wonke umuntu. Zikhona nezinye izinhlobo izifo ezibangwa ukuvuvukala kamama, kodwa kwezinye izingxenye zalo. Lokhu ngokuhlukana okunemibandela, kodwa endabeni Ukuyekwa kwezindlela lesi sifo uqobo, kungaba iyangena miotetrit futhi eminye has a ipherimitha. Ngokuvamile namanje endometritis sihlukaniswe ngu chronic acute, ebonakaliswa emva amathole inkomo. Lezi zaziwa ngokuthi kwangemva kokubeletha endometritis.

Kuleli phephandaba, ukubukeka eningiliziwe kweyesi inkomo endometritis.

Izizathu ukubonakaliswa endometritis

Inkinga eyinhloko letibukene Izitho zokuzala inkomo - ithola ukutheleleka okubangela ukuvuvukala. I-ejenti ungase uthole esibelethweni lesilwane phakathi ukuvuvukala inyuka (lezinkinobho, vestibulitis) noma ukunakekelwa azoya. Ngokuvamile, njengoba amabhaktheriya ukungena ngesikhathi sokukhulelwa, ngesikhathi izinyanga 5 ngesikhathi liquefaction olungaphelele plug isikhwehlela noma ukushisa.

Endometritis izinkomazi angagcina njengoba isifo zamabanga sofuba, brucellosis, noma ngemva kunqanda placenta.

Iphuzu elibaluleke kakhulu, futhi ngezinye izikhathi ikakhulukazi, e ukuthuthukiswa endometritis umbuzo lokunakekela, bondliwe futhi izindlu kwezilwane. Ngokuvamile endometritis imbangela amagciwane ezingosomathuba ukuthi abonise isinyathelo elimazayo kuphela uma inkomo lehla ukumelana. Okuyizici ezinomthelela ukubonakaliswa endometritis:

• Ngokuvamile lesi sifo senziwa ukuvuvukala ukuthi iqala wesibeletho noma esithweni sangasese.
• Phakathi nenkathi yokukhulelwa, le isilwane yahlaselwa ukutheleleka sina (chlamydiosis, brucellosis, njll). Ekuqaleni, placenta asathuthuka, ithela kulo kwangemva kokubeletha acute endometritis izinkomazi.
• nokubeletha Kunzima kungenzeka ukulimala endometrium, okwaholela ukutheleleka yayo. Ngezinye izikhathi uma kwenzeka ukubambezeleka okwalandela, kombhala, noma lesizalo prolapse.
• Kudluliswa inkomo isisu, okubangela ukutheleleka.
• Uma esibayeni indawo engahlanzekile, kanye bezilwane esetshenziswa amathuluzi anamagciwane ebeletha, bayalibala ukuba zigeze izandla futhi akazange agcine nezinye izidingo inhlanzeko, kungase kubangele ukushisa. umsebenzi amateur ngokuvamile kakhulu kuholela sifo: msebenzi onzima, ngokwahlukana nokuwubuwula yomzanyana okungafanele ukwelashwa emva kokubeletha, ukungabi prophylaxis imithi elwa nawo.

Clinical isithombe nokuhlola

Kanjani a endometritis inkomo? Izinkomo kungenziwa abangenwe izinhlobo eziningana lesi sifo, kwamangqamuzana zazo kubalulekile kokubili ngokoMthetho etymology, futhi ukuhlinzeka ukunakekelwa olufanele lwezokwelapha.

Ubovu-catarrhal ifomu acute

Okuvame kakhulu izinkomo lesi sifo, okuyinto kuhambisana ukudangala, ukungakuthandi umkhiqizo futhi esesuthi, ongaphakeme-ebangeni imfiva. Ngokuvamile, isifo kubonakala ngemva inkomo calved, bese bethola kungaba lapho ededelwa catarrhal exudate nge ukungcola kobovu nombala omhlophe-eziluhlaza Izitho zangasese zangaphandle amaxhaphozi elincane ubomvu ekuseni.

Lokhu ubovu-catarrhal endometritis izinkomazi. Umlando isifo zingase zihluke.

• With ukuguquguquka kungenzeka exuding ngesikhathi uphethwe.
• Tenesmus, eguqa emuva izilwane inqubo ukuchama.
• ithoni encishisiwe, impendulo engeyinhle ukuba massage.
• On luhlolo, setha obala canal wesibeletho.
• Alukho ushintsho egumeni.
• Ubunikazi ukwandisa izimpondo kwesibeletho palpation rectal.

Uma ngendlela esifike ngesikhathi ukuze kuthuthukiswe izimo yeziboshwa kanye nokwelashwa isilwane, isifo uyoba Chile oqondile. Isikhathi esining impela uphuzwe ngenxa ekuhlehleni kwesibeletho, okwandisa ukuthuthukiswa zokugula futhi singaholela ezinkingeni.

Yini enye kungaba endometritis izinkomazi?

ukuvuvukala fibrinous

Ngokumelene okwenza yokuthola lesizalo ukulimala ukuvuvukala fibrinous eba. Isikhathi esining impela ukuthi kuziveza ngemva usizo abangenamakhono lokuzalwa izikhonzi. Effusion ka fibrin kwenzeka ngemva umonakalo mechanical izingqimba lwamafinyila nezinye izitho zokuzala.

umehluko Clinical itholakala uhlobo oluthile loketshezi, lapho imicu fibrin abakhona. Can ukuhlukanisa, bezihlikihla ubomvu phakathi kweminwe izici umsindo omnandi. Ngokuvamile uqaphele izinguquko lwesitho sangasese sowesifazane ngesimo mucosa ukulimala. Lokho wonke ngezigaba endometritis izinkomazi.

ifomu Gangrenous futhi necrotic

Lokhu ibonakalisa isifo ubhekwa olunzima, libhekene yokuthi izinkomo kokuba sawohloka kakhulu: umkhiqizo is wancipha; eziwohlokayo esesuthi; kukhona njalo, ukuphefumula engajulile; izinga lokushisa likhuphuka ngenhla 41 degrees; ophilisayo ishayela; Kubonakala zalezhivanie nokucindezelwa.

, Izinguquko ecacile abalulekile zenzeka Izitho zokuzala. Ukwethulwa eziphilayo pathogenic, ngokuvamile phambili anaerobic futhi ekulimazeni nokuwohloka epithelium futhi Icwele iyini imbangela yalokho. Fibrin lingene nezicubu eziseduze, futhi ukushwaqa. ukuhlola Rectal kuyabaveza ukuqina odongeni lesizalo, ubuhlungu ngesikhathi palpation futhi kuyinhlama, ukuthungwa obukhulu.

exudate Cheesy iqukethe ubomvu, igazi, izingcezu izicubu, eziqalisa nokwahlukana, pasty mass. Izitho zangasese uma zibhekwa ukuvuvukala babe imivimbo longitudinal abomvu. Isilwane luyanda kakhulu lokushisa lendawo. Ukwelashwa nokuvikelwa endometritis okungalapheki izinkomo ukuwucabangela ngokwengeziwe.

ukuvuvukala okungamahlalakhona

kokungenela yezokwelapha okungafanele kungadala ukuthuthukiswa ifomu ngokujulile isifo. It libhekene izinguquko ezihlelekile, esikhundleni se-kwesakhiwo izicubu epithelium, izindlala yoma noma ukwakheka izinhlumba therein.

Okungalapheki catarrhal-ubovu endometritis izinkomazi ngokucacile hhayi emtholampilo:

• Kanye-lymph e sangasese bamake izindawo ogcwele ukuchitheka.
• Ngemva kokuchitha ubusuku obubodwa inkomo elele ngokuvamile zikhiqiza exudation umbala okusobala.
• izitho zangasese sangaphandle kancane zingavuvukalanga.

Ukuze sicacise uphethwe ngokuvamile kwenziwa ukuhlolisisa rectal. Lembula ukwanda hhayi oqinile lesizalo ukusonga futhi ukuqina izindonga kwesibeletho. Kukhulisa esisindo sesilwane, izimpondo zenyamazane nomzimba ungakwazi hang bone pubic. amasampula kwesitho sangasese zithathwa ngesipuni. Zibonisa ukwanda egazi amhlophe bese ngokusebenzisa amangqamuzana esikhumba somuntu ofile.

kufihlwe ngaphakathi

Le ndlela endometritis ungongapheliyo ngaphandle ukubonakaliswa emtholampilo. Ngokuvamile butholakala iziyaluyalu izigaba excitation nalabangekho insemination elikhiqizayo kwenzekani ngokuqondene microflora pathogenic kanye nethonya kumiswa imikhiqizo anobuthi imfucuza. Ukuxhumana endometritis izinkomazi nge mastitis eduze.

Ukuze sitholakele swab sowesifazane sangasese kuthathwe noma kwenziwe luhlolo histological ka biopsy lesizalo epithelium. Smear libonisa endometritis chronic Histology - qoqo lamangqamuzana yochungechunge lymph neziyaluyalu esiwohlozayo.

Kuyini ekwelapheni endometritis okungalapheki izinkomo?

ukunakekelwa zokwelapha

Ukuqala ekwelapheni endometritis izinkomazi - ukususwa kwesibeletho. Lapho exudation ngokwahlukana kuyehla imiphumela yayo deleterious, ngcono umsebenzi kwemithi wendawo. Okuqukethwe ipheshana zangasese isuswa ezintathu izinhlobo izimali: massage, lavage lesizalo, ukukhuthazwa contractile umsebenzi.

wokuwasha

Uhlambulule kwenziwa endometritis luhlanzekile futhi okungezona ezonakalisayo ejenti isinqandakuvunda: izixazululo aqueous potassium permanganate, 0.02% iodine kanye furatsilina; 3% isixazululo ihtiola; 2-3% sodium hydrogen carbonate; izixazululo usawoti hypertonic (ngcono ngokwahlukana okuqukethwe ukuthuthukisa uketshezi we endometrium).

Ingabe kwahlangatshezwana injected UJanet, mug Esmorha. amalungiselelo olwandulelayo sekuqala ukufudumala ukuba nezinga lokushisa komzimba. I izixazululo abangu yaphathwa semali, kanye nokwenyuka kwenani ivolumu incike kobukhulu inqubo.

amalungiselelo

izidakamizwa ezinomthelela ithoni kwesibeletho futhi contractile yayo umsebenzi: 20-40 ML PDE phansi kwesikhumba, 20-30 U "Oxytocin", ukuba 1 ml "carbachol". Le mithi iphathwa ngesikhathi esifanayo ne wokuwasha, okuyinto enomthelela ngaphezulu kwabantu ngenxa yengozi okusheshayo exudates.

Noma alternation of abaphathi bendawo izidakamizwa nokusetshenziswa evuselela ngokuba myometrium kubaluleke kakhulu.

massage Rectal ikhuthaza ukwehlukana ubomvu kwesibeletho futhi kuthuthukise contractile yayo umsebenzi. Massage iqala esandleni yokufakwayo igilavu nge plastic njengoba ku Ukuhlolwa rectal, futhi ngemva kokutholakala umzimba kwesibeletho ngikghone imivimbo longitudinal. Njengoba sifeza lesi massage kuyinto ngokwahlukana mechanical okuqukethwe kanye ukukhuthazwa Izitho zokuzala. Inqubo izindlela zokuhamba kanye inkanuko imijovo ngoba ukusetshenziswa kanyekanye, ikakhulu ukweqisa izidakamizwa "Oxytocin", kungaholela ekulahlekelweni. Ngakho iphathwa endometritis subclinical izinkomazi.

yokwelapha ethile

ukwelashwa Local isetshenziswa ukucindezela microflora ngu isingeniso esibelethweni amafomu liquid okuqinile sulphonamides, antiseptics nemithi elwa namagciwane:

• "Ihglyukovita" ihtiola oily isixazululo utshwala;
• "Tilozinokara" intrauterine ihlanganiswe izindlela ngesisekelo lo muthi;
• amaphilisi "Ginobiotika";
• "Biometrosanita" amaphilisi ngoba lesizalo ekuphathweni leyehlukile yesivini ekuthuthukiseni kungani leso senzo sabo;
• izinti furazolidonovye;
• ihtiolovye izinti.

Ngaphezu imikhiqizo zendawo, unganikezela inkambo jikelele kwama-antibiotic. Zisetshenziswa kuye ngokuthi isimo lapho isilwane zihibe ukusetshenziswa kwemikhiqizo (zanqwabelana inyama nobisi). Imiphumela Ubuhle bungatholakala ngokungeza imithi elwa namagciwane ukuze nokuvinjelwa novocaine.

Ikakhulukazi ekwelapheni izinhlobo ezithile endometritis

I ukumnika okusamanzi isinqandakuvunda futhi ukusetshenziswa massage rectal kungavunyelwe lapho ukuvuvukala necrotic noma gangrenous we ulwelwesi lwamafinyila kwesibeletho. amafomu okunjalo lesi sifo zinezikhathi uketshezi okuncane kanye ukucasuka extra kuzokwenza waphuka ezengeziwe endometrium. Kuyadingeka ukuba ubambe ukwelashwa jikelele anti-anobuthi, okungukuthi, ukumnika of emthanjeni Iringa-Locke, i-calcium gluconate, "gemodez", 5% glucose ne nosawoti. Futhi ama-antibiotic kuhlangene novocaine ukuvinjelwa.

Uma lesi sifo isidlulile ku esigabeni okungamahlalakhona, impatho akuyona njalo kuyancomeka ngoba izinqubo elimazayo. Ngezinye ukuqedwa endometrium ukuvuvukala inqubo usazoba mzimba ku-embryo.

Futhi ukwenza isifundo wezilwane. Endometritis izinkomazi (ukwelashwa sibuyekeze) ngempela isifo esiyingozi.

zokuvimbela

Inkinga nokwelashwa endometritis izinkomo ziyinkimbinkimbi kakhulu futhi kaningi ibiza. Ngaphezu kwalokho, ukusetshenziswa kwezidakamizwa eziningi kuholela yokuthi isiphuzo nesineke ubisi inkomo kanye inyama yayo is contraindicated isikhathi eside, kusukela izidakamizwa aqoqana ezicutshini futhi izitho besikhumba saleso silwane. Yingakho ikhambi elingcono kakhulu okusigwema anomthelela nokuvimbela kwangemva kokubeletha endometritis. Indlela yokuvimbela isifo?

Ukuhlela ebeletha. Ukuze wenze lokhu, kudingeka ulawule inqubo lokuzalwa, ukulungisa izakhiwo kanye nemishini. zokuvimbela okunjalo kubalulekile ukuze umkhaya ngamunye, futhi izinkomo abakhulelwe kufanele bakwenze ngokukhethekile Ochwepheshe abanolwazi. Kumele ifakwe ezinye amabhokisi ejwayelekile lapho pre-ukudluliselwa izilwane. Ngaphambi kokufaka isilwane kwesibaya nokondla kumele disinfected futhi emva omiswe nokucubungula phansi dim utshani omile futhi ahlanzekile noma sawdust.

Hlela izizinda izilwane. Ngemva esezele inkomo inkonyane izinsuku ezimbili noma ezintathu okufanele uhambe ngayo, kuyoba khona zokuvimbela ezinhle izifo. Mayelana izinkomo ukhulelwe, futhi, ungakhohlwa, nabo kwakudingeka uhamba ibanga ngaphambi kokubeletha. Ukuhamba wusizo nokuvinjelwa kwezifo kwangemva kokubeletha kanye azalwe ngokwabo.

Prophylaxis ka ngokuzala amankonyane izinkomo. amalungiselelo Special kubalulekile ukuba asingathe zonke izilwane post-partum ngezinsuku zokuqala. Baphaphamela kufanele bavunyelwe emva ukulethwa nzima noma nokugcinwa placenta.

Ngo nenkathi yokomisa kufanele inikwe amavithamini ukuvimbela izifo emva ngokuzala amankonyane. Kumele kube kahle olinganiselayo futhi ukondla izilwane.

Kulesi sihloko sihlole ngokuningiliziwe pathogenesis ka endometritis izinkomazi.