Esinye sezizathu ezibangela ukungabi nalutho
Iyini Izifo Ezivuthayo Ze-Pelvic?
Isifo sokuvuvukala ngama-pelvic, noma i-PID, ukuvuvukala komzila wesifazane ophezulu wokuzala. Izindawo ezithintekile zingabandakanya izakhi zesisu, ama-ovari, nama-tubespian tubes. I-salpingitis, ukuvuvukala kwama- tubespian tubes , ukubonakaliswa okuvame kakhulu kwesifo. I-PID yaziwa njengomphumela wesikhathi eside wezifo eziningi ezithathelwana ngocansi kanye ne- bacterial vaginosis (BV), ukuhlinzwa kwe-pelvic, nezinye izinqubo zokubeletha eziwela umlomo wesibeletho.
Isimo esivinjelwe ngokuyisisekelo. Futhi kuyimbangela ehamba phambili yokungasebenzi okungavinjelwe.
Izifo ezivuvukala ngama-pelvic, ngokuyinhloko, zibangelwa umzimba obangele ukutheleleka kwesifo. Njengoba amasosha omzimba azama ukulwa ne-bacteria ehlasela, kubangela ukuvuvukala kwendawo nokwehla. Nakuba lokhu kungadonga ngokuphumelelayo ukutheleleka ngaphakathi kwendlela yokuzala, kungalimaza izitho. I-PID ingabangela ukonakala kwesibeletho, amashubhu angama-fallopian, ngisho nasemgodini we- pelvic . Lesi esinye sezizathu eziyinhloko esibangele ubuhlungu obungapheli be-pelvic .
Izifo ezivame kakhulu ezihambisana nezifo ezivuthayo zesikhumba ziyi-chlamydia ne-gonorrhea. Ngenxa yokuthi izimpawu ze-PID ziwumphumela wempendulo yomzimba kwisifo esithintekayo, ukwelashwa ngokuvamile kuhilela ama-antibiotics ukuphatha loko ukutheleleka. Ezimweni ezimbi, noma esimweni esiphuthumayo, kungase kudingeke ukuba kuhlinzekwe ukwelashwa kwe-abscess ephukile noma esongela ukuhlukana.
Ziyini izimpawu ze-PID?
- Ubuhlungu besisu nesisu
- Izikhathi ezingavamile
- Ubuhlungu ngesikhathi sezocansi
- Ubuhlungu ngesikhathi sokuchama
- Ubuhlungu obuphansi emuva
- Ukucwiliswa kwamagciwane ngokweqile ngephunga elimnandi
- Ukushisa, ukukhathala, isifo sohudo, ukuhlanza kanye nezinye izimpawu zokutheleleka.
Yeka ukuthi i-PID evamile kangakanani?
Ekuqaleni kwawo-1990, imvamisa yokubika kwe-PID kwabesifazane yayingamatshumi ayisishiyagalolunye.
I-PID yayingaphezu kokuphindwe kabili kulabo besifazane abanomlando wezifo zocansi (amaphesenti angu-26) kunabesifazane abangakaze babike i-STD (amaphesenti angu-10). Ngenhlanhla, i-PID ayifani kakhulu nokuhlolwa kwe-chlamydia ne-gonorrhea sekuye kwasakazeka kakhulu.
Yiziphi izimbangela zeengozi ze-PID?
Izingozi ze-PID zifaka:
- Intsha esencane: Izingane ezinesifo socansi zivame ukwedlula kathathu ukuthi zine-PID kunabo abalingani babo abaneminyaka engu-25 kuya ku-29 ubudala. Ososayensi abazi, noma kunjalo, kungani lokhu kungenjalo. Kungenzeka ngenxa yezici zezinto eziphilayo ezenza abesifazane abasha bahlaselwe yi-STD. Kungabonisa nokuziphatha okuhlukile kobulili kulezi zinhlobo ezimbili.
- Umjaho: Abesifazane base-Afrika nabamaMelika banengozi enkulu kakhulu ye-PID yamaqembu obuzwe abonakala e-US Lokhu kungahle kuhlobene nezinto eziphilayo. Kungase futhi kuhlotshaniswe nokuvama kwabo okuphakeme okufana nokweqa .
- Ukukhethwa kokukhulelwa : Indlela yokudoba , njengamakhondomu, nokukhulelwa komlomo kunciphisa ingozi ye-PID. Naphezu kwezinkinga ze-Dalkon Shield ngawo-1970, ukusetshenziswa kwamadivaysi angamanje we-intrauterine (IUD) akubhekwa njengokwandisa kakhulu ingozi ye-PID, ngaphandle kokungenzeka ngokuzungezile isikhathi sokufaka.
- Ukukhubaza: U- Douching ukwandisa kakhulu ingozi yowesifazane we-PID.
Kungani Kufanele Ngikhathazeke Nge-PID?
Emhlabeni wonke, i-PID ingenye yezimbangela eziyinhloko zokukhulelwa kwe-ectopic nokuphelelwa kwesisu okungavinjelwa kwabesifazane. Ngonyaka ka-2000, ucwaningo lwalinganiselwa ukuthi izindleko ze-PID e-US zaziseduze ne $ 2 billion. Ucwaningo lwangaphambili oluhlola izindleko ze-infertility ezivimbelekile zathola ukuthi izindleko ziseduze ne $ 64 billion. Leyo sifundo yayihlanganisa izindleko kokubili kokuphatha ama-STD kanye ne-PID eyabangela ukungabi nabantwana, nokuxazulula ukungabi nabantwana emibhangqwaneni efuna ukukhulelwa.
Ngokungafani nezindleko zokwelapha ukungabi nabantwana kwe-PID, izindleko zokuvimbela ukungenwa kwesifo se-PID cishe ziphansi kakhulu.
Lezo zindleko zizobandakanya ikakhulukazi lezo zezemfundo ngokuphathelene nokuvikeleka kocansi, ukubambisana, nokusebenzisa ikhondomu kanye nokuhlolwa kanye nokwelashwa kwe-chlamydia namanye ama-STD. Izindleko zalezo zinyathelo zokuvimbela cishe ziyoba yingxenyana encane nje yezindleko ezisebenziswa ukwelashwa.
Ubuhlobo phakathi kwe-PID no-infertility buyamukeleka kahle. I-PID ibangela ukungabi namuntu ngenqubo yokuqeda okwenzeka ngesikhathi sokuphulukiswa kwezifo ezithathelwana ngocansi. Ukwehluleka okukhulu kungagcina kugcine eyodwa noma kokubili amashubhu angama-fallopian. Ukuhlukumeza kuyingozi nakakhulu phakathi kwabesifazane asebekhulile, ababhemayo nabesifazane abasebenzisa i- IUDs . Kuye ngesilinganiso sokudoba kungenakwenzeka ukuba isidoda sifinyelele emaqanda, noma, uma i-sperm ingafinyelela, iqanda elikhulelwe lingase lingakwazi ukufika esibelethweni. Uma iqanda elikhulelwe lingenakufika esibelethweni, lingase libe i-ectopic pregnancy.
Akumangalisi ukuthi iphesenti labesifazane abathola ukungabi nabantwana ngenxa ye-PID lilingana ngqo nenani leziqephu ze-PID abaye bazibonela. Ngakho-ke, kokubili ukwelapha nokuvimbela i-PID kuyiminyathelo ebalulekile ekunciphiseni ukungakwazi ukubeletha e-United States.
Imithombo:
> Amakhadi, W., Wasserheit, JN, nama-Marchbanks, i-PA. Izifo zokuvuvukala ngama-pelvic ne-tubal infertility: izimo ezivikelwe. Ann NY Acad Sci. (1994 Feb 18) 709: 179-95.
> Grodstein, F. noRothman, i-KJ Epidemiology yezifo ezivuthayo. Epidemiology. 1994; 5: 234-42.
> I-Khatamee, MA Ukungenzi lutho : isifo esivimbelayo ? Int J Fertil. 1988 Jul; 33. 33 (4. 4): 246-51246-51.
> Mitchell C, Prabhu M. Izifo zesifo sokuvuvukala: imiqondo yamanje nge-pathogenesis, ukuxilongwa kanye nokwelashwa. I-Dis Dis Dis Clin North Am. 2013 Dec; 27 (4): 793-809. doi: 10.1016 / j.idc.2013.08.004.
> Rein DB, Kassler WJ, Irwin KL, Rabiee L. Izindleko zokwelashwa eziqondile zezifo ezivuthayo zesikhumba kanye ne-sequelae yayo: yehla, kodwa isencane. I-Obstet Gynecol. 2000 Mar; 95 (3): 397-402.