- Endometritis symptoms
- Endometritis reasons
- Treatment of the Endometritis
Endometritis - an inflammation of a mucous membrane of a uterus. Distinguish an acute and chronic endometritis.
When collecting the anamnesis carrying out on the eve of any intrauterine interventions or use of VMK attracts attention. At a gonorrheal endometritis if a cervical barrier intact, initial symptoms of a disease arise, as a rule, in the first 14 days of a menstrual cycle.
Outward of patients depends on degree of intoxication and size of blood loss. The general condition is estimated usually as satisfactory. Gynecologic inspection allows to determine moderately increased uterus sensitive at a palpation, especially on each side (by the course of large absorbent vessels). In the presence in a cavity of the uterus of the remains of fetal egg (abortions on small durations of gestation) the outside pharynx of a neck of uterus remains slightly opened. At late abortions the cervical channel freely passes a finger.
In blood test of patients with an acute endometritis find a leukocytosis, a deviation to the left, increase in SOE, Sreaktivny protein. Important diagnostic value has a research of allocations from a vagina and the channel of a neck of uterus. At microscopy of the vaginal swabbing painted across Gram estimate:
* condition of a vaginal epithelium;
* leukocytic reaction;
* structure of microflora (quantitative and quality standard on morphotypes and tinktorialny properties).
Clinical course of a chronic endometritis latent. Refer disturbances of a menstrual cycle to the main symptoms of a chronic endometritis - meno-or menometrorrhagias owing to disturbance of regeneration of a mucous membrane and decrease in sokratitelny ability of a uterus. Patients are disturbed by the pulling, aching pains in the bottom of a stomach, serous purulent discharges from a genital tract. Quite often in the anamnesis there are instructions on misbirths. The chronic endometritis can be suspected on the basis of data of the anamnesis, clinic, gynecologic survey (small increase and consolidation of a body of the womb, serous purulent discharges from a genital tract). Final verification of the diagnosis requires a histologic research of an endometria
The acute endometritis, as a rule, arises after various intrauterine manipulations - abortions, vyskablivaniye, introduction of intrauterine contraceptives, and also after the delivery.
Factors which promote developing of an endometritis are decrease in the general immunity (a chronic stress, the accompanying chronic diseases, avitaminosis, chronic intoxications, etc.). The factor of traumatizing a uterus and neck in labor is of very great importance and during abortions. At women the chronic endometritis meets with deep puerperal ruptures of a neck of uterus much more often.
The chronic endometritis arises more often owing to inadequate treatment of an acute endometritis.
Treatment of the Endometritis:
As the main reason for developing of an acute endometritis – microbic infections, surely enter a treatment complex antibiotics. After stopping of acute symptoms, include physical therapy, fortifying, vitamin means in a course of treatment. For prevention of developing of a chronic endometritis in days of periods conduct additional courses of antibacterial therapy. Very well after a course of antiinflammatory therapy during 2-3 menstrual cycles to accept oral contraceptives which have antioxidant (antiinflammatory) properties.
At a chronic endometritis in case of detection of sexually transmitted infections carry out atibakterialny therapy, and begin treatment from the first day of a cycle. However, often there is no infection in an organism any more, and disturbances have functional character, and direct treatment to normalization of functioning of an endometria: cyclic hormonal therapy, physical therapy, immunomodulators. In the presence of intrauterine unions, polyps of an endometria the separate diagnostic scraping under control of hysteroscopy for destruction of synechias, removal of polyps is required. Itself the clarifications procedure of a cavity of the uterus from the heterogeneous cicatricial changed endometria, removal of polyps with the subsequent antiinflammatory treatment very often leads to approach of pregnancy at infertility, promotes normal incubation of pregnancy in the long term, the menstrual cycle is normalized.
So, a uterus with its inside layer – an endometria – very important body of reproductive system of the woman with difficult functions. After inflammatory diseases of an endometria the frequency of such complications considerably increases. as threat of abortion, placental insufficiency, puerperal bleeding to minimize risk of an endometritis, it is necessary to avoid abortions, to use barrier methods of contraception (condom) for prevention of sexually transmitted infections. It is important to strengthen immunity: to have less catarrhal diseases, to play sports, to be tempered, accept polyvitamins.