Siyini isifo sokuvuvukala okhalo (PID), izimbangela eziyinhloko nezimpawu

-Delile

• Izimpawu zesifo sokuvuvukala okhalweni
• Izimbangela eziyinhloko
• Injani impatho

Isifo sokuvuvukala kwesisu, esaziwa nangokuthi yi-PID, ukuvuvukala okuvela esithweni sangasese futhi okuqhubeka kuthinte isibeletho, kanye namashubhu namaqanda, okusakazeka endaweni enkulu ye-pelvic, futhi kaningi kungumphumela wesifo ayiphathwanga kahle.

I-DIP ingahlukaniswa ngokobukhulu bayo njengo:

• Isigaba 1: Ukuvuvukala kwe-endometrium namashubhu, kepha ngaphandle kokutheleleka kwe-peritoneum;
• Isigaba 2: Ukuvuvukala kwamashubhu ngokutheleleka kwe-peritoneum;
• Isigaba 3: Ukuvuvukala kwamashubhu ane-tubal occlusion noma ukubandakanyeka kwe-tube-ovarian, kanye nethumba eliqinile;
• Inkundla 4: Ithumba le-ovarian tube elikhuphukile, noma uketshezi lwe-purulent emgodini.

Lesi sifo sithinta kakhulu intsha kanye nabantu abasha abaya ocansini, nabalingani abenza nabo ucansi abaningana, abangasebenzisi amakhondomu nabagcina umkhuba wabo wokugeza isitho sangasese ngaphakathi.

Yize ijwayele ukuhlobene nezifo ezithathelwana ngocansi, i-PID nayo ingahle ihlobene nezinye izimo ezifana nokubekwa kwe-IUD noma i-endometriosis, okuyisimo lapho izicubu ze-endometrium zikhula ngaphandle kwesibeletho. Funda kabanzi nge-endometriosis.

Izimpawu zesifo sokuvuvukala okhalweni

Isifo sokuvuvukala kwepelvic singecashile kakhulu, futhi abesifazane abakwazi ngaso sonke isikhathi ukubona izimpawu nezimpawu zayo, bethanda ukwanda kwamagciwane futhi kuholele ekuvukeleni okukhulu kwesifunda sangasese. Kwezinye izimo ezinye izimpawu nezimpawu zingabonakala, njenge:

• Imfiva elingana noma engaphezulu kuka-38ºC;
• Ubuhlungu esiswini, ngesikhathi sokushaya kwaso;
• Ukopha kwesitho sangasese sowesifazane ngaphandle kokuya esikhathini noma ngemuva kocansi;
• Ukukhishwa kwesisu okuphuzi noma okuluhlaza okunephunga elibi;
• Ubuhlungu ngesikhathi sokusondelana, ikakhulukazi ngesikhathi sokuya esikhathini.

Abesifazane okungenzeka bahlakulele lolu hlobo lokuvuvukala yilabo abaphakathi kweminyaka eyi-15 nengama-25 ubudala, abawasebenzisi amakhondomu ngaso sonke isikhathi, abanabalingani abambalwa bezocansi, nalabo abanomkhuba wokusebenzisa ishawa yangasese, eshintsha Izimbali zangasese ezisiza ukuthuthukiswa kwezifo.

Izimbangela eziyinhloko

Isifo sokuvuvukala kwesisu sivame ukuhlobene nokwanda kwama-microorganism kanye nokuntuleka kokwelashwa okwanele. Imbangela enkulu ye-PID ngama-microorganisms adluliswa ngocansi, okuthi, kulezi zimo, kube umphumela we-gonorrhea noma i-chlamydia, ngokwesibonelo.

Ngaphezu kwalokho, i-PID ingakhula njengomphumela wokutheleleka ngesikhathi sokubeletha, ukwethulwa kwezinto ezingcolile esithweni sangasese ngesikhathi sokushaya indlwabu, ukubekwa kwe-IUD ngaphansi kwamasonto amathathu, i-endometriosis noma ngemuva kwe-endometrial biopsy noma i-uterine curettage.

Ukuxilongwa kwesifo sokuvuvukala okhalovini akulula ngaso sonke isikhathi, kepha kungenziwa ngokwenza ukuhlolwa kwegazi, nokuhlolwa kwe-imaging njenge-pelvic noma i-transvaginal ultrasound.

Injani impatho

Ukwelashwa kwesifo sokuvuvukala okhalweni kungenziwa kusetshenziswa ama-antibiotic ngomlomo noma nge-intramuscularly cishe izinsuku eziyi-14. Ngaphezu kwalokho, kubalulekile ukuphumula, ukungabikho kothintana naye ngesikhathi sokwelashwa, ngisho nekhondomu ukuvumela isikhathi sokuphulukiswa kwezicubu, nokususwa kwe-IUD, uma kusebenza.

Isibonelo se-antibiotic yesifo sokuvuvukala kwe-pelvic yi-Azithromycin, kepha ezinye, ezifana neLevofloxacin, Ceftriaxone, Clindamycin noma iCeftriaxone nazo zingakhonjiswa. Ngesikhathi sokwelashwa kunconywa ukuthi umlingani ocansini naye aphathwe ngisho noma engenazo izimpawu zokugwema ukuphinde angcoliswe futhi ukuhlinzwa kungadingeka ukwelapha ukuvuvukala kwamashubhu e-fallopian noma ukukhipha amathumba. Qonda ukuthi ukwelashwa kwe-PID kwenziwa kanjani.