inflammation of the uterus
inflammation of the uterus - a pathological process resulting from the joint or isolated infection in the mucous membranes and the muscle of the uterus.Inflammation of the uterus, like any infectious-inflammatory process, may be accompanied by clinical symptoms, or present in the body as a sluggish chronic infection with periods of frequent exacerbations and remissions short.
The cause of inflammation of the uterus is a septic infection that can penetrate into the uterine cavity by rising from downstream genitals.Less common pathogens get into the uterus hematogenous (through the blood) or lymphogenous (lymphatic vessels) by other bodies.
uterine wall is formed by three different and unevenness in the function and structure of cell layers: the mucosa (endometrium), a powerful muscle layer (myometrium) and the outer cover of serous (perimeter).
endometrium consists of an outer, functional, and deeper than the basal layer.Under the influence of ovarian hormones i
All layers uterine wall are closely linked and have strong protective barriers.These structural features of the uterine wall have to ensure that they are in the endometrium is easily spread the infection to the underlying tissues.
Healthy woman in contact with infection in the uterus inflammation does not develop.The mucous layer of the uterus is endowed with safety features, besides he always rejected during menstruation.If the infection gets on the surface of a healthy uterus, she wound up by the internal defense mechanisms.For the development of an infectious inflammation of the endometrium requires two conditions - the presence of damage to the mucous layer and impaired immune defense mechanisms.
often develop inflammation of the uterus after abortion or childbirth.
Clinical signs of inflammation of the uterus depends on the form of the disease.Acute process characterized by bright signs, and chronic inflammation of the uterus can often were obliterated.Most accompanied by inflammation of the uterus pain, abnormal discharge and rhythm disturbance of normal menstruation.
situation of inflammation only in the endometrium is more favorable.If the pathological process involved to be the muscle layer, the nature of the disease becomes severe inflammation with severe clinical symptoms.
features of an inflammation of the uterus is the frequent spread of the fallopian tubes.If inflammation of the uterus accompanied by a similar process in the fallopian tubes, including symptoms of the disease appear infertility.
diagnosis of inflammation of the uterus usually does not cause difficulties.The diagnosis is confirmed by medical history, pelvic examination, laboratory and instrumental studies.
Treatment of inflammation of the uterus depends on the causes, forms of the disease, presence of concomitant gynecological pathology and the extent of the inflammatory process.In the acute stage of the disease applied antibiotic therapy, and chronic inflammation of the uterus requires a comprehensive treatment for the elimination of the consequences of acute infections.
Causes inflammation of the uterus
Any inflammation of the uterus begins with preliminary damage the functional layer, leading to the development of inflammatory changes.Contributing to the endometrial injury situations are:
- scraping the uterine cavity for the purpose of diagnosis or abortion, severe bleeding, and the like.
- Tool medical manipulations in the uterus: intubation, aspiration biopsy.
- Diagnostic activities in the endometrium: hysterosalpingography, hysteroscopy.
- Introduction of an intrauterine device.The infection can be entered into the uterine cavity, not only with a "dirty" instruments, it can also rise from the lower areas in the uterus of a spiral filaments.
great importance is the poor standards of hygiene during any intrauterine manipulation, coupled with reduced immunity of the patient.
One of the most popular physiological causes inflammation of the endometrium are childbirth, especially if they were accompanied by trauma of the birth canal.The cavity of the uterus after childbirth is vulnerable to infection, and decrease the body's defenses during pregnancy creates favorable conditions for its unhindered spread into the deeper layers of the uterine wall.
Menstruation is also a favorable period for inflammatory diseases of the uterus.After the rejection of the mucous layer of functional uterine cavity is converted into an extensive wound surface, allowing infection to enter freely into the uterine wall.
inflammatory process in the endometrium, usually called microbial association, rather than one pathogen.Pre-infection damages the mucous membrane of the cervical canal, and then rises to the surface of the endometrium.Inflammation is a focal or common, develops functional and the basal layer of a transition and on the muscular wall.
culprits of the disease are most often streptococci, E. coli, chlamydia, mycoplasmas, enterobacteria, viruses and anaerobic bacteria.
sluggish chronic inflammation of the uterus develops in more of the following reasons:
- if the period of acute inflammation of the treated patient independently and efficiently;
- if pre-treatment of an acute inflammation of the physician be incorrect;
- if the acute process has not been diagnosed in time.
Uncommon inflammation of the uterus develops because of infection in the endometrium to fallopian tubes, appendix, or intestines.
Symptoms of inflammation of the uterus
inflammatory process in the uterus usually begins at the site of damage to the mucous layer.On the plot thickens mucosal injury due to pronounced inflammatory edema and becomes loose.In chronic inflammation of the uterus there are structural changes that upset the normal cyclical processes, so patients with chronic inflammation appear menstrual function during normal operation of the ovaries.
With a weak immune defense infection can spread into the underlying muscle layer.
for primary diagnosis of inflammation of the uterus is extremely important to conduct a survey of the patient, during which she could clearly identify the situation that caused the disease (abortion, gynecological intrauterine manipulation, etc.).
signs of inflammation of the uterus usually appear 3-4 days after infection of the endometrium.Acute inflammation of the uterus after childbirth is also developing a third or fourth day.Appears or low-grade fever, chills, feeling much worse.Abdominal pain of varying intensity radiating to the lumbosacral or groin.There are abnormal vaginal discharge seropurulent kind, sometimes they can be sukrovichnymi due to inflammatory destruction of the endometrial cells.If the inflammatory process involved the myometrium, the disease is difficult.
subtle as some of the symptoms of inflammation of the patient ignored, they resort to self-medication with drugs or inappropriate methods of traditional medicine.This tactic is fraught with the development of serious consequences.
gynecological examination palpable uterine tenderness.It may be slightly raised and have testovatoy consistency.In the vagina there are pus-like discharge, often revealed signs of inflammation of the vaginal wall and cervix.
Clinic chronic inflammation is characterized by acute symptoms of low severity.There are constant aching pelvic pain, irregular menstruation or intermenstrual spotting spreadable character.Chronic inflammation of the uterus does not prevent conception, if the ovaries are functioning normally, but the carrying of pregnancy may be complicated due to the inability of the affected uterine wall to keep the developing fetus in the uterus.During the inspection the presence of chronic inflammation in the uterus indicates a slight increase in its size and dense texture.
Usually inflammation of the uterus during pregnancy is associated with exacerbation of existing chronic process.
Laboratory diagnosis helps to establish the type of infection caused by inflammation, and determine the appropriate antibiotic for its liquidation.
CBC to evaluate the severity of the inflammatory process to increase the value of erythrocyte sedimentation rate and white blood cell count.
Ultrasound scan determines the thickening of the mucous membrane and the change in its normal structure in the form of irregularities and / or adhesions.
diagnosis of chronic inflammation of the uterus is not always obvious, as its clinical features do not differ specificity.If ultrasound picture does not allow the final diagnosis, resorted to hysteroscopy.
Acute inflammation of the uterus after childbirth is diagnosed in a postpartum room.If there is inflammation of the uterus is badly reduced, soft and painful on palpation.You may receive a severe fever and sanies.Significant signs of inflammation of the uterus after childbirth detected during an ultrasound scan.
Treating inflammation of the uterus
goals of treatment of inflammation of the uterus:
- the elimination of the infectious agent;
- preventing the development of chronic inflammation;
- restoration of normal menstrual function;
- preservation of reproductive function.
therapy of acute inflammation always begins with the appointment of antibacterial treatment.Exacerbation of chronic process also involves the use of antibiotic therapy.Antibiotics from inflammation of the uterus must correspond to bacteriological examination.
Acute inflammation of the uterus requires immediate antibiotic prescription, but these laboratory studies to have to wait a few days.In order not to lose valuable time, antibiotics are initially appointed by inflammation of the uterus a wide range of actions that could eliminate most of the germs that cause inflammation of the endometrium.Then, if necessary, an antibiotic varies according bacteriological conclusion.Dose and duration of therapy depends on the severity of the inflammatory process.
For the treatment of chronic inflammation of the uterus using a very effective method of intramucosal administration of antibiotics when the medicine is injected into the endometrium.
In remission of chronic inflammation of the uterus is the treatment of opportunistic diseases and restorative therapy.
Symptomatic therapy includes the use of painkillers and bracing means, as well as immunostimulant treatment.
Some patient when trying to use a variety of self-therapy candles in inflammation of the uterus as the only means of treatment.Painkillers and anti-spark in inflammation of the uterus are very effective, but only as an adjuvant therapy.
aggravate the inflammation of the uterus during pregnancy treated with antibiotics is not desirable.Selected anti-inflammatory drugs other groups.
After the first phase of the therapy begin to restore the damaged endometrium and restore normal menstrual rhythm.It recommended physiotherapy.
During treatment of any form of inflammation of the uterus need to resolve the question of contraception.Emerged on the background of inflammation and antibiotics pregnancy can develop properly or interrupted.