Chirwere chinoputira chirwere (PID)

Pelvic inflammatory chirwere (PID) chirwere chedumbu remukadzi (chibereko), mazai, kana fallopian machubhu.

PID chirwere chinokonzerwa nehutachiona. Kana mabhakitiriya kubva kumukadzi kana chibereko achienda mudumbu rako, fallopian machubhu, kana mazai, anogona kukonzera hutachiona.

Kazhinji yenguva, PID inokonzerwa nehutachiona kubva kune chlamydia uye gonorrhea. Idzi ndidzo zvirwere zvinotapuriranwa pabonde (njovhera). Kuita bonde usina kuzvidzivirira nemunhu ane njovhera kunogona kukonzera PID.

Hutachiona hunowanzo kuwanikwa mumuromo wechibereko hunogona zvakare kuenda muchibereko uye fallopian machubhu panguva yekurapa yakadai se:

• Kuzvara mwana
• Endometrial biopsy (kubvisa chidimbu chidiki chechibereko chako kuti ubatanidze cancer)
• Kuwana intrauterine mudziyo (IUD)
• Kusabvisa pamuviri
• Kubvisa nhumbu

MuUnited States, vangangoita miriyoni imwe vakadzi vane PID gore rega rega. Vanenge 1 muvasikana vasere vanoita zvepabonde vane PID vasati vava nemakore makumi maviri.

Iwe uri mukana wekutora PID kana:

• Une munhu waunofambidzana naye pabonde nehonorrhea kana chlamydia.
• Unorara nevanhu vakawanda vakasiyana.
• Iwe wakambova nejovhera munguva yakapfuura.
• Iwe uchangobva kuve nePID.
• Iwe wabata gonorrhea kana chlamydia uye une IUD.
• Wakaita bonde usati wasvika makore makumi maviri.

Zviratidzo zvakajairika zvePID zvinosanganisira:

• Kupindwa nechando
• Marwadzo kana hunyoro muchiuno, pasi peguvhu, kana pasi peshure
• Fluid kubva mukati memukadzi wako iyo ine isina kujairika ruvara, magadzirirwo, kana hwema

Zvimwe zviratidzo zvinogona kuitika nePID:

• Kubuda ropa mushure mekusangana
• Kutonhora
• Kunyanya kuneta
• Marwadzo kana iwe uchiita weti
• Kuva neweti kakawanda
• Nguva dzekurwadziwa dzinokuvadza kupfuura zvakajairwa kana kugara kwenguva refu kupfuura zvakajairwa
• Kujairika kubuda ropa kana kuona panguva yako
• Kusanzwa nzara
• Kusvotwa uye kurutsa
• Kusvetuka nguva yako
• Marwadzo kana iwe uchiita zvepabonde

Unogona kuve nePID uye usingave nezviratidzo zvakakomba. Semuenzaniso, chlamydia inogona kukonzera PID isina zviratidzo. Vakadzi vane ectopic nhumbu kana vasina mbereko vanowanzove nePID inokonzerwa nechlamydia. Ectopic nhumbu ndipo panokura zai kunze kwechibereko. Zvinoisa hupenyu hwaamai munjodzi.

Mutapi wako wezvehutano anogona kuita bvunzo dzechiuno kutsvaga:

• Kubuda ropa kubva pamuromo wechibereko. Cervix ndiko kuvhurwa kwechibereko chako.
• Fluid ichibuda muchibereko chako.
• Marwadzo kana chibereko chako chabatwa.
• Unyoro muchibereko chako, machubhu, kana mazai.

Iwe unogona kunge uine bvunzo bvunzo kuti utarise zviratidzo zvehutachiona hwepamuviri-

• C-inoshanda mapuroteni (CRP)
• Erythrocyte sedimentation chiyero (ESR)
• WBC kuverenga

Mimwe bvunzo inosanganisira:

• Swab inotorwa mumukadzi wako kana muromo wechibereko. Iyi sampuro ichaongororwa yegonorrhea, chlamydia, kana zvimwe zvikonzero zvePID.
• Pelvic ultrasound kana CT scan kuti uone zvimwe zvingave zvichikonzera zviratidzo zvako. Appendicitis kana homwe dzehutachiona dzakakomberedza machubhu ako nemazai, anonzi tubo-ovarian abscess (TOA), anogona kukonzera zviratidzo zvakafanana.
• Kuedzwa kwepamuviri.

Wako mupi anowanzove iwe uchitanga kutora maantibayotiki paunenge wakamirira mhinduro dzako dzekuyedzwa.

Kana iwe uine PID nyoro:

• Mupi wako anokupa pfuti ine mushonga unorwisa mabhakitiriya.
• Unozotumirwa kumba uine maantibiotic mapiritsi ekuti utore kweanosvika mavhiki maviri.
• Iwe unozofanirwa kuteedzera-padhuze neako mupi.

Kana iwe uine PID yakaoma.

• Ungangoda kugara muchipatara.
• Unogona kupihwa mishonga inorwisa mabhakitiriya kuburikidza nemutsinga (IV).
• Gare gare, iwe unogona kupihwa maantibayoti mapiritsi ekutora nemuromo.

Kune akawanda maantibayoti akasiyana anogona kubata PID. Zvimwe zvakachengeteka kune vakadzi vane nhumbu. Imhando ipi yaunotora inoenderana nechikonzero chehutachiona. Iwe unogona kugamuchira kurapwa kwakasiyana kana iwe uine gonorrhea kana chlamydia.

Kupedza iyo yakazara nzira yemishonga inorwisa mabhakitiriya yawakapihwa yakakosha pakurapa PID. Kupenga mukati mechibereko kubva paPID kunogona kutungamira mukuda kwekuvhiyiwa kana kuitwa invitro fetiraiza (IVF) kuti ubate pamuviri. Tevera nemupi wako mushure mekunge wapedza maantibayoti kuti uve nechokwadi chekuti hausisina mabhakitiriya mumuviri wako.

Zvakakosha zvikuru kuti iwe udzivirire bonde rakachengeteka kuitira kuti udzikise njodzi yako yekutapukirwa, izvo zvinogona kutungamira kuPID.

Kana PID yako ichikonzerwa neSTI senge gonorrhea kana chlamydia, wako wepabonde naye anofanira kurapwawo.

• Kana iwe uine vanhu vanopfuura mumwe chete wepabonde, vese vanofanirwa kurapwa.
• Kana mumwe wako akasarapwa, vanogona kukutapurira zvakare, kana kutapurira vamwe vanhu mune ramangwana.
• Wese iwe nemumwe wako munofanirwa kupedzisa kutora ese akataurwa maantibayoti.
• Shandisa makondomu kusvikira mose mapedza kunwa mishonga inorwisa mabhakitiriya.

Zvirwere zvePID zvinogona kukonzera kupora kwenhengo dzechiuno. Izvi zvinogona kutungamira ku:

• Yenguva refu (isingaperi) kurwadziwa kwepamuviri
• Ectopic nhumbu
• Kushaya mbereko
• Tubo-ovarian pute

Kana iwe uine hutachiona hwakakomba husinga gadzirise nemishonga inorwisa mabhakitiriya, ungangoda kuvhiyiwa.

Fonera mupiki wako kana:

• Iwe une zviratidzo zvePID.
• Iwe unofunga kuti wakambosangana nehutachiona.
• Mishonga yekurapa njovhera yazvino inoita kunge isiri kushanda.

Wana kurapwa nekukurumidza kwezvirwere zvepabonde.

Unogona kubatsira kudzivirira PID nekuita bonde rakachengeteka.

• Iyo chete nzira yakakwana yekudzivirira njovhera ndeye kusaita bonde (kurega).
• Unogona kudzikisa njodzi yako nekuva nehukama hwepabonde nemunhu mumwe chete. Izvi zvinonzi kuve nemurume mumwe chete.
• Ngozi yako inozodzikiswa kana iwe newaunoita navo bonde mukavhenekwa zvirwere zvepabonde musati matanga hukama hwepabonde.
• Kushandisa kondomu pese paunoita bonde kunoderedzawo njodzi yako.

Heano maitiro aunogona kudzikisa njodzi yako yePID:

• Wana bvunzo dzekuongorora STI dzese.
• Kana iwe uri murume nemukadzi vatsva, tanga waongororwa usati watanga kuita bonde. Kuedzwa kunogona kuona hutachiona husiri kukonzera zviratidzo.
• Kana iwe uri mukadzi anoita zvepabonde ane makore makumi maviri nemana kana mudiki, enda kuongororwa gore rega rega kune chlamydia uye gonorrhea.
• Vakadzi vese vane vatsva vepabonde navo kana vakawanda vakaroorana vanofanirawo kuongororwa.

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

• Pelvic laparoscopy
• Mukadzi wekubereka anatomy
• Endometritis
• Uterus

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McKinzie J. Zvirwere zvepabonde. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 88.

Smith RP. Chirwere chinoputira chirwere (PID). Muna: Smith RP, rakanyorwa. Netter's Obstetrics & Gynecology. 3rd ed. Philadelphia, PA: Elsevier; 2018: chitsiko 155.

Workowski KA, Bolan GA; Nzvimbo dzekudzivirira nekudzivirira hosha. Zvirwere zvepabonde zvirwere zvekurapa, 2015. MMWR Inokurudzira Rep. 2015; 64 (RR-03): 1-137. PMID: 26042815 www.ncbi.nlm.nih.gov/pubmed/26042815.