Chii chinonzi pelvic inflammatory chirwere (PID), zvikonzero zvikuru nezviratidzo

Zvemukati

• Zviratidzo zvezvirwere zvechiuno zvinoputika
• Zvinokonzera
• Kwakadii kurapwa

Chirwere chepachivande chinopisa, chinozivikanwawo sePID, kuzvimba kunotanga mukati memukadzi uye kunofambira mberi kuchibereko kwechibereko, pamwe nemachubhu nemazai, zvichipararira pamusoro penzvimbo huru yemudumbu, uye kazhinji kazhinji mhedzisiro yehutachiona iyo haina kurapwa zvakanaka.

DIP inogona kusarudzwa zvichienderana nekuomarara kwayo se:

• Chikamu 1: Kuzvimba kweiyo endometrium uye machubhu, asi pasina hutachiona hwe peritoneum;
• Chikamu chechipiri: Kuzvimba kwemachubhu ane hutachiona hwe peritoneum;
• Chikamu chechitatu: Kuzvimba kwemachubhu ane tubal kuvharirwa kana kubatika kwehubhu-ovari, uye isina kugadzikana abscess;
• Nhandare 4: Ruptured ovarian tube abscess, kana purulent secretion mudumbu.

Chirwere ichi chinonyanya kubata vechidiki nevechidiki vanoita zvebonde, nevane hukama navo pabonde, vasingashandise makondomu uye vanochengeta tsika yekugeza nyinyo mukati.

Kunyangwe ichiwanzoenderana nehutachiona hwehutachiona, PID inogona zvakare kuve yakabatana nemamwe mamiriro akaita sekuiswa kweIUD kana endometriosis, inova mamiriro ezvinhu ayo tambo ye endometrium inokura kunze kwechibereko. Dzidza zvakawanda nezve endometriosis.

Zviratidzo zvezvirwere zvechiuno zvinoputika

Chirwere chepachivande chinoputira chinogona kuve chakavanzika, uye vakadzi havawanzo kugona kuona zviratidzo nezviratidzo, vachifarira kuwanda kwemajemusi uye zvichikonzera kuzvimba kukuru kwenhengo yekubereka. Mune mamwe mamiriro ezvinhu zvimwe zviratidzo nezviratidzo zvinogona kuzivikanwa, senge:

• Fivha yakaenzana kana kudarika 38ºC;
• Marwadzo mudumbu, panguva yekurohwa kwayo;
• Kusangana nekutsi kwemukadzi kubuda kunze kwekuenda kumwedzi kana mushure mekusangana pabonde;
• Yero kana yakasvibira kusangana nekutsi kwemukadzi kubuda uye nekuipa kunhuhwirira;
• Marwadzo panguva yehukama hwepedyo, kunyanya panguva yekutevera.

Vakadzi vane mukana wakakura wekukudziridza rudzi urwu rwekuzvimba ndevaya vari pakati pemakore gumi nemashanu kusvika makumi maviri nemashanu ekuberekwa, havashandisi makondomu nguva dzese, vane vakaroorana vanoverengeka, uye avo vane tsika yekushandisa mvura yekugezera maruva emukadzi anobatsira kukura kwezvirwere.

Zvinokonzera

Chirwere chinoputira chirwere chinowanzoenderana nekupararira kwemajusi uye kushomeka kwekurapwa kwakakwana. Chikonzero chikuru chePID hutachiona hutachiona hwepabonde, idzo, mune idzi kesi, dzinogona kunge dziri mhedzisiro yegonorrhea kana chlamydia, semuenzaniso.

Uye zvakare, PID inogona kukura semhedzisiro yehutachiona pakuendesa, kuunzwa kwezvinhu zvakasvibiswa mukati memukadzi panguva yekuita bonhora, kuiswa kweIUD isingasviki mavhiki matatu, endometriosis kana mushure mekupedzisira endometrial biopsy kana uterine curettage.

Kuongororwa kwechirwere chepamuviri chinopisa hakusi nyore nguva dzose, asi kunogona kuitwa nekuita kuongororwa kweropa, uye kuyedza imaging senge pelvic kana transvaginal ultrasound.

Kwakadii kurapwa

Kurapa kwechirwere chepelvic chinoputira kunogona kuitwa uchishandisa maantibioti muromo kana intramuscularly kwemazuva gumi nemana. Uye zvakare, zvakakosha kuzorora, kusavapo kwehukama hwepedyo panguva yekurapwa, kunyangwe nekondomu kubvumira nguva yekuti nyama dzipore, uye kubviswa kweIUD, kana zvichibvira.

Muenzaniso wemishonga inorwisa mabhakitiriya yechirwere chepachivande chinopisa iAzithromycin, asi mamwe, akadai saLevofloxacin, Ceftriaxone, Clindamycin kana Ceftriaxone anogona zvakare kuratidzwa. Panguva yekurapwa zvinokurudzirwa kuti wepabonde arapwewo kunyangwe asina zviratidzo zvekudzivisa kubatwazve uye kuvhiyiwa kunogona kudiwa kurapa kuzvimba kwetopopian tubes kana kudurura mamota. Nzwisisa kuti kurapwa kwePID kunoitwa sei.