Usulelo lwe-PID oluchaphazelekayo, ukungabikho komntwana, kunye nosizi olungapheliyo lweplavic luphathwa
Imphambili ephambili xa ifika kunyango lwe- pelvic inflammatory disease (PID) kukujongana nosuleleko olusisiseko, nangona ungenayo impawu ngaphandle kokungabikho kwengqondo xa uqala ukufumana unyango. I-PID ingaba nzima ngaphezu kwexesha. Ngokukhawuleza ukuphathwa, umonakalo ongaphantsi oya kuwuxhasa kwizitho zakho zokuzala.
I-PID ingakhokelela ekukhulekeni okukhuselekileyo , okuyiyona nto yezizathu ezininzi zokuba i-PID imele iphathwe ngaphambi kokuba ukhulelwe.
Kuphela emva kokusulelwa isifo kulungiswe ukuba unyango lwe-infertility lungabhekiswa.
Unyango lwe-Infection
Ngokuqhelekileyo, unyango lwe-PID ludinga i-antibiotics, ithathwa enye ukuya kwiiveki ezimbini. Iindidi ezincinci ezinokuthi zingabangela uxanduva lwesifo esivuthayo se-pelvic, kwaye ngamanye amaxesha kuninzi kubandakanyeka i-microorganism. Ngenxa yokuba kunzima ukufumanisa ukuba yiziphi iibhaktheriya ezinokuba ziphosakele, unokuphathwa ngamachiza amabini ahlukeneyo okanye ahlukeneyo ngexesha elilodwa.
Ugqirha wakho unokutshintsha kwakhona unyango lwe-antibiotics ngokusekelwe kwiziphumo zebhubhoratri. Amagciwane aqhelekileyo athathwa ngomlomo, kodwa ngamanye amaxesha, angadinga iigenki. Unokufumana iyeza zentlungu kwaye ukhuthazwe ukuba uphumule uze uphilise.
Kwiimeko ze-PID enzima, okanye xa i-antibiotics yomlomo okanye injectable ingasususisi isifo, i-antibiotic e-intravenous iyadingeka. Ngokuqhelekileyo kubhekiselele ekufakeni izibhedlele.
Ezinye izizathu zokubhedlelelwa kwezifo zonyango ezithobelayo ziquka ukukhulelwa, i-abscess in tube tube okanye i-ovary, ukuba ne-HIV, iingxaki ezinzulu ze-PID, okanye ukungaqiniseki ukuba ngaba i-PID yimbangela yesifo okanye enye ingxaki yonyango, njenge-appendicitis. A
Kufuneka ukuba unyango lube lukhuni ukuba i-abscess in the tubespian tubes okanye i-ovaries ayiyikusombulula ngonyango lwe-antibiotic, okanye ukuba i-abscess iphuka okanye isongela ukuphuka. Oku kunokwenziwa rhoqo nge laparoscopy okanye laparotomy. Kwiimeko ezinqabileyo kakhulu, ingozi yexinzelelo engxamisekileyo ingenziwa.
Unyango lwe-PID ehambelana nobuhlungu
Emva kokuba i-PID iphathwe, ubuhlungu be-pelvic busenokuhlala kubafazi abathile.
Ubunzima bungabangela ukubambelela kunye nezicubu ezinqabileyo, ezingakhange ziphathwe yi-antibiotics.
Unokucetyiswa ukuba uphenywe ukususa ukuxhaswa okubangelwa yi-PID, kodwa ngelanga, oku akunako ukulungisa iingxaki zakho zobuhlungu be-pelvic ngokupheleleyo.
Ezinye iindlela zokwenza unyango lwe-pelvic lobuhlungu obungapheliyo zibandakanya ukuxilwa kweentlungu ezingaphaya kwamandla, ukuxhatshazwa kweentlungu (nangona ungazixinzelelekanga), unyango lwama-hormone, unyango lomzimba, ukukhupha umzimba , ukuvuselelwa kwamagciwane okutshintshwa kwamandla omzimba (TENS), ukucebisa iingcebiso kunye neengxowankulu zesikhokelo.
Kwiimeko ezinqabileyo, i-hysterectomy ingasetyenziselwa ukunyanga ubuhlungu obungapheliyo be-pelvic engazisombululi kunye nezinye unyango. Okumangalisa kukuba, nokuba le nto ayinakuphilisa intlungu yakho. Kufuneka kube yonyango lwenkqubo yokugqibela.
I-hysterectomy iholele ekutyeni, kwaye awuyi kukwazi ukukhulelwa okanye ukuzala umntwana emva koko. Ukuba i-hysterectomy iyimfuneko, ufanele uthethe ugqirha malunga neqanda lokuqhaqhaqha okanye u- embrypreservation ngaphambi kokuba utyando, oludibanisa kunye ne-gestational surrogate, lungavumela ukuba ube nomntwana we-biological ngosuku oluzayo.
Unyango lwe-PID Infertility
Njengoko kuchazwe ngasentla, iintsholongwane ezisebenzisayo ukuphathwa kwezifo ezivuvuzelayo ze-pelvic azikwazi ukulungisa umonakalo obangelwa yilo sifo.
Ziyakwazi kuphela ukunyanga ukusuleleka kwaye, xa uphumelele, uthintela umonakalo omkhulu kwizitho zokuzala.
Isizathu esona siqhelekileyo se-PID-infertility ehlobene ne- blocked fallopian tubes . Ukuba kuphela ityhubhu enye ivaliwe, kwaye enye iyacaca, kuxhomekeke kwezinye izinto zokuzala, unako ukukwazi ukukhulelwa ngokwakho. Ukuba zombini iiphulo zivaliwe, ukhetho lwakho lwezokwelapha luquka ukulungiswa kokucwangciswa kokukhutshwa okanye ukuphathwa kwe-IVF .
Nge-PID, ukukhutshwa ngokuqhelekileyo kuphelile ekupheleni kwebala, oko kuthetha ukuba ivalwe yi-ovary. Olu hlobo lokuthintela kunzima ukunyanga ngokugqithiseleyo kunokukhutshwa ngumbumba, kodwa kwezinye iimeko, malunga ne-25% yexesha, utyando lungavumela ukuba ukhulelwe ngokwemvelo, ucinga ukuba akukho zizathu zokungabikho komntwana.
Esinye isizathu esivakalayo sokungabikho kwe-PID enxulumene ne-PID yi-hydrosalpinx. Yilapho i-tube fallopian iyancipha kwaye izaliswa ngogesi. Ngenxa yezizathu ezingaziwa, i-hydrosalpinx inokuthintela impumelelo efanelekileyo ye- IVF . Unokudinga ukuba ube nefuthe le-fallopian elichaphazelekayo ngokupheleleyo ukususwa ukwenzela ukwandisa amathuba akho.
Ukuba unokungena kwi-tubal ukuvimba ukuxinana okuninzi phakathi kwama-tubes kunye nama-ovari, ukukwazi ukuphumelela emva kokulungisa ukucoca. I-IVF ingaba yindlela engcono kuwe.
Xa usenza isigqibo phakathi kokunyangwa ngonyango okanye unyango lwe-IVF, kufuneka uqiniseke ukuba ucinga ezinye izinto zokuzala, kubandakanywa neminyaka yakho , ukuzala kwakho kunye kunye nayiphi na into enzima. Ngamanye amaxesha, kukulungele ukunqumla okulungileyo kunyango lwe-IVF kwaye ungazami ukulungisa ukucoca. Thetha nogqirha wakho malunga nokukhetha kwakho.
Ukuba ufumana ubuhlungu obungapheliyo be-pelvic, kungenokuba lufanelekile ukuba utyatye ukususa nayiphi na imithwalo kunye nokulungelelaniswa okufanelekileyo, nangona ukuba ithuba lokukhulelwa kwemvelo aliphezulu. Mane uqaphele ukuba utyando lunakho okanye aluyi kusombulula ngokupheleleyo intlungu yeplavic.
Ingaba uvakalelwa ngokwemvelo, emva kokulungiswa kocwangco, okanye nge-IVF, umngcipheko wokukhulelwa kwe- ectopic uphezulu emva kokuphazamiseka kwe-pelvic inflammatory disorder. Kubalulekile ukuba uqaphele iimpawu kunye neempawu zokukhulelwa kwe-ectopic , kwaye ugqirha wakho kufuneka akujonge emva kokukhulelwa.
Imithombo:
Ubuhlungu obungapheliyo bePelvic. Clinical Mayo. http://www.mayoclinic.org/diseases-conditions/chronic-pelvic-pain/basics/definition/con-20030924
Ukuqonda Emva kokuphelelwa kweT Tubal: Iphepha leNkcazo. Umbutho waseMelika weMithi yokuzala. 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. 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. http://www.cdc.gov/std/pid/stdfact-pid.htm
Isifo sokuvuvukala sepelvic (PID). Clinical Mayo. http://www.mayoclinic.org/diseases-conditions/pelvic-inflammatory-disease/basics/definition/con-20022341
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.