Endometritis

ʻO Endometritis kahi mumū a hoʻonāukiuki paha i ka uhi o ka kōpū (ka endometrium). ʻAʻole like ia me endometriosis.

Hoʻokumu ʻia ka endometritis e kahi maʻi i loko o ka kōpū. Hiki iā ia ma muli o chlamydia, gonorrhea, tuberculosis, a i ʻole ka huikau o nā koʻohune wahine maʻamau. ʻOi aku paha ka hopena ma hope o ka hānau ʻole a hānau hānau paha. ʻOi aku ka maʻamau ma hope o ka hana lōʻihi a i ʻole C-ʻāpana.

ʻOi aku ka makaʻu no ka endometritis ma hope o ka loaʻa ʻana o kahi ʻōnaehana pelvic i hana ʻia ma o ka cervix. Pēlā nā kaʻina hana:

• D a me C (dilation a me curettage)
• ʻO ka biopsy endometrial
• Hysteroscopy
• Ke hoʻonoho o kahi mea intrauterine (IUD)
• ʻO ka hānau keiki (ʻoi aku ka maʻamau ma hope o ka C-ʻāpana ma mua o ka hānau hānau)

Hiki ke hana i ka endometritis i ka manawa like me nā maʻi pelvic ʻē aʻe.

Pākuʻi ʻia paha nā ʻōuli:

• Pehu o ka ʻōpū
• ʻO ke kahe o ka maʻi maʻamau a hoʻokuʻu paha
• Hōʻoluʻolu ʻole me ka ʻōpū (me ka paʻa paʻa)
• Fiva
• General discomfort, uneasiness, a i ʻole maʻi manaʻo
• ʻEha ma lalo o ka ʻōpū a i ʻole pelvic ʻāpana (ʻ uterine pain)

E hana ka mea mālama ola i kahi hoʻokolohua kino me kahi hōʻike pelvic. Akahai paha kou ʻōpū a me kou puʻuwai a lohe ʻole paha ka mea hāʻawi i nā kani o ke ʻōpū. Loaʻa paha iā ʻoe ka hemo o ka ʻōpū.

E hana ʻia paha kēia mau hoʻāʻo:

• Nā moʻomeheu mai ka cervix no chlamydia, gonorrhea, a me nā meaola ʻē aʻe
• ʻO ka biopsy endometrial
• ESR (ka helu sedryation erythrocyte)
• Laparoscopy
• WBC (helu keokeo koko)
• Hoʻomākaukau mākaukau (hōʻike microscopic o kahi hoʻokuʻu)

Pono ʻoe e lawe i nā lāʻau antibiotic e mālama i ka maʻi a pale i nā pilikia. Hoʻopau i kāu lāʻau āpau inā hāʻawi ʻia ʻoe i nā lāʻau ʻaloʻalo ma hope o ke kaʻina pelvic. Eia kekahi, e hele i nā kipa ukali āpau me kāu mea hāʻawi.

Pono ʻoe e mālama ʻia i ka haukapila inā koʻikoʻi kāu mau ʻōuli a hana ʻia ma hope o ka hānau ʻana.

Pili paha nā hana ʻē aʻe i:

• Nā Fluids ma o kahi aa (e IV)
• Hoʻomaha

Pono e mālama ʻia nā hoa kolohe inā pili ke ʻano i ka maʻi i lawe ʻia i ka moekolohe (STI).

I ka hapanui o nā hihia, hele pū ke ʻano me nā lāʻau ʻaloʻalo. Hiki i ka endometritis hoʻomaʻamaʻa ʻole ʻia ke alakaʻi i nā maʻi ʻoi aku ka nui a me nā pilikia. Kākaʻikahi, pili paha ia me kahi hōʻailona o ka maʻi ʻaʻai endometrial.

Komo pū nā pilikia:

• Hoʻoipo
• Pelvis peritonitis (maʻi pelvic maʻi ākea)
• Pelvic a i ʻole uterine abscess hoʻokumu
• Septicemia
• Hoʻoweliweli Septic

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka endometritis.

Kāhea koke inā loaʻa nā ʻōuli ma hope o:

• Hānau keiki
• Hāʻule hāʻule
• Hoʻoipoipoipo
• Hoʻonoho IUD
• ʻO keʻoki e pili ana i ka kōpū

Hoʻokumu ʻia ʻo Endometritis e STI. I mea e pale aku ai i ka endometritis mai STI:

• E mālama wawe i nā STI.
• E mālama pono e mālama ʻia nā hoa kolohe i ka hihia o STI.
• E hāhai i nā hana moekolohe ʻoi aku ka maikaʻi, e like me ka hoʻohana ʻana i nā condom.

Loaʻa i nā wahine me kahi ʻāpana C he antibiotic ma mua o ke kaʻina hana e pale ai i nā maʻi.

• Pelvic laparoscopy
• Endometritis

ʻO Duff P, Birsner M. Maternal a me ka maʻi perinatal i ka hāpai ʻana: bacterial. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 54.

Gardella C, Eckert LO, Lentz GM. ʻO nā maʻi maʻi genital: vulva, vagina, cervix, maʻi hōʻeha kūpilikiʻi, endometritis, a me salpingitis. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 23.

Smaill FM, Grivell RM. Nā Antibiotic prophylaxis me ka prophylaxis no ka pale ʻana i ka maʻi ma hope o ka ʻāpana cesarean. ʻO Cochrane Database Syst Rev.. 2014; (10): CD007482. PMID: 25350672 www.ncbi.nlm.nih.gov/pubmed/25350672.

Workowski KA, Bolan GA; Nā kikowaena no ka mālama ʻana a me ka pale ʻana i ka maʻi (CDC). Nā kulekele lapaʻau maʻi i hoʻoili ʻia i ka moekolohe. ʻO MMWR Rekua Rep. 2015; 64 (RR-03): 1-137. PMID: 26042815 www.ncbi.nlm.nih.gov/pubmed/26042815.