I-Pyosalpinx: Izimpawu, Izimbangela, Imiphumela Yokuzala, Ukwelashwa, nokuningi

-Delile

• Ziyini izimpawu?
• Yini ebangela lesi simo?
• Kutholakala kanjani?
• I-pelvic ultrasound
• I-MRI yethambo
• I-Laparoscopy
• Ilashwa kanjani?
• Ungakwazi ukuvimbela i-pyosalpinx?
• Umbono

Kuyini i-pyosalpinx?

IPyosalpinx yisimo lapho ithubhu le-fallopian ligcwala ligcwale ubomvu. Ishubhu le-fallopian liyingxenye yesimo somuntu wesifazane esixhuma ama-ovari esibelethweni. Amaqanda ahamba ukusuka esibelethweni ngokusebenzisa ithubhu, futhi aye esibelethweni.

I-Pyosalpinx iyinkinga yesifo sokuvuvukala kwe-pelvic (PID). I-PID ukutheleleka kwezitho zokuzala zowesifazane. IPyosalpinx yenzeka cishe kuwo wonke amacala we-PID. I-Pyosalpinx nayo ingabangelwa ezinye izinhlobo zezifo, njenge-gonorrhea noma isifo sofuba. Kuvame kakhulu kwabesifazane abaneminyaka engama-20 kuya kwengama-40.

Ziyini izimpawu?

Akubona bonke abesifazane abanezimpawu ezivela ku-pyosalpinx. Lapho izimpawu zenzeka, zingabandakanya:

• ubuhlungu esiswini esingezansi obuhlala njalo, noma obufikayo nobudlulayo
• isigaxa esibuhlungu esiswini esingezansi
• ubuhlungu ngaphambi kokuya esikhathini
• imfiva
• ubuhlungu ngesikhathi socansi

Ukungabi nenzalo nakho kungaba uphawu lwe-pyosalpinx. Lokho kungenxa yokuthi amaqanda kumele ehle ngeshubhu le-fallopian ukuze avundiswe futhi afakwe esibelethweni. Uma amashubhu e-fallopian evinjelwe ubomvu noma alimale yi-pyosalpinx, ngeke ukwazi ukukhulelwa.

Yini ebangela lesi simo?

Ungathola i-pyosalpinx uma ungalaphile i-PID. I-PID ukutheleleka kwendlela yokuzala yabesifazane ebangelwa izifo ezithathelwana ngocansi (STDs) njenge-chlamydia ne-gonorrhea. Ezinye izinhlobo zezifo, okubandakanya isifo sofuba, nazo zingadala le nkinga.

Lapho kunokutheleleka emzimbeni wakho, amasosha akho omzimba athumela ibutho lamaseli amhlophe egazi ukuyolwa nalo. Lawa maseli angabambeka ngaphakathi kweshubhu lakho le-fallopian. Amangqamuzana egazi amhlophe afile abizwa ngokuthi ubomvu. Lapho ithubhu le-fallopian ligcwala ubomvu, liyakhukhumala futhi likhule. Lokhu kubangela i-pyosalpinx.

Kutholakala kanjani?

Izivivinyo ezisiza udokotela wakho ukuthola ukuthi i-pyosalpinx ifaka phakathi:

I-pelvic ultrasound

Lokhu kuhlolwa kusebenzisa amaza omsindo ukudala izithombe zamashubhu akho ezitho zangasese nezinye izitho zangasese. Ngesikhathi sokuhlolwa, uchwepheshe ubeka ijeli ekhethekile kudivayisi ebizwa ngokuthi i-transducer. I-transducer ibekwa esiswini sakho noma ifakwe esithweni sakho sangasese. I-ultrasound idala izithombe zezitho zakho zokuzala esikrinini sekhompyutha.

I-MRI yethambo

Lokhu kuhlolwa kusebenzisa odonsa abanamandla namagagasi omsakazo ukudala izithombe zezitho zakho zangasese. Ungathola umjovo wedayi okhethekile ngaphambi kokuhlolwa. Lo dayi uzokwenza izitho zakho zivele kahle ezithombeni.

Ngesikhathi seMRI, uzolala etafuleni, elizosheleleka emshinini. Ungase uzwe umsindo wokuqhuma ngesikhathi sokuhlolwa.

I-Laparoscopy

Ukuqinisekisa ukuxilongwa kwakho, udokotela wakho angahlola amashubhu akho e-fallopian ngale nqubo yokuhlinzwa. Imvamisa uzobe ulele ngesikhathi se-laparoscopy. Udokotela ohlinzayo uzoqala asike kancane eduze kwenkinobho yakho yesisu bese egcwalisa isisu sakho ngegesi. Lo gesi unikeza udokotela ohlinzayo umbono ocacile wezitho zakho zangasese. Izinsimbi zokuhlinza zifakwa ngezinye izindlela ezimbili ezincane.

Ngesikhathi sokuhlolwa, udokotela wakho uzohlola izitho zakho zangasese, futhi angasusa isampula lezicubu zokuhlolwa. Lokhu kubizwa ngokuthi yi-biopsy.

Ilashwa kanjani?

Udokotela wakho uzokwelapha i-PID ngama-antibiotic.

Ungadinga nokuhlinzwa uma i-pyosalpinx ingalapheki futhi unezimpawu. Uhlobo lokuhlinzwa olutuswa udokotela wakho kuncike ebucayi besimo sakho.

Izinketho zokuhlinzwa zifaka:

• I-Laparoscopy. Le nqubo ingasetshenziselwa ukususa ubomvu ngaphandle kokulimaza amashubhu akho noma ama-ovari.
• I-salpingectomy yamazwe amabili. Lokhu kuhlinzwa kungasetshenziswa ukususa womabili amashubhu we-fallopian.
• I-Oophorectomy. Lokhu kuhlinzwa kusetshenziselwa ukususa eyodwa noma womabili amaqanda. Kungenziwa kanye ne-salpingectomy.
• I-Hysterectomy. Le nqubo yokuhlinza isusa ingxenye noma sonke isibeletho sakho, mhlawumbe kanye nomlomo wesibeletho sakho. Kungenziwa uma usenesifo.

Uma udokotela wakho ekwazi ukwelapha i-pyosalpinx nge-laparoscopy, ungakwazi ukugcina ukuzala kwakho. Ukususa amashubhu akho, amaqanda, noma isibeletho kuzothinta amandla akho okukhulelwa.

Ungakwazi ukuvimbela i-pyosalpinx?

I-Pyosalpinx ayivikeleki ngaso sonke isikhathi, kepha unganciphisa ubungozi bakho bokuthola i-PID ngokulandela lezi zeluleko:

• sebenzisa amakhondomu noma nini lapho uya ocansini
• nciphisa inani labalingani bobulili ohlukile onabo
• hlola ama-STD afana ne-chlamydia ne-gonorrhea, uma kutholakala ukuthi une-HIV, welashwa ngama-antibiotics
• ungadaki, kwandisa ingozi yokutheleleka.

Umbono

Ngokuya ngobukhulu besimo sakho, ungakwazi ukugcina nokubuyisela ukuzala kulandela ukwelashwa kwe-pyosalpinx. Kwezinye izimo, ungadinga ukuhlinzwa okuzothinta ukuzala. Yazisa udokotela wakho ukuthi ungazicabangela yini izingane ngokuzayo ngaphambi kokuqala noma yiziphi izinhlelo zokwelashwa.