Ƙin fahimtar Pelvic Inflammatory cuta Cutar cututtuka, Causes, da jiyya
Bayani
Pelvic cutar cututtuka (PID) ita ce kamuwa da kwayoyin halitta, wanda ke faruwa yayin da kwayoyin ke tafiya ta wurin cervix zuwa cikin mahaifa da falfes. PID na iya haifar da rashin haihuwa , haifuwa a cikin mahaifa , ciwo mai tsanani, ƙuƙwalwa ko ƙwayar jinsi, adhesions , peritonitis (kamuwa da kamannin siliki-wanda ke rufe ɗakunan jikin ciki) da kuma perihepatitis (ƙin ciwon hanta na hanta).
A takaice, lokuta masu tsanani, PID ba tare da izini ba zai haifar da mutuwa.
Pelvic cutar cututtuka na iya zama m (ma'ana kwatsam, mai tsanani bayyanar cututtuka), na yau da kullum (dogon lokaci tare da ƙananan bayyanar cututtuka) ko shiru (babu alamu.)
Tare da PID, kasancewa ko rashin alamar bayyanar cututtuka ba su nuna yadda yawancin ɓangarorin haihuwa ke haɓaka ba. Yana da yiwuwa a yi rashin bayyanar cututtuka kuma suna da matukar damuwa da adhesions, suna haifar da rashin haihuwa. Wasu mata za su gane cewa suna da PID bayan sunyi ƙoƙari su yi ciki ba tare da nasara ba ko kuma bayan sunyi ciki.
Bisa ga Cibiyar Kula da Cututtuka da Cututtuka na Amirka, fiye da mata 750,000 ke fama da wani matsala na PID a kowace shekara. Har zuwa 300,000 daga cikin wadannan mata suna asibiti don m PID. Saboda yawancin lokuta na PID ba su da shiru kuma ba su da alamun bayyanar cututtuka, kuma an rasa PID sau da yawa ko kuma ba a sani ba, ainihin adadin lokuta na PID zai iya haɓaka.
Dalilin
Ana haifar da PID ta hanyar cututtukan cututtuka (STDs).
Sanadin lamarin ya hada da chlamydia da gonorrhea. Chlamydia shine mawuyacin dalilin sautin PID, wanda ke nufin yawancin mata ba su san cewa suna da cutar ba.
Idan kana da STD wanda ba a sani ba, haɗarin PID ya fi girma a duk lokacin da cervix ya bude kuma kamuwa da cuta zai iya shiga cikin mahaifa. Kuna da haɗari mafi girma na PID bayan haihuwa, rashin zubar da ciki, zubar da ciki, cututtuka na endometrial, sakawa na IUD, HSG da hysteroscopy, da kuma kwantar da hankalin artificial .
Yayinda kamuwa da ƙwayar cuta zai iya haifar da kwayoyin cutar ba tare da STDs ba, ana kiran wannan PID ne kawai. Kwayoyin cututtuka da magani, duk da haka, na iya zama kama.
Ta Yaya Yayi Ciki Aiki?
Daga tsakanin 10% da 15% na matan da ke dauke da kwayar cutar ta PID sun zama marasa amfani. Idan mace tana da nau'i mai yawa na PID mai tsanani, haɗarin ƙaddamar da rashin haihuwa ya tashi.
Abun da ya fi dacewa na rashin kulawar PID da aka haɗa shi ne an katange tubin fallopian . Kwanan nan ana shayar da shambura daga ƙwaƙwalwar da lalacewar ta haifar da ita, kuma yawancin yawanci yana kusa da ovaries fiye da mahaifa. Lokacin da ginin yana kusa da ovaries, yana da wuya a magance ta.
PID zai iya haifar da hydrosalpinx. Wannan yana faruwa a yayin da aka kulle tube a kusa da ovary sa'an nan kuma dilates kuma ya cika da ruwa. Kasancewa na hydrosalpinx zai iya rage chances don nasarar IVF .
Tsunuka masu ciki na iya haifar da lalacewar PID. Idan kana shan tiyata don gyara lalata tubal da PID ta haifar, haɗarin haɗari na ciki zai zama mafi girma.
A wasu lokuta, kamuwa da cuta mai mahimmanci zai iya haifar da haɗarin gaggawa.
A baya, wasu likitoci sunyi amfani da PID na yau da kullum tare da hysterectomy, amma ana amfani da shi a ƙasa da kasa. Idan likita ya ba da shawara ga magunguna a matsayin magani ga PID na yau da kullum, za ka iya so ka sami ra'ayi na biyu kafin ka yanke shawarar da za ta tasiri sosai game da yiwuwar haifuwa ta gaba.
Dubi ƙarin game da wannan a kasa, a karkashin Jiyya ga PID.
Cutar cututtuka
Kwayoyin cututtukan cututtuka na ƙwayoyin cutar cututtuka sun bambanta daga mutum zuwa ga mutum, dangane da ko da suna fuskantar mummunar cutar, mai mahimmanci ko shiru PID.
Mafi yawan bayyanar cututtuka na PID ita ce ciwo na pelvic. Sauran bayyanar cututtuka sun hada da ciwo na pelvic lokacin haɗuwa, ƙananan ciwo, rashin zubar da jini na rashin daidaituwa, gurɓataccen abu mai banƙyama, matsaloli tare da urination, fuka-fannin bayyanar cututtuka, kamar gajiya, zazzaɓi, juyayi, raunin ko ƙananan lymph nodes; rashin ci abinci, cututtuka da jurewa, da rashin haihuwa.
Yawancin cututtuka na iya zama kuskure ga wasu cututtuka, ciki har da appendicitis, endometriosis ko kamuwa da cutar urinary.
Yana da muhimmanci mu kasance tare da likitan ku idan kunyi zargin cewa kun yi kwangila a STD ko kuna da wasu abubuwa masu haɗari ga PID, kamar ƙaurawar kwanan nan, haihuwa, zubar da ciki, ko kuma IUD.
Ba sabawa ga PID na yau da kullum ba da za a tafi da shi ba don watanni ko shekaru. Idan kana fuskantar zafi ko jin zafi a lokacin ganawa, kuma likitanka ba su iya ganewa ko magance matsalar ba, za ka iya son neman ra'ayi na biyu.
Ci gaba har sai kun sami magani mai dacewa don bayyanar cututtuka. Komawanku na gaba da lafiyar lafiyar ku dogara ne akan shi.
Sanin asali
Doctors bincikar cutar ta PID ta hanyar nazarin alamun ku da bayyanar cututtuka, nazarin al'ada da na al'ada, gudanar da fitsari da gwajin jini, yin jarrabawar pelvic da kuma kimanta fitarwa.
Duk da yake al'ada na al'ada sukan gano wani STD ko wasu kamuwa da kwayar cuta, ba za su gano ko da yaushe wani kamuwa da cuta da ya yi tafiya zuwa cikin mahaifa da tubes ba.
Wasu gwaje-gwaje da likitanku zai iya amfani don taimakawa wajen gano asali PID sun hada da duban dan tayi, falloposcopy, laparoscopy da biopsy endometrial.
Saboda wasu gwaje-gwaje na iya motsa kwayoyin cutar ba tare da motsa jiki ba daga cikin jiki da kuma na jiki a cikin mahaifa da ƙananan kwalliya, yana da muhimmanci cewa an dauki al'adun STD na farko kafin gwajin gwagwarmaya da aka yi kuma an gano duk wani kamuwa da cutar.
Maganganu na Musamman
Ana amfani da maganin maganin rigakafin maganganun maganganun maganin PID. Tabbatar da abin da kwayoyin ke haifar da PID na iya zama da wuya, kuma wani lokaci, fiye da nau'in kwayoyin cuta zasu iya shiga. Saboda wannan dalili, za a iya ba da umarni guda biyu ko fiye da maganin rigakafi don ɗauka yanzu.
Saboda haɗarin matsala mai tsanani da kuma lalacewar haihuwa, magani yana farawa kafin duk sakamako ya dawo. Sakamakon, duk da haka, na iya nuna cewa kwayoyin daban daban wajibi ne don maganin nasara, don haka likitanku zai iya canza magungunanku a tsakiyar hanya.
Kwayar magungunan maganin magungunan magungunan magungunan magungunan magungunan magunguna. Zai yiwu a bi da ƙwayar mawuyacin hali ko mai wuya-da-bi-da-bi, wanda zai buƙaci asibiti.
Yayinda yake jin dadin jin dadi bayan 'yan kwanaki na maganin kwayoyin halitta, yana da matukar muhimmanci ka kammala tsarin lafiyar ku. Rashin yin haka zai iya haifar da kwayoyin cutar ta zama masu tsayayya ga maganin rigakafi, yana da wuya ko ba zai yiwu ba.
Dole ne a bi da ma'auratanka ko abokan tarayya, koda kuwa basu da alamun bayyanar. In ba haka ba, zaka iya ci gaba da wucewa kwayoyin da ke da alhakin PID da baya. Ya kamata ku yi amfani da kwaroron roba a lokacin yin jima'i yayin kulawa, don kaucewa sakewa.
A wasu lokuta, tiyata yana da muhimmanci don magance ƙwayar ƙwayar ƙwayar ko ƙananan ciwo. A cikin lokuta masu mahimmanci, ana iya yin aikin gaggawa ta gaggawa.
Rigakafin
Tun da yake cutar PID ta haifar da cutar ta hanyar jima'i, an hana shi. Harkokin jima'i da ba tare da jimawa ba tare da abokan hulɗa da yawa sun ƙara haɗarin samun PID. Idan ba a cikin dangantaka mai dangantaka tare da abokin tarayya wanda aka riga an gwada shi ba ga STDs, yin jima'i da jima'i ta amfani da kwaroron roba na mota da kuma yin jarrabawar STD na yau da kullum.
Sake shigarwa zai iya kaiwa PID idan kuna da STD. Gwaji da magani ga STDs kafin sakawa na IUD zai iya rage yawan kamuwa da kamuwa da cuta.
Har ila yau, an gano douching don ƙara yawan haɗarin PID. Saukewa yana canza yanayin flora da pH na farji, yana kara yawan haɗarin kamuwa da cuta. Har ila yau maciji yana tasiri ga ƙwaƙwalwar mahaifa , wanda yake da muhimmanci a lokacin ƙoƙari ya yi ciki.
Gwajin gwajin haihuwa , kamar HSG da hysteroscopy, da kuma jiyya na haihuwa wanda ya ƙunshi kwakwalwa da kuma mahaifa kamar kwari ko IVF, zai iya haifar da PID idan kana da STD wanda ba a sani ba. Wannan shi ne dalilin da yasa yawancin kananan dakunan shan magani ke gudanar da gwajin STD da al'adun gargajiya kafin suyi gwaji da magani.
Idan kun kasance da jima'i marar tsaro wanda zai iya bayyana ku zuwa STD, kuma kuna cikin tsakiyar jarrabawar haihuwa ko magani, ku tabbatar da gaya wa likitanku don haka za a iya gwada ku.
Sources:
Balancin Pelvic Pain. Mayo Staff. Samun shiga ta yanar gizo Yuli 26, 2011. http://www.mayoclinic.com/print/chronic-pelvic-pain/DS00571/DSECTION=all&METHOD=print
Sanin Bayan Tashin Tubal: Fact Sheet. Ƙungiyar {asar Amirka ta Harkokin Harkokin Ciniki. Samun dama ga Nuwamba 6, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/ConceivingAfterTubalSurgery.pdf
Hydrosalpinx: Fact Sheet. Ƙungiyar {asar Amirka ta Harkokin Harkokin Ciniki. Samun dama ga Nuwamba 6, 2008. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/hydrosa(1).pdf
Pelvic Inflammatory Disease (PID) - CDC Fact Sheet. Cibiyar Kula da Cututtuka da Cututtuka. Samun shiga yanar gizon Yuli 26, 2011. http://www.cdc.gov/std/pid/stdfact-pid.htm
Pelvic cutar cututtuka (PID). Mayo Clinic. Samun shiga yanar-gizon Yuli 26, 2011. http://www.mayoclinic.com/health/pelvic-inflammatory-disease/DS00402/DSECTION=causes
Pelvic Inflammatory cuta (PID). Tsarin iyaye. Samun shiga yanar-gizon Yuli 26, 2011. http://www.plannedparenthood.org/health-topics/stds-hiv-safer-sex/pelvic-inflammatory-disease-pid-4278.htm
Littafin Ƙungiyar Lafiya ta Mata ta Boston. (2005). Ayyukanmu, Mu Kanmu: Sabon Bugu da Gaba don Sabuwar Era. Ƙasar Amirka: Touchstone.