N'ọdịdị nke ọrịa gynecological na ụmụ nwanyị na-amụ nwa, ugboro ugboro nke endometritis dị iche site na 3% na 70%, nke bụ n'ihi nnukwu mgbanwe dị na ọnụ ọgụgụ nke nkwupụta, mgbagwoju anya nke nyocha nke nyocha nke nchọpụta ahụ, ọdịiche dị n'etiti ndị ọrịa na ihe nyochaa. N'agbanyeghị mgbasawanye nke ụlọ ọrụ ọgwụ, endometritis, mgbaàmà na ọgwụgwọ nke nwere ike ịdịgasị iche dabere na ngosipụta ahụike, ndị dọkịta na-ahụ ụfọdụ nsogbu na nyocha na ọgwụgwọ ọrịa ahụ. Nke a na-akọwa site na njirimara nke endometritis na ọnọdụ nke oge a: nkwụsị nke microflora pathogenic iji ọgwụ ọjọọ eme ihe, mmụgharị nke usoro ọdịdị nke ọrịa ahụ na mmụba nke osisi nje ahụ, na ogologo oge ọgwụgwọ.
Gịnị bụ endometritis n'ime ụmụ nwanyị?
Endometritis bụ ọrịa na-ahụ maka ahụike na ọrịa morphological nke nwere mgbagwoju anya na njedebe nke ụbụrụ nke na-egbu egbu, nke kpalitere "nata" ikike na mgbanwe cyclic nke anụ ahụ. Ọrịa ahụ na-eduga na ọnụ ọgụgụ dị na ọmụmụ nke ụmụ nwanyị, mmekorita nke ịmalite ịmalite ịhụ nwa nwoke, nkwarụ, ụbụrụ nwa ebu n'afọ, amaghị nwa. N'otu oge ahụ, irè ọgwụgwọ endometrial agaghị aba 60-68%.
Nnukwu endometritis: mgbaàmà na ọgwụgwọ
Isi ihe na-eme mkpesa, nke na-adịghị agafe akpanwa, na-amalite site na nrịgo nke ụlọ ọrụ na-efe efe na ọdụ ụgbọ mmiri. Ọtụtụ mgbe, nje bacteria na-abanye na endometrium na mmebi nke iguzosi ike n'ezi ihe nke ihe mgbochi imechi - mgbe ị na-ete ime, na-ekpuchi ahụ nke akpanwa na olu olu mucous, ịtinye ngwaọrụ intrauterine na ihe ndị ọzọ.
Ihe ịrịba ama nke nnukwu endometritis:
- mmụba dị elu na okpomọkụ;
- ụfụ, ihe mgbu na ụda ala;
- nke yiri puru puru nke sitere na tract genital.
Ihe nchọpụta:
- nchịkọta nke anamnesis (enweghị / ọnụnọ nke intrauterine aka, necrosis nke mucous ọnụ);
- nnyocha gynecology (na-ekpughe nnukwu akpanwa);
- nchọpụta bacteria (na-ekpebi nsogbu nke osisi microbial);
- Ultrasound nke akụkụ pelvic;
- laparoscopy (na - eme ka o kwe omume inyocha ihe ndị ahụ, na - ewepụ ọrịa ndị ọzọ);
- biopsy endometrial.
Ọgwụgwọ na prognosis
Nnukwu ọrịa endometritis chọrọ ọgwụ nje. Usoro mkpali na-emetụta ọkpụkpụ basal nke endometrium n'ihi ọrịa nwere nonspecific / kpọmkwem pathogens. Ngwa nchebe nke endometrium na-emetụta kpọmkwem mmetụta nke hormones na-enwe mmekọahụ, "ọrụ" na ọnụ ọgụgụ nke mkpụrụ ndụ ndị na-egbochi ihe ndị na-emerụ ahụ. Na mmalite nke nsọ nsọ, ihe mgbochi a na-apụ, nke na-eme ka akpụkpọ anụ mucous na-arịa ọrịa. Usoro nlekọta ahụ gụnyere ọgwụ nje na physiotherapy. Nchọpụta ahụ dị mma: na ọgwụgwọ zuru ezu na oge kwesịrị ekwesị, a ghaghị ịmaliteghachi ọhụhụ n'ime ụbọchị 7-10.
Ọgwụgwụ oge ọgwụgwụ: mgbaàmà na ọgwụgwọ
Ọrịa na-adịghị ala ala bụ ọrịa nke, n'ihi ọnya ndị na-efe efe ogologo oge nke ọrịa endometrium, mgbanwe nke ọrụ nke abụọ na-eme nke na-eme ka ọnọdụ nkwụnyeghachi na mgbanwe mgbanwe nke cyclical nke ahụ ahụ. N'ime pasent 95% nke ikpe, ChE bụ ihe dị egwu, nke microorganisms, ndị na-ebute mmekọahụ, na-ebili mgbe ịmịnyechara intrauterine. N'ime pasent 5 nke ikpe, ChE na-amalite site na ọrịa nwere lymphogenic, hematogenic, usoro na-agbadata site na extragenital foci. Na-akpachapụghị anya na nke a kapịrị ọnụ, nke mycoplasmas, fungi, nje bacteria, nje, na-adịghị ala ala endometritis.
Endometrite nke akpanwa - ihe ndị a na-atụ anya:
- belata nchebe nke anụ ahụ na-akwadoghị;
- ọnọdụ ndụ na-adịghị edozi ahụ, àgwà ọjọọ, erighị ihe na-edozi ahụ;
- Ọrịa na-egbu egbu;
- neuroendocrine pathologies, ọbara mgbali elu;
- ọrịa akụrụ afọ;
- mgbochi autoimmune, STD, anaemia, ọrịa bronchopulmonary;
- ọrịa nke usoro ịmụ nwa;
- eji ogologo oge nke intrauterine spirals, zigara ngalaba a;
- ọnụ ọgụgụ dị ukwuu nke mmepụta ihe n'ime oghere utiri;
- nsogbu mgbe a mụsịrị nwa / ime ime ihe na-egbu egbu;
- ọrịa nke cervix / ikpu;
- Usoro ọgwụgwọ na-egbuke egbuke na mpaghara pelvic.
Mgbaàmà nke ọgwụgwụ endometritis:
- mmebi nke ịrụ ọrụ nke menstrual. Ọnụnọ nke mkpali na-adọrọ mmasị na obere pelvis na-eme ka ụbụrụ na-adịghị mma nke oge nsọ nwanyị na 50-60% nke ndị ọrịa - nke a gosipụtara site amenorrhea, algodismenorei, oligomenorrhea. Mkpesa ndị kachasị na-emekarị bụ mmekọrịta ọhụụ na ịkpọtụrụ, na-eme ihe kwa ọnwa, ịnọgide na-enwe ihe mgbu pelvic;
- abdominal pain, utịp uterine ọbara ọgbụgba;
- nkwụsị ọrụ nke nsụgharị eriri afọ. Enweghi nkasi obi n'oge mkpịsị ụkwụ, afọ ntachi, bloating, flatulence, agụụ na-ebelata;
- ọnọdụ ndị na-eme ka influenza. Ahụ ọkụ, ahụ ọkụ, anụ ahụ, izugbe.
Ọgwụgwụ oge: ọrịa na ọgwụgwọ, nyocha
Nchoputa nke endometritis na-adịghị ala ala dabeere na nyochapụta akụkọ ihe mere eme nke onye ọrịa ahụ, mgbaàmà ahụike, nchọpụta morphological nke endometrium, nke a na-eme na 7-10 ụbọchị nke oge.
Nchịkọta maka nyocha nke ụbụrụ nke ọrịa endometritis na-adịghị ala ala:
- mkpuru oku na-abanye n'ime ya, nke gunyere lymphoid mmiri nke di gburugburu n'onu mmiri na olulu mmiri, na adighi adighi nma. N'ile anya, a na-ahụ follicles ahụ ma na-emepụta ya na akụkụ niile nke arụmọrụ arụmọrụ;
- ọnụnọ nke ihe onwunwe cell plasma;
- a na-elegide anya na stroma, nke nwere ogologo oge nke usoro mkpali, n'ọnọdụ ụfọdụ, nnukwu ebe dị egwu;
- nkwarụ sclerotic nke mgbidi nke akwara na-agbada nke anụ ahụ nke na-egosi na ihe mgbaàmà dị na mgbagwoju anya na ngwụsị nke oge ọgwụgwụ.
Ọgwụgwọ omenala
Ụkpụrụ edozi na nyocha ChE bụ usoro nzọụkwụ site na nkwụsị na-akpata ihe ngbu na iwepụ mmetụta nke usoro mkpali ahụ, gụnyere mkpochasị nke ischemia anụ ahụ, mmebi nke abụọ, nchịkwa nke ngwa ntanetị na hemodynamics mpaghara nke endometrium. Atụmatụ dị mgbagwoju anya kwesịrị ịbụ nke a na-atụghị anya ya na nke a na-adabere na ya ma dabere na nyocha nke ọma.
Usoro ọgwụgwọ CHE:
- Mwepu nke onye na-emebi ihe ma ọ bụ ọnụ ọgụgụ na ọrụ nje. Ngwọta nke nje na-agwọ ọrịa kwesịrị ijide n'aka na ị ga-ewepụ ụdị ọrịa dị iche iche, gụnyere trichomonads, chlamydia, streptococci, gonococci, na nje. N'ọnọdụ ụfọdụ, ndị dọkịta na-edepụta ọtụtụ ọmụmụ ihe na mgbanwe nke usoro ọgwụgwọ, nhọrọ nke dabere na nsonaazụ ụmụ mmadụ na-enyocha ebe obibi akpa nwa na ikpu, ihe nkedo nke usoro mkpali na ọdịdị nke foto ahụike. N'ikwekọ, a na-emezigharị mmezigharị ọhụụ.
Ngwọrọgwu: Njikọ nke nitroimidazoles (Metronidazole, Ornidazole) na fluoroquinolones (Ciprofloxacin, Ofloxacin, Levofloxacin), Nchikota nke na-echebe penicillin na macrolides (Spiramycin, Roxithromycin). Ọ bụrụ na ọrịa nje malitere, enwere analogues dị iche iche (Valtrex, Acyclovir).
Nchịkọta nke ike nke endometrium na ikpochapu ihe ndị na-akpata ọrịa nchịkwa: mweghachi nke metabolism, ọrụ na hemodynamics nke ndị nabatara anụ ahụ. Ndị ọrịa nwere oke mmebi nke ọrụ ịmụ nwa bụ usoro ọgwụgwọ hormone a na-ahụ maka ya, bụ nke e mere iji mee ka enwere ike ịkụnye ya.
Nkwadebe: ọgwụ metabolic (Actovegin)
Physiotherapy: magnetotherapy, ọgwụ electropulse.
Ihe kachasị mma maka ịgwọ ọrịa nke ọma: mmụba dị ịrịba ama na ọrụ nke ndị na-ahụ maka ọrịa na-efe efe, enyemaka nke mmepụta ahụike nke oria ahụ, mweghachi nke nchịkwaghachi na ọdịdị ahụ nke anụ ahụ, nchịkwa nke ọmụmụ.
Candles na ChE
A na-eji candles na-agwọ ọrịa endometritis na-adịghị ala ala dị ka ihe ngwọta ọzọ maka mpaghara iji mezuo ngwa ngwa. Ha na - egbochi mmerụ ahụ site na ihe ndị dị ize ndụ nke na - emegide ihe ndị na - akpata ọgwụ nje, ekwela ka mmepe nke nsogbu dị njọ na nje nke nje bacteria na - akpata nke akpanwa site n'aka ụmụ nwanyị.
N'ọnọdụ dị aṅaa ka kandụl ji:
- nnukwu endometritis, nke a na-esonyere dysbiosis nke vaịn;
- mbufụt nke cervix / ikpu;
- ala ọgwụgwụ endometritis;
- adhesions n'ime oghere utiri nke ime obere pelvis.
Ụdị iche echiche dị iche iche:
- jikọtara. Nwere: Neomycin (ọgwụ aminoglycoside), Ternidazole (ọgwụ antimicrobial), Prednisolone (glucocorticoid n'ụlọnga), Nystatin (ọgwụ antifungal);
- nwere antiseptik. Candles na betadine (ndị na-enyekwa iodine) na chlorhexidine (antiseptic);
- na osisi ọgwụ. Nwee obi ụtọ, ọgwụgwọ, antimicrobial, mmetụta mgbochi mkpasu iwe.
Echeghị ihe ndị a na-eche n'echiche bụ isi usoro ọgwụ nke CHE. Nye ha naanị ọkachamara, na-eburu n'uche nke a, foto ahụike na ọdịmma nke nwanyị ahụ. Ogologo oge nke ọgwụgwọ na kandụl bụ 12-14 ụbọchị.
Ọgwụgwụ endometritis: mgbaàmà na ọgwụgwọ
Ọgwụgwụ endometritis bụ nke na-emetụta ụbụrụ uterine nke na-eme mgbe ọ gwụchara. Na pasent iri na abụọ nke ikpe, usoro mkpali na-agafe na muscular oyi akwa nke akpanwa, na-akpali mmepe nke endomyometritis. A na - achọpụta P PE mgbe niile - ọ bụ ọtụtụ ihe kpatara ya: usoro zuru oke nke usoro nchọpụta nke mmerụ ahụ, mmụba nke ugboro ole ọrụ ịwa ahụ mgbe a na - ebute gị, nchịkọta nke nje na - eguzogide ọgwụ ndị na - emepụta ọgwụ na ụlọ ọgwụ, na - eji corticosteroid nke e ji arụ ọrụ eme ihe. O nwere mgbanwe siri ike na ụmụ nwanyị ndị nwere nsogbu - ndị inyom taa nwere ụdị ọmụmụ nke ụdị infertility, na ọrịa extragenital, mgbe mmeghachị nke hormonal nke na-abaghị uru, na ọrịa nje, ndị nọ n'ọnọdụ dị elu maka nsogbu ndị na-efe efe, kachasị.
Endometritis mgbe amu nwa - symptomatology
N'ime ụbọchị nke ise na ise ruo mgbe a mụsịrị nwa, ọnọdụ okpomọkụ na-arị elu ruo 38-39 degrees, oké mkpọmbụ na-amalite, ụbụrụ ahụ na-amụba 85-100 bekee kwa nkeji. N'ime ọbara, ọnụ ọgụgụ nke leukocytes na ọnụego nke erythrocyte na-arịwanye elu na-emewanye, a na-eme ka ọnyá na-egbuke egbuke. Oké endometritis "amalite" na ụbọchị 2-3 mgbe nnyefe. N'ime pasent 25 nke okwu ọ na - amalite mgbe akụkụ ndị ahụ na - arụ ọrụ ma ọ bụ ọrụ siri ike. Enweghị ike, isi ọwụwa, ihe mgbu abdominal, anorexia, mkpuchi, tachycardia, nnukwu ahụ ọkụ (n'elu 39 ogo). Mgbe ụbọchị 1-2 gachara, ihe nzuzo ahụ dị na uterine ghọọ purulent. A na-enwekarị mgbagwoju anya site na intestinal paresis, nke na-eduga na ntinye ụmụ nje n'ime oghere na peritonitis.
Ọgwụgwọ nke ọgwụgwụ nwanyị endometritis
Usoro ọgwụgwọ PE kwesịrị ịbụ ihe zuru ezu, nke a na-achọ na ịchọta nke nhụjuanya ahụ, nnọpụiche nke ụlọ ọrụ na-efe efe, ịmepụta ihe nchedo nke ahụ na nkwụsị. Ihe ndị dị n'ime ọgwụgwọ bụ izughachi zuru ezu, antibacterial, infusion (ọgwụ mgbochi nke infravenous), iji ọgwụ ọjọọ eme ihe nke belata akpanwa. Mgbe ụfọdụ, a na-egosi ọgwụgwọ nke akpanwa, ụdị dị njọ nke endometritis chọrọ iji plasmapheresis - iwepụ ihe dị iche iche nke plasma ọbara, ụmụ nje, toxins, cryoglobulins. A na-eme atụmatụ ọgwụgwọ dị irè na ụbọchị asaa, na enweghi ihe dị mma, a na-edozi ajụjụ nke iwepu akpanwa.
Ọgwụgwọ nke endometritis na ndiife ịgba akwụkwọ
Ụzọ ndị mmadụ si emeso endometritis dị irè, ma ọ bụrụ na i tinye ha n'ọrụ mgbe ha jụsịrị dọkịta ga-ahọrọ mbadamba mbadamba nkume na ọgwụgwọ ndị mmadụ.
Infusion nke ivy. Were otu tablespoon nke akwukwo ovy ohia, gbanye 250 milliliters nke mmiri esi mmiri, na-esi ọnwụ 12-14 awa. Weta infusion na obụpde, wepụ si na okpomọkụ, na-esi ọnwụ 10-15 nkeji, nlezianya nje. Jiri ugboro atọ n'ụbọchị maka 100 milliliters. Maka uto, ị nwere ike itinye shuga ma ọ bụ mmanụ aṅụ. Contraindications: mmadụ enweghị ndidi, anaemia, ime ime.
Anakọtara herbs. Mkpụrụ ọgwụ na-ebibi ọrịa, weghachite iguzosi ike n'ezi ihe nke mucosa, kwụsị usoro mkpali:
- mgbọrọgwụ valerian, yarrow, Mint, okooko osisi heather, akwukwo birch, ogbugbo buckthorn, akwukwo blackberry;
- ahịhịa ọgazị geese, mgbọrọgwụ valerian, mint epupụta, buckthorn ogbugbo;
- ahịhịa rue, ahịhịa tansy, mgbọrọgwụ licorice, aira.
- Broth St. John wort. Were nnukwu spoonful nke herbs, wunye otu iko nke mmiri esi mmiri, tinye ọkụ, obụpde maka 15-20 nkeji, igbapu. Na-aṅụ mmiri ahụ ugboro atọ n'ụbọchị maka 50 milliliters na afo efu.
Infusion nke fern. Tablespoon epupụta nke fern (anuahade) ime biya 250 milliliters nke esi mmiri, na-esi ọnwụ 15-20 nkeji, igbapu. Rie 50-70 milliliters ugboro anọ kwa ụbọchị tupu nri. Usoro ọgwụgwọ bụ ụbọchị 14-21.
Ụdị na-eme ihe antibacterial:
- na garlic. Kpochapụ mbufụt na ọrịa. Ghee garlic, gbanye n'ime ebe 2-3, tinye n'ime mmanụ na-esi nri, ọbọp na gauze, tinye n'ime ikpu maka awa iri na abụọ;
- na mmanụ oké osimiri buckthorn. Mee ngwa ngwa ọgwụgwọ mucosal;
- na plantain. Mee ka obi dị jụụ ma nyere aka na-agwọ ọrịa akpanwa nke mucous. Saa akwukwo ohia nke plantain, kporo, kpochapu ya. Ghọta ngwakọta nke a na-etinye na gauze, tinye n'ime ikpu maka awa iri na abụọ.
Endometritis na endometriosis: kedu ihe dị iche?
N'agbanyeghị aha ndị yiri ya, endometriosis na endometritis bụ ọrịa dịgasị iche iche. Site na njirimara ya, endometriosis yiri nkwonkwo neoplasms, enweghi mmekorita nke usoro mgbochi nke immune etiology na endometrium, nke di iche na ha site na ulo ogwu na nyocha laboratory-diagnostic.
Ụdị isi
Endometriosis - nhazi nke ọkpụkpụ, dịka nhazi nke ụbụrụ uterine. Tumors na-etolite n'azụ ihe mgbapụta hormonal, nke a na-ahụ n'ime mpaghara pelvic - site na akpanwa na ovaries na eriri afo na eriri afọ. Aghọtaghị nke ọma na ọrịa ahụ na-arịa ọrịa, ndị dọkịta na-ekwenye na endometriosis bụ nkwarụ na usoro ahụ ji alụso ọrịa ọgụ. N'ihi nsogbu ndị na-enweghị nsogbu, a na-etinye ihe na-akpata ọgwụgwụ. Endometritis bụ usoro mkpali nke akpụkpọ anụ uterine nke ebute ọnyá, na-eduga na hyperplasia endometrial.
Foto zuru ezu
N'ime oge nsọ na endometriosis, a jụrụ ajụ akpụkpọ anụ mucous, ọbara na-ebute mkpụrụ ndụ endometrial na-abanyekwa na tubes na-emepụta, gbanwee ma malite ịkekọrịta, "na-ewu" anụ ọhụrụ dị nso na nhazi ka endometrium. E guzobere ọnụ - endometriosis na-aga n'ihu. Nchịkọta nke usoro nchịkwa na-eme ka ọnọdụ ahụ dịkwuo njọ: ọnụọgụ nke ọnụ na-etolite n'ọganihu nke geometric, ọkpụrụkpụ nke endometrium melts. Na endometritis, n'ihi mmụba dị ịrịba ama na oke nke ụbụrụ uterine, a na-akụda cyclicity nke oge ịhụ nsọ. A na-ekpuchi shea ma weghachite ya na akụkụ, ya na ịwụpụ ọbara ya mgbe niile.
Nsogbu
Endometritis: nlekwasị anya nke mbufụt ewepụghị ohere nke ịmepụta embrayo nke embrayo n'ime endometrium.
Endometriosis: njedebe na-adịghị ike na-efunahụ ike ịmalite embrayo na ya ma jide ya. N'ịgbasa gburugburu ebe pelvic, oghere na-egosi ịdị njikere iji "nwa" nwa ebu n'afọ, nke na-eduga n'ozuzu zuru oke n'ime usoro ahụ.
Enwere m ike ime ime na endometrium?
N'etiti ụmụ nwanyị nwere endometritis, 97% bụ ụmụ nwanyị / ụmụ nwanyị nke afọ ịmụ nwa bụ ndị na-emesi mkpa ọrịa ahụ ike maka mmetụta ya na ọmụmụ. Enwere ime ime na endometrium? Nzuzo, ee. Enwere nchebe nke endometrium na ọrụ mmepụta na mpaghara mbụ nke ọrịa ahụ n'ihi ọnụnọ nke usoro mgbagwoju anya, njirimara nke na-adabere na ọrụ nke ndị na-efe efe, ọnọdụ nke usoro ahụ ji alụso ọrịa ọgụ, na iwu nke usoro hormonal.
Egwurugwu oge na IVF
Dị ka WHO si kwuo, ugboro ole na-alụbeghị di ma ọ bụ nwunye na mba anyị nwere ọchịchọ doro anya ịbawanye elu, nke na-eduba na mmụba nke ọnụ ọgụgụ mmemme mmepụta enyere aka. O di nwute, pasent nke mmepụta nke embryos dị oke elu - na nkezi ọ bụ 50-60%. Otu n'ime ihe bụ isi kpatara ọdịda nke usoro IVF bụ pathology nke endometrium, endometritis gụnyere. Ịnọgide na-achọsi ike (ịchọta) nke nje na nje bacteria na endometrium na-eme ka nrụrụ dị njọ nke usoro anụ ahụ, na-egbochi ịkụnye ahụike na ntinye nke embrayo. Mbibi nke mgbanwe cyclic na mmụba (nchịkwa) nke endometrium na-ebelata ugboro nke ihe ịga nke ọma na-emepụta ma na-ebelata irè nke IVF n'ozuzu ya.
Na-akpata infertility na endometrium:
- imebi ọrụ ntanetị nke akpanwa ahụ na-adịghị mma nke nghọta zuru oke nke ihe omume homonụ;
- karia ogo nke estradiol, nke nwere mmetụta na-ezighi ezi banyere ọrụ nke ahụ na-acha odo odo n'oge nke abụọ nke oge ahụ;
- ezughị oke nke arịa ndị na-adịghị ahụkebe;
- mmebi nke ọbara na-emekarị n'ime akpanwa;
- mmepe na oghere uzo nke uzo nke na-emebi usoro mmeghe nke oocyte;
- mbibi autoimmune nke ọnyà spermatozoa ejidere n'ime oghere uterine;
- mmịgharị na-egbuke egbuke nke tubes na-adaba na mwepụ nke ọrịa ahụ na akụkụ ndị agbata obi.
Ihe kachasị njọ bụ ChE, dịka ọ na - enweta foto nhụjuanya mara mma. Na oke endometritis, nwanyị na-echegbu onwe ya banyere ihe mgbaàmà doro anya na-eme ka ndị dọkịta chee ihu ya. Tụkwasị na nke ahụ, usoro dị oke, nke dị iche na nke na-adịghị ala ala, na-eme ka ọgwụgwọ ka mma.
Usoro mbugharị nke IVF
Ndị ọrịa nwere ọdịda / ọdịda nke embrayo na-etinye na akụkọ nlekọta ahụike ha aghaghị ịmalite nkwadebe (nkwadebe maka afọ ime), nke gụnyere ọgwụ mgbochi, nchọpụta ọrịa na usoro ọgwụgwọ. Mgbe nkwadebe nke mbido, uru nke mbụ IVF na-eme iji gbanwee njedebe nke endometritis bụ 45-50% na nkezi.
Usoro nyocha:
- Ultrasound nke akpanwa / appendages, analysis bacterial nke aspirate si eriri uterine na separable si cervix;
- nnyocha dopplerometric nke ngwa ngwa na akpanwa na mkpebi siri ike nke ọbara na mpaghara pelvic;
- nyocha nke ọnọdụ ahụghị;
- mkpebi nke ọkwa nke homonụ nke pituitary gland, thyroid gland; hormones;
- nyocha nke morphology nke ihe biopsy maka ileghara ihe omumu anya.
Njirimara nke IVF na endometrium
Nkwado Hormonal maka ọnwa 3-5. A na-ahọrọ ime ndokwa maka data nke nyocha ụlọ nyocha na afọ nwanyị. Ọ na - enye ohere iji nwetaghachi uche nke ndị na - anabata utera na - emetụta mmetụta mmụm:
- ndị inyom nwere oke ọkpụkpụ nke endometrium (8 millimeters ma ọ bụ karịa) na ọbara na-agbanyekarị na arọ basal ka e kenyere Dydrogesterone n'ime, 10 mg ugboro abụọ n'ụbọchị. Ọgwụgwọ - 10 ụbọchị (site na 16 ruo 25 ụbọchị okirikiri);
- Ndị na-arịa ọrịa mgbochi endometrial bụ ndị a na-eme ka nwanyị na-enwe ọgwụ dị otu ugboro n'ụbọchị (ụbọchị 28) ma ọ bụ na-eme usoro ọgwụgwọ na-eme ihe na hormones (Estradiol + Dydrogesterone);
- ndị inyom nwere akụkọ ihe mere eme nke nchikota nke belata ọbara na arịa ndị ahụ na ụda nke njedebe nke endometrium, na-ahọrọ usoro ọgwụgwọ metabolic na usoro acupuncture.
- Ekwenye na mmebi nke ọbara na-achọ usoro ọgwụgwọ kwesịrị ekwesị na ndị na-emepụta ọgwụ, ndị na-emepụta ọgwụ mgbochi na ndị ọrụ phlebotonic.
- N'ihu vitragenic flora na akpanwa na-ede ọgwụ antiviral na antibacterial.
- Site n'iji arụ ọrụ nke usoro ahụ ji alụso ọrịa ọgụ, a na-eme usoro ọgwụgwọ immunomodulatory.
- Nye usoro usoro ọgwụgwọ ọrịa nke na-akpali ọbara na-asọba ma na-eme ka alụmdi na mpaghara sie ike.
Endometritis, ihe mgbaàmà na ọgwụgwọ nke dabara adabere na oke nke foto ahụike - ọrịa dị njọ ma dị egwu, nke na-eduga n'inweghi ọmụmụ na ime ọpụpụ. Nchọpụta ngwụcha, usoro ọgwụgwọ na-ezighị ezi nwere ike iduga ụdị ọrịa dị iche iche, nke mere na mbụ ihe ịrịba ama mkpuchi kwesịrị ịjụ dọkịta ozugbo ma malite usoro ọgwụgwọ.