Ngaphantsi komxholo oqhelekileyo othi "ukuvuvukala kwesibeletho" ngokuqhelekileyo kuqondwa njengokuvuvukala:
- i-membrane ye-mucous - endometrium ( endometritis );
- umlomo wesibeleko (cervicitis);
- ukukhawulwa kwesinye iimbumba ze-uterine kunye nentamo (endocervicitis).
Izizathu zokuvuvukala kwesisu
Isizathu sokuvuvukala kwesisu sisifo (i-viral, ibhakteria, i-fungal), kwindawo yokuqala phakathi kwezesondo. Inkoliso yexonococcal kunye ne-chlamydial, i-inflammation, ingaphantsi kwe-inflammatory progrance, i-mycoplasmas kunye no-E. coli, i-streptococci, i-staphylococci kunye ne-enterococci, i-spirochetes, i-herpes virus kunye nezinye izifo.
Izinto ezifaka isandla ekuphuhliseni ukuvuvukala okunzima kunye nokuhlala kungaphantsi kwesibindi kuyimvelaphi echaphazelayo. Imvelaphi ebulalayo yenkqubo yokuvuvukala inokwenzeka ngokumonakalisa umonakalo kwisibeleko kunye nomlomo wesibeleko:
- kunye nokuphulwa kwangexesha elifanayo kwezimo ze-aseptic kunye ne-antiseptic ngexesha leendlela ezahlukeneyo zokwenza umbane;
- xa ususuleleke kwi-tract inferior tract.
Ngoko, ukuvuvukala kwesisu emva kokukhipha isisu kwaye emva kokutsalwa ngokukhulelwa okukhukhulayo kuyafunyanwa kwintombi yesithathu. Emva kokuzalwa okunzima, ukuvuvukala kwesibeletho kunqunywe kwintombi yeshumi ekusebenzeni, okwangoku, njengakwicandelo laseKesareya, umngcipheko wokuva uhlaziyo olufanayo luphindwe kabini. Le meko iyanzima xa, ngenxa yokusebenza kakubi kwesibeleko emva kwesigaba se-calary, abafazi bahlakulela ukuvuvukala kwe-uterine.
Ngexesha lokuya esikhathini, xa isondo somzimba sithinteka kakhulu kwiintsholongwane ezincitshiswayo, isenzo socansi kufuneka sigqitywe ngaphandle, kungenjalo kukho ingozi enkulu yokuvuvukala komlomo wesibeleko kunye ne-uterine mucosa.
Ukongezelela, imbangela yokuvuvukala kwesibeleko ngokuqhelekileyo ukugqithiswa kwexesha elide kunye neminye imithi yokukhulelwa kwe-intrauterine.
Impawu ezinokwenzeka zokuvuvukala kwesibeletho
Ngenxa yokuvuvukala kwesisu, kukho imiqondiso emithathu yeklasi: intlungu kwisisu esisezantsi, ukushisa komzimba okuphakamileyo kunye nobukho obungasemvelo. Ibhinqa linesizathu sokusola ukuvuvukala kwesibeleko ukuba ibona imeko yakhe yempilo ezi zilandelayo zitshintsho:
- ukukhutshwa kwibala lomzimba ofumene umbala ophuzi (ngamanye amaxesha kunye negalelo legazi) kunye nephunga elibukhali elimnandi;
- kwisisu esezantsi kukho intlungu eqhubekayo, eyenza "ihamba" kunye nomgangatho we-pelvic kwaye ivakalelwa kwi-coccyx, ngoko kwi-sacrum, emva koko kwinqanaba elingaphantsi;
- Iqondo lokushisa lihlala liphakanyiswa kwaye liphakathi kwama-37.0-37.5 ° C (ngenxa yokuvuvukala okukhulu - kufika ku-39 ° C);
- ukuphuma kwamanzi omzimba;
- kwiimeko eziqhelekileyo zempilo, utshintsho luboniswa: ukukhathala ngokukhawuleza, ubuthathaka, ukuthukuthela, utywala, ukukhupha, ukuphamba ngokukhawuleza.
Izibonakaliso zokuvuvuka okungapheliyo kwesibeleko azibonakali, kwaye ngamanye amaxesha azikho ngokupheleleyo. Ngokuqhelekileyo, abasetyhini bakhononda malunga:
- Uhlobo oluhluphekileyo okanye oluphambili lokuhamba kwexesha;
- umjikelezo wesimo ongavumelekanga;
- ukungabikho kokungenangqondo okuphazamisa ukuphawula.
Unyango lwe-endometritis
Ukusetyenziswa kwee-antibiotics ukuvuvukala kwesibeleko kuyimfuneko yokwelapha imfuneko. Sebenzisa i-antibiotic ebonakalayo ebanzi okanye loo ma-antibacterial agents asebenzayo nxamnye ne-pathogen ethile.
Ukongeza kwinqanaba elongezelelweyo, unyango olongezelelweyo lubekwe: ama-antimicrobial and desensitizing preparations, vitamins, metabolites, i-hormone, i-biostimulants, amalungiselelo e-homeopathic, i-massage gynecological, i-physiotherapy kunye nokunye. Imiphumo ye-uterine inflammation isoloko ingalunganga. Kwimeko efanelekileyo, usulelo luya kufumana ifomu elingapheliyo kwaye lubangele inkqubo yokunamathela,
Okuyingozi kakhulu ukutshaya kweendonga zesisu ngexesha lokukhulelwa. Ukugula okunjalo kusongela ukutyhulwa kwangaphambili kwe-amniotic fluid, ukuphazamiseka kwembulunga, i-thrombosis, njl. Ngethamsanqa, kubhinqa abakhulelweyo, i-uterine cavity ivuke kakhulu kakhulu, apho bavame ukuxilongwa ngenkqubo yokuvuvukala komlomo wesibeleko, okufuneka iphathwe kuphela emva kokuba i-pathogen ichongiwe.