Yintoni isifo se-pelvic inflammatory (PID), esona sizathu siphambili kunye neempawu

Umxholo

• Iimpawu zesifo sokudumba kwentloko
• Izizathu eziphambili
• Unjani unyango

Isifo sokudumba kwepelvic, esikwabizwa ngokuba yi-PID, kukudumba okuphuma kwilungu lobufazi kwaye kuqhubeka kuchaphazela isibeleko, kunye nemibhobho kunye namaqanda, esasazeka kwindawo enkulu ye-pelvic, kwaye amaxesha amaninzi sisiphumo sosulelo. ayikhange inyangwe ngokufanelekileyo.

I-DIP inokuhlelwa ngokobunzima bayo njenge:

• Inqanaba 1: Ukudumba endometrium kunye neetyhubhu, kodwa ngaphandle usulelo peritoneum;
• Inqanaba 2: Ukudumba kwemibhobho kunye nosulelo lwe-peritoneum;
• Inqanaba 3: Ukudumba kweetyhubhu ezinokufakwa kwetyhubhu okanye ukubandakanyeka kwe-tube-ovarian, kunye nethumba elinganyangekiyo;
• Ibala lemidlalo 4: Ithumba le-ovarian tube elikhutshiweyo, okanye imfihlo yokufihla umgodi.

Esi sifo ikakhulu sichaphazela ulutsha kunye nabantu abancinci abasebenza ngokwesondo, namaqabane aliqela ezesondo, angasebenzisi iikhondom kwaye agcina umkhwa wokuhlamba ubufazi ngaphakathi.

Nangona zihlala zihambelana nezifo ezithathelwana ngesondo, i-PID inokudibaniswa nezinye iimeko ezifana nokubekwa kwe-IUD okanye i-endometriosis, imeko apho izicubu ze-endometrium zikhula ngaphandle kwesibeleko. Funda ngakumbi malunga ne-endometriosis.

Iimpawu zesifo sokudumba kwentloko

Isifo sokudumba kwamalungu omzimba sinokubonakala ngokufihlakeleyo, kwaye abasetyhini abasoloko bekwazi ukubona imiqondiso kunye neempawu zayo, bathanda ukwanda kwamagciwane kwaye kukhokelela kukudumba okukhulu kwendawo yesini. Kwezinye iimeko ezinye iimpawu kunye neempawu zinokuchongwa, ezinje:

• Umkhuhlane ulingana okanye mkhulu kuno-38ºC;
• Ubuhlungu esiswini, ngexesha lokucofa;
• Ukopha kwilungu lobufazi ngaphandle kokuba sexesheni okanye emva kokuba neentlobano zesini;
• Ukukhutshwa kobufazi obuhlaza okanye obuhlaza kunye nevumba elibi;
• Intlungu ngexesha lokunxibelelana ngokusondeleyo, ngakumbi ngexesha lokuya exesheni.

Abasetyhini ekunokwenzeka ukuba bakhulise olu hlobo lokudumba ngabo baphakathi kweminyaka eli-15 nengama-25 ubudala, abazisebenzisi iikhondom ngalo lonke ixesha, abanamaqabane ezesondo aliqela, kunye nabo banomkhwa wokusebenzisa ishawa yelungu lobufazi, etshintsha Iintyatyambo zangasese eziququzelela ukukhula kwezifo.

Izizathu eziphambili

Isifo sokudumba komzimba sisoloko sihambelana nokwanda kwamagciwane kunye nokungabikho konyango olwaneleyo. Esona sizathu siphambili se-PID zizinto ezosulela ngokwabelana ngesondo, ezinokuthi, kwezi meko, zibe sisiphumo se-gonorrhea okanye i-chlamydia, umzekelo.

Ukongeza, i-PID inokukhula njengesiphumo sosulelo ekuhanjisweni, ukungeniswa kwezinto ezingcolileyo kwilungu lobufazi ngexesha lokuphulula amalungu esini, ukubekwa kwe-IUD ngaphantsi kweeveki ezi-3, i-endometriosis okanye emva kwe-endometrial biopsy okanye unyango lwesibeleko.

Ukuxilongwa kwesifo sokudumba kweplavic akusoloko kulula, kodwa kunokwenziwa ngokwenza uvavanyo lwegazi, kunye neemvavanyo zokucinga ezifana ne-pelvic okanye i-transvaginal ultrasound.

Unjani unyango

Unyango lwesifo sokudumba kwenimba sinokwenziwa kusetyenziswa i-antibiotics ngomlomo okanye nge-intramuscularly kangangeentsuku ezili-14. Ukongeza, kubalulekile ukuba uphumle, ukungabikho koqhakamshelwano olusondeleyo ngexesha lonyango, nditsho nekhondom yokuvumela ixesha lokuba izicubu ziphilise, kunye nokususwa kwe-IUD, ukuba kufanelekile.

Umzekelo we-antibiotiki yesifo sokudumba kwe-pelvic yiAzithromycin, kodwa ezinye, ezinje ngeLevofloxacin, Ceftriaxone, Clindamycin okanye Ceftriaxone zinokuboniswa. Ngexesha lonyango kuyacetyiswa ukuba iqabane lokwabelana ngesondo nalo liphathwe nokuba alinazo iimpawu zokuthintela ukuphinda ucoceke kwaye utyando lunokuba yimfuneko ukunyanga ukudumba kwemibhobho yesibeleko okanye ukukhupha amathumba. Qonda ukuba lwenziwa njani unyango lwe-PID.