INFLAMMATION OF THE UTERUS

INFLAMMATION OF THE UTERUS 

MAIN SYMPTOMS: 

Inflammation of the uterus is a pathology, which is formed due to the ingress of pathogens into the organ cavity. Quite often, inflammation affects both the fallopian tubes and ovaries. Therefore, in medicine, these diseases are united in one group "inflammatory diseases of the pelvic organs." Doctors in this group of diseases include pathological processes of an inflammatory nature in the uterus and appendages, the pelvic peritoneum and the fatty tissue of the pelvis. 

Quite often, various infections, such as chlamydia and gonorrhea, cause the damage to the uterus . If such a pathology is detected, the doctor should start urgent treatment. 

ETIOLOGY 

The causes of uterine inflammation include the following risk factors:

• The causes of uterine inflammation include the following risk factors: 
• injuries due to difficult delivery or invasive intervention;
•  the presence of another inflammatory disease of an infectious nature;
•  excessively active sex life without the use of contraceptives;
•  menstruation sex.

Most often, instrumental termination of pregnancy and childbirth leads to inflammatory changes in the uterus. 

Particular attention is paid to the doctors inflammation when carrying a child, and even inflammation in the postpartum period. The causes of this process may include the following factors: 

• careless attitude of obstetricians to the rules of asepsis and antisepsis; 
• long and complex generic process; 
• delivery by caesarean section; 
• bleeding from the placenta.

CLASSIFICATION 

Inflammatory processes in the uterus develop in different forms and affect different areas. In this regard, doctors determine three types of illness: 

Endometritis

• endometritis - damage to the inner lining of an organ; 
• metroendometrit - inflammation of the mucous and muscular layer of the uterus; 
• perimetritis - the outer membrane of the body is involved in the pathological process. 

When endometritis affects the endometrium, which lines the inner surface of the body and is located next to the muscle layer. Inflammation can move from one shell to another, gradually infecting the entire organ. Quite often, during the formation of this pathological process, the appendages, the pelvic peritoneum and fiber are gradually affected in the uterus. 

The uterus in the pelvis of a woman is fixed with special ligaments, muscles and peritoneum. If an inflammatory process is formed in the organ, then, most likely, it will go to the peritoneum. As a result of such an action, perimetry is formed. If you do not start therapy on time, the disease has serious consequences for the woman. 

SYMPTOMATOLOGY 

Manifestation of the uterus in the characteristic symptoms. The main symptom is pain in the lower abdomen. Symptoms of inflammation of the uterus are manifested in such indicators: 

• at the beginning of the illness the pain is unexpressed, and then becomes more intense; 
• pain attacks go to the right side, lumbar area, leg; 
• high body temperature; 
• pain during intercourse; 
• severe intoxication ; 
• there are failures in a menstrual cycle;
•  abnormal vaginal discharge.

Signs of endometritis are characterized by a sharp increase in body temperature, the appearance of chills and a deterioration of the general condition. The patient suffers from nausea, vomiting, fever, heart palpitations and pulse. Women also complain about the specific selection of a gray-yellow shade with a mixture of ichor. 

Chronic inflammation of the uterus, as a rule, does not manifest itself. Bleeding can sometimes be noted, the cycle of monthly is broken. When the pathological process worsens the reduction of the uterus and blood clotting. Women also complain of the appearance of gray and gray-purulent discharges, severe painful attacks of a whining character in the lower abdomen. 

Metroendometritis is characterized by such manifestations: 

• high body temperature;
•  rapid pulse; 
• general malaise; 
• pain in the lower abdomen;
•  purulent and purulent-bloody discharge.

On examination, the attending doctor performs palpation, as a result of which he diagnoses a strong enlargement and thickening of the organ. Women complain of pain when an organ is displaced. 

When perimeritis patients show such symptoms - sharp pain, an increase in the size of the abdomen, vomiting, high fever. Also characterized by frequent urination and pain during defecation. 

DIAGNOSTICS 

In order to accurately determine the cause of inflammation of the uterus in women, the gynecologist conducts a gynecological examination in the mirrors. In this case, the physician can determine the inflammation, the degree of development of the disease and the increase in the size of the body. 

Then he takes a cervical smear to detect pathogens, and for more detailed examination, colposcopy, pelvic ultrasound, and biopsy are performed. 

In an acute attack, the woman must be hospitalized. The patient is prescribed the following methods of therapy: 

• antibiotics - to eliminate the cause;
•  the introduction of water-salt solutions for detoxification purposes; 
• vitamins - C, B, E;
•  folic acid; 
• antihistamines; 
• hormones; 
• drugs that improve blood flow;
•  physiotherapy - to relieve swelling and inflammation;
•  cool compresses to relieve pain; 
• bed rest.

The uterus can become inflamed again if it is not treated properly. Therefore, it is important for the patient to responsibly approach all procedures. As part of the physiotherapy, the patient is prescribed UHF and infrared laser therapy. 

In some complicated situations, when inflammation goes to the appendages, doctors perform surgery with a laparoscopic method. 

Inflammation of the uterus after childbirth or in infectious diseases can be eliminated only by a complex method. Therefore, while receiving medication, women are advised to observe the correct regimen of the day, not to have sex, to abandon the intrauterine devices, to choose a different type of contraception. The sexual partner is also advisable to be screened for infections. 

A disease such as inflammation of the uterus is undesirable to treat with folk remedies. Doctors advise not to start therapy on their own, as other complications may begin to develop, which will significantly impair the health of the woman. 

COMPLICATIONS 

If the doctor cannot decide how to properly cure the inflammation of the uterus or the therapy was ineffective, then the patient may form various complications. Infections begin to spread through the body through the blood, lymph, fallopian tubes, cervix and vagina. This can lead to the appearance of such complications: 

• sepsis ;
•  infertility ; 
• the transition of the disease to the chronic type;
•  lesion of the fallopian tubes and appendages; 
• the formation of adhesions in the peritoneum;
•  pelvioperitonitis .

PREVENTION 

To prevent the development of the disease, women who fall into the risk group need to carefully approach the choice of drugs or other contraceptives, monitor the hygiene of the external genital organs, especially during menstruation. If an abortion was performed, then the patient needs to undergo a course of therapy for infections.