Matenda a nyamakazi: ndi chiyani, chithandizo, zizindikiro ndi zomwe zimayambitsa

Zamkati

• Zomwe zimayambitsa matenda a nyamakazi
• Zizindikiro za nyamakazi yogwira ntchito
• Kuzindikira matenda a nyamakazi
• Momwe mankhwalawa amachitikira
• Zithandizo zamatenda a nyamakazi
• Physiotherapy yothandizira nyamakazi

Matenda a nyamakazi, omwe kale amadziwikanso kuti Reiter's Syndrome, ndi matenda otupa omwe amayamba posachedwa kapena pakakhala matenda a bakiteriya, nthawi zambiri kapena m'mimba. Chifukwa chakuti zimachitika chifukwa cha matenda, nyamakazi iyi imatchedwa yotakasika.

Matenda a nyamakazi amapangidwa ndi triad yachipatala: nyamakazi yotsatsira pambuyo pake, urethritis ndi conjunctivitis. Matendawa amapezeka kwambiri kwa achinyamata omwe ali ndi mbiri yakutenga kachilombo m'masabata 4 apitawa.

Nthawi zambiri, anthu omwe amapezeka kuti ali ndi nyamakazi yowonongeka amakhala bwino pakatha miyezi ingapo osafunikira chithandizo, komabe pamakhala mwayi woti zichitikenso. Chithandizo cha nyamakazi yamtunduwu chimakhazikitsidwa ndi dokotala kapena rheumatologist malinga ndi zomwe wodwala komanso zomwe zimayambitsa matendawa, komanso kugwiritsa ntchito ma anti-inflammatories, analgesics, corticosteroids kapena maantibayotiki.

Zomwe zimayambitsa matenda a nyamakazi

Matenda a nyamakazi nthawi zambiri amabwera chifukwa cha matenda a bakiteriya a m'mimba kapena m'mimba. Pankhani ya matenda opatsirana m'mimba, mwina chifukwa cha matenda opatsirana pogonana, monga chlamydia, mwachitsanzo, omwe amayamba chifukwa cha bakiteriya Chlamydia trachomatis. Ngati chifukwa cha matenda am'mimba, mwina chifukwa cha matenda a Campylobacter sp, Shigella sp kapena Salmonella sp, Mwachitsanzo.

Matendawa amatha kuchitika chifukwa chakugonana komwe sikutetezedwa, ngati Matenda opatsirana pogonana (STIs), atha kugwirizanitsidwa ndi urethritis kapena cervicitis, yomwe imatha kukhala yopanda tanthauzo, ngakhale nthawi zambiri imabweretsa kupweteka komanso kuwotcha mkodzo, kuphatikiza pa Kutulutsa mkodzo kapena kumaliseche, kapena chifukwa cha poyizoni wazakudya, pakagwa matenda opatsirana m'mimba. Kuphatikiza apo, nyamakazi yothandizira imatha kuyambitsidwa ndi matenda a ma virus. Palinso malipoti okhudzana ndi nyamakazi pambuyo poti immunotherapy ya khansa ya chikhodzodzo.

Zizindikiro za nyamakazi yogwira ntchito

Matenda a nyamakazi amadziwika ndi zizindikiritso zitatu (nyamakazi, urethritis ndi conjunctivitis), ndiye kuti, matendawa amawonetsa zizindikilo za matenda, kutupa kwa mafupa ndi mavuto amaso. Chifukwa chake, zizindikilo zazikuluzikulu zokhudzana ndi nyamakazi yowonongeka ndi awa:

• Zizindikiro za matenda:

  • Polyuria, yomwe imatulutsa mkodzo masana ambiri;
  • Kupweteka ndi kutentha pamene mukukodza;
  • Pamaso pa magazi mu mkodzo;
  • Kufuna kukodza mwachangu;
  • Zizindikiro zomwe zimakhudzana ndi prostatitis mwa amuna, monga zovuta kukhalabe ndi erection, kupweteka mukakomoka komanso kupezeka kwa magazi mu umuna;
  • Zizindikiro zake zokhudzana ndi cervicitis, salpingitis kapena vulvovaginitis mwa akazi.
• Zizindikiro zolumikizana, yomwe imatha kusiyanasiyana ndi monoarthritis wosakhalitsa mpaka polyarthritis, ndiye kuti, pakhoza kukhala kulumikizana kwa cholumikizira chimodzi kapena zingapo:
  • Ululu wophatikizana;
  • Zovuta kusuntha cholumikizira chokhudzidwa;
  • Ululu pansi pamsana;
  • Kutupa m'malo olumikizirana mafupa;
  • Kutupa kwa tendon ndi mitsempha yolumikizidwa ndi cholumikizacho.
• Zizindikiro za diso:
  • Kufiira m'maso;
  • Kuwononga kwambiri;
  • Kupweteka kapena kutentha m'mafupa;
  • Kutupa;
  • Maso oyaka;
  • Kuchulukitsa chidwi cha kuwala, kotchedwa photophobia.

Kuphatikiza apo, zina zowoneka bwino zitha kuwonekeranso, monga kutopa kwambiri, kupweteka kwa msana, malungo opitilira 38ºC, kuonda, thrush, kupweteka m'mimba kapena kutsegula m'mimba, mwachitsanzo. Zizindikirozi zikawonekera, tikulimbikitsidwa kukaonana ndi dokotala kuti awone vutoli ndikuwonetsa kufunikira kofunsira kwa rheumatologist kuti ayambe chithandizo choyenera.

Kuzindikira matenda a nyamakazi

Kupezeka kwa nyamakazi yowonongeka kumakhala kuchipatala, komwe dokotala amawunika ngati pali zizindikilo za triad, ndiye kuti kupezeka kwa zizindikilo zokhudzana ndi matenda, kutupa kwamafundo ndi mavuto amaso.

Kuphatikiza apo, adotolo atha kupempha kuti apange mayeso amtundu wa majini kuti athe kuzindikira HLA-B27, yomwe ingawerengedwe ngati cholozera kwa odwala omwe ali ndi nyamakazi. Padera, HLA-B27 ilibe chidziwitso chochepa chodziwira ndipo sichimawonetsedwa posamalira odwalawa.

Momwe mankhwalawa amachitikira

Mankhwala ochiritsira nyamakazi amachitidwa molingana ndi zomwe zimaperekedwa ndi munthuyo komanso chomwe chimayambitsa matendawa, komanso kugwiritsa ntchito mankhwala a anti-inflammatory and analgesic, monga Paracetamol kapena Ibuprofen, nthawi zambiri amawonetsedwa ndi rheumatologist. Nthawi zina, kugwiritsa ntchito corticosteroids, monga Prednisolone, kungalimbikitsidwenso kuchepetsa kutupa m'malo osiyanasiyana amthupi ndikuchepetsa zizindikilo.

Rheumatologist amathanso kuwonetsa kugwiritsa ntchito maantibayotiki, ngati nyamakazi yothandizira imayambitsidwa ndi matenda a bakiteriya ndipo thupi silitha kuthana ndi mabakiteriya, komabe kugwiritsa ntchito maantibayotiki kulibe gawo lililonse pakukula kwa matendawa. Kuphatikiza apo, ngati malo olumikizidwa akukhudzidwa, amathanso kuwonetsedwa, zomwe zimachitika ndi masewera olimbitsa thupi omwe amathandizira kuyendetsa miyendo ndikuthana ndi ululu.

Komabe, sikuti nthawi zonse zimakhala zotheka kuthetsa zonse zomwe zimayambitsa matenda a nyamakazi, kukhala ndi matenda omwe amachititsa kuti zizindikilozo zibwererenso kwa milungu ingapo.

Zithandizo zamatenda a nyamakazi

Nthaŵi zambiri za matenda a nyamakazi, dokotala amalimbikitsa kugwiritsa ntchito mankhwala osagwiritsidwa ntchito ndi anti-inflammatory (NSAIDs) pofuna kuthetsa zizindikiro, ndipo kugwiritsa ntchito Ibuprofen kapena Diclofenac kungalimbikitsidwe kuchepetsa kupweteka ndikuthandizira kuyanjana. Ngati kugwiritsa ntchito ma NSAID sikokwanira, kugwiritsa ntchito mankhwala ena, monga:

• Corticosteroids, monga Prednisolone kapena Betamethasone, kuti achepetse zizindikilo za kutupa pomwe mankhwala oletsa kutupa sakwanira;
• Maantibayotiki, zomwe zimasiyanasiyana kutengera wothandizirayo wopatsirana yemwe ali ndi kachiromboka komanso chidwi cha tizilombo.

Chithandizo cha nyamakazi yogwira ntchito nthawi zambiri chimakhala pafupifupi miyezi 6, koma nthawi zina chimatha kufikira zaka 1 kutengera kuopsa kwa zizindikiritsozo komanso momwe munthu amathandizira kuchipatala.

Physiotherapy yothandizira nyamakazi

Chithandizo cha physiotherapy ndikofunikira pochiza nyamakazi yamtunduwu kuti mupewe kuumitsa palimodzi. Chifukwa chake, kulimbitsa thupi kumawonetsa ndikuchita masewera olimbitsa thupi kuti muchepetse zizindikiritso zamagulu, kukulitsa mayendedwe osiyanasiyana ndikupewa kupindika komwe kumatha kuchitika chifukwa cha matendawa.

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