Ingabe ukutheleleka esibelethweni? Ake sifunde ngqo nge-endometritis!

Ingabe ngezinye izikhathi uzizwa ubuhlungu obungavamile esiswini sakho esingezansi, noma ukungakhululeki okuncane ngemva kokuthola umntwana? Mhlawumbe ukutheleleka okuncane kuyimbangela yalezi zinto. I-Endometritis, engathinta abesifazane abaningi, kodwa ingalawulwa kalula uma unolwazi olufanele, yilesi simo esizokhuluma ngaso namuhla. Ungesabi, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Iyini ngempela i-Endometritis?

Kalula nje, i-endometritis yisimo sokuvuvukala esibangelwa ukutheleleka olwelwesini lwesibeletho sakho, olubizwa ngokuthi i-endometrium . Kufana nendlela ukusikeka esikhumbeni sethu okungabangela ngayo ukuthi sivuvuke, sibe bomvu, futhi sibe buhlungu. Lesi simo singenzeka ngezindlela ezimbili eziyinhloko:

• I-endometritis ebukhali: Lokhu kungaqala ngokuzumayo futhi kuhlale isikhathi esifushane. Kuvame ukwenzeka ngemva kokubeletha, ukuphuphuma kwesisu, noma ukuhlinzwa komlomo wesibeletho noma kwesibeletho .
• I-endometritis engapheli: Lolu uhlobo lwe-endometritis oluhlala isikhathi eside noma oluphinde lubuye. Luvame kakhulu ngemva kokunqamuka kokuya esikhathini noma kubantu abanezifo ezithathelwana ngocansi ( STIs ) njenge -chlamydia noma i-gonorrhea .

Khumbula, i-endometritis akuyona inkinga esongela ukuphila. Kodwa-ke, uma ingelashwa ngokushesha (njengokusebenzisa ama-antibiotic), ingadala izinkinga. Yingakho kubalulekile ukuqaphela lokhu.

Ubani onamathuba amaningi okuthola lesi simo?

Noma ubani onesibeletho angaba ne-endometritis. Ikakhulukazi,

• Ngemva kokubeletha: Lokhu kungenye yezifo ezivame kakhulu ngemva kokubeletha. Ukutheleleka okubizwa ngokuthi i-chorioamnionitis , okungaqala ngesikhathi sokubeletha, kungakhula kube yi-endometritis ngemva kokubeletha. Le ngozi iphakeme kancane kwabesifazane abaye benza ukuhlinzwa kokubeletha ( C-section ) .
• Kulabo abanesifo sokuvuvukala kwe-pelvic (PID): I-PID ukutheleleka kwesibeletho , amashubhu e-fallopian, ama-ovari ,() ukutheleleka kwesistimu yokuzala engaphezulu. Nakuba kungabangelwa amagciwane ahlukahlukene, i-PID ivame ukubangelwa ucansi olungavikelekile . Abantu abaningi abane-PID nabo banesifo esibizwa ngokuthi i-endometritis.

Ziyini izimpawu ze-Endometritis?

Bheka ukuthi unanoma yiziphi zalezi zimpawu:

• Umkhuhlane: Ukuzizwa ushisa.
• Ubuhlungu be-pelvic : Ubuhlungu obubukhali obuvela esiswini esingezansi, kaningi noma ngezikhathi ezithile.
• Ukopha noma ukukhishwa kwegazi okungajwayelekile: Uma wopha igazi lapho ungenayo inyanga yakho evamile, noma uma ukhishwa igazi elinephunga elibi noma elihlukile ngombala.
• Ukuqunjelwa noma ubuhlungu ngesikhathi sokuhamba kwamathumbu: Ubunzima bokuya endlini yangasese, kanye nobuhlungu lapho uhamba.
• Ukuqunjelwa: Ukuzizwa sengathi isisu sigcwele futhi sivuvukele.
• Ubuhlungu: Ukuzizwa ungaphilile noma ungaphilile ngaphandle kwesizathu esibonakalayo.

Uma unesinye noma ngaphezulu salezi zimpawu, ikakhulukazi uma usanda kuthola umntwana, uphuphunyelwe yisisu, noma uhlinzwe esibelethweni sakho , qiniseka ukuthi ubona udokotela .

Kungani lokhu kwenzeka? Ziyini izimbangela ze-endometritis?

Isizathu esiyinhloko salokhu ukutheleleka ngamagciwane ngaphakathi kwesibeletho . Avelaphi la magciwane?

• Izifo ezithathelwana ngocansi (ama-STI): Izifo ezifana ne-Chlamydia kanye ne-Gonorrhea.
• Isifo Sofuba: Lokhu kuyinto engavamile, kodwa ngezinye izikhathi kungaba imbangela.
• Amabhaktheriya akhona ngokwemvelo esithweni sangasese sowesifazane: Ubuwazi ukuthi isitho sangasese sowesifazane sethu ngokwemvelo siqukethe izinhlobo ezithile zamabhaktheriya? Lokho kuvamile. Kodwa-ke, ngemva kokubeletha umntwana noma ukwenza inqubo ngesitho sangasese sowesifazane, ibhalansi yemvelo yala mabhaktheriya ingashintsha. Ngemuva kwalokho, ezinye izinhlobo zamabhaktheriya zingangena esibelethweni futhi zibangele ukutheleleka. Lokhu "kuhlanganiswa kwamabhaktheriya" yikho okubangela ukuvuvukala.

Odokotela bakuthola kanjani lokhu? - Ukuxilongwa

Uma ubona udokotela, uzoqala ngokukubuza ngezimpawu zakho bese ekwenza ukuhlolwa kwe-pelvic . Ngaphezu kwalokho, kungenziwa izivivinyo ezilandelayo ukuqinisekisa isimo:

• Ukuhlolwa kwe-swab yesitho sangasese sowesifazane: Kuthathwa isampula yoketshezi lwakho lwesitho sangasese sowesifazane bese kuhlolwa ukuthi alukho yini ukutheleleka ngamagciwane, ikakhulukazi izifo ezithathelwana ngocansi ezifana ne-Chlamydia ne-Gonorrhea.
• I-Biopsy: Kuthathwa ingxenye encane yezicubu ezivela olwelwesini lwesibeletho bese kuhlolwa amagciwane. Lokhu kubizwa ngokuthi i -biopsy .
• I-Laparoscopy:Lokhu kusebenzisa ikhamera encane ukubheka eduze izitho zangaphakathi nezizungezile zesibeletho.
• Ukuhlolwa kwegazi: Igazi lakho lizohlolwa izinto ezifana nenani lamaseli akho amhlophe egazi (i-WBC ) noma i-ESR (i-Erythrocyte Sedimentation Rate) . Amazinga aphezulu alokhu angabonisa ukutheleleka noma ukuvuvukala emzimbeni.
• Ukuhlolwa koketshezi oluphuma esithweni sangasese sowesifazane nge-microscopic: Ngezinye izikhathi isampula yoketshezi oluphuma esithweni sangasese sowesifazane ingahlolwa ngaphansi kwe-microscope ukuze kutholakale umbono wokutheleleka.

Ingabe lokhu kungabonakala ku-ultrasound scan?

Ngezinye izikhathi, ukuhlolwa kwe-ultrasound kungabonisa ukuthi ulwelwesi lwesibeletho (i-endometrium) lujiyile kancane noma alujwayelekile. Kodwa-ke, lokhu kukodwa akusho ukuthi une-endometritis. Kunezinye izizathu eziningi ezenza ukuthi ulwelwesi lwesibeletho lubukeke lungajwayelekile.

Yiziphi izindlela zokwelapha i-Endometritis?

Into engcono kakhulu ukuthi, kukhona ukwelashwa kwalokhu! Udokotela wakho uzokunikeza ama-antibiotic . Kubaluleke kakhulu ukuwaphuza njengoba nje udokotela wakho ekutshela, isikhathi sonke. Uma usanda kubeletha umntwana, noma uma ukutheleleka kukhulu, unganikezwa uketshezi lwe-IV kanye nokuphumula embhedeni .

Kwenzekani uma ingelashwa?

Njengoba sishilo ngaphambili, i-endometritis iyisimo esingelapheka uma selashwa ngokushesha. Kodwa-ke, uma ingelashwa, ingaholela ezifweni ezinkulu kanye nezinkinga. Lokhu kufaka phakathi:

• Ukungazali: Lokhu kusho ukuncipha noma ukulahlekelwa ikhono lokuba nezingane.
• Ezinye izifo zesinqe: Ukutheleleka kungasakazeka ngaphandle kwesibeletho kuye kwezinye izindawo, njengemibhobho ye-fallopian nama-ovari.
• Amathumba esibelethweni noma emgodini we-pelvic: Ukutheleleka kungabangela ubomvu ukuthi buqoqeke futhi bakhe amathumba.
• I-Septicemia: Lesi yisimo esibucayi kakhulu. Lokhu kwenzeka uma ukutheleleka kungena egazini. I-Septicemia yisimo esidinga ukwelashwa okuphuthumayo.

Ngakho-ke, uma unezimpawu , ungabi yisivila noma wesabe ukubona udokotela. Uma uqala ukwelashwa ngokushesha, kulapho uzokwazi ukuvimbela lezi zinkinga ukuthi zingabi khona.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Ezimweni eziningi, uzoqala ukuzizwa ungcono uma usuqedile ukuthatha yonke imithi elwa namagciwane oyinikezwe. Ukutheleleka kanye nokuvuvukala kuvame ukuphela ngokuphelele ngemva kokwelashwa.

Yiziphi izinto ezandisa ingozi yokuthola lesi simo?

Uma usanda kubeletha umntwana noma wenze inqubo ehilela umlomo wesibeletho noma isibeletho, usengozini enkulu yokuba ne-endometritis. Isibonelo:

• I-D&C (Ukwanda kanye ne-Curettage): Uma isibeletho sihlanziwe.
• I-D&E (Ukwanda Nokukhuculula): Lena futhi indlela yokukhipha isisu.
• I-biopsy ye-endometrial: Kuthathwa isampula yezicubu olwelwesini lwesibeletho.
• I-Hysteroscopy: Ukuhlolwa okusebenzisa ikhamera ukubheka ngaphakathi kwesibeletho.
• Ukuba nomntwana: Ikakhulukazi uma ube nokutheleleka ngesikhathi sokubeletha, uma ulwelwesi lwakho luqhume ngokushesha kakhulu, noma uma utheleleke ngebhaktheriya ebizwa ngokuthi i-Group B strep .
• Ukufakwa kwe-IUD (idivayisi ye-Intrauterine): Le ngozi ingaba khona ngezinye izikhathi ngisho nangemva kokufakwa kwe-IUD njengendlela yokuhlela umndeni.

Ngaphezu kwalokho, abanye abantu bangahlakulela lezi zinhlobo zokutheleleka ngokufaka njalo i-douche ngaphakathi kwesitho sangasese sowesifazane noma ngokufaka ezinye izinto esitho sangasese sowesifazane.

Ingabe i-endometritis ingavinjelwa?

Yebo, kunezinto ezithile ongazenza ukuze unciphise ingozi yakho. Izifo ezithathelwana ngocansi (ama-STI) ziyimbangela eyinhloko ye-endometritis. Ngakho-ke, izindlela zokuvimbela ezingcono kakhulu yilezi:

• Yenza ucansi oluphephile: Sebenzisa amakhondomu njalo.
• Funa ukwelashwa okusheshayo kwezifo ezithathelwana ngocansi: Uma uhlangabezana nanoma yiziphi izimpawu, funa iseluleko sezokwelapha ngokushesha.
• Hlola izifo ezithathelwana ngocansi njalo : Wena nomlingani wakho kufanele nihlale nikwazi lokhu.

Ngaphezu kwalokho, labo abahlinzwa ngokuhlinzwa (C-section) banikezwa ama-antibiotic ngaphambi kokuhlinzwa ukuze bavimbele ukutheleleka.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-endometritis (lezo esikhulume ngazo ngaphambilini, njengomkhuhlane, ubuhlungu besisu esingezansi, kanye nokuphuma koketshezi okungavamile), qiniseka ukuthi ubona udokotela, ikakhulukazi uma usanda kubhekana nanoma yikuphi kwalokhu okulandelayo:

• Uma ube nomntwana.
• Uma uphuphunyelwe yisisu.
• Uma ukhiphe isisu.
• Uma unedivayisi yangaphakathi kwesibeletho (i-IUD) efakwe esibelethweni sakho.
• Uma uke wahlinzwa esibelethweni sakho noma emlonyeni wesibeletho.

Ingabe i-Endometritis ne-Endometriosis ziyinto efanayo?

Yebo, lezi yizimo ezimbili ezihluke ngokuphelele . Kodwa-ke, zombili zithinta ulwelwesi lwangaphakathi lwesibeletho, i-endometrium .

• I-Endometriosis ukukhula kwezicubu ze-endometrial, okufanele zibe ngaphakathi kwesibeletho, ngaphandle kwesibeletho, isibonelo kuma-ovari noma kuma-fallopian tubes.
• I-EndometritisKuwukuvuvukala kolwelwesi lwesibeletho (i-endometrium). Lokhu kuvame ukubangelwa ukutheleleka ngamagciwane.

Uke wazizwa sengathi uyaxakeka? Kalula nje, i-endometritis ukuvuvukala okubangelwa ukutheleleka, kanti i-endometriosis izicubu ezikhula endaweni engafanele.

Okokugcina, izinto okufanele uzikhumbule

I-Endometritis ukuvuvukala kolwelwesi lwesibeletho. Ngokuvamile kubangelwa ukutheleleka ngamagciwane. Kungavela ngemva kokuhlinzwa, ngemva kokubeletha, noma ngenxa yezifo ezithathelwana ngocansi (STIs).

Into ebalulekile ukuthi ingelashwa. Uma unesifo sokopha esingajwayelekile, uketshezi oluphuma esithweni sangasese sowesifazane, umkhuhlane, noma ubuhlungu besisu, bona udokotela ngokushesha. Angakwazi ukuthola isifo esinembile futhi akunike ama-antibiotic owadingayo.

Singase singakwazi ukulawula ukukhula kwe-endometritis ngemva kokuhlinzwa. Kodwa-ke, unganciphisa le ngozi ngokusebenzisa amakhondomu ngesikhathi socansi, uzivikele ezifweni zocansi. Nakekela impilo yakho!