I-Endometritis

I-Endometritis ukuvuvukala noma ukucasuka kolwelwesi lwesibeletho (i-endometrium). Akufani ne-endometriosis.

I-Endometritis ibangelwa ukutheleleka esibelethweni. Kungaba ngenxa ye-chlamydia, i-gonorrhea, isifo sofuba, noma ukuxubana kwamagciwane ajwayelekile esitho sangasese sowesifazane. Kungenzeka kakhulu ukuthi kwenzeke ngemuva kokuphuphuma kwesisu noma kokubeletha. Kubuye kuvame kakhulu ngemuva komsebenzi omude noma isigaba se-C.

Ingozi ye-endometritis iphezulu ngemuva kokuba nenqubo ye-pelvic eyenziwa ngomlomo wesibeletho. Izinqubo ezinjalo zifaka:

• D no-C (ukunwebeka nokwelapha)
• I-Endometrial biopsy
• I-Hysteroscopy
• Ukubekwa kwe-intrauterine device (IUD)
• Ukubeletha (okuvame kakhulu ngemuva kwesigaba se-C kunokuzalwa kwesisu)

I-Endometritis ingenzeka ngasikhathi sinye nezinye izifo ze-pelvic.

Izimpawu zingafaka:

• Ukuvuvukala kwesisu
• Ukopha okungavamile noma ukuphuma kwegazi esithweni sangasese
• Ukungakhululeki ngokuhamba kwamathumbu (kufaka phakathi ukuqunjelwa)
• Imfiva
• Ukungakhululeki okuvamile, ukungakhululeki, noma ukugula
• Ubuhlungu esiswini esiphansi noma esifundeni se-pelvic (ubuhlungu besizalo)

Umhlinzeki wezokunakekelwa kwempilo uzokwenza isivivinyo somzimba ngokuhlolwa kwe-pelvic. Isibeletho sakho nomlomo wesibeletho kungenzeka kuthambile futhi umhlinzeki angahle angayizwa imisindo yamathumbu. Ungaba nokukhishwa komlomo wesibeletho.

Ukuhlolwa okulandelayo kungenziwa:

• Amasiko avela emlonyeni wesibeletho we-chlamydia, i-gonorrhea, nezinye izinto eziphilayo
• I-Endometrial biopsy
• I-ESR (isilinganiso se-erythrocyte sedimentation)
• I-Laparoscopy
• I-WBC (isibalo segazi esimhlophe)
• Ukulungiselela okumanzi (ukuhlolwa okuncane kakhulu kwanoma yikuphi ukukhishwa)

Uzodinga ukuthatha ama-antibiotic ukwelapha ukutheleleka nokuvikela izinkinga. Qedela yonke imithi yakho uma unikezwe ama-antibiotic ngemuva kwenqubo ye-pelvic. Futhi, iya kukho konke ukuvakashelwa okulandelwayo nomhlinzeki wakho.

Ungadinga ukwelashwa esibhedlela uma izimpawu zakho zinzima noma zenzeka ngemuva kokubeletha.

Ezinye izindlela zokwelashwa zingabandakanya:

• Uketshezi ngomthambo (ngu-IV)
• Phumula

Abalingani ocansini bangadinga ukwelashwa uma isimo sibangelwa yisifo esithathelwana ngocansi (STI).

Ezimweni eziningi, isimo siyaphela ngama-antibiotic. I-endometritis engalashwa ingaholela ekuthelelweni okubi kakhulu nasezinkingeni. Ngokuvamile, kungahle kuhlotshaniswe nokuxilongwa komdlavuza we-endometrium.

Izinkinga zingafaka:

• Ukungabi nenzalo
• I-pelvic peritonitis (ukutheleleka okuvamile kwe-pelvic)
• Ukwakhiwa kwethumba lomzimba noma lesibeletho
• I-Septicemia
• Ukushaqeka kwe-Septic

Shayela umhlinzeki wakho uma unezimpawu ze-endometritis.

Shayela ngokushesha uma izimpawu zivela ngemuva:

• Ukubeletha
• Ukuphuphuma kwesisu
• Ukukhipha isisu
• Ukubekwa kwe-IUD
• Ukuhlinzwa okubandakanya isibeletho

I-Endometritis ingabangelwa ama-STI. Ukusiza ukuvimbela i-endometritis evela kuma-STI:

• Welaphe izifo ezithathelana ngokocansi kusenesikhathi.
• Qiniseka ukuthi abalingani ocansini bayelashwa esimeni se-STI.
• Landela imikhuba ephephile yocansi, njengokusebenzisa amakhondomu.

Abesifazane abane-C-section bangaba nama-antibiotic ngaphambi kwenqubo yokuvimbela izifo.

• I-laparoscopy yomzimba
• I-Endometritis

UDuff P, uBirsner M. Ukutheleleka komama kanye nokubeletha ngesikhathi sokukhulelwa: ibhaktheriya. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 54.

UGardella C, u-Eckert LO, uLentz GM. Izifo ezithwala izitho zangasese: isitho sangasese sowesifazane, isitho sangasese sowesifazane, umlomo wesibeletho, i-toxic shock syndrome, i-endometritis, ne-salpingitis. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 23.

I-Smaill FM, uGrivell RM. Imithi elwa namagciwane iphikisana ne-prophylaxis yokuvimbela ukutheleleka ngemuva kwesigaba sokuhlinzwa. Isikhungo sedatha yeCochrane Rev. 2014; (10): CD007482. I-PMID: 25350672 www.ncbi.nlm.nih.gov/pubmed/25350672.

I-Workowski KA, iBolan GA; Izikhungo Zokulawulwa Nokuvikelwa Kwezifo (CDC). Imihlahlandlela yokwelashwa kwezifo ezithathelwana ngocansi, 2015. Incoma i-MMWR Rep. 2015; 64 (RR-03): 1-137. I-PMID: 26042815 www.ncbi.nlm.nih.gov/pubmed/26042815.