Matenda otupa m'mimba (PID)

Matenda otupa m'mimba (PID) ndimatenda amimba (chiberekero), mazira, kapena mazira.

PID ndi matenda omwe amayamba chifukwa cha mabakiteriya. Mabakiteriya ochokera kumaliseche kapena khomo pachibelekeropo amapita m'mimba mwanu, machubu, kapena mazira, zimatha kuyambitsa matenda.

Nthawi zambiri, PID imayambitsidwa ndi mabakiteriya ochokera ku chlamydia ndi gonorrhea. Awa ndi matenda opatsirana pogonana. Kugonana mosadziteteza ndi munthu yemwe ali ndi matenda opatsirana pogonana kumatha kuyambitsa PID.

Mabakiteriya omwe amapezeka mumtundu wa chiberekero amathanso kulowa m'chiberekero ndi machubu panthawi yachipatala monga:

• Kubereka
• Endometrial biopsy (kuchotsa chidutswa chochepa cha chiberekero chanu kuti muyesere khansa)
• Kupeza chipangizo cha intrauterine (IUD)
• Kupita padera
• Kuchotsa mimba

Ku United States, pafupifupi azimayi 1 miliyoni amakhala ndi PID chaka chilichonse. Pafupifupi 1 mwa atsikana 8 ogonana amakhala ndi PID asanakwanitse zaka 20.

Mutha kukhala ndi PID ngati:

• Mumakhala ndi bwenzi logonana ndi gonorrhea kapena chlamydia.
• Mumagonana ndi anthu osiyanasiyana.
• Mudakhala ndi matenda opatsirana pogonana m'mbuyomu.
• Mudakhala ndi PID posachedwa.
• Mudwala gonorrhea kapena chlamydia ndipo mwakhala ndi IUD.
• Mudagonana musanakwanitse zaka 20.

Zizindikiro zodziwika za PID ndi izi:

• Malungo
• Ululu kapena kukoma m'mimba, m'mimba, kapena kumbuyo
• Madzi ochokera kumaliseche anu omwe ali ndi mtundu wosazolowereka, kapangidwe, kapena kununkhiza

Zizindikiro zina zomwe zimatha kuchitika ndi PID:

• Kutuluka magazi mutagonana
• Kuzizira
• Kukhala wotopa kwambiri
• Zowawa mukakodza
• Kukodza pafupipafupi
• Zokhumudwitsa zomwe zimapweteka kuposa nthawi zonse kapena zimatenga nthawi yayitali kuposa masiku onse
• Kutuluka magazi kwachilendo kapena kuwonekera nthawi yanu
• Kusamva njala
• Nseru ndi kusanza
• Kudumpha nthawi yanu
• Zowawa mukamagonana

Mutha kukhala ndi PID osakhala ndi zizindikiro zoyipa. Mwachitsanzo, chlamydia imatha kuyambitsa PID popanda zisonyezo. Amayi omwe ali ndi ectopic pregnancy kapena omwe ali osabereka nthawi zambiri amakhala ndi PID yoyambitsidwa ndi chlamydia. Ectopic pregnancy ndipamene dzira limakula kunja kwa chiberekero. Imaika moyo wa mayi pachiwopsezo.

Wothandizira zaumoyo wanu akhoza kuyesa mayeso m'chiuno kuti ayang'ane:

• Kutuluka magazi kuchokera pachibelekeropo. Khomo lachiberekero ndikutsegulira chiberekero chanu.
• Madzi amatuluka m'chiberekero chanu.
• Kupweteka pamene chiberekero chanu chokhudza.
• Chikondi m'mimba mwanu, machubu, kapena thumba losunga mazira.

Mutha kukhala ndi mayeso a labu kuti muwone ngati pali matenda a thupi lonse:

• Mapuloteni othandizira C (CRP)
• Mlingo wa sedimentation wa erythrocyte (ESR)
• Kuwerengera kwa WBC

Mayesero ena ndi awa:

• Chotupa chotengedwa kumaliseche kapena chiberekero chanu. Chitsanzochi chiziwunikidwa ngati chinzonono, chlamydia, kapena zifukwa zina za PID.
• Pelvic ultrasound kapena CT scan kuti muwone zomwe zingayambitse matenda anu. Appendicitis kapena matumba a matenda ozungulira machubu anu ndi thumba losunga mazira, otchedwa tubo-ovarian abscess (TOA), atha kubweretsa zofananira.
• Mayeso apakati.

Wothandizira anu nthawi zambiri amayamba kumwa maantibayotiki podikirira zotsatira zanu.

Ngati muli ndi PID yofatsa:

• Wopereka wanu adzakupatsani kuwombera komwe kuli maantibayotiki.
• Mudzatumizidwa kunyumba ndi mapiritsi a maantibayotiki oti mukamwe kwa milungu iwiri.
• Muyenera kutsatira mwatsatanetsatane ndi omwe akukuthandizani.

Ngati muli ndi PID yoopsa kwambiri:

• Mungafunike kukhala mchipatala.
• Mutha kupatsidwa maantibayotiki kudzera mumtsempha (IV).
• Pambuyo pake, mungapatsidwe mapiritsi a maantibayotiki oti muzimwa pakamwa.

Pali maantibayotiki osiyanasiyana omwe amatha kuchiza PID. Zina ndi zotetezeka kwa amayi apakati. Mtundu uti womwe mumatenga umadalira chifukwa cha matendawa. Mutha kulandira chithandizo china ngati muli ndi chinzonono kapena chlamydia.

Kutsirizitsa mankhwala onse omwe mwapatsidwa ndikofunikira kwambiri pochiza PID. Kupunduka mkati mwa chiberekero kuchokera ku PID kumatha kubweretsa kufunikira kochitidwa opareshoni kapena kuchita invitro feteleza (IVF) kuti atenge mimba. Tsatirani wothandizira wanu mukamaliza maantibayotiki kuti muwonetsetse kuti mulibenso mabakiteriya mthupi lanu.

Ndikofunika kwambiri kuti muzichita zogonana motetezeka kuti muchepetse chiopsezo chotenga matenda, zomwe zingayambitse PID.

Ngati PID yanu imayambitsidwa ndi matenda opatsirana pogonana monga gonorrhea kapena chlamydia, mnzanuyo ayenera kuthandizidwanso.

• Ngati muli ndi ogonana angapo, onse ayenera kulandira chithandizo.
• Wokondedwa wanu akapanda kulandira chithandizo, akhoza kukupatsiraninso kachilomboka, kapena angadzayambitsenso anthu ena mtsogolo.
• Inu ndi mnzanu muyenera kumaliza kumwa mankhwala onse oyenera.
• Gwiritsani ntchito kondomu mpaka nonse mutatsiriza kumwa maantibayotiki.

Matenda a PID amatha kuyambitsa ziwalo zam'mimba. Izi zitha kubweretsa ku:

• Kutalika kwanthawi yayitali (kupweteka) m'chiuno
• Ectopic mimba
• Kusabereka
• Tubo-ovarian abscess

Ngati muli ndi matenda akulu omwe samakula ndi maantibayotiki, mungafunike kuchitidwa opaleshoni.

Itanani omwe akukuthandizani ngati:

• Muli ndi zizindikiro za PID.
• Mukuganiza kuti mwapezeka ndi matenda opatsirana pogonana.
• Chithandizo cha matenda opatsirana pogonana sichikuwoneka ngati chikugwira ntchito.

Pezani chithandizo mwachangu cha matenda opatsirana pogonana.

Mutha kuthandiza kupewa PID pochita zogonana motetezeka.

• Njira yokhayo yopewera matenda opatsirana pogonana ndiyo kugonana (kudziletsa).
• Mutha kuchepetsa chiopsezo chanu pogonana ndi munthu m'modzi yekha. Izi zimatchedwa kukhala osakwatiwa.
• Chiwopsezo chanu chidzacheperanso ngati inu ndi omwe mumagonana nawo mutayezetsa matenda opatsirana pogonana musanayambe kugonana.
• Kugwiritsa ntchito kondomu nthawi zonse pogonana kumachepetsanso chiopsezo chanu.

Umu ndi momwe mungachepetse chiopsezo cha PID:

• Pezani mayeso owunika a STI pafupipafupi.
• Ngati mwangokwatirana kumene, kayezetseni musanayambe kugonana. Kuyesedwa kumatha kuzindikira matenda omwe sayambitsa zizindikiro.
• Ngati ndinu mayi wogonana wazaka 24 kapena kuposerapo, yang'anani chaka chilichonse za chlamydia ndi gonorrhea.
• Amayi onse omwe ali ndi zibwenzi zatsopano kapena amuna kapena akazi angapo akuyeneranso kuwunikidwa.

PID; Oophoritis; Salpingitis; Salpingo - oophoritis; Salpingo - peritonitis

• Ziphuphu zam'mimba
• Matupi achikazi oberekera
• Endometritis
• Chiberekero

Jones HW. Kuchita opaleshoni ya amayi. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: chap 70.

Lipsky AM, Hart D. Kupweteka kwapakhosi. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 30.

McKinzie J. Matenda opatsirana pogonana. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 88.

Smith RP. Matenda otupa m'mimba (PID). Mu: Smith RP, Mkonzi. Netter's Obstetrics & Gynecology. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 155.

Ntchito Yogwirira Ntchito KA, Bolan GA; Malo Othandizira Kuletsa ndi Kupewa Matenda. Malangizo opatsirana pogonana, 2015. Malangizo a MMWR Rep. 2015; 64 (RR-03): 1-137. PMID: 26042815 www.ncbi.nlm.nih.gov/pubmed/26042815. (Adasankhidwa)