âļEndometritis āĻŽāĻžāύ⧠āĻšāϞ uterus āĻāϰ Endometrium āĻ normal bacterial flora āĻĻā§āĻŦāĻžāϰāĻž inflammation āĻšāĻā§āĻžāĨ¤

ââ āĻāϞā§āύ āĻāĻŦāĻžāϰ āĻĻā§āĻā§ āĻāϏāĻŋ āĻā§āύ āĻšā§ āĻāĻ Endometritis?
âļāĻāϰ āĻāĻā§ āĻāĻāĻā§ Uterus āĻāϰ layer āĻā§āϞ⧠āĻā§āύ⧠āύā§āĻāĨ¤ Uterus āĻāϰ āĻŦāĻžāĻāϰ⧠āĻĨā§āĻā§ āĻāĻŋāϤāϰā§āϰ layer āĻā§āϞ⧠āĻšāĻā§āĻā§ āϝāĻĨāĻžāĻā§āϰāĻŽā§-
đ Perimetrium
đ Myometrium
đ Endometrium

āϤāĻžāϰ āĻŽāĻžāύ⧠āĻāĻā§āĻŦāĻžāϰ⧠āĻāĻŋāϤāϰā§āϰ layer āĻšāĻā§āĻā§ Endometrium. āĻāĻŦāĻžāϰ āĻāϏāĻŋ Endometrium āύāĻŋā§ā§-
â āĻŽā§āϞāϤ Endometrium āĻāϰ āĻĻā§āĻāĻāĻŋ layer āĻĨāĻžāĻā§-
đFunctional layer⥠āĻāĻ layer āĻ āĻĨāĻžāĻā§ āĻŦāĻŋāĻāĻŋāύā§āύ āϰāĻāĻŽ glands & stroma.
đBasal layer⥠āĻāĻ layer āĻāĻž functional layer regenerates āĻāϰ⧠menstrual cycle āĻāϰ āϏāĻŽā§āĨ¤
â āĻāĻāύ āĻŦāϞāĻŦ āĻāĻŋāĻāĻžāĻŦā§ Endometritis āĻāĻā§-
āĻāĻā§āώā§āϤā§āϰ⧠Bacterial flora āĻŽā§āϞāϤ external genital organ āĻĻāĻŋā§ā§ āĻĒā§āϰāĻŦā§āĻļ āĻāϰā§āĨ¤ āϝā§āĻŽāύ: Vagina, Cervix.
āĻāĻāύ āĻĒā§āϰāĻļā§āύ āĻšāϤ⧠āĻĒāĻžāϰ⧠āĻāĻŋāĻāĻžāĻŦā§ āĻāĻāĻž āĻĻāĻŋā§ā§ Bacterial flora āĻĒā§āϰāĻŦā§āĻļ āĻāϰāĻŦā§?
1) Retention of product of conception:
⥠Placental or fetal tissues following delivery or abortion.
2) Intrauterine Contraceptive device.
āĻāĻ āĻĻā§āĻāĻāĻž Condition āĻ bacteria āĻĒā§āϰāĻŦā§āĻļā§āϰ āĻ āύā§āĻā§āϞ āĻĒāϰāĻŋāĻŦā§āĻļ āϤā§āϰāĻŋ āĻāϰ⧠āĻāĻŦāĻ āĻāϤ⧠bacteria uterus āĻāϰ Endometrium āĻ āĻāĻŋā§ā§ inflammation āĻāĻāĻžā§āĨ¤
đ āĻā§āύ āĻā§āύ Outer āĻŦā§āϝāĻžāĻāĻā§āϰāĻŋā§āĻž Endometritis āĻāĻāĻžā§?
đChlamydia Trachomatis
đNeisseria Gonorrhoeae
āĻāĻ āĻĻā§āĻāĻŋ Bacteria sexually transmitted āĻšā§āĨ¤
đMycobacterium Tuberculosis- āĻāĻ āĻŦā§āϝāĻžāĻāĻā§āϰāĻŋā§āĻžāĻāĻŋ āĻŽā§āϞāϤ āĻāĻŽāĻžāĻĻā§āϰ lung- āĻ inflammation āĻāĻāĻžā§āĨ¤ āϤāĻŦā§ āĻāĻāĻŋ blood āĻāϰ āĻŽāĻžāϧā§āϝāĻŽā§ transmitted āĻšā§ā§ uterus āĻ āĻāϞ⧠āĻāϏāϤ⧠āĻĒāĻžāϰ⧠āĻāĻŦāĻ Endometritis āĻāĻāĻžāϤ⧠āĻĒāĻžāϰā§āĨ¤
Diagnosis of Endometritis:
đEndometrial biopsy.
đMicroscopic exam.
āĻāĻāύ Microscopic exam āĻāϰ āĻŽāϧā§āϝ⧠āϰā§ā§āĻā§:
đĩIn Acute Endometritis:-
âĄEndometrium āĻ Neutrophils āĻĒāĻžāĻā§āĻž āϝāĻžāĻŦā§āĨ¤
đĩIn chronic Endometritis:-
⥠Endometrium āĻ Lymphocytes (plasma cells) āĻĒāĻžāĻā§āĻž āϝāĻžāĻŦā§āĨ¤
đĩIn Tuberculosis:-
âĄEndometrium āĻ granulomas āĻĒāĻžāĻā§āĻž āϝāĻžāĻŦā§āĨ¤āĻāĻā§ Chronic granulomatous endometritis āĻ āĻŦāϞāĻž āĻšā§āĨ¤
đēSymptoms:
â
In Acute Endometritis:
⥠Fever
⥠Abnormal uterine bleeding
⥠Lower abdominal pain
⥠Dysuria
⥠Dyspareunia
â
In Chronic Endometritis:
⥠No symptoms
⥠Normal physiological exam
⥠Some similar symptoms to acute
endometritis
đđTreatment:
đ Antibiotics.
āĻŽā§āĻ āĻļāĻžāĻāύ āĻāĻšāĻŽā§āĻĻ
āĻāĻžāϞāĻžāϞāĻžāĻŦāĻžāĻĻ āϰāĻžāĻā§āĻŦ āϰāĻžāĻŦā§ā§āĻž āĻŽā§āĻĄāĻŋāĻā§āϞ āĻāϞā§āĻ
āϏā§āĻļāύ: ⧍ā§Ļ⧧⧝-⧍ā§Ļ
āĻĒā§āϞā§āϝāĻžāĻāĻĢāϰā§āĻŽ āĻāĻāĻžāĻĄā§āĻŽāĻŋāĻ/ āϏā§āĻŽāĻžāĻā§āĻž āĻāĻāĻŦāϰ āϞāĻŋāϰāĻž