Kunzwisisa Pelvic Inflammatory Disease Symptoms, Causes, and Treatments
Overview
Chirwere chechipembenene chinoputira (PID) chirwere chemuviri unobereka, chinoitika apo mabhakitiriya anofamba nemukati mhiri kusvika kumubereki uye fallopian tubes. PID inogona kukonzera infertility , ectopic pamuviri , kusuruvara kwepilvic kusingaperi, mazamu ebhubhu kana kuti maawa, mazamu, peritonitis (utachiona hwechirasi-sezvinovhiringidza huri munhengo dzemimba) uye perihepatitis (kuputika kwekuvhara kwechiropa).
Muzviitiko zvisingawanzovi, maitiro akaoma, PID isina kubatwa inogona kutungamirira kurufu.
Zvirwere zvepamuviri zvinoputika zvinogona kuva zvakanyanya (zvinoreva zviratidzo zvisingatarisirwi, zvakaoma), zvisingaperi (nguva refu uye zviratidzo zvishoma zvakanyanya) kana kunyarara (pasina zviratidzo.)
NePID, kuvapo kana kusava kwezviratidzo hakuratidzi kuti inguva yakaipa sei nhengo dzinobereka dzinotsigira. Zvinokwanisika kusava nemararamiro uye kuva nekudzivirira kwakakomba uye kubatisisa, zvichiita kuti urege kuberekwa. Vamwe vakadzi vanozoona kuti vane PID mushure mekuedza kuve nemuviri vasina kubudirira kana mushure mekunge vaine ectopic pregnancy.
Maererano neU.S. Centers for Disease Control nekudzivirira, vakadzi vanopfuura 750 000 vanoona chiitiko chePID yakaoma gore roga roga. Kusvika ku300 000 vevakadzi ava vari muchipatara kune PID yakaoma. Nokuti mhaka dzakawanda dzePID dzakanyarara uye hadzivi zviratidzo, uye PID inowanzosarudzwa kana kuti isingawanikwi, nhamba chaiyo yezviitiko zvePID zvingave yakakwirira.
Zvinokonzera
PID inokonzerwa nezvirwere zvepabonde (zvirwere zvepabonde).
Zvinowanzokonzera zvinosanganisira chlamydia uye gonorrhea. Chlamydia inokonzera chikonzero chekunyarara kwePID, zvinoreva kuti vakadzi vakawanda havazivi kuti vane utachiona.
Kana iwe uine STD isingazivikanwi, njodzi yako yePID yakakwirira chero nguva iyo chibereko chemuviri chikazaruka uye utachiona hunogona kupinda muchibereko. Iwe une njodzi yakanyanya yePID mushure mekuberekwa, kupererwa pamuviri, kubvisa pamuviri, kuberekwa kwepomeriyamu, kuisa IUD, HSG nekunyengedzera, uye kushandiswa kwemaitiro .
Kunyange zvazvo hutachiona hweplavic hunogona kukonzerwa nemaBhakitiriya kunze kweSDD, izvi hazviwanzi zvinonzi PID. Zviratidzo uye kurapa, zvisinei, zvinogona kunge zvakafanana.
Inokonzera Sei Kusakosha?
Pakati pe10% uye 15% yevakadzi vane PID yakaoma vanove vasina vana. Kana mukadzi ane zvikamu zvakawanda zvePID yakaoma, panjodzi yake yekukurira kusununguka kunobuda.
Chikonzero chinonyanya kukosha chepid-related infertility chakavharwa fallopian tubes . Iyo michina inowanzovharwa kubva kumatevedzeri anokonzerwa nekuputika, uye kuvhara kunowanzowanika pedyo neavoes kupfuura chibereko. Apo kuvhara kwepedyo kwava pedo nemaovha, zvakaoma kurapa chirwere.
PID inogona kukonzerawo hydrosalpinx. Izvi zvinoitika kana bhuti rakadzivirirwa pedo neovary uye rinotapira uye rinogutisa nemvura. Kuvapo kwe hydrosalpinx kunogona kuderedza mikana yekubudirira kweVIV .
Ectopic pregnancy zvinogonawo kukonzerwa nekuparara kwePID-yakabatana. Kana iwe ukavhiyiwa kuzogadzira tubal kukanganisa kunokonzerwa nePID, dambudziko rako reEctopic pregnancy richave rakanyanya.
Muzviitiko zvisingawanzoitiki, hutachiona hwehutachiona hunogona kutungamirira kuhutano hwekukurumidzira.
Munguva yakapfuura, vamwe vanachiremba vakabata chirwere chisingaperi cheHIV ne hysterectomy, asi izvi zviri kushandiswa zvishoma nezvishoma. Kana chiremba wako anoratidza hutachiona semushonga wePID usingagumi, iwe ungada kuwana mhinduro yechipiri usati waita chisarudzo chinonyanya kukanganisa unhu hwako hwekubereka huri mberi.
Ona zvakawanda pamusoro peizvi pasi apa, pasi peZirano zvePID.
Zviratidzo
Zviratidzo zvechirwere chinoputira chirwere chinopesana kubva kumunhu kusvika kune munhu, zvichienderana nekuti kana kwete ivo vane chirwere chakanyanya, chisingagumi kana chinyararire PID.
Zviratidzo zvinowanzozivikanwa zvePID ishungu hwepasvic. Zvimwe zviratidzo zvinosanganisira kurwadziwa kwepabonde munguva yekuita zvepabonde, kurwadziwa kunorwadza kwepamusoro, kubuda kwemwedzi kunenge kusina nguva, kubuda kwechikadzi chisina kujairika, zvinetso zvokugunzva, zvirwere zvakadai semvura, sehutano, fivha, chills, kushaya simba kana kuvhupa lymph nodes; kusava nenzara, kurarisa uye kurutsira, uye kuberekwa.
Zviratidzo zvakawanda zvinogona kukanganisa zvimwe zvirwere, kusanganisira appendicitis, endometriosis kana urinary tract infection.
Zvakakosha kuva mberi nechiremba wako kana iwe uchifungidzira iwe unobata chirwere chepabonde kana une zvimwe zvinokonzera njodzi dzePID, sekupererwa kwemazuva mashoma, kubereka, kubvisa pamuviri, kana kuisa IUD.
Hazvisi zvekugara kwenguva refu PID kuti uende usina kudzidza kune mwedzi kana makore. Kana uri kuwana kurwadziwa kweplavic nguva dzose kana kurwadziwa panguva yekuita zvepabonde, uye chiremba wako haana kukwanisa kuongorora kana kubata chirwere ichi kubudirira, unogona kutsvaga mutsva wechipiri.
Ramba uchisimudza kusvika iwe uchiwana kurapa kwakakodzera kwezviratidzo zvako. Nguva yako yemberi kubereka uye hutano huripo hunovimba nayo.
Kuziva
Vanachiremba vanoongorora chirwere chePID nekuongorora zviratidzo nezviratidzo, kuongorora vaginhi uye tsika dzechibereki, kuitisa urini uye kuongororwa kweropa, kuita chirwere chepachivi uye kuongorora kubuda kwemudzimai.
Kunyange zvazvo tsika dzechikadzi dzichawanzofumura chirwere cheSDD kana zvimwe zvirwere zvebhakitiriya, havazooni nguva dzose utachiona hwakasvikira mubereki uye fallopian tubes.
Mimwe miedzo inogona kupiwa nachiremba kubatsira kubatsira chirwere chePID chinosanganisira pelvic ultrasound, falloposcopy, laparoscopy uye endometrial biopsy.
Nemhaka yokuti dzimwe mimwe miedzo inogona kusanganisa mabhakitiriya kubva kumudzimai uye chiberekero munzvimbo yechibereki uye fallopian tubes, zvakakosha kuti tsika dzeSDD dzinotorwa dzinotorwa kusati kwasvika kuongororwa uye kuti chero hutachiona hunowanikwa hunobatwa.
Zvichida Kurapa
Mishonga inorwisa mabhakitiriya inowanzoshandiswa kurapa PID. Kusarudza kuti mhuka ipi inokonzera PID yako inogona kuva yakaoma, uye dzimwe nguva, zvinopfuura rimwe rudzi rwebhakitiriya ringabatanidzwa. Nokuda kwechikonzero ichi, iwe unogona kutarirwa maviri kana kupfuura maantibayoti kutora kamwechete.
Nemhaka yehutano hwekukuvadza kwakakomba uye kunogona kukuvadza kubereka kwako, kurapwa kunowanzotanga kusati kwaitika zvese. Zvigumisiro, zvisinei, zvinogona kuratidza kuti mishonga inorwisa mabhakitiriya yakakosha pakurapa kwakanaka, saka chiremba wako angashandura kurapwa kwako mukatikati.
Mishonga inorwisa mabhakitiriya inogonawo kuendeswa kuburikidza nejeri. Maitiro akaoma kana akaoma-kubata-maitiro angaporerwa mukati, izvo zvingadikanwa kupinda muchipatara.
Kunyange zvazvo zvakajairika kuti unzwe zviri nani mushure memazuva mashomanana ekurapwa kwemishonga inorwisa mabhakitiriya, zvakakosha kuti iwe upedze hutachiona hwehutano hwako. Kusaita kudaro kunogona kutungamirira kubhakitiriya kuti zvive zvinopesana nemishonga inorwisa mabhakitiriya, zvichiita kuti zvive zvakaoma kana zvisingaiti kubata.
Wako wako wepabonde kana vashandi pamwe chete vanofanirawo kurapwa, kunyange vasina zviratidzo. Kana zvisina kudaro, iwe unogona kuramba uchipfuura mabhakitiriya ane mutoro wePID kumashure. Iwe unofanirwawo kushandisa kondomu munguva yekuita zvepabonde panguva yekurapa, kuti usadzivirirezve.
Mune zvimwe zviitiko, kuvhiyiwa kunogona kudiwa kurapa mababa kana kunyanya kunetseka. Muzviitiko zvisingawanzoitiki, hutachiona hutsva hunogona kuitwa.
Kudzivirira
Sezvo PID inokonzerwa nechirwere chepabonde, inodzivirirwa. Kuita zvepabonde zvisina kudzivirirwa nevakawanda pamwe chete kunowedzera dambudziko rako rekuwana PID. Kana iwe usati uri muukama hwakazvipira nemumwe wako uyo atove akaongororwa zveSDD, kuita zvepabonde rakachengeteka kuburikidza kushandisa varume rekondomu makondomu uye kuwana nguva dzose zvekuita zvirongwa zveSDD zvinokosha.
IUD kuisawo kunogona kutungamirira kuPID kana iwe uchitova neDDD. Kuongororwa uye kurapwa kweSDD isati yasvika kuiswa kweIUD kunogona kuderedza zvikuru njodzi yako yehutachiona.
Uyewo, kuwedzera kwakawanikwa kuwedzerwa njodzi yako yePID. Douching inoshandura maruva echisiki uye pH yemudzimai, kuwedzera mungozi yehutachiona hwehutachiona. Kutora zvakare kunokanganisa zvinokonzera mishonga yemukati , iyo inokosha apo ichiedza kuve nemimba.
Kuongororwa kwekuberekwa kwekuberekwa , kufanana neHSG uye hysteroscopy, uye mishonga yekuberekwa iyo inosanganisira chibereko chechivharo uye chibereko chinonzi insemination kana IVF, inogona kutungamirira kuPID kana une dambudziko risina kudzidza. Ichi ndicho chikonzero nei makiriniki akawanda ekuberekana achiita zvirwere zveSDD nemitambo yepabonde vasati vaita kuongorora uye kubata.
Kana wakamboita zvepabonde zvisina kudzivirirwa izvo zvingadaro zvakakuratidza iwe kune STD, uye iwe uri pakati pekuedzwa kwekubereka kana kurapwa, iva nechokwadi chekuudza chiremba wako kuti iwe unogona kudzorerwa zvakare.
Sources:
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Kubata Mushure meT Tubal Surgery: Chokwadi Chidimbu. American Association of Reproductive Medicine. Yakasvika musi waNovember 6, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/ConceivingAfterTubalSurgery.pdf
Hydrosalpinx: Fact Sheet. American Association of Reproductive Medicine. Yakasvika musi waNovember 6, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/hydrosa(1).pdf
Pelvic Inflammatory Disease (PID) - CDC Fact Sheet. Chirwere Chetachiona Chekudzivirira uye Kudzivirira. Inowanikwa paIndaneti munaJuly 26, 2011. http://www.cdc.gov/std/pid/stdfact-pid.htm
Chirwere chechipembenene chinoputira (PID). Mayo Clinic. Inowanikwa paIndaneti munaJuly 26, 2011. http://www.mayoclinic.com/health/pelvic-inflammatory-disease/DS00402/DSECTION=kambani
Pelvic Inflammatory Disease (PID). Planned Parenthood. Inowanikwa paIndaneti munaJuly 26, 2011. http://www.plannedparenthood.org/health-topics/stds-hiv-safer-sex/pelvic-inflammatory-disease-pid-4278.htm
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