Ukuvuvukala komlenze wangaphakathi we-uterus, okanye i-endometrium, kuthiwa yi- endometritis . Ingozi yesi sifo kukuba ixesha elide umfazi akanakucingela malunga nobukho bale nkqubo yokuvuvukala kwaye uphelelwe ixesha, elixabisekileyo ekuqaleni kwonyango.
I-Endometrium yindlela yokusebenza ecwangcisa i-uterine cavity. Injongo yaso ephambili kukuba uthathe iqanda elikhulelweyo lokukhulelwa. Ngexesha lomjikelezo wokuya esikhathini, i-endometrium iguquka: ikhula, ivule, kwaye iyanqatshelwa nyangazonke. Isibeleko sihlelwe ngendlela enokuthi uluhlu lwesondlo lukhuselekile ngokuqinisekileyo kwimpembelelo yangaphandle, kwaye phantsi kweemeko eziqhelekileyo, ukusuleleka akukwazi ukungena kwi-uterus.
Iimbangela ze-endometritis yesisu
Njengomthetho, ukuqala kwe-endometritis kuyacaphukiswa ngokuziphatha kwanoma yimuphi uphando lwangaphakathi okanye ukuphathwa. Oku kubandakanya ukukhipha isisu, ukutshiza, i- hysteroscopy kunye nezinye iinkqubo. Isizathu esiqhelekileyo se-endometritis sisiqendu kunye nesigaba se-caesarean - emva kwabo kukho i-20 ukuya kuma-40% eengxaki zokuvuvukala kwe-endometrium.
I-endometrium eyalimalayo, iingubo zegazi, iindawo ezihlala kwiimbumba kwi-uterus zibe yindawo efanelekileyo yokuphuhliswa kweebhaktheriya ze-pathogenic kunye nezinye izifo-gciwane: ii-virus, iifungi, njl. Izizathu eziqhelekileyo ze-endometritis yomlomo wesibeleko kunye nomzimba wesibeleko ziyi-infections zesifo esingaxhatshazwayo kunye neenkqubo ezivuthayo kwisisu.
Iimpawu ze-endometritis yesisu
Ukuqala kwesibindi sokuvuvukala kubonakaliswa yimbonakalo ecacileyo, enjengomkhuhlane, umkhuhlane, iintlungu zesisu, ukungcola kwesisu esingavamile. Iimpawu ezinjalo zibonakala malunga neentsuku ezi-3 ukuya kwezi-4 emva kokungena kwe-pathogen kwisigxina se-uterine kunye nokugqibela kwiveki, ubuninzi beentsuku ezili-10. Ukungabikho kwonyango okanye ukungafundi okungafundi, i-endometritis idlulela kwisigaba esingasigxina, apho iimpawu zifakwe khona, kodwa iinkqubo zengqondo zenzeke kwizitho zangasese zangaphakathi, ezibangelwa ukuphazamiseka kwemijikelezo yesisindo, ukungabikho kwempilo kunye nokunyuka kwama-cystic formations.
Iziphumo ze-endometritis yesisu
Ngokuvuvukala kwe-endometrium, isiphumo esichukumisayo esikhulu kukuba akunakwenzeka ukukhulelwa okuqhelekileyo. Ukukhulelwa ngokusuka kwimvelaphi ye-endometritis kuhambelana nokutshatyalaliswa kwesisu, ukungakwazi ukusebenza kwe-placenta, i-postpartum hemorrhage. Kwakhona, iingxaki zokuqala kokukhulelwa ziyakwenzeka.
Ngenxa yokuvuvukala kwii-spter, izibambiso, i-cysts kunye ne-polyps ze-endometrium zenzeka.
Unyango lwe-endometritis yesisu
I-Endometrite yesibindi iyaphathwa ngendlela edibeneyo. Izigulane ziboniswa unyango lwe-antimicrobial nge antibiotics ezibanzi. Emva koko kuyimfuneko ukubuyisela isakhiwo se-endometrium. Ukwenza oku, misela izidakamizwa ze-hormone (Utrozhestan) ngokudibanisa neendlela zokusetyenziswa (vitamin E no-C, i-enzyme, i-Ribokisin, i-Actovegin).
Esi sifo sithathwa njengenyango ngokupheleleyo, ukuba i-ultrasound iqinisekisa ukubuyiswa kwe-endometrium, umjikelezo wokuya kwesimiso ubuyele kwizinto eziqhelekileyo, izifo-ntsholongwane zantsholongwane zatshatyalaliswa, zonke iimpawu zesifo zaphela. Emva koko, ibhinqa liyakwazi ukucwangcisa ukukhulelwa, kodwa nangona unyango olupheleleyo, i-endometritis idluliselwe sisihlandlo sokuqwalasela ngokuthe ngqalelo kwinxalenye yoogqirha. Ukukhulelwa okulukhuni kunye nemingcipheko yokuhamba emva, njengokuphuma kwegazi okanye ukwamkelwa kwe-placenta, akunakupheliswa ngokupheleleyo.