Symptoms of endometritis after childbirth
Endometritis is inflammation of the lining of the uterus, endometrium. It happens with acute and chronic leakage. Symptoms of acute and chronic diseases are similar, but in the second case they are not so clearly manifested and a little "blurred". Chronic endometritis is harder to diagnose and treat, respectively.
So, about the symptoms of acute endometritis. This increase in temperature, pain in the lower abdomen, which give into the sacrum, bloody-purulent discharge, general weakness. As for the excreta, every woman should know, that in norm or rate after sorts or labors plentiful blood allocation go couple of days. Then their number decreases and acquires the character & bdquo; ointments & rdquo; . By the 8th week, excretions cease altogether. With endometritis, such discharge is always abundant and bloody.
Signs of chronic endometritis include body temperature, bleeding, which occur periodically (worsen, weaken), pain during defecation.
The causes of endometritis are the ingestion of microorganisms on the endometrium after the removal of the placenta. Predisposing factors of endometritis include gestosis and protracted labor, early discharge of amniotic fluid, labor in those women who are less than 19 years old or older than 30 with the first pregnancy, placenta previa, infection with microorganisms, sexually transmitted infections. The risk group includes women who have made abortions, with complications from previous pregnancies, with foci of chronic infections.
Diagnosis of endometritis
How does the doctor detect endometritis? First of all, on gynecological examination. This increase in the size of the uterus, soreness at the time of palpation, blood discharge. Helps to identify the disease of ultrasound of the pelvis. This method, and with chronic endometritis, shows spikes, which are the cause of miscarriages and infertility.
Endometritis can be detected by a general blood test. The increase in the level of leukocytes will testify to it. Another method of diagnosis - biopsy of the endometrium. This study under a microscope is a piece of internal uterine membrane. Very rarely, doctors use this method.
The chronic form of endometritis is more difficult to diagnose on routine examination. This can only be done by an experienced gynecologist.
Treatment of endometritis after childbirth
Treatment of acute endometritis after childbirth should be done in a hospital setting. Most women discover symptoms of endometritis late, which leads to prolonged treatment. To do this, use antibacterial therapy in the form of intramuscular or intravenous injections, anti-inflammatory drugs, mechanical cleaning of the uterine cavity, detoxification. Immunomodulators and vitamin preparations are also used. For complex treatment, physiotherapy is prescribed in the form of UHF, infrared laser therapy.
In the chronic form of endometritis, stage-by-stage treatment is prescribed. First, they treat diseases that are sexually transmitted. Then, hormone therapy is prescribed, the synechia in the uterine cavity is removed.
Antibiotic treatment is prescribed depending on the type of infection that provoked the disease. When the virus became its cause, it will be antiviral drugs and drugs that increase the activity of the woman's immune system.
Hormonal treatment of chronic endometritis is a method of oral contraceptives. As a rule, their gynecologist appoints for 3 months.
Removal of adhesions is done surgically. Anesthesia is mandatory. Detect spikes with a help of a gyroscope and dissect them.
So, the prevention of endometritis after childbirth is attention to health, enhanced hygiene of a woman and timely access to a doctor at the first manifestations of pain, discomfort and disorders in the pelvic organs.