Ukuqonda Izimpawu Zezifo Ezivuthayo Zamafilimu, Izimbangela, Nezokwelapha
Sibutsetelo
Izifo zokuvuvukala ngama-pelvic (PID) ukutheleleka kwezitho zokuzala, ezenzeka lapho amabhaktheriya ehamba ngesifo sofuba emhubheni wesibeletho nesibindi. I-PID ingabangela ukungabi nabantwana , ukukhulelwa kwe-ectopic , ubuhlungu obungapheli be-pelvic, ubuhlungu be-tubal noma ama-ovarian, ukunamathela , i-peritonitis (ukutheleleka kwe-silk-like lining ehlanganisa izitho zangasese) kanye ne-perihepatitis (ukuvuvukala kwesembatho sesibindi).
Ezimweni ezingavamile, ezinzima, i-PID engalashwa ingaholela ekufeni.
Izifo zokuvuvukala ngama-pelvic zingaba nzima (okusho izimpawu ezizelelwe ngokuzumayo, ezinzima), ezingapheli (isikhathi eside ngezimpawu ezincane kakhulu) noma ukuthula (akukho izimpawu.)
Nge-PID, ukutholakala noma ukuntuleka kwezimpawu akubonakali ukuthi umonakalo omkhulu kangakanani izitho zokuzala eziqhubekayo. Kungenzeka ukuthi awunayo izimpawu futhi ube nokuvimbela okujulile nokunamathela, okuholela ekunganeni. Abanye besifazane bayothola kuphela ukuthi bane-PID ngemva kokuzama ukukhulelwa bengaphumeleli noma ngemuva kokuthola ukukhulelwa kwe-ectopic.
Ngokusho kwe-US Centers for Disease Control and Prevention, abesifazane abangaphezu kuka-750,000 bahlangabezana nesiphithiphithi se-PID enyaka ngamunye. Kuze kube ngu-300 000 kulaba besifazane abafakwe esibhedlela ngenxa ye-PID enzima. Ngoba amacala amaningi e-PID ayathuli futhi awabandakanyi izimpawu, futhi i-PID ivame ukuphuthelwa noma ingatholakali, inani langempela lamacala we-PID cishe liphakeme.
Izimbangela
I-PID ibangelwa izifo ezithathelwana ngocansi (STDs).
Izimbangela ezivamile zihlanganisa i-chlamydia ne-gonorrhea. I-Chlamydia iyimbangela evamile ye-PID ethule, okusho ukuthi abesifazane abaningi abazi ukuthi banesifo.
Uma unesifo sofuba esingatholakali, ingozi yakho ye-PID iphakeme noma nini lapho umlomo wesibeletho uvulekile futhi ukutheleleka kungase kungene esibelethweni. Unengozi ephakeme ye-PID ngemuva kokubeletha, ukukhulelwa kwesisu, ukukhipha isisu, i-endopriph biopsy, ukufakwa kwe-IUD, i- HSG kanye ne-hysteroscopy, nokusabalalisa okufakelwayo .
Nakuba ukutheleleka kwe-pelvic kungabangelwa ama-bacteria ngaphandle kwama-STD, lokhu akuvamile ukubizwa nge-PID. Izimpawu nemithi yokwelapha, noma kunjalo, ingafana.
Kungabangela kanjani ukungabi nalutho?
Phakathi kuka-10% no-15% wabesifazane abane-PID enzima ababa namandla. Uma owesifazane eneziqephu eziningi ze-PID eyingozi, ingozi yakhe yokukhula kokungakhulelwa.
Isizathu esivame kakhulu se-infertility ehlobene ne-PID sivinjelwe amashubhu we-fallopian . Ama-tubes ngokuvamile avinjelwe ekubambelelweni okubangelwa ukuvuvukala, kanti ukuvinjwa kuvame ukutholakala eduze kwama-ovari kune-uterus. Lapho ukuvinjelwa kuseduze kwama-ovari, kunzima kakhulu ukwelapha.
I-PID ingabangela futhi i-hydrosalpinx. Lokhu kwenzeka lapho i-tube ivaliwe eduze kwe-ovary bese iyancipha futhi igcwalise nge-fluid. Ukuba khona kwe-hydrosalpinx kunganciphisa amathuba okuthola ukwelashwa kwe-IVF ephumelelayo.
Ukukhulelwa kwe-Ectopic kungabangela nokulimala okuhlobene ne-PID. Uma uhlinzwa ukulungisa umonakalo we-tubal obangelwa i-PID, ingozi yakho ye-ectopic pregnancy nayo iyoba ngaphezulu.
Ezimweni ezingavamile, ukutheleleka ngokuphawulekayo kungaholela ekuhlaleni okuphuthumayo.
Esikhathini esidlule, odokotela abathile baphatha i-PID engapheli nge-hysterectomy, kodwa lokhu kusetshenziswa kancane kancane. Uma udokotela wakho ebonisa hysterectomy njengendlela yokwelapha i-PID engapheli, ungase ufune ukuthola umbono wesibili ngaphambi kokwenza isinqumo esizobangela kakhulu ekukhuleni kwakho esikhathini esizayo.
Bona okuningi mayelana nalokhu ngezansi, ngaphansi kweZonyango ze-PID.
Izimpawu
Izimpawu zesifo sokuvuvukala kwe-pelvic ziyahlukahluka komunye nomuntu, kuye ngokuthi noma ngabe babhekene ne-PID engavamile noma engapheli.
Izimpawu ezivame kakhulu ze-PID ubuhlungu be-pelvic. Ezinye izimpawu zihlanganisa ubuhlungu be-pelvic ngesikhathi sokuya ocansini, ubuhlungu obuphansi obungemuva, ukuphuma kwesikhashana okungavamile, ukuphuma kwamagciwane okungavamile, izinkinga zokuvuthwa, izimpawu ezinjenge-flu, ezifana nokukhathala, umkhuhlane, ukubola, ubuthakathaka noma izilonda zomshoshaphansi; ukungabi nesifiso, isifo sohudo nokuhlanza, nokungabi nabantwana.
Izimpawu eziningi zingahle ziphuthelwe ezinye izifo, kufaka phakathi i-appendicitis, i- endometriosis noma ukutheleleka kwe-urinary tract.
Kubalulekile ukuba ube phambili nodokotela wakho uma usola ukuthi kungenzeka unesivumelwano se-STD noma unezinye izici ezingozini ze-PID, njengokwesisu okushiwo yamuva, ukubeletha, ukukhipha isisu noma ukufaka i-IUD.
Akuyona into evamile ye-PID engapheli ukungaziwa ngezinyanga noma iminyaka. Uma ubhekene nosizi oluvamile lwe-pelvic noma ubuhlungu ngesikhathi sokulala, futhi udokotela wakho akakwazanga ukuxilonga noma ukuphatha ngempumelelo inkinga, ungase ufune ukuthola umbono wesibili.
Qhubeka uphonsela kuze kube yilapho uthola ukwelashwa okufanele izimpawu zakho. Ukuzala kwakho kwesikhathi esizayo kanye nesezempilo jikelele kuxhomeke kuyo.
Ukuxilongwa
Odokotela baxilonga i-PID ngokuhlola izibonakaliso zakho nezimpawu zakho, ukuhlaziya amasiko wesisu nangomlomo wesibeletho, ukuqhuba umchamo nokuhlolwa kwegazi, ukwenza ukuhlolwa kwe-pelvic nokuhlola ukukhishwa kwamagciwane.
Ngenkathi amasiko ase-vaginal ayovame ukuvula isifo sofuba noma ukutheleleka kwebhaktheriya, ngeke bahlale bebona ukutheleleka okuye kwahambela esibelethweni nesibindi.
Ezinye izivivinyo udokotela wakho angasebenzisa ukusiza ukuxilonga i-PID zihlanganisa i-ultrasound ye-pelvic, i-falloposcopy, i- laparoscopy ne-biopsy ye-endometrial.
Ngenxa yokuthi ezinye izivivinyo zingaphakamisa ngamabomu amabhaktheriya avela endaweni yangasese nangomlomo wesibeletho kuya emhubheni yesibindi nesigqila, kubalulekile ukuthi amasiko ayisisekelo e-STD athathwe ngaphambi kokuhlolwa okungajwayelekile futhi ukuthi noma yikuphi ukutheleleka okutholiwe kuyaphathwa.
Ukwelapha Okungenzeka
Ama-antibiotic omlomo avame ukusetshenziselwa ukuphatha i-PID. Ukunquma ukuthi yiziphi izinto ezenza ukuthi i-PID yakho ibe nzima, futhi ngezinye izikhathi, ingabe kunezinhlobo ezingaphezu kweyodwa zama-bacterium angabandakanyeka. Ngenxa yalesi sizathu, ungase ubeke ama-antibiotic amabili noma ngaphezulu ukuthatha ngesikhathi esisodwa.
Ngenxa yobungozi obunzima obunzima kanye nomonakalo ongakulimaza ekuzaleni kwakho, ukwelashwa kuvame ukuqala ngaphambi kokuba yonke imiphumela ibuyele emuva. Imiphumela, noma kunjalo, ingase ikhombise ukuthi i-antibiotic ehlukile iyadingeka ekwelapheni okuphumelelayo, ngakho udokotela wakho angashintsha ukwelashwa kwakho phakathi nendawo.
Ama-antibiotic angabuye athunyelwe nge-injection. Amacala asebenzayo noma okunzima ukuphatha angaphathwa ngendlela efanele, engadinga ukunakekelwa esibhedlela.
Nakuba kuvamile ukuba uzizwe kangcono ngemva kwezinsuku ezimbalwa zokwelashwa kwama-antibiotic, kubalulekile ukuthi ugcwalise umbuso wakho wama-antibiotic. Ukungenzi kanjalo kungabangela ukuba amabhaktheriya aphikisana nemithi elwa namagciwane, okwenza kube nzima noma akunakwenzeka ukuphatha.
Umlingani wakho wezocansi noma abalingani kufanele baphathwe, ngisho noma bengenayo izimpawu. Uma kungenjalo, ungaqhubeka udlulisa amabhaktheriya aphethwe i-PID emuva nangaphezulu. Kumele futhi usebenzise ikhondomu ngesikhathi sokulala ngesikhathi sokulashwa, ukugwema ukuvuselelwa.
Kwezinye izimo, kungase kudingeke ukuthi kuhlinzwe ukuhlinzwa izimbungu noma ukunamathela okubuhlungu. Ezimweni ezingavamile ngokweqile, kungenziwa i-hysterectomy esiphuthumayo.
Ukuvimbela
Njengoba i-PID ibangelwa izifo ezithathelwana ngocansi, ivimbela. Ubulili obuvikelekile nabalingani abaningi buyandisa ingozi yokuthola i-PID. Uma ungenalo ubudlelwane obuzibophezele nomlingani osuvele ehlolwe ama-STD, enza ubulili obuphephile ngokusebenzisa amakhondomu abesilisa abesilisa futhi uthole ukuhlolwa okuvamile kwe-STD kubalulekile.
Ukufakwa kwe-IUD kungabuye kuholele ku-PID uma usuvele une-STD. Ukuhlolwa nokwelashwa kwama-STD ngaphambi kokufaka i-IUD kunganciphisa kakhulu ingozi yokutheleleka.
Futhi, ukutholakala kwe-douching kutholiwe ukwandisa ingozi yakho ye-PID. Ukwazisa i-douching kuguqula i-flora yemvelo kanye ne-pH yesifazane, okwandisa ingozi yokutheleleka kwesisu. Ukwehliswa komthelela kuphinde kube nomthelela omubi emcimbini wesibeletho , okubalulekile uma uzama ukukhulelwa.
Ukuhlola okuvame ukuzala , njenge-HSG kanye ne-hysteroscopy, kanye nokwelashwa kokuzala okubandakanya umlomo wesibeletho kanye nesisu esisodwa njenge-insemination noma i-IVF, kungaholela ku-PID uma une-STD engafundile. Lesi yisinye sezizathu zokuthi imitholampilo eminingi yokuzala iqhuba ukuhlolwa kwe-STD kanye namasiko angasese ngaphambi kokuhlola ukuzala nokuphathwa.
Uma ngabe ubulili obungakhuselekanga okungenzeka bukuvezile ku-STD, futhi uphakathi kokuhlolwa kokuzala noma ukwelashwa, qiniseka ukuthi utshele udokotela wakho ukuze ubuyiselwe emuva.
Imithombo:
Ubuhlungu Besikhathi Esibuhlungu BamaPelvic. Abasebenzi beMayo. Kufinyelelwe ku-intanethi ngoJulayi 26, 2011. http://www.mayoclinic.com/print/chronic-pelvic-pain/DS00571/DSECTION=all&METHOD=print
Ukucabanga Ngemva Kokuhlinzwa Kwamathambo: I-Fact Sheets. I-American Association of Medicine Yokuzala. Kufinyelelwe ngoNovemba 6, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/ConceivingAfterTubalSurgery.pdf
I-Hydrosalpinx: I-Fact Sheets. I-American Association of Medicine Yokuzala. Kufinyelelwe ngoNovemba 6, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/hydrosa(1).pdf
Izifo Ezivuthayo Ze-pelvic (PID) - I-CDC Fact Sheet. Isikhungo Sokulawulwa Nokuvimbela Izifo. Kufinyelelwe ku-intanethi ngoJulayi 26, 2011. http://www.cdc.gov/std/pid/stdfact-pid.htm
Izifo ezivuvukala ngama-pelvic (PID). I-Mayo Clinic. Kufinyelelwe ku-intanethi ngoJulayi 26, 2011. http://www.mayoclinic.com/health/pelvic-inflammatory-disease/DS00402/DSECTION=amacala
Izifo Ezivuthayo Ze-pelvic (PID). Umzali Ohleliwe. Kufinyelelwe ku-intanethi ngoJulayi 26, 2011. http://www.plannedparenthood.org/health-topics/stds-hiv-safer-sex/pelvic-inflammatory-disease-pid-4278.htm
I-Boston Women's Health Book Collective. (2005). Amalungu ethu, Ethu: I-Edition entsha ye-Era entsha. I-United States of America: I-Touchstone.