Endometritis

Endometritis yog ib qho mob los yog ua pob ua paug rau sab hauv tsev menyuam (endometrium). Nws tsis yog tib yam li endometriosis.

Endometritis yog los ntawm tus kab mob nkag rau hauv lub tsev menyuam. Nws tuaj yeem yog vim mob chlamydia, mob ncauj lus, mob ntsws, lossis sib xyaw ua ke ntawm cov kab mob ntawm lub paum. Nws muaj ntau dua tshwm sim tom qab nchuav menyuam lossis menyuam yug menyuam. Nws tseem muaj ntau dua tom qab ua haujlwm ntev lossis C-section.

Txoj kev pheej hmoo rau endometritis ntau dua tom qab muaj qhov kev mob plab uas ua los ntawm lub ncauj tsev menyuam. Cov txheej txheem xws li:

• D thiab C (ua kom mob thiab kho tawm)
• Endometrial me me
• Mob Lub Hlwb
• Tso cov cuab yeej siv hauv intrauterine (IUD)
• Kev yug menyuam (muaj ntau dua tom qab C-ntu dua li lub sijhawm yug menyuam)

Endometritis tuaj yeem tshwm sim tib lub sijhawm uas muaj lwm yam mob hauv lub ntsag.

Cov tsos mob tuaj yeem suav nrog:

• O lub plab mog
• Txawv qhov chaw mos los ntshav tawm los
• Kev tsis xis nyob hauv plab nyhuv (nrog rau cem quav)
• Ua npaws
• Qhov tsis xis nyob, tsis xis nyob, los yog mob siab
• Mob hauv qab plab lossis plab mog (mob plab)

Tus kws kho mob yuav kuaj ib ce nrog lub plab mog. Koj lub tsev menyuam thiab lub ncauj tsev menyuam tuaj yeem sib tw thiab tus kws kho mob yuav tsis hnov ​​cov suab nrov hauv plab. Tej zaum koj yuav muaj mob ncauj tsev menyuam.

Cov kev xeem hauv qab no tuaj yeem ua:

• Cov kab lis kev cai tawm los ntawm ncauj tsev menyuam rau tus mob chlamydia, kabmob ncauj plab, thiab lwm yam muaj sia
• Endometrial me me
• ESR (erythrocyte sedimentation tus nqi)
• Laparoscopy
• WBC (suav ntshav dawb)
• Ntub dej prep (kuaj me me ntawm kev tshem tawm)

Koj yuav tsum tau noj tshuaj tua kab mob los kho tus kab mob thiab tiv thaiv kom tsis txhob muaj teeb meem. Ua kom tag nrho koj cov tshuaj yog tias koj tau muab tshuaj tua kab mob tom qab phais mob plab. Tsis tas li, mus rau txhua qhov kev ntsib nrog koj tus kws khomob.

Tej zaum koj yuav xav tau kev kho mob hauv tsev kho mob yog tias koj cov tsos mob hnyav lossis tshwm sim tom qab yug menyuam.

Lwm yam kev khomob yuav suav nrog:

• Cov kua dej los ntawm txoj hlab ntshav (los ntawm IV)
• So

Cov neeg uas deev tau yuav tsum tau kho yog tias tus mob los ntawm kev sib kis los ntawm kev sib deev (STI).

Feem ntau, cov mob mus nrog cov tshuaj tua kab mob. Yog tsis kho tus mob endometritis tuaj yeem ua rau mob hnyav dua thiab cuam tshuam. Tsis tshua muaj, nws yuav cuam tshuam nrog kev kuaj mob qog nqaij hlav cancer.

Teeb meem yuav suav nrog:

• Ntxiv lawm tshob
• Pelvic peritonitis (feem ntau mob hu ua pelvic)
• Pelvic lossis uterine abscess tsim
• Tso quav
• Xov poob siab

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm endometritis.

Hu tuaj sai li sai tau yog tias pom tshwm sim tom qab:

• Kev Yug Me Nyuam
• Kev Txij Nkawm
• Rho menyuam
• Kev tso nkag IUD
• Kev phais mob ntsig txog lub tsev menyuam

Endometritis tuaj yeem yog tshwm sim los ntawm STIs. Txhawm rau tiv thaiv endometritis los ntawm STIs:

• Kho cov kabmob STIs thaum ntxov.
• Nco ntsoov tias cov neeg koom nrog kev sib deev kho tau thaum muaj kabmob STI.
• Ua raws li kev pw ua ke kom muaj kev nyab xeeb, xws li siv hnab looj.

Cov poj niam uas muaj tus C-section yuav muaj cov tshuaj tua kab mob ua ntej cov txheej txheem los tiv thaiv kev kis mob.

• Pelvic laparoscopy
• Endometritis

Duff P, Birsner M. Maternal thiab perinatal kis mob thaum cev xeeb tub: kab mob. Hauv: Gabbe SG, Niebyl JR, Simpson JL, li al, eds. Obstetrics: Li Qub thiab Teeb Meem NtxigCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 54.

Gardella C, Eckert LO, Lentz GM. Qhov chaw mos mob: chaw mos, ntawm lub paum, lub ncauj tsev menyuam, mob ua paug poob siab, endometritis, thiab salpingitis. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: cha 23.

Smaill FM, Grivell RM. Antibiotic prophylaxis tiv thaiv tsis muaj prophylaxis rau kev tiv thaiv kev kis kab mob tom qab phais mob phais. Cochrane Database Syst RevCov. Xyoo 2014; (10): CD007482. PMID: 25350672 www.ncbi.nlm.nih.gov/pubmed/25350672.

Workowski KA, Bolan GA; Cov Chaw Tiv Thaiv thiab Tswj Xyuas Kabmob (CDC). Cov lus qhia kho kab mob sib kis los ntawm kev sib deev, 2015. MMWR Recomm RepCov. Xyoo 2015; 64 (RR-03): 1-137. PMID: 26042815 www.ncbi.nlm.nih.gov/pubmed/26042815.