Mea Kākau: Laura McKinney
Lā O Ka Hana: 4 Apelila 2021
HōʻAno Hou I Ka Lā: 21 Nowemapa 2024
Anonim
Endometritis - CRASH! Medical Review Series
Wikiō: Endometritis - CRASH! Medical Review Series

Anter

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

He aha ka endometritis?

ʻO ka Endometritis kahi kūlana hoʻāla o ka uhi o ka kōpū a ma muli o ka maʻi. ʻAʻole ia he hoʻoweliweli i ke ola, akā he mea nui ia e mālama koke ʻia i ka wā hiki. E hele maʻamau ia ke mālama ʻia e kāu kauka me nā antibiotic.

Hiki i nā maʻi i hoʻomaʻamaʻa ʻole ʻia ke alakaʻi i nā pilikia me nā lālā hānau, nā pilikia me ka momona, a me nā pilikia olakino ʻē aʻe. I mea e hōʻemi ai i kāu mau makaʻi, heluhelu e aʻo ai i nā ʻano, nā ʻōuli, a me kou kuanaʻike inā ʻike ʻia.

Nā kumu o ka endometritis

Hoʻokumu ʻia ka endometritis e ka maʻi. ʻO nā maʻi i hiki ke kumu i ka endometritis:

  • nā maʻi i lawe ʻia i ka moekolohe (STI), e like me chlamydia a me gonorrhea
  • maʻi puʻu
  • nā maʻi i loaʻa mai ka hui ʻana o nā bacteria koʻohau maʻamau

Loaʻa i nā wahine āpau kahi hui maʻamau o nā bacteria i loko o kā lākou moku. Hiki ke kumu ʻia ka endometritis ke loli kēia ʻano maoli o ka bacteria ma hope o kahi hanana ola.


Nā kumu pilikia no ka endometritis

Aia ʻoe i ka makaʻu i ka loaʻa ʻana i kahi maʻi e hiki ai ke hoʻopau i ka endometritis ma hope o ka hānau ʻole ʻana a ma hope paha o ka hānau ʻana, keu hoʻi ma hope o ka hana lōʻihi a i ʻole ka hānau cesarean. Loaʻa paha ʻoe i ka endometritis ma hope o ke kaʻina olakino e pili ana i ke komo ʻana i ka kōpū ma o ka cervix. Hiki i kēia ke hāʻawi i kahi ala no nā bacteria e komo ai. ʻO nā kaʻina hana olakino hiki ke hoʻonui i kou makaʻu i ka hoʻomōhala ʻana i ka endometritis:

  • hysteroscopy
  • ke kau ʻana o kahi hāmeʻa intrauterine (IUD)
  • ka dilation a me ka curettage (uterine scraping)

Hiki ke hana i ka endometritis i ka manawa like me nā kūlana ʻē aʻe i ka pelvic area, e like me ka mumū o ka cervix i kapa ʻia ʻo cervicitis. Hiki paha i kēia mau kumu ke hana i nā hōʻailona.

He aha nā hōʻailona o ka endometritis?

Hana pinepine ka endometritis i nā ʻōuli penei:

  • ʻōpū ʻōpū
  • kahe koko liʻiliʻi
  • hoʻokuʻu hele kikino
  • kōpaʻa
  • ʻoluʻolu ke loaʻa kahi ʻōpū
  • fiva
  • manaʻo laulā o ka maʻi
  • ʻeha ma ka pelvis, ʻeha o ka ʻōpū o lalo, a i ʻole wahi ākea

Pehea i ʻike ʻia ai ka endometritis?

E alakaʻi ana kāu kauka i kahi hoʻokolohua kino a me kahi hōʻike pelvic. E nānā lākou i kou ʻōpū, kōpū, a me ka cervix no nā hōʻailona o ka palupalu a me ka hoʻokuʻu ʻana. Hiki i nā hōʻike aʻe ke kōkua i ke koho ʻana i ke ʻano.


  • ke lawe ʻana i nā laʻana, a i ʻole nā ​​moʻomeheu, mai ka cervix e hoʻāʻo no nā koʻohune i hiki ke kumu i kahi maʻi, e like me chlamydia a me gonococcus (ʻo ke koʻohune ke kumu o ka gonorrhea)
  • ka hoʻoneʻe ʻana i kahi liʻiliʻi o nā mea mai ka uhi o ka kōpū e hoʻāʻo, i kapa ʻia he endometrial biopsy
  • kahi hana laparoscopy e hiki ai i kāu kauka ke nānā pono loa i loko o kou ʻōpū a pelvis
  • ke nānā nei i ka hoʻokuʻu ma lalo o kahi microscope

Hiki ke hana ʻia kahi hōʻike koko e ana i kou helu keʻokeʻo (WBC) a me ka helu sedryation erythrocyte (ESR). E hoʻokumu ʻo Endometritis i nā kiʻekiʻe ma kāu helu WBC a me kāu ESR.

Nā pilikia kūpono o ka endometritis

Hiki iā ʻoe ke ʻike i nā kūpikipiki a me nā maʻi ʻino hoʻi inā ʻaʻole mālama ʻia ka maʻi me nā lāʻau ʻalopiko. Nā pilikia i hiki ke hoʻomohala pū me:

  • infertility
  • pelvis peritonitis, ʻo ia ka maʻi pelvic ākea
  • hōʻiliʻili o ka pus a i ʻole nā ​​abscesses i ka pelvis a i ʻole ka uterus
  • septicemia, ʻo ia ka bacteria i loko o ke koko
  • septic shock, kahi maʻi kōkō nui loa e hiki ai i ke koko haʻahaʻa haʻahaʻa loa

Hiki i ka septicemia ke kumu i ka sepsis, kahi maʻi ʻino loa ia e hiki ke lilo i mea ʻāwīwī loa. Hiki iā ia ke alakaʻi i ka septic shock, kahi pilikia weliweli i ke ola. Pono nā mea ʻelua i ka lāʻau wikiwiki i kahi haukapila.


ʻO ka endometritis maʻi mau ka mumū o ka endometrium. Aia kahi pathogen akā hana i kahi maʻi maʻi haʻahaʻa a ʻaʻole e loaʻa ka hapanui o nā wahine i nā ʻōuli, a i ʻole nā ​​hōʻailona e kuhihewa paha. Eia nō naʻe, pili ka endometritis maʻi i ka infertility.

Pehea e mālama ai i ka endometritis?

Mālama ʻia ʻo Endometritis me nā antibiotic. Pono e mālama ʻia kāu kāne moe kolohe inā ʻike ke kauka he STI kāu. He mea nui e hoʻopau i nā lāʻau āpau i kauoha ʻia e kāu kauka.

Pono nā hihia koʻikoʻi a paʻakikī paha i nā wai a nāu (IV) a hoʻomaha i ka haukapila. Heʻoiaʻiʻo loa kēia inā pili ke ʻano i ka hānau hānau.

He aha ka mea e manaʻo ʻia i ka wā lōʻihi?

ʻO ka nānā no kekahi mea i loaʻa ka endometritis a mālama koke ʻia ia he maikaʻi loa. Hele aku ka endometritis me nā lāʻau ʻaloʻalo me ka ʻole o nā pilikia hou.

Eia nō naʻe, hiki i nā pilikia me ka hana hou a me nā maʻi ʻino ke kū ʻia inā ʻaʻole mālama ʻia ke ʻano. Hiki i kēia ke alakaʻi i ka infertility a i ʻole septic shock.

Pehea e pale ai i ka endometritis?

Hiki iā ʻoe ke hōʻemi i kou makaʻu o ka endometritis mai ka hānau keiki ʻana a i ʻole kahi hana gynecological ʻē aʻe e ka hōʻoia ʻana i kāu kauka e hoʻohana i nā pono hana manuahi a me nā hana i ka wā o ka lawe ʻana a i ʻole ke ʻoki kino. E kauoha paha kāu kauka i nā lāʻau ʻaloʻolā e lawe ʻoe e like me ke akahele i ka wā o ka hānau cesarean a i ʻole ma mua pono o ka hoʻomaka ʻana o kahi ʻoki.

Hiki iā ʻoe ke kōkua i ka hōʻemi ʻana i ka hopena o ka endometritis ma muli o STIs:

  • hana i ka wahine palekana, e like me ka hoʻohana ʻana i nā condom
  • ke kiʻi nei i ka kānana maʻamau a me ka ʻike mua ʻia o nā STI i manaʻo ʻia, iā ʻoe iho a me kāu hoa
  • hoʻopau i nā lapaʻau āpau i kauoha ʻia no kahi STI

Kūʻai ma ka pūnaewele no nā condom.

E kamaʻilio me kāu kauka inā ʻoe e ʻike nei i nā ʻōuli o ka endometritis. He mea nui e kiʻi i ka lapaʻau e pale ai i nā kūpilikiʻi koʻikoʻi e ala aʻe.

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