Ubuthakathaka be-Pelvic Inflammatory Disease (PID)? Izimpawu, Izimbangela, Nokwelapha

Ubuthakathaka be-pelvic inflammatory disease (PID) luyona lukhulu oluthinta amalungu akho okukhiqiza izingane, kuhlanganise nesisu sakho, amathebulo e-fallopian, namalungu akho. Kwenzeka lapho amabhaktheriya ehamba ukusuka esigabeni sakho noma e-cervix aye kulezi zindawo ezingcolile, ebangela ukuvuvukala kanye nezinye izinkinga ezinkulu uma zingaphathwa.

Lesi simo sihlupha izigidi zabesifazane unyaka ngamunye, futhi izindaba ezinhle ukuthi singaphathwa ngokuphelele ngokunakekelwa komtholampilo okufanele. Ukuqonda izimpawu nokuthola ukwelashwa okusheshayo kungasiza ekuvikeleni impilo yakho yokukhiqiza izingane nokuvimbela izinkinga zesikhathi eside.

Ziyini izimpawu zokutholakala kwe-pelvic inflammatory disease?

Izimpawu ze-PID zingase zibe zithambile noma zinzima, futhi abanye abesifazane abanawo nhlobo izimpawu ekuqaleni. Ingxenye enzima ukuthi izimpawu zivame ukukhula kancane kancane, okwenza kube lula ukuzidela noma ukuzixuba nezinye izimo.

Nawa amanye amaphuzu avamile umzimba wakho ongahlupheka ngawo i-PID:

• Ubuhlungu obuphansi besisu noma e-pelvic obungase bube bukhulu ngesikhathi sikamashi noma ubulili
• Ukukhishwa okungavamile kwesigaba okungase kube luhlaza okwesibhakabhaka, oluhlaza okwesibhakabhaka, noma olunephunga eliqine
• Ukuphuza okungavamile kwesikhathi noma ukuphuza phakathi kwesikhathi
• Ubuhlungu noma ukushisa ngesikhathi sokuthamba
• Ubuhlungu ngesikhathi sobulili
• Ukuqhuma nokuthanda, ikakhulukazi ngesikhathi sezifo ezinzima
• Ukuphefumula nokugabha ezimweni ezinzima

Abanye abesifazane bahlupheka ngalokho odokotela abakubiza ngokuthi "i-PID ethule," lapho ukutheleleka kuqhubeka khona ngaphandle kwezimpawu ezicacile. Lokhu kwenza ukuhlolwa njalo kwesigaba kubaluleke kakhulu, njengoba udokotela wakho angathola izimpawu zokutheleleka ngisho noma uzizwa kahle.

Yini ebangela ubuthakathaka be-pelvic inflammatory disease?

I-PID ithuthukiswa lapho amabhaktheriya anobungozi ehamba ukusuka esigabeni sakho noma e-cervix aye ezingutsheni zakho zokukhiqiza izingane. Izimo eziningi ziqala ngezifo ezithathelwana ngocansi, kodwa ezinye izinto zingase zibangele lesi simo.

Amabhaktheriya avamile afaka:

• I-Chlamydia ne-gonorrhea (eyenza cishe i-90% yezimo ze-PID)
• Amabhaktheriya avamile esigabeni asanda ngokweqile
• Amabhaktheriya afakwe ngesikhathi sezinqubo zezokwelapha
• I-Mycoplasma genitalium, i-STI engavamile

Ukuvikela kwemvelo komzimba wakho kuvame ukuvimbela amabhaktheriya ukuthi angahambi phezulu, kodwa izimo ezithile zingenza leli bheka lingasebenzi kahle. Ngesikhathi sikamashi, i-cervix yakho ivuleka kancane, idala indlela yamabhaktheriya. Izinqubo zezokwelapha njengokufakwa kwe-IUD noma ukuphumula zingase ziphule ukuvikelwa kwakho kwemvelo.

Kubalulekile ukuqaphela ukuthi i-PID ayithathelwani ngocansi njalo. Ngezinye izikhathi, amabhaktheriya avamile esigabeni sakho angase ande futhi abangele izinkinga, ikakhulukazi uma uhlelo lwakho lokulwa nezifo luye lwahlupheka noma ibhalansi ye-pH yesigaba sakho iye yaphazamiseka.

Nini okufanele ubheke udokotela ngenxa yobunqunu be-pelvic inflammatory disease?

Kufanele uxhumane nodokotela wakho uma uhlupheka ngenxa yobunqunu obuqhubekayo be-pelvic, ukukhishwa okungavamile, noma noma iyiphi inhlanganisela yezimpawu ze-PID. Ukwelashwa okusheshayo kwenza umehluko omkhulu ekuvinjeni izinkinga nokuvikela ukukhiqiza kwakho izingane.

Funani ukunakekelwa komtholampilo ngokushesha uma uthuthukisa izimpawu ezinkulu njengokushisa okuphezulu, ubuhlungu obukhulu besisu, ukuphefumula ngokugabha, noma ukulahlekelwa umqondo. Lezi zimpawu zingase zibonise ukutheleleka okukhulu okudingayo ukwelashwa okusheshayo.

Ungalindi uma usebenza ngocansi futhi uqaphela izinguquko esikhathini sakho, ubuhlungu ngesikhathi sobulili, noma ukukhishwa okungavamile kwesigaba. Ngisho nezimpawu ezithambile kufanele ziqaphele, ikakhulukazi uma unezingozi ze-STIs noma ukhombiswe enye.

Ziyini izingozi zokutholakala kwe-pelvic inflammatory disease?

Ukuqonda izingozi zakho kungakusiza ukuthi uthathe izinyathelo zokuzivimbela nokwazi ukuthi nini kufanele uqaphele kakhulu izimpawu. Ezinye izinto zanda amathuba akho okuthuthukisa i-PID kunabanye.

Izingozi eziyinhloko zifaka:

• Ukuba nabalingani abaningi bocansi noma umlingani onabalingani abaningi
• Umlando we-STIs, ikakhulukazi i-chlamydia noma i-gonorrhea
• Izimo zangaphambili ze-PID
• Ukusebenza ngocansi futhi uneminyaka engaphansi kuka-25
• Ukusebenzisa ukuvikelwa okungekho ngesikhathi sobulili
• Ukuhlanza njalo, okungaphazamisa ibhalansi yamabhaktheriya esigabeni sakho
• Ukufakwa kwamuva kwe-IUD (ingozi iphakeme kakhulu emavikini ambalwa okuqala)

Ubudala budlala indima ngoba izigaba zabesifazane abasebancane zisathuthuka futhi zingase zibe sengozini yokutheleleka. Noma kunjalo, i-PID ingathinta abesifazane abasebasha abasebenza ngocansi.

Ukuba nalezi zingozi akusho ukuthi uzokuthuthukisa i-PID. Ziveza nje ukuthi kufanele uqaphele kakhulu izimpawu futhi ugcine ukunakekelwa njalo kwesigaba.

Ziyini izinkinga ezingase zenzeke ngenxa yobunqunu be-pelvic inflammatory disease?

Nakuba i-PID ingaphathwa, ukutheleleka okungaphathwanga noma okuphindaphindayo kungabangela izinkinga ezinkulu zesikhathi eside. Ukuqonda lezi zinkinga ezingase zenzeke kusiza ekuchazeni ukuthi kungani ukwelashwa okusheshayo kubaluleke kangaka empilweni yakho yokukhiqiza izingane.

Izinkinga ezinkulu kakhulu zifaka:

• Ukungaqali ukuzala ngenxa yokunamathela kwamathebulo e-fallopian
• Ukukhulelwa kwe-ectopic lapho amaqanda akhiqizwe angakwazi ukuhamba ngamathebulo abonakele
• Ubuhlungu obuhlala njalo be-pelvic obungase buhlale izinyanga noma iminyaka
• I-Tubo-ovarian abscess, ukutheleleka okukhulu okudingayo ukwelashwa okusheshayo
• Ukuthuthukiswa kwezingozi ze-PID ezizayo

Ukunamathela kwamathebulo akho e-fallopian yinkinga evamile yesikhathi eside. Ngisho nokunamathela okuncane kungenza kube nzima kumaqanda ukuhamba ukusuka ezingutsheni zakho ziye esiswini sakho, okungase kuthonye ikhono lakho lokuthola izingane ngokwemvelo.

Izindaba ezinhle ukuthi ukwelashwa okusheshayo, okuphelele kunciphisa kakhulu ingozi yalezi zinkinga. Abesifazane abaningi abamukela ukwelashwa okusheshayo ngama-antibiotic bayaphila ngokuphelele ngaphandle kokuthinta impilo yabo yokukhiqiza izingane.

I-pelvic inflammatory disease ihlonishwa kanjani?

Ukuhlola i-PID kungase kube nzima ngoba izimpawu zivame ukufana nezinye izimo njengokuvuvukala kwe-appendicitis, ama-ovarian cysts, noma izifo zokuthamba. Udokotela wakho uzosebenzisa izindlela eziningi ukuze aqinisekise ukuthi une-PID.

Inqubo yokuhlola ivame ukufaka ukuhlolwa kwe-pelvic lapho udokotela wakho ahlola khona ubuhlungu, ukukhishwa okungavamile, noma izimpawu zokutheleleka. Bazobabuza nemibuzo eminingi mayelana nezimpawu zakho, umlando wocansi, kanye nesikhathi sakho.

Izivivinyo ezengeziwe zingase zifake umsebenzi wegazi ukuze uhlole izimpawu zokutheleleka, ukuhlolwa kwemithambo ukuze ukhulule izifo zokuthamba, kanye nokukhula kokukhishwa kwesigaba noma i-cervix ukuze uqonde amabhaktheriya athile. Ezimweni ezithile, udokotela wakho angase akukhuthaze ukwenza i-ultrasound noma i-CT scan ukuze abuke ama-abscesses noma ezinye izinkinga.

Ngezinye izikhathi, ukuhlola kudinga inqubo ebizwa ngokuthi i-laparoscopy, lapho ikhamera encane ifakwa khona ngokusika okuncane ukuze ihlole ngokuqondile amalungu akho okukhiqiza izingane. Lokhu kuvame ukugcinelwa izimo ezingacaci noma lapho kukhona izinkinga ezilindelekile.

Yini ukwelashwa kwe-pelvic inflammatory disease?

Ukuphathwa kwe-PID kugxile ekususeni ukutheleleka ngama-antibiotic nokuphatha izimpawu zakho ngesikhathi umzimba wakho uyahlanza. Ukwelashwa okuqala ngokushesha, amathuba akho okuvimbela izinkinga aphezulu.

Udokotela wakho uzokunikeza inhlanganisela yama-antibiotic ukuze aqonde izimbangela zamabhaktheriya ezivamile. Lokhu kuvame ukufaka ukuthatha ama-antibiotic amabili ahlukene izinsuku ezingu-10-14 ukuze kuqinisekiswe ukuthi wonke amabhaktheriya anobungozi asuswe.

Izinketho zokwelapha zifaka:

• Ama-antibiotic omhlathi ezimweni ezithambile kuya ezinkulu
• Ama-antibiotic ahlanganisiwe alandelelwa yimithi yomhlathi
• Ukugcinwa esibhedlela ngama-antibiotic e-IV ezifweni ezinkulu
• Ukuthola imithi yobunqunu ukuze kuphathwe ubunqunu ngesikhathi sokuphulukisa

Kubalulekile ukuthatha wonke ama-antibiotic akunikezwe ngokunembile njengoba akuqondiswe, ngisho noma uqala ukuzizwa kahle. Ukumisa ngokushesha kungavumela amabhaktheriya abuyele futhi athuthukise ukulwa nokwelashwa.

Umlingani wakho (noma abalingani bakho) bocansi kufanele futhi athole ukwelashwa, ngisho noma abanawo izimpawu. Lokhu kuvimbela ukutheleleka futhi kuvimbela ukusabalala kwe-STIs okungase kube yimbangela ye-PID yakho.

Ungazinakekela kanjani ngesikhathi sokwelashwa kwe-pelvic inflammatory disease?

Ukuzinakekela ngesikhathi sokwelashwa kwe-PID kusiza umzimba wakho ukuthi uphulukise ngokuphumelelayo futhi kunganciphisa ubunqunu ngesikhathi ama-antibiotic esebenza. Ukuphumula nokunakekelwa okuthambile kwenza umehluko wangempela ekuphulukiseni kwakho.

Gxilisa ukufumana ukuphumula okuningi nokuqeda imisebenzi enzima kuze kube yilapho izimpawu zakho ziphulukile. Umzimba wakho udinga amandla ukuze ulwe nokutheleleka, ngakho ungazicinisi kakhulu ezinsukwini ezimbalwa zokuqala zokwelashwa.

Hlala unamanzi amaningi futhi udle ukudla okunomsoco ukuze usekele uhlelo lwakho lokulwa nezifo. Gwema utshwala, oluye luhlanganise nezinye izidakamizwa futhi luye lwephuza ukuphulukisa kwakho.

Sebenzisa i-heating pad noma ibhafu efudumele ukuze uqede ubuhlungu be-pelvic nokuqina. Imithi yokunciphisa ubuhlungu njenge-ibuprofen ingasiza ekuqedeni ubunqunu nokunciphisa ukuvuvukala.

Gwema ubulili kuze kube yilapho wena nomlingani wakho niphothule ukwelashwa futhi udokotela wakho aqinisekise ukuthi ukutheleleka sekuphelile. Lokhu kuvimbela ukutheleleka futhi kunika amalungu akho okukhiqiza izingane isikhathi sokuphulukisa kahle.

I-pelvic inflammatory disease ingavikeleka kanjani?

Ukuvimbela i-PID ikakhulukazi kuhilela ukuzivikela e-STIs ebangela izimo eziningi. Ukusebenza ngocansi okuphephile nokunakekelwa komtholampilo njalo kunganciphisa kakhulu ingozi yakho.

Izindlela zokuvikela ezisebenza kakhulu zifaka ukusebenzisa ama-condoms ngokuqhubekayo nangokunembile ngesikhathi sobulili bonke. Ama-condoms anikeza isivikelo esivimbela amabhaktheriya amaningi ukusabalala phakathi kwabalingani.

Ezinye izinyathelo zokuvikela zifaka:

• Ukuthola ukuhlolwa kwe-STI njalo, ikakhulukazi uma unezalingani eziningi
• Ukulinganisela inani labalingani bakho bocansi
• Ukugwema ukuhlanza, okuye kwaphazamisa ibhalansi yakho yamabhaktheriya emvelo
• Ukuqeda izifundo eziphelele zama-antibiotic uma uphathwa nge-STIs
• Ukukhetha abahlinzeki bezempilo abanamakhono empilweni yokukhiqiza izingane

Uma uthola i-IUD, qiniseka ukuthi udokotela wakho ukhombisa i-STIs ngaphambi kokwenza inqubo. Ukwelapha noma yikuphi ukutheleleka okukhona ngaphambi kwenqubo kunciphisa kakhulu ingozi yakho ye-PID.

Ukuxhumana nabalingani mayelana nempilo yocansi nokuhlolwa kwe-STI kudala isisekelo sokuvikela nina bobabili ekuthelelekeni okungabangela i-PID.

Kufanele uzilungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ekuqinisekiseni ukuthi uthola ukuhlolwa okuchane kakhulu nokuphathwa okufanele. Ukuba nolwazi olufanele kulungile kwenza inqubo ibe lula kuwe nodokotela wakho.

Bhala zonke izimpawu zakho, kuhlanganise nokuthi zaqala nini nokuthi ziguquke kanjani ngokuhamba kwesikhathi. Qaphela noma iyiphi imizamo, njengokuthi ubuhlungu bukhulu ngesikhathi sikamashi noma imisebenzi ethile.

Lungela ukuxoxa ngomlando wakho wocansi ngokuvulekile nangokwethembeka. Lokhu kuhlanganisa ulwazi mayelana nabalingani bakho bamanje nabangaphambili, izindlela zokuphatha, nanoma yikuphi i-STIs yangaphambili. Udokotela wakho udinga lolwazi ukuze anikeze ukunakekelwa okuhle kakhulu, futhi kuyimfihlo ngokuphelele.

Letha uhlu lwazo zonke izidakamizwa nezithasiselo ozithathayo, kuhlanganise nezinto zokuthengwa ngaphandle. Ezinye izidakamizwa zingase zihlanganise nama-antibiotic noma zithinte izimpawu zakho.

Cabanga ukuletha umngani othembekile noma ilungu lomndeni ukuze uthole ukwesekwa, ikakhulukazi uma uzizwa ukhathazekile nge-aphoyintimenti noma ukuhlolwa okungenzeka.

Yini okufanele uyikhumbule mayelana ne-pelvic inflammatory disease?

I-PID yisimo esinzima kodwa esingaphathwa ngokuphelele esithinta amalungu akho okukhiqiza izingane. Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa okusheshayo kuvimbela izinkinga futhi kuvikela impilo yakho yokukhiqiza izingane yesikhathi eside.

Ungawadeli ubuhlungu obuhlala njalo be-pelvic, ukukhishwa okungavamile, noma ezinye izimpawu ezinkulu. Umzimba wakho ukhulumisana nokuthi kukhona okudinga ukunakekelwa, futhi ukuthola usizo ngokushesha kwenza umehluko omkhulu esiphumelelweni sakho.

Ngokwelashwa okufanele ngama-antibiotic, abesifazane abaningi bayaphila ngokuphelele e-PID ngaphandle kokuthinta impilo yabo yesikhathi eside. Isici esibalulekile ukufuna ukunakekelwa ngokushesha nokulandela ukwelashwa konke okunconywayo, kuhlanganise nokuqinisekisa ukuthi umlingani wakho uthola ukunakekelwa uma kudingeka.

Ukuvikela ngokusebenza ngocansi okuphephile nokunakekelwa komtholampilo njalo kuhlala kuyindlela yakho engcono kakhulu yokuzivikela e-PID. Ukuthatha impilo yakho yokukhiqiza izingane kukusiza ukuthi uthole futhi uphathe izinkinga ngaphambi kokuba zibe nzima.

Imibuzo evamile ebuzwa mayelana ne-pelvic inflammatory disease

Ungathola yini i-PID ngaphandle kokuba ne-STI?

Yebo, nakuba kungavamile. I-PID ingathuthukiswa lapho amabhaktheriya avamile esigabeni esanda futhi ehamba phezulu aye ezingutsheni zakho zokukhiqiza izingane. Lokhu kungase kwenzeke ngenxa yezinguquko ze-hormonal, uhlelo lokulwa nezifo oluye lwahlupheka, noma ukuphulwa kwebhalansi yamabhaktheriya esigabeni sakho. Noma kunjalo, cishe i-90% yezimo ze-PID zivela ezifweni ezithathelwana ngocansi njenge-chlamydia noma i-gonorrhea.

Ingabe i-PID izokuthinta ikhono lami lokuthola izingane?

I-PID ingase ithonye ukukhiqiza izingane uma ibangela ukunamathela kwamathebulo akho e-fallopian, kodwa lokhu akuyona into eqinisekile. Ingozi ixhomeke ezintweni njengokuthi uthola ukwelashwa ngokushesha kangakanani, ubukhulu bokutheleleka kwakho, nokuthi uke waba nezimo eziningi. Ukwelashwa okusheshayo, okuphelele kunciphisa kakhulu amathuba ezingqinamba zokukhiqiza izingane. Abesifazane abaningi abake baba ne-PID baqhubeka bekhulelwa izingane ezempilo.

Kuthatha isikhathi esingakanani ukuphulukisa e-PID?

Abesifazane abaningi baqala ukuzizwa kahle phakathi nezinsuku ezimbalwa zokuqala bokuqala ama-antibiotic, ngokuthuthuka okukhulu ekupheleni kweviki lokuqala. Ukululama okuphelele kuvame ukuthatha amasonto angu-2-4. Noma kunjalo, kufanele uthathe isifundo esiphelele sama-antibiotic ngisho noma uzizwa kahle, futhi ugweme ubulili kuze kube yilapho udokotela wakho eqinisekisa ukuthi ukutheleleka sekuphelile. Abanye abesifazane bahlupheka ngokukhathala noma ubunqunu obuthambile amasonto ambalwa ngesikhathi umzimba wabo uyahlanza ngokuphelele.

Ingabe i-PID ingabuya ngemuva kokwelashwa?

I-PID ingabuya uma utheleleka kabusha ngamabhaktheriya afanayo noma ahlukile. Kungakho kubaluleke kakhulu ukwelapha abalingani bocansi, ngisho noma abanawo izimpawu. Ukhona futhi engcupheni enkulu yezimo ezizayo uma uke waba ne-PID ngaphambili. Ukulandela izindlela zokuvikela njengokusebenzisa ama-condoms ngokuqhubekayo nokuhlolwa kwe-STI njalo kusiza ekuqedeni ingozi yokubuya.

Kuphephile yini ukusebenzisa ama-tampons ngesikhathi sokwelashwa kwe-PID?

Kuvame ukungcono ukusebenzisa ama-pads esikhundleni sama-tampons ngesikhathi uphathwa nge-PID. Ama-tampons angase afaka amabhaktheriya amasha noma aphazamise ukuphuma kwemvelo komzimba wakho kwezinto ezithathelwanayo. Udokotela wakho angase akukhuthaze ngokuqondile ukugwema ama-tampons ngesikhathi sokwelashwa nangemva kwesikhathi esifushane. Uma ukutheleleka kwakho sekuphelile ngokuphelele, ungabuyela ekusebenziseni ama-tampons uma uwathanda.