Ukuqonda izifo ezithintekayo zezifo, izizathu, kunye neZonyango
Sibanzi
Isifo sokuvuvukala se-pelvic (PID) sisifo sobungozi bokuzala, okwenzekayo xa iibhaktheriya zihamba kwi-cervix ukuya kwiibhubhu ze-uterus ne-fallopian tubes. I-PID ingabangela ukungabikho komzimba , ukukhulelwa kwe-ectopic , ubuhlungu obungapheliyo be-pelvic, i-tubal okanye i-ovarian abscesses, ukubambisana , i-peritonitis (ukusuleleka kwilinen enjengesilika ehlanganisa izitho zangasese) kunye ne-perihepatitis (ukuvuvukala kwesambatho sesibindi).
Kwiimeko ezinqabileyo, ezinzima, i-PID engaphendulwanga ingakhokelela ekufeni.
Izifo ezivuthayo ze-pelvic ziba nzima (ezibhekiselele kwiimpawu ezinqabileyo, ezinzima), ezingapheliyo (ixesha elide kunye neempawu ezincinci) okanye ukuthula (akukho mpawu.)
Nge-PID, ubukho okanye ukungabi naso kweempawu azibonakali ukuba umonakalo omkhulu owenzela izitho zokuzala. Kunokwenzeka ukuba ungenayo impawu kwaye ube nemingcipheko enzulu kunye nokuthobela, okukhokelela ekungabikho komntwana. Abanye besetyhini baya kubona kuphela ukuba bane-PID emva kokuzama ukukhulelwa bengaphumeleli okanye emva kokufumana ukukhulelwa kwe-ectopic.
Ngokutsho kwamaziko e-US for Control and Prevention of the Diseases, abafazi abangaphezu kwe-750,000 bafumana isiqhelo se-PID enyaka ngamnye. Kuze kube ngu-300 000 kwaba bafazi babhedlele kwizibhedlele zePID. Ngenxa yokuba ezininzi iimeko ze-PID zithe cwaka kwaye azibandakanyi iimpawu, kwaye i-PID idla ngokungekho okanye ingafumaneki, inani langempela lamatyala e-PID liphezulu.
Izizathu
I-PID ibangelwa zizifo ezithathelwana ngesondo (STDs).
Izizathu eziqhelekileyo ziquka i-chlamydia kunye ne-gonorrhea. I-Chlamydia yimbangela eqhelekileyo ye-PID eyicala, oku kuthetha ukuba abaninzi abafazi abazi ukuba banesifo.
Ukuba unayo i-STD engafumanekiyo, umngcipheko we-PID uphezulu naluphi na ixesha umlomo wesibeleko uvulekileyo kwaye usulelo luyakwazi ukungena kwisibeletho. Unomngcipheko ophezulu we-PID emva kokubeleka, ukukhulelwa kwesisu, ukukhupha isisu, i-endometrial biopsy, i-IUD ingeniso, i- HSG kunye ne-hysteroscopy, kunye nokuchithwa kokufakelwa .
Nangona ukusuleleka kweplavic kungabangela ibhaktheriya ngaphandle kwe-STD, oku kubizwa ngokuba yi-PID. Iimpawu kunye nonyango, nangona kunjalo, zinokufana.
Ubangela Njani Ukungabi Naluphiko?
Kuphakathi kwe-10% kunye ne-15% yabasetyhini abane-PID enzima abayiyo. Ukuba ibhinqa linamaqela amaninzi e-PID ekhangayo, umngcipheko wakhe wokukhula kokungakhulelwa.
Isizathu esona siqhelekileyo se-PID-infertility ehlobene ne- blocked fallopian tubes . Iibhubhu zivaliwe ngokubambisana okubangelwa ukuvuvukala, kwaye ukucinywa kubonakala kufutshane nakwii-ovari kune-uterus. Xa ukucinywa kufutshane nama-ovari, kunzima ukunyanga.
I-PID ingabangela i-hydrosalpinx. Oku kwenzeka xa ityhubhu ivinjiwe kufuphi ne-ovary ize iyancipha kwaye igcwalise ngamanzi. Ukuba khona kwe-hydrosalpinx kunokunciphisa amathuba okufumana unyango oluphumelelayo lwe- IVF .
Ukukhulelwa kwe-Ectopic nako kunokubangelwa umonakalo ohlobene ne-PID. Ukuba utyunjwa ukulungisa umonakalo we-tubal obangelwa yi-PID, umngcipheko wokukhulelwa kwe-ectopic uya kuba ngaphezulu.
Kwiimeko ezinqabileyo, ukutheleleka ngokukodwa kukukhokelela kwi-hysterectomy engxamisekileyo.
Kwixesha elidlulileyo, abanye oogqirha baphatha i-PID engapheliyo nge-hysterectomy, kodwa oku kusetyenziswa ngaphantsi nangaphantsi. Ukuba ugqirha wakho ubonisa i-hysterectomy njengonyango lwe-PID engapheliyo, unokufuna ukufumana umbono wesibini ngaphambi kokuba wenze isigqibo esichaphazela kakhulu inzala yakho yokuzala.
Bona okungakumbi malunga nale nto ngezantsi, phantsi kweZonyango zePID.
Iimpawu
Izibonakaliso zezifo ezivuthayo zeplavic zihluke kumntu kumntu, kuxhomekeka ukuba ngaba abanalo okanye bangenayo i-PID engapheliyo okanye engapheliyo.
Iimpawu eziqhelekileyo zePID yintlungu ye-pelvic. Ezinye iimpawu ziquka ubuhlungu be-pelvic ngexesha lokulala, iintlungu ezisezantsi, ukuphuma kwexesha lokungena kwexesha, ukungcola kwamanzi, ukungcola, iimpawu ezifana nomkhuhlane, umkhuhlane, ukubola, ubuthathaka okanye i-lymph nodes; ukungabi nesidlo, isifo sohudo kunye nokuhlanza, kunye nokungabikho komntwana.
Uninzi lweempawu lungaphoswa ezinye izifo, kubandakanywa i-appendicitis, endometriosis okanye ukusuleleka kwe-urinary tract tract.
Kubalulekile ukuba ube phambili kunye nogqirha wakho ukuba unokukrokrela ukuba unesivumelwano se-STD okanye uneminye yemingcipheko ye-PID, njengokwehla kwesisu, ukubeletha, ukukhipha isisu okanye ukufakwa kwe-IUD.
Akuqhelekanga kwi-PID engapheliyo ukuba ingafunyanwanga iinyanga okanye iminyaka. Ukuba ufumana intlungu yesifo seplavic okanye intlungu ngexesha lokulala, kwaye ugqirha wakho akakwazanga ukuxilonga okanye ukuphatha ingxaki ngempumelelo, unokufuna ukufumana umbono wesibini.
Hlalani nigxina uze ufumane unyango olufanelekileyo kwimpawu zakho. Ukuzala kwakho kwexesha elizayo kunye nempilo yonke iya kuxhomekeka kuyo.
Ukuxilongwa
Oogqirha baxilonga i-PID ngokuvavanya iimpawu kunye neempawu zakho, ukuhlalutya iinkcubeko zesisu kunye neentloba, ukuqhuba umchamo kunye nokuhlolwa kwegazi, ukwenza uvavanyo lwe-pelvic nokuvavanya ukukhulelwa kwesisu.
Nangona iikholi zobunini ziza kufumana i-STD okanye olunye usulelo lwebhaktheriya, abayi kuze bahlale bebona intsholongwane eye yahamba kwi-tuberpian tubes.
Ezinye iimvavanyo ugqirha angayisebenzisa ukukunceda ukuxilonga i-PID ziquka i-pelvic ultrasound, falloposcopy, laparoscopy kunye ne-biopsy ye-endometri.
Ngenxa yokuba ezinye iimvavanyo zingenakunqwenela ukunyusa amabhaktheriya ukusuka kummandla wesisu kunye nomlomo wesibeleko kwisibilini se-uterus ne-fallopian, kubalulekile ukuba iikholi ze-STD zithathwe ngaphambi kokuvavanywa okungafunekiyo kwaye ukuba nayiphi na intsholongwane efunyenweyo iyaphathwa.
Uncedo lweZonyango
Iimithi zonyango zomlomo zisoloko zisetyenziselwa ukuphatha iPID. Ukuchonga ukuba yiyiphi impawu eyenza ukuba i-PID ibe nzima, kwaye ngamanye amaxesha, ininzi yebhaktheriya ingabandakanyeka. Ngenxa yesi sizathu, unokumiselwa ezimbini okanye ezininzi antibiotics ukuba zithathe kanye kanye.
Ngenxa yomngcipheko weengxaki ezinzulu kunye nomonakalo onokuzala, unyango luvame ukuqala ngaphambi kokuba zonke iziphumo zibuyele. Iziphumo, nangona kunjalo, zinokubonisa ukuba i-antibiotics eyahlukeneyo imfuneko yonyango oluyimpumelelo, ngoko ugqirha wakho unokutshintsha unyango lwakho phakathi.
I-antibiotics inokuhanjiswa kwakhona nge-injection. Amatyala afanelekileyo okanye anzima ukunyanga angaphathwa ngenyameko, enokufuna ukulaliswa esibhedlele.
Nangona kuqhelekile ukuba uzive ungcono emva kweentsuku ezimbalwa zonyango lwe-antibiotic, kubaluleke kakhulu ukuba ugqibe i-antibiotic regime. Ukungenzi oko kungakhokelela kwiibhaktheriya ukuba zingakwazi ukumelana neziza-antibiotics, okwenza kube nzima okanye akunakwenzeka ukunyanga.
Umlingani wakho wesini okanye amaqabane kufuneka aphathwe, nangona bengenayo impawu. Ngaphandle koko, unokuqhubeka udlula ibhaktheriya ejongene ne-PID emva nangaphambili. Kufuneka usebenzise ikhondom ngexesha lokuziphatha ngexesha lotyando, ukuphepha ukubuyisela kwakhona.
Kwezinye iimeko, utyando lunokuba luyimfuneko ukunyanga ama-abscesses okanye ukuxhamla ngokukrakra. Kwiimeko ezinqabileyo kakhulu, i-hysterectomy engxamisekileyo ingenziwa.
Thintelo
Ekubeni i-PID ibangelwa isifo esithathelwana ngesondo, inokuthintelwa. Ubundlobongela obukhuselekileyo kunye namaqabane amaninzi ukwandisa umngcipheko wokufumana i-PID. Ukuba awukho ulwalamano oluzimeleyo kunye neqabane eliye lavavanywa kwii-STD, ukwenza isondo ngokukhuselekileyo ngokusebenzisa i-condoms yamadoda kunye nokufumana uvavanyo lwe-STD rhoqo.
Ukufakwa kwe-IUD kungakhokelela ku-PID ukuba sele usenayo i-STD. Uvavanyo kunye nonyango lwe-STD ngaphambi kokufakwa kwe-IUD kunokunciphisa kakhulu ingozi yokusuleleka.
Kwakhona, ukufumanisa ifunyenwe kukunyusa umngcipheko wakho we-PID. U-Douching utshintsha i-flora yemvelo kunye ne-pH yesini, ukwandisa umngcipheko wesifo sentsholongwane. I-Douching nayo ifuthe kakubi kwi-mucus yomlomo , ebalulekileyo xa uzama ukukhulelwa.
Uvavanyo oluvakalayo lokuzala , njenge-HSG kunye ne-hysteroscopy, kunye nonyango lwezityalo ezibandakanya umlomo wesibeleko kunye nesisu esisodwa njenge-insemination okanye i-IVF, kunokukhokelela kwi-PID ukuba unayo i-STD engafumanekiyo. Esi sizathu esinye isizathu sokuba iiklinikhi ezininzi zokuzala ziqhuba ukuhlolwa kwe-STD kunye neenkcubeko zangasese ngaphambi kokuba uhlole uvavanyo kunye nokunyanga.
Ukuba unesondo esingakhuselekanga esingazifumanisa kwi-STD, kwaye uphakathi kokuvavanywa kwenzalo okanye unyango, qiniseka ukuxelela ugqirha wakho ukuze ubuyiselwe kwakhona.
Imithombo:
Ubuhlungu obungapheliyo bePelvic. Abasebenzi baseMayo. Ifumaneka kwi-intanethi ngoJulayi 26, 2011. http://www.mayoclinic.com/print/chronic-pelvic-pain/DS00571/DSECTION=all&METHOD=print
Ukuqonda Emva kokuphelelwa kweT Tubal: Iphepha leNkcazo. Umbutho waseMelika weMithi yokuzala. Ufikelele ngoNovemba 6, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/ConceivingAfterTubalSurgery.pdf
I-Hydrosalpinx: I-Fact Sheet. Umbutho waseMelika weMithi yokuzala. Kufumaneka ngoNovemba 6, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/hydrosa(1).pdf
Izifo Ezivuthayo ZePelvic (PID) - I-Factory Sheet Sheet. Isiko soLawulo lweZifo kunye nokuVikela. Ifumaneka kwi-intanethi ngoJulayi 26, 2011. http://www.cdc.gov/std/pid/stdfact-pid.htm
Isifo sokuvuvukala sepelvic (PID). Clinical Mayo. Kufikeleleke kwi-intanethi ngoJulayi 26, 2011. http://www.mayoclinic.com/health/pelvic-inflammatory-disease/DS00402/DSECTION=amacandelo
Izifo Ezivuthayo Zama-pelvic (PID). Umzali oCwangcisiweyo. Ufikeleleke kwi-intanethi ngoJulayi 26, 2011. http://www.plannedparenthood.org/health-topics/stds-hiv-safer-sex/pelvic-inflammatory-disease-pid-2727.htm
I-Boston Women's Health Book Collective. (2005). Amalungu ethu, iZiqu zethu: I-New Edition ye-Era entsha. I-United States yaseMelika: iTystonestone.