ʻO ka maʻi maʻi pelvic (PID)

ʻO ka maʻi pelvic inflammatory (PID) kahi maʻi o ka ʻōpū o ka wahine (uterus), nā ovaries, a me nā paipu fallopian.

ʻO PID kahi maʻi i hoʻokumu ʻia e nā bacteria. Ke hele ka bacteria mai ka puki a i ʻole ka cervix i kou ʻōpū, nā paipu fallopian, a i ʻole nā ​​ovaries, hiki iā lākou ke hōʻeha i kahi maʻi.

ʻO ka hapanui o ka manawa, hoʻokumu ʻia ʻo PID e nā bacteria mai chlamydia a me gonorrhea. ʻO kēia nā maʻi i lawe ʻia i ka moekolohe (STI). ʻO ka moe kolohe ʻole ʻia me kekahi mea loaʻa kahi STI hiki ke kumu iā PID.

ʻO nā koʻohune i loaʻa maʻamau i ka cervix hiki ke hele pū i loko o ka kōpū a me nā paipu fallopian i ka wā o ka lāʻau lapaʻau e like me:

• Hānau keiki
• ʻO ke biopsy endometrial (ka wehe ʻana i kahi ʻāpana o kou ʻōpū e hoʻāʻo ai no ka maʻi ʻaʻai)
• Ke kiʻi nei i kahi mea intrauterine (IUD)
• Hāʻule hāʻule
• Hoʻoipoipoipo

Ma ʻAmelika Hui Pū ʻIa, kokoke i 1 miliona mau wahine i loaʻa iā PID i kēlā me kēia makahiki. Ma kahi o 1 o 8 mau kaikamahine e hana moekolohe e loaʻa iā PID ma mua o ka makahiki 20.

Loaʻa paha iā PID inā ʻoe:

• Loaʻa iā ʻoe kahi hoa moe kolohe me ka gonorrhea a i ʻole chlamydia.
• He moekolohe ʻoe me nā poʻe like ʻole.
• He STI kāu i ka wā ma mua.
• Loaʻa iā ʻoe ʻo PID.
• Ua loaʻa iā ʻoe ka gonorrhea a i ʻole chlamydia a loaʻa iā IUD.
• Ua moe kolohe ʻoe ma mua o ka makahiki 20.

ʻO nā ʻōuli maʻamau o PID me:

• Fiva
• Ka ʻeha a palupalu paha i ka pelvis, ʻōpū lalo, a i ʻole ke kua i lalo
• Loli mai kāu ʻōpala i loaʻa kahi kala ʻokoʻa, ʻano, a ʻaʻala paha

Nā ʻōuli ʻē aʻe i hiki ke kū ʻia me PID:

• Kahe ma hope o ka moekolohe
• ʻO Chills
• Luhi loa
• ʻEha ke ʻimi ʻoe
• Me ka mimi pinepine
• ʻO nā kuʻi wā i hōʻeha ma mua o ka maʻamau a ʻoi aku paha ka lōʻihi o ka lōʻihi ma mua o ka maʻamau
• ʻO ke kahe koko ʻole a i ʻole ke kiko ʻana i kāu wā
• ʻAʻole pololi
• ʻO Nusea a me ka luaʻi
• Ke haʻalele nei i kāu wā
• ʻEha ke loaʻa iā ʻoe ka moe kolohe

Hiki iā ʻoe ke loaʻa iā PID a loaʻa ʻole nā ​​ʻōuli koʻikoʻi. ʻO kahi laʻana, hiki i ka chlamydia ke kumu iā PID me nā ʻōuli ʻole. ʻO nā wahine i hāpai i ka ectopic a i ʻole infertile pinepine i ka PID ma muli o chlamydia. ʻO kahi hāpai ectopic ke ulu kahi hua manu i waho o ka kōpū. Kau i ka ola o ka makuahine i kahi weliweli.

E hana paha kāu mea mālama ola i kahi hōʻike pelvic e nānā ai:

• Kahe mai kāu cervix. ʻO ka cervix ka wehe i kāu kōpū.
• Fluid e puka mai ana mai kāu cervix.
• ʻO ka ʻeha ke hoʻopā ʻia kou cervix.
• ʻO ke aloha i kāu kōpū, nā paipu, a i ʻole nā ​​ovaries.

Loaʻa paha iā ʻoe nā hoʻokolohua lab e nānā ai i nā hōʻailona o ka maʻi ākea ākea:

• C-reactive protein (CRP)
• Ka helu sedimentation ʻErythrocyte (ESR)
• Heluhelu WBC

ʻO nā hōʻike ʻē aʻe kekahi:

• Lawe ʻia kahi swab o kāu ʻōpū a i ʻole ka cervix. E nānā ʻia kēia hāpana no ka gonorrhea, chlamydia, a i ʻole nā ​​kumu ʻē aʻe o PID.
• Pelvic ultrasound a i ʻole CT scan e ʻike ai i nā mea ʻē aʻe e loaʻa ai kāu mau ʻōuli. ʻO Appendicitis a i ʻole mau ʻeke o ka maʻi e pili ana i kāu mau paipu a me nā ovaries, i kapa ʻia ʻo tubo-ovarian abscess (TOA), hiki ke hana i nā ʻōuli like.
• Hōʻike hāpai.

E hoʻomaka pinepine kāu mea lawelawe iā ʻoe e hoʻomaka i ka lawe ʻana i nā lāʻau ʻaloʻolika ʻoiai ke kali nei no kāu hopena hopena.

Inā loaʻa iā ʻoe PID akahai:

• E hāʻawi aku kāu mea hāʻawi iā ʻoe i kahi kī pū me kahi antibiotic.
• E hoʻouna ʻia ʻoe i ka home me nā lāʻau antibiotic e lawe ai a i 2 mau pule.
• Pono ʻoe e nānā pono me kāu mea hāʻawi.

Inā he ʻoi aku kou nui PID:

• Pono ʻoe e noho i ka haukapila.
• Hāʻawi ʻia iā ʻoe nā lāʻau ʻaloʻalo ma o ke aa (IV).
• Ma hope, hāʻawi ʻia iā ʻoe nā lāʻau antibiotic e lawe ma ka waha.

Nui nā antibiotic like ʻole e hiki ke mālama iā PID. Palekana kekahi no nā wahine hāpai. ʻO ke ʻano hea ʻoe e pili ai i ke kumu o ka maʻi. Loaʻa paha iā ʻoe kahi lāʻau ʻokoʻa inā loaʻa ʻoe i ka gonorrhea a i ʻole chlamydia.

ʻO ka hoʻopau ʻana i ka papa antibiotics piha i hāʻawi ʻia iā ʻoe ka mea nui loa no ka mālama ʻana iā PID. Hiki i ka scarring i loko o ka ʻōpū mai PID ke alakaʻi i ka pono o ke ʻoki ʻana a i ʻole ka underit invitro fertilization (IVF) e hāpai. E hāhai me kāu mea hāʻawi ma hope o ka pau ʻana o nā lāʻau ʻalopika e ʻike pono ʻaʻohe ou koʻohuna i kou kino.

He mea nui ia e hoʻomaʻamaʻa i ka moekolohe palekana i mea e hōʻemi ai i kou makaʻu i ka loaʻa ʻana o nā maʻi, i hiki ai ke alakaʻi iā PID.

Inā hoʻokumu ʻia kāu PID e kahi STI e like me gonorrhea a i ʻole chlamydia, pono e mālama pū ʻia kāu hoa wahine.

• Inā he hoʻokahi a ʻoi paha kāu hoa kolohe, pono e mālama ʻia lākou āpau.
• Inā mālama ʻole ʻia kāu hoa, hiki iā lākou ke hoʻopili hou iā ʻoe, a i ʻole hiki ke hoʻopili i nā poʻe ʻē aʻe i ka wā e hiki mai ana.
• Pono ʻolua a me kāu pakanā e lawe i nā lāʻau ʻaloʻalo āpau i kuhikuhi ʻia.
• E hoʻohana i ka condom a hiki i ka wā o ʻolua pau ʻana i ka hana antibiotics.

Hiki i nā maʻi PID ke hoʻoweliweli i nā kino pelvis. Hiki i kēia ke alakaʻi i:

• ʻEha pelvis wā lōʻihi (mau)
• Hāpai keiki Ectopic
• Hoʻoipo
• Abscess ʻo Tubo-ovarian

Inā loaʻa ʻoe i kahi maʻi maʻi maikaʻi ʻaʻole hoʻomaikaʻi me nā lāʻau antibiotic, pono ʻoe i ke ʻoki.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o PID.
• Manaʻo ʻoe ua hōʻike ʻia ʻoe i kahi STI.
• ʻAʻole maikaʻi ka mālama ʻana no kahi STI o kēia manawa.

E kiʻi koke i ka mālama no nā STI.

Hiki iā ʻoe ke kōkua i ka pale ʻana iā PID ma ka hoʻomaʻamaʻa ʻana i ka moekolohe palekana.

• ʻO ke ala wale nō e pale aku ai i kahi STI ka loaʻa ʻole o ka moekolohe (abstinence).
• Hiki iā ʻoe ke hōʻemi i kou makaʻu ma ka moe kolohe ʻana me hoʻokahi kanaka wale nō. Kāhea ʻia kēia he monogamous.
• E hoʻemi ʻia kou makaʻu inā ʻoe a me kāu mau hoa moe kolohe e hoʻāʻo ʻia no STI ma mua o ka hoʻomaka ʻana i ka moekolohe.
• Ke hoʻohana nei i kahi condom i kēlā me kēia manawa ke moe ʻoe a hoʻoliʻiliʻi hoʻi i kou makaʻu.

Eia pehea e hiki ai iā ʻoe ke hōʻemi i kāu makaʻi no PID:

• E kiʻi i nā hoʻokolohua loiloi STI maʻamau.
• Inā he kāne hou ʻoe, e hoʻāʻo ma mua o ka hoʻomaka ʻana o ka moekolohe. Hiki i nā hoʻāʻo ke ʻike i nā maʻi i kū ʻole i nā ʻōuli.
• Inā he wahine hana kolohe ʻoe i ka makahiki 24 a ʻoi paha, e nānā i kēlā me kēia makahiki no chlamydia a me gonorrhea.
• Pono e kānana ʻia nā wahine āpau me nā hoa moe kolohe a mau hoa paha he nui.

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

• Pelvic laparoscopy
• Anatomia hānau wahine
• Endometritis
• Uterus

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Workowski KA, Bolan GA; Nā kikowaena no ka mālama ʻana i ka maʻi a me ka pale ʻana. Nā kulekele lapaʻau maʻi i hoʻoili ʻia i ka moekolohe. ʻO MMWR Rekua Rep. 2015; 64 (RR-03): 1-137. PMID: 26042815 www.ncbi.nlm.nih.gov/pubmed/26042815.