Pane kurapa endometritis mu mhou?

Endometritis - kuzvimba, izvo kunooneka pacharo ari lining pamusoro dumbu. Mukuona mhou yokubereka ezvinhu, kuti dumbu ane muviri unokurumidza chaizvo, izvo unogonawo kazhinji pachena kuzvimba pezvakaitwa. Zvisinei, endometritis anganzi kwete vose. Kune mamwe marudzi zvirwere zvinokonzerwa kuzvimba amai, asi zvimwe zvikamu zvaro. Kuparadzana Izvi zvimiso, asi panyaya kusiyiwa chirwere chacho inozviitira, rinogona iyerere ichipinda miotetrit uye mberi ane mukomberedzo. Kakawanda achiri endometritis divisible nokuda chisingaperi uye rikwanise, richiratidzwa mushure mhou mhuru. Izvi vanozivikanwa se postpartum endometritis.

Pepa rino, mashoko akakwana Kutarira imwe mhou endometritis.

Zvikonzero kuratidzwa endometritis

Huru dambudziko yakasangana ne nhengo dzokubereka nadzo yemombe - zviri kuwana utachiona hunokonzera kuzvimba. Mutumwa anogona kupinda dumbu chemhuka panguva vachikwira kuzvimba (vaginitis, vestibulitis) kana obstetric kutarisirwa. Kazhinji, sezvo utachiona pinda panguva pamuviri, pa 5 months panguva rushoma liquefaction pamusoro madzihwa chivhariso kana kupisa.

Endometritis mu mhou zvingamuka sezvinoita chirwere yechipiri muna tibhii, brucellosis, kana mushure kunonoka kuti placenta.

A inokosha zvikuru, uye dzimwe nguva kunyanya, kukura endometritis ndiwo mubvunzo kutarisira, zvokudya uye pokugara nemhuka. Kakawanda endometritis chikonzero mikana utachiona husingaurayiwi kuratidza chiito dzinoparadza chete kana mhou anodonhedza nemishonga. Zvinoita kuti kuratidzwa endometritis:

• Kazhinji maperembudzi kukonzerwa kushoma kunotanga cervix kana nyinyo.
• Panguva pamuviri, mhuka yakarohwa chakakomba chirwere (chlamydiosis, brucellosis, etc.). Pakutanga, kusimukira placenta, inoyerera ichipinda rikwanise postpartum endometritis mu mhou.
• Zvakandiomera kuzvara zvinobvira Kukuvara endometrium, izvo zvakaita kuti ayo hweHIV. Dzimwe nguva chiitiko unozotevera kunonoka, inversion, kana uterine prolapse.
• Tama mhou pamuviri, kukonzera chirwere.
• Kana pedanga nzvimbo dzisina utsanana, uyewo Veterinarians vaishandisa unsterile midziyo mwana, vanokanganwa kugeza maoko avo uye havana kuchengeta mamwe utsanana zvinodiwa, zvinogona kukonzera kuzvimba. mudzidzi basa iri kazhinji kunotungamirira kune chirwere: ine basa, asina hanya kuparadzana kubva placenta, kukodzera post-Natal kurapwa, kushaya inorwisa utachiona prophylaxis.

Clinical mufananidzo uye Diagnostics

cow endometritis sei? Mombe inogona utachiona dzakawanda nehosha, iyo Kusiyanisa izvo zvinokosha zvose maererano Mabviro, uye kupa kwakakodzera kurapwa.

Purulent-catarrhal rikwanise chimiro

The Inonyanya kubata dzezvipiriso chirwere, izvo achiperekedzwa mwoyo, kurasikirwa negoho uye kudya, fivha shoma-mugiredhi. Kazhinji, hosha ikaonekwa pashure cow calved, uye vanoona zvingava kana asunungurwa catarrhal exudate pamwe netsvina pus chena-nyoro Ruvara chokunze nhengo dzokubereka nadzo dziri puddles duku pus mangwanani.

Izvi purulent-catarrhal endometritis mu mhou. Nhoroondo chirwere angava akasiyana.

• Ane zvichibvira kusiyana-siyana exuding panguva kuongorora chirwere.
• Tenesmus, vakafugama shure mhuka nedanho weti.
• Akaderedza matauriro, murombo Kupindura masaja.
• On ongororo, kuisa pachena remuromo Canal.
• Havashanduki kumusuwo.
• Kuzivikanwa zvinowedzera nyanga dumbu rectal palpation.

Kana nenguva nenzira kuvandudza zvinhu yevasungwa uye mabatiro hwemhuka, chirwere achava akanaka mugumisiro. Kakawanda rakundwa kuti regression ari dumbu, kuwedzera kukura zvokurwara uye kukonzera matambudziko.

Chiizve anogona endometritis mu mhou?

fibrinous kuzvimba

Muchirwisa colour wokusvika kukuvara uterine fibrinous kuzvimba hwapedyo. Kakawanda chinoratidza pacharo pashure rubatsiro nyanzvi pakuberekwa vashandi. Effusion pakati fibrin kunoitika pashure zvokuimba kuzotadzira mucous uye dzimwe akaturikidzana dzokubereka nadzo.

Clinical musiyano iri hunhu fluid sezvamakaropafadzwa fibrin tambo varipo. Kusiyanisa, vachidzipukuta pus pakati minwe pakati maitiro Crisp inzwi. Kazhinji cherechedza kuchinja kusangana nekutsi kwemukadzi muchimiro mucosa kukuvara. Ndizvo kwete kupatsanura yose endometritis mu mhou.

Gangrenous uye necrotic chimiro

Izvi zvinoratidza kuti chirwere anoonekwa kuti vakawanda zvikuru, dzinoratidzwa ndechokuti Mhou kuitwa kwazvo dzakaderera: negoho iri zvikuru shoma; kuipa havi; pane kakawanda, kudzika kufema; tembiricha hunopfuura 41 madhigirii; unoraramisa kurova kwemwoyo; Rinooneka zalezhivanie uye noudzvinyiriri.

pachena, kuchinja kuitika mune nhengo dzokubereka nadzo. Pakatanga pathogenic zvipenyu, kazhinji anaerobic uye zvinokuvadza achitungamirira disintegration pamusoro epithelium wayo akaturikidzana zvaitaurwa. Fibrin infiltrates yakapoteredza zvinyama, uye ivo thicken. Rectal Diagnostics kunobatsira kuziva thickening yacho uterine rusvingo, marwadzo panguva palpation uye doughy, batana unaku.

Cheesy exudate rine pus, ropa, zvidimbu rinenge kumharuro disintegration, pasty vakawanda. Sikarudzi kana kuonekwa kuzvimba uye vane longitudinal mitsetse tsvuku. The mhuka ichiwedzerwa zvikuru tembiricha dzomunharaunda. Treatment echirwere endometritis mu mhou funga zvimwe.

chisingaperi kuzvimba

Usava zvokurapa Kupindira kungaita kukura rikwanise chimiro chirwere chisingaperi. It kunoratidzwa STRUCTURAL kuchinja, asi kuzvitsinhanisa ari STRUCTURAL zvinyama epithelium, mumasero atrophy kana inotungamirwa cysts mairi.

Chirwere catarrhal-purulent endometritis mu mhou pachena kwete akaora:

• Pataifamba node nodes ari nyinyo akacherekedza reddened nzvimbo.
• Pashure usiku mhou akarara anowanzoita kubereka vamwe exudation segirazi ruvara.
• External sikarudzi zvimba zvishoma.

Kujekesa nechirwere inowanzopiwa akaita rectal kuzviongorora. Rinozivisa kuwedzera haana simba uterine Kumbofungatira uye thickening kwemasvingo muchibereko chemusikana. Anowedzera muviri kurema mhuka, nyanga uye muviri anogona akaremberera uye pubic pfupa. Kusangana nekutsi kwemukadzi mimwe vanobviswa aine chipunu. Vanoratidza kuwedzera ropa mumasero machena uye ganda masero akafa.

zvakavanzika mukati

Ichi chimiro endometritis ndiyo chisingaperi pasina zvekuchipatara kuratidzwa. Kazhinji Inowanikwa kusagadzikana zvokukura excitation uye ndisipo zvibereko insemination chii chinoitika nezvichaitika pathogenic microflora uye simba paumbwe chepfu tsvina. Kukurukurirana endometritis mu mhou pamwe mastitis pedyo.

Nokuti nechirwere kuti kusangana nekutsi kwemukadzi swab wakatorwa kana vakaita histological kuongorora biopsy uterine epithelium. Zodzera anoratidza chisingaperi endometritis uye histology - sumbu masero ari lymphoid akatevedzana uye chinopedza zvinetso.

Chii kurapwa echirwere endometritis mu mhou?

kuchirapa hanya

Kutanga Mabatirwo endometritis mu mhou - kubviswa muchibereko chemusikana. Kana exudation kuparadzana ipfupi ayo deleterious migumisiro, anovandudza mashandiro mishonga yemo. Zviri dzokubereka turakiti yabviswa ne mhando nhatu mari: masaja, uterine lavage, kweiyi contractile chaitika.

Washing

Rinsing chiri kuitwa panguva endometritis chena uye non-kungatikanganisa akambozvishandisa kuuraya utachiona yomuchipatara: aqueous mhinduro kubva potassium permanganate, 0.02% ayodhini uye furatsilina; 3% mhinduro ihtiola; 2-3% yavaibvisa rehydrogen carbonate; hypertonic munyu zvingaitwa (kuvandudza kuparadzana zviri kuwedzera secretion yacho endometrium).

Vakanga jekiseni Janet, Mug Esmorha. gadziriro rokutanga kujairana tembiricha muviri. The zvingaitwa vakanga raitongwa mune yakawanda, uye kuwedzera inzwi kunoenderana kwokuomerwa kwacho.

gadziriro

zvinodhaka Various inobatsira kuti mataurire dumbu wayo contractile kushanda: 20-40 ML PDE subcutaneously, 20-30 U "Oxytocin", kusvika 1 ml "carbachol". zvinodhaka izvi zviri kutarisirwa panguva imwecheteyo nekushambidza, izvo zvinoita kuti mamwe nokukurumidza kubvisa pamusoro exudates.

Alternation vomunharaunda kwokubatsira zvinodhaka uye kushandisa muviri nokuti myometrium kunokosha chaizvo.

Rectal masaja anokurudzira kuparadzana muchibereko chemusikana pus uye kuvandudza ayo contractile chaitika. The masaja rinotanga kubva mazano ruoko mu gurovhisi pamwe mupurasitiki sezvo ari rectal kuongororwa, uye pashure kuwanikwa muviri dumbu avambe kurohwa longitudinal. Patinoita masaja iri zvokuimba kupatsanurwa kugutsikana uye kurudziro dzokubereka nadzo. Procedure alternates pamwe mutange majekiseni nekuti kwavo kushandisa mawa, zvikurukuru ine ovhadhozi "Oxytocin", kungaita kuti. Saka zvakaipa subclinical endometritis mu mhou.

chaicho kurapa

Local kurapwa inoshandiswa kudzvinyirira microflora kubudikidza sumo kupinda dumbu emura uye chikukutu nezvimiro sulphonamides, antiseptics uye mishonga inorwisa mabhakitiriya:

• "Ihglyukovita" ihtiola jikichira chidhakwa mhinduro;
• "Tilozinokara" intrauterine revatema zvinoreva pahwaro mushonga;
• Mahwendefa "Ginobiotika";
• "Biometrosanita" zvemahwendefa kuti uterine vaitarira izvo zvakasiyana anopupuma dzekugonesa zvavanoita;
• furazolidonovye zvimiti;
• ihtiolovye zvimiti.

Kuwedzera omunzvimbo zvigadzirwa, unogona kuvapa mukuru weboka inorwisa mabhakitiriya. Ivo anoshandiswa zvichienderana hurumende iyo mhuka uye zvausingakwanisi pakushandisa zvigadzirwa (vaunganidza nyama uye mukaka). zvabuda Zvakanaka zvinogona kuwanika nokuwedzera mishonga kuti novocaine blockade.

Kunyanya pakurapa mamwe endometritis

The aizomupa akambozvishandisa kuuraya utachiona emura uye kushandisa rectal masaja wairambidza apo necrotic kana gangrenous kuzvimba mucous Kamudzira yacho dumbu. Kwakadaro marudzi chirwere vanoonekwa ne usingashandi secretion uye imwe kutsamwa achaita zvimwe mitswe yacho endometrium. Zvakakodzera abate wemauto Anti-chepfu kurapwa, kureva, aizomupa intravenous Ringer-Locke, karusiyamu gluconate, "gemodez", 5% shuga uye sesaline. Also varayire mishonga pamwe novocaine blockade.

Kana chirwere kwapfuura kupinda chirwere pachikuva, kurapwa hakusi nguva dzose here nemhaka rinoparadza kwendangariro. Panguva kubviswa pakati endometrium kuzvimba kwacho vachange vachiri zvadzinoitwa embryo.

Uye mubasa kudzidza wemhuka. Endometritis mu mhou (marapirwo takawongorora) nechirwere zvikuru ngozi.

dziviriro

Chinetso Mabatirwo endometritis mhou dziri kwakatooma zvikuru uye kakawanda zvinodhura. Uyezve, kushandisa zvinodhaka zvakawanda kunotungamirira kuti murwere mukaka cow uye kudya nyama chawo contraindicated kwenguva refu, sezvo mushonga rinoungana munyama uye nhengo hwemhuka. Ndokusaka chinetso ndechokuti mabasa ekudzivirira kuti pave kudzivirira postpartum endometritis. Sei kudzivisa chirwere?

Kuronga kusununguka. Kuti aite izvi, unofanira kudzora kuberekwa muitiro, kugadzirira kwakavakirwa uye zvokushandisa. kudzivirira kwakadaro anodiwa mhuri imwe neimwe, uye mhou pamuviri dzinofanira kuroorana chete nokuda ruzivo unyanzvi. Zvinofanira vakagadzirira nedzimwe Generic mabhokisi apo pre-chinja mhuka. Asati akaisa mhuka iri mudanga uye zvokudya zvinofanira disinfected uye pashure kuomesa uye kubudiswa madzerere pauriri yakaoma uye akachena uswa kana sawdust.

Kuronga famba mhuka. Shure kwemazuva maviri kana matatu pashure kuzvarwa mhuru yemombe kufamba, pachava kudzivirira zvirwere zvakanaka. About mhou pamuviri, zvakare, usakanganwa, ivo vaifanira kufamba pamberi pakukurukura. Kufamba chinobatsira kuti kudzivirira zvirwere postpartum uye pakuzvarwa pachavo.

Prophylaxis kuti calving mhou. gadziriro Special zvakafanira kuita zvose mhuka wokutanga post-partum mazuva. Greater kufunga chinofanira kubvumirwa pashure kukurukura akaoma kana chengetedzo kuti placenta.

In yakaoma nguva inofanira kupiwa mavhitaminzi kudzivirira zvirwere pashure calving. Anofanira kuva zvakanaka yakadzikama uye zvokudya mhuka.

Munyaya ino takurukura muudzame pathogenesis kuti endometritis mu mhou.