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Metritis & Perimetritis

Metritis y Def: radang miometrium miometritis y Akuta abortus sepsis atau infeksi post partum y !!bagian dari infeksi yang lebih luas y adanya kerokan pada wanita dengan peradangan endometrium resiko terjadinya metritis akut .

viruses.Metritis involves the endometrium (the lining of the uterus). the underlying glandular tissues and the muscular layers A large number of microorganisms have been implicated as causes of metritis. Bacteria. . fungi and protozoa have been cultured from uteri when metritis has been present.

dapat terjadi perluasan melalui sal.y Patof: reaksi radang berupa pembengkakan dan infiltrasi sel- sel radang pada daerah miometrium yang terpapar agen infeksius.limfe atau terjadi tromboflebitis sehingga dapat memicu .

Sometimes examination with a speculum will reveal a purulent discharge. y Subclinical endometritis is not detectable by rectal palpation. A purulent (contains pus) vaginal discharge may or may not be present. but not always. y Cultures of the uterus may or may not verify a microbial infection. No vaginal discharge is evident. More commonly it occurs in the chronic rather than the acute form.y Clinical metritis may be detected by rectal palpation as an increase in size and thickness of the uterine wall. .

increasing their plasma levels Probenecid .y Terapi: sesuai etiologi agen penyebab infeksius y Antibiotik: ceftriaxone 250 mg IM once as a single dose plus doxycycline 100 mg PO bid for 14 days. Metronidazole can be added if there is evidence or suspicion for vaginitis or gynecologic instrumentation in the past 2-3 weeks y Antivirus y Adjuvan: Uricosuric agents Reduce clearance of some types of antibiotics. with or without metronidazole 500 mg PO bid for 14 days.

.y Surgical Care y Patients who do not improve in 72 hours should be reevaluated for possible laparoscopic or surgical intervention and to reconsider other possible diagnoses. Laparoscopic pelvic lavage. and lysis of adhesions may be necessary. abscess drainage.

SYN: metroperitonitis.Perimetritis y Def: radang serosa yang meliputi uterus. y Perimetritis: Inflammation of the uterus involving the perimetrial covering. -itis. [perimetrium + G. inflammation] y Merupakan bagian dari radang peritoneum pelvik .

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