Than na-emeso endometritis na ehi?

Endometritis - mbufụt, nke ayarade onwe ke lining nke akpanwa. Si echiche ehi Genital usoro, akpanwa bụ a nnọọ mwute ahụ, nke nwere ike na-apụtakarị ìhè mbufụt Filiks. Otú ọ dị, endometritis nwere ike kpọrọ ọ bụghị onye ọ bụla. E nwere ndị ọzọ di iche iche nke ọrịa ndị mbufụt nke nne, ma akụkụ ya ndị ọzọ. Nke a nkewa bụ adabere na ya, ma na ikpe nke gbahapụrụ nke ọrịa ahụ n'onwe ya, o nwere ike igba n'ime miotetrit na n'ihu nwere a perimeta. Ọtụtụ mgbe ka endometritis divisible-adịghị ala ala na nnukwu, na-egosipụta mgbe a ehi ehi. Ndị a na-mara dị ka ọbara endometritis.

Na nke a akwụkwọ, a zuru ezu anya na a ehi endometritis.

Ihe mere ngosipụta nke endometritis

Isi nsogbu chere ihu omumu akụkụ nke a ehi - ọ na-ọrịa na-akpata mbufụt. The gị n'ụlọnga nwere ike inwe n'ime akpanwa nke anụmanụ n'oge arịgo mbufụt (vaginitis, vestibulitis) ma ọ bụ obstetric elekọta. Ọtụtụ mgbe, dị ka bacteria banye n'oge ime, na 5 ọnwa n'oge ele mmadụ anya n'ihu liquefaction nke imi nkwụnye ma ọ bụ okpomọkụ.

Endometritis na ehi nwere ike ịzụlite dị ka a abụọ ọrịa ụkwara nta, brucellosis, ma ọ bụ mgbe a na-egbu oge nke Plasenta.

A nnọọ mkpa mgbe, na mgbe ụfọdụ tumadi, na mmepe nke endometritis bụ ajụjụ nke na-elekọta, nri na ụlọ ụmụ anụmanụ. Ọtụtụ mgbe endometritis akpata opportunistic germs na igosipụta na-ebibi ihe naanị mgbe ehi tụlee eguzogide. Ihe na-eme ka ngosipụta nke endometritis:

• Ọtụtụ mgbe, ndị ọrịa na-triggered site na mkpali usoro nke na-amalite cervix ma ọ bụ ikpu.
• N'oge ime, anụmanụ ahụ gburu site a oké njọ ọrịa (chlamydiosis, brucellosis, wdg). Ná mmalite, ndị na-emepe emepe Plasenta, eru n'ime nnukwu ọbara endometritis na ehi.
• Siri na-amụ nwa na o kwere omume mmerụ endometrium, nke mere ka ya ọrịa. Mgbe ụfọdụ, ihe omume nke ụdi oge, inversion, ma ọ bụ eriri akpa nwa prolapse.
• Nyefee ehi ite ime, na-eme ndị ọrịa.
• Ọ bụrụ na n'ọba edebeghị ihe ọcha na ọnọdụ, nakwa dị ka anụmanụ na-eji unsterile ngwá na-amụ nwa, ha na-echefu na-asa aka-ha na ha edebeghị ọzọ ọcha chọrọ, o nwere ike ime ka mbufụt. amu amu ọrụ bụ nke ukwuu mgbe na-eduga ná ọrịa: ike ike ọrụ, inept nkewa nke Plasenta, na-ekwesịghị ekwesị post-Natal ọgwụgwọ, enweghị antimicrobial prophylaxis.

Clinical picture na nchọpụta nsogbu

Olee otú a ehi endometritis? Ehi nwere ike oria iche iche nke ọrịa, iche nke nke dị mkpa ma okwu nke etymology, na-enye kwesịrị ekwesị ọgwụ.

Purulent-catarrhal nnukwu ụdị

The kasị nkịtị na ehi maka ọrịa, nke na-esonyere a ịda mbà n'obi, ọnwụ nke arụpụtaghị na agụụ, ala-ọkwa fever. Ọtụtụ mgbe, ndị ọrịa na-egosi mgbe a ehi calved, na-achọpụta na o nwere ike ịbụ mgbe wepụtara catarrhal exudate na adịghị nke abu ọcha-green agba nke mpụga genitalia na obere puddles nke abu nke ụtụtụ.

Nke a purulent-catarrhal endometritis na ehi. The akụkọ ihe mere eme nke ọrịa nwere ike dị iche iche.

• Na a ga-ekwe omume mmajijiji exuding n'oge nchoputa.
• Tenesmus, ekwe azụ ụmụ anụmanụ na usoro nke urination.
• Belata ụda, ogbenye omume ịhịa aka n'ahụ.
• On nnyocha, ka nghọta cervical kanaal.
• Ọ dịghị mgbanwe ke owuwu ụzọ mbata.
• Identification dịkwuo mpi akpanwa rectal palpation.

Ọ bụrụ na a-adọ ha n'ụzọ ka mma ọnọdụ nke njide na ọgwụgwọ nke anụmanụ, ọrịa ga nwere nti utịp. Ọtụtụ mgbe ọ na-e maka nlaghachi azụ nke akpanwa, amụba mmepe nke daa ọrịa na-eduga nsogbu.

Olee ihe ọzọ nwere ike ịbụ endometritis na ehi?

fibrinous mbufụt

Megide backdrop nke na eriri akpa nwa mmerụ fibrinous mbufụt amalite. Ọtụtụ mgbe ọ na-egosipụta onwe ya mgbe aka-enweghị nkà ọmụmụ ejere ya ozi. Effusion nke fibrin emee mgbe n'ibu mmebi nke mucous na ndị ọzọ n'ígwé nke omumu akụkụ.

Clinical ihe dị iche dị na ọdịdị nke ọmụmụ, agaghi asu fibrin uzo bụ ugbu a. Nwere ike ịmata ihe dị iche, rubbing abu n'etiti mkpịsị aka nke e ji mara crisp ụda. Ọtụtụ mgbe mara mmamiri mgbanwe n'ụdị mucosa mmerụ. Nke ahụ abụghị dum nhazi ọkwa nke endometritis na ehi.

Gangrenous na necrotic ụdị

Nke a na-a ediyarade nke ọrịa na-atụle ga kacha njọ, ji eziokwu ahụ bụ na ehi na-ukwuu njọ: arụpụtaghị na-adi belata; akawanye njọ agụụ; e ugboro ugboro, na-emighị emi ume; okpomọkụ adahade n'elu 41 degrees; quickens usu; Ọ na-egosi zalezhivanie na mmegbu.

doro anya, dị ịrịba ama mgbanwe ime na omumu akụkụ. The mmeghe nke pathogenic ntule, mgbe mgbe anaerobic na mmerụ-edu ndú ka disintegration nke epithelium na ya na-apụtaghị ìhè n'ígwé. Fibrin infiltrates gburugburu anụ ahụ, na ha thicken. Rectal nchọpụta nsogbu na-enyere aka mata ndim nke eriri akpa nwa mgbidi, ihe mgbu n'oge palpation na doughy, na ok udidi.

Cheesy exudate nwere abu, ọbara, iberibe anụ ahụ, wetere disintegration, pasty uka. Kenwe mgbe anya fụrụ akpụ na nwere longitudinal red n'ọnyá. The anụmanụ na-ukwuu ụba obodo okpomọkụ. Ọgwụgwọ nke-adịghị ala ala endometritis na ehi-atụlekwu.

-adịghị ala ala mbufụt

Ezighị ezi ọgwụ aka nwere ike ime ka mmepe nke nnukwu ụdị ọrịa adịghị ala ala. Ọ e ji bughi mgbanwe ahụ, nnọchi nke bughi anụ ahụ epithelium, glands atrophy ma ọ bụ guzobere cysts nime ya.

Adịghị ala ala catarrhal-purulent endometritis na ehi doro anya clinically:

• Tinyere Lymph na ikpu akara reddened ebe.
• Mgbe abalị ehi dina ejikari-emepụta ụfọdụ exudation uzo agba.
• Mpụga kenwe ubé aza.

Iji dokwuo anya nchoputa na-na-arụ a rectal nyochaa. Ọ na-ekpughe adịghị ike na-abawanye na eriri akpa nwa ịkpakọba na ndim nke mgbidi nke akpanwa. Enwekwu ahu arọ nke anụmanụ, mpi na aru ike kpọgidere na pubic ọkpụkpụ. Mmamiri samples na-e na a ngaji. Ha na-egosi onye na-abawanye na mkpụrụ ndụ ọbara ọcha na ndị nwụrụ anwụ akpụkpọ sel.

zoro n'ime

Nke a na ụdị endometritis bụ ala ala enweghị ihe ọ bụla na-adakarị n'obiọma. Ọtụtụ mgbe, ọ na-hụrụ na-anaghị ekwe nke nkebi nke excitation na-anọghị na-arụpụta insemination ihe na-eme na njikọ na pathogenic microflora na mmetụta e guzobere na-egbu egbu unyi. Communication endometritis na ehi na mastitis nso.

Maka nchoputa nke mmamiri swab ma ọ bụ rụrụ histological nyochaa biopsy eriri akpa nwa epithelium. Iteto na-egosi adịghị ala ala endometritis na histology - ụyọkọ nke mkpụrụ ndụ nke lymphoid usoro na degenerative ọrịa.

Gịnị bụ ọgwụgwọ nke ala ala endometritis na ehi?

ọgwụgwọ na-elekọta

Malite ọgwụgwọ nke endometritis na cows - mwepụ nke akpanwa. Mgbe exudation nkewa na-ebelata ya deleterious mmetụta, mma ọrụ nke obodo ọgwụ. Ọdịnaya nke Genital tract na-wepụrụ atọ ụdị ego: ịhịa aka n'ahụ, eriri akpa nwa lavage mmetuta nke contractile ọrụ.

ịsa

Rinsing Ẹnịm na endometritis akpali mmasị ma na-abụghị corrosive antiseptik mmadụ: okenye agbanwe agbanwe nke potassium permanganate, 0,02% ayodiin na furatsilina; 3% ngwọta ihtiola; 2-3% sodium hydrogen carbonate; hypertonic nnu ngwọta (mma nkewa ọdịnaya welie secretion nke endometrium).

Na-agbara Janet, Foto Ụlọ Nga Esmorha. Preliminary preparations ụtọ na ahu okpomọkụ. Ihe ngwọta na-ndinọ na a nnukwu ego, na-abawanye na olu na-adabere na ogo nke usoro.

preparations

Dị iche iche na ọgwụ ọjọọ na-eme ka ụda olu nke akpanwa na ya contractile ọrụ: 20-40 ml PDE subcutaneously, 20-30 U "Oxytocin", ka 1 ml nke "carbachol". Ọgwụ ndị a na-ndinọ n'otu oge na saa, nke na-eme ka ndị ọzọ ngwa ngwa esi kpọpụ mmadụ nile nke exudates.

Eri oké nri nke obodo ochichi nke ọgwụ ọjọọ na ojiji nke stimulants maka myometrium dị ezigbo mkpa.

Rectal ịhịa aka n'ahụ na-akwalite nkewa nke akpanwa abu na welie ya contractile ọrụ. The ịhịa aka n'ahụ na-amalite site na input aka na ụkwụ ya na plastic dị ka rectal nnyocha, na mgbe ọ chọpụtara nke aru nke akpanwa na-amalite na-eme longitudinal ọnụ ụtarị. Na-arụ a ịhịa aka n'ahụ bụ a n'ibu nkewa nke ọdịnaya na mmalite nke omumu akụkụ. Usoro alternates na-akpali akpali injections n'ihi ha imekotaotuugbo ojiji, akpan akpan na-ovadozu "Oxytocin", nwere ike ime ka ọnwụ. Ya mere emeso subclinical endometritis na ehi.

kpọmkwem ọgwụ

Obodo ọgwụgwọ a na-eji na-ebelata microflora site iwebata n'ime akpanwa nke mmiri mmiri na ihe siri ike forms sulphonamides, antiseptics na ọgwụ nje:

• "Ihglyukovita" ihtiola mmanu mmanu mmanya ihe;
• "Tilozinokara" intrauterine ike n'aka na ndabere nke ọgwụ nje;
• mbadamba "Ginobiotika";
• "Biometrosanita" nke mbadamba maka eriri akpa nwa ochichi nke dị iche na-asụ ụfụfụ ime ha ihe;
• furazolidonovye ruo;
• ihtiolovye ruo.

Ke adianade obodo ngwaahịa, i nwere ike na-ekenye izugbe N'ezie nke ọgwụ nje. Ha na-eji dabere na ala na nke ụmụ anụmanụ na-agaghị emeli na ojiji nke ngwaahịa (akwakọba na anụ na mmiri ara ehi). Good pụta ga-enweta site na-agbakwụnye ọgwụ nje na novocaine mgbochi.

Karịsịa ọgwụgwọ nke ụdị ụfọdụ nke endometritis

The infusion nke antiseptik mmiri mmiri na ojiji nke rectal ịhịa aka n'ahụ aju mgbe necrotic ma ọ bụ gangrenous mbufụt nke mucous akpụkpọ ahụ nke akpanwa. Ndị dị otú ahụ iche nke ọrịa na-ji ntakiri secretion na extra iyatesịt ga-eme ka ndị ọzọ na fractures nke endometrium. Ọ dị mkpa ka jide a n'ozuzu mgbochi nsí ọgwụgwọ, ie, infusion nke igba ogwu n'akwara Ringer-Locke, calcium gluconate, "gemodez", 5% glucose na saline. Ọzọkwa nye iwu ọgwụ nje jikọtara na novocaine mgbochi.

Ọ bụrụ na ọrịa ahụ mechaa n'ime ala ala ogbo, ọgwụgwọ bụghị mgbe niile amamihe n'ihi na nke na-ebibi ihe Filiks. Na mkpochapu endometrium mbufụt usoro ka ga na-alụso ọrịa ọgụ na nwa.

Na-emekwa ụfọdụ na-amụ nke ọgwụgwọ ọrịa anụmanụ na nkà mmụta ọgwụ. Endometritis na ehi (ọgwụgwọ anyị enyocha) nnọọ a dị ize ndụ ọrịa.

mgbochi

The nsogbu nke ọgwụgwọ nke endometritis ehi bụ oké mgbagwoju anya na ọtụtụ mgbe oké ọnụ. Ke adianade do, ọtụtụ ọgwụ ọjọọ na-eduga ná eziokwu ahụ bụ na ọrịa ọṅụṅụ mmiri ara a ehi ma rie anụ ya na-contraindicated maka a ogologo oge, ebe ọ bụ na ọgwụ ọjọọ na-agbakọ nsụkọrọ na akụkụ nke anụmanụ. Ọ bụ ya mere ihe ngwọta kasị mma bụ mgbochi omume na-eme ka mgbochi nke ọbara endometritis. Olee otú iji gbochie ọrịa?

Iji hazie-amụ nwa. Iji mee nke a, ị mkpa ịchịkwa ọmụmụ usoro, iji dozie ogige na akụrụngwa. Dị otú ahụ mgbochi dị mkpa maka ezinụlọ ọ bụla, na ime ehi kwesịrị ịdị na-nanị site ahụmahụ ọkachamara. Ọ ga-onwem na ụfọdụ ọnyà igbe tupu nyefe ụmụ anụmanụ. Tupu ịtụkwasị anụmanụ na uloanumaanu na udia ọ ga-disinfected na mgbe ihicha na nhazi inyoghi inyoghi n'ala akọrọ na ọcha ahịhịa ma ọ bụ sawdust.

Hazie n'ọnọdụ dị iche iche ụmụ anụmanụ. Mgbe abụọ ma ọ bụ ụbọchị atọ mgbe ọmụmụ nke a nwa ehi ehi kwesịrị ije ije, a ga-a ọma mgbochi nke ọrịa. About ime ehi, kwa, echefula, ha nwekwara mkpa a ije n'ihu nnyefe. Ije ije bara uru n'ihi na mgbochi nke ọbara ọrịa na mụrụ ha.

Prophylaxis nke calving ehi. Special preparations ọ dị mkpa na-aka ndị niile na anụmanụ ke akpa post-partum ụbọchị. Greater ntị kwesịrị kwere mgbe a siri ike nnyefe ma ọ bụ njigide nke Plasenta.

Na-akọrọ oge e kwesịrị vitamin igbochi ọrịa mgbe calving. Ga-ekwesị ziri ezi na-eri nri anụmanụ.

N'isiokwu a anyị tụlere n'ụzọ zuru ezu pathogenesis nke endometritis na ehi.