Muva nje, kuye kwaba nomthelela wokwanda kwenani labesifazane abane-endometritis engapheli, okuyinto engozini, ikakhulukazi emsebenzini wokubeletha.
Ngokuvamile, i-endometritis engapheli iqala kancane, ngaphandle kwemiboniso ekhethekile yemitholampilo, njengoba kunjalo ne-endometritis ngesimo esibucayi. Ngakho-ke, abesifazane abaningi abakwazi ukuqagela ukuthi yini eyingozi kubo i-endometritis engapheliyo. Kodwa izinguquko esakhiweni se-endometrium ene-endometrium engapheli ziholela ekwakheni nasekukhuleni okulandelayo kwe-cysts kanye nama-polyps, okungama-60% wamacala ayiyona imbangela yokukhulelwa kwesisu, futhi ku-10% - imbangela yokungasebenzi.
I-endometritis engapheli yesisu - izimpawu nokuxilongwa
I-Endometrite yukuvuvukala koqweqwe lwangaphakathi lwamangcwaba esibelethweni - i-endometrium. I-uterine cavity, ehlanganiswe ne-endometrium, ivame ukuvikelwa kahle ezifweni. Kodwa-ke, izifo eziphilayo ezithathelwanayo lapho kukhona khona izinto ezithile zivela esibelethweni futhi zivusa ukuvuvukala kwe-endometrium.
I-endometritis engapheli ibonakala ngukuphazamiseka emjikelezweni wesisindo, ukuphuma kwegazi, isisu, isisu esiswini esingaphansi, ubuhlungu ngesikhathi socansi.
Ukuze uhlolisise "i-endometritis engapheli," udokotela unquma izimpawu zomtholampilo, umlando wesifo. Ukukhipha i-uterine mucosa kwenzelwa ukuxilongwa kwe-endometritis engapheli ngenhloso yokwenza ucwaningo lwakhe lwe-endometrium. Izindlela ezibalulekile zokuthola lesi sifo ziyi-ultrasound ne-hysteroscopy, esenza sikwazi ukubona ukuthi yiziphi izinguquko zesakhiwo ezenzeke ngezicubu ze-endometrioid.
Izimbangela ze-endometritis engapheli
I-endometritis engapheli kaningi ingumphumela wesimo esingasaphathwa kabi se-endometritis, esenzeka, njengombuso, emva kokukhipha isisu, ukubeletha, ukuphathwa kwe-intrauterine.
Ukwandiswa kwe-endometritis engapheli kwenzeka ngokuncipha kwengculazi, ikakhulukazi emva kwezifo ezingapheli noma ukubeletha; ngokuvuvukala kwe-appendages, ukutheleleka ngokocansi; imimoya ye-intrauterine engakhethi noma ukusetshenziswa kwayo yesikhathi eside.
Izinhlobo ze-endometritis engapheli
Ngokwemvelo yenqubo yokuvuvukala ku-endometrium, i-endometritis engapheli igxilile, yendawo, futhi isakazeka, lapho zonke izibeletho ezinamaqabunga nezinsimbi ezijule kakhulu ezizindongeni zayo zihilelekile ekuvuvukala.
Ngokwe-agent ye-causative eyabangela lesi sifo (amabhaktheriya, amagciwane, i-fungus, ama-parasites, i-flora exubekile), i-endometritis engapheli ingaba yinto ecacile futhi engacacile.
I-endometritis eqondile ibangelwa i-cytomegalovirus, i-herpes simplex virus, candida, chlamydia nezinye izifo eziphilayo.
Njengoba i-endometrium engapheli kahle, i-pathogenic flora ayitholakali esibelethweni. I-endometritis ingabangela okungavamile: ukutheleleka ngegciwane lesandulela ngculaza, i- bacterial vaginosis , ukukhulelwa kwe-hormonal, i-intrauterine device.
Ngokwesilinganiso sokusebenza kwalesi sifo, i-endometritis engapheli ingaba: okungasebenzi, okuvilaphayo, okulinganiselwe kwezinga lomsebenzi. Okuyingozi kunazo zonke i-endometritis engasebenzi futhi ihamba kancane.
Zenzeka cishe ngaphandle kwempawu. Ukuzibona, kuyadingeka ukuthi uhlole izivivinyo ezithile, ngoba azikho ukuphazanyiswa kokukhipha umjikelezo kanye nokwehla kwamathambo kusuka kulesiswini. Ngakho-ke, kuyadingeka ukuthi uvakashele isiguli somzimba ngezikhathi zonke ukuze ungaqali inqubo futhi uyiveze kakade esigabeni sokuqala.
Kukhona futhi i-endometritis engavamile yokuzimela egazini, ebonakala ngamachungechunge agxile e-lymphocytes. Ivela ngenxa yokukhiqizwa kwama-anti-immune antibodies ngokumelene namaseli anempilo, okuholela ekulimaleni kwezicubu ezivamile nokuvuvukala okuzenzakalelayo. Leli fomu lesifo aliphilwanga.