Isifo sokuvuvukala kwepelvic (PID)

Isifo sokuvuvukala kwepelvic (PID) ukutheleleka kwesibeletho sowesifazane (isibeletho), ama-ovari, noma amashubhu e-fallopian.

I-PID ukutheleleka okubangelwa amagciwane. Lapho amabhaktheriya avela esithweni sangasese noma emlonyeni wesibeletho eya esibelethweni sakho, amashubhu e-fallopian, noma ama-ovari, angadala ukutheleleka.

Isikhathi esiningi, i-PID ibangelwa amagciwane avela ku-chlamydia kanye ne-gonorrhea. Lezi izifo ezithathelwana ngocansi (STIs). Ukuya ocansini olungaphephile nomuntu one-STI kungadala i-PID.

Amagciwane ajwayele ukutholakala emlomo wesibeletho angaphinde angene esibelethweni nasemashubhu e-fallopian ngesikhathi senqubo yezokwelapha efana nale:

• Ukubeletha
• I-endometrial biopsy (ukususa ucezu oluncane lwesibeletho sakho ukuhlolela umdlavuza)
• Ukuthola i-intrauterine device (IUD)
• Ukuphuphuma kwesisu
• Ukukhipha isisu

E-United States, cishe abesifazane abayisigidi esisodwa bane-PID unyaka nonyaka. Cishe intombazane eyodwa kwezingu-8 ezocansi izokuba ne-PID ngaphambi kweminyaka engama-20.

Kungenzeka ukuthi uthole i-PID uma:

• Unomlingani ocansini ne-gonorrhea noma i-chlamydia.
• Ulala nabantu abaningi abehlukene.
• Wake waba nezifo zocansi esikhathini esedlule.
• Usanda kuba ne-PID.
• Uthole i-gonorrhea noma i-chlamydia futhi une-IUD.
• Uke waya ocansini ngaphambi kweminyaka yobudala engama-20.

Izimpawu ezivamile ze-PID zifaka:

• Imfiva
• Ubuhlungu noma isisa ku-pelvis, esiswini esiphansi, noma emhlane ongezansi
• Uketshezi oluvela esithweni sakho sangasese olunombala ongajwayelekile, ukuthungwa, noma iphunga

Ezinye izimpawu ezingenzeka nge-PID:

• Ukopha ngemuva kocansi
• Amakhaza
• Ukukhathala kakhulu
• Ubuhlungu lapho uchama
• Kufanele uchame kaningi
• Izilonda zesikhathi ezilimaza ngaphezu kokujwayelekile noma zihlala isikhathi eside kunokujwayelekile
• Ukopha okungavamile noma ukubona ngesikhathi sakho
• Ukungazizwa ngilambile
• Isicanucanu nokuhlanza
• Yeqa isikhathi sakho
• Ubuhlungu lapho uya ocansini

Ungaba ne-PID futhi ungabi nazimpawu ezinzima. Isibonelo, i-chlamydia ingadala i-PID ngaphandle kwezimpawu. Abesifazane abane-ectopic pregnancy noma abangatholi abantwana bavame ukuba ne-PID ebangelwa yi-chlamydia. Ukukhulelwa kwe-ectopic kulapho iqanda likhula ngaphandle kwesibeletho. Kubeka impilo kamama engcupheni.

Umhlinzeki wakho wezokunakekelwa kwempilo angenza ukuhlolwa kwe-pelvic ukuze afune:

• Ukopha okuphuma emlonyeni wakho wesibeletho. Umlomo wesibeletho ukuvulwa kwesibeletho sakho.
• Uketshezi oluphuma emlonyeni wakho wesibeletho.
• Ubuhlungu lapho umlomo wakho wesibeletho uthintwa.
• Ubumnene esibelethweni sakho, amashubhu, noma amaqanda.

Ungahle ube nokuhlolwa kwebhu ukuhlola izimpawu zokutheleleka komzimba wonke:

• Amaprotheni asebenza ngoku-C (CRP)
• Izinga le-sedimentation ye-Erythrocyte (ESR)
• Ukubalwa kwe-WBC

Ezinye izivivinyo zifaka:

• I-swab ethathwe esithweni sakho sangasese noma emlonyeni wesibeletho. Lesi sampula sizohlolwa i-gonorrhea, i-chlamydia, noma ezinye izimbangela ze-PID.
• I-pelvic ultrasound noma i-CT scan ukubona ukuthi yini enye engadala izimpawu zakho. I-Appendicitis noma amaphakethe okutheleleka azungeze amashubhu akho nama-ovari, abizwa nge-tubo-ovarian abscess (TOA), angadala izimpawu ezifanayo.
• Ukuhlolwa kokukhulelwa.

Umhlinzeki wakho uzovame ukuthi uqale ukuthatha ama-antibiotics ngenkathi ulinde imiphumela yakho yokuhlolwa.

Uma une-PID emnene:

• Umhlinzeki wakho uzokunika isibhamu esiqukethe i-antibiotic.
• Uzothunyelwa ekhaya ngamaphilisi ama-antibiotic ozowathatha kuze kube amasonto ama-2.
• Uzodinga ukulandelela eduze nomhlinzeki wakho.

Uma une-PID enamandla kakhulu:

• Ungadinga ukuhlala esibhedlela.
• Unganikezwa ama-antibiotic ngomthambo (IV).
• Kamuva, unganikezwa amaphilisi ama-antibiotic ongawaphuza ngomlomo.

Kunama-antibiotic amaningi ahlukahlukene angelapha i-PID. Ezinye ziphephile kwabesifazane abakhulelwe. Yikuphi uhlobo oluthathayo kuncike embangela yokutheleleka. Ungathola ukwelashwa okwehlukile uma une-gonorrhea noma i-chlamydia.

Ukuqedela inkambo ephelele yama-antibiotic onikezwe yona kubaluleke kakhulu ekwelapheni i-PID. Ukugqashuka ngaphakathi kwesibeletho kusuka ku-PID kungaholela esidingweni sokuhlinzwa noma sokuhlwanyelwa i-invitro (IVF) ukuze ukhulelwe. Landela umhlinzeki wakho ngemuva kokuqeda ama-antibiotic ukuze uqiniseke ukuthi awusenawo amabhaktheriya emzimbeni wakho.

Kubaluleke kakhulu ukuthi usebenzise ucansi oluphephile ukuze unciphise ubungozi bokuthola izifo, okungaholela ku-PID.

Uma i-PID yakho ibangelwa i-STI efana ne-gonorrhea noma i-chlamydia, umlingani wakho ocansini naye kufanele aphathwe.

• Uma unabalingani abangaphezu koyedwa ocansini, kumele belashwe bonke.
• Uma umlingani wakho engalashwa, bangakuthelela futhi, noma bangathelela abanye abantu ngokuzayo.
• Nobabili nomlingani wakho kufanele niqede ukuthatha wonke ama-antibiotics anqunyiwe.
• Sebenzisa amakhondomu kuze kube yilapho nobabili niqedile ukuthatha ama-antibiotic.

Ukutheleleka nge-PID kungadala ukushwabana kwezitho ze-pelvic. Lokhu kungaholela ku:

• Ubuhlungu be-pelvic besikhathi eside (esingapheli)
• Ukukhulelwa kwe-Ectopic
• Ukungabi nenzalo
• Ithumba le-Tubo-ovarian

Uma unesifo esibi kakhulu esingathuthuki ngama-antibiotic, ungadinga ukuhlinzwa.

Shayela umhlinzeki wakho uma:

• Unezimpawu ze-PID.
• Ucabanga ukuthi uvulelwe i-STI.
• Ukwelashwa kwe-STI yamanje akubonakali kusebenza.

Thola ukwelashwa ngokushesha kwama-STI.

Ungasiza ukuvimbela i-PID ngokwenza ucansi oluphephile.

• Okuwukuphela kwendlela ephelele yokuvimbela i-STI ukungayi ocansini (ukuziyeka).
• Unganciphisa ubungozi bakho ngokuba nobuhlobo bobulili nomuntu oyedwa kuphela. Lokhu kubizwa ngokuba ngumfazi oyedwa.
• Ingozi yakho izokwehla futhi uma wena nabalingani bakho ocansini niyohlolelwa izifo zocansi ngaphambi kokuqala ubudlelwano bezocansi.
• Ukusebenzisa ikhondomu njalo uma uya ocansini nakho kunciphisa ubungozi bakho.

Nakhu ukuthi unganciphisa kanjani ubungozi be-PID:

• Thola ukuhlolwa okuvamile kwe-STI.
• Uma niyizithandani ezintsha, zihloleni ngaphambi kokuqala ukuya ocansini. Ukuhlola kungathola ukutheleleka okungazibangeli izimpawu.
• Uma ungowesifazane ocansini oneminyaka yobudala engama-24 noma ngaphansi, hlola unyaka nonyaka nge-chlamydia ne-gonorrhea.
• Bonke abesifazane abanabalingani abasha bezocansi noma abalingani abaningi nabo kufanele bahlolwe.

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

• I-laparoscopy yomzimba
• I-anatomy yokuzala yabesifazane
• I-Endometritis
• Isibeletho

UJones HW. Ukuhlinzwa kwabesifazane. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 70.

I-Lipsky AM, i-Hart D. Ubuhlungu obukhulu be-pelvic. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 30.

McKinzie J. Izifo ezithathelwana ngocansi. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 88.

USmith RP. Isifo sokuvuvukala kwepelvic (PID). Ku: Smith RP, ed. I-Netter’s Obstetrics & Gynecology. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 155.

I-Workowski KA, iBolan GA; Izikhungo Zokulawulwa Nokuvikelwa Kwezifo. Imihlahlandlela yokwelashwa kwezifo ezithathelwana ngocansi, 2015. Incoma i-MMWR Rep. 2015; 64 (RR-03): 1-137. I-PMID: 26042815 www.ncbi.nlm.nih.gov/pubmed/26042815.