Ciwon mara

Endometritis cuta ce ta kumburi ko haushi da rufin mahaifa (endometrium). Ba daidai yake da endometriosis ba.

Endometritis tana faruwa ne sakamakon kamuwa da cuta a mahaifar. Zai iya zama saboda chlamydia, gonorrhea, tarin fuka, ko cakuda ƙwayoyin cuta na al'ada. Zai fi dacewa ya faru bayan ɓarna ko haihuwa. Hakanan ya zama gama gari bayan dogon aiki ko ɓangaren C.

Haɗarin cututtukan endometritis ya fi girma bayan samun aikin pelvic wanda aka yi ta cikin mahaifa. Irin waɗannan hanyoyin sun haɗa da:

• D da C (faɗaɗawa da warkarwa)
• Ndomarshen biopsy
• Hysteroscopy
• Sanya kayan cikin mahaifa (IUD)
• Haihuwar haihuwa (yafi yawa bayan ɓangaren C fiye da haihuwar mace)

Endometritis na iya faruwa a lokaci guda kamar sauran cututtukan pelvic.

Kwayar cutar na iya haɗawa da:

• Kumburin ciki
• Jinin al'ada mara kyau ko zubar ruwa
• Rashin jin daɗi tare da motsawar hanji (gami da maƙarƙashiya)
• Zazzaɓi
• Babban rashin jin daɗi, rashin kwanciyar hankali, ko rashin lafiya
• Jin zafi a ƙananan ciki ko yankin pelvic (ciwon mahaifa)

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki tare da gwajin ƙwanƙwasa. Mahaifa da bakin mahaifa na iya zama masu taushi kuma mai badawa ba zai iya jin sautin hanji ba. Kuna iya samun fitowar mahaifa.

Za a iya yin gwaje-gwaje masu zuwa:

• Al'adar gargajiya daga mahaifar mahaifa don cutar ta chlamydia, gonorrhea, da sauran kwayoyin
• Ndomarshen biopsy
• ESR (ƙididdigar ƙarancin erythrocyte)
• Laparoscopy
• WBC (farin jini)
• Rigar rigakafi (gwajin microscopic na kowane fitarwa)

Kuna buƙatar shan maganin rigakafi don magance kamuwa da cuta da hana rikitarwa. Kammala duk maganin ku idan an baku maganin rigakafi bayan aikin pelvic. Hakanan, jeka duk ziyarar bibiyarka tare da mai baka.

Kuna iya buƙatar a kula da ku a asibiti idan alamunku sun kasance masu tsanani ko faruwa bayan haihuwa.

Sauran jiyya na iya ƙunsar:

• Ruwan ruwa ta jijiya (ta IV)
• Huta

Abokan hulɗa na iya buƙatar magani idan yanayin ya samo asali ne ta hanyar kamuwa da cutar ta hanyar jima'i (STI).

A mafi yawan lokuta, yanayin yana tafi tare da maganin rigakafi. Cutar cututtukan ciki ba tare da magani ba na iya haifar da mummunan cututtuka da rikitarwa. Ba da daɗewa ba, ana iya haɗuwa da ganewar asali na kansar endometrial.

Matsaloli na iya haɗawa da:

• Rashin haihuwa
• Pelvic peritonitis (gama gari pelvic kamuwa da cuta)
• Kirji ko ƙwayar mahaifa
• Yankuna
• Hannun Septic

Kira mai ba ku sabis idan kuna da alamun cututtukan endometritis.

Kira nan da nan idan bayyanar cututtuka ta faru bayan:

• Haihuwa
• Zubewar ciki
• Zubar da ciki
• Sanya IUD
• Yin aikin tiyata da ya shafi mahaifa

Endometritis na iya haifar da cututtukan STI. Don taimakawa hana endometritis daga STIs:

• Bi da STI da wuri.
• Tabbatar ana kula da masu yin jima'i a cikin yanayin STI.
• Bi ayyukan aminci mafi aminci, kamar amfani da kororon roba.

Mata da ke da ɓangaren C na iya samun maganin rigakafi kafin aiwatarwa don hana kamuwa da cuta.

• Pelvic laparoscopy
• Ciwon mara

Duff P, Birsner M. Maternal da cututtukan ciki a cikin ciki: na kwayan cuta. A cikin: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obetetrics: Ciki da Ciki. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 54.

Gardella C, Eckert LO, Lentz GM. Cututtukan al'aura na al'aura: mara, farji, mahaifa, ciwo mai saurin tashin hankali, endometritis, da salpingitis. A cikin: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. M Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 23.

Smaill FM, Grivell RM. Kwayar rigakafin rigakafin rigakafi tare da rashin maganin rigakafi don hana kamuwa da cuta bayan sashin jijiyoyin jiki. Cochrane Database Syst Rev.. 2014; (10): CD007482. PMID: 25350672 www.ncbi.nlm.nih.gov/pubmed/25350672.

Workowski KA, Bolan GA; Cibiyoyin Kula da Rigakafin Cututtuka (CDC). Jagororin maganin cututtukan da ake yaduwa ta hanyar jima'i, 2015. MMWR Recomm Rep. 2015; 64 (RR-03): 1-137. PMID: 26042815 www.ncbi.nlm.nih.gov/pubmed/26042815.