Endometritis

Endometritis iko kuzvimba kana kutsamwa kwemukati wechibereko (iyo endometrium). Izvo hazvina kufanana ne endometriosis.

Endometritis inokonzerwa nehutachiona muchibereko. Inogona kunge iri nekuda kwechlamydia, gonorrhea, tibhii, kana musanganiswa webhakitiriya yemadzimai. Izvo zvinowanzoitika kuitika mushure mekusununguka kana kubereka. Izvo zvakare zvinowanzoitika mushure mekureba basa kana C-chikamu.

Ngozi ye endometritis yakakwira mushure mekuita maitiro epelvic anoitwa kuburikidza nemuromo wechibereko. Maitiro akadaro anosanganisira:

• D uye C (kuwedzera uye kurapa)
• Endometrial biopsy
• Hysteroscopy
• Kuiswa kweiyo intrauterine chishandiso (IUD)
• Kuberekwa (kunowanzoitika mushure meC-chikamu pane kuberekwa kwemukadzi)

Endometritis inogona kuitika panguva imwecheteyo sehumwe hutachiona hwechiuno.

Zviratidzo zvinogona kusanganisira:

• Kuzvimba kwedumbu
• Kuwedzera kweropa kubuda ropa kana kubuda
• Kusagadzikana nekufamba kwematumbu (kusanganisira kuzvimbirwa)
• Kupindwa nechando
• Kazhinji kusagadzikana, kusagadzikana, kana kurwara
• Marwadzo mudumbu rezasi kana mudumbu (kurwadziwa kwechibereko)

Mutapi wezvehutano anozoita bvunzo dzepanyama neyekuongorora kwepamuviri. Chibereko chako nemuromo wechibereko zvinogona kunge zviri nyoro uye mupi anogona kusanzwa ura. Iwe unogona kunge uine kubuda kwechibereko.

Iyi bvunzo inotevera inogona kuitwa:

• Tsika kubva pamuromo wechibereko chechlamydia, gonorrhea, nezvimwewo zvipenyu
• Endometrial biopsy
• ESR (erythrocyte sedimentation chiyero)
• Laparoscopy
• WBC (chena ropa kuverenga)
• Wet prep (microscopic bvunzo yechero kubuda)

Iwe unozofanirwa kutora maantibiotic kurapa hutachiona uye kudzivirira kunetseka. Pedzisa mushonga wako wese kana iwe wakapihwa maantibiotic mushure mekuita kwepachiuno. Zvakare, enda kune ese ekutevera-ekushanya nemupi wako.

Ungangoda kurapwa muchipatara kana zviratidzo zvako zvakakomba kana kuitika mushure mekusununguka.

Mimwe mishonga inogona kusanganisira:

• Mvura kuburikidza nemutsinga (na IV)
• Zorora

Vatano pabonde vangangoda kurapwa kana mamiriro acho ari kukonzerwa nechirwere chepabonde (STI).

Muzviitiko zvakawanda, mamiriro acho anoenda nemishonga inorwisa mabhakitiriya. Kusarapwa endometritis kunogona kutungamira kune zvakakomba hutachiona uye matambudziko. Kazhinji, inogona kuve yakabatana nekuongororwa kwekenza yemendometriya.

Zvinetso zvinogona kusanganisira:

• Kushaya mbereko
• Pelvic peritonitis (hutachiona hutachiona hwepelinha)
• Pelvic kana uterine abscess kuumbwa
• Septicemia
• Sepic kuvhunduka

Fonera mupiki wako kana iwe uine zviratidzo zve endometritis.

Fonera ipapo ipapo kana zviratidzo zvikaitika mushure me:

• Kuzvara mwana
• Kusabvisa pamuviri
• Kubvisa nhumbu
• Kuiswa kweIUD
• Kuvhiya kunosanganisira chibereko

Endometritis inogona kukonzerwa nezvirwere zvepabonde. Kubatsira kudzivirira endometritis kubva kuzvirwere zvepabonde.

• Kurapa njovhera kare.
• Ivai nechokwadi chekuti vanhu vanorara navo vanorapwa kana paine njovhera.
• Tevera maitiro epabonde akachengeteka, sekushandisa makondomu.

Vakadzi vane C-chikamu vanogona kunge vane maantibayoti isati yaitwa nzira yekudzivirira hutachiona.

• Pelvic laparoscopy
• Endometritis

Duff P, Birsner M. Maternal uye hutachiona hwehutachiona mukuzvitakura: hutachiona. Mune: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Yakajairwa uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 54.

Gardella C, Eckert LO, Lentz GM. Zvirwere zvepamuviri zvinotapukira: vulva, nyini, cervix, chepfu inokatyamadza chirwere, endometritis, uye salpingitis. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 23.

Smaill FM, Grivell RM. Antibiotic prophylaxis maringe no prophylaxis yekudzivirira hutachiona mushure mechikamu chekusiya. Cochrane Dhatabhesi Syst Rev. 2014; (10): CD007482. PMID: 25350672 www.ncbi.nlm.nih.gov/pubmed/25350672.

Workowski KA, Bolan GA; Nzvimbo dzeDzidziso Kudzora uye Kudzivirira (CDC). Zvirwere zvepabonde zvirwere zvekurapa, 2015. MMWR Inokurudzira Rep. 2015; 64 (RR-03): 1-137. PMID: 26042815 www.ncbi.nlm.nih.gov/pubmed/26042815.