I-Fitz-Hugh-Curtis syndrome yisimo lapho amabhaktheriya, ngokuvamile avela ekutheleleni kwegciwane lesandulela ngculazi, asakazeka esiswini futhi abangele ukuvuvukala kwesilonda sesisu nesisu esisondelene nesibindi. I-diaphragm (i-muscle ehlukanisa isisu kusuka esifubeni) nayo ingathinteka.
I-Gonococcal Perihepatitis noma i-Perihepatitis Syndrome eyaziwa, i-Fitz-Hugh-Curtis Syndrome iyinkinga engavamile eyenziwa ngama-15-30% wabesifazane abanesifo sokuvuvukala kwe-pelvic (PID).
Ngezikhathi ezingavamile, lesi sifo singase senzeke nakwabesifazane ngaphandle kwe-PID namadoda.
Izimpawu
E-Fitz-Hugh-Curtis syndrome, ukuvuvukala kwezicubu zesibindi kuholela ekwakheni ukuxhumana okungavamile kwezicubu (ukunamathela) phakathi kwesibindi nesingaphakathi kwesisu. Kwamanye abantu, lezi zinhlanganisela azibanga izimpawu. Abanye bangase babe nezinye noma zonke izimpawu ezilandelayo ezihlobene noFitz-Hugh-Curtis:
- Kwenzeka kungazelelwe ukuzwa ubuhlungu obukhulu engxenyeni engenhla kwesisu, phezu kwe-gallbladder
- Ubuhlungu okungenzeka ukuthi buhambele ehlombe lokunene nangaphakathi kwengalo yangakwesokudla
- Ukwanda kakhudlwana ngokukhwehlela, ukunyundela noma ukuhamba
- I-nausea
- Ukuvota
- Ama-chill kanye nomkhuhlane
- Izithukuthuku ebusuku
- Izinsizwa
- Ukubamba
Izimbangela Ejwayelekile kanye Nokuxilongwa
Ngokuvamile, udokotela akakwazi ukubona noma azizwe nokuba khona kukaFitz-Hugh-Curtis syndrome, ngakho-ke ubuhlungu besisu esingasemathunjini kungase kube yindlela kuphela yokuphakamisa isiqondiso sokuxilongwa. Ukutholakala kokutheleleka kwe-pelvic kuzophinde kube nomthelela ekuxilongweni, njengoba lesi sifo sivame ukungabi nesifo se-pelvic inflammatory disease (PID), okuwukutheleleka kwepheshana elingenhla kobulili kwabesifazane.
I-Infection ivame ukubangelwa yi-Neisseria gonorrhoeae ne- Chlamydia trachomatis.
Ngaphandle kokuba khona kwe-PID, ukuxilongwa kungase kube nzima, ngoba izimo eziningi zingabangela ubuhlungu besisu. Kulaba besifazane, amasiko omlomo wesibeletho we-chlamydia ne-gonorrhea azokwenziwa, ngoba lezi zifo ziyisisusa esivame kakhulu se-Fitz-Hugh-Curtis syndrome.
Uma ukutheleleka kukhona, inani legazi elimhlophe (i-WBC) egazini lizobe liphakeme, njengalokhu izinga le-erythrocyte sedimentation (ESR) lizobe liphakeme.
Udokotela uzohlola umuntu ngezimo ezivamile ezinempawu ezifana ne-Fitz-Hugh-Curtis syndrome, njengama- gallstones , ukuvuvuka kwesibindi (isibindi), izinso zezinso noma ukutheleleka, nesilonda esiswini. I-ultrasound ye-abdominal kanye ne-computed tomography (CT) ingasiza ekuqedeni lezi zinkinga. I-x-ray yesifuba ingakwazi ukulawula i-pneumonia njengesizathu sobuhlungu ngokukhwehlela noma ukukhipha.
I-Laparoscopy Ukuqinisekisa Ukuhlola
Indlela engcono kakhulu yokuqinisekisa ukuxilongwa kwe-Fitz-Hugh-Curtis syndrome iwukuba udokotela wakho abuke ngaphakathi emzimbeni (ukubheka isibindi). Lokhu kwenziwa ngokufaka ikhamera ngaphakathi kwesisu, okuthiwa i- laparoscopy . Udokotela angabona ukunamathela ngaphandle kwesibindi, ezinokubukeka okunamasondo okujwayelekile (okuthiwa "ukunamathela kwezintambo ze-violin").
Ukwelapha
Ukwelashwa komuntu ngamunye nge-Fitz-Hugh-Curtis syndrome kuqukethe ama-antibiotic okutheleleka kanye nemithi ebuhlungu. Uma ukutheleleka kususwe, izimpawu zixazulula. Njengoba i-chlamydia ne- gonorrhea isakazwa ngokuxhumana kocansi, lowo muntu kufanele amenzele umsebenzi wakhe wocansi kuze kube yilapho ukutheleleka sekuphelile, futhi umlingani womuntu ngamunye wezocansi kufanele aphathwe.
Imithombo:
Inhlangano Kazwelonke Yezinkinga Ezinzima. UFitz Hugh Curtis Syndrome.