Corey Whelan yog tus kws tshaj lij tus neeg mob nrog ntau xyoo dhau los ntawm kev paub txog kev noj qab haus huv ntawm kev yug me nyuam.Nws kuj yog tus kws sau ntawv ywj pheej tshwj xeeb hauv kev noj qab haus huv thiab kev kho mob.
Tus kab mob gonorrhea yog ib yam kab mob uas kho tau los ntawm kev sib deev (STI).Nws kis tau los ntawm qhov chaw mos, qhov quav, lossis qhov ncauj nrog poj niam txiv neej yam tsis muaj hnab looj tes.Txhua tus uas muaj kev sib deev thiab sib deev yam tsis muaj hnab looj tes yuav kis tau tus kab mob gonorrhea los ntawm tus khub.
Tej zaum koj yuav muaj kab mob gonorrhea thiab tsis paub nws.Tus mob no tsis tas yuav ua rau cov tsos mob, tshwj xeeb tshaj yog nyob rau hauv cov neeg uas muaj lub tsev menyuam. Cov tsos mob ntawm gonorrhea nyob rau hauv cov neeg ntawm ib tug poj niam los txiv neej tej zaum yuav muaj xws li:
Kwv yees li ntawm 5 ntawm 10 tus poj niam uas muaj tus kab mob no yog asymptomatic (tsis muaj tsos mob).Koj tuaj yeem muaj cov tsos mob me me uas tuaj yeem ua yuam kev rau lwm tus mob, xws li kab mob hauv qhov chaw mos lossis zais zis.
Thaum tus kab mob gonorrhea ua rau cov tsos mob tshwm sim, lawv tuaj yeem tshwm sim hnub, lub lis piam, lossis hli tom qab pib kis kab mob. Cov tsos mob lig tuaj yeem ua rau kev kuaj mob qeeb thiab kev kho mob qeeb.Yog kab mob gonorrhea mus tsis tau, muaj teeb meem tshwm sim.Cov no suav nrog kab mob pelvic inflammatory (PID), uas tuaj yeem ua rau muaj menyuam tsis taus.
Kab lus no yuav tham txog yuav ua li cas tus kab mob gonorrhea tuaj yeem ua rau muaj menyuam tsis taus, cov tsos mob uas koj muaj, thiab kev kho mob xav tau.
Cov kab mob gonorrhea yog tshwm sim los ntawm tus kab mob gonococcal.Yog tias ntes tau ntxov, feem ntau ntawm cov kab mob gonorrhea yog yooj yim kho nrog tshuaj tua kab mob. Tsis muaj kev kho mob tuaj yeem ua rau muaj menyuam tsis taus hauv cov poj niam (cov neeg uas muaj lub tsev menyuam) thiab cov txiv neej tsawg dua (cov uas muaj noob qes).
Yog tias tsis kho, cov kab mob uas ua rau cov kab mob gonorrhea tuaj yeem nkag mus rau hauv cov kab mob hauv lub cev los ntawm qhov chaw mos thiab lub ncauj tsev menyuam, ua rau cov kab mob pelvic inflammatory (PID) hauv cov neeg uas muaj lub tsev menyuam.PID tuaj yeem pib hnub lossis ntau lub lis piam tom qab pib tus kab mob gonorrhea.
PID ua rau mob thiab tsim cov abscesses (cov hnab ntim cov kua dej) hauv cov hlab ntsha thiab zes qe menyuam.Yog tias tsis kho ntxov, cov caws pliav tuaj yeem tsim.
Thaum cov caws pliav tshwm sim ntawm cov kab mob hauv cov hlab ntsha uas tsis yooj yim, nws nqaim los yog kaw cov hlab ntsha. Fertilization feem ntau tshwm sim hauv cov hlab ntsha fallopian.Cov caws pliav los ntawm PID ua rau nws nyuaj lossis ua tsis tau rau lub qe kom fertilized los ntawm cov phev thaum sib deev.Yog lub qe thiab cov phev tsis tuaj yeem sib ntsib, lub cev xeeb tub yuav tsis tshwm sim.
PID kuj ua rau muaj kev pheej hmoo ntawm cev xeeb tub ectopic (kev cog qoob loo ntawm lub qe fertilized sab nraum lub tsev menyuam, feem ntau nyob rau hauv lub raj mis).
Hauv cov neeg uas muaj cov noob qes, kev xeeb tub tsis tshua muaj tshwm sim los ntawm tus kab mob gonorrhea.Txawm li cas los xij, tus kab mob gonorrhea tsis kho tuaj yeem kis tau rau cov noob qes lossis prostate, txo qis kev xeeb tub.
Tsis kho gonorrhea nyob rau hauv cov txiv neej yuav ua rau epididymitis, ib tug inflammatory kab mob.Epididymitis ua o ntawm lub coiled tube nyob rau tom qab ntawm lub testicle.Lub raj no khaws cia thiab thauj phev.
Epididymitis kuj tuaj yeem ua rau mob qog nqaij hlav.Qhov no hu ua epididymo-orchitis.Epididymitis yog kho nrog tshuaj tua kab mob.Kev kho tsis tau lossis mob hnyav tuaj yeem ua rau muaj menyuam tsis taus.
Cov tsos mob ntawm PID tuaj yeem nyob ntawm qhov mob me me thiab tsis tseem ceeb mus rau qhov hnyav. Zoo li gonorrhea, nws muaj peev xwm muaj PID yam tsis paub thaum xub thawj.
Kev kuaj kab mob gonorrhea tuaj yeem ua tiav nrog kev kuaj zis lossis kuaj swab.Swab kuaj kuj tuaj yeem ua tiav hauv qhov chaw mos, qhov quav, caj pas, lossis urethra.
Yog tias koj lossis koj tus kws kho mob xav tias PID, lawv yuav nug txog koj cov tsos mob thiab keeb kwm kev sib deev.
Yog tias koj muaj mob plab lossis mob plab uas tsis muaj lwm yam ua rau, koj tus kws kho mob tuaj yeem kuaj PID yog tias koj muaj tsawg kawg yog ib qho ntawm cov tsos mob hauv qab no:
Yog tias xav tias muaj tus kab mob siab heev, tej zaum yuav muaj kev ntsuam xyuas ntxiv los ntsuas qhov kev puas tsuaj rau koj lub cev xeeb tub.Cov kev sim no yuav suav nrog:
Kwv yees li 1 ntawm 10 tus neeg uas muaj PID yuav muaj menyuam tsis taus vim yog PID. Kev kho thaum ntxov yog qhov tseem ceeb rau kev tiv thaiv kev xeeb tub thiab lwm yam teeb meem.
Cov tshuaj tua kab mob yog thawj kab kev kho mob rau PID.Koj tuaj yeem muab tshuaj tua kab mob hauv qhov ncauj, lossis koj tuaj yeem muab tshuaj los ntawm kev txhaj tshuaj lossis txhaj tshuaj (IV, tso rau hauv cov hlab ntsha).
Yog tias koj mob hnyav, muaj abscess, los yog cev xeeb tub, tej zaum koj yuav tau mus pw hauv tsev kho mob thaum kho.Ib qho abscess uas tau ruptured los yog rupture yuav tsum tau phais tshem tawm cov kua dej.
Yog tias koj muaj caws pliav los ntawm PID, cov tshuaj tua kab mob yuav tsis thim rov qab. Qee qhov xwm txheej, cov hlab ntsha txhaws lossis cov hlab ntsha puas tuaj yeem raug kho los ntawm kev phais kom rov qab muaj menyuam.Koj thiab koj tus kws kho mob tuaj yeem sib tham txog qhov ua tau ntawm kev phais kho rau koj tus mob.
Kev pabcuam kev ua menyuam tsis tuaj yeem kho PID kev puas tsuaj.Txawm li cas los xij, cov txheej txheem zoo li hauv vitro fertilization (IVF) tuaj yeem npog qhov caws pliav ntawm cov hlab ntsha, tso cai rau qee tus neeg cev xeeb tub.Yog tias koj muaj menyuam tsis taus los ntawm PID, cov kws tshaj lij xws li cov kws kho menyuam yaus endocrinologist tuaj yeem tham txog kev xeeb menyuam nrog koj.
Tsis muaj kev tshem tawm caws pliav lossis IVF tau lees paub tias yuav ua tau zoo.Qee lub sijhawm, koj tuaj yeem xav txog lwm yam kev xaiv rau cev xeeb tub thiab kev ua niam txiv.Cov no muaj xws li surrogacy (thaum lwm tus neeg nqa lub qe fertilized rau lub sij hawm), kev saws me nyuam, thiab kev tu me nyuam.
Gonorrhea yog kab mob sib kis los ntawm kev sib deev.Gonorrhea tuaj yeem ua rau muaj menyuam tsis taus yog tias tsis kho.Nyob rau hauv kev kho mob ntxov yog tsim nyog los tiv thaiv cov teeb meem xws li kab mob pelvic inflammatory (PID) hauv cov poj niam thiab epididymitis hauv cov txiv neej.
Tsis kho PID tuaj yeem ua rau muaj caws pliav ntawm cov hlab ntsha, ua rau kev xav nyuaj lossis ua tsis tau rau cov neeg uas muaj lub tsev menyuam.Yog tias ntes tau ntxov, kab mob gonorrhea, PID, thiab epididymitis tuaj yeem kho tau zoo nrog tshuaj tua kab mob.Yog tias koj muaj caws pliav los ntawm PID siab, kev kho yuav pab koj cev xeeb tub lossis ua niam txiv.
Txhua tus neeg uas muaj kev sib deev thiab tsis siv hnab looj tes, txawm tias ib zaug, tuaj yeem kis tau tus kab mob gonorrhea.Qhov no kis tau tus kab mob sib deev heev tuaj yeem tshwm sim rau cov neeg ntawm txhua lub hnub nyoog.
Kev muaj tus kab mob gonorrhea tsis yog ib qho cim ntawm tus cwj pwm phem lossis kev xaiv tsis zoo.Nws tuaj yeem tshwm sim rau leej twg.Tib txoj hauv kev kom tsis txhob muaj teeb meem xws li kab mob gonorrhea thiab PID yog ib txwm siv hnab looj tes thaum muaj kev sib deev.
Yog tias koj muaj kev sib deev lossis xav tias koj muaj kev pheej hmoo siab, nws yuav ua rau muaj kev cuam tshuam nrog koj mus ntsib koj tus kws kho mob tsis tu ncua mus kuaj.
Yog.Gonorrhea tuaj yeem ua rau uterine fibroids thiab testicular epididymitis.Ob yam mob tuaj yeem ua rau muaj menyuam tsis taus.PIDs muaj ntau dua.
Kev sib deev kis kab mob xws li gonorrhea thiab chlamydia feem ntau yog asymptomatic.Koj tuaj yeem kis tau mus ntev, txawm ntau xyoo, tsis paub nws.
Tsis muaj lub sijhawm meej meej rau qhov kev puas tsuaj uas lawv tuaj yeem ua tau.Txawm li cas los xij, lub sijhawm tsis nyob ntawm koj sab. Kev kho mob thaum ntxov yog qhov tseem ceeb kom tsis txhob muaj teeb meem xws li caws pliav thiab kev xeeb tub.
Koj thiab koj tus khub yuav tsum tau noj tshuaj tua kab mob thiab zam kev sib deev rau ib lub lim tiam tom qab ua tiav tag nrho cov tshuaj.Koj ob leeg yuav tsum tau sim dua li ntawm peb lub hlis kom paub tseeb tias koj tsis zoo.
Lub sijhawm ntawd, koj thiab koj tus kws kho mob tuaj yeem sib tham txog thaum twg koj yuav tsum pib sim xeeb tub.Nco ntsoov, kev kho mob gonorrhea yav dhau los yuav tsis tiv thaiv koj los ntawm kev rov qab los.
Sau npe rau peb cov ntawv xov xwm qhia txog kev noj qab haus huv txhua hnub thiab tau txais cov lus qhia txhua hnub los pab koj ua neej nyob zoo tshaj plaws.
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Zhao H, Yu C, He C, Mei C, Liao A, Huang D. Kev tiv thaiv kab mob ntawm epididymis thiab kev tiv thaiv kab mob hauv epididymitis tshwm sim los ntawm cov kab mob sib txawv.pre-immune.2020;11:2115.doi:10.3389/fimmu.2020.02115
Lub Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob.Pelvic inflammatory disease (PID) CDC daim ntawv qhia tseeb.