Esinye sezizathu ezibangeleyo zokungafihli
Ziziphi izifo ezivuthayo zengqungquthela?
Isifo sokuvuvukala sepelvic, okanye i-PID, ukuvuvukala kwindlela ephezulu yokuzala. Imimandla echaphazelekayo ingabandakanya izakhiwo ze-uterus, ii-ovaries, kunye nama-tublopian tubes. I-Salpingitis, ukuvuvukala kwamathambo e- fallopian , kukubonakalisa okuqhelekileyo kwesi sifo. I-PID yaziwa ngokuba ngumphumo wexesha elide lwezifo ezininzi ezithathelwana ngesondo kunye ne- bacterial vaginosis (BV), ukuhlinzwa kweplavic, kunye nezinye iinkqubo zobunzima eziwela umlomo wesibeleko.
Kuyiyo imeko ekhuselekile. Kwakhona yimbangela ebangela ukukhuseleka kwentsholongwane.
Isifo sokuvuvukala kwepelvic, ngokuyinene, esibangelwa ngumzimba ngokugqithiseleyo kwisifo. Njengoko i-immune system izama ukulwa nebhaktheriya ehlaselwayo, ibangela ukuvuvukala kwendawo kunye nokuqhwala. Nangona oku kungadonga ngempumelelo udwelwe ngaphakathi kwindlela yokuzala, kungonakalisa iziko. I-PID ingabangela ukonakala kwimbumba, izibilini ze-fallopian, kunye nakwiindawo zeplavic . Le ngenye yezizathu eziphambili ezibangela ubuhlungu obungapheliyo beplavic .
Izifo eziqhelekileyo ezichaphazelekayo nezifo ezivuthayo zeplavic ziyi-chlamydia kunye ne-gonorrhea. Ngenxa yokuba iimpawu ze-PID zibangelwa yimpendulo yomzimba kwintsholongwane, unyango luvame ukubandakanya iintsholongwane zonyango ukunyanga olo sulelo. Kwiimeko ezinzima, okanye kwimeko engxamisekileyo, kufuneka ukuba utyando lugqithise ikhefu eliye laphuka okanye lisongela ukuphuka.
Ziziphi iimpawu zePID?
- Ubuhlungu kwisisu esisezantsi kunye neentsimbi
- Ixesha elingavumelekanga
- Ubuhlungu ngexesha lesini
- Ubuhlungu ngexesha lokuchama
- Intlungu engaphantsi
- Ukugqithiswa kwamanzi okugqithiseleyo kunye nephunga elimnandi
- Umkhuhlane, ukhathala, uhudo, ukuhlanza, kunye nezinye iimpawu zentsholongwane.
I-PID ifana njani?
Ekuqaleni kwee-1990, ukuphindaphinda kwe-PID kubasetyhini kwakukho malunga neyesithoba.
I-PID yayingaphezu kwesihlandlo esiphindwe kabini kubasetyhini abaneembali zezifo ezithathelwana ngesondo (iipesenti ezingama-26) kunabasetyhini ababengakaze babike i-STD (iipesenti ezili-10). Ngethamsanqa, i-PID ayifani ngokuqhelekileyo njengoko ukuhlolisisa i-chlamydia kunye ne-gonorrhea sele yanda kakhulu.
Ziziphi iingozi zePID?
Imiba yengozi ye-PID iquka:
- Umntwana osemncinci: Iintsholongwane ezithandana ngesondo ziphindwe kathathu ukuba zifumane i-PID ngaphezu kohlobo lwabantu abaneminyaka engama-25 ukuya kwe-29 ubudala. Oososayensi abazi, nangona kunjalo, kutheni oku kunjalo. Kungenzeka ngenxa yeziganeko zezinto eziphilayo ezenza ukuba abasetyhini abancinci bafumaneke kwi-STD. Ingabonakalisa iimpawu ezahlukeneyo zesondo kule mibini yamaqela.
- Uhlanga: Abafazi base-Afrika nabamaMerika banomngcipheko omkhulu we-PID weentlanga ezibonwa e-US Oku kunokuthi kuhambelana nezinto eziphilayo. Kwakhona kuya kuhambelana nokuhambelana kwamaxesha aphezulu okupasa .
- Ukhetho lokukhulelwa : Iindlela zokurhweba , ezifana neikhondom kunye nokukhulelwa komlomo kunciphisa umngcipheko we-PID. Ngaphandle kweengxaki zeDalkon Shield kwiminyaka yee-1970, ukusetyenziswa kwezixhobo zangoku (intanuterine) zixhobo (IUD) aziqwalaselwe ngokunyusa kakhulu umngcipheko we-PID, ngaphandle kwexesha elifanelekileyo malunga nexesha lokufakwa.
Kutheni Ndifanele Ndikhathazeke NgePID?
Ehlabathini lonke, i-PID yenye yezona zinto ezibangela ukukhulelwa kwe-ectopic kunye nokukhulelwa kwabantwana abasetyhini. Ngo-2000, uphando lubonisa ukuba indleko ye-PID e-US yayikufutshane ne-$ 2 yezigidigidi. Uphononongo olusandul Okokufunda kwakuquka iindleko zombini zokuphatha ii-STD kunye ne-PID eyabangela ukungabikho kokusweleka, kwaye isombulula ukungabikho kwintsapho efuna ukukhulelwa.
Ngokuphambene neendleko zokuphatha i-PID yokungabi nantoni, iindleko zokuthintela ukungabikho komntwana ku-PID mhlawumbi ziphantsi kakhulu.
Ezi ndleko ziza kuba zibandakanya ezo zemfundo malunga nokulalana ngesondo, ukubethelwa, kunye nokusetyenziswa kwekhondom kunye nokuhlolwa kunye nokunyangwa kwe-chlamydia nezinye i-STD. Iindleko zamanyathelo okuthintela okunokwenzeka ziza kuba yincinci encinci kuphela yeendleko ezichithwe unyango.
Ubudlelwane phakathi kwe-PID kunye nokungabikho kobubele buyamkeleka. I-PID ibangela ukungabikho komntwana ngenkqubo yokutshatyalaliswa eyenzeka ngexesha lokuphilisa izifo ezithathelwana ngesondo. Ubunzima obunokugqithisa buya kugqiba ekugqibeleni enye okanye zombini. Ukutshatyalaliswa kuya kuba nzima nakwabesetyhini abadala, ababhemayo kunye nabasetyhini basebenzisa ii-IUDs . Kuxhomekeke kumlinganiselo wokutshatyalaliswa kungenakwenzeka ukuba inambuzane ifikelele kwiqanda, okanye, ukuba isityalo singagqitywa, iqanda elikhulelweyo lingakwazi ukufikelela kwisibeleko. Ukuba iqanda elikhulile lingenakufika kwisibeleko, lingaba nokukhulelwa kwe-ectopic.
Akumangalisi ukuba ipesenteji yabasetyhini abanamava ngenxa yokungena kwe-PID ihambelana ngqo nenani leepisodes ze-PID abaye bahlangabezana nazo. Ngoko ke, kokunyanga kunye nokuthintela i-PID ibalulekileyo amanyathelo ekunciphiseni ukungabikho komntwana eMelika.
Imithombo:
> Iinkonzo, W., Wasserheit, JN, kunye neMarchbanks, PA. Izifo ezithintekayo zepelvic kunye ne-tubal ukungasebenzi: iimeko ezikhuselekile. Ann NY Acad Sci. (1994 Feb 18) 709: 179-95.
> Grodstein, F. noRothman, i-KJ Epidemiology yezifo ezivuthayo zeplavic. Epidemiology. 1994; 5: 234-42.
> I-Khatamee, MA Ukungenzi lutho: isifo esikhuselweyo ? Int J Fertil. 1988 Jul; 33. 33 (4. 4): 246-51246-51.
> Mitchell C, Prabhu M. Izifo ezithintekayo: izibalo zamanje kwi-pathogenesis, ukuxilongwa nokunyangwa. I-Dis Dis Dis Clin North Am. 2013 Dec; 27 (4): 793-809. i-doi: 10.1016 / j.idc.2013.08.004.
> Rein DB, iKassler WJ, Irwin KL, Rabiee L. Iindleko zonyango ngokuthe ngqo kwezifo ezivuthayo zeplavic kunye ne-sequelae yayo: ukunciphisa, kodwa kusekuninzi. Gstecol Obstet. 2000 uMar; 95 (3): 397-402.