Indlela ukutheleleka okuhlobene ngayo i-PID, ukungabi nabantwana, nobuhlungu obungapheli be-pelvic baphathwa
Okubaluleke kakhulu uma kuziwa ekwelapheni kwezifo ezivuthayo zesikhumba (PID) ukubhekana nokutheleleka okuyisisekelo, ngisho noma ungenayo izimpawu ngaphandle kokungazalwa lapho uthola ukutholwa. I-PID ingaba yingozi ngokuhamba kwesikhathi. Uma usheshe uphathwe, umonakalo omncane oyowusekela ezithombeni zakho zokuzala.
I-PID ingaholela ekucindezelweni okujulile kokukhulelwa , okuyisinye sezizathu eziningi zokuthi kungani i-PID kufanele ilashwe ngaphambi kokuba ukhulelwe.
Ngemuva kokuphela kokutheleleka kuxazululwe kufanele kusetshenzwe ukwelashwa kwe-infertility ephumela.
Ukwelashwa kwesifo
Ngokujwayelekile, ukwelashwa kwe-PID kudinga ama-antibiotic, athathwe amasonto amabili. Izinhlobonhlobo zezincane ezincane zingabangela izifo ezivuthayo, futhi ngezinye izikhathi kuhileleka okungaphezu kweyodwa. Ngenxa yokuthi kunzima ukuthola ukuthi iyiphi ibhaktheriya engase ibe nephutha, ungaphathwa ngama-antibiotic amabili noma ngaphezulu ngesikhathi esisodwa.
Udokotela wakho angashintsha futhi imithi yokwelashwa ngokusekelwe emiphumeleni ye-laboratory. I-antibiotics ivame ukuthathwa ngomlomo, kodwa ngezinye izikhathi, ingadinga izijovo. Ungase futhi uthole imithi yobuhlungu futhi ukhuthazwe ukuba uphumule uze uphulukise.
Ezimweni ze-PID enzima, noma uma izilonda zomlomo noma ezijovayo zingenqamuki lesi sifo, kungadingeka ukuthi imithi elwa namagciwane ayiqede. Lokhu ngokuvamile kusho ukuvakasha esibhedlela.
Ezinye izizathu zokwelapha izifo zokwelapha ezivuthayo zihlanganisa ukukhulelwa, i-abscess in the tube fallopian noma ovary, ukuba ne-HIV, izinkinga ezinkulu ze-PID, noma ukungaqiniseki ukuthi ngabe i-PID iyimbangela yokugula noma enye inkinga yokwelashwa engathà sina, njenge-appendicitis. A
Kungase kudingeke ukwelashwa uma i-abscess kwi-tublopian tubes noma ama-ovari ayixazululi ngemithi yokwelashwa, noma uma i-abscess iphuka noma isongela ukuphuka. Lokhu kungenziwa njalo nge- laparoscopy noma laparotomy. Ezimweni ezingavamile kakhulu, kungenziwa i-hysterectomy esiphuthumayo.
Ukwelashwa kobuhlungu obuhlobene ne-PID
Ngemuva kokuphulukiswa kwe-PID, ubuhlungu be-pelvic bungalala abanye besifazane.
Ubuhlungu bungabangelwa ukunamathela kanye nezicubu ezibomvu, ezingaphathwa yi-antibiotics.
Kungase kuphakanyiswe ukwelashwa ukususa ukunamathela okubangelwa i-PID, kodwa ngeshwa, lokhu ngeke kuxazululwe izinkinga zakho zobuhlungu be-pelvic ngokuphelele.
Okunye okukhethwa kukho ukwelashwa okubuhlungu okungapheli kwamaphilisi kufaka phakathi ukuphulukisa ubuhlungu obukhulu kakhulu, izidakamizwa zokucindezeleka (ngisho noma ungacindezelekile ), ukwelashwa kwe-hormonal, ukwelashwa ngokomzimba, ukukhwabanisa , ukuguqulwa kwamagciwane okugaya amathambo (TENS), ukwelulekwa, kanye ne-trigger point injection.
Ezimweni ezingavamile, i-hysterectomy ingasetshenziselwa ukwelapha ubuhlungu obungapheli be-pelvic engazixazulula nezinye izifo. Ngokumangazayo, ngisho nalokhu kungase kungelapheki ubuhlungu bakho be-pelvic. Kumele kube ukwelashwa kokugcina kokusebenza.
I-hysterectomy iholela ekutheni uyinyumba, futhi ngeke ukwazi ukukhulelwa noma ukuthwala umntwana kamuva. Uma i-hysterectomy iyadingeka, kufanele ukhulume nodokotela wakho mayelana neqanda eliqandayo noma i-embryo cryopreservation ngaphambi kokuhlinzwa, okuyinto kanye ne-grogational surrogate, engakuvumela ukuba ube nezingane eziphilayo ngosuku oluzayo.
Ukwelashwa kwe-PID Infertility
Njengoba kukhulunywe ngenhla, ama-antibiotics asetshenziselwa ukwelapha izifo ezivuvuzelayo eziphefumulayo azikwazi ukulungisa umonakalo osevele ubangelwa yisifo.
Bangakwazi kuphela ukuphatha ukutheleleka futhi, uma bephumelela, kuvimbela ukulimala okwengeziwe ezithombeni zokuzala.
Isizathu esivame kakhulu se-infertility ehlobene ne-PID sivinjelwe amashubhu we-fallopian . Uma nje ithubhu eyodwa ivinjiwe, kanti enye icacile, kuye ngokuthi ezinye izici zokuzala, ungakwazi ukukhulelwa ngokwakho. Uma zombili izigaxa zivinjiwe, izinketho zakho zokwelapha zihlanganisa ukulungiswa kokuhlinzwa kokugonywa noma ukwelashwa kwe-IVF .
Nge-PID, ukuvinjelwa kuvame ukuphela ekupheleni kwe-distal, okusho ukuthi kuvinjelwe i-ovary. Lolu hlobo lokuvinjelwa lukhuni kakhulu ukwelapha ngokweqile kunokuvimbela isisu, kodwa kwezinye izimo, cishe u-25% wesikhathi, ukuhlinzeka kungakuvumela ukuba ukhulelwe ngokwemvelo, ucabanga ukuthi ayikho enye imbangela yokungasebenzi.
Esinye imbangela evamile ye-infertility ehlobene ne-PID i-hydrosalpinx. Yilapho i-tube fallopian igxila futhi igcwaliswa ngogesi. Ngenxa yezizathu ezingaziwa, i-hydrosalpinx ingavimbela impumelelo efanele ye- IVF . Kungase kudingeke ukuba ususwe ngokuphelele ithubhu le-fallopian ukuze ukwandise amathuba akho.
Uma unayo ngaphezu kokuvinjelwa kwe-tubal kunamathele amaningi amaningi phakathi kwama-tubes akho nama-ovari, amandla akho okuphumelela ngemuva kokukhanda okuphansi. I-IVF ingahle ibe yindlela engcono kuwe.
Uma unquma phakathi kokwelapha okuhlinzekwa noma ukwelashwa kwe-IVF, kufanele uqiniseke ukuthi ucabangela ezinye izinto zokuzala, kufaka phakathi iminyaka yakho , ukuzala komlingani wakho , nanoma yiziphi ezinye izinkinga eziyinkimbinkimbi. Ngezinye izikhathi, kungcono ukweqa ilungelo lokunakekelwa kwe-IVF futhi ungazami ukulungiswa kokuhlinzwa. Khuluma nodokotela wakho mayelana nezinketho zakho.
Uma ubhekene nobuhlungu obungapheli besisu, kungase kudingeke ukuba uhlinzekwe ukususa noma yikuphi ukunamathela kanye nokuvinjelwa okungenzeka okulungile, ngisho noma ithuba lokukhulelwa kwemvelo aliphezulu. Vele uqaphele ukuthi ukuhlinzeka kungenzeka noma kungaxazululi ngokuphelele ubuhlungu be-pelvic.
Kungakhathaliseki ukuthi ucabanga ngokwemvelo, ngemuva kokukhanda, noma nge-IVF, ingozi yakho yokukhulelwa i- ectopic iphakeme ngemva kokuphazamiseka kwesifo senhliziyo. Kubalulekile ukuqaphela izibonakaliso nezimpawu zokukhulelwa kwe-ectopic , futhi udokotela wakho kufanele akuqaphe eduze ngemva kokukhulelwa.
Imithombo:
Ubuhlungu Besikhathi Esibuhlungu BamaPelvic. I-Mayo Clinic. http://www.mayoclinic.org/diseases-conditions/chronic-pelvic-pain/basics/definition/con-20030924
Ukucabanga Ngemva Kokuhlinzwa Kwamathambo: I-Fact Sheets. I-American Association of Medicine Yokuzala. 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. 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. http://www.cdc.gov/std/pid/stdfact-pid.htm
Izifo ezivuvukala ngama-pelvic (PID). I-Mayo Clinic. http://www.mayoclinic.org/diseases-conditions/pelvic-inflammatory-disease/basics/definition/con-20022341
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.