He aha ka maʻi pelvic inflammatory (PID), nā kumu nui a me nā ʻōuli

Anter

• Nā ʻōuli o ka maʻi pelvic inflammatory
• Nā kumu nui
• Pehea ka lāʻau

ʻO ka maʻi pelvic inflammatory, ʻo PID kekahi, kahi ʻōpala i hoʻomaka i loko o ka ʻōpū a holomua e pili ana i ka pūpū, a me nā paipu a me nā ovaries, e hohola ana ma luna o kahi pelvic nui, a ʻo ka pinepine ka hopena o kahi maʻi i loaʻa. ʻaʻole i mālama pono ʻia.

Hiki ke hoʻokaʻawale ʻia ka DIP e like me kona koʻikoʻi e like me:

• Kahua 1: Ka hoʻohaunaele o ka endometrium a me nā paipu, akā me ka loaʻa ʻole o ka maʻi o ka peritoneum;
• Kahua 2: ʻO ka hoʻohaunaele o nā paipu me ka maʻi o ka peritoneum;
• Kahua 3: ʻO ka hoʻowahāwahā ʻana o nā paipu me ka tubal occlusion a i ʻole ke komo ʻana o ka Tube-ovarian, a holo pono ʻole ʻia;
• Pāʻani 4: Hōʻoki ʻia ka ʻōpala ovarian Tube, a i ʻole ka huna purulent i ka lua.

Hoʻopili nui kēia maʻi i ka poʻe ʻōpio a me ka poʻe ʻōpio moekolohe, me nā hoa moekolohe he nui, ʻaʻole hoʻohana i nā condom a mālama i ka maʻamau o ka holoi ʻana i ka ʻōpū i loko.

Me ka pili maʻamau i nā maʻi i lawe ʻia i ka moekolohe, hiki i ka PID ke pili i nā hanana ʻē aʻe e like me ke kau ʻana o kahi IUD a i ʻole endometriosis, kahi ʻano e ulu ai nā mea o ka endometrium ma waho o ka kōpū. E aʻo hou aʻe e pili ana i ka endometriosis.

Nā ʻōuli o ka maʻi pelvic inflammatory

Hiki ke maʻalea loa ka maʻi pelvic, a ʻaʻole hiki i nā wahine ke ʻike i nā hōʻailona a me nā ʻōuli, e makemake ana i ka hoʻolaha ʻana o nā microorganism a me ka hopena i ka nui o ka mumū o ka genital. I kekahi mau hanana i hiki ke ʻike ʻia kekahi mau hōʻailona a me nā ʻōuli, e like me:

• ʻO ke kuni e like ana a ʻoi aku paha ma mua o 38ºC;
• ʻEha i loko o ka ʻōpū, i ka wā o kona palpation;
• ʻO ke kahe o ke kīwī ma waho o ka menstruation a ma hope paha o ka moekolohe ʻana;
• Kahe a ʻōmaʻomaʻo ʻōmaʻomaʻo ʻōmaʻomaʻo me kahi hohono maikaʻi ʻole;
• ʻEha i ka wā pili pilikino, ʻoiai hoʻi i ka manawa o ka menstruation.

ʻO nā wahine e hoʻomohala i kēia ʻano pehu ka poʻe ma waena o 15 a 25 mau makahiki, mai hoʻohana i nā condom i nā manawa āpau, he mau hoa moekolohe kā lākou, a me ka poʻe i maʻa ka hoʻohana ʻana i ka ʻauʻau, e hoʻololi ai ka ʻO ka flora liʻiliʻi e kōkua ana i ka ulu ʻana o nā maʻi.

Nā kumu nui

Pili pinepine ka maʻi pelvic inflammatory i ka hoʻolaha ʻana o nā microorganism a me ka nele o ke kūpono kūpono. ʻO ke kumu nui o PID nā microorganism i hoʻoili ʻia i ka moekolohe, a i kēia mau hihia, he hopena paha ia o gonorrhea a i ʻole chlamydia, no ka laʻana.

Hoʻohui ʻia, hiki i ka PID ke hoʻomohala ma ke ʻano he hopena o ka maʻi i ka lawe ʻana, hoʻolauna ʻia o nā mea i hoʻohaumia ʻia i loko o ka ʻōpū i ka wā o ka masturbation, hoʻonoho ʻia ʻo IUD ma mua o 3 mau pule, endometriosis a ma hope paha o ka biopsy endometrial a i ʻole curettage uterine.

ʻAʻole maʻalahi ka maʻa o ka maʻi pelvic inflammatory, akā hiki ke hana ʻia e ka hana ʻana i nā hoʻokolohua koko, a me nā hōʻike kiʻi e like me pelvic a i ʻole transvaginal ultrasound.

Pehea ka lāʻau

Hiki ke hana i ka mālama no ka maʻi pelvic inflammatory me ka hoʻohana ʻana i nā antibiotic ma ka waha a i ʻole intramuscularly ma kahi o 14 mau lā. Eia hou, he mea nui e hoʻomaha, ka loaʻa ʻole o ka pilina pilikino i ka wā o ka mālama ʻana, ʻaʻole me ka condom e hiki ai i ka manawa no ka hoʻolauleʻa ʻana o nā mea, a me ka hemo ʻana o ka IUD, inā pili.

ʻO kahi laʻana o kahi antibiotic no ka maʻi pelvic inflammatory ʻo Azithromycin, akā ʻo nā mea ʻē aʻe, e like me Levofloxacin, Ceftriaxone, Clindamycin a Ceftriaxone paha i hōʻike ʻia. I ka wā o ka mālama ʻana ua pono ʻia e mālama ʻia ka wahine moe inā ʻaʻohe ona ʻōuli e hōʻalo ai i ka recontamination a me ke kaha ʻana e pono ai e mālama i ka mumū o nā paipu fallopian a i ʻole e kahe i nā abscesses. Hoʻomaopopo pehea e mālama ai i ka PID.