1. Acute endometritis
2. Chronic endometritis
Endometritis - a disease that is characterized by the development of the inflammatory process in the uterus.Most often the disease occurs in women of childbearing age.
In most cases the cause of endometritis becomes an infection that penetrates into the uterus from the cervix or vagina.
The disease is a common complication of childbirth.So after the usual delivery endometritis occurs in 1-3% of women after elective caesarean section - 5-15%, and after an unplanned urgent cesarean section - 20% of women.
disease often develop provoke different infections, sexually transmitted diseases - chlamydia, cytomegalovirus, herpes.Sometimes the disease appears after some tests and gynecological procedures (curettage, hysteroscopy).There have been cases of the disease as a result of women becoming infected with tubercle bacilli.
Experts point to an increased risk of endometritis in women who wear IUD.This is due to the fact that the spiral
first symptoms of endometritis acute form usually appear 3-4 days after infection.The patient has pain in the lower abdomen, vaginal discharge with an unpleasant odor, painful urination.In acute endometritis increases overall body temperature to 38-39 ° C, there is a fever, it quickens the pulse, showing signs of general intoxication.A sign of endometritis is that abdominal pain is often given to the sacrum, lower back, groin area.Isolated from patients with acute endometritis abundant sero-purulent, and sometimes can be mixed with blood.
In some cases, a symptom of endometriosis can be bleeding, which is accompanied by pain and fever.This onset of the disease is very dangerous, so in that case you should immediately call an ambulance.
especially fast and hard to develop acute endometritis in women with IUD.
Diagnosing acute form of the disease involves the collection of medical history, identification of symptoms, a pelvic exam the patient, the laboratory analysis of blood, smear microscopy studies.
treatment of endometritis acute form takes place in a hospital.This is due to the fact that this form of the disease can have severe complications such as peritonitis (acute inflammation of the peritoneum), pelvioperitonit (inflammation of the peritoneum pelvic), parameters (inflammation parauterine fiber).
In this disease therapy administered antibacterial agents are selected depending on the type of pathogen (Gentamycin, Clindamycin, Ampicillin, Amoxicillin).If several agents of endometritis, using multiple antimicrobials.In most cases, simultaneously administered metronidazole, which is active against anaerobic pathogens.
intravenous protein and salt solutions to remove intoxication.In addition, used in the treatment of endometritis vitamin complexes, antihistamines, antifungals, immunomodulators.In order to restore the normal microflora of the vagina and intestine use medicines containing lactobacilli.
Locally on the abdomen is used cold.This method has analgesic, anti-inflammatory and hemostatic (hemostatics) action.
Chronic endometritis occurs when the disease is not cured of the acute form.
main feature of chronic endometritis forms are uterine bleeding.They may be before or after menses and intermenstrual period.Bleeding or spotting are abundant.Their appearance is due to the inability to recover the functional layer of the endometrium after menstruation.He recovered for a long time, resulting in menstruation becomes protracted.
Another common symptom of chronic endometritis form called periodic aching, nagging pain in the lower abdomen, a seal and a slight increase in uterine tenderness on palpation.
In addition, women with chronic endometritis, are often bloody or serous-purulent discharge.
often a sign of chronic endometritis form is female infertility and the impossibility of carrying a pregnancy.
diagnosis of this form of the disease, in addition to determining the clinical symptoms, involves scraping the endometrium, which is carried out for diagnostic purposes.After endometrial histological analysis can establish an accurate diagnosis.Structural changes in the endometrium was detected by means of ultrasound and hysteroscopy.Hysteroscopy - the uterine cavity using a special study of the optical device hysteroscope.
Treatment of chronic endometritis form a comprehensive approach.It includes antimicrobial, immunomodulatory, bracing, fizioprotsedurnuyu therapy.
In the first stage of treatment eliminate the infection.Most often used antibacterial broad-spectrum drugs.After that, restore the endometrium using hormonal preparations (Utrozhestan, Divigel plus) and metabolic means (Wobenzym, Riboxinum, Aktovegin, vitamin E).
In the treatment of endometritis medication drugs are often injected directly into the mucous tissue of the uterus.Due to the high concentration of the drug in the focus of inflammation is provided by a high therapeutic effect.
With frequent uterine bleeding in therapy using intrauterine or intravenous aminocaproic acid or hormones.The patient is prescribed intrauterine detoxication washing and disinfectant solutions.
In the treatment of patients with chronic endometritis successfully applied methods of physiotherapy.The most commonly prescribed electrophoresis, iodine, zinc, copper, Lydasum, UHF, ultrasound, magnetic therapy.physiotherapy techniques help to reduce the inflammatory edema of the endometrium, activating blood circulation, stimulate the body's immune system.
In remission, six months after the acute phase of the disease, the woman recommended resort and spa treatment.
This article is available exclusively in the educational purposes and is not research material or professional medical advice.
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