Ukutheleleka Kwesibeletho? Ake Sifunde Iqiniso Nge-Endometritis Ne-Nirogi Lanka!

Ingabe ngezinye izikhathi uzizwa ubuhlungu obungavamile esiswini sakho esingezansi, noma mhlawumbe ubulokhu uzizwa ungaphilile kahle selokhu wabeletha? Ngezinye izikhathi, lezi zimpawu zingahlotshaniswa nokutheleleka okuncane. Namuhla, eNirogi Lanka , sifuna ukukhuluma nge -Endometritis — isimo esithinta abesifazane abaningi kodwa esiphathwa kalula uma usunolwazi oluhle. Ungakhathazeki; ake sikuchaze kalula lokhu ukuze uqonde ngokugcwele ukuthi kwenzekani emzimbeni wakho.

Iyini ngempela i-Endometritis?

Kalula nje, i-Endometritis ukuvuvukala okubangelwa ukutheleleka kwe- endometrium , ulwelwesi oluthambile ngaphakathi kwesibeletho sakho. Cabanga ngakho njengokusikeka esikhumbeni sakho okuvuvukalayo, okubomvu, futhi okubuhlungu—empeleni kuyindlela umzimba wakho osabela ngayo ekuthelelekeni kuleyo ndawo.

Lesi simo ngokuvamile senzeka ngezindlela ezimbili:

• I-Acute Endometritis: Lokhu kuqala ngokuzumayo futhi kuvame ukuhlala isikhathi esifushane. Kuvame ukwenzeka ngemva kokubeletha, ngemva kokukhipha isisu, noma ngemva kwenqubo ehilela umlomo wesibeletho ( umlomo wesibeletho ) noma isibeletho .
• I-Endometritis Engapheli: Lesi yisimo esiqhubekayo noma esiphindaphindayo. Sivame kakhulu kubantu ngemva kokunqamuka kokuya esikhathini noma labo abanezifo ezithathelwana ngocansi ( STIs ) njenge -Chlamydia noma i-Gonorrhea .

Khumbula, i-Endometritis ayivamisile ukusongela impilo. Kodwa-ke, uma ingelashwa, noma uma ungayiqedi inkambo yama-antibiotic , kungavela izinkinga ezinkulu. Yingakho ukuhlala unolwazi futhi ufuna iseluleko sezokwelapha ngesikhathi kubalulekile.

Ubani osengozini?

Noma ubani onesibeletho angaba ne-Endometritis. Usengozini enkulu uma:

• Usanda kubeletha: Lesi ngesinye sezifo ezivame kakhulu ngemva kokubeletha. Isimo esaziwa ngokuthi i-Chorioamnionitis (ukutheleleka kwe-amniotic sac) ngesikhathi sokubeletha singaqhubekela ku-Endometritis ngemva kokubeletha. Ingozi iphakeme kancane uma ubelethe ngokuhlinzwa kwe-C .
• Unesifo Sokuvuvukala Kwesitho Sangasese Sowesifazane (PID): I-PID ukutheleleka kwesistimu yokuzala engaphezulu, okuhlanganisa amapayipi e-fallopian nama -ovari . Nakuba kubangelwa amagciwane ahlukahlukene, kuvame ukuhlotshaniswa nokuxhumana ngokocansi okungavikelekile. Abantu abaningi abane-PID nabo banesifo se-Endometritis.

Ziyini izimpawu ze-Endometritis?

Qaphela lezi zimpawu eziyisixwayiso:

• Umkhuhlane: Ukuzizwa ushisa noma uzizwa ubanda.
• Ubuhlungu be-pelvic : Ubuhlungu obuqhubekayo noma obuqhubekayo esiswini esingezansi.
• Ukopha noma ukukhishwa kwegazi okungajwayelekile: Ukopha igazi phakathi kokuya esikhathini okuvamile noma ukukhishwa kwegazi okunephunga elibi noma umbala ongajwayelekile.
• Ukuqunjelwa noma ubuhlungu ngesikhathi sokuhamba kwamathumbu: Ubunzima noma ukungakhululeki lapho usebenzisa indlu yangasese.
• Ukuqunjelwa kwesisu: Ukuzizwa uvuvukile noma ugcwele kabi.
• Ukungaphatheki kahle okuvamile: Ukuzizwa ukhathele ngendlela engavamile, ubuthakathaka, noma uzizwa ungaphilile kahle ngaphandle kwesizathu esicacile.

Uma uhlangabezana nanoma yiziphi zalezi zimpawu—ikakhulukazi uma usanda kubeletha, uphuphunyelwe yisisu, noma wenze inqubo yesibeletho— sicela uxhumane nodokotela ngokushesha.Uma uzwa ubuhlungu obukhulu, obungalawuleki, iya egumbini lezimo eziphuthumayo esibhedlela esiseduze.

Kungani lokhu kwenzeka? Yini ebangela i-Endometritis?

Imbangela eyinhloko ukutheleleka ngamagciwane ngaphakathi kwesibeletho . Avelaphi la magciwane?

• Izifo Ezithathelwana Ngocansi (ama-STI): Izifo ezifana ne-Chlamydia ne-Gonorrhea.
• Isifo sofuba: Nakuba singavamile, ngezinye izikhathi singaba imbangela eyisisekelo.
• Izitshalo zemvelo zesitho sangasese sowesifazane: Isitho sakho sangasese sowesifazane siqukethe amabhaktheriya anempilo ngokwemvelo. Kodwa-ke, ngemva kokubeletha noma ngemva kwezinqubo ezithile zezokwelapha, ibhalansi yemvelo yala mabhaktheriya ingaphazamiseka. Lokhu kungavumela amabhaktheriya ukuthi angene esibelethweni futhi abangele ukutheleleka, okuholela ekuvuvukeni.

Odokotela bayixilonga kanjani?

Uma uvakashela udokotela wakho, bazoxoxa ngezimpawu zakho futhi cishe bazohlola i- pelvic . Ukuqinisekisa ukuxilongwa, bangase basikisele ukuhlolwa okulandelayo:

• Ukuhlolwa kwe-swab yesitho sangasese sowesifazane: Ukuhlola ukutheleleka kwamagciwane noma izifo ezithathelwana ngocansi ezifana ne-Chlamydia noma i-Gonorrhea.
• I-biopsy ye-endometrial: Kuthathwa isampula encane yezicubu olwelwesini lwesibeletho ukuze kuhlolwe ukuthi akhona yini amagciwane.
• I-Laparoscopy: Inqubo encane esebenzisa ikhamera encane ukuhlola ingaphakathi lesibeletho nezitho ezizungezile.
• Ukuhlolwa kwegazi: Ukuhlola i-WBC yakho (inani lamaseli egazi amhlophe) noma i-ESR (izinga lokushona kwe-Erythrocyte) . Amazinga aphezulu avame ukukhombisa ukuthi umzimba wakho ulwa nokutheleleka noma ukuvuvukala.
• Ukuhlolwa kwe-Microscopic: Ukuhlola isampula yoketshezi lwesitho sangasese sowesifazane ngaphansi kwe-microscope ukuthola ukutheleleka.

Ingabe i-Ultrasound ingabonisa i-Endometritis?

I -ultrasound ingase ibonise ulwelwesi lwe-endometrial olujiyile noma olubukeka lungajwayelekile. Kodwa-ke, i-ultrasound iyodwa ayikwazi ukuxilonga i-Endometritis ngokuphelele, njengoba ezinye izimo eziningana zingabangela ukubonakala okufanayo olwelwesini lwesibeletho.

Iphathwa kanjani i-Endometritis?

Izindaba ezinhle ukuthi lokhu kuyelapheka kakhulu! Udokotela wakho cishe uzokunikeza inkambo yama-antibiotic . Kubalulekile ukuthi uqede yonke inkambo njengoba uyalelwe, noma ngabe uqala ukuzizwa ungcono ngokushesha.

Uma usanda kubeletha noma ukutheleleka kukhulu, ungase udinge ama-antibiotic e-IV (e-intravenous) esibhedlela kanye nokuphumula okuqinile embhedeni ukuze usize umzimba wakho ululame.

Kwenzekani uma ingelashwa?

Njengoba kushiwo, i-Endometritis yelapheka kakhulu uma itholakala kusenesikhathi. Kodwa-ke, uma ingelashwa, ingaholela ezifweni ezimbi kakhulu kanye nezinkinga zesikhathi eside. Izingozi ezingaba khona zifaka:

• Ukungazali: Lokhu kubhekisela ekwehleni kwamandla noma ukungakwazi ngokuphelele ukukhulelwa umntwana.
• Ukutheleleka Kwesitho Sangasese: Ukutheleleka kungasakazeka ngale kwesibeletho kuye ezindaweni ezifana namapayipi e-fallopian nama-ovari.
• Amathumba: Ngenxa yokutheleleka, ubomvu bungase buqongelelane, okungase kuholele ekwakhekeni kwamathumba.
• I-Septicemia: Lesi yisimo esibi kakhulu esenzeka uma ukutheleleka kusakazekela egazini lakho. I-Septicemia iyisimo esiphuthumayo sezokwelapha esidinga ukungenelela okusheshayo esibhedlela esiseduze noma ezinkonzweni eziphuthumayo.

Ngakho-ke, uma uhlangabezana nanoma yiziphi izimpawu, ungalindi futhi ungesabi — sicela uxhumane nodokotela. Uma uqala ukwelashwa ngokushesha, kulapho ungavimbela khona ngempumelelo lezi zinhlobo zezinkinga.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Ezimweni eziningi, uzoqala ukuzizwa ungcono ngokushesha nje lapho usuqede yonke inkambo yama-antibiotic anikezwe udokotela. Ngokuvamile, ukutheleleka kanye nokuvuvukala kuphelela ngokuphelele ngemva kokwelashwa okufanele.

Yini eyandisa ingozi yokuthola lesi simo?

Ungase ube sengozini enkulu yokuthola i-Endometritis uma usanda kubeletha noma wenze inqubo ehilela umlomo wesibeletho noma isibeletho. Izibonelo zifaka:

• I-D&C (Ukwanda kanye ne-Curettage): Inqubo yokuhlanza ulwelwesi lwesibeletho.
• I-D&E (Ukwanda Nokukhumula): Enye indlela esetshenziswa ukukhipha isibeletho.
• I-biopsy ye-endometrial: Uma kuthathwa isampula yezicubu olwelwesini lwesibeletho.
• I-Hysteroscopy: Inqubo yokuxilonga lapho kufakwa khona ikhamera ukuhlola ingaphakathi lesibeletho.
• Ukubeletha: Ikakhulukazi uma kwakukhona ukutheleleka okukhona ngesikhathi sokubeletha, ukuqhekeka kwezicubu zomzimba isikhathi eside, noma uma uhlolwe watholakala unegciwane le -Group B Strep .
• I-IUD (Idivayisi Yesibeletho): Kwezinye izimo, ukufakwa kweluphu yokuhlela umndeni kungandisa le ngozi.

Ngaphezu kwalokho, abanye abantu bangase babe nokutheleleka okunjalo ngenxa yokugeza njalo isitho sangasese sowesifazane noma ukufaka izinto zangaphandle emgodini wesitho sangasese sowesifazane.

Ingabe i-Endometritis ingavinjelwa?

Yebo, unganciphisa ingozi yakho ngokuqaphela imikhuba ethile yezempilo.

Njengoba izifo ezithathelwana ngocansi (ama-STI) ziyimbangela eyinhloko ye-Endometritis, izinyathelo zokuvimbela eziphumelela kakhulu zifaka:

• Ukuzijwayeza ucansi oluphephile: Sebenzisa amakhondomu njalo.
• Ukufuna ukwelashwa kwangaphambi kwesikhathi kwezifo ezithathelwana ngocansi: Xhumana nodokotela ngokushesha uma ubona noma yiziphi izimpawu ezikukhathazayo.
• Ukuhlolwa kwe-STI okuvamile: Wena nomlingani wakho kufanele nihlale nithatha isinyathelo ngempilo yenu yocansi.

Ngaphezu kwalokho, kulabo abahlinzwa ngokuhlinzwa , odokotela bavame ukunikeza ama-antibiotic ngaphambi kokuhlinzwa ukuze basize ekuvimbeleni ukutheleleka.

Kufanele ubonane nini nodokotela?

Uma ubona izimpawu ze-Endometritis (njengomkhuhlane, ubuhlungu besisu esingezansi, noma ukuphuma kwegazi okungajwayelekile), kufanele ufune usizo lwezokwelapha, ikakhulukazi uma usanda kuba nalokhu:

• Ukuzalwa.
• Uphuphunyelwe yisisu.
• Ukhiphe isisu.
• Bekufakwe i-IUD (iluphu).
• Kwenziwe ukuhlinzwa okubandakanya isibeletho noma umlomo wesibeletho.

Ingabe i-Endometritis ne-Endometriosis ziyafana?

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

• I-Endometriosis yisimo lapho izicubu ezifana nolwelwesi lwesibeletho zikhula ngaphandle kwesibeletho, njengakuma-ovari noma amashubhu e-fallopian.
• I-Endometritis ukuvuvukala kolwelwesi lwangaphakathi lwesibeletho (i-endometrium), okuvame ukubangelwa ukutheleleka ngamagciwane.

Udidekile? Kalula nje: I-Endometritis ukuvuvukala okubangelwa ukutheleleka, kanti i-Endometriosis iwukukhula kwezicubu endaweni engafanele.

Izinto ezibalulekile empilweni yakho

I-Endometritis ukuvuvukala kolwelwesi lwesibeletho, okuvame ukubangelwa ukutheleleka ngamagciwane. Kungabangelwa ukuhlinzwa, ukubeletha, noma izifo ezithathelwana ngocansi (ama-STI).

Into ebaluleke kakhulu okufanele uyikhumbule ukuthi lesi simo singelapheka. Uma uzwa ukopha okungajwayelekile, ukuphuma koketshezi lwesitho sangasese sowesifazane okungajwayelekile, umkhuhlane, noma ubuhlungu be-pelvic, bona udokotela ngokushesha. Bangakwazi ukuxilonga isimo sakho ngokunembile futhi bakunikeze ama-antibiotic adingekayo.

Nakuba amanye amacala e-Endometritis ngemva kokuhlinzwa engenakugwema, unganciphisa kakhulu ingozi yakho ngokusebenzisa amakhondomu ukuze uzivikele ezifweni zocansi. Ziphathele impilo yakho neNirogi Lanka!