UCorey Whelan ungummeli onesineke onolwazi lwamashumi eminyaka kwezempilo yokuzala.Uphinde abe ngumbhali ozisebenzelayo onguchwepheshe kwezempilo nokwelashwa
I-gonorrhea isifo esithathelwana ngocansi eselaphekayo (STI).Sisakazwa ngocansi lwesitho sangasese sowesifazane, sangemuva noma ngomlomo ngaphandle kwekhondomu.Noma ubani oya ocansini futhi aya ocansini ngaphandle kwekhondomu angathola isifo sohudo kumlingani onaso.
Kungenzeka ukuthi unesifo sohudo kodwa ungazi.Lesi simo asihlali sidala izimpawu, ikakhulukazi kubantu abanesibeletho.Izimpawu zegonorrhea kubantu banoma yibuphi ubulili zingase zihlanganisa:
Cishe abesifazane aba-5 kwabayi-10 abanalesi sifo abanazimpawu (abanazimpawu). Ungaphinda ube nezimpawu ezithambile ezingathathwa ngephutha njengesinye isimo, njengesifo esithweni sangasese sangasese noma esinyeni.
Uma i-gonorrhea ibangela izimpawu, zingenzeka ezinsukwini, amasonto, noma izinyanga ngemva kokutheleleka kokuqala.Izimpawu eziphuzile zingaholela ekubambezelekeni kokuxilongwa kanye nokubambezeleka kokwelashwa.Uma i-gonorrhea ingelashwa, izinkinga zingenzeka.Lokhu kuhlanganisa isifo sokuvuvukala kwe-pelvic (PID), esingaholela ekungabini abantwana.
Lesi sihloko sizodingida ukuthi i-gonorrhea ingaholela kanjani ekungazali, izimpawu ongase ube nazo, kanye nokwelashwa okulindelekile.
I-gonorrhea ibangelwa ukutheleleka kwe-gonococcal.Uma ibanjwe kusenesikhathi, izimo eziningi ze-gonorrhea zilashwa kalula ngemijovo elwa namagciwane.Ukuntuleka kokwelashwa kungagcina kuholele ekubeni abantu besifazane (abanesibeletho) bangabi nabantwana futhi akuvamile ukuba abesilisa (abanamasende).
Uma ingelashwa, amagciwane abangela isipatsholo angangena ezithweni zokuzala esebenzisa isitho sangasese sowesifazane kanye nomlomo wesibeletho, okubangele isifo sokuvuvukala kwe-pelvic (PID) kubantu abanesibeletho.
I-PID ibangela ukuvuvukala nokwakheka kwamathumba (amaphakethe oketshezi oluthelelekile) kumashubhu e-fallopian nasemaqanda. Uma ingelashwa kusenesikhathi, kungase kwakheke izicubu ezibomvu.
Lapho izicubu ezibaziyo zakha olwelweni oluntekenteke lweshubhu le-fallopian, luyanciphisa noma luvale ishubhu le-fallopian. Ukuvundiswa kuvame ukuvela kumashubhu e-fallopian.Izicubu ezibomvu ezibangelwa i-PID zenza kube nzima noma kungenzeki ukuthi iqanda lihlanganiswe isidoda ngesikhathi socansi.Uma iqanda nesidoda kungakwazi ukuhlangana, ukukhulelwa okungokwemvelo ngeke kwenzeke.
I-PID iphinde yandisa ingozi yokukhulelwa kwe-ectopic (ukufakwa kweqanda elivundisiwe ngaphandle kwesibeletho, ngokuvamile eshubhu le-fallopian).
Kubantu abanamasende, ukuntula inzalo mancane amathuba okuba kubangelwe i-gonorrhea.Kodwa-ke, i-gonorrhea engelashiwe ingahlasela amasende noma i-prostate, inciphise inzalo.
I-gonorrhea engalashwa emadodeni ingabangela i-epididymitis, isifo esivuvukalayo.I-Epididymitis ibangela ukuvuvukala kweshubhu eligoqiwe elitholakala ngemuva kwesende.Leli shubhu ligcina futhi lithuthe isidoda.
I-Epididymitis ingase futhi ibangele ukuvuvukala kwamasende.Lokhu kubizwa ngokuthi i-epididymo-orchitis.I-Epididymitis yelashwa ngama-antibiotics.Izimo ezingelashiwe noma ezinzima zingaholela ekungabini abantwana.
Izimpawu ze-PID zingasukela ekubeni mnene kakhulu futhi zingasho lutho kuye kwezinzima kakhulu. Njengegonorrhea, kungenzeka ukuthi ube ne-PID ngaphandle kokwazi ekuqaleni.
Ukuxilongwa kwe-gonorrhea kungenziwa ngokuhlolwa komchamo noma ukuhlolwa kwe-swab.
Uma wena noma umhlinzeki wakho wokunakekelwa kwezempilo nisola i-PID, bazobuza mayelana nezimpawu zakho zezokwelapha kanye nomlando wezocansi. Ukuxilonga lesi simo kungaba inselele njengoba kungekho ukuhlolwa okuqondile kwe-PID.
Uma unobuhlungu be-pelvic noma ubuhlungu obuphansi besisu ngaphandle kwanoma yisiphi esinye isizathu, umhlinzeki wakho wezempilo angase axilonge i-PID uma okungenani unesinye salezi zimpawu ezilandelayo:
Uma kusolwa isifo esithuthukile, ukuhlolwa okwengeziwe kungenziwa ukuze kuhlolwe izinga lomonakalo ezithweni zakho zokuzala.Lokhu kuhlola kungase kuhlanganise:
Cishe umuntu oyedwa kwabayi-10 one-PID ngeke abe nenzalo ngenxa ye-PID.Ukwelashwa kusenesikhathi kuyisihluthulelo sokuvimbela inzalo nezinye izinkinga ezingaba khona.
Ama-antibiotics ayindlela yokwelapha yokuqala ye-PID. Ungase unikezwe imithi elwa namagciwane, noma unganikezwa imithi ngomjovo noma ngomjovo (IV, ngomthambo).
Uma ugula kakhulu, unethumba, noma ukhulelwe, kungase kudingeke ulaliswe esibhedlela ngesikhathi sokwelashwa.Ithumba eliqhumile noma elingase liqhume lingase lidinge ukugeleza kwamanzi ngokuhlinzwa ukuze kukhishwe uketshezi olunegciwane.
Uma unezibazi ezibangelwa i-PID, ama-antibiotics ngeke akuhoxise. Kwezinye izimo, amashubhu e-fallopian avimbekile noma alimele angelashwa ngokuhlinzwa ukuze kubuyiselwe inzalo.Wena nomhlinzeki wakho wokunakekelwa kwezempilo ningaxoxa ngokuba nokwenzeka kokulungiswa kokuhlinzwa kwesimo sakho.
Ubuchwepheshe obusizayo bokuzala abukwazi ukulungisa umonakalo we-PID.Nokho, izinqubo ezifana ne-in vitro fertilization (IVF) zingavala izibazi zamashubhu e-fallopian, okuvumela abanye abantu ukuba bakhulelwe.Uma unokungazali okubangelwa i-PID, ochwepheshe abafana nodokotela be-endocrinologist zokuzala bangaxoxa nawe ngezinketho zokukhulelwa.
Ukususwa kwesibazi sokuhlinzwa noma i-IVF okuqinisekisiwe ukuthi izosebenza. Kwezinye izimo, ungase ufise ukucabangela ezinye izinketho zokukhulelwa nokuba umzali. Lokhu kufaka phakathi ukuzala (lapho omunye umuntu eletha iqanda elivundisiwe esikhathini esizayo), ukutholwa, kanye nokutholwa komntwana ongeyena.
I-gonorrhea isifo esithathelwana ngocansi.I-gonorrhea ingabangela inzalo uma ingelashwa.Ukwelashwa kusenesikhathi kuyadingeka ukuze kuvinjwe izinkinga ezifana nesifo sokuvuvukala kwe-pelvic (PID) kwabesifazane kanye ne-epididymitis emadodeni.
I-PID engalashiwe ingabangela izibazi zamashubhu e-fallopian, okwenza ukukhulelwa kube yinselele noma kungenzeki kulabo abanesibeletho.Uma usheshe wabanjwa, i-gonorrhea, i-PID, ne-epididymitis ingalashwa ngempumelelo ngama-antibiotics.Uma unezibazi ze-PID esezingeni eliphezulu, ukwelashwa kungase kukusize ukhulelwe noma ube umzali.
Noma ubani oya ocansini futhi ongayisebenzisi ikhondomu, ngisho nakanye, angangenwa isipatsholo. Lesi sifo esithathelwana ngocansi esivamile singenzeka nakubantu banoma ibuphi ubudala.
Ukuba ne-gonorrhea akulona uphawu lwesimilo esibi noma ukukhetha okubi.Kungenzeka kunoma ubani.Ukuphela kwendlela yokugwema izinkinga ezifana ne-gonorrhea ne-PID ukusebenzisa ikhondomu ngaso sonke isikhathi lapho uya ocansini.
Uma uya ocansini noma ucabanga ukuthi usengozini enkulu, kungase kube nengqondo ukuvakashela umhlinzeki wakho wezempilo njalo ukuze uhlolwe.Ungaphinde uhlolele isifo sohudo nezinye izifo ezithathelwana ngocansi ekhaya.Umphumela wokuhlolwa oqondile kufanele uhlale ulandelwa ngokuvakashela umhlinzeki wezempilo.
Yebo.I-gonorrhea ingaholela ku-uterine fibroids kanye ne-testicular epididymitis.Zombili lezi zimo zingaholela ekungazali.Ama-PID avame kakhulu.
Izifo ezithathelwana ngocansi ezifana ne-gonorrhea ne-chlamydia ngokuvamile azibonakali.Ungatheleleka isikhathi eside, ngisho neminyaka, ungazi.
Asikho isikhathi esicacile somonakalo ezingawenza.Nokho, isikhathi asikho ngasohlangothini lwakho.Ukwelashwa kusenesikhathi kubalulekile ukuze kugwenywe izinkinga ezifana nezibazi zangaphakathi nokungazali.
Wena nomlingani wakho kufanele niphuze ama-antibiotics futhi niyeke ukuya ocansini isonto lonke ngemva kokuqeda yonke imithi. Kuzodingeka nobabili nihlolwe futhi esikhathini esingangezinyanga ezintathu ukuze kuqinisekiswe ukuthi awunayo.
Ngaleso sikhathi, wena nomhlinzeki wakho wokunakekelwa kwezempilo ningakwazi ukuxoxa ngokuthi kufanele niqale nini ukuzama ukukhulelwa.Khumbula, ukwelashwa kwangaphambilini kwe-gonorrhea ngeke kukuvimbele ukuthi usithole futhi.
Bhalisela iphephandaba lethu lansuku zonke lamathiphu ezempilo futhi uthole amathiphu nsuku zonke angakusiza uphile impilo yakho enempilo.
Panelli DM, Phillips CH, Brady PC.Isigameko, ukuxilongwa, nokuphathwa kwe-tubal ectopic pregnancy: ukubuyekezwa.Umanyolo kanye nokwenza.2015;1(1):15.doi10.1186/s40738-015-0008-z
U-Zhao H, u-Yu C, u-He C, u-Mei C, u-Liao A, u-Huang D. Izakhiwo zokuzivikela ezifweni ze-epididymis nezindlela zokuzivikela ku-epididymitis ezibangelwa amagciwane ahlukene.pre-immune.2020;11:2115.doi:10.3389/fimmu.2020.02115.
Centers for Disease Control and Prevention.Pelvic inflammatory disease (PID) CDC fact sheet.