Endometritis and metroendometritis.

Endometritis is an inflammation of the uterine mucosa, according to Pannochka, an online publication for girls and women from 14 to 35 years old.. net If the muscle layer is also involved in the process, which is often observed, metroendometritis occurs.

According to etiology, there are:.

- specific;

- non-specific.

Causes of endometritis:.

1) specific microorganisms:.

- chlamydia;

- gonococci;

- herpes simplex virus;

- cytomegalovirus;

- mycoplasma;

- human papillomavirus;

2) non-specific microorganisms:.

- staphylococci;

- streptococci;

- Escherichia coli;

3) contributing factors:.

- various intrauterine interventions;

- scraping of the uterine cavity;

- intrauterine contraceptives.

Most often, the disease occurs as a result of abortion, in the postpartum period, as a result of diagnostic and therapeutic intrauterine manipulations..

Clinical manifestations of endometritis are mainly a violation of the general condition; fever up to 38°C, chills. There are also pains in the lower abdomen and in the groin area.; foul-smelling vaginal discharge.

Possible menstrual irregularities. During vaginal examination, serous-purulent, sometimes serous-sanious discharge and a slightly enlarged uterus, soft in consistency, painful on palpation, are determined.

Diagnosis of endometritis is carried out on the basis of: complaints; objective data of vaginal examination; bacteriological data; complete blood count (increased erythrocyte sedimentation rate (ESR), leukocytosis); ultrasound.

Drug treatment of endometritis begins with antibiotic therapy, taking into account the sensitivity of microflora to them.. General strengthening treatment is also carried out (to improve the body's resistance to infection).

Surgical treatment is also possible - drainage of the uterine cavity with a chilled solution of chlorhexidine or furacilin; curettage of the uterine cavity.

Bed rest is prescribed; cold on the lower abdomen (in order to limit the process); ultrasound; phytotherapy.

Phytotherapy in the treatment of endometritis.

Required: 2 hours. Hypericum perforatum, 2 hours. lemon balm herbs, 1 1/2 tsp. marsh cudweed herbs, 1 hour. chamomile flowers, 2 hours. flowers of calendula officinalis, 3 h, l. rose hips, 2 cups of water.

Preparation: Grind the raw materials well, mix. 2 st. collection, pour boiling water, insist in a warm place for 1 hour, strain, add sugar or honey to taste.

Application: Drink 0.5 cup 6 times a day, warm before use.

Required: 4 hours. wintergreen herb round-leaved, 2 hours. herbs mountaineer bird, 2 hours. melissa herbs, 5 hours. leaves and fruits of wild strawberry, 2 hours. mountain arnica leaves, 4 hours. oat seeds, 3 hours. blue cornflower flowers, 2 cups of water.

Preparation: Grind the raw materials well, mix. 2 st. collection, pour boiling water, insist in a warm place for 1 hour, strain.

Application: Drink 0.5 cup 6 times a day, warm before use and add lemon or honey to taste..

Required: 2 hours. melissa officinalis herbs, 1 hour. herbs mountaineer bird, 2h. marsh cudweed grass, 3 hours. chamomile flowers, 2 hours. blue cornflower flowers, 6 hours. leaves and fruits of black currant, 6 hours. rose hips, 2 cups of water.

Preparation: Grind the raw materials well, mix. 2 st. collection, pour boiling water, insist in a warm place for 2 hours, strain. Add honey to taste.

Application: 0.5 cup 6 times a day, warm before use.

Salpingoophoritis (adnexitis).

Salpingoophoritis is an inflammation of the uterine appendages with damage to the ovaries and fallopian tubes.. The most common pathology of the genital organs - occupies 50-65% in the structure of gynecological diseases. Every fifth woman who has undergone salpingo-oophoritis is at risk of infertility.

According to the clinical course, there are:.

- acute;

- latent;

- erased.

Forms of acute adnexitis:.

- catarrhal;

- purulent;

- with the formation of tubo-ovarian formations;

- purulent adnexitis and pelvioperitonitis.

The disease occurs in an ascending way, from the vagina and uterine cavity. It is also less common during the transition of the inflammatory process to appendages from the abdominal organs - appendix, rectum or sigmoid colon. In some cases, the infection spreads via the hematogenous route..

When inflammation occurs in the tube, exudate accumulates - an inflammatory fluid, which subsequently causes the walls of the tube to stick together and close the lumen, which ultimately leads to obstruction of the tubes.. If the end of the tube is soldered to the ovary, a tubo-ovarian tumor occurs..

The main causes of adnexitis:.

- non-specific pathogens (aerobic gram-positive and gram-negative bacteria);

- specific pathogens (gonococci).

In the acute stage, clinical manifestations of adnexitis:.

- pelvic pain radiating to the lower back and thighs;

- fever, chills;

- Symptoms of peritoneal irritation;

- dysfunction of the bladder and intestines;

- dry mouth;

- general weakness;

- in the blood - an increase in ESR, leukocytosis.

In the chronic stage of the disease, there are usually no complaints without exacerbation.

Laboratory diagnosis of adnexitis includes a complete blood count, ultrasound, hematocrit determination; biochemical indicators; laparoscopy.

Treatment of adnexitis - inpatient, long-term.

Medical treatment.

In the acute stage, drug treatment includes general strengthening; antibiotic therapy, taking into account the sensitivity of microflora; detoxification therapy; vitamin therapy; administration of non-steroidal anti-inflammatory drugs.

In the subacute stage: autohemotherapy; vitamin therapy; antibiotic therapy.

Surgical treatment is possible, with the removal of pathological contents and washing of the abdominal cavity; dissection of adhesions between the fallopian tubes, ovaries and surrounding tissues; removal of tubo-ovarian mass.

In the chronic stage of the disease, phytotherapy, juice treatment, as well as sanatorium treatment, mud therapy, acupuncture, physiotherapy, magnetotherapy are widely used..

Phytotherapy in the treatment of salpinooophoritis.

Required: 2 hours. yarrow herb, 2 hours. horsetail herbs, 2 hours. mountain arnica leaves, 2 hours. barberry leaves, 4 hours. leaves and fruits of black currant, 1 tsp. May lily of the valley flowers, 2 cups of water.

Preparation: Grind the raw materials well and mix. 2 st. collection, pour boiling water, leave for 2 hours in a warm place, strain.

Application: Drink 1/2 cup 5-6 times a day, add honey and sugar to taste.

Required: 1 hour. marsh cudweed herbs, 1 hour. wintergreen herb round-leaved, 2 hours. peppermint leaves, 4 hours. oat seeds, 3 hours. leaves and buds of silver birch, 2 cups of water.

Preparation: Grind the raw materials well, mix. 2 st. collection, pour boiling water, insist in a warm place for 1 hour, strain.

Usage: Drink 1/2 cup 6-8 times a day, adding honey or lemon to improve the taste..

Required: 1/2 hour. herbs cuff 1/2 tsp. lemon balm leaves, 1/2 tsp. valerian root, 1 tsp. nettle flowers deaf, 1 glass of water.

Preparation: Grind the raw materials well, mix, pour boiling water, cool, strain.

Application: The resulting infusion is drunk in small sips throughout the day..

The use of fresh juices from berries, fruits and wild medicinal plants (nettle, plantain, dandelion) is an additional remedy successfully used in the treatment of salpingo-oophoritis..

Complications of adnexitis is a rupture of a tubo-ovarian abscess with the subsequent development of peritonitis; infertility.

Parametritis.

Parametritis is an inflammation of the parauterine tissue located in the small pelvis..

The spread of infection can be ascending and descending.

The causes of parametritis are pathogens:.

- staphylococci;

- streptococci;

- Escherichia coli;

- anaerobic infection;

– various associations of microorganisms;

Hypothermia and surgery may contribute to the development of the disease.

There are three stages in the clinical course of parametritis:.

- infiltrative;

- exudative;

- compacted exudate.

Depending on the location, the parameters are anterior, posterior and lateral..

The initial manifestations of parametritis are severe pain in the lower abdomen with irradiation to the region of the sacrum and rectum. Perhaps an increase in body temperature up to 38-39 ° C, chills. There is an increase in the pulse, a violation of the acts of urination and defecation, a deterioration in the general condition.

It also accompanies the disease with headache, sleep disturbance, nausea, dry mouth..

Laboratory studies for parametritis are a complete blood count, ultrasound, sigmoidoscopy - if necessary.

In the treatment of parametritis, strict bed rest must be observed..

Applied treatment in the first place, antibiotic therapy, taking into account the sensitivity of microorganisms, also general strengthening therapy, desensitizing therapy, resorption therapy.

In the infiltrative stage of parametritis, in order to limit the process, cold is applied to the lower abdomen. In the resorption phase, thermal, light and electrical procedures are used..

Trofimov medbe. en.