Ukwelashwa kwesifo sokuvuvukala okhalo

-Delile

• Yimaphi ama-antibiotic asetshenziswa kakhulu
• Izinkinga ezingenzeka ze-PID
• Izimpawu zokuthuthuka
• Izimpawu zokuwohloka

Ukwelashwa kwesifo sokuvuvukala okhalo, esaziwa nangokuthi yi-PID, kufanele kuqalwe kusenesikhathi ukuvimbela imiphumela emibi ohlelweni lokuzala lowesifazane, njengokuzala noma ithuba lokukhulelwa nge-ectopic, ngenxa yokuthuthuka kwezilonda kumashubhu e-fallopian .

Imvamisa ukwelashwa kwenziwa ngama-antibiotic, kepha kuya ngobukhulu besifo, kungadingeka ukwenza inqubo yokuhlinzwa yokwelapha ukuvuvukala noma ukukhipha amathumba, ngokwesibonelo.

I-PID ukutheleleka okuqala esithweni sangasese sowesifazane noma kumlomo wesibeletho futhi kuvame kakhulu kwabesifazane abenza ucansi noma abanedivayisi ye-intrauterine IUD. Thola ukuthi yiziphi izimbangela eziyinhloko nezimpawu zesifo sokuvuvukala okhalweni.

Yimaphi ama-antibiotic asetshenziswa kakhulu

Ukwelashwa kwesifo esibuhlungu sokuvuvukala okhalo lwangaphakathi kuqukethe ukusetshenziswa kwama-antibiotic, ngomlomo noma ngomjovo, izinsuku ezingaba ngu-14 noma ngokomyalelo kadokotela. I-antibiotic eyinhloko enconywe udokotela yi-azithromycin, kepha eminye enganconywa ibandakanya:

• I-Amoxicillin;
• Ceftriaxone;
• I-Doxycycline;
• I-Metronidazole;
• I-Levofloxacin;
• I-Gentamycin;
• I-Clindamycin.

Ngesikhathi sokwelashwa kubalulekile ukuthi owesifazane aphumule, angabi nokuxhumana okusondelene naye, asuse i-IUD uma eyisebenzisa futhi aphuze nemithi yokudambisa izinhlungu ezifana neparacetamol noma ibuprofen. Ngaphezu kwalokho, umlingani kufanele futhi elashwe, noma ngabe azikho izimpawu, ukugwema ukuphinde ungcoliswe noma ukubonakaliswa kwalesi sifo.

Emahoreni angama-72 ngemuva kokuqala kokwelashwa kwama-antibiotic, owesifazane kufanele ahlolwe futhi ngudokotela wezifo zabesifazane ukuze abone ukuthi ukwelashwa okukhethiwe kube nemiphumela emihle yini. Uma kungekho ukuthuthuka kwezimpawu, ukwelashwa kungadingeka ukuze uthole ukwelashwa kwemithambo.

Uma lesi sifo siba sibi futhi kunamathuba okuqhekeka kwamathumba kumashubhu, ukungenelela kokuhlinzwa kungadingeka ukuhlanza nokukhipha amathumba.

Izinkinga ezingenzeka ze-PID

Lapho ukwelashwa kwesifo sokuvuvukala okhalweni kungaqalwa ngokushesha, lesi sifo singakhula futhi sidale izinhlobo ezahlukahlukene zesibazi ohlelweni lokuzala lwabesifazane, okungaholela ezinkingeni ezahlukahlukene ezinjengalezi:

• Ukukhulelwa kwe-Ectopic: kwenzeka ngoba ukutholakala kwezibazi emapayipini kungavimbela iqanda ekuphumeni esibelethweni, eligcina livundiswa yisidoda, okwenza ukukhulelwa kumashubhu;
• Minaukungazali: kuya ngezindawo lapho kukhula khona izibazi ze-PID, owesifazane angaba nenzalo;
• Amathumba e-ovari: izibazi zingaholela ekuqongeleleni kobovu, okudala ukuvela kwamathumba ohlelweni lokuzala. La mathumba angagcina evulekile futhi abangele ukopha noma ukutheleleka okujwayelekile.

Ngaphezu kwalokho, abesifazane abanesifo sokuvuvukala okhalweni abangatholi noma yiluphi uhlobo lokwelashwa nabo babhekana nobuhlungu obungapheli be-pelvic, obuqeda ukwehlisa izinga lempilo.

Izimpawu zokuthuthuka

Izimpawu zokuthuthuka kwesifo sokuvuvukala kwezitho zangasese zivame ukuvela ezinsukwini ezimbalwa ngemuva kokuqala ukwelashwa futhi zihlobene nokwehla kobuhlungu besitho sangasese, ukulawulwa kokulahleka kokuya esikhathini nokukhululeka komkhuhlane, uma kukhona.

Ezimweni lapho owesifazane ebengenazo izimpawu, izimpawu zokuthuthuka zingabonwa ngudokotela wezifo zabesifazane ngokuhlolwa njenge-ultrasound noma i-laparoscopy.

Izimpawu zokuwohloka

Izimpawu zokuba nzima kwe-PID zivame ukwenzeka lapho ukwelashwa kungaqalwa ngesikhathi futhi, ngakho-ke, kuvela izibazi ohlelweni lokuzala olungagcina lubangele ukopha ngaphandle kwesikhathi sokuya esikhathini, umkhuhlane kanye nokuphakama kwezitho zangasese, kube nobuhlungu bokuchama nangesikhathi sokuxhumana okusondele kakhulu.