Classification of inflammation of the uterus.
With the course of the endometritis are divided into acute, subacute and chronic.
Depending on the type of pathogen is isolated.
specific (tuberculous, gonorrheal, chlamydial and others.
Acute inflammation of the uterus.
Expressed symptoms begin on day 3-4 after infection. s Hyperthermia is noted up to 39-40 degrees, deterioration of general health, chills, nausea, increased heart rate, vomiting and palpitations. Begin the severe pain in the lower abdomen, giving into the anus and the lumbar region. In severe cases, signs of irritation of the peritoneum may appear. In addition, the patient notes serous-puffy discharge, not infrequently they are of a sacred nature. When gynecological examination, a softened, enlarged and painful uterus is felt. A common symptom is the severe soreness of the uterus when it is probed along the sides, where there are large lymphatic vessels. When the endometrium is formed due to parts of the fetus, bleeding occurs. With qualified and timely therapy, acute endometritis lasts up to 9 days.
More often with chronic course, endometritis is hidden and does not have clinical signs. A particular symptom of chronic inflammation is uterine bleeding. This is due to the violation of the phase of the menstrual cycle and the reconstruction of the functional layer. Also, intermenstrual bleeding is determined by the increased transmissibility of the endometrial vessels. With chronic endometritis, the contractile function of the uterus decreases and the properties of platelets are disrupted. Due to the violation of the secretory function of the uterus, serous or serous-pus-like discharge appears. Women complain of unceasing pain in the lower abdomen, a densified and enlarged uterus is probed during examination.
2. Inspection in the mirrors and palpation of the uterus.
3. smear (identification of the pathogen) and culture (determine the degree of reaction to antibiotics.
4. Clinical and biochemical blood analysis.
4. Ultrasound of the uterus can show thickening of the mucous membrane, blood clots, pus, remnants of placental tissue. Ultrasound also reveals the inflammatory process in the fallopian tubes and ovaries. In chronic endometritis, spikes in the uterine cavity may also appear.
Treatment of inflammation of the uterus.
Patients with acute endometritis must be hospitalized. In the hospital, the doctor prescribes bed rest with hyperthermia, a sparing diet with lots of vitamins, an ice bubble. Assign intravenous antibiotic-cephalosporins plus metragil and gentamycin intramuscularly. The therapy takes 5 to 10 days. If there are “fragments” – parts of the fetus or placenta, the uterine cavity is cleaned and infusion therapy is performed. Immunomodulators dekaris), biostimulants, hormones (oral contraceptives) and physiotherapy will help to defeat the disease faster. Women with chronic endometritis need comprehensive treatment, which includes also a spa treatment.
More dangerous complications of endometritis are the spread of the infection: hematogenous, lymphogenically, in ascending and descending ways. The most serious consequence is sepsis. Other complications include.
As a result, they can arise.
continuous pain in the lower abdomen.
violation of the menstrual cycle.
Treatment of endometritis with folk methods is best not to use at all or only in conjunction with therapy prescribed by a doctor.
It is necessary to exclude predisposing factors. Early therapy of PPP infections and all complications that occur during childbirth, the rejection of abortions. Diagnosis after childbirth and other manipulations: ultrasound and gynecological examinations. And it is very important to visit the gynecologist on a scheduled basis and take more responsibility for your health.