Chithandizo cha matenda otupa m'chiuno

Zamkati

• Kodi maantibayotiki omwe amagwiritsidwa ntchito kwambiri ndi ati?
• Zovuta zotheka za PID
• Zizindikiro zakusintha
• Zizindikiro zakukula

Chithandizo cha matenda otupa m'chiuno, chomwe chimadziwikanso kuti PID, chiyenera kuyambika mwachangu kuti zipewe zovuta zoyipa zoberekera za amayi, monga kusabereka kapena mwayi wokhala ndi ectopic pregnancy, chifukwa chakukula kwa zotupa m'matumba am'mimba .

Kawirikawiri mankhwalawa amachitidwa ndi maantibayotiki, koma kutengera kukula kwa matendawa, pangafunike kuchitidwa opaleshoni kuti athetse kutupa kapena kukhetsa zithupsa, mwachitsanzo.

PID ndi matenda omwe amayamba mu nyini kapena khomo pachibelekeropo ndipo amapezeka kwambiri mwa amayi omwe amagonana kapena omwe ali ndi chida cha intrauterine IUD. Dziwani zomwe zimayambitsa ndi matenda amchiberekero.

Kodi maantibayotiki omwe amagwiritsidwa ntchito kwambiri ndi ati?

Chithandizo cha matenda opweteka am'mimba ndimakhala ndi kugwiritsa ntchito maantibayotiki, m'kamwa kapena jakisoni, kwa masiku pafupifupi 14 kapena malinga ndi mankhwala akuchipatala. Maantibayotiki oyambitsidwa ndi dokotala ndi azithromycin, koma ena omwe angalimbikitsidwe ndi awa:

• Amoxicillin;
• Ceftriaxone;
• Doxycycline;
• Metronidazole;
• Levofloxacin;
• Gentamycin;
• Clindamycin.

Mukamalandira chithandizo ndikofunikira kuti mayi apumule, osakhala ndi zibwenzi zapamtima, kuchotsa IUD akaigwiritsa ntchito komanso kumwa mankhwala ochepetsa ululu monga paracetamol kapena ibuprofen. Kuphatikiza apo, mnzake akuyeneranso kuthandizidwa, ngakhale atakhala kuti alibe zizindikiro, kuti apewe kuyambiranso kapena kuwonetsa matendawa.

Maola 72 kuchokera pomwe mankhwala a maantibayotiki ayamba, mayiyo amayeneranso kuunikidwanso ndi a gynecologist kuti awone ngati mankhwala omwe asankhidwa ali ndi zotsatira zabwino. Ngati palibe kusintha kwa zizindikilo, kulandilidwa kuchipatala kungakhale kofunikira kuti mukhale ndi mankhwala amitsempha.

Matendawa akakulirakulira ndipo pamakhala zotheka kuphulika kwa ziphuphu m'machubu, kulowererapo pakuchita opaleshoni kungakhale kofunikira kuyeretsa ndi kukhetsa zithupsa.

Zovuta zotheka za PID

Ngati chithandizo chamatenda amchiberekero sichinayambike mwachangu, matendawa amatha kuyamba ndikupangitsa mitundu ingapo ya zipsera mu njira yoberekera ya amayi, zomwe zimatha kubweretsa zovuta zosiyanasiyana monga:

• Ectopic mimba: zimachitika chifukwa kupezeka kwa zipsera m'machubu kumatha kuteteza dzira kuti lisatuluke m'chiberekero, lomwe limatha kumangiriridwa ndi umuna, ndikupanga mimba m'machubu;
• Ineosabereka: kutengera malo omwe mabala a PID amakula, mayiyo atha kukhala osabereka;
• Ziphuphu zamchiberekero: zipsera zimatha kubweretsa kudzikundikira mafinya, komwe kumayambitsa kukula kwa ziphuphu mu njira yoberekera. Ziphuphu izi zimatha kutseguka ndikupangitsa magazi kapena matenda opatsirana.

Kuphatikiza apo, azimayi omwe ali ndi matenda otupa m'chiuno omwe samalandira chithandizo chamtundu uliwonse amamva kuwawa kwam'mimba, komwe kumatha kuchepa kwa moyo.

Zizindikiro zakusintha

Zizindikiro zakusintha kwa matenda am'chiuno nthawi zambiri zimawoneka patadutsa masiku ochepa chithandizo chikuyambika ndipo zimakhudzana ndi kuchepa kwa kupweteka kwa m'chiuno, kuwongolera kutaya msambo ndi kupumula kwa malungo, ngati alipo.

Nthawi yomwe mayi analibe zizindikilo, zizindikilo zakusintha zitha kuwonedwa ndi azachipatala kudzera m'mayeso monga ultrasound kapena laparoscopy.

Zizindikiro zakukula

Zizindikiro zakukula kwa PID nthawi zambiri zimachitika ngati mankhwala sanayambike munthawi yake, chifukwa chake mabala amawoneka munjira yoberekera yomwe imatha kuyambitsa magazi kunja kwa msambo, malungo komanso kuwonjezeka kwapakhosi, ndikumva kupweteka pokodza komanso mukamacheza kwambiri.