Iyini i-Salpingitis, futhi ilashwa kanjani?

-Delile

• Ziyini izimpawu?
• Yini ebangela lesi simo, futhi ubani osengozini?
• Kutholakala kanjani?
• Yiziphi izindlela zokwelashwa ezitholakalayo?
• Ingabe kungenzeka izinkinga?
• Ukukhulelwa nokuzala
• Uyini umbono?

Yini i-salpingitis?

I-Salpingitis uhlobo lwesifo sokuvuvukala okhalo (PID). I-PID isho ukutheleleka kwezitho zokuzala. Ikhula lapho amabhaktheriya ayingozi engena emkhakheni wokuzala. I-Salpingitis nezinye izinhlobo ze-PID ngokuvamile kubangelwa izifo ezithathelwana ngocansi (STIs) ezibandakanya amabhaktheriya, njenge-chlamydia noma i-gonorrhea.

I-Salpingitis ibangela ukuvuvukala kwamashubhu we-fallopian. Ukuvuvukala kungasakazeka kalula kusuka kwesinye ishubhu kuye kwesinye, ngakho-ke womabili amashubhu angathinteka. Uma ishiywe ingalashwa, i-salpingitis ingaholela ezinkingeni zesikhathi eside.

Qhubeka ufunde ukuze ufunde ukuthi ungazibona kanjani izimpawu, ubungozi bakho, ukuthi iphathwa kanjani, nokuningi.

Ziyini izimpawu?

Akubona bonke abesifazane abathola lesi simo abazoba nezimpawu.

Uma izimpawu zikhona, ungahlangabezana:

• ukukhishwa kwesitho sangasese esinuka kabi
• ukukhishwa kwesitho sangasese sowesifazane okuphuzi
• ubuhlungu phakathi ne-ovulation, ukuya esikhathini, noma ukuya ocansini
• ukubona phakathi kwezikhathi
• ukudambisa izinhlungu ezisezingeni eliphansi
• ubuhlungu besisu
• isicanucanu
• ukuhlanza
• imfiva
• ukuchama kaningi

Lesi simo singaba nzima - size ngokuzumayo sibe nezimpawu ezinzima - noma ezingapheli - sihlale isikhathi eside ngaphandle kwezimpawu.

Kwesinye isikhathi, izimpawu zingaphela ngaphandle kokwelashwa, kunikeze umbono ongamanga wokuthi ukutheleleka okuyisisekelo akusekho. Uma ukutheleleka kungalashwa, kungaholela ezinkingeni zesikhathi eside.

Yini ebangela lesi simo, futhi ubani osengozini?

I-Salpingitis ivame ukubangelwa ukutheleleka kwamagciwane okutholakala ngokuya ocansini.

Ungaba sengozini enkulu uma:

• ngibe ne-STI
• ukuya ocansini olungaphephile
• ube nabalingani abaningi ocansini
• ube nomlingani oyedwa onabalingani abaningi ocansini

Yize kungavamile, ukutheleleka esiswini noma izinqubo, ezinjenge-appendicitis noma ukufakwa kwe-IUD, kungadala i-salpingitis.

Kutholakala kanjani?

Uma uhlangabezana nezimpawu ze-salpingitis, bheka udokotela wakho ngokushesha ukuze unciphise ubungozi bezinkinga.

Ngemuva kokuhlola izimpawu zakho nokubuyekeza umlando wakho wezokwelapha, udokotela wakho uzokwenza isivivinyo somzimba ukuze afune izindawo zesisa nokuvuvukala.

Udokotela wakho angenza futhi izivivinyo ezilandelayo ukubasiza ukuthi benze ukuxilongwa:

• Ukuhlolwa kwegazi nomchamo. Lezi zivivinyo zizobheka izimpawu zokutheleleka.
• Ukuhlolwa kweSwab kwesitho sakho sangasese kanye nomlomo wesibeletho. Lokhu kuzonquma uhlobo lokutheleleka kwamagciwane ongahle ube nalo.
• Okudlulayo noma isisu i-ultrasound. Lokhu kuhlolwa kwe-imaging kubheka amashubhu wakho we-fallopian nezinye izindawo zomgudu wakho wokuzala.
• I-Hysterosalpingogram. Lolu wuhlobo olukhethekile lwe-X-ray esebenzisa udayi osuselwa e-iodine ojojowe ngomlomo wesibeletho. Kuyasiza udokotela wakho ukuthi afune ukuvinjelwa kumashubhu akho e-fallopian.

Kwezinye izimo, udokotela wakho angancoma i-laparoscopy yokuxilonga. Le nqubo encane yokuhlinza izovumela udokotela wakho ukuthi abone ngokugcwele amashubhu akho ezitho zangasese nezinye izitho zokuzala.

Uma udokotela wakho ethatha isinqumo sokuqhubekela phambili nale nqubo, kuzohlelwa njengokuvakasha kokulandelela esibhedlela sendawo yakho noma esikhungweni sokuhlinzwa. Uzokwazi ukuphuma esibhedlela noma esikhungweni sokuhlinzwa ngemuva kwalokho, kodwa uhlele ukuthi othile akunikeze ukugibela uye ekhaya.

Yiziphi izindlela zokwelashwa ezitholakalayo?

Udokotela wakho uzokunika imithi elwa namagciwane ngomlomo noma ngemithambo yegazi ukuze usule ukutheleleka kwamagciwane. Ozakwenu ocansini nabo bazodinga ama-antibiotic. Bakhuthaze ukuthi bahlolele izifo zocansi. Uma ususa ukutheleleka kodwa uhlanganyela nomlingani ongakaze welashwa, ukutheleleka kuzobuyela kuwe.

Uma ukutheleleka kubangele ithumba, udokotela wakho angenza ukuhlinzwa kwe-laparoscopic ukukukhipha.

Uma ukutheleleka kubangele izibazi noma ukunamathela kwakha, udokotela wakho angancoma ukuhlinzwa ukuze kususwe izindawo ezilimele. Udokotela wakho kungenzeka ukuthi ancome ukuhlinzwa uma ufisa ukukhulelwa kamuva.

Uma amashubhu akho e-fallopian agcwele uketshezi, udokotela wakho uzokwenza ukuhlinzwa ukukhipha uketshezi noma asuse indawo egcwele uketshezi.

Ingabe kungenzeka izinkinga?

Uma ishiywe ingalashwa, i-salpingitis ingaholela ezinkingeni ezinjenge:

• ukusabalala kokutheleleka kwezinye izindawo zomzimba, kufaka phakathi isibeletho namaqanda
• Ubuhlungu be-pelvic nobesisu besikhathi eside
• isibazi se-tubal, ukunamathela, nokuvinjelwa, okungaholela ekungatholini inzalo
• ama-abscesses kumashubhu we-fallopian
• ukukhulelwa kwe-ectopic

Ukukhulelwa nokuzala

Uma kutholakala ukuthi welashwa kusenesikhathi, i-salpingitis akufanele ibe nomthelela ekuzaleni kwakho. Kufanele ukwazi ukukhulelwa futhi uthwale ukukhulelwa isikhathi ngaphandle kwenkinga.

Kepha uma ukwelashwa kubambezeleka - noma uma ukutheleleka kuyekwa kungalashwa ngokuphelele - i-salpingitis ingadala ukuvimba, ukunamathela, noma isibazi kumashubhu e-fallopian. Lokhu kungaholela ekungazali.

Uma lokhu kuphazamiseka kungasuswa ngokuhlinzwa, in vitro fertilization (IVF) ingadingeka ekukhulelweni.

IVF iyinqubo yokuhlinza enezingxenye ezimbili. Kuqeda isidingo seqanda lokudabula ithubhu lakho lesizalo liye esibelethweni, lapho lingavundiswa khona yisidoda. Nge-IVF, amaqanda akho asuswa ngokuhlinzwa. Iqanda nesidoda bese kuhlanganiswa ndawonye esitsheni se-petri.

Uma imiphumela yombungu, izofakwa ngobumnene ngomlomo wesibeletho sakho esibelethweni sakho ukuze utshaleke. Noma kunjalo, i-IVF ayisiyisiwula. Amanani empumelelo ayahluka futhi asuselwa ezicini eziningi, kufaka phakathi ubudala nempilo yonke.

I-Salpingitis nayo ingadala ukukhulelwa kwe-ectopic. Lokhu kwenzeka lapho kufakelwa iqanda elikhulelisiwe ngaphandle kwesibeletho sakho. Lolu hlobo lokukhulelwa alubangeli ukuzalwa okunempilo. Ukukhulelwa kwe-Ectopic kubhekwa njengezimo eziphuthumayo zezokwelapha futhi kufanele kulashwe.

Uyini umbono?

Ngokuxilongwa nokwelashwa kusenesikhathi, i-salpingitis ingaqedwa ngempumelelo ngama-antibiotic. Kepha uma ishiywe ingalashwa, i-salpingitis ingaholela ezinkingeni ezinkulu zesikhathi eside.Lokhu kufaka amathumba e-tubal, ukukhulelwa kwe-ectopic, nokungabi nenzalo.