Ukwelashwa kwe-salpingitis: amakhambi abalulekile nokunakekelwa

-Delile

• Amathiphu okuphumelela ekwelashweni
• Izimpawu zokuthuthuka kokuvuvukala kumashubhu
• Izimpawu zokuqina kokuvuvukala kumashubhu
• Izinkinga ezingenzeka

Ukwelashwa kwe-salpingitis kufanele kuqondiswe ngudokotela wezifo zabesifazane, kepha kuvame ukwenziwa ngemithi elwa namagciwane ngendlela yethebhulethi yomlomo, lapho umuntu elapha khona ekhaya cishe izinsuku eziyi-14, noma ezimweni ezinzima kakhulu, efakwa emithanjeni, lapho umuntu uhlala esibhedlela futhi uthola imithi emthanjeni.

Ezimweni lapho ishubhu lonakaliswe kakhulu ukutheleleka kwamagciwane, udokotela wezifo zabesifazane angaluleka ukwelashwa ukuze kususwe ishubhu elithintekile, kuvimbele ukutheleleka ukuthi kusabalale kuye esibelethweni, kumaqanda kanye nakwezinye izitho, okungadala izinkinga, njenge

Akukho ukwelashwa kwemvelo kungaba ngetiye noma ngekhambi lasekhaya elingasebenza ku-acute salpingitis, kepha kukhona ezinye izindlela okufanele zithathwe ukuqinisekisa impumelelo yokwelashwa. Ngakho-ke, kufanele uhlale uthintana nodokotela wezifo zabesifazane lapho ulunywa endaweni esondelene, ukhipha ngephunga elibuhlungu nobuhlungu be-pelvic. Yazi izimpawu zokuvuvukala kumashubhu.

Amathiphu okuphumelela ekwelashweni

Ukwehlisa izimpawu ze-acute salpingitis noma ukwelapha i-salpingitis engapheli kubalulekile ukuthi ngesikhathi sokwelashwa ngama-antibiotic owesifazane:

• Gwema ukuthintana, ngisho nekhondomu;
• Gqoka izingubo zangaphansi zikakotini ukuvimbela ukuthuthukiswa kwamagciwane;
• Musa ukwenza izihlambi zangasese futhi ugcine indawo esondelene yomile, kunciphise ubungozi bokutheleleka;
• Gqoka izingubo ezikhanyayo, ezikhanyayo, enziwe ngezinto ezincane ukuze isikhumba siphefumule.

Uma owesifazane esebenzisa iringi yesitho sangasese sowesifazane noma i-IUD, kufanele aye kudokotela wezifo zabesifazane ukuze abone ukuthi kunesidingo yini sokuyisusa. Kwezinye izimo, udokotela angahle anikeze ukusetshenziswa kokunciphisa izinhlungu njenge-paracetamol noma i-dipyrone, ukudambisa izinhlungu nomkhuhlane obangelwa i-salpingitis.

Ngaphezu kwalokho, umlingani womuntu one-salpingitis kufanele futhi ahlolwe ngudokotela wezifo zabesifazane, ukuqala ukwelashwa ngokuhlanganyela, uma kunesidingo, ukuze kuvinjelwe umlingani ukuthi angaphinde angcoliswe futhi.

Izimpawu zokuthuthuka kokuvuvukala kumashubhu

Izimpawu zokuthuthuka kokuvuvukala kwamashubhu zifika cishe ezinsukwini ezi-3 ngemuva kokuqala kokwelashwa futhi zibandakanya nokwehla kobuhlungu, inani elincishisiwe lokuphuma kwesitho sangasese sowesifazane nokunyamalala kwephunga elibi.

Izimpawu zokuqina kokuvuvukala kumashubhu

Izimpawu zokuqina kokuvuvukala kwamashubhu ziza lapho ukwelashwa kungenziwanga kahle, okuholela ekukhuleni kobuhlungu besisu, ukuvela kokukhishwa okuluhlaza kanye nesifiso esengeziwe sokuchama.

Izinkinga ezingenzeka

Izinkinga zokuvuvukala kumashubhu akuvamile, kepha-ke, uma kungenzeki ukulwa nokuvuvukala ngama-antibiotic kuphela, i-salpingitis ingadala ukuvinjelwa kwethubhu, i-Fitz-Hugh-Curtis syndrome, i-hydrosalpinx futhi ezimweni ezinzima, ithinta isibeletho nama-ovari angasakazeka kwezinye izitho zohlelo lokuzala noma lokuchama, okudala isifo esibizwa nge-DIP.

Ngaphezu kokwehlisa amathuba okukhulelwa, kungadala ukungazali kanye nokukhulelwa kwe-ectopic, futhi kubangele nokususwa kwamashubhu ezimweni ezimbi kakhulu. Bona ukuthi yiziphi izimpawu zokukhulelwa kwe-ectopic nokuthi yiziphi izinhlobo.