âļEndometritis āĻŽāĻžāĻ¨ā§ āĻšāĻ˛ uterus āĻāĻ° Endometrium āĻ normal bacterial flora āĻĻā§āĻŦāĻžāĻ°āĻž inflammation āĻšāĻā§āĻžāĨ¤
ââ āĻāĻ˛ā§āĻ¨ āĻāĻŦāĻžāĻ° āĻĻā§āĻā§ āĻāĻ¸āĻŋ āĻā§āĻ¨ āĻšā§ āĻāĻ Endometritis?
âļāĻāĻ° āĻāĻā§ āĻāĻāĻā§ Uterus āĻāĻ° layer āĻā§āĻ˛ā§ āĻā§āĻ¨ā§ āĻ¨ā§āĻāĨ¤ Uterus āĻāĻ° āĻŦāĻžāĻāĻ°ā§ āĻĨā§āĻā§ āĻāĻŋāĻ¤āĻ°ā§āĻ° layer āĻā§āĻ˛ā§ āĻšāĻā§āĻā§ āĻ¯āĻĨāĻžāĻā§āĻ°āĻŽā§-
đ Perimetrium
đ Myometrium
đ Endometrium
āĻ¤āĻžāĻ° āĻŽāĻžāĻ¨ā§ āĻāĻā§āĻŦāĻžāĻ°ā§ āĻāĻŋāĻ¤āĻ°ā§āĻ° layer āĻšāĻā§āĻā§ Endometrium. āĻāĻŦāĻžāĻ° āĻāĻ¸āĻŋ Endometrium āĻ¨āĻŋā§ā§-
â āĻŽā§āĻ˛āĻ¤ Endometrium āĻāĻ° āĻĻā§āĻāĻāĻŋ layer āĻĨāĻžāĻā§-
đFunctional layer⥠āĻāĻ layer āĻ āĻĨāĻžāĻā§ āĻŦāĻŋāĻāĻŋāĻ¨ā§āĻ¨ āĻ°āĻāĻŽ glands & stroma.
đBasal layer⥠āĻāĻ layer āĻāĻž functional layer regenerates āĻāĻ°ā§ menstrual cycle āĻāĻ° āĻ¸āĻŽā§āĨ¤
â āĻāĻāĻ¨ āĻŦāĻ˛āĻŦ āĻāĻŋāĻāĻžāĻŦā§ Endometritis āĻāĻā§-
āĻāĻā§āĻˇā§āĻ¤ā§āĻ°ā§ Bacterial flora āĻŽā§āĻ˛āĻ¤ external genital organ āĻĻāĻŋā§ā§ āĻĒā§āĻ°āĻŦā§āĻļ āĻāĻ°ā§āĨ¤ āĻ¯ā§āĻŽāĻ¨: Vagina, Cervix.
āĻāĻāĻ¨ āĻĒā§āĻ°āĻļā§āĻ¨ āĻšāĻ¤ā§ āĻĒāĻžāĻ°ā§ āĻāĻŋāĻāĻžāĻŦā§ āĻāĻāĻž āĻĻāĻŋā§ā§ Bacterial flora āĻĒā§āĻ°āĻŦā§āĻļ āĻāĻ°āĻŦā§?
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§āĻ°āĻŦā§āĻļā§āĻ° āĻ āĻ¨ā§āĻā§āĻ˛ āĻĒāĻ°āĻŋāĻŦā§āĻļ āĻ¤ā§āĻ°āĻŋ āĻāĻ°ā§ āĻāĻŦāĻ āĻāĻ¤ā§ bacteria uterus āĻāĻ° Endometrium āĻ āĻāĻŋā§ā§ inflammation āĻāĻāĻžā§āĨ¤
đ āĻā§āĻ¨ āĻā§āĻ¨ Outer āĻŦā§āĻ¯āĻžāĻāĻā§āĻ°āĻŋā§āĻž Endometritis āĻāĻāĻžā§?
đChlamydia Trachomatis
đNeisseria Gonorrhoeae
āĻāĻ āĻĻā§āĻāĻŋ Bacteria sexually transmitted āĻšā§āĨ¤
đMycobacterium Tuberculosis- āĻāĻ āĻŦā§āĻ¯āĻžāĻāĻā§āĻ°āĻŋā§āĻžāĻāĻŋ āĻŽā§āĻ˛āĻ¤ āĻāĻŽāĻžāĻĻā§āĻ° lung- āĻ inflammation āĻāĻāĻžā§āĨ¤ āĻ¤āĻŦā§ āĻāĻāĻŋ blood āĻāĻ° āĻŽāĻžāĻ§ā§āĻ¯āĻŽā§ transmitted āĻšā§ā§ uterus āĻ āĻāĻ˛ā§ āĻāĻ¸āĻ¤ā§ āĻĒāĻžāĻ°ā§ āĻāĻŦāĻ Endometritis āĻāĻāĻžāĻ¤ā§ āĻĒāĻžāĻ°ā§āĨ¤
Diagnosis of Endometritis:
đEndometrial biopsy.
đMicroscopic exam.
āĻāĻāĻ¨ Microscopic exam āĻāĻ° āĻŽāĻ§ā§āĻ¯ā§ āĻ°ā§ā§āĻā§:
đĩIn Acute Endometritis:-
âĄEndometrium āĻ Neutrophils āĻĒāĻžāĻā§āĻž āĻ¯āĻžāĻŦā§āĨ¤
đĩIn chronic Endometritis:-
⥠Endometrium āĻ Lymphocytes (plasma cells) āĻĒāĻžāĻā§āĻž āĻ¯āĻžāĻŦā§āĨ¤
đĩIn Tuberculosis:-
âĄEndometrium āĻ granulomas āĻĒāĻžāĻā§āĻž āĻ¯āĻžāĻŦā§āĨ¤āĻāĻā§ Chronic granulomatous endometritis āĻ āĻŦāĻ˛āĻž 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 āĻļāĻžāĻāĻ¨ āĻāĻšāĻŽā§āĻĻ
āĻāĻžāĻ˛āĻžāĻ˛āĻžāĻŦāĻžāĻĻ āĻ°āĻžāĻā§āĻŦ āĻ°āĻžāĻŦā§ā§āĻž āĻŽā§āĻĄāĻŋāĻā§āĻ˛ āĻāĻ˛ā§āĻ
āĻ¸ā§āĻļāĻ¨: ā§¨ā§Ļā§§ā§¯-ā§¨ā§Ļ
āĻĒā§āĻ˛ā§āĻ¯āĻžāĻāĻĢāĻ°ā§āĻŽ āĻāĻāĻžāĻĄā§āĻŽāĻŋāĻ/ āĻ¸ā§āĻŽāĻžāĻā§āĻž āĻāĻāĻŦāĻ° āĻ˛āĻŋāĻ°āĻž