He maʻi paha ia i loko o ka ʻōpū? E aʻo pono kākou e pili ana i ka endometritis!

Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha ʻē ma kou ʻōpū haʻahaʻa, a i ʻole kahi ʻoluʻolu ʻole ma hope o ka hānau ʻana i kahi pēpē? Malia paha he maʻi liʻiliʻi ke kumu o kēia mau mea. ʻO ka Endometritis, hiki ke hoʻopilikia i nā wahine he nui, akā hiki ke hoʻomalu maʻalahi inā ʻike pono ʻia ʻoe, ʻo ia ke kūlana a mākou e kamaʻilio ai i kēia lā. Mai makaʻu, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka Endometritis?

I ka ʻōlelo maʻalahi, ʻo ka endometritis kahi maʻi mumū i hoʻokumu ʻia e kahi maʻi i loko o ka ʻili o kou uterus, i kapa ʻia ʻo ka endometrium . Ua like ia me ke ʻano o ka ʻoki ʻana i ko mākou ʻili e hiki ai ke pehu, ʻulaʻula, a ʻeha. Hiki ke hana ʻia kēia maʻi ma nā ʻano nui ʻelua:

• ʻO ka endometritis koʻikoʻi: Hiki ke hoʻomaka koke kēia a mau no ka manawa pōkole. Hana pinepine ia ma hope o ka hānau ʻana, kahi hāʻule ʻana o ka ʻōpū, a i ʻole ke ʻoki ʻana ma ka cervix a i ʻole ka uterus .
• ʻO ka endometritis mau loa: He ʻano endometritis kēia e mau ana no ka manawa lōʻihi a hoʻi hou mai paha. ʻOi aku ka maʻamau ma hope o ka menopause a i ʻole i nā poʻe me nā maʻi i hoʻoili ʻia ma ke ʻano moekolohe ( STI ) e like me ka chlamydia a i ʻole gonorrhea .

E hoʻomanaʻo, ʻaʻole he maʻi hoʻoweliweli ola ka endometritis. Eia nō naʻe, inā ʻaʻole mālama koke ʻia (e like me nā antibiotics), hiki iā ia ke alakaʻi i nā pilikia. No laila he mea nui e makaʻala i kēia.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

Hiki i kekahi mea me ka ʻōpū ke loaʻa i ka endometritis.

• Ma hope o ka hānau keiki ʻana: ʻO kēia kekahi o nā maʻi maʻamau ma hope o ka hānau keiki ʻana. ʻO kahi maʻi i kapa ʻia ʻo chorioamnionitis , hiki ke hoʻomaka i ka wā hānau, hiki ke ulu i ka endometritis ma hope o ka hānau keiki ʻana. ʻOi aku ka kiʻekiʻe o kēia pilikia i nā wahine i loaʻa i ka ʻoki cesarean ( C-section ) .
• No ka poʻe me ka Pelvic Inflammatory Disease (PID): ʻO ka PID kahi maʻi o ka uterus , nā fallopian tubes, nā ovaries ,) he maʻi ia o ka ʻōnaehana hānau luna. ʻOiai hiki ke hana ʻia e nā ʻano bacteria like ʻole, ʻo ka PID ka mea i hoʻokumu pinepine ʻia e ka moekolohe pale ʻole . He nui ka poʻe me PID i loaʻa i kahi maʻi i kapa ʻia ʻo endometritis.

He aha nā hōʻailona o ka endometritis?

E nānā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Kuni: Manaʻo wela.
• ʻEha Pelvic : He ʻeha ʻoi e kū mai ana ma ka ʻōpū lalo, pinepine a i ʻole i kekahi manawa.
• Ke kahe koko ʻana o ka ʻōpū a i ʻole ka hoʻokahe ʻana: Inā ʻoe e kahe koko ana i ka wā ʻaʻole ʻoe e loaʻa ana i kou mau wā mahina maʻamau, a inā he kahe koko kou he ʻala ʻino a ʻokoʻa paha ke kala.
• Ka paʻa ʻana o ka ʻōpū a i ʻole ka ʻeha i ka wā e neʻe ai ka ʻōpū: Paʻakikī ke hele i ka lua, a me ka ʻeha i ka wā e hele ai.
• Pehu: Manaʻo e like me ka piha ʻana o ka ʻōpū a pehu.
• Malaise: Manaʻo maʻi a maʻi paha no ke kumu ʻike ʻole ʻia.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoiai inā ua hānau koke ʻoe i kahi pēpē, ua hāʻule ka ʻōpū, a i ʻole ua hana ʻia ke ʻoki ma kou ʻōpū , e ʻike pono i ke kauka .

No ke aha e hana ai kēia? He aha nā kumu o ka endometritis?

ʻO ke kumu nui o kēia, he maʻi bacteria i loko o ka ʻōpū . No hea mai kēia bacteria?

• Nā maʻi i laha ma ke moekolohe (STI): Nā maʻi e like me Chlamydia a me Gonorrhea.
• ʻO ka maʻi puʻupuʻu: He mea kakaikahi kēia, akā i kekahi manawa hiki ke lilo i kumu.
• ʻO nā bacteria i loaʻa maoli i loko o ka vagina: Ua ʻike anei ʻoe aia i loko o ko kākou vagina kekahi mau ʻano bacteria? He mea maʻamau kēlā. Eia naʻe, ma hope o ka hānau ʻana i kahi pēpē a i ʻole ke hana ʻia ʻana ma o ka vagina, hiki ke loli ke kaulike maoli o kēia mau bacteria. A laila, hiki i kekahi mau ʻano bacteria ke komo i loko o ka uterus a hoʻoulu i kahi maʻi. ʻO kēia "hui pū ʻana o nā bacteria" ke kumu o ka mumū.

Pehea e ʻike ai nā kauka i kēia? - Ka hōʻoia ʻana

Ke ʻike ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo pelvic . Eia kekahi, hiki ke hana ʻia nā hoʻokolohua aʻe e hōʻoia i ke kūlana:

• Nā hoʻāʻo swab vaginal: Lawe ʻia kahi laʻana o kāu kahe ʻana o ka vaginal a nānā ʻia no nā maʻi bacteria, ʻoiai nā STI e like me Chlamydia a me Gonorrhea.
• Biopsy: Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka uhi o ka ʻōpū a hoʻāʻo ʻia no ka bacteria. Ua kapa ʻia kēia he biopsy .
• Laparoscopy:Hoʻohana kēia i kahi kāmela liʻiliʻi e nānā pono i loko a me nā ʻōpū a puni o ka ʻōpū.
• Nā hoʻāʻo koko: E nānā ʻia kou koko no nā mea e like me kou helu koko keʻokeʻo (WBC ) a i ʻole ESR (Erythrocyte Sedimentation Rate) . Hiki i nā pae kiʻekiʻe o kēia mau mea ke hōʻike i kahi maʻi a i ʻole ka mumū i loko o ke kino.
• Ka nānā ʻana o ka hoʻokahe ʻana o ka vaginal ma o ka microscope: I kekahi manawa hiki ke nānā ʻia kahi hāpana o ka hoʻokahe ʻana o ka vaginal ma lalo o kahi microscope e kiʻi i kahi manaʻo o kahi maʻi.

Hiki ke ʻike ʻia kēia ma kahi scan ultrasound?

I kekahi manawa, hiki i kahi scan ultrasound ke hōʻike ua mānoanoa iki a ʻano ʻē paha ka uhi o ka uterus (endometrium). Eia naʻe, ʻaʻole kēia wale nō ke manaʻo he endometritis kou. Nui nā kumu ʻē aʻe e like ai ke ʻano ʻē o ka uhi o ka uterus.

He aha nā lāʻau lapaʻau no ka Endometritis?

ʻO ka mea maikaʻi loa, aia kahi lāʻau lapaʻau no kēia! Na kāu kauka e kuhikuhi i nā antibiotics nou. He mea nui loa ia e lawe iā lākou e like me ka ʻōlelo a kāu kauka iā ʻoe, no ka manawa piha. Inā ua loaʻa iā ʻoe kahi pēpē, a inā he koʻikoʻi ka maʻi, hiki ke hāʻawi ʻia iā ʻoe nā wai IV a me ka hoʻomaha moe .

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?

E like me kā mākou i ʻōlelo ai ma mua, he maʻi hiki ke mālama ʻia ka endometritis inā mālama koke ʻia. Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i nā maʻi a me nā pilikia koʻikoʻi. ʻO kēia mau mea:

• ʻAʻole hānau keiki: ʻO ke ʻano kēia ka emi ʻana a i ʻole ka nalowale ʻana o ka hiki ke hānau keiki.
• Nā maʻi pelvic ʻē aʻe: Hiki i ka maʻi ke pālahalaha ma waho o ka ʻōpū i nā wahi ʻē aʻe, e like me nā fallopian tubes a me nā ovaries.
• ʻO nā abscesses i loko o ka ʻōpū a i ʻole ka lua pelvic: Hiki i ka maʻi ke hana i ka pus e hōʻiliʻili a hana i nā abscesses.
• Septicemia: He kūlana koʻikoʻi kēia. Hana ʻia kēia ke komo ka maʻi i loko o ke koko. ʻO Septicemia kahi kūlana e pono ai ka mālama olakino ulia pōpilikia.

No laila, inā loaʻa iā ʻoe nā hōʻailona , ​​mai palaualelo a makaʻu paha e ʻike i ke kauka. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻo ka nui o kou pale ʻana i kēia mau pilikia mai ka hiki ʻana mai.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

I ka hapanui o nā hihia, e hoʻomaka ʻoe e ʻoluʻolu ke pau ʻoe i ka lawe ʻana i ka papa holoʻokoʻa o nā lāʻau antibiotic i kuhikuhi ʻia iā ʻoe. ʻO ka maʻi a me ka pehu e pau loa ma hope o ka mālama ʻana.

He aha nā mea e hoʻonui ai i ka pilikia o ke kūkulu ʻana i kēia maʻi?

Inā ua loaʻa iā ʻoe kahi pēpē i hala koke aku nei a i ʻole he kaʻina hana e pili ana i kou cervix a i ʻole ka uterus, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o ka endometritis. Eia kekahi laʻana:

• D&C (Dilation a me Curettage): Inā ua hoʻomaʻemaʻe ʻia ka ʻōpū.
• D&E (Dilation and Evacuation): He ʻano hana kēia no ka hoʻokahe ʻana i ka ʻōpū.
• ʻO ka biopsy Endometrial: Lawe ʻia kahi hāpana kiko mai ka uhi o ka ʻōpū.
• Hysteroscopy: He hoʻokolohua e hoʻohana ana i kahi kāmela e nānā i loko o ka ʻōpū.
• Ka hānau ʻana he pēpē: ʻOi loa aku inā loaʻa iā ʻoe kahi maʻi i ka wā hānau, inā pohā koke kou mau membrane, a inā paha ua loaʻa iā ʻoe kahi bacteria i kapa ʻia ʻo Group B strep .
• Ke hoʻokomo ʻana i kahi IUD (Intrauterine device): Hiki ke loaʻa kēia pilikia i kekahi manawa ma hope o ka hoʻokomo ʻia ʻana o kahi IUD ma ke ʻano he hana hoʻolālā ʻohana.

Eia kekahi, hiki i kekahi poʻe ke hoʻomohala i kēia ʻano maʻi ma ka douching pinepine ʻana i loko o ka vagina a i ʻole ke hoʻokomo ʻana i nā mea ʻē aʻe i loko o ka vagina.

Hiki ke pale ʻia ka endometritis?

ʻAe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia. ʻO nā maʻi i hoʻoili ʻia ma ke ʻano moekolohe (STI) ke kumu nui o ka endometritis. No laila, ʻo nā ʻano pale maikaʻi loa:

• E hoʻomaʻamaʻa i ka moekolohe palekana: E hoʻohana mau i nā condom .
• E ʻimi koke i ka lāʻau lapaʻau no nā maʻi i laha ma ke moekolohe: Inā ʻike ʻoe i kekahi mau hōʻailona, ​​​​e ʻimi koke i ke kōkua lapaʻau.
• E hoʻāʻo pinepine ʻia no nā maʻi i laha ma ke moekolohe: Pono ʻoe a me kāu hoa e makaʻala mau i kēia.

Eia kekahi, hāʻawi ʻia nā lāʻau antibiotic i ka poʻe e hana ʻia ana i ka ʻoki cesarean (C-section) ma mua o ke ʻoki ʻana e pale ai i ka maʻi.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka endometritis (nā mea a mākou i kamaʻilio ai ma mua, e like me ke kuni, ka ʻeha o ka ʻōpū ma lalo, a me ka hoʻokuʻu ʻana maʻamau), e ʻike pono i ke kauka, ʻoiai inā ua loaʻa iā ʻoe kekahi o kēia mau mea i hala koke nei:

• Inā he pēpē kāu.
• Inā ua hāʻule kāu keiki.
• Inā ua hoʻopau ʻoe i ka hāpai ʻana.
• Inā he mea hana intrauterine (IUD) kāu i hoʻokomo ʻia i loko o kou ʻōpū.
• Inā ua hana ʻia ʻoe i ke ʻoki ma kou ʻōpū a i ʻole ka cervix.

He like anei ka endometriosis a me ka endometritis?

ʻAe, he ʻelua mau kūlana ʻokoʻa loa kēia. Eia nō naʻe, hoʻopilikia nā mea ʻelua i ka uhi o loko o ka ʻōpū, ʻo ia hoʻi ka endometrium .

• ʻO ka Endometriosis ka ulu ʻana o nā ʻiʻo endometrial, pono e noho i loko o ka uterus, ma waho o ka uterus, no ka laʻana i loko o nā ovaries a i ʻole nā ​​​​tubes fallopian.
• ʻO ka endometritisHe mumū ia o ka uhi o ka ʻōpū (endometrium). Hoʻoulu pinepine ʻia kēia e kahi maʻi bacteria.

Ua manaʻo anei ʻoe e like me ʻoe e hihia ana? I ka ʻōlelo maʻalahi, ʻo ka endometritis ka mumū i hoʻokumu ʻia e ka maʻi, a ʻo ka endometriosis ka ulu ʻana o nā ʻiʻo ma kahi kūpono ʻole.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻO ka Endometritis kahi mumū o ka uhi o ka ʻōpū. Hoʻoulu pinepine ʻia e kahi maʻi bacteria. Hiki ke hana ma hope o ke ʻoki ʻana, ma hope o ka hānau ʻana, a i ʻole ma muli o nā maʻi i laha ma ke ʻano moekolohe (STIs).

ʻO ka mea nui, hiki ke mālama ʻia. Inā loaʻa iā ʻoe ke kahe koko ʻē, ka wai kahe o ka ʻōpū, ke kuni, a i ʻole ka ʻeha o ka ʻōpū, e ʻike koke i ke kauka. Hiki iā ia ke hana i kahi hōʻailona pololei a kuhikuhi i nā lāʻau antibiotic āu e pono ai.

ʻAʻole paha hiki iā mākou ke kāohi i ka ulu ʻana o ka endometritis ma hope o ke ʻoki ʻana. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kēia pilikia ma ka hoʻohana ʻana i nā condom i ka wā moe, e pale ana iā ʻoe iho mai nā STI. E mālama i kou olakino!