Izifo ezivuthayo zepelvic (PID)

Isifo sokudumba kwepelvic (PID) sisifo sesibeleko sowasetyhini (isibeleko), ii-ovari, okanye imibhobho yesibeleko.

I-PID yintsholongwane ebangelwa yintsholongwane. Xa iibhaktheriya ezivela kwilungu lobufazi okanye umlomo wesibeleko zisiya kwisibeleko sakho, kwimibhobho yesibeleko, okanye kwii-ovari, zinokubangela usulelo.

Uninzi lwexesha, i-PID ibangelwa ziintsholongwane ezivela kwi-chlamydia kunye ne-gonorrhea. Ezi zizifo ezosulela ngokwabelana ngesondo. Ukuba neentlobano zesini ngokungakhuselekanga nomntu one-STI kunokubangela i-PID.

Iibhaktiriya eziqhele ukufunyanwa kumlomo wesibeleko zinokuya kwisibeleko nakwimibhobho yesibeleko ngexesha lonyango olufana:

• Ukubeleka
• I-Endometrial biopsy (ukususa isiqwenga sesibeleko sakho ukuvavanya umhlaza)
• Ukufumana i-intrauterine device (IUD)
• Ukuphuma kwesisu
• Ukuqhomfa

E-United States, phantse abasisi-1 abasetyhini bane-PID ngonyaka. Phantse i-1 kwi-8 yamantombazana abelana ngesondo aya kuba ne-PID ngaphambi kweminyaka engama-20.

Kungenzeka ukuba ufumane iPID ukuba:

• Unomlingani wesini kunye ne-gonorrhea okanye i-chlamydia.
• Ubelana ngesondo nabantu abaninzi abohlukeneyo.
• Wakhe waba ne-STI kwixa elidlulileyo.
• Kutshanje unePID.
• Unesifo se-gonorrhea okanye i-chlamydia kwaye une-IUD.
• Ukhe wabelana ngesondo ngaphambi kweminyaka engama-20.

Iimpawu eziqhelekileyo ze-PID zibandakanya:

• Ifiva
• Ubuhlungu okanye ukuthamba kwi-pelvis, esiswini esisezantsi, okanye kumqolo osezantsi
• Ulwelo olusuka kwilungu lobufazi elinombala ongaqhelekanga, ubume, okanye ivumba

Ezinye iimpawu ezinokuthi zenzeke nge-PID:

• Ukopha emva kokwabelana ngesondo
• Ukugodola
• Ukudinwa kakhulu
• Intlungu xa uchama
• Kufuneka uchame rhoqo
• Ixesha leenkampu ezilimaza ngaphezu kwesiqhelo okanye zihlala ixesha elide kunesiqhelo
• Ukopha okungaqhelekanga okanye ukubonwa ngexesha lakho
• Andiziva ndilambile
• Isicaphucaphu nokugabha
• Ukutsiba ixesha lakho
• Intlungu xa usabelana ngesondo

Unokuba ne-PID kwaye ungabinazo iimpawu ezinzima. Umzekelo, i-chlamydia inokubangela i-PID ngaphandle kwempawu. Abasetyhini abanokukhulelwa kwe-ectopic okanye abangazalanga bahlala be-PID ebangelwa yi-chlamydia. Ukukhulelwa kwe-ectopic kuxa iqanda likhula ngaphandle kwesibeleko. Kubeka ubomi bukanina esichengeni.

Umboneleli wakho wezempilo angenza uvavanyo lwe-pelvic ukujonga:

• Ukopha kumlomo wesibeleko sakho. Umlomo wesibeleko kukuvulwa kwesibeleko sakho.
• Ulwelo oluphuma kumlomo wakho wesibeleko.
• Ubuhlungu xa umlomo wakho wesibeleko uthintekile.
• Ukuthantamisa kwisibeleko sakho, iityhubhu, okanye ii-ovari.

Unokuba novavanyo lwelebhu ukujonga iimpawu zosulelo lomzimba wonke:

• Iprotheni esebenzayo yeC (CRP)
• Izinga le-sedimentation ye-Erythrocyte (ESR)
• Ubalo lweWBC

Olunye uvavanyo lubandakanya:

• I-swab ethathwe kwilungu lakho lobufazi okanye umlomo wesibeleko. Le sampuli iya kujongwa kwi-gonorrhea, i-chlamydia, okanye ezinye izizathu ze-PID.
• I-pelvic ultrasound okanye i-CT scan ukubona ukuba yintoni enye enokubangela iimpawu zakho. I-Appendicitis okanye iipokotho zosulelo ezijikeleze iityhubhu zakho kunye nee-ovari, ezibizwa ngokuba yi-tubo-ovarian abscess (TOA), zinokubangela iimpawu ezifanayo.
• Uvavanyo lokukhulelwa.

Umboneleli wakho uya kuhlala uqala ukuthatha ii-antibiotics ngelixa ulinde iziphumo zakho zovavanyo.

Ukuba une-PID emnene:

• Umboneleli wakho uya kukunika umfanekiso ophethe i-antibiotic.
• Uya kuthunyelwa ekhaya kunye neepilisi ze-antibiotic oza kuthatha ukuya kwiiveki ezi-2.
• Uya kudinga ukulandelela kufutshane nomboneleli wakho.

Ukuba une-PID eqatha:

• Kusenokufuneka uhlale esibhedlele.
• Unokunikwa i-antibiotics nge-vein (IV).
• Emva kwexesha, unokunikwa iipilisi zentsholongwane ukuba uzithathe ngomlomo.

Zininzi ii-antibiotics ezinokunyanga i-PID. Ezinye zikhuselekile kubafazi abakhulelweyo. Loluphi uhlobo oluthathayo luxhomekeke kwisizathu sosulelo. Unokufumana unyango olwahlukileyo ukuba une-gonorrhea okanye i-chlamydia.

Ukugqiba ikhosi epheleleyo ye-antibiotics oyinikiweyo kubaluleke kakhulu kunyango lwe-PID. Ukuqhekeka ngaphakathi kwesibeleko ukusuka kwi-PID kunokukhokelela kwisidingo sokwenziwa kotyando okanye kwenziwe i-invitro fertilization (IVF) ukuze ukhulelwe. Landela umboneleli wakho emva kokuba ugqibile ukubulala iintsholongwane ukuze uqiniseke ukuba awusenayo intsholongwane emzimbeni wakho.

Kubaluleke kakhulu ukuba usebenzise isondo elikhuselekileyo ukuze unciphise umngcipheko wokufumana usulelo, olunokukhokelela kwi-PID.

Ukuba i-PID yakho ibangelwa yi-STI njenge-gonorrhea okanye i-chlamydia, iqabane lakho owabelana nalo ngesondo kufuneka liphathwe nalo.

• Ukuba unamaqabane angaphezu kwelinye, onke kufuneka anyangwe.
• Ukuba iqabane lakho alinyangwa, banokuphinda bakosulele, okanye bosulele abanye abantu kwixa elizayo.
• Nobabini neqabane lakho kufuneka nigqibe ukuthatha zonke ii-antibiotics.
• Sebenzisa iikhondom de nigqibe nobabini ukuthatha amayeza okubulala iintsholongwane.

Usulelo lwe-PID lunokubangela ukonakala kwamalungu e-pelvic. Oku kungakhokelela ku:

• Ixesha elide (elingapheliyo) iintlungu zangasese
• Ukukhulelwa kwe-Ectopic
• Ukungachumi
• Ithumba le-Tubo-ovari

Ukuba unesifo esibi esingaphuculiyo ngamayeza okubulala iintsholongwane, unokufuna utyando.

Fowunela umnikezeli wakho ukuba:

• Unempawu zePID.
• Ucinga ukuba ubhentsisiwe kwi-STI.
• Unyango lwe-STI yangoku alubonakali lusebenza.

Fumana unyango olukhawulezileyo lwezifo ezingumvuka wokwabelana ngesondo.

Unokunceda ukuthintela i-PID ngokwenza isondo elikhuselekileyo.

• Olona hlobo kuphela lweendlela zokuthintela i-STI kukuba ungabelani ngesondo (ukungabinakho).
• Unokuwunciphisa umngcipheko ngokuba neentlobano zesini nomntu omnye kuphela. Oku kubizwa ngokuba ngumntu omnye.
• Umngcipheko wakho uya kuncitshiswa ukuba wena kunye namaqabane akho owabelana nawo ngesondo nivavanyelwa ii-STIs ngaphambi kokuqala ubudlelwane bezesondo.
• Ukusebenzisa ikhondom ngalo lonke ixesha usabelana ngesondo nako kunciphisa umngcipheko.

Nantsi indlela onokuthi uwunciphise umngcipheko we-PID:

• Fumana iimvavanyo zokuhlola STI rhoqo.
• Ukuba usisibini esitsha, yenza uvavanyo ngaphambi kokuba uqale ukulala ngesondo. Ukuvavanya kunokufumanisa izifo ezingenakubangela iimpawu.
• Ukuba ungumfazi obelana ngesondo uneminyaka engama-24 okanye engaphantsi, zihlolwe rhoqo ngonyaka nge-chlamydia kunye ne-gonorrhea.
• Bonke abantu basetyhini abanamaqabane amatsha ezesondo okanye amaqabane amaninzi kufuneka nawo ahlolwe.

I-PID; Oophoritis; Ukuthanjiswa; I-salpingo - i-oophoritis; ISalpingo - peritonitis

• Iiparvic laparoscopy
• I-anatomy yokuzala yabasetyhini
• Endometritis
• Isibeleko

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