Isifo sobuhlungu obungapheli besisu phakathi kwabesifazane

Kulesi sihloko esithi "I-Syndrome yezinhlungu ezingavamile zentambo yabesifazane" uzothola ulwazi oluwusizo kakhulu kuwe. I-syndrome ye-pelvic ubuhlungu ihlanganisa ubuhlungu noma ukunganaki endaweni ye-pelvic, lapho i-genital tract, isambiso nesigubhu sitholakala khona. Kunezimbangela eziningi zokubangela ubuhlungu be-pelvic nezindlela zokwelashwa ezifanele.

Izimbangela ezingathí sina zokuhlunguphaza kwe-pelvic ngokuvamile ziyisikhathi esifushane. Noma kunjalo, ubuhlungu bungaba namandla kakhulu, isibonelo, nge-dysmenorrhea - isimo esibuhlungu esenzeka nge-spasms kwesibeletho ngesikhathi sokuya esikhathini. Ezinye izimbangela ezingathí sina futhi ezivame ukuzwa ubuhlungu obungapheli kanye nobuhlungu obukhulu be-pelvic ziyisifo sokuvuvukala kwe-pelvic, ukukhulelwa kwe-ectopic kanye ne-endometriosis.

Ezinye izimbangela zobuhlungu

Ukukhubazeka kwe-anus kanye ne-rectum kungase kubangele ubuhlungu be-pelvic futhi ngokuvamile buzwa ehlane elingezansi. Ezimweni ezingavamile kakhulu, ubuhlungu be-pelvic bungaba nezifo ezifana ne-myoma ye-uterine, i-appendicitis, izinkinga zamathumbu noma isisu, namagciwane ezitho zomzimba. Uma ubuhlungu bungavumi isikhathi eside, udinga ukubona udokotela. Izifo ezivuthayo zezifo (PID) zifaka ukuvuvukala kwesibeletho, amashubhu ama-fallopian nama-ovari ngenxa yokutheleleka. Isizathu esivame kakhulu salezi zifo yi-chlamydia, isifo esithathelwana ngocansi esenzeka kuma-50-80% amacala we-PID. Ezinye izici ezibangelwa ukwelashwa zibandakanya i-gonorrhea kanye nokutheleleka kwama-anaerobic. I-PID ingenzeka ngokuzenzekelayo noma ngenxa yokungenela okuhlinzekwa endaweni ye-pelvic noma ngemuva kokwethulwa kwe-intrauterine device (IUD). Esikhathini esilandelayo, lesi sifo senziwa kaningi lapho kutholakala ukutheleleka kwe-chlamydial engatholakali.

Izimpawu

Ubuhlungu ngokuvamile buhlala emahoreni amaningana, kutholakala ezindaweni ezingezansi kwesisu nangesifo se-suprapubic futhi bukhulu, buhlungu. Ngezinye izikhathi kungaba namandla kakhulu futhi kuqiniswe ngesikhathi sokulala. Ubuhlungu buvame ukuvela ngokunyakaza okungazelelwe futhi kwehle uma owesifazane elala noma ehlezi ngokuthula. Ezinye izimpawu zifaka ubuhlungu ngesikhathi sokuvuthwa nomkhuhlane. Ngezinye izikhathi ubuhlungu bukhulu kangangokuthi owesifazane akakwazi ukuhamba futhi uzizwa enesihluku, kodwa lezo zimo azifani neze; Ngokuvamile ubuhlungu bubunzima.

Ukuhlonza

Njengoba kungekho ukuhlaziywa okucacile okuqinisekisa i-PID yowesifazane, ukuxilongwa kusekelwe emiphumeleni yocwaningo olunzulu. Ukubaluleka okukhethekile kokuxilonga yizimpawu ezinjengokukhathazeka komlomo wesibeletho kanye nezindwangu zangasese (izicubu zamathumbu ezungeze umlomo wesibeletho) ngokuhlolwa kwesisu.

Ukwelapha

Ezimweni ezimbi, ukwelashwa esibhedlela esibhedlela kanye nemithi elwa namagciwane okulawulwa ngaphakathi ngaphakathi kuyadingeka. Kwezinye izimo, ukwelashwa kwenziwa ngaphandle-isiguli, ngama-antibiotics alawulwa ngaphakathi. Iningi labesifazane abane-PID ecashunwe kufanele badlule ukuhlolwa kwe-chlamydia, futhi kufanele - ukuba bahlolwe emtholampilo owodwa we-urogenital. Emitholampilo enjalo, odokotela ngeke banikezwe kuphela ukuthi bahlolwe i-chlamydia, kodwa futhi uma kunesidingo sokuthola imithi yokwelapha ngaphambi kokuphela kokukhulelwa noma ukufakwa kwe-IUD. Ukukhulelwa kwe-Ectopic kunquma isimo lapho iqanda elikhuliswe khona liqala ngaphandle kwesibeletho, ngokuvamile esivumelwaneni sezintambo. Lokhu kungenzeka ngenxa yokwehlukana kwamatayipi okulala, okuvame ukukhula ngenxa yokutheleleka kwe-chlamydial. Ngemva kwamasonto amabili kuya kwengu-4 emva kokukhulelwa kwe-ovum, ithubhu ye-uterine ingase iphule, ihambisane nobuhlungu obunzima nokuphuma kwegazi.

Izimpawu

Ubuhlungu ngokuvamile buba khona ngokuzumayo futhi buya endaweni esiswini esingaphansi, kwesokudla noma kwesobunxele. Ubuhlungu bungaba namandla kangangokuba owesifazane akakwazi ngisho nokuhamba. Kodwa-ke, ngezinye izikhathi izimpawu zingabonakali kangangokuthi zikhohlisa kokubili udokotela nomfazi ongakwazi ukusho ukuthi yini eyamkhathaza. Uma kukhona ukuphuma kwangaphakathi kwangaphakathi, isiguli sibukeka siphaphathekile, sinomuzwa wokuthi sibuthakathaka futhi sinesizungu futhi singaphelelwa amandla uma sizama ukuma. Njengomthetho, ingxoxo ibonisa ukuthi owesifazane unomphumela wokubambezeleka noma uhlamvu olungavamile kokuya esikhathini, ngaphezu kwalokho, angazizwa izibonakaliso ezizimele zokukhulelwa kokuqala. Kodwa-ke, ngezinye izikhathi ukukhulelwa kwe-ectopic kungazibonakalisa ngaphambi kwegama lesinye isikhathi sokuya esikhathini.

Ukuhlonza

Uma ukuhlolwa kwesisu, udokotela ngokuvamile uthola ubuhlungu emagcekeni wesisu (indawo yangasese ehambisana nomlomo wesibeletho) ohlangothini lapho isiguli sizizwa khona ubuhlungu. Esinye isibonakaliso singase sibe ukwanda ngobukhulu be-tube fallopian, okungaqinisekiswa yi-ultrasound. Ukuhlolwa kokukhulelwa kuvame ukuhle.

Ukwelapha

Ukukhulelwa kwe-Ectopic kudinga izinyathelo eziphuthumayo, ngoba yisimo esisongela ukuphila. Ezimweni eziningi, ukuhlinzwa okuvulekile noma i-laparoscopy yenziwa. Ezimweni ezingavamile, ukwelashwa kunqunyelwe umjovo we-methotrexate yezidakamizwa.