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Острый эндометрит

Опубликовано : 8-10-2011, 20:42 | Опубликовал: MedRepublika | Категория: ВОСПАЛИТЕЛЬНЫЕ ЗАБОЛЕВАНИЯ ЖЕНСКИХ ПОЛОВЫХ ОРГАНОВ

Острый эндометрит развивается остро. Повышается температура тела, ухудшается общее состояние, появляются недомогание, разбитость и боль, отдающая в крестец и паховые области, обильные серозно-гнойные или кровянисто-гнойные выделения, иногда метроррагия. При влагалищном исследовании — матка увеличена, болезненна. При остром эндометрите разрушается и некротизируется функциональный слой эндометрия, эпителий в ряде мест десквамируется, глубже образуется подэпительный защитный вал в виде обширного лейкоцитарного инфильтрата.
Диагноз острого эндометрита не представляет особых затруднений и основывается на данных анамнеза (внутриматочное вмешательство и др.), общего и гинекологического исследования и лабораторных данных (анализ крови, бактериоскопия, посевы и др.).
Лечение. При остром эндометрите назначают постельный режим, холод на низ живота до снижения температуры, антибиотики (с учетом чувствительности возбудителя, как правило, широкого спектра действия), лучше в сочетании с сульфаниламидными препаратами, десенсибилизирующая терапия, при боли — болеутоляющие и снотворные, при повышенной кровопотере — средства, повышающие сократительную способность матки, и кровоостанавливающие средства (стиптицин, питуитрин, кальция глюконат, эрготамин и др.). Все внутриматочные процедуры противопоказаны.
В пожилом возрасте развивается пиометра (накопление гноя в матке). Матка при этом шаровидная, увеличенная, мягкая, флюктуирующая.
Лечение пиометры сводится к удалению гноя из полости матки методом расширения канала ее шейки.
Острый эндометрит чаще заканчивается выздоровлением, реже переходит в хронический метроэндометрит.
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КАНДИДАМИКОЗ

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В связи с широким применением антибиотиков для лечения воспалительных процессов половых органов в последнее время все чаще

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