DISEASES OF FEMALE GENITAL ORGANS : ENDOMETRITIS (ENDOMETRITIS) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Etiology. Caused by various pyogenic microbes (strepto-and staphylococci, anaerobes, Escherichia coli, gonococci (see Gonorrhea) that enters the uterus from the vagina or by metastatic in acute infections, mechanical, thermal and chemical stimuli or injuries.
The pathogenesis. Under the influence of microbes or traumatic effects on the uterine mucosa there is an acute inflammatory process. Lesions of the mucous membrane of the uterus depending on the functional disorders, etc., see Metrorrhagia.
Almost constant companion of most inflammatory lesions of the uterus and other reproductive organs. Pain-pull nature of the abdomen; the discharge may be bloody , purulent or Muco-purulent. Uterus is swollen, swollen, painful on palpation. Often fever. General malaise. Disorders of the menstrual cycle. In some cases, infectious etiologies process spontaneously eliminated, in others - captures and muscle layer of the uterus, or the process takes a chronic course and leads to chronic seal and hyperplasia of the uterus.
Complications. The transition of the inflammatory process in the uterus, tubes, peritoneum.
Recognition in acute cases, it is not difficult; in chronic can present certain difficulties. To exclude other diseases of the cervix and its mucous membrane.
In the acute stage of absolute rest, cold on the lower abdomen, penicillin, sulfonamides. When severe pain suppositories of belladonna. Autohemotherapy 7 to 10 ml in two days, 5 - 7 injections. If bleeding is not heavy at elevated temperature and tenderness of the uterus on palpation - quinine 0.2 three times a day, pituitrin 1.0 1 - 2 times a day, cold on the lower abdomen. Intravenous re-infusion of 10% calcium chloride 10 - 15 ml; in severe cases, bleeding - blood transfusion for 75 - 100 ml. Follow the action of the intestine, to exclude intrauterine manipulation. In chronic cases, diathermy, iontophoresis, mineral wax therapy, paraffin therapy, mud therapy. When endometritis or non-traumatic microbial character - treatment of the underlying disease.