Kodi matenda amchiberekero (PID), zimayambitsa zazikuluzikulu komanso zizindikilo zake

Zamkati

• Zizindikiro za matenda am'chiuno
• Zoyambitsa zazikulu
• Kodi chithandizo

Matenda otupa m'mimba, omwe amadziwikanso kuti PID, ndi kutupa komwe kumayambira mu nyini ndipo komwe kumakhudza chiberekero, komanso machubu ndi thumba losunga mazira, kufalikira kudera lalikulu la chiuno, ndipo nthawi zambiri chimakhala chifukwa cha matenda omwe sanalandire chithandizo choyenera.

DIP itha kugawidwa malinga ndi kulimba kwake monga:

• Gawo 1: Kutupa kwa endometrium ndi machubu, koma popanda matenda a peritoneum;
• Gawo 2: Kutupa kwa machubu omwe ali ndi matenda a peritoneum;
• Gawo 3: Kutupa kwamachubu komwe kumachitika chifukwa cha kutsekeka kwamachubu kapena kutenga nawo gawo m'mimba,
• Sitediyamu 4: Kung'ambika kwamchiberekero chubu abscess, kapena purulent katulutsidwe mu patsekeke.

Matendawa amakhudza makamaka achinyamata komanso achinyamata ogonana, omwe ali ndi zibwenzi zingapo, omwe sagwiritsa ntchito kondomu komanso amakhala ndi chizolowezi chotsuka nyini mkati.

Ngakhale kuti imakhudzana kwambiri ndi matenda opatsirana pogonana, PID itha kugwirizananso ndi zochitika zina monga kuyikidwa kwa IUD kapena endometriosis, zomwe zimachitika kuti minofu ya endometrium imakula kunja kwa chiberekero. Dziwani zambiri za endometriosis.

Zizindikiro za matenda am'chiuno

Matenda otupa m'mimba amatha kukhala obisika kwambiri, ndipo azimayi nthawi zambiri samatha kuzindikira zizindikilo zake, zomwe zimapangitsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Nthawi zina zizindikilo ndi zizindikilo zimatha kudziwika, monga:

• Fever yofanana kapena yayikulu kuposa 38ºC;
• Kupweteka m'mimba, palpation yake;
• Ukazi ukazi kunja kwa msambo kapena ukatha kugonana;
• Kutulutsa kwachikaso chachikaso kapena kubiriwira ndi fungo loipa;
• Ululu mukamacheza kwambiri, makamaka pakusamba.

Amayi omwe atha kukhala ndi zotupa zotere ndi omwe ali pakati pa zaka 15 ndi 25 zakubadwa, sagwiritsa ntchito kondomu nthawi zonse, omwe amagonana ndi amuna angapo, komanso omwe ali ndi chizolowezi chogwiritsa ntchito kusamba kumaliseche, komwe kumasintha Zomera zazimayi zomwe zimathandizira kukulitsa matenda.

Zoyambitsa zazikulu

Matenda otupa m'mimba nthawi zambiri amakhudzana ndi kuchuluka kwa tizilombo toyambitsa matenda komanso kusowa kwa chithandizo chokwanira. Choyambitsa chachikulu cha PID ndimagulu opatsirana pogonana, omwe, mwanjira izi, atha kukhala chifukwa cha gonorrhea kapena chlamydia, mwachitsanzo.

Kuphatikiza apo, PID imatha kukula chifukwa chotenga matenda pakubereka, kuyambitsa zinthu zonyansa kumaliseche panthawi yakuseweretsa maliseche, kuyikidwa kwa IUD pasanathe milungu itatu, endometriosis kapena kutha kwa endometrial biopsy kapena uterine.

Kuzindikira kwamatenda otupa m'chiuno sikophweka nthawi zonse, koma kumatha kuchitika poyesa magazi, komanso kuyerekezera kwamalingaliro monga ma pelvic kapena transvaginal ultrasound.

Kodi chithandizo

Chithandizo cha matenda otupa m'chiuno chitha kuchitika pogwiritsa ntchito maantibayotiki pakamwa kapena mozungulira mu mnofu kwa masiku pafupifupi 14. Kuphatikiza apo, ndikofunikira kupumula, kusakhala ndi zibwenzi zapakati pa chithandizo, ngakhale ndi kondomu yopatsa nthawi kuti ziphuphu zizichira, ndikuchotsa IUD, ngati kuli kotheka.

Chitsanzo cha maantibayotiki opatsirana m'mimba ndi Azithromycin, koma ena, monga Levofloxacin, Ceftriaxone, Clindamycin kapena Ceftriaxone amathanso kuwonetsedwa. Pakulandira chithandizo ndikulimbikitsidwa kuti yemwe amagonana naye amuthandizenso ngakhale atakhala kuti alibe zizindikiro zopewera kuyambiranso ndipo kuchitidwa opaleshoni kungakhale kofunikira kuti athetse kutupa kwamachubu kapena kukhetsa zilonda. Mvetsetsani momwe chithandizo cha PID chikuchitikira.