Endometritis
| Endometritis | |
|---|---|
 | |
Description (en)  | |
| Iri |
endometrial disease (en) |
| Field of study (en) |
gynaecology (en) |
| Identifier (en) | |
| ICD-10 | N71 |
| ICD-9 | 615.9 |
| DiseasesDB | 4283 |
| MedlinePlus | 001484 |
| eMedicine | 001484 |
| MeSH | D004716 |
| Disease Ontology ID | DOID:1002 |
Endometritis kumburi ne na ciki na ciki na mahaifa (endometrium). Alamomi da alamomi na iya haɗawa da zazzabi, ƙananan ciwon ciki, da zubar da jini na al'ada ko fitarwa.[1] Ita ce sanannen dalilin kamuwa da cuta bayan haihuwa. Har ila yau, wani bangare ne na cututtukan da suka hada da cututtukatattun cututtukani.
Endometritis ya kasu kashi biyu cikin nau'o'i masu tsanani da na yau da kullun. Hanyar da ta fi tsanani yawanci ta fito ne daga kamuwa da cuta da ke wucewa ta hanyar mahaifa sakamakon zubar da ciki, yayin haila, bayan haihuwa, ko kuma sakamakon wanka ko sanya IUD.[2][3] Abubuwan haɗari don endometritis bayan haihuwa sun haɗa da sashi na Caesarean da tsagewar membranes. Endometritis na yau da kullun ya fi yawa bayan menopause.[2] Ana iya tabbatar da ganewar asali ta hanyar biopsy na endometrial. Ultrasound na iya zama da amfani don tabbatar da cewa babu wani abu da aka riƙe a cikin mahaifa.
Magani yawanci ana amfani da maganin rigakafi. Shawarwari don maganin endometritis bayan haihuwa ya haɗa da clindamycin tare da gentamicin.[4] Ana kuma ba da shawarar gwaji da kuma kula da gonorrhea da chlamydia a cikin waɗanda ke cikin haɗari.[5] Ana iya magance cututtukan da ba su da iyaka. Sakamakon tare da magani gabaɗaya suna da kyau.
Adadin endometritis kusan 2% ne bayan isar da farji, 10% bayan tsarin C-sashen, da 30% tare da fashewar membranes kafin C-sashi idan ba a amfani da maganin rigakafi ba. Ana iya amfani da kalmar "endomyometritis" lokacin da kumburi na endometrium da myometrium suke. Yanayin kuma ya zama ruwan dare a wasu dabbobi kamar shanu.
Alamomi da alamomi
[gyara sashe | gyara masomin]Alamun asibiti na farko na endometritis sun haɗa da zazzabi da ciwo na mahaifa tare da tausayi a kan palpation. Lokacin da likitan ya motsa mahaifa yayin jarrabawa, marasa lafiya yawanci suna fuskantar rashin jin daɗi. Bayan haihuwar zubar da farji (Lochia) wani lokacin yana nuna ƙanshi mara kyau, kodayake wannan ba koyaushe ake lura da shi ba. Zazzabi a cikin marasa lafiya da abin ya shafa yawanci yakan fada tsakanin 38 ° C da 40 ° C (100.4 ° F zuwa 104 ° F), tare da mafi yawan lokuta suna zuwa ƙarshen wannan kewayon. Alamar bayyanar yawanci tana faruwa kwanaki 2-3 bayan haihuwa, kodayake lokacin da zazzabi ya bayyana cikin sa'o'i bayan haihuwa tare da ƙananan hawan jini, yana nuna alamar kamuwa da β-hemolytic streptococci.[1]
Gabatarwa masu rikitarwa da ba a saba gani ba na iya haɗawa da zazzabi mai tsanani, rashin lafiya gaba ɗaya, ƙwarewa a cikin yankin ciki, jinkirta aikin hanji, rage hawan jini, da sepsis. Ya kamata a lura cewa kusan kashi 10% na lokuta na endometritis na bayan haihuwa ba za su nuna alamar ƙwayoyin cuta ba tare da mahimmanci ba. Don haka, al'adun jini masu kyau ba lallai bane su nuna kamuwa da cuta.
Rashin jin daɗi na ciki yawanci yana mai da hankali ne a cikin ƙananan ciki na tsakiya. Gwaje-gwaje na jini galibi suna nuna yawan fararen ƙwayoyin jini, kodayake yana da mahimmanci a lura cewa irin wannan hauhawar na iya faruwa a lokacin haihuwa da farkon lokacin haihuwa ba tare da nuna kamuwa da cuta ba.
Manazarta
[gyara sashe | gyara masomin]- ↑ Cite error: Invalid
<ref>tag; no text was provided for refs named "Hac2015". - 1 2 Cite error: Invalid
<ref>tag; no text was provided for refs named "Dal2010". - ↑ Cite error: Invalid
<ref>tag; no text was provided for refs named "Lobo2016". - ↑ Mackeen, AD; Packard, RE; Ota, E; Speer, L (2 February 2015). "Antibiotic regimens for postpartum endometritis". The Cochrane Database of Systematic Reviews. 2015 (2). doi:10.1002/14651858.CD001067.pub3. PMC 7050613. PMID 25922861.
- ↑ Cite error: Invalid
<ref>tag; no text was provided for refs named "Wil2016".