Ingabe uzwa ubuhlungu besisu esingezansi kanye nokukhishwa koketshezi olungavamile esithweni sangasese sowesifazane? Kungaba yiSifo Sokuvuvukala Kwesitho Sangasese Sowesifazane (PID)!

Ingabe ngezinye izikhathi uzwa ubuhlungu besisu esingezansi kanye nokukhishwa koketshezi olungavamile, oluphuzi noma oluluhlaza okwesibhakabhaka? Ingabe uzizwa sengathi awuzizwa kahle? Ungase ungazinaki lezi zinto. Kodwa akuwona umqondo omuhle ukuzishaya indiva. Namuhla sizokhuluma ngesimo esithinta abesifazane abaningi, kodwa abanye abazi ngisho nakancane ngaso. Leso yiSifo Sokuvuvukala Kwe-Pelvic, esaziwa nangokuthi `(PID)` ngamafuphi.

Kuyini Isifo Sokuvuvukala Kwezitho Zangasese (PID)?

Kalula nje, i-PID iwukutheleleka okukhulu kwengxenye engenhla yesistimu yakho yokuzala, okuhlanganisa isibeletho, amashubhu e-fallopian, kanye nama-ovari. Ithinta abesifazane kuphela.

Cabanga ngalokhu, lapho amanye amabhaktheriya (amagciwane) esithweni sakho sangasese sowesifazane ekhuphukela esibelethweni sakho. Lokhu kuvame ukubangelwa izifo ezithathelwana ngocansi ezingalashwanga (ama-STI). Kodwa ngezinye izikhathi, ngisho namabhaktheriya avame ukutholakala esithweni sakho sangasese sowesifazane angakhuphukela esibelethweni sakho futhi abangele i-PID.

Uma une-PID, ungase uzwe ubuhlungu endaweni yakho yesinqe. Ungase futhi ube nokukhishwa okungavamile kwesitho sangasese sowesifazane. Uma lokhu kuba kubi kakhulu, kungabangela umonakalo ongapheli ohlelweni lwakho lokuzala futhi kuholele nasekungazalini. Ngakho-ke, uma unezifo ezithathelwana ngocansi, ukuthola ukwelashwa ngokushesha ngangokunokwenzeka kuyindlela engcono kakhulu yokuzivikela ku-PID.

I-PID ikhula kanjani?

Abantu abaningi bathola i-PID ngoba benza ucansi olungavikelekile . Uma wenza ucansi olungavikelekile, amagciwane angangena ohlelweni lwakho lokuzala futhi atheleleke ezithweni zomzimba lapho.

Sivame kangakanani lesi simo?

I-PID empeleni ivame kakhulu kunalokho ongase ucabange. Ivame kakhulu phakathi kwabesifazane abasebasha abaneminyaka ephakathi kwengu-15 no-25. Kubikwa nokuthi abantu abaningi balahlekelwa yizingane zabo ngenxa yayo.

Yiziphi izimpawu eziyinhloko ze-PID?

Cabanga nje, ungase ungazi nokuthi une-PID. Ngezinye izikhathi izimpawu zingaba zicashile kakhulu, noma zingabonakali. Kodwa ngezinye izikhathi izimpawu ze-PID zingavela ngokuzumayo. Lezi yizimpawu eziyinhloko ongazibona:

• Ubuhlungu noma ukuqina esiswini esingezansi noma endaweni ezungezile. Lolu uphawu oluvame kakhulu.
• Ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane. Ngokuvamile kuba nombala ophuzi noma oluhlaza okotshani futhi kungaba nephunga elingavamile.
• Umzimba uyabanda futhi ushisa.
• Isicanucanu nokuhlanza.
• Ukuzwa ubuhlungu ngesikhathi socansi.
• Ukusha kanye nobuhlungu lapho uchama.
• Ukuya esikhathini okungajwayelekile, noma ukopha okuncane (ukubona amabala) noma ubuhlungu besisu (ukuqaqamba kwesisu) inyanga yonke.

Buzwakala kuphi ngempela lobu buhlungu be-PID?

Ubuhlungu obuvela ku-PID buzwakala kakhulu esiswini sakho esingezansi, noma esifundeni se-pelvic . Ngezinye izikhathi kubuhlungu ukuthinta indawo, noma kungazwakala sengathi kukhona okuqinile ngaphakathi, njengobuhlungu obubukhali. Ungase uzizwe nobuhlungu obujulile ngaphakathi kwe-pelvic yakho ngesikhathi socansi.

Yiziphi izimbangela eziyinhloko ze-PID?

Imbangela eyinhloko ye-PID amabhaktheriya angena ohlelweni lwakho lokuzala. La mabhaktheriya ahamba esuka esithweni sangasese sowesifazane, adlule esibelethweni sowesifazane, akhuphukele esibelethweni, emapayipini e-fallopian, nasema-ovari. Ngokuvamile, lapho amabhaktheriya engena esithweni sangasese sowesifazane, isibeletho siyawavimbela ukuthi aqhubekele phezulu. Kodwa-ke, uma isibeletho siba buthaka ngenxa yokutheleleka, lokhu kuvikelwa kungalahleka futhi amabhaktheriya angakhuphuka.

Nakuba kunezinhlobo eziningi zamagciwane angabangela i-PID, izimbangela ezimbili eziyinhloko izifo ezibizwa ngokuthi i-gonorrhea kanye ne-chlamydia. Zombili lezi zifo zibangelwa ucansi olungavikelekile. Lezi zifo ezimbili zocansi zibangela cishe u-90% wamacala e-PID.

Ngaphezu kwalokho, kunezimo ezingavamile lapho amagciwane avame ukutholakala esithweni sangasese sowesifazane angakhula abe yimbangela ye-PID. Lokhu kufaka phakathi:

• Ngemva kokubeletha.
• Ngemva kokuhlinzwa kwe-pelvic.
• Ngemva kokukhipha isisu.
• Ngemva kokufakwa i-IUD (I-Intrauterine Device). Le ngozi iphakeme kancane phakathi namasonto ambalwa okuqala ngemva kokufakwa i-IUD.

Kuthatha isikhathi esingakanani ukuthi izimpawu zivele?

Uma i-PID ibangelwa yi-gonorrhea noma ukutheleleka kwe-chlamydia okungelashwanga, kungathatha noma yikuphi kusukela ezinsukwini ezimbalwa kuya emavikini ambalwa ukuthi izimpawu zivele. Uma i-PID ibangelwa esinye isizathu, kungathatha izinyanga ukuthi ivele.

Ingabe ukuxubha amazinyo kubangela i-PID?

Izifundo eziningi ziphakamisa ukuthi kukhona ukuxhumana phakathi kwe-'douching' (ukugeza ingaphakathi lesitho sangasese sowesifazane ngoketshezi) kanye ne-'(PID)'. Ngokukhethekile, i-'douching' ingabangela ukutheleleka kwesitho sangasese sowesifazane okubizwa nge-'Bacterial Vaginosis' . Lokhu kusikisela ukuthi kungase kube nokuxhumana phakathi kwe-'Bacterial Vaginosis' kanye ne-'(PID)'. Ngakho-ke, odokotela abaningi abancomi i-'douching'.

Ingabe i-PID iyisifo esithathelwanayo?

Yebo, i-PID ingadluliselwa. Ivame kakhulu ukudluliselwa ngokuxhumana ngokocansi okuqondile.

Ubani osengozini enkulu yokuthola i-PID?

Usengozini enkulu yokuthola i-PID uma:

• Uma unesifo esithathelwana ngocansi (STI), ikakhulukazi i-gonorrhea noma i-chlamydia.
• Uma unabalingani abaningi bocansi, noma uma umlingani wakho enabalingani abaningi.
• Uma uke waba ne-`(PID)` ngaphambili.
• Uma uhlanganyela ocansini futhi ungaphansi kweminyaka engama-25 ubudala.
• Uma uke wahlinzwa i-tubal ligation noma olunye ukuhlinzwa kwe-pelvic.

Yiziphi izinkinga ezingaba khona ze-PID?

Uma une-PID isikhathi eside, imiphumela ingaba mibi kakhulu. Lokhu kutheleleka kungabangela ukwakheka kwezicubu zesilonda ngaphakathi kwamapayipi akho e-fallopian. Lokhu kubola kungabangela izinkinga eziningana:

• Ubuhlungu obungapheli be-pelvic: Ubuhlungu be-pelvic obuhlala isikhathi eside buyinkinga evame kakhulu. Ucwaningo lubonisa ukuthi cishe abantu abangu-20% babhekana nalolu buhlungu obungapheli.
• Ukukhulelwa kwesisu: Ukushaqeka kuvimbela iqanda elivundisiwe ukuthi lingangeni esibelethweni. Iqanda lingafakwa epayipini le-fallopian. Abantu abane-PID banamathuba amaningi okukhulelwa kwesisu kunalabo abangenayo i-PID. Cabanga ukuthi kungaba yingozi kangakanani uma ingane ingakhula epayipini, hhayi lapho kufanele ikhule khona.
• Ukungazali: Cishe u-10% wabesifazane abane-PID bangase bangabi nanzalo ngoba izicubu zesilonda zivimba amapayipi e-fallopian futhi zivimbele ukukhishwa kwamaqanda.
• Ithumba le-Tubo-ovarian (TOA): Leli yiqoqo lobomvu endaweni ye-pelvic. Lingakwenza ugule kakhulu.

Lezi zinkinga zimbi kakhulu, ngakho-ke kubaluleke kakhulu ukufuna ukwelashwa ngokushesha uma unezimpawu ze-PID.

Wazi kanjani ukuthi une-PID?

Uma unezimpawu ze-PID, bona udokotela ngokushesha. Uma ufuna ukwelashwa ngokushesha, amathuba akho okuphumelela ayanda. Akukho ukuhlolwa okukodwa kokuxilonga i-PID. Ngokuvamile, udokotela uzoxilonga i-PID ngokuthi:

• Uzobuzwa ngomlando wakho wezokwelapha, okuhlanganisa impilo yakho iyonke, izenzo zakho zocansi, kanye nezimpawu.
• Kuhlolwa isinqe. Lokhu kuhlola izitho zakho zokuzala futhi kuhlolwe ubuhlungu noma amathumba.
• Kuthathwa ukuhlolwa kwesitho sangasese sowesifazane ukuze kubonakale ukuthi kukhona yini izinhlobo zamagciwane.

Yiziphi ezinye izivivinyo okuzodingeka zenziwe?

Udokotela wakho angase futhi enze lezi zivivinyo:

• Ukuhlolwa kwegazi.
• Ukuhlolwa komchamo. Lokhu kwenzelwa ukuhlola ukutheleleka komgudu womchamo, okungase kubangele nobuhlungu besisu esingezansi.
• Ukuskena nge-ultrasound kuwukuhlolwa okungaveza izithombe ezicacile zesistimu yokuzala.
• Ukuhlolwa kwezifo ezithathelwana ngocansi (ama-STI).

Kwezinye izimo, udokotela angase futhi ancome ukuhlolwa okufana nalokhu:

• I-biopsy ye-endometrial:Kuthathwa isampula encane yezicubu engxenyeni engaphakathi yesibeletho bese kuhlolwa ukuthi azinaso yini isifo.
• I-Laparoscopy: Kwenziwa izimbobo ezimbalwa ezincane endaweni ye-pelvic, bese kufakwa ithuluzi elifakwe ikhamera ukuze kuhlolwe izitho zokuzala.

Iphathwa kanjani i-PID?

Udokotela wakho uzokunikeza ama-antibiotic. Lawa avame ukuthathwa ngomlomo cishe izinsuku ezingu-14. Ngisho noma uzizwa ungcono kancane, kufanele uphuze yonke imithi oyinikezwe njengoba uyalelwe. Lokhu kungenxa yokuthi kuthatha isikhathi ukuthi ukutheleleka kuphele ngokuphelele ngisho noma izimpawu zakho ziba ngcono. Udokotela wakho angakucela ukuthi uqale umuthi bese ubuya ezinsukwini ezimbalwa ukuze abone ukuthi ukwelashwa kuyasebenza yini.

Abanye abantu bangase baqhubeke nokuba nezimpawu naphezu kokuthatha ama-antibiotic. Uma lokhu kwenzeka, kungadingeka ukuthi ulaliswe esibhedlela ukuze uthole ama-antibiotic e-intravenous (IV) . Imithi ye-IV inganikezwa nakulezi zimo:

• Uma ukhulelwe.
• Uma unesifo esibi kakhulu futhi ugula kakhulu.
• Uma unethumba kwelinye lamapayipi akho noma ama-ovari.

Ungayi ocansini uze uqede ukwelashwa kwakho. Uma usuya ocansini futhi, sebenzisa njalo ikhondomu ukuze uzivikele ekuthelelekeni.

Ingabe i-PID idinga ukuhlinzwa?

Ukuhlinzwa kwe-PID akuvamile, kodwa kungaba usizo kwezinye izimo. Uma usenezimpawu naphezu kokuthatha ama-antibiotic, noma uma unethumba, khuluma nodokotela wakho mayelana nokuhlinzwa.

Ingabe umlingani wami naye udinga ukwelashwa?

Uma une-PID, kufanele utshele umlingani wakho wocansi. Kufanele futhi bathole ukwelashwa. Ngaphandle kwalokho, ungaphinde uthole i-PID uma usuya ocansini futhi.

Ingabe i-PID ingalapheka ngokuphelele?

Uma usheshe wayithola igciwane futhi welaphe, ungelapha i-PID ngama-antibiotic. Kodwa-ke, ukwelashwa akukwazi ukuqeda umonakalo osuvele wenziwe ezithweni zakho zokuzala. Ngakho-ke, ungalibali ukuthola ukwelashwa. Bheka udokotela ngokushesha ukuze uthole usizo oludingayo.

Ukube bengine-PID, bekuyoba nzima yini ukuba nomntwana?

I-PID ingathinta ukuzala. Ucwaningo luthole ukuthi cishe umuntu oyedwa kwabayisishiyagalombili abane-PID unobunzima bokukhulelwa . Cishe umuntu oyedwa kwabayi-10 naye utholakale egcina engasakwazi ukuzala. Labo abaye baba nezifo eziphindaphindwayo baye baba nobunzima obukhulu bokukhulelwa.

I-PID iyithinta kanjani inzalo?

Ama-bacteria avela ku-PID angabangela izibazi emapayipini akho e-fallopian. Lesi sibazi senza kube nzima ngeqanda ukuhamba lisuka esibelethweni liye epayipini le-fallopian bese liya esibelethweni. Uma iqanda lingakwazi ukuhamba ngepayipi le-fallopian, isidoda asikwazi ukulivundisa.

Ngingaphinde ngithole i-PID?

Yebo, ungaphinde uthole i-PID.Ukuthi nje i-PID ivele kanye akusho ukuthi ngeke iphinde ivele.

Uma une-PID, ungaphinde uye ocansini nini futhi?

Wena nomlingani wakho kufanele nilinde cishe isonto elilodwa ngemva kokuqeda ama-antibiotic ngaphambi kokuba niqale ukwenza ucansi. Ukwenza kanjalo kuzosiza ekuvimbeleni ukutheleleka kabusha.

Ingabe abesifazane abalala nabesifazane (WSW) nabo bangathola i-PID?

Yebo, abesifazane abalala nabesifazane (WSW) nabo bangathola i-PID. Lokhu kungenxa yokuthi amagciwane abangela i-PID angahlala esithweni sangasese sowesifazane, epenis, noma kunoma yini oyifaka esithweni sangasese sowesifazane.

Ungazivikela yini ku-PID?

Ngezinye izikhathi i-PID ayibangelwa ukutheleleka ngocansi. Ingabangelwa namagciwane avame ukuhlala esithweni sangasese sowesifazane angene ezithweni zokuzala. Ukugwema ukuhlafuna kunganciphisa le ngozi.

Kodwa-ke, isikhathi esiningi, i-PID ibangelwa ucansi olungavikelekile. Ngakho-ke, yenza ucansi oluphephile. Nazi ezinye izinto ongazenza ukuze uzivikele ezifweni zocansi ezingabangela i-PID:

• Ukunciphisa abalingani bocansi: Ingozi iphezulu uma unabalingani abaningi.
• Ukukhetha indlela yokuvimbela inzalo: Lokhu kufaka phakathi izinto ezifana namakhondomu nama-diaphragm. Ngisho noma uphuza amaphilisi okuvimbela inzalo, kungcono ukusebenzisa indlela yokuvimbela inzalo enomuthi wokubulala isidoda.
• Funa ukwelashwa uma ubona izimpawu: Uma ubona izimpawu ze-PID noma ezinye izifo ezithathelwana ngocansi, funa ukwelashwa ngokushesha. Lokhu kufaka phakathi ukuphuma kwegazi okungajwayelekile esithweni sangasese sowesifazane, ubuhlungu besisu esingezansi, kanye nokopha igazi phakathi kokuya esikhathini.
• Thola ukuhlolwa njalo kwezokwelapha: Thola ukuhlolwa njalo kwezifo zabesifazane kanye nokuhlolwa. Ezimweni eziningi, odokotela bangathola futhi belaphe izifo zomlomo wesibeletho ngaphambi kokuba zisakazekele ezithweni zokuzala.

Ungayinciphisa kanjani ingozi ye-PID?

Uma usebenza ocansini, khuluma nodokotela wakho mayelana nokuhlolwa kwezifo ezithathelwana ngocansi (ama-STI) minyaka yonke. Odokotela bavame ukuncoma ukuthi uhlolwe i-chlamydia kanye ne-gonorrhea ukuze uhlale uphephile. Kungumqondo omuhle futhi ukuthi uhlolwe zombili izifo ezithathelwana ngocansi ngaphambi kokuba ulale nomlingani omusha.

Ngingazinakekela kanjani uma ngine-PID?

Uma unezimpawu ze-PID, bona udokotela ngokushesha. Uma une-PID, into ebaluleke kakhulu ongayenza ukuthola ukwelashwa.

Amanye amathiphu ambalwa okunakekela impilo yakho:

• Gwema ukusula i-douching ukuze uvimbele amabhaktheriya ukuthi anganyuki aye esibelethweni nasemapayipini e-fallopian.
• Bonana nodokotela futhi ezinsukwini ezimbalwa ngemva kokuqala umuthi ukuze ubone ukuthi umuthi uyasebenza yini.
• Thatha yonke imithi njengoba uyalelwe.
• Sebenzisa njalo ikhondomu noma idamu lamazinyo ngesikhathi socansi ukuze uvikele ezifweni.
• Wena (kanye nomlingani wakho) kufanele niqale kabusha ukwenza ucansi ngemva kwesonto niqedile ukuthatha imithi.

Kufanele ngimbone nini udokotela?

Bona udokotela uma uhlangabezana nanoma yiziphi izimpawu ze-PID. Funa usizo lwezokwelapha ngokushesha uma unanoma yikuphi kwalokhu okulandelayo:

• Ubuhlungu obukhulu esiswini esingezansi.
• Ukuphuma koketshezi esithweni sangasese sowesifazane okunephunga elingavamile noma okushintsha umbala.
• Ukuhlanza okukhulu.
• Umkhuhlane ophezulu.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma une-PID, buza udokotela wakho ngalokhu:

• Hlobo luni lokwelashwa engiludingayo?
• Ingabe ngidinga ukuphinda ngihlole?
• Ingabe i-PID izothinta ikhono lami lokuthola ingane?
• Yiziphi izinkinga ezingaba khona ngenxa ye-PID?
• Ngingaphinde ngilale nini futhi?
• Yini engingayenza ukuze ngizivikele ku-PID?

Ungakwazi yini ukuba ne-PID ngaphandle kokuba nesifo esithathelwana ngocansi (STD)?

Yebo, kungakwenza lokho. Amagciwane avame ukuhlala esithweni sakho sangasese sowesifazane angahamba aye ezingxenyeni ezingaphezulu zesistimu yakho yokuzala, okubangela i-PID. Kodwa-ke, lokhu akuyona imbangela ezimweni eziningi.

Ingabe i-PID iyisimo esibucayi?

Yebo, i-PID ingaba yingozi kakhulu. Ukuxilongwa kusenesikhathi kanye nokwelashwa kubalulekile ukunciphisa ingozi yezinkinga zesikhathi eside, njengokungazali.

I-PID ukutheleleka kwezitho zakho zokuzala. Ngokuvamile kubangelwa ukutheleleka okuthelelwana ngocansi, njenge-gonorrhea noma i-chlamydia. Uma unezimpawu ze-PID, njengobuhlungu besisu esingezansi, khuluma nodokotela wakho. Udokotela wakho angayixilonga futhi ayelaphe i-PID ngama-antibiotic. Ukwelashwa okusheshayo kubalulekile ukuvimbela izinkinga ze-PID, njengokungazali. Umlingani wakho (abalingani) kufanele nabo baphathwe. Ungazivikela ku-PID ngokusebenzisa ikhondomu njalo ngesikhathi socansi.

Okokugcina, izinto okufanele uzikhumbule

Kulungile, ngakho-ke sesikhulume kakhulu nge-PID, akunjalo? Njengoba lokhu kuyinto ethinta abesifazane, kubaluleke kakhulu ukuqaphela.

Khumbula, uma unezimpawu ezifana nobuhlungu besisu esingezansi, ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane, noma umkhuhlane, ungazinaki. Bheka udokotela ngokushesha ukuze uthole iseluleko.

Ukwelashwa kusenesikhathi kungasiza ekuvimbeleni izinkinga ezinkulu, ikakhulukazi ukungazali, ezivela ku-PID. Ukuzijwayeza ucansi oluphephile nokuhlolelwa izifo ezithathelwana ngocansi njalo yizona zindlela ezinhle kakhulu zokuzivikela ku-PID. Kubalulekile ukutshela umlingani wakho ngalokhu futhi. Awuwedwa, futhi kukhona usizo olutholakalayo kulezi zinkinga.

Isifo Sokuvuvukala Kwesitho Sangasese Sowesifazane , I-PID, Isifo Sabesifazane, Impilo Yokuzala, Izifo Ezithathelwana Ngocansi, Ukuphuma Koketshezi Esithweni Sangasese Sowesifazane, Ubuhlungu Besisu Esingezansi