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COMPREHENSIVE TREATMENT OF PATIENTS WITH CHRONIC ENDOMETRITIS
Kurbaniyazova A.Z.
Master's 3nd year. Samarkand State Medical University
Department of Obstetrics and Gynecology 1
https://doi.org/10.5281/zenodo.10535594
Severity
: The chronicity of the disease occurs due to timely treatment of the acute stage of
the disease or premature completion of therapy. The penetration of pathogenic microflora into the
uterine cavity occurs through the vagina. Triggering factors for the development of inflammation:
Childbirth, abortion, gynecological operations; Diagnostic manipulations; Menstruation,
intercourse during menstruation; Infectious processes developing in other organs;
The inflammatory process occurs with periodic exacerbations and remissions. But even
during the clinical course, there are menstrual disorders, pain in the lower abdomen and mucous
discharge. During the chronic process, changes in the structure of the endometrium occur. The
functionality of the inner uterine layer can be restored only with systemic therapy.
The purpose and objectives of the research.
In the chronic stage of the disease, the
symptoms are smooth, so it becomes difficult to diagnose. But the gynecologist's experience,
modern equipment technologies and laboratory tests allow to make an accurate diagnosis.
Research materials and methods.
The use of information diagnostic methods includes
general and biochemical blood tests, general urinalysis, pelvic ultrasound, diagnostic curettage for
bacteriological and pathomorphological examination. A smear and secretion analysis is carried
out, the purpose of which is to determine the type of pathogen.
If the diagnosis is suspected, computer tomography, MRI, hysteroscopy are used and
medical advice is prescribed. After the diagnosis, a complex treatment scheme is prescribed.
Research results:
The goal of treatment is to restore endometrial tissue and a woman's
ability to conceive. Antibiotics are needed to eliminate the infectious process caused by the
introduction of bacterial pathogens. Products with a wide range of effects are used. Complex
therapy of the disease includes the use of anti-inflammatory, antifungal agents and antispasmodics
aimed at eliminating symptoms.
Conclusions
: The disease should be treated for a long time, for example, hormone
treatment with progesterone preparations lasts 6-12 months. Even if the disease disappears after
menopause. In recent years, the use of the intrauterine spiral Mirena in the treatment of
endometriosis has gained popularity, which determines the popular synthetic analogue of
progesterone every day. It will work for 5 years and if necessary, it will be replaced after this
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period. Endometriosis cannot be cured forever, but with the help of this spiral, the disease can be
reversed.
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