Isalpingitis engapheliyo: yintoni, iimpawu kunye nonyango

Umxholo

• Zithini iimpawu?
• Iingxaki ezinokwenzeka
• Yintoni ebangela
• Uxilongo lwenziwa njani
• Yintoni unyango

I-salpingitis engapheliyo ibonakaliswa kukudumba okungapheliyo kweetyhubhu, ekuqaleni okubangelwa lusulelo kumalungu okuzala kwabasetyhini, kwaye yimeko enokwenza ukukhulelwa kube nzima ngokuthintela iqanda eliqolileyo ekufikeleleni kwimibhobho yesibeleko, enokuthi ikhokelele kuphuhliso lwe ukukhulelwa kwimibhobho, ebizwa ngokuba kukukhulelwa kwe-ectopic.

Oku kudumba kuhlala kuyinto engapheliyo, xa ihlala iminyaka emininzi, kuba ayinyangwa okanye kuba unyango lwenziwe emva kwexesha, ngenxa yokuba iimpawu zithambile okanye azikho.

Ezinye zeempawu zesalpingitis ziintlungu xa unxibelelana ngokusondeleyo kunye nephunga elibi elivela kwilungu lobufazi, kwaye unyango lwalo lusenziwa ngokusetyenziswa kweyeza lokubulala iintsholongwane kunye neyeza lokuthintela ukudumba.

Zithini iimpawu?

Iimpawu zesalpingitis ziyahluka ngokobuzaza kunye nexesha lesi sifo, kwaye zihlala zivela emva kokuba sexesheni. Ezinye zeempawu kunye neempawu ziqhelekileyo zezi:

• Ukukhutshwa ngokungaqhelekanga kwilungu lobufazi, ngevumba elibi;
• Utshintsho kumjikelo wokuya exesheni;
• Iintlungu ngexesha lokuvuthwa;
• Iintlungu ngexesha lonxibelelwano olusenyongweni;
• Ifiva;
• Isisu esiswini kunye neentlungu ezisezantsi;
• Iintlungu xa uchama;
• Isicaphucaphu nokugabha.

Ezi mpawu ngokubanzi zikho ngakumbi kwi-salpingitis engapheliyo, kwaye kwezinye iimeko zinokungabonakali, neso sizathu sokuba unyango lwenziwe emva kwexesha, kukhokelela kuphuhliso lweengxaki.

Iingxaki ezinokwenzeka

I-salpingitis engapheliyo, ukuba iyeki inganyangwa kunye nokucinywa kweetyhubhu, ezinokubangela ukungachumi kunye nokukhulelwa kwe-ectopic.

Yazi ukuba yintoni ukukhulelwa kwe-ectopic kunye nendlela yokuchonga iimpawu.

Yintoni ebangela

I-Salpingitis ihlala ibangelwa sisifo esosulela ngokwabelana ngesondo (STI) esibangelwa ziintsholongwane, ezona zixhaphakileyo zazo I-Chlamydia trachomatis kwaye i I-Neisseria gonorrhoeae, ezithi zisasazeke ngamalungu okuzala ababhinqileyo, zibangele ukudumba. Nangona kunqabile ngakumbi, i-salpingitis inokubangelwa ziintsholongwane zohlobo Mycoplasma, Istaphylococcus okanye IStreptococcus.

Ukongeza, iinkqubo ezinje nge-biopsy yesibeleko, i-hysteroscopy, ukubekwa kwe-IUD, ukubeleka okanye ukukhupha isisu kungonyusa umngcipheko wokuba ne-salpingitis.

Uxilongo lwenziwa njani

Ukuchongwa kwe-salpingitis kufuneka kwenziwe kwangoko, ukuthintela iingxaki. Kuba i-salpingitis engapheliyo inokubangela iimpawu ezinobuzaza kakhulu okanye i-asymptomatic, kubalulekile ukuba uye kugqirha wezifo zabasetyhini rhoqo, kungcono kube kanye ngonyaka.

Ukuchongwa kwe-salpingitis kunokwenziwa ngokusekwe kwiimpawu ezinikwe ngumfazi, ngegazi kunye novavanyo lomchamo, okanye ngokuqhuba uhlalutyo lwe-microbiological lwesampulu yolusu lobufazi, ukufumanisa intsholongwane ebangela usulelo.

Ukongeza kwezi, iimviwo ezihambelana nazo zinokusetyenziswa, ezinje nge-transvaginal ultrasound, salpingography kunye ne-diagnostic laparoscopy ukuqinisekisa ubukho bokudumba kweetyhubhu.

Yintoni unyango

Unyango lwe-salpingitis lubandakanya ukusetyenziswa kwee-antibiotics ngomlomo okanye emthanjeni, ukunyanga usulelo, kunye ne-analgesics kunye neziyobisi ezichasayo, ukulawula iintlungu. Ukuba i-salpingitis inxulumene nokusetyenziswa kwe-IUD, unyango lukwabandakanya ukususwa kwayo.

Kwiimeko ezinzima kakhulu, unyango esibhedlele okanye utyando lokususa iityhubhu kunye nesibeleko kunokuba yimfuneko.

Ngexesha lokunyanga usulelo, umfazi kufuneka aphumle kwaye asele amanzi amaninzi. Ukongeza kowasetyhini, iqabane lakho kufuneka lithathe i-antibiotics ngexesha lokunyanga ukudumba, ukuqinisekisa ukuba asosuleli isifo kwiqabane laso kwakhona.