Not least in the number of inflammatory diseases of the pelvic organs takes an inflammation of the uterus. Inflammation of the uterus, or endometrium, often after intrauterine procedures or obstructed labor. Timely begun rational treatment allows you to completely get rid of the inflammation of the uterus.
Inflammation of the uterus
Endometrium (endo with the addition of the Greek metra - womb) - an inflammation of the mucous membrane of the uterus with a lesion of the basal (sprout) layer of the endometrium. If inflammation of the mucous membrane of the uterus joins the inflammation of the muscular layer, the disease is called endomyometritis or metroendometritis.
It causes inflammation of the uterus
Basically endometritis it occurs after any intrauterine interventions:
- complicated abortion (remnants of fetal eggs, placental polyp);
- intrauterine device;
- obstructed labor;
- the remains of the placenta;
- diagnostic curettage
Scraping - heavy and unsafe procedure
the uterine cavity;
- cesarean section;
- sexual intercourse during menstruation.
Pathogens that cause inflammation of the uterus can be infectious, fungal, protozoal and viral microorganisms. Most often it is the microbes that infect the cervical canal (gonorrhea, chlamydia
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, Ureaplasma and mycoplasma) or opportunistic flora (peptokokki, streptococci, gardnerella).
Classification of inflammation of the uterus
The clinical course distinguished: acute, subacute and chronic endometritis. Depending on the type of agent endometritis divided into:
- nonspecific endometritis;
- specific endometritis (gonorrheal, tuberculosis, chlamydial, and others).
Acute inflammation of the uterus
Acute endometritis usually appears on the third or fourth day after the entering of an infection (intrauterine intervention)
. It is characterized by an increase in body temperature to 39-40 degrees, chills, deterioration of general condition, nausea, vomiting, palpitations and increased heart rate
. There was a sharp pain in the abdomen, pain in the lumbar region pays and rectum, inflammation in the transition to the pelvic peritoneum, there are signs of peritoneal irritation (pelvioperitonita)
. In addition, patients complain of serous pus-like discharge, often release are sukrovichny character (delay recovery endometrium)
. During a pelvic exam palpable enlarged, softened, and painful uterus
. A characteristic feature is the expression of pain on palpation of the uterus on the sides, where the major lymphatic vessels
. Displacement of the cervix painful
. In the case of endometritis, against the backdrop of the remnants of fetal eggs, there is a pronounced bleeding
. With adequate and timely treatment of acute endometritis lasts 8-10 days
Chronic inflammation of the uterus
Basically chronic endometritis occur hidden and have no clinical symptoms. A characteristic feature of chronic endometritis are uterine bleeding. Firstly, this is due to a violation of desquamation phase (period) and restoration of the functional layer, which is the cause and post-menstrual bleeding. Secondly, intermenstrual bleeding caused by increased permeability of blood vessels of the endometrium during ovulation
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. Third, chronic inflammation of the uterus characterized by decreased contractility of the uterus and impaired properties of platelets (blood cells responsible for clotting). It is also a sign of chronic endometritis is a violation of the secretory function of the uterus, which is manifested serous or sero-pus-like discharge. Patients complain of constant aching pain in the abdomen, gynecological examination
Gynecological examination: an important component of women's health
palpable enlarged uterus and compacted.
Treating inflammation of the uterus
Patients hospitalized with acute endometritis. In a hospital bed rest are assigned for a period of heat, light diet rich in vitamins, cold in the lower abdomen (as an analgesic and reduces vehicle). Held infusion therapy, appointed Allergy drugs. The mainstay of treatment is antibiotics. Antibiotics are selected taking into account the sensitivity of the pathogen are often appointed by the combination of two antibiotics (in case of microbial associations).
Patients with chronic endometritis complex treatment including: fortifying agents, vitamins, sedatives. Effective physiotherapy and spa treatment.