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disorders of the uterus (endometriosis (symptoms (dysmenorrhea,…
disorders of the uterus
endometritis
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nursing management
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where hysterectomy is suggested, prepare the patient accordingly
pathophysiology
if micro-organisms gain entry into the uterine cavity, the infection is chronic, the exudate may accumulate from the pus resulting in a perulant maladorious viginal discharge
endometriosis
defination
a benign lesion or lesions with cells similar to the lining the uterus grow abarrantly in the pelvic cavity outside the uterus
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pathophysiology
according to retrograde theory it is thought that the menstrual effluent flows backward through the fallopian tubes into the pelvic cavity. Deposition of endometrial tissue on abdominal scars during laporotomies in the cases where there is existing endometriosis in the pelvic cavity.
nursing management
prescribed analgesics may be given to relieve pain, also oral contraceptives may be administered. Pregnancy may also relieve the symptoms because the is no ovulation.
cancer of the uterus
defination
cancer cells that arise from the endometrium are commonly located in the fundus and corpus of the uterus
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uterine fibriods
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pathophysiology
fibroids begin as a single or multiple seedling in the myometrium and grow gradually over a long period. They may cause pressure in the pelvis resulting in pain, urinary frequency, urgency and costipation. The intramural fibroids may also interfere with uterine contraction resulting in abnormal bleeding during menstruation, this may also lead to anaemia and inability to concieve. Pain may be due to torsion in pedunculated fibroids or degeneration there of.
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surgical management
the large tumours that produce pressure in a patient who still plans to have children may be removed through myomectomy or hysterectomy
uterine prolapse
defination
in this condition the musculature that support the uterus is weak, usually following childbirth, the uterus then protrudes into the vagina pulling some of the vaginal wall, the bladder and rectum with it.
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health information
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encourage to drink a planty of water and eat food thet is rich in proteins and fibre to promote healing and prevent constipation
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