Lapaʻau no ka maʻi pelvic inflammatory

Anter

• He aha nā antibiotic i hoʻohana nui ʻia
• Nā pilikia kūpono o PID
• Nā hōʻailona o ka hoʻomaikaʻi
• Nā hōʻailona o ka hōʻino ʻana

ʻO ka mālama ʻana no ka maʻi pelvic inflammatory, ʻo PID hoʻi, e pono e hoʻomaka ʻia e like me ka hiki ke pale aku i nā hopena koʻikoʻi no ka ʻōnaehana hānau o ka wahine, e like me ka infertility a i ʻole hiki ke loaʻa i kahi hāpai ectopic, ma muli o ka ulu ʻana o nā leona i nā paipu fallopian. .

Hana ʻia ka lapaʻau me nā lāʻau ʻalopika, akā kaukaʻi ʻia i ke koʻikoʻi o ka maʻi, pono paha e hana i kahi kaʻina ʻoki lāʻau e mālama ai i ka mumū a hoʻopau paha i nā abscesses, no ka laʻana.

ʻO ka PID kahi maʻi i hoʻomaka i loko o ka ʻōpū a i ʻole ka cervix a ʻoi aku ka maʻamau o nā wahine e hana kolohe a i ʻole i loaʻa ka polokalamu IUD intrauterine. E ʻike he aha nā kumu nui a me nā hōʻailona o ka maʻi pelvic inflammatory.

He aha nā antibiotic i hoʻohana nui ʻia

ʻO ka mālama ʻana no ka maʻi pelvic inflammatory ākea e pili ana i ka hoʻohana ʻana i nā lāʻau ʻaloʻalo, waha a i ʻole ka ʻume ʻana, ma kahi o 14 mau lā a i ʻole e like me ka lāʻau lapaʻau. ʻO ka antibiotic nui i koi ʻia e ke kauka ʻo azithromycin, akā ʻo kekahi poʻe ʻē aʻe e hiki ke koi ʻia e komo pū me:

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

I ka wā o ka hoʻomaʻamaʻa he mea nui ia e hoʻomaha ka wahine, ʻaʻole e launa pū me ka pilina, e hemo i ka IUD inā hoʻohana ʻo ia ia a lawe i ka lāʻau e hōʻoluʻolu i ka ʻeha e like me ka paracetamol a i ʻole ka ibuprofen. Eia hou, pono e mālama ʻia ka hoa, ʻoiai inā ʻaʻohe ʻōuli, e hōʻalo i ka recontamination a i ʻole ka hōʻike o ka maʻi.

72 mau hola ma hope o ka hoʻomaka ʻana o ka lāʻau antibiotic, pono e loiloi hou ʻia ka wahine e ke kauka wahine e ʻike inā he hopena maikaʻi ka lāʻau i koho ʻia. Inā ʻaʻohe hoʻomaikaʻi o nā hōʻailona, ​​pono paha i ka haukapila e loaʻa i kahi lāʻau lapaʻau.

Inā piʻi a maʻi ka maʻi a aia paha ka haki o nā abscesses i loko o nā paipu, pono paha ka hana ʻoki ʻana e hoʻomaʻemaʻe a hoʻokahe i nā abscesses.

Nā pilikia kūpono o PID

Ke hoʻomaka koke ʻole ka mālama ʻana no ka maʻi pelvic inflammatory, hiki i ka maʻi ke hoʻomohala a hana i nā ʻano scarring i loko o ka ʻōnaehana hānau wahine, a hiki i nā hopena like ʻole e like me:

• Hāpai keiki Ectopic: hiki ke hana ia no ka loaʻa o nā scars i nā paipu hiki ke pale i ka hua manu mai ka haʻalele ʻana i ka kōpū, a hoʻopau ʻia i ka momona ʻia e ka sperm, e hana ana i kahi hāpai i nā paipu;
• ʻO wauinfertility: ke hilinaʻi nei i nā wahi e ulu ai nā scars PID, loaʻa paha i ka wahine ka infertility;
• Nā abscesses ovarian: hiki i nā scars ke hopena i ka hōʻiliʻili o ka pus, kahi e hoʻokumu ai i nā abscesses i ka ʻōnaehana hānau. Hiki i kēia mau abscesses ke wehe a hoʻomaka i ke kahe ʻana a i ʻole ka maʻi ākea.

Eia kekahi, ʻo nā wahine me nā maʻi pelvic inflammatory ʻaʻole lākou e hana i kekahi ʻano o ka hoʻomaʻamaʻa pū kekahi i ka ʻeha pelvic mau, a ʻo ka hopena e hōʻemi ana i ka maikaʻi o ke ola.

Nā hōʻailona o ka hoʻomaikaʻi

Hōʻike pinepine nā hōʻailona o ka hoʻomaikaʻi ʻana i ka maʻi pelvic inflammatory i kekahi mau lā ma hope o ka hoʻomaka ʻana o ka lapaʻau a pili i ka hōʻemi pelvic ʻeha, ka mālama ʻana i nā nalowale a me ka hoʻomaha ʻana o ka fiva, inā he mea kekahi.

I nā hihia kahi a ka wahine i loaʻa ʻole ai nā ʻōuli, hiki ke ʻike ʻia nā ʻōuli o ka hoʻomaikaʻi e ke kauka wahine ma o nā hoʻokolohua e like me ultrasound a i ʻole laparoscopy.

Nā hōʻailona o ka hōʻino ʻana

Kū pinepine nā ʻōuli o ka PID hōʻino loa ke hoʻomaka ʻole ʻia ka lapaʻau ʻana i ka manawa a, no laila, ʻike ʻia nā ʻōpala ma ka ʻōnaehana reproductive i hiki ke hoʻopau i ke kahe ʻana o ke kahe ma waho o ka manawa menstrual, ka fiva a me ka hoʻonui ʻia o ka pelvic discomfort, me ka ʻeha e mimi ai a i ka wā pili pilikino.