ʻO Corey Whelan he mea kākoʻo hoʻomanawanui me nā makahiki he ʻumi o ka ʻike ma ke olakino hānau keiki.
ʻO ka maʻi maʻi he maʻi hiki ke hoʻōla ʻia e ka maʻi maʻi (STI). Hoʻolaha ʻia ia ma o ka moekolohe, anal, a i ʻole ka waha me ka ʻole o ka condom.
Loaʻa paha iā ʻoe ka maʻi gonorrhea a ʻaʻole ʻike.
Ma kahi o 5 i loko o 10 mau wahine ma'i he asymptomatic (ʻaʻohe hōʻailona). Hiki iā ʻoe ke loaʻa nā hōʻailona maʻalahi i hiki ke kuhihewa ʻia no kahi maʻi ʻē aʻe, e like me ka maʻi maʻi a i ʻole ka maʻi ʻōpū.
Ke hoʻomaka ka gonorrhea i nā hōʻailona, ​​hiki ke loaʻa i nā lā, pule, aiʻole nā ​​mahina ma hope o ka maʻi mua. Hiki i nā hōʻailona hope ke alakaʻi i ka hoʻopaneʻe ʻana a me ka hoʻopaneʻe ʻana i ka mālama ʻana.Inā hele ʻole ka gonorrhea, hiki ke hoʻopiʻi.
E kūkākūkā kēia ʻatikala pehea e hiki ai i ka gonorrhea ke alakaʻi i ka infertility, nā hōʻailona āu e loaʻa ai, a me ka mālama ʻana i manaʻo ʻia.
ʻO ka maʻi maʻi gonococcal ke kumu.
Inā haʻalele ʻole ʻia, hiki i ka bacteria e hoʻoulu ai i ka gonorrhea ke komo i loko o nā ʻōpū hānau ma o ka ʻōpū a me ka ʻōpū, e hoʻoulu ai i ka maʻi pelvic inflammatory (PID) i loko o ka poʻe me ka ʻōpū. Hiki i ka PID ke hoʻomaka i nā lā a i ʻole mau pule ma hope o ka maʻi gonorrhea mua.
ʻO ka PID ke kumu o ka mumū a me ka hoʻokumu ʻana o nā abscesses (nā ʻeke i hoʻopili ʻia o ka wai) i loko o ka fallopian tubes a me nā ovaries.
Ke ʻike ʻia ka ʻiʻo ʻili ma ka ʻili palupalu o ka puʻupuʻu fallopian, e hōʻemi a pani ʻia paha ka puʻupuʻu fallopian. ʻO ka fertilization maʻamau e hana ʻia i loko o nā ʻōpū.
Hoʻonui pū ka PID i ka pilikia o ka hāpai ʻana o ka ectopic (ka hoʻokomo ʻana i kahi hua manu i hoʻomoʻa ʻia ma waho o ka ʻōpū, ka mea maʻamau i ka ʻōpū fallopian).
I loko o ka poʻe i loaʻa i nā testicles, ʻaʻole hiki ke loaʻa ka infertility ma muli o ka gonorrhea. Akā naʻe, hiki i ka gonorrhea i mālama ʻole ʻia ke hoʻopili i ka testicles a i ʻole prostate, e hōʻemi ana i ka momona.
Hiki i ka gonorrhea ke mālama ʻole ʻia i loko o nā kāne ke hoʻoulu i ka epididymitis, kahi maʻi ʻeha.
Hiki i ka epididymitis ke hoʻoulu i ka mumū o nā testicles. Ua kapa ʻia kēia epididymo-orchitis. Ua mālama ʻia ka epididymitis me nā lāʻau antibiotic.
Hiki ke loaʻa nā hōʻailona PID mai ka maʻalahi a me ka liʻiliʻi a hiki i ke koʻikoʻi. E like me ka gonorrhea, hiki ke loaʻa iā PID me ka ʻole o ka ʻike mua.
Hiki ke hana ʻia ka ʻike o ka gonorrhea me ka hoʻāʻo ʻana i ka mimi a i ʻole ka hoʻāʻo swab. Hiki ke hana ʻia nā hoʻāʻo swab ma ka ʻōpū, rectum, puʻu, a i ʻole urethra.
Inā manaʻo ʻoe a i ʻole kāu mea mālama ola i ka PID, e nīnau lākou e pili ana i kāu mau hōʻailona olakino a me ka mōʻaukala moe.
Inā loaʻa iā ʻoe ka ʻeha pelvic a i ʻole ka ʻeha o ka ʻōpū haʻahaʻa me ke kumu ʻē aʻe, hiki i kāu mea mālama ola ke hōʻoia i ka PID inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ʻē aʻe:
Inā manaʻo ʻia ka maʻi nui, hiki ke hana ʻia nā hoʻokolohua hou aʻe e ʻike ai i ka nui o ka pōʻino i kāu mau mea hānau.
Ma kahi o 1 i loko o 10 poʻe me PID e hānai ʻole ma muli o ka PID. ʻO ka mālama mua ʻana ke kī i ka pale ʻana i ka infertility a me nā pilikia ʻē aʻe.
ʻO nā lāʻau antibiotic ka lāʻau lapaʻau mua no ka PID. Hiki iā ʻoe ke kauoha ʻia i nā lāʻau antibiotic waha, a i ʻole e hāʻawi ʻia ʻoe i ka lāʻau ma ke kīkī a i ʻole intravenously (IV, intravenous).
Inā he ma'i ko'iko'i 'oe, he abscess, a he hapai paha, pono 'oe e ho'opa'a 'ia i ka hale ma'i.
Inā loaʻa iā ʻoe ka maʻi maʻi ma muli o ka PID, ʻaʻole e hoʻohuli ka lāʻau antibiotic.
ʻAʻole hiki ke hoʻoponopono i ka ʻenehana hana hoʻohua kōkua i ka PID. Akā naʻe, hiki i nā kaʻina hana e like me ka in vitro fertilization (IVF) ke uhi i ka ʻili o nā ʻōpū fallopian, e ʻae ai i kekahi poʻe e hāpai.
ʻAʻole ʻoiaʻiʻo maikaʻi ka wehe ʻana i ka maʻi maʻi a me ka IVF. I kekahi mau hihia, makemake paha ʻoe e noʻonoʻo i nā koho ʻē aʻe no ka hāpai ʻana a me ka noho makua.
ʻO Gonorrhea kahi maʻi bacteria i hoʻouna ʻia ma ke kāne.
Hiki i ka PID ke mālama ʻole ʻia ke alakaʻi i ka ʻili ʻana o ka ʻōpū fallopian, e paʻakikī ai ka hāpai ʻana a hiki ʻole paha i ka poʻe me ka ʻōpū.
Hiki ke loaʻa i ka maʻi maʻi maʻi maʻamau a hoʻohana ʻole i ka condom, ʻoiai hoʻokahi wale nō.
ʻO ka loaʻa ʻana o ka gonorrhea ʻaʻole ia he hōʻailona o ke ʻano maikaʻi ʻole a i ʻole nā ​​koho maikaʻi ʻole. Hiki ke loaʻa i kekahi. ʻO ke ala wale nō e pale aku ai i nā pilikia e like me ka gonorrhea a me ka PID ʻo ka hoʻohana mau ʻana i ka condom i ka wā o ka moekolohe.
Inā hoʻoikaika kino ʻoe a manaʻo paha ʻoe i ka pilikia nui, pono paha e kipa pinepine i kāu mea mālama ola no ka nānā ʻana. Hiki iā ʻoe ke hoʻāʻo no ka maʻi gonorrhea a me nā maʻi maʻi maʻi ʻē aʻe ma ka home.
ʻAe. Hiki i ka gonorrhea ke alakaʻi i ka fibroids uterine a me ka epididymitis testicular. Hiki i nā kūlana ʻelua ke alakaʻi i ka infertility. ʻOi aku ka maʻamau o nā PID.
ʻO nā maʻi i hoʻouna ʻia e ka moekolohe e like me ka gonorrhea a me ka chlamydia maʻamau he asymptomatic. Hiki iā ʻoe ke loaʻa i ka maʻi no ka manawa lōʻihi, ʻo nā makahiki, me ka ʻike ʻole.
ʻAʻohe manawa maopopo no ka pōʻino hiki iā lākou ke hana. Akā naʻe, ʻaʻohe manawa ma kou ʻaoʻao.
Pono ʻoe a me kāu hoa e lawe i nā lāʻau antibiotic a hōʻole i ka moekolohe no hoʻokahi pule ma hope o ka pau ʻana o nā lāʻau lapaʻau.
I kēlā manawa, hiki iā ʻoe a me kāu kahu mālama ola ke kūkākūkā i ka wā e hoʻomaka ai ʻoe e hāpai.
E kau inoa i kā mākou ʻōlelo aʻoaʻo olakino i kēlā me kēia lā a loaʻa i nā ʻōlelo aʻoaʻo i kēlā me kēia lā e kōkua iā ʻoe e ola i kou ola olakino.
Panelli DM, Phillips CH, Brady PC. Incidence, diagnostics, and management of tubal and nontubal ectopic pregnancy: a review.Fertilizer and practice.2015;1(1):15.doi10.1186/s40738-015-0008-z
Zhao H, Yu C, He C, Mei C, Liao A, Huang D. Nā waiwai palekana o ka epididymis a me nā ala kū'ē i ka epididymitis i hanaʻia e nā pathogens likeʻole.pre-immune.2020;11:2115.doi:10.3389/fimmu.2020.02115
Nā Center for the Disease Control and Prevention.Pelvic inflammatory disease (PID) pepa ʻike CDC.