Ngaphansi komqondo ojwayelekile we "ukuvuvukala kwesibeletho" kuvame ukuzwakala njengokuvuvukala:
- i-membrane yayo e-mucous - endometrium ( endometritis );
- umlomo wesibeletho (cervicitis);
- ukuvuvuka ngesikhathi esisodwa kwekhanda elimangcwaba le-uterine cavity nentamo (endocervicitis).
Izimbangela zokuvuvukala kwesibeletho
Isizathu sokuvuvukala kwesibeletho yizifo (amagciwane, amagciwane, amafungal), indawo yokuqala phakathi kobulili. Iningi lokuvuthwa kwe-gonococcal kanye ne-chlamydial esivame ukutholakala, inqubo encane yokuvuvukala icutshwa yi-mycoplasmas no-E. coli, i-streptococci, i-staphylococci ne-enterococci, i-spirochetes, i-herpes virus nezinye izifo eziphilayo.
Izinto ezibangela ekuthuthukiseni ukuvuvukala okunamandla nokuhlala njalo kwesibeletho kungenxa yomsuka osulelekile nokuthungatha. Umsuka omubi wesimiso sokuvuvukala kungenzeka ngomonakalo wamakilini kwesibeletho nomlomo wesibeletho:
- ngokuhlukunyezwa ngesikhathi esisodwa kwezimo ze-aseptic ne-antiseptic ngesikhathi sokusebenza okuhlukahlukene komzimba;
- uma kwenzeka ukutheleleka emaphethelweni okubeletha okuphansi.
Ngakho-ke, ukuvuvukala kwesibeletho ngemuva kokukhipha isisu nangemva kokukhipha ukukhulelwa okubandayo kutholakala kuwo wonke owesifazane wesithathu. Ngemuva kokubeletha okunzima, ukuvuvukala kwesibeletho kunqunywa kuwo wonke owesifazane weshumi ekusebenzeni, okwamanje, njengokwesigaba saseKhesariya, ingozi yokuzwa ukuxilongwa okufanayo iphindwe kabili. Isimo siphuthumayo uma, ngenxa yokusebenza okungasebenzi kahle kwesibeletho ngemuva kwesigaba sokungasebenzi, abesifazane bahlakulela ukuvuvukala okungenasifo kwesiguli sebeletho.
Ngesikhathi sokuya esikhathini, uma isitho socansi sithinteka kakhulu ekuthelelekeni kwe-microbial, umsebenzi wezocansi kufanele uphonswe ngaphandle, ngaphandle kwalokho kukhona ingozi enkulu yokuvuvukala komlomo wesibeletho kanye ne-uterine mucosa.
Ngaphezu kwalokho, imbangela yokuvuvukala kwesibeletho kuvame ukugqokisa isikhathi eside semiklamo noma ezinye izisu zokubeletha kwe-intrauterine.
Izimpawu ezinokwenzeka zokuvuvukala kwesibeletho
Ngenxa yokuvuvukala kwesibeletho, kunezibonakaliso ezintathu zakudala: ubuhlungu esiswini esingaphansi, izinga lokushisa lomzimba eliphakeme kanye nokutholakala kokuphuma komzimba okungavamile. Owesifazane unezizathu zonke zokusola ukuvuvukala kwesibeletho uma ebona isimo sakhe sempilo izinguquko ezilandelayo:
- ukuphuma emgodini wokubeletha kutholakala umbala ophuzi (ngezinye izikhathi nge-trace yegazi) kanye nephunga elibukhali lokubeka i-putrefactive;
- emathunjini aphansi kukhona ubuhlungu obunzima obuhlala njalo, obuhamba "eduze" emgodini we-pelvic futhi buzwa ku-coccyx, khona-ke ku-sacrum, bese ubuyela emuva;
- ukushisa komzimba kuphakanyiswa njalo futhi kungaphansi kuka 37.0-37.5 ° C (ukuvuvukala okukhulu - kufika ku-39 ° C);
- kungenzeka ukwelapha uterine;
- esimweni sezempilo jikelele, izinguquko ziyabonakala: ukukhathala ngokushesha, ubuthakathaka, ukucasula, isizungu, ukujuluka, ukushayela ngokushesha.
Izimpawu zokuvuvukala okungapheli kwesibeletho azikhulumi ngaso sonke isikhathi, futhi ngezinye izikhathi azikho ngokuphelele. Ngokuvamile, abesifazane bakhononda ngalokhu:
- uhlamvu olubi noma olunomlando wokugeleza kokuya esikhathini;
- umjikelezo ongavamile wokuya esikhathini;
- ukungaziqapheli ukuphazamiseka kokungena endaweni.
Ukwelashwa kwe-endometritis
Ukusetshenziswa kwama-antibiotics ngokuvuvukala kwesibeletho kuyimfuneko yokwelashwa okudingekayo. Sebenzisa ama-antibiotic ebanzi noma ama-antibacterial agents asebenza ngokumelene ne-pathogen ethile.
Ngaphezu kwalokho, ukwelashwa okwengeziwe kunqunywe: ama-antimicrobial and desensitizing amalungiselelo, amavithamini, ama-metabolites, ama-hormone, ama-biostimulants, amalungiselelo e-homeopathic, ukuhlunga ngegazi, izinqubo zokwelapha umzimba nokunye okunjalo. Imiphumela ye-uterine ukuvuvukala ihlale ingalungile. Esimweni esihle kakhulu, ukutheleleka kuyothola ifomu elingapheli futhi kubangele inqubo yokunamathela,
Okuyingozi kakhulu ukuvuvukala kwezindonga zesisu ngesikhathi sokukhulelwa. Ukukhubazeka okunjalo kusongela ukuchithwa ngaphambi kokuqala kwe-amniotic fluid, ukuphazamiseka kwamapayipi, ukuhlukunyezwa, njll. Ngenhlanhla, kulabo besifazane abakhulelwe, i-uterine cavity iyashisa kakhulu, lapho kutholakala khona inqubo yokuvuvukala yomlomo wesibeletho, okufanele iphathwe kuphela ngemuva kokuba i-pathogen ikhonjwe.