Endometritis: zviratidzo uye kurapa. Kuberekwa uye IVF mu endometrium

Muhutano hwemadzimai ekuberekwa kwevakadzi mumakore ekubereka vana, nguva yakawanda ye endometritis inopararira kubva pa3% kusvika ku70%, iyo inokonzerwa nekusiyana kukuru kwehuwandu hwekucherechedza, kuoma kwemaitiro ekudzidzira kwekuongorora, kusiyana kwezvakanyorwa nevarwere uye mashoko akaongororwa. Pasinei nokuwedzerwa kwemasvomisitiri, endometritis, zviratidzo uye kurapa izvo zvingasiyana zvakanyanya zvichienderana nekuratidzwa kwechipatara, vanachiremba vanoita zvinetso nehutachiona uye chirwere chechirwere. Izvi zvinotsanangurwa nehupenyu hwemendometritis mumamiriro emazuva ano: kuwedzera kusagadzikana kwepathogenic microflora kune zvinodhaka, kuchinjwa kwehutano hwehutachiona hwechirwere pamwe nekuwedzera mumararamiro, uye kwenguva refu yekurapa.

Chii chinonzi endometritis muvakadzi?

Endometritis ikiriniki uye morphological syndrome inoratidzirwa nehutano hwekuchinja mu endometrium yezvokuvhiringidza kwakabva, izvo zvinokonzera kukanganisa kwe "kugamuchira" kukwanisa uye kuchinja kwechigadzirwa chemashuga. Chirwere ichi chinotungamirira kukuderera kwekubereka kwevakadzi, kusagadzikana kwekuenda kumwedzi, kusaparara, fetal development anomalies, kutadza. Panguva imwecheteyo, kubudirira kwemakemikari endometrial hakuiti kudarika 60-68%.

Acute endometritis: zviratidzo uye kurapa

Iyo inonyanya kuvhiringidza, iyo isingapfuuri mberi kwechibereko, inokura semugumisiro wekukwira kwemajeri anotapurika pamwe nemugero wechiberekero. Kazhinji kacho, mabhakitiriya anopinda endometrium ane zvinokonzerwa nekuvimbika kwechivharo chemuviri - panguva yekubvisa pamuviri, kuparadzanisa muviri wechibereko uye mutsipa wenyuchi, kuisa chidimbu chinonzi intrauterine nezvimwe zvinopindira.

Zviratidzo zveAtometritis yakaoma:

• kuwedzera kwakanyanya kwekushisa;
• chills, kurwadziwa mucheche pasi;
• chimiro che purulent chinoparadzaniswa kubva pamagwatiro ekubereka.

Kuongorora zviyero:

• kuunganidzwa kweamamnesis (kusavapo / kuvapo kwe intrauterine intervention, necrosis yehutu hwemukati);
• kuongorora gynecological (kunoratidza uterus yakawedzerwa);
• tsvakurudzo yebhakitiriya (inotarisa michero yemidziyo yemagetsi);
• Ultrasound yenhengo dzomukati;
• laparoscopy (inoita kuti zvikwanise kuongorongedza zvinyorwa, kusabvisa mamwe maitiro ekuvhiya);
• endometrial biopsy.

Kurapa uye kufungidzira

Acute endometritis inotoda antibiotics. Izvo zvinopisa zvinokonzera kubhedha kwepamusoro ye endometrium nekuda kwehutachiona husina maturo / mamwe majekiseni. Zvidziviriro zvigadzirwa zve endometrium zvakanyatsobatana nemigumisiro yehomoni dzepabonde, "shandisa" pamwe chete nehuwandu hwemasero anorega kupisa zvisikwa zvinokuvadza. Nekutanga kwekuenda kumwedzi, chigadziro ichi chinonyangarika, chinoita kuti hutachiona hwemukati huve nyore. Chirongwa ichi chinosanganisira antibiotic therapy uye physiotherapy. Kufanirwa kwakanaka kunofadza: nekurapa kwakakwana uye panguva yakakodzera, kugadzirisa zvizere kunoitika mumazuva 7-10.

Chronic endometritis: zviratidzo uye kurapa

Chronic endometritis chirwere umo, nemhaka yezvirwere zvepamuviri zvinopfurikidza zve endometrium, zvigadziridzo zvechipiri zvinoshanduka zvinoitika zvinokanganisa mamiriro ekugamuchira uye kuchinja kwemuviri weutterine. Muzvikamu makumi mapfumbamwe nezviviri zvezvikamu, ChE inofanirwa, inokonzerwa ne microorganisms, inotapurirana zvepabonde, uye inopera mushure mekunyengera kweprauterine. Muchikamu che5 kubva muzana, ChE inokura pamusana pehutachiona neine lymphogenic, hematogenic, ichibvira nzira kubva kune dzimwe mbanje. Isolate nonspecific uye yakananga, inokonzerwa ne mycoplasmas, fungi, mabhakitiriya, mavairasi, asingagumi endometritis.

Endometrite yechipupuriro - zvinokonzera zvikonzero:

• kuderedza kuzvidzivirira kwemuviri kwemuviri;
• mamiriro ehupenyu asingagutsikani, tsika dzakaipa, kusagadzikana;
• Zvirwere zvinotapukira-zvinopisa;
• neuroendocrine pathologies, arterial hypertension;
• chirwere chinoputira chirwere;
• autoimmune kusagadzikana, zvirwere, zvirwere, anemia, zvirwere zvechirwerepulmonary;
• zvirwere zvekuberekwa kwevakadzi;
• kushandiswa kwenguva refu ye intrauterine midzimu, kuendeswa kune chikamu chekusiya;
• nhamba yakawanda yezvipindiro zvekushandisa muuterine cavity;
• matambudziko mushure mekusununguka / kutakura mitezo yehutachiona-hunopisa;
• zvipembenene zvemuviri wemukirini / mukadzi;
• Radiation therapy munzvimbo yakasvibira.

Zviratidzo zvekusingaperi endometritis:

• kukanganisa kwemwedzi. Kuvapo kwechirwere chinoramba chichivhiringidza mumatombo maduku kunokonzera kusagadzikana kwekuenda kumwedzi muna 50-60% yevarwere - izvi zvinoratidzwa ne amenorrhea, algodismenorei, oligomenorrhea. Zvinonyanya kunetseka ndezvekupindirana uye kufambidzana kunowanikwa, kunowedzera mwedzi, kupfurikidza kurwadziwa kwepilvic;
• kurwadziwa kwepamuviri, uterine kubuda ropa kusina kuchena;
• kuvhiringidzwa kwekushanda kwebhuku remimba. Kushungurudzika panguva yekufamba kwemuviri, kubatwa, kubvongodza, kugadzikana, kuderedza chido;
• mafungiro-akafanana nemamiriro ezvinhu. Fivhiri, fivha, muviri aches, general malaise.

Chronic endometritis: zviratidzo uye kurapa, kuongororwa

Kuongororwa kwekusingaperi endometritis kunobva pakuongorora kwenyaya yemurwere, kliniki zviratidzo, morphological kudzidza ye endometrium, iyo inoitwa musi we7-10 wekufamba.

Zvinokonzerwa ne morphological diagnosis yekusingaperi endometritis:

• kuvhiringidza kunopinda, izvo zvinoumba zvinhu zvinokonzera lymphoid zviri pedyo nemidziyo yeropa uye gland, zvishoma nezvishoma zvakasiyana. Mukuonekwa, foci yakafanana follicles uye inowanikwa munzvimbo dzose dzebasa rinoshanda;
• kuvapo kwema cell plasma;
• chinangwa chisina kujeka che stroma, chakaumbwa nekanguva refu yekuvhiringidza, mune dzimwe nguva, nzvimbo dzinofadza nzvimbo huru;
• kuparara kwemasimba emadziro emagetsi emagetsi emuviri unooneka mushure mekuguma kwezviratidzo zvakasimba uye kupfuurira kwenguva refu kupera kwe endometritis.

Kuchengetwa kwetsika

Nzira yegoridhe mukurapwa kweCE inzira inotsika-nhanho inotarirwa kubvisa zvinokonzera kupisa uye kubvisa migumisiro yekuvhiringidza, kusanganisira kubviswa kwezvipembenene ischemia, kuparara kwechipiri, kubviswa patsva kwezvinhu zvinogadziriswa uye mishonga yehumodynamics yemo ye endometrium. Chirongwa chakakomba chinofanira kunge chichigadziriswa uye chichigadziriswa etiologically chakanaka uye chichibva pamigumisiro yekuongorora kwakakwana.

Matanho ekurapa CHE:

1. Kugadziriswa kwemugadziri anokuvadza kana kuderera muitiro wehutachiona. Mishonga inorwisa mishonga inofanirwa kumira inofanira kuva nechokwadi chokuti kubviswa kwezvirwere zvakasiyana-siyana zvepathogenic, kusanganisira trichomonads, chlamydia, streptococci, gonococci, uye virusi. Mune zvimwe zviitiko, vanachiremba vanorayira zvidzidzo zvakasiyana-siyana pamwe nekuchinja kwemishonga yemishonga, kusarudzwa kwaro kunoenderana nemigumisiro ye microbiological kuongororwa kwebumbiro reuterine nemadzimai, danho rekuvhiringidza uye zvikamu zvechipatara chinyorwa. Mukufananidza, kururamiswa kwekukundikana kwezvirwere kunopedzwa.

   Zvinodhaka: kusanganiswa kwe nitroimidazoles (Metronidazole, Ornidazole) uye fluoroquinolones (Ciprofloxacin, Ofloxacin, Levofloxacin), kusanganiswa kwepenicillin yakachengetedzwa ne macrolides (Spiramycin, Roxithromycin). Kana utachiona huripo, nucleoside analogues inoshandiswa (Valtrex, Acyclovir).

2. Kugadziriswa kwemaitiro anonzi morphofunctional endometrium uye kubviswa kwemigumisiro yezvirwere zvepachiviridzo: kudzorerwa kwemasabolism, basa uye hemodynamics yezvinyama zvinogamuchirwa. Varwere vane kukanganisa kwakajeka kwekuberekwa kwevakawanda vanowedzera kugoverwa sendima hormone therapy, iyo yakagadzirirwa kuwedzera mikana yekugadziriswa.

   Kugadzirira: zvinodhaka zvemishonga (Actovegin)

3. Physiotherapy: magnetotherapy, electropulse therapy.

   Nzira huru yekugadzirisa kurapwa: kuwedzerwa kukuru kwebasa rehutachiona hunotapukira, rubatsiro rwekurapa kwezvirwere zvechirwere, kudzorerwa kwemaitiro ekunyora uye morphological chimiro chemuviri, kuberekwa patsva kwekubereka.

Makese neCE

Makese ekurapwa kwekusingaperi endometritis anoshandiswa seimwe mishonga yemunharaunda yepamunharaunda kuti ibudirire kukurumidza kupora. Dzinodzivirira vaginal kusvibiswa nehutachiona hwehutachiona hunotarisana nenzvimbo yekutora mishonga inorwisa mabhakitiriya, usabvumira kukura kwezvipingamupinyi zvakakomba uye kukuvadza kwechipiri kumuberekwa nemaabhakitiriya kubva kumadzimai ekudzivirira.

Mune mamiriro ezvinhu ma makhandisi anoshandiswa:

• yakaoma endometritis, iyo inofambidzana nemukati dysbiosis;
• kuputika kwechirwere chepachiviri / mukadzi;
• chisingagumi endometritis;
• kunamatira mu uterine cavity / cavity yemadutu maduku.

Zvinyorwa zveve vaginal suppositories:

• kusanganiswa. Iine: Neomycin (aminoglycoside antibiotic), Ternidazole (antimicrobial drug), Prednisolone (glucocorticoid agent), Nystatin (drug antifungal);
• ane antiseptic. Makhanduru ane betadine (iodine-ane agent) uye chlorhexidine (antiseptic);
• nemiti yemishonga. Iva kunyaradza, kuporesa, antimicrobial, anti-inflammatory effect.

Vaginal suppositories haigoni kufungidzirwa kuti ndiyo nzira huru yekurapa kwe CHE. Ivape ivo chete muongorori, vachifunga nezvenhandare, kliniki yemifananidzo uye hupenyu hwakanaka hwemukadzi. Nguva yakatarwa yekurapa namakenduru mazuva gumi nemaviri.

Postpartum endometritis: zviratidzo uye kurapa

Postpartum endometritis iko kuputika kweukterine mucosa inoitika mushure mokuberekwa. Muna 10-12% yezviitiko zvinokonzera kupisa zvinoshanduka zvichienda kune muscular cherechedzo yechibereko, zvichikonzera kukura kwe endomyometritis. PE inowanikwa kazhinji-inokonzerwa nehuwandu hwezvinhu: kushandiswa kwakapararira kwemaitiro ekudzidzira kushaya simba, kuwedzerwa kwemaitiro ezvokuvhiya panguva yekubereka, kuunganidza mishonga inorwisa mabhakitiriya inogadziriswa yezvipembenene mune zvipatara, kushandiswa kwe corticosteroids iyo inoratidzwa nemaitiro epunosuppressive. Akave nekuchinja kwakasimba uye chiitiko chevakadzi vechidiki - nhasi vakadzi vane marudzi akasiyana-siyana ekushaya vana, nehutachiona husina simba, shure kwekucheneswa kwemashure, uye vane hutachiona hwehutachiwana, avo vari pamwero wakawanda wekutambudzwa kwepabonde, vanowanzo.

Endometritis mushure mekuberekwa - zviratidzo

Pazuva 5-10 mushure mokuberekwa, kutonhora kunokwira kusvika 38-39 digrii, simba rakasimba rinotanga, kupisa kunowedzera kusvika 85-100 kurohwa paminiti. Muropa, nhamba ye leukocyte uye chiyero che erythrocyte sedimentation inowedzera, uterine kuora uye kuonekwa kunogadziriswa. Yakanyanya endometritis "inotanga" pazuva 2-3 shure kwokuberekwa. Muna 25% yezviitiko zvinowedzera mushure mekunge chikamu chechivharo kana basa rakaoma. Kushaya simba, kuora musoro, kurwadziwa mumimba, anorexia, chills, tachycardia, high fever (inopfuura 39 degrees) inoonekwa. Mushure memazuva maviri, uterine secretions inova purulent. Postpartum endometritis inowanzoomeswa nemukumbo paresis, iyo inotungamirira kupinda kwema microbes kupinda muvhisi ye peritoneal uye peritonitis.

Mushonga we postpartum endometritis

Chirapa yePA inofanira kuva yakazara, inoshandiswa pakuona kwekuvhiringidzika kwekutsvaira, kusagadzikana kwemajeri anotapukisa, kushandiswa kwezvidziviriro zvemuviri uye kubvisa. Maitiro ehutano ndeyekudzorerazve, antibacterial, infusion (intravenous infusion) therapy, kushandiswa kwemishonga inoderedza chibereko. Dzimwe nguva kurapwa kwechibereko kunoratidzwa, maitiro akakomba e endometritis anoda kushandiswa kwe plasmapheresis - kubviswa kwezvinhu zvisingawanzoitiki zveplasma yeropa, microbes, chepfu, cryoglobulins. Kubudirira kwerapi inofungidzirwa pazuva rechinomwe, pasina kusangana kwakanaka, mubvunzo wokubvisa chibereko chinogadziriswa.

Kurapa kwe endometritis nemishonga yevanhu

Nzira dzechirwere dzokurapa endometritis dzakanyatsoshanda, kana ukazvishandura mushure mekutaurirana chiremba uyo achasarudza zvakanakisisa kusanganiswa kwepiritsi nemishonga yevanhu.

1. Kuvhirwa kwebhu. Tora kikapu chevhu rakapwanyika mashizha, udira madirimita 250 emvura inodzika, unomira maawa 12-14. Itai kuti kuvharwa kuve nemota, kubvisa kubva pakupisa, kusimbisa maminitsi gumi nemashanu, kunyatsotarisa. Shandisa katatu pazuva pamamiriyoni zana. Nokudavira, unogona kuwedzera shuga kana uchi. Contraindications: kusagamuchirwa kwega, kushaya ropa, kuberekwa.

2. Akaunganidza herbs. Mishonga yemishonga inoparadza utachiona, kudzorera kuvimbika kwemucosa, rega kugadzirisa chirongwa ichi:

   • valerian root, yarrow, mint, heather maruva, birch mashizha, buckthorn bark, macheri machizha;
   • mashizha ehosi, valerian midzi, mint mashizha, buckthorn bark;
   • uswa mumunda, mishonga tansy, licorice root, aira.
3. Mucheka wechechi yaSt. John. Tora kikapu yakakura yemiriwo, shandisa girazi remvura inopisa, kupisa moto, svetera kwemaminetsi gumi nemaminetsi makumi maviri nemashanu, kubva. Inwa muto katatu pazuva pazuva 50 milliliters panenge isina chinhu.

4. Kusanganiswa kwefern. Tapepoon mashizha emufern (akapwanyika) akavhara 250 milliliters emvura inodziya, kusimbisa maminitsi gumi nemashanu, kudhonza. Idya 50-70 millilitres kanomwe pazuva musati wadya. Nzira yekurapa mazuva 14-21.

5. Tampons ne antibacterial action:

   • uye garlic. Kupesana nekuputika uye utachiona. Edzai clove yegoriki, turai munzvimbo 2-3, yakanyorova mumafuta emichero, yakaputirwa mujerize, inopinda mumudzimai kwemaawa 10-12;
   • uye gungwa buckthorn mafuta. Accelerate mucosal healing;
   • pamwe nemunda. Soothe uye vabatsire kuporesa kwechibereko chemukati. Shambai mashizha matsva emuganda, gaya, sanganidza mafuta. Dzorera musanganiswa unogadzirwa mujaize, uise mumudzimai kwemaawa 10-12.

Endometritis uye endometriosis: chii chakasiyana?

Pasinei nemazita akafanana, endometriosis uye endometritis zvirwere zvakasiyana zvachose. Nezvakanaka zvayo, endometriosis yakafanana nemasikirwo akaipa, haina hukama nehuputi hwezvirwere zvekuzivikanwa kwemumunyo etiology mu endometrium, yakasiyana navo nekliniki uye laboratory-diagnostic data.

Kusiyana kukuru

Endometriosis - kuumbwa kwebhendi nodes, yakafanana mukugadzirisa ku uterine mucosa. Mishonga inogadzira pamusana pekusava nemhuka kwehomoni, inowanikwa munharaunda yepilvic - kubva muchibereko uye mavhapiti kusvika kumukaka uye mumukaka. Iyo pathogenesis yechirwere haisi kunyatsonzwisiswa, vanachiremba vanotenda kuti endometriosis inoshaya muzvirwere zvemuviri. Nemhaka yehutano hwekudzivirira muviri, endometrium inonda. Endometritis inzira yekuvhiringidza ye uterine membrane yemuviri unotapukira, zvichiita kuti endometrial hyperplasia.

General picture

Munguva yokuenda kumwedzi ne endometriosis, iyo inowanzo mucous membrane inorambwa, neropa rinoyerera masero ekupedzisira endometrial anopinda zvakare mu fallopian tubes, agadzirisa uye anotanga kuparadzanisa, "kuvaka" mutsva mutsva uri pedyo nekugadzirisa kusvika kune endometrium. Node inoumbwa - endometriosis iri kufambira mberi. Kuita kwehutachiona hunoita kuti mamiriro acho avepo: nhamba ye node inokura mukufambira mberi kweiometri, kubwinya kwe endometrium kunonyunguduka. Ne endometritis, pamusana pekuwedzera kukuru muhupamhi hwehutachiona hwehutachiona, kutengesa kwekuenda kwemwedzi kunogumburwa. Iko shell yakafuridzirwa uye yakadzoserwa muzvikamu, uye kubuda kwechiropa nguva dzose.

Matambudziko

Endometritis: chinangwa chekuvhiringidza chisingaverengi kubvira kwemazuva ose kuiswa kwembryo mu endometrium.

Endometriosis: endometrium isina simba inorasikirwa nekwanisi yekuisa mucheche mukati mayo woga. Yakapararira kumativi ose eplavic, node dzinoratidza kugadzirira "kutora" fetus, iyo inotungamirira ku kusaenzana kwakakwana mumitemo yemuviri.

Ndinokwanisa here kutora pamuviri we endometrium?

Pakati pevakadzi vane endometritis, 97% ivakadzi / vasikana vezera rekubereka vanongobatsira chete kuratidza kukosha kwechirwere maererano nemigumisiro yaro kubereka. Kutora pamuviri kunokwanisika ne endometrium here? Zvinyorwa, hongu. Kunzwisiswa kwe endometrium uye mabasa ekuberekorora zvakachengetedzwa pachikamu chekutanga chechirwere ichi nekuda kwekuvapo kwezvipo zvekubhadhara, zvinobudirira izvo zvakananga zvichienderana nebasa revarwere vanopfurikidza, hutachiona hwehutachiona, uye kukwana kwehutachiona hwehutachiona.

Chronic endometritis uye IVF

Maererano neWIV, kuwandisa kwemhuri dzisingabatsiri munyika yedu kune chimiro chakajeka chokuwedzera, izvo zvinoita kuti kuwedzerwa kwehuwandu huripo huripo huripo huripo hwekuberekwa. Zvinosuruvarisa, chiyero chekusava nekugadzirisa kwema embryo kunonyanya kukwirira - pamwero wekuti 50-60%. Chimwe chezvikonzero chikuru zvekukundikana kwezvirongwa zveVIV ndechirwere chendemetrium, endometritis kusanganisira. Kuramba kwenguva refu uye kazhinji kusingagadziri (kutsva) kwemavirusi uye mabhakitiriya mu endometrium kunokonzera kukuvadza kwakanyanya kwechimiro chemashuga, kudzivirira kuiswa zvakanaka kwepachiviri uye kuiswa kwemazamu. Kurwisana kwekuchinja kwechiganda uye kupararira (kuberekwa patsva) kwe endometrium kunoderedza kuwandisa kwekugadzirisa kubudirira uye kunoderedza kubudirira kweVIV sezvakazara.

Zvinokonzera kusabereka mu endometrium:

• kukanganisa kumabasa ekugamuchira chibereko nechisimba chekuona kwakanaka kwekuita kwehomoni;
• kudarika chimiro chechimiro che isradiol, iyo ine simba rakaipa pamabasa emujenya mukati yechikamu chechipiri chekufamba;
• kukanganisa kwemidziyo midzi isina kuve nokuita pamuviri-zvakanetsa kunetseka;
• kukanganisa kwemazuva ose kubuda ropa mukati mechibereko;
• kukurudzirwa mu uterine cavity yekubatanidza kunovhiringidza nzira yekuiswa kweoocyte;
• autoimmune kuparadzwa kwepermatozoa yakabatwa mu uterine cavity;
• kuchinja kwehutachiona hwehutoripian tubes nekuda kwekufamba kwechirwere kune nhengo dzomukati.

Dambudziko guru ndiro CHE, sezvo rinopfurikidza nechirwere chemakiriniki asina kunaka. Mumuviri wakaoma endometritis, mukadzi anonetseka pamusoro pezviratidzo zvakaratidzwa zvakajeka izvo zvinoita kuti asvikire kune vanachiremba. Mukuwedzera, kuita kwakanyanyisa, kusiyana nekusingaperi, kunobatsira zviri nani kurapwa.

Purogiramu yekutanga-IVF yekuongorora

Varwere vane kukanganisa / kukanganisa kwekuberekwa kwemazamu mumagariro avo ezvokurapa vanofanira kugoverwa preprevid (kugadzirira kwekuita pamuviri), iyo inosanganisira kudzivirira, kuongorora uye nzira dzokurapa. Mushure mekugadzirira kwekugadzirisa masikati, kubudirira kwekutanga kokuedza kweVIVF kupikisana nechekupedzisira kwe endometritis kune 45-50% paavhareji.

Zvikamu zvekuongorora:

• Ultrasound ye uterus / appendages, bacteriological kuongorora aspirate kubva muuterine cavity uye kuparadzaniswa kubva mumuviri wemukati;
• dopplerometric test of appendages uye chiberekero nechisarudzo chekuyerera kweropa munharaunda;
• kuongorora kwemuviri wemuviri;
• kutsunga kwemazinga ehomoni ye pituitary gland, thyroid gland; sex hormones;
• morphological kuongorora kwebiopsy zvinhu zvekuregererwa kwehutachiona.

Zviratidzo zveVIV mune endometrium

1. Hormonal support for 3-5 months. Kugadzirira kunosarudzwa kutora nhoroondo yedare laboratory uye makore emukadzi. Iyo inobvumira kubatanidza kunzwisiswa kweukterine receptors kune hormonal effects:

   • vakadzi vane hutano hwakakwana hwe endometrium (8 mamita mamita kana kupfuura) uye mararamiro anowanzobuda mumasaltari ari pasi anorayirwa Dydrogesterone mukati, 10 mg kaviri pazuva. Kurapa nzira - mazuva gumi (kubva pamasere kusvika pamakumi maviri nemashanu);
   • Varwere vane uwandu hwemapetometri hwakaderedzwa vanorayirirwa Femiston pamapiritsi kamwechete pazuva (28 mazuva course) kana mufambiro wechipatara inonzi hormones (Estradiol + Dydrogesterone);
   • vakadzi vane nhoroondo yekubatanidzwa kwekuderera kweropa kuyerera mumidziyo pamwe nekuderera kwehupamhi hwe endometrium, sarudza chirongwa chemagetsi uye imwe nzira yekugadzirisa.

2. Kuvimbiswa kukanganisa kwekuyerera kweropa kunodikanwa nehana yakakodzera ne anticoagulants, antiplatelet agents uye phlebotonic agents.
3. Muhupo hwepathogenic flora mumuberekwa inoronga maitiro antiviral uye antibacterial drugs.
4. Nekukanganisa mukushanda kwezvirwere zvemuviri, immunomodulatory therapy inoitwa.
5. Ipa physiotherapy nzira dzinoita kuti ropa riyerere uye kuwedzera hutachiona hwemukati.

Endometritis, zviratidzo uye kurapwa izvo zvinowanzoenderana nekuoma kwechirwere chechipatara - chirwere chakakomba uye chinonyangadza, chinotungamirira mukusaziva uye kupererwa kwemimba. Kuongorora kwenguva pfupi, chirongwa chisina kukodzera chirwere chinogona kutungamirira pakuonekwa kwemaitiro akawandisa ehutachiona, saka paanotanga zviratidzo zvekukurumidza anofanira kuonana nachiremba uye kutanga chirongwa cherapi.