Endometritis

I-Endometritis kukudumba okanye ukucaphuka kwebala lesibeleko (i-endometrium). Ayifani ne-endometriosis.

I-Endometritis ibangelwa lusulelo esibelekweni. Isenokuba ngenxa ye-chlamydia, ukuvuza ngaphantsi, isifo sephepha, okanye umxube webhaktiriya eqhelekileyo yelungu lobufazi. Kusenokwenzeka ukuba kwenzeke emva kokuphuma kwesisu okanye ukubeleka. Kuqheleke ngakumbi emva kokusebenza ixesha elide okanye icandelo le-C.

Umngcipheko we-endometritis uphezulu emva kokuba nenkqubo ye-pelvic eyenziwa ngomlomo wesibeleko. Ezi nkqubo zibandakanya:

• D no-C (ukwandiswa kunye nonyango)
• I-biopsy ye-Endometrium
• IHysteroscopy
• Ukubekwa kwe-intrauterine device (IUD)
• Ukubeleka (okuqhelekileyo emva kwecandelo le-C kunokuzalwa komfazi)

I-Endometritis inokwenzeka ngaxeshanye nolunye usulelo lwe-pelvic.

Iimpawu zingabandakanya:

• Ukudumba kwesisu
• Ukopha okungaqhelekanga kwilungu lobufazi okanye ukukhupha
• Ukuphazamiseka ngokuhamba kwamathumbu (kubandakanya ukuqunjelwa)
• Ifiva
• Ukuphazamiseka ngokubanzi, ukungonwabi, okanye ukugula
• Ubuhlungu kwisisu esisezantsi okanye kwingingqi ye-pelvic (iintlungu zesibeleko)

Umboneleli wezempilo uya kwenza uvavanyo lomzimba ngovavanyo lwe-pelvic. Isibeleko sakho kunye nomlomo wesibeleko kunokuba buthambile kwaye umboneleli unokungaziva izandi zamathumbu. Unokuba nokukhutshwa komlomo wesibeleko.

Olu vavanyo lulandelayo lunokwenziwa:

• Iinkcubeko ezivela kumlomo wesibeleko se-chlamydia, i-gonorrhea kunye nezinye izinto eziphilayo
• I-biopsy ye-Endometrium
• I-ESR (inqanaba le-sedimentation ye-erythrocyte)
• Laparoscopy
• I-WBC (ubalo lwegazi elimhlophe)
• Ukulungiselela okumanzi (uvavanyo oluncinci lwako konke ukuphuma)

Kuya kufuneka uthathe amayeza okubulala iintsholongwane ukunyanga usulelo kunye nokuthintela iingxaki. Gqiba onke amayeza akho ukuba unikwe i-antibiotics emva kwenkqubo ye-pelvic. Kwakhona, yiya kulo lonke utyelelo olulandelayo kunye nomboneleli wakho.

Kuya kufuneka unyangwe esibhedlele ukuba iimpawu zakho zinzima okanye zenzeka emva kokubeleka.

Olunye unyango lunokubandakanya:

• Ulwelo ngomthambo (ngo-IV)
• Phumla

Amaqabane ezesondo anokufuna ukunyangwa ukuba imeko ibangelwe sisifo esosulela ngokwabelana ngesondo.

Kwiimeko ezininzi, imeko iyahamba kunye ne-antibiotics. Ukunganyangwa kwe-endometritis kunokukhokelela kusulelo olubi kakhulu kunye neengxaki. Rhoqo, inokunxulunyaniswa nesifo somhlaza we-endometrium.

Iingxaki zinokubandakanya:

• Ukungachumi
• I-Pelvic peritonitis (usulelo lwe-pelvic jikelele)
• I-Pelvic okanye i-uterine abscess form
• Septicemia
• Ukutshatyalaliswa kwe-Septic

Shayela umnikezeli wakho ukuba unempawu ze-endometritis.

Tsalela umnxeba kwangoko ukuba iimpawu zenzeka emva:

• Ukubeleka
• Ukuphuma kwesisu
• Ukuqhomfa
• Ukubekwa kwe-IUD
• Utyando olubandakanya isibeleko

I-Endometritis inokubangelwa zii-STIs. Ukunceda ukukhusela i-endometritis kwii-STIs:

• Nyanga ii-STI kwangethuba.
• Qiniseka ukuba amaqabane ezesondo ayanyangwa kwimeko ye-STI.
• Landela iindlela ezikhuselekileyo zokwabelana ngesondo, njengokusebenzisa iikhondom.

Abasetyhini abanecandelo le-C banokuba ne-antibiotics ngaphambi kwenkqubo yokukhusela izifo.

• Iiparvic laparoscopy
• Endometritis

UDuff P, uBirsner M.Ukusuleleka koomama kunye nosulelo ngexesha lokukhulelwa: intsholongwane. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, ii-eds. I-Obstetrics: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 54.

UGardella C, uEckert LO, uLentz GM. Usulelo lwamalungu esini sangasese: ubufazi, ubufazi, umlomo wesibeleko, isifo sokudakumba esinetyhefu, i-endometritis, kunye ne-salpingitis. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 23.

ISmaill FM, uGrivell RM. I-Antibiotic prophylaxis xa kuthelekiswa neprophylaxis yokuthintela usulelo emva kwecandelo le-cesarean. Isiseko sedatha yeCochrane Rev. Ngo-2014; (10): CD007482. IINKCUKACHA: 25350672 www.ncbi.nlm.nih.gov/pubmed/25350672.

Indawo yokusebenza KA, Bolan GA; Amaziko oLawulo lweNtsholongwane kunye noThintelo (CDC). Isikhokelo sonyango lwezifo ezosulela ngokwabelana ngesondo, 2015. Ingcebiso kaMMWR. Ngo-2015; 64 (RR-03): 1-137. IINKCUKACHA: 26042815 www.ncbi.nlm.nih.gov/pubmed/26042815.