Endometritis

Endometritis ke ho ruruha kapa ho teneha ha lesela la popelo (endometrium). Ha e tšoane le endometriosis.

Endometritis e bakoa ke tšoaetso ka popelong. E ka bakoa ke chlamydia, qhoshola, lefuba, kapa motsoako oa libaktheria tse tloaelehileng tsa bosaling. Ho ka etsahala hore e etsahale kamora ho senyeheloa ke mpa kapa pelehi. E boetse e atile haholo kamora ho sebetsa nako e telele kapa karolo ea C.

Kotsi ea endometritis e phahame ka mor'a ho ba le ts'ebetso ea pelvic e etsoang ka molomo oa molomo. Mekhoa e joalo e kenyelletsa:

• D le C (ho hlapolla le ho phekola)
• Biopsy ea Endometrium
• Hysteroscopy
• Ho beoa ha sesebelisoa sa intrauterine (IUD)
• Ho beleha (ho tloaelehileng haholo kamora karolo ea C ho feta tsoalo ea botšehali)

Endometritis e ka hlaha ka nako e ts'oanang le mafu a mang a pelvic.

Matšoao a ka kenyelletsa:

• Ho ruruha ha mpa
• Ho tsoa mali a sa tloaelehang ka botšehaling kapa ho tsoa hoa mali
• Ho se utloise bohloko ka ho tsamaea ha mala (ho kenyeletsoa le ho sokela)
• Feberu
• Ho se utloise bohloko ka kakaretso, ho se phutholohe kapa ho kula
• Bohloko bo ka mpeng kapa sebakeng sa pelvic (bohloko ba popelo)

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele ka tlhahlobo ea pelvic. Popelo ea hau le molomo oa molomo li kanna tsa ba bonolo mme mofani oa tsona a kanna a se utloe melumo ea mala. U kanna oa ba le ho tsoa ha mokokotlo.

Liteko tse latelang li ka etsoa:

• Litso tse tsoang molomong oa molomo oa chlamydia, gonorrhea le lintho tse ling
• Biopsy ea Endometrium
• ESR (sekhahla sa litšepe tsa erythrocyte)
• Laparoscopy
• WBC (palo e tšoeu ea mali)
• Ho itlhatsoa ka metsi (tlhahlobo e nyenyane ea ho tsoa ha letho)

O tla hloka ho nka lithibela-mafu ho alafa tšoaetso le ho thibela mathata. Qetella meriana eohle ea hau haeba u fuoe lithibela-mafu kamora ts'ebetso ea pelvic. Hape, etela maeto ohle a ho latela le mofani oa hau.

U kanna oa hloka ho alafshoa sepetlele haeba matšoao a hau a le matla kapa a hlaha kamora ho beleha.

Mefuta e meng ea kalafo e ka kenyelletsa:

• Maro a tsoang mothapong (ka IV)
• Phomola

Balekane ba thobalano ba ka hloka ho alafshoa haeba boemo bo bakoa ke tšoaetso ea mafu a likobo.

Maemong a mangata, boemo bo fela ka lithibela-mafu. Endometritis e sa sebetsanoeng e ka lebisa ho tšoaetso e tebileng le mathata. Nako le nako, e kanna ea amahanngoa le tlhahlobo ea mofetše oa endometrium.

Mathata a ka kenyelletsa:

• Ho hloka thari
• Pelvic peritonitis (tšoaetso e akaretsang ea pelvic)
• Ho thehoa ha 'mele oa' mele kapa oa popelo
• Septicemia
• Tšabo ea septic

Bitsa mofani oa hau haeba u na le matšoao a endometritis.

Letsetsa hang-hang haeba matšoao a hlaha kamora:

• Pelehi
• Ho nyopa
• Ho ntša mpa
• Ho beoa ha IUD
• Ho buoa ho amanang le popelo

Endometritis e ka bakoa ke mafu a likobo. Ho thusa ho thibela endometritis ho tsoa ho mafu a likobo:

• Phekola mafu a likobo kapele.
• Etsa bonnete ba hore balekane ba thobalano ba phekoloa maemong a mafu a likobo.
• Latela mekhoa e sireletsehileng ea thobalano, joalo ka ho sebelisa likhohlopo.

Basali ba nang le karolo ea C ba ka ba le lithibela-mafu pele ho ts'ebetso ea ho thibela tšoaetso.

• Laparoscopy ea 'mele
• Endometritis

Duff P, Birsner M. Ts'oaetso ea bakhachane le ea bokhachane nakong ea bokhachane: baktheria. Ka: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Likokoana-hloko: Bokhachane bo tloaelehileng le ba bothata. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 54.

Gardella C, Eckert LO, Lentz GM. Matšoao a tšoaetso ea setho sa botona: botšehali, botshehadi, molomo oa popelo, lefu la ts'oaetso e kotsi, endometritis le salpingitis Ka: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Kakaretso ea mafu a basali. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 23.

FM ea Smaill, Grivell RM. Antibiotic prophylaxis le no prophylaxis ea ho thibela tšoaetso kamora karolo ea lesarean. Setsi sa Cochrane Database Rev. 2014; (10): CD007482. PMID: 25350672 www.ncbi.nlm.nih.gov/pubmed/25350672.

Sebopeho sa KA, Bolan GA; Litsi tsa Tlhokomelo le Thibelo ea Maloetse (CDC). Tataiso ea kalafo ea mafu a tšoaetsanoang ka thobalano, 2015. Khothaletso ea MMWR. 2015; 64 (RR-03): 1-137. PMID: 26042815 www.ncbi.nlm.nih.gov/pubmed/ 26042815.