Endometritis

Endometritis ndikutupa kapena kukwiya kwa chiberekero cha chiberekero (endometrium). Sizofanana ndi endometriosis.

Endometritis imayambitsidwa ndi matenda m'mimba. Zitha kukhala chifukwa cha chlamydia, chinzonono, chifuwa chachikulu, kapena kuphatikiza kwa mabakiteriya abwinobwino amphongo. Zitha kuchitika pambuyo pobereka kapena pobereka. Zimakhalanso zofala pambuyo pa ntchito yayitali kapena gawo la C.

Chiwopsezo cha endometritis chimakhala chachikulu pambuyo pokhala ndi njira yamchiuno yomwe imachitika kudzera pachibelekeropo. Njirazi ndi monga:

• D ndi C (kutulutsa ndi kuchiritsa)
• Zolemba za Endometrial
• Zojambulajambula
• Kuyika kwa chipangizo cha intrauterine (IUD)
• Kubereka (kofala kwambiri pambuyo pa gawo la C kuposa kubadwa kwa mkazi)

Endometritis imatha kuchitika nthawi yomweyo ngati matenda ena am'mimba.

Zizindikiro zimaphatikizapo:

• Kutupa pamimba
• Kutuluka magazi kapena kutuluka kwachilendo
• Kusokonezeka ndi kuyenda kwa matumbo (kuphatikizapo kudzimbidwa)
• Malungo
• Kusapeza bwino, kusakhazikika, kapena kudwala
• Ululu m'mimba pamimba kapena m'chiuno (kupweteka kwa chiberekero)

Wothandizira zaumoyo adzayesa thupi ndi mayeso a m'chiuno. Chiberekero chanu ndi khomo lachiberekero lanu limatha kukhala lofewa ndipo woperekayo sangamve matumbo. Mutha kukhala ndi vuto lachiberekero.

Mayesero otsatirawa akhoza kuchitidwa:

• Zikhalidwe zochokera pachibelekero cha chlamydia, chinzonono, ndi zamoyo zina
• Zolemba za Endometrial
• ESR (erythrocyte sedimentation rate)
• Laparoscopy
• WBC (kuchuluka kwa magazi oyera)
• Kukonzekera konyowa (kuyesa pang'ono kwambiri)

Muyenera kumwa maantibayotiki kuti muthane ndi matendawa ndikupewa zovuta. Malizitsani mankhwala anu onse ngati mwapatsidwa mankhwala opha tizilombo mutatha mchiuno. Komanso, pitani kumaulendo onse otsatira ndi omwe amakupatsani.

Mungafunike kuti mukalandire chithandizo kuchipatala ngati matenda anu akukula kwambiri kapena akachitika pambuyo pobereka.

Mankhwala ena atha kukhala:

• Zamadzimadzi kudzera mumtsempha (mwa IV)
• Pumulani

Omwe amagonana nawo angafunike kuthandizidwa ngati vutoli limayambitsidwa ndi matenda opatsirana pogonana.

Nthawi zambiri, vutoli limatha ndi maantibayotiki. Endometritis osachiritsidwa imatha kubweretsa matenda akulu kwambiri komanso zovuta. Nthawi zambiri, zimatha kuphatikizidwa ndi matenda a khansa ya endometrial.

Zovuta zingaphatikizepo:

• Kusabereka
• Pelvic peritonitis (matenda opatsirana m'mimba)
• Pakhosi kapena chiberekero chotupa mapangidwe
• Matenda am'magazi
• Kusokonezeka

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za endometritis.

Itanani nthawi yomweyo ngati zizindikiro zimachitika pambuyo pake:

• Kubereka
• Kupita padera
• Kuchotsa mimba
• Kuyika ma IUD
• Kuchita opaleshoni yokhudza chiberekero

Endometritis imatha chifukwa cha matenda opatsirana pogonana. Kuthandiza kupewa endometritis ku matenda opatsirana pogonana:

• Chitani msanga matenda opatsirana pogonana.
• Onetsetsani kuti ogonana nawo akuchiritsidwa matenda opatsirana pogonana.
• Tsatirani njira zogonana zotetezeka, monga kugwiritsa ntchito kondomu.

Amayi omwe ali ndi gawo la C atha kukhala ndi maantibayotiki asanachitike njira yopewera matenda.

• Ziphuphu zam'mimba
• Endometritis

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Gardella C, Eckert LO, Lentz GM. Matenda opatsirana pogonana: maliseche, nyini, khomo pachibelekeropo, matenda owopsa, endometritis, ndi salpingitis. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: chap 23.

Smaill FM, Grivell RM. Antibiotic prophylaxis motsutsana ndi prophylaxis yothandizira kupewa matenda pambuyo pochiyera. Dongosolo La Cochrane Syst Rev. 2014; (10): CD007482. PMID: 25350672 www.ncbi.nlm.nih.gov/pubmed/25350672.

Ntchito Yogwirira Ntchito KA, Bolan GA; Zomwe Zimayambitsa Kuletsa Matenda ndi Kuteteza Matenda (CDC). Malangizo opatsirana pogonana, 2015. Malangizo a MMWR Rep. 2015; 64 (RR-03): 1-137. PMID: 26042815 www.ncbi.nlm.nih.gov/pubmed/26042815. (Adasankhidwa)