Togafitiga Sili mo le Endometritis i Fafine

O le Endometritis o se tasi lea o faʻamaʻi pipisi o le pelvic i fafine. I le leai o se togafitiga talafeagai, o le faʻamaʻi e mafai ona alu i se tulaga masani ma mafua ai le le fanau mai.

I se tulaga lautele, o le endometritis o se mumu o le alavaa o le matua (endometrium). O le mafuaʻaga o le atinaʻeina o le faʻamaʻi e eseese faʻamaʻi pipisi e ulu atu i totonu o le tino - fungi, siama, siama.¹. E masani lava, o le endometritis e tupu i tua o le faʻaitiitia lautele o le puipuiga.

O aʻafiaga mo le atinaʻeina o le endometritis:

• lavelave le fanauina;
• soʻo se faʻalavelave i totonu o le uterine cavity (diagnostic and therapeutic curettage, faapau pepe);
• fa'ama'i pipisi pito i lalo;
• fa'ama'i pipisi fa'afeusuaiga (e pei o le gonorrhea po'o le chlamydia);
• isi microorganisms (tuberculous microbacteria, Escherichia coli, diphtheria bacillus, mycoplasma, streptococci, ma isi);
• le tausisia o tulafono o le tumama.

I vailaʻau faʻaonaponei, o faʻamaʻi faʻamaʻi ma faʻamaʻi faʻamaʻi e iloga.

Endometritis ogaoga

E tupu faʻafuaseʻi, e masani ona faʻasaga i tua o faʻalavelave i totonu o le matua. O loʻo faʻaalia e ala i faʻaaliga faʻapitoa faʻapitoa, faʻatasi ai ma faʻailoga o le onā o le tino e faʻateleina.

Faailoga o le endometritis ogaoga:

• o se faʻateleina o le vevela;
• malulu;
• toso tiga i le manava pito i lalo (o le tiga e mafai ona tuʻuina atu i le pito i lalo, coccyx, inguinal region);
• vaivaiga lautele;
• leai se fiaai;
• purulent male manava.

Endometritis tumau

O le faʻamaʻi masani o le faʻamaʻi e masani ona asymptomatic ma e masani ona tupu i le leai o se togafitiga talafeagai o le mumū ogaoga.².

- E le o iloa tonu le fa'ateleina o le endometritis. E tusa ai ma a matou tusitala, mai le 1 i le 70% o tagata mamaʻi e leʻi fanau mai pe a maeʻa taumafaiga le manuia e faʻamutaina se maʻitaga ua maua i le endometritis tumau. E mafai ona fa'ama'i fa'ama'i le endometritis: virus, siama, fa'ama'i fa'afeusuaiga, fa'apea fo'i ma le autoimmune. A maeʻa le faʻamutaina o le maʻitaga, i soʻo se tulaga, o le suʻesuʻega o le "endometritis tumau" e faia, - faʻamatalaga Anna Dobychyna, obstetrician-gynecologist, fomai tipitipi, sui fomai sili mo CER o le REMEDI Institute of Reproductive Medicine.

Faailoga o le endometritis tumau

• faaletonu o le ma'i masina;
• itiiti le sa'o mama a'o le'i ma'i masina
• le lava o le ma'itaga ma le fafano.

I le tautala e uiga i le togafitiga o le endometritis, o le obstetrician-gynecologist e faʻatonuina vailaʻau e faʻatatau i le mafuaʻaga o le maʻi. E mafai ona avea ma antibacterial, hormonal, metabolic therapy, physiotherapy poʻo se lavelave o vailaʻau.

Ole umi ole togafitiga e fa'atatau ile tala'aga. Afai o le tagata maʻi e leʻi i ai ni faʻalavelave i totonu o le uterine cavity, faapau pepe, ona lava lea e tasi le taamilosaga o le maʻitaga e togafitia ai le endometritis ma faʻatonuina sauniuniga o hormonal talafeagai.

I le tulaga o se tala faʻasolopito o le gynecological mamafa, o togafitiga e mafai ona 2-3 masina.

1. Vailaau mo le endometritis i fafine

Togafitiga fa'ama'i

I le laasaga muamua o togafitiga o le endometritis i fafine, o loʻo faʻaaogaina vailaʻau faʻamaʻi lautele. O lo matou tagata tomai faapitoa Anna Dobychina e matauina o togafitiga faʻamaʻi i le taimi o le maʻitaga e faʻaalia naʻo mataupu o suʻesuʻega suʻesuʻe faʻamaoniga o se microbial pathogen i totonu o le uterine cavity i se titer taua tele.

Mo le togafitia o le endometritis i fafine, e mafai e le fomaʻi ona faʻatonuina ni vailaʻau faʻamaʻi lautele ma maualuga le ulu o sela. O nei vailaʻau e aofia ai amoxicillin, clindamycin, gentamicin, ampicillin³. O togafitiga e fautuaina e amata mai le aso muamua o le maʻitaga.

vaila'au fa'ama'i

Mo le puipuia o candidiasis e faasaga i le talaaga o le faʻaaogaina o vailaau faʻamaʻi, o vailaʻau faʻamaʻi faʻamaʻi e faʻatonuina: Nystatin, Levorin, Miconazole, Ketoconazole, Itraconazole, Fluconazole ma isi.

Vailaʻau faʻamaʻi

I le i ai o se faʻamaʻi pipisi pe a maeʻa togafitiga faʻamaʻi, o vailaʻau faʻamaʻi ma immunomodulatory e faʻaaogaina, e pei o Acyclovir, Valciclovir, Viferon, Genferon.

2. Moligao mo le endometritis

O le filifiliga o suppositories va'a fa'alagolago i fa'ailoga ma le ituaiga o pathogen. Pe a faʻaaogaina suppositories, o mea aoga e le oʻo i totonu o le manava, ae faʻafefe saʻo i totonu o le toto mai le vaʻa, lea e faʻaitiitia ai le lamatiaga o le atiaʻe o le dysbacteriosis ma aʻafiaga leaga i luga o le ate.

I le vaega mataʻutia o le faʻamaʻi, e faʻaaogaina suppositories antibacterial e taofia ai le toe gaosia o pathogens. I le togafitiga o faʻamaʻi masani o le endometritis, anti-inflammatory, immunostimulating, antiseptic suppositories, e pei o Diclofenac, Galavit, Terdinan, Livarol, Lidaza ma isi, ua faʻatonuina foʻi.

O le tele o vailaʻau eseese e faʻaaogaina e togafitia ai le mumū o le matua. I le tulaga ogaoga o le faʻamaʻi, o loʻo faʻaaogaina ai vailaʻau antibacterial. Suppositories e masani ona faʻatonuina o se togafitiga faʻapitoa.

3. Togafitiga o le metabolism

Metabolic therapy o le vaega lona lua o togafitiga, lea e faʻatatau i le faʻaumatiaina o le faʻaleagaina lona lua, e aofia ai maʻi gasegase. E fautuaina e faʻaaoga vitamini, antioxidants, hepatoprotectors ma enzymes (Wobenzym, Phlogenzym).

4. Faʻamalositino

E tusa ai ma le fomaʻi-faʻataʻitaʻi o Anna Dobychina, i le togafitiga o le endometritis, o le physiotherapy techniques e iai se aafiaga tele: maneta, lasers, ma ultrasounds. O le galuega o le physiotherapy i lenei tulaga o le faʻaleleia o le tafe toto o totoga pelvic, faʻaleleia le faagasologa o le toe faʻafouina o le endometrium, faʻapea foʻi ma le faʻateleina o le puipuiga puipuia.⁴.

5. Togafitiga o Hormone

O le togafitiga o le Hormone e faʻaaogaina i nisi tulaga e faʻatumauina ma faʻamautu le tuputupu aʻe o le endometrium. I le avea ai o se tulafono, i lenei tulaga, tuʻufaʻatasiga tuʻu gutu ua faatonuina, mo se faataitaiga, Regulon ma Novinet. Pe a fuafuaina se maʻitaga, e faʻaaoga le progesterone.

Puipuia o le endometritis

Ina ia puipuia le endometritis i fafine, muamua lava, e tatau ona auai i le puipuia o faʻamaʻi faʻamaʻi: faʻaitiitia le numera o feusuaiga, faʻaoga condom, ave pea swabs mo faʻamaʻi pipisi, ma i le tulaga o faʻamaʻi, ia faia togafitiga talafeagai. E le gata i lea, o se itu taua o le puipuia o le faapau pepe, o lea e tatau ai ona e manatu mamafa i le mataupu o le maitaga.

- O le mea moni, o se maʻitaga e leʻi tupu aʻe e faigata tele ona puipuia, o le mea lea, afai e tupu lenei mea, e tatau ona i lalo o le vaavaaiga masani ma mulimuli i fautuaga uma a se fomaʻi-faʻataʻitaʻi. O le a faʻaitiitia ai lamatiaga i le lumanaʻi, "o le tala lea a Anna Dobychyna.

Fesili ma tali lauiloa

O fesili lauiloa e uiga i le endometritis i fafine ua taliina fomai tipitipi, obstetrician-gynecologist o le European Medical Center Oleg Larionov.

Punavai o:

1. Serebrennikova KG, Babichenko II, Arutyunyan NA Fou i le suʻesuʻega ma togafitiga o le endometritis masani i le le maua o fanau. Gynecology. 2019; 21(1):14-18. https://cyberleninka.ru/article/n/novoe-v-diagnostike-i-terapii-hronicheskogo-endometrita-pri-besplodii
2. Plyasunova MP, Khlybova SV, Chicherina EN Iloiloga faʻatusatusa o faʻasologa o le ultrasound ma le Doppler i le endometritis masani. Ultrasonic ma su'esu'ega fa'atino. 2014: 57-64. https://cyberleninka.ru/article/n/effekty-kompleksnoy-fizioterapii-pri-chronicheskom-endometrite-ultrazvukovaya-i-dopplerometricheskaya-otsenka
3. Zarochentseva NV, Arshakyan AK, Menshikova NS, Titchenko Yu.P. Endometritis tumau: etiology, falemaʻi, suʻesuʻega, togafitiga. Russian Bulletin a se foma'i fa'atama-tama'i. 2013; 13(5):21-27. https://cyberleninka.ru/article/n/hronicheskiy-endometrit-puti-resheniya-problemy-obzor-literatury
4. Nazarenko TA, Dubnitskaya LV Avanoa o togafitiga enzyme o le endometritis tumau i tagata mamaʻi o tausaga fanautama. Fa'afitauli o le toe gaosia 2007; 13(6):25-28. https://gynecology.orscience.ru/2079-5831/article/view/27873