Ingabe uvame ukuzwa ubuhlungu esiswini esingaphezulu kwesokudla? Kungaba yiFitz-Hugh-Curtis Syndrome!

Ingabe ngezinye izikhathi uzwa ubuhlungu obukhulu esiswini esingaphezulu kwesokudla, kanye nomkhuhlane kanye nobuthakathaka? Ingabe lobu buhlungu bubonakala buba bubi nakakhulu uma uphefumula noma uhambahamba? Uma kunjalo, lokhu akuyona into okufanele ungayinaki. Namuhla sizokhuluma ngesimo abantu abaningi abangakaze bezwe ngaso, kodwa esingaba khona kwabesifazane, ikakhulukazi abesifazane abasebasha. Leso yi-Fitz-Hugh-Curtis Syndrome.

Iyini i-Fitz-Hugh-Curtis Syndrome?

Kalula nje, i-Fitz-Hugh-Curtis Syndrome ukuvuvukala kwe-capsule yesibindi, okuwukuvuvukala. Imbangela eyinhloko yalokhu isifo sokuvuvukala kwe-pelvic, esaziwa nangokuthi i-PID. I-PID yenzeka lapho ukutheleleka kwebhaktheriya kungena ohlelweni lwakho lokuzala, njengesibeletho namapayipi e-fallopian. Lokhu kubangela ubuhlungu nokuvuvukala kuleyo ndawo.

Ake ucabange nje, kwenzekani uma ukuvuvukala, noma ukutheleleka, okubangelwa yi-PID kusakazeka ngaphandle komgodi wakho we-pelvic bese kuya ngqo esibindini sakho? Yilapho-ke isimo esibizwa ngokuthi i-Fitz-Hugh-Curtis Syndrome (FHCS) sivela khona. Yilapho ukuhlangana okufana ne-violin kwakheka khona phakathi kolwelwesi oluzungeze isibindi sakho, ulwelwesi lomgodi wakho wesisu, noma i-diaphragm yakho, imisipha ekusiza ukuphefumula. Lokhu kunamathela yikona okubangela ubuhlungu besisu esingaphezulu kwesokudla.

Lesi simo sivame ukubonwa njengenkinga yezifo ezithathelwana ngocansi (STIs) njenge -gonorrhea kanye ne-chlamydia . Kodwa-ke, asivamile futhi asivamile. Ngezinye izikhathi udokotela wakho angase akubize ngokuthi ' i-perihepatitis' .

Sivame kangakanani lesi simo?

Eqinisweni, i-Fitz-Hugh-Curtis Syndrome ayivamile kakhulu, ngisho nakwabesifazane abaseminyakeni yokuzala. Kodwa-ke, kutholakale ukuthi phakathi kuka-4% no-14% wabesifazane abanesifo sokuvuvukala kwe-pelvic (PID) bangase babe nalesi simo.

Kodwa nansi into ekhethekile. Abesifazane abasebasha, ikakhulukazi labo abangaphansi kweminyaka engama-25, abathola i-PID, basengozini enkulu yokuthola i-FHCS. Lokhu kungenxa yokuthi kuleyo minyaka, izitho zokuzala azikakhuli ngokugcwele, okwenza zibe sengozini enkulu yokutheleleka. Ezinye izifundo zibonise ukuthi abesifazane abasebasha abangafika ku-27% abane-PID bangaba nalesi simo. Akuvamile kakhulu kwabesilisa.

Ziyini izimpawu zeFitz-Hugh-Curtis Syndrome?

Uphawu oluyinhloko noluvame kakhulu lwalokhu yiloluUbuhlungu obubukhali ohlangothini oluphezulu kwesokudla lwesisu sakho . Uma sikhuluma iqiniso, kulapho izimbambo zakho ziphela khona. Lobuhlungu bubangelwa ulwelwesi oluzungeze isibindi sakho, njengoba sikhulume ngakho ngaphambili, ukuvuvukala nokunamathela ngaphakathi kwesisu sakho. Lobuhlungu bungakhula kakhulu uma uphefumula, unyakaza, noma ukhwehlela. Abanye abantu bangase bazizwe sengathi ugwazwa ngommese.

Ngaphandle kwalokho, kungase kube nezinye izimpawu eziningana. Lezi yizi:

• Ubuhlungu besisu esingezansi (lokhu ubuhlungu obubangelwa yi-PID)
• Ubuhlungu be-pelvic
• Ukuhlungu obusemhlane
• Umkhuhlane kanye nokubanda
• Isicanucanu nokuhlanza
• Ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane - mhlawumbe okunephunga elibi
• Ubuhlungu ngesikhathi socansi
• Ubuhlungu noma umuzwa wokushisa lapho uchama
• Ukuzwa ukuqina noma ukuqaqamba kwemisipha yesisu
• Ukopha ngemva kocansi
• Ikhanda elibuhlungu
• Ama-Hiccups (lokhu kuyimpawu engavamile)

Okubaluleke kakhulu: Uma unesinye noma ngaphezulu salezi zimpawu, ikakhulukazi uma unomkhuhlane kanye nobuhlungu ohlangothini olungaphezulu kwesokudla lwesisu sakho, kufanele ubone udokotela ngokushesha. Lezi zingaba futhi izimpawu zezinye izifo, ngakho-ke kubalulekile ukuthola ukuthi yini ngempela engalungile.

Yini ebangela i-Fitz-Hugh-Curtis Syndrome?

Imbangela eyinhloko ye-Fitz-Hugh-Curtis syndrome (FHCS) yisifo sokuvuvukala kwe-pelvic (PID) esikhulume ngaso ngaphambili. I-PID ukuvuvukala kwezitho ze-pelvic, njengesibeletho sakho, amashubhu e-fallopian , nama-ovari, okubangelwa ukutheleleka ngamagciwane.

Manje, kunezizathu eziningi zokuthi kungani i-PID ingavela. Esikhathini esiningi, i-PID ibangelwa izifo ezithathelwana ngocansi (ama-STI) . Phakathi kwazo, izinhlobo ezimbili zamagciwane , i-Gonorrhea kanye ne-Chlamydia, yizona ezibangela lokhu. Kodwa-ke, i-PID ingabangelwa nezinye izinhlobo zamagciwane.

Ngokuvamile, ukutheleleka ku-PID kukhawulelwe emgodini we-pelvic. Kodwa-ke, ngezinye izikhathi, lokhu kutheleleka noma ukuvuvukala kungasakazeka ngaphandle komgodi we-pelvic. Yilapho kusakazeka khona futhi kuthinte izicubu ezizungeze isibindi, okuyikho okubangela i-FHCS. Empeleni, ukutheleleka akuhambi ngqo esibindini, kodwa kuthinta ulwelwesi oluzungeze isibindi.

Yiziphi izinto ezibangela lokhu?

Ukuze isimo esibizwa ngokuthi i-Fitz-Hugh-Curtis syndrome (FHCS) senzeke, i-PID kumele iqale ivele. Ngakho-ke izici ezifanayo eziyingozi ezithinta ukuthuthukiswa kwe-PID nazo zithinta i-FHCS. Ake sibone ukuthi ziyini:

• Ukuba nabalingani abaningi bocansi: Uma unabalingani abaningi, kulapho ingozi yokuthola isifo esithathelwana ngocansi (STI) inkulu khona.
• Ukuya ocansini olungavikelekile:Ukuya ocansini ngaphandle kokusebenzisa indlela yokuvimbela njengekhondomu kukubeka engcupheni enkulu yokuthola izifo ezithathelwana ngocansi.
• Njengoba wake waba nezifo ezithathelwana ngocansi (ama-STI) ngaphambili: Uma uke waba nezifo ezifana ne-gonorrhea noma i-chlamydia ngaphambili, kungenzeka ukuthi uzozithola futhi bese ukhula ube yi-PID.
• Isifo sokuvuvukala kwe-pelvic (PID) sangaphambilini: Abantu abake baba ne-PID ngaphambili bangasithola futhi.
• Ukusebenzisa idivayisi yangaphakathi kwesibeletho (i-IUD): Ezinye izifundo zibonise ukuthi ingozi ye-PID inganda kancane ezinyangeni ezimbalwa zokuqala zokusebenzisa i-IUD. Kodwa lokhu akuvamile kuwo wonke umuntu. Uma usebenzisa i-IUD, khuluma nodokotela wakho ngalokhu.
• Ukuhlanza isitho sangasese sowesifazane: Abanye abantu basebenzisa uketshezi oluhlukahlukene ukuhlanza isitho sabo sowesifazane sowesifazane. Lokhu kubhubhisa amagciwane amahle emvelo esitho sangasese sowesifazane futhi kuvumela amagciwane amabi ukuba akhule, okwandisa ingozi ye-PID.
• Ukuba ngowesifazane ongaphansi kweminyaka engama-25: Njengoba sesixoxile ngaphambili, le ngozi iphezulu kubantu abasebasha, ikakhulukazi amantombazane asemasha ahlanganyela ocansini.

Uma unalezi zinto eziyingozi, kungcono uqaphele kancane.

Yiziphi izinkinga ezingaba khona zeFitz-Hugh-Curtis Syndrome?

I-Fitz-Hugh-Curtis syndrome (FHCS) iyinkinga ye-PID. Ngakho-ke uma i-FHCS ingelashwa kahle, ingaholela kwezinye izinkinga. Futhi i-PID ingadala nezinye izinkinga.

Izinkinga ezingaba khona esikhathini esifushane yilezi:

• I-Endometritis: Lokhu ukuvuvukala kwengqimba yangaphakathi yesibeletho.
• I-Salpingitis: Lokhu ukuvuvukala kwamapayipi e-fallopian.
• Ithumba le-tubo-ovarian: Leli yiqoqo lobomvu olufana neqhubu emapayipini noma kuma-ovari.
• I-Pelvic peritonitis: Lokhu ukuvuvukala kwe-membrane ezungeze umgodi we-pelvic.

Ngaphezu kwalokhu, kungaba nemiphumela yesikhathi eside, okuyiyona eyingozi kakhulu.

• Ukungazali: Lokhu kungenye yezinkinga ezinkulu kakhulu ze-PID kanye ne-FHCS. I-PID ingabangela ukwakheka kwezicubu zesilonda emapayipini e-fallopian. Lokhu kusilonda kungavimba amapayipi, kwenze kube nzima ukuthi isidoda sihlangane neqanda, kwenze kube nzima ukuthi umntwana azalwe.
• Ubuhlungu obuqhubekayo: Ubuhlungu obuqhubekayo emgodini we-pelvic bungenzeka. Lokhu kungaphazamisa imisebenzi yansuku zonke.
• Ukuvaleka kwamathumbu: Ku-FHCS, ukunamathela okwakheka eduze kwesibindi ngezinye izikhathi kungathinta amathumbu futhi kuwavimbe. Lokhu kungaba nzima ngokwanele ukuthi kudingeke ukuhlinzwa okuphuthumayo.
• Ukukhulelwa kwesisu:Uma amapayipi e-fallopian onakele, iqanda elivundisiwe lingaqala ukukhula ngaphakathi kwepayipi le-fallopian esikhundleni sokufinyelela esibelethweni. Lesi yisimo esiphuthumayo esisongela ukuphila.

Yingakho sithi uma unezimpawu ezinjengalezi, kubaluleke kakhulu ukufuna ukwelashwa ngokushesha .

I-Fitz-Hugh-Curtis Syndrome iyithinta kanjani inzalo?

Ukusho ngokusobala, i-Fitz-Hugh-Curtis Syndrome (FHCS) ingathinta ngokungaqondile ukuzala uma ingelashwa kahle. Wazi kanjani? Imbangela eyinhloko ye-FHCS yi-PID. Lesi simo se-PID siyimbangela eyinhloko yokungazali.

I-PID ibangela ukwakheka kwezicubu zesilonda emapayipini akho esibeletho. Cabanga ngala mapayipi njengamapayipi amancane. Uma la mapayipi eba nezibazi, angavaleka. Lokhu kwenza kube nzima ngesidoda ukuthola iqanda, noma iqanda elivundisiwe ukuthi lifike esibelethweni. Lokhu kunganciphisa amathuba akho okukhulelwa. Ngakho-ke, njengoba i-FHCS ingumphumela we-PID, kukhona nengozi yokuphuphuma kwesisu.

I-Fitz-Hugh-Curtis Syndrome ihlolwa kanjani?

Uma ngikhuluma iqiniso, ukuxilonga i-Fitz-Hugh-Curtis syndrome (FHCS) kungaba nzima kancane. Isizathu ukuthi izimpawu zayo zifana kakhulu nezezinye izimo. Isibonelo, ukuthi ubuhlungu besisu obuphezulu kwesokudla bungabangelwa yizimo ezifana namatshe enyongo (i-cholecystitis ), i-hepatitis ebangelwa yigciwane , i-renal colic , kanye ne-appendicitis .

Ngakho-ke, udokotela wakho kuzodingeka enze izivivinyo eziningana ukuqinisekisa ukuthi lokhu kuyi-FHCS. Kuzodingeka futhi akhiphe ezinye izimo.

Ukuhlolwa okwenziwa ngokuvamile yilokhu:

• Ukuhlolwa kokukhulelwa: Ngoba lolu hlobo lobuhlungu lungavela nasekukhulelweni okungaphandle kwesisu.
• Ukubalwa kwegazi okuphelele (i-CBC): Lokhu kungahlola ukutheleleka emzimbeni.
• Iphaneli ephelele ye-metabolic (CMP): Lokhu ukuhlolwa kwegazi okunganikeza ulwazi ngezinto eziningi, njengokusebenza kwesibindi.
• I-smear yesitho sangasese sowesifazane: Ukuthola ukuthi yimaphi amagciwane abangele i-PID.
• Ukuhlolwa kwezifo ezithathelwana ngocansi (ama-STI): Hlola izifo ezifana ne-gonorrhea kanye ne-chlamydia.

Ngaphezu kwalokho, ezinye izivivinyo ze-X-ray nazo zingenziwa:

• Ukuskena kwe-CT
• Ukuskena kwe-ultrasound okudluliswa esithweni sangasese sowesifazane: Lokhu kuhilela ukufaka ithuluzi elincane ngesitho sangasese sowesifazane ukuze kubonwe izitho zesitho sangasese sowesifazane.
• I-MRI

Uma zonke lezi zivivinyo zinganele ukwenza ukuxilongwa okucacile, udokotela angadinga ukwenza ukuhlinzwa kwe-laparoscopic noma ukuhlinzwa okuvamile okuvulekile. I-laparoscopy ihilela ukwenza izimbobo ezimbalwa ezincane esiswini nokufaka ikhamera. Uma kubonakala ukunamathela okufana nentambo ye-violin ezungeze isibindi, kungaqinisekiswa ukuthi kuyi-Fitz-Hugh-Curtis syndrome (FHCS).

Iphathwa kanjani i-Fitz-Hugh-Curtis Syndrome?

Udokotela ubeka kakhulu ama-antibiotic njengendlela yokwelapha lokhu. Ngenxa yokuthi lokhu kubangelwa ukutheleleka ngamagciwane, into yokuqala abazama ukuyenza ukuqeda ukutheleleka. Ngokuvamile, la ma-antibiotic anikezwa cishe isonto elilodwa noma amabili.

Bazokunikeza nemithi yokunciphisa ubuhlungu bakho .

Kodwa-ke, ngezinye izikhathi lawa ma-antibiotic ewodwa awasusi ukunamathelana okwakheke eduze kwesibindi. Uma lokho kwenzeka, okungukuthi, uma ama-antibiotic enganikezi impumuzo enkulu, udokotela kuzodingeka enze ukuhlinzwa ukuze asuse ukunamathelana. Lokhu kungenziwa ngokuhlinzwa kwe-laparoscopic noma ngokuhlinzwa okuvamile okuvulekile. Ngokuhlinzwa kwe-laparoscopic, ungalulama ngokushesha bese uya ekhaya.

Yini okufanele ngiyenze ngemva kokwelashwa?

Ngisho nangemva kokuba ukwelashwa sekuqediwe, kufanele ulandele lezi zinyathelo ukuze uvimbele ezinye izinkinga:

• Gwema ukuya ocansini ngesikhathi sokwelashwa futhi kuze kube yilapho udokotela wakho ethi kuphephile. Lokhu kubaluleke kakhulu, njengoba kudingeka ulinde kuze kube yilapho ukutheleleka sekuphelile ngokuphelele.
• Thatha wonke ama-antibiotic owanikezwe wona njengoba nje udokotela wakho ekutshelile, isikhathi sonke sokwelashwa kwakho. Ungayeki ukuthatha imithi ngoba nje uzizwa ungcono.
• Uma ubuhlungu bukhona, faka ibhodlela lamanzi ashisayo. Lizokunikeza impumuzo.
• Phumula kahle kuze kube yilapho umkhuhlane nobuhlungu buphela.
• Khuluma nanoma yibaphi abalingani bocansi obake baba nabo ezinyangeni ezimbili ngaphambi kokuba uqale ukuba nalezi zimpawu. Bacele ukuthi bahlolwe izifo ezithathelwana ngocansi (ama-STI). Lokhu kubaluleke kakhulu, ngoba uma ungakwenzi lokho, ungaphinde uthole lesi sifo futhi usisakaze kwabanye.
• Bona udokotela wakho futhi ezinsukwini ezintathu ukuze ahlole ukuthi unjani.

Uma ulandela le miyalelo ngendlela efanele, ungalulama ngokushesha futhi uvimbele lolu hlobo lwenkinga ukuthi luphinde lwenzeke.

Yini engingayilindela uma ngine-Fitz-Hugh-Curtis Syndrome?

Ngokuvamile, i-Fitz-Hugh-Curtis syndrome (FHCS) ingelapheka ngokuphelele ngama-antibiotic.Futhi, lokhu kwelashwa akunazo imiphumela emibi emikhulu. Kodwa-ke, uma ukwelashwa kuqalwe sekwephuzile noma kungelashwanga kahle, izinkinga esikhulume ngazo ekuqaleni zingavela. Yingakho kubalulekile ukuxilonga lesi sifo nokuthola ukwelashwa ngokushesha okukhulu.

Ngingakunciphisa kanjani ukwenzeka kwalokhu?

Izindlela ezinhle kakhulu zokuvimbela ukuthuthukiswa kwe-Fitz-Hugh-Curtis syndrome (FHCS) yilezi:

• Sebenzisa ikhondomu njalo uma uya ocansini. Lokhu kungasiza kakhulu ekuvimbeleni ukusabalala kwezifo ezithathelwana ngocansi (STIs).
• Uma uhlanganyela ocansini, hlala uhlolwa izifo ezithathelwana ngocansi (ama-STI). Amanye ama-STI angaba khona ngisho noma ungenazo izimpawu.
• Cela abalingani bakho bocansi ukuthi nabo bahlolwe izifo ezithathelwana ngocansi.
• Gwema ukugeza isitho sakho sangasese ...

Ngokulandela lawa macebiso, unganciphisa nengozi yakho yokuthola isifo sokuvuvukala kwe-pelvic (PID), ngoba ngaphandle kwe-PID, i-FHCS ayikwazi ukukhula.

Ngingambona nini udokotela wami?

Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, bona udokotela wakho ngokushesha:

• Uma kuvela umkhuhlane omusha, noma uma umkhuhlane okhona ukhula.
• Uma unesifo sokuphuma kwegazi esingavamile esithweni sangasese sowesifazane.
• Uma unezinhlungu zesisu noma ze-pelvic ezintsha noma eziba zimbi kakhulu.
• Uma inani loketshezi oluphuma esithweni sangasese sowesifazane likhuphukile, noma uma linephunga elibi.
• Uma uzizwa unesizungu, uphenduphenduka, noma uquleka.

Isimo Esiphuthumayo! Shayela ku-1990 (i-Suwaseriya Ambulance Service yaseSri Lanka) uma unezinye zalezi zimpawu:

Lokhu kungaba izimpawu zesimo esiyingozi esibizwa ngokuthi i-sepsis , okuwukusabela ngokweqile komzimba ekuthelelekeni.

• Ubunzima bokuphefumula.
• Uma umzimba wakho uzizwa unzima kakhulu.
• Ubuhlungu obukhulu kakhulu.
• Isilinganiso senhliziyo siyanda.
• Uma isikhumba sibanda, simhlophe, futhi sibonakala sengathi sijuluka.
• Uma uzizwa udidekile futhi uphelelwe yithemba.
• Uma ulele kakhulu noma kunzima ukuvuka.
• Uma uquleka.

Esimweni esiphuthumayo esinjengalesi, ungalibali. Udinga ukuya esibhedlela ngokushesha.

Ingabe i-Fitz-Hugh-Curtis Syndrome iyisifo esithathelwana ngocansi (STI)?

Cha, i-Fitz-Hugh-Curtis syndrome (FHCS), uma sikhuluma iqiniso, ayisona isifo esithathelwana ngocansi (STI). Kodwa-ke, ihlobene kakhulu nezifo ezithathelwana ngocansi (STIs). Kanjani? Imbangela eyinhloko ye-FHCS isifo sokuvuvukala kwe-pelvic (PID). Imbangela eyinhloko ye-PID yizifo ezithathelwana ngocansi ezifana ne-Gonorrhea kanye ne-Chlamydia.

Kalula nje, i-PID kanye ne-FHCS yizindlela ezimbili umzimba wakho osabela ngazo ekuthelelekeni. Akuzona izifo ngokwazo.

Into ebalulekile okufanele uyikhumbule: Noma ubani angathola isifo esithathelwana ngocansi (STI) uma wenza ucansi olungavikelekile. Ngisho noma unomlingani oyedwa kuphela, angase abe ne-STI engazi. Abesifazane, ikakhulukazi, bangaba ne-STI njenge-gonorrhea ngaphandle kwezimpawu. I-STI ingabangela izinkinga ezibuhlungu njenge-Fitz-Hugh-Curtis Syndrome (FHCS), ngakho- ke kubalulekile ukwenza ucansi oluphephile nokuhlolwa njalo.

I-FHCS yisimo esibuhlungu. Kodwa udokotela angaselapha ngama-antibiotic kanye nama-painkiller. Ungase uzizwe unamahloni noma wesaba ukukhuluma nodokotela wakho ngempilo yakho yocansi. Kodwa akukho okubaluleke ngaphezu kwempilo yakho. Beka eceleni amahloni akho nokwesaba bese ukhuluma nodokotela wakho ngezinto ezikukhathazayo.

Uma kutholakale ukuthi une-Fitz-Hugh-Curtis Syndrome (FHCS), qiniseka ukuthi wazisa abalingani bakho bocansi ukuze nabo bakwazi ukuhlolwa nokwelashwa uma kudingeka.

Amaphuzu amafushane okufanele uwakhumbule

Sithemba ukuthi usuyaqonda kangcono lokho ebesikhuluma ngakho, i-Fitz-Hugh-Curtis Syndrome (FHCS). Nakuba kungase kubonakale kuyinkimbinkimbi kancane, nazi ezinye izinto ezibalulekile okufanele uzikhumbule:

• I-FHCS iyinkinga yesifo sokuvuvukala kwe-pelvic (PID). I-PID ivame ukubangelwa izifo ezithathelwana ngocansi (STIs) njenge-gonorrhea kanye ne-chlamydia.
• Uphawu oluyinhloko ubuhlungu obukhulu esiswini esingaphezulu kwesokudla. Kungase futhi kuhambisane nomkhuhlane kanye nesicanucanu.
• Uma unalezi zimpawu, bona udokotela ngokushesha. Ukwelashwa kusenesikhathi kungavimbela izinkinga eziyingozi njengokuphuphuma kwesisu.
• Yenza ucansi oluphephile. Sebenzisa amakhondomu. Hlola izifo ezithathelwana ngocansi njalo.
• Tshela ozakwenu ngalokhu ngokwethembeka. Nabo kufanele bahlolwe.
• Ungalibali ukufuna ukwelashwa ngenxa yamahloni. Impilo yakho iyona nto ebaluleke kakhulu.

Sithemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

Isifo sikaFitz -Hugh-Curtis, Isifo Sokuvuvukala Kwesitho Sangasese Sowesifazane, I-PID, Izifo Ezithathelwana Ngocansi, Ama-STI, Impilo Yabesifazane