Ukwelapha ubuhlungu besisu somzimba kungaba yinkinga. Lokhu kuyingxenye ngoba ubuhlungu besifazane besisu buvame ukuhlolisisa. Ngenxa yokuthi kunezimo eziningi ezingabangela ubuhlungu besifazane, futhi ngoba ukwelashwa komuntu ngamunye kunjalo, ukuthola ukuthi ukwelashwa okukusebenzela kungathatha isikhathi, kanye nokunye ukulinga nokuphutha.
Uma ungowesifazane, futhi uhlushwa ubuhlungu obungapheli be-pelvic, nansi ezinye izinhlobo zezokwelapha ongazilindela.
Ukwelashwa Kwamahomoni Ukuhlunguphazwa Kwamajaza Abafazi
Izimo zokuhlukunyezwa kwabesifazane ezifana ne- endometriosis noma i- uterine fibroids , ezibangelwa ukukhula okungavamile kwezicubu ezizungeze izakhi zokubeletha, ukwelashwa kwama-hormone kungase kuhlinzeke ukuphumula. Ezinye izibonelo zifaka:
- Amaphilisi okulawula ukuzala , angakwazi ukulawula (noma ayeke, kuye ngokuthi athathwa kanjani) ukugeleza kokuya esikhathini. Lokhu kungasiza ekunciphiseni ubuhlungu obuhlobene ne-endometriosis, noma kunjalo, lokhu ukwelashwa ngokuvamile kusebenza kuphela uma nje kuthathwa amaphilisi.
- I-progesterone ne-progestin , esebenza njengamaphilisi okulawula ukubeletha ukunciphisa noma ukuyeka ukugeleza kokuya esikhathini. Futhi banqanda i-estrogen, engasiza ekuvimbeleni i-uterine fibroids ekukhuleni kwabanye besifazane. Noma kunjalo, akuzona njalo eziphumelelayo ekulawuleni ukukhula kwe-fibroid.
- Ama-agonists , noma i-gonadotropin-ekhulula ama-agonists e-hormone, athumela okwesikhashana umzimba emzimbeni wesimopho ongasisiza ukulawula izimpawu ze-endometriosis. Bangasiza futhi ukunciphisa i-fibroids ngokuvimbela i-estrogen futhi ngokuvamile isetshenziselwa ukusebenza ngaphambi kwalokhu. Ama-agonists aseGnRH asetshenziselwa isikhathi esifushane.
- Amanye ama-hormone , njenge-antiprogestins kanye ne-selectogen receptor receptor, angase asetshenziswe ukusiza ukunciphisa i-uterine fibroids, nakuba kungekho bufakazi obubonisa ukuthi busebenza kangcono kunezinye izindlela zokwelapha. I-danocrine nayo isetshenziselwe kokubili uterine fibroid nokulawula i-endometriosis, noma kunjalo, imiphumela yaso emibi (izinsimbi, ukuzuza kwesisindo, ukukhanda ikhanda, ukukhathala kanye nezinguquko zezwi) zivame ukwedlula kakhulu izinzuzo zayo ezingase zibe khona.
Ama-Antibiotics Ukuhlunguphazwa Kwama-Pelvic Women
Kulabo besifazane abanobuhlungu obukhulu obubangelwa yi-PID, noma isifo sokuvuvukala kwe-pelvic , ama-antibiotic angase abe impendulo. Ama-antibiotics we-PID angenziwa ngomlomo noma ngomjovo, futhi avame ukunikezwa ngamabili. Lokhu kungenxa yokuthi isikhathi siyisihluthulelo ekwelapheni i-PID ngaphambi kokuba kuholele ekubunjweni kwezicubu. Emva kwalokhu, ukuhlinzwa kungase kube yinye enye inketho.
I-Over-the-Counter noma Ama-Painkillers Okubhalwa Kwama-Pelvic Pain Women
Ama-painkillers angakwazi ukulawula izimpawu zokunciphisa ubuhlungu bezinhliziyo zabesifazane. Ama-painkillers angahle anqunywe ngezimo ezifana ne- vulvodynia , i-uterine fibroids, i-endometriosis nokungaqiniseki kokuhlanganyela kwe-pelvic . Amanye ama-painkillers avame ukuphakanyiswa noma anqunyiwe ngenxa yobuhlungu besifazane phakathi kwe-pelvic ahlanganisa:
- I-NSAID ne-acetaminophen ingasetshenziswa ukulawula ubuhlungu obuhambisana nokungaqiniseki kokuhlanganyela kwe-pelvic, i-fibroids ye-uterine, ne-endometriosis. Zivame ukusebenza kuphela uma ubuhlungu bubunzima. Ama-NSAID akufanele athathwe abesifazane abakhulelwe.
- Ama-anti-depressants kanye nama- anticonvulsants angasiza ekulawuleni ubuhlungu obuhambisana ne-vulvodynia, okuyinto ephawulekayo ukuyiphatha, ngenxa yezinkinga zabo ezivimbela ubuhlungu.
- Ama-opioids angasetshenziswa ukulawula izimpawu zobuhlungu lapho kwenzeka ubuhlungu obukhulu be-pelvic, njenge-endometriosis engazange iphendule kahle kwezinye izindlela zokwelashwa, noma i-vulvodynia.
Ngokuvamile ama-painkillers awayenawo ozokwenza ukwelashwa okungenasifo samaphilisi okungapheli, njengoba bevame ukulawula izimpawu esikhundleni senkinga yangempela. Ngenxa yalokhu, ama-painkillers avame ukuhlanganiswa nezinye izindlela zokwelapha.
Ukwelashwa Kwemvelo Kubunzima Babafazi Bamaphilisi
Ezinye izimo zobuhlungu besifazane, ezifana ne-vulvodynia kanye nokungahlali kahle kwe-pelvic, zingathuthukiswa ngezokwelapha ngokomzimba. Abahlinzeki bezemvelo abakhethekile empilweni yabesifazane banganikeza okulandelayo:
- Ipulitiki phansi nokuqiniswa okuyinhloko
- Ukuqeqeshwa emikhawulweni yomzimba ukuvimbela ukuqhuma okuqhubekayo kobuhlungu
- Ukuthinta noma ukubopha okusekelayo
Ukuhlinza Ukuhlunguphazwa Kwezinsikazi Zabafazi
Kwezinye izimo ubuhlungu besisu, ukuhlinzeka kungadingeka ukuphatha imbangela yalesi sifo. Abesifazane abane-uterine fibroids ne-endometriosis abangazange baphendule ekwelapheni kwe-hormone kungadinga ukuhlinzwa. Abesifazane abane-PID okwakhelwa ukuthi imishanguzo ye-antibiotic ayisebenzi kungadinga ukungenelela okuhlinzekwayo. Izinhlobo zokuhlinzwa ezivame ukusetshenziselwa ukuphatha ubuhlungu besisu sezinwele zihlanganisa:
- I-Laparoscopy . Ngokuvamile eyenziwa njengendlela yokuphulukisa izifo ze-endometriosis, i-laparoscopy ihilela ukwenza izinto ezincane ezithombeni esiswini besebenzisa izinsimbi ezincane ukususa izingxenye ze-endometrial kanye / noma izicubu ezibomvu kusuka ku-PID.
- I-Myomectomy . I-myomectomy ihilela ukususa izicubu ezivela esibelethweni ngenkathi kusale okunye okusele. Kungasetshenziselwa ukwelashwa kwe-uterine fibroids, kodwa kwezinye izimo, i-fibroids ingabuya ngemva kokuhlinzwa.
- Hysterectomy . I-hysterectomy ihilela ukukhipha ingxenye noma yonke isibeletho futhi ingabandakanya ukususwa kwama-ovari kanye nezinye izicubu ezungeze isibeletho. I-hysterectomy ingasetshenziselwa amacala aphambili we-endometriosis noma i-uterine fibroids.
- Ama- block blocks , ablation noma ukususwa . Kwezinye izimo zobuhlungu obungaphenduki kwezinye izifo, ukuvinjelwa noma ukubhujiswa kwezinzwa zomzimba kungasiza ekulawuleni izimpawu zobuhlungu. Lezokwelapha zingase zisebenze i-vulvodynia noma i-endometriosis.
Ngiyiphi Inhlobo Yokwelashwa Engizokuthola Ngayo Ngobuhlungu Bami Bamahloni?
Ngenxa yokuthi kunezimbangela eziningi zokubangela ubuhlungu besifazane, ukuthola ukwelashwa okufanele kungaba nzima. Ngokuvamile, odokotela bazoqala ngezifo ezincane ezingavamile, ezifana nemithi, nokuthuthuka njengoba kudingeka kuze kube yilapho izimpawu zilawulwa.
Ukwelashwa kungasetshenziswa ngokwabo, noma ngokuhlanganiswa okuhlukile. Ngokususelwa ekuxilongweni kwakho, udokotela wakho uzokwenzela ukwelashwa okuqondile kuwe.
Imithombo:
Amasevisi Okulawula Nokuvimbela Izifo. Izifo Ezivuthayo Ze-pelvic - I-CDC Fact Sheet Sheet. http://www.cdc.gov/std/PID/STDFact-PID.htm
I-Merck Manuals Medical Library Library. Ama-Froid e-Uterine. http://www.merckmanuals.com/professional/genitourinary-disorders/acute-kidney-injury/acute-kidney-injury-aki
UMitchell DA, u-Esler DM. Ukukhubazeka kwama-pelvic - I-Painful Pelvic Girdle ekukhulelweni. I-Australian Family Physician. 2009 Jun; 38 (6): 409-10
I-National Institute of Health Child kanye Nokuthuthukiswa Kwabantu. Iyini i-Endometriosis? http://www.nichd.nih.gov/publications/pubs/endometriosis/sub2.cfm#kuphi
I-National Vulvodynia Association. Mayelana ne-Vulvodynia: Ukwelashwa. http://www.nva.org/about_vulvodynia/treatment.html
Amatshe Amatshe, i-Cheong YC, i-Howard FM. Ukungenelela Ukwelapha Ubuhlungu Besikhathi Esibuhlungu BamaPelvic Abesifazane. Database Cochrane Yokuhlolwa Okuhlelekile 2007, Issue 4. Art. Cha: CD000387. I-DOI: 10.1002 / 14651858.CD000387.