He mea kākoʻo maʻi ʻo Corey Whelan me nā makahiki he ʻumi o ka ʻike ma ke olakino hānau hou. He mea kākau kūʻokoʻa nō hoʻi ʻo ia i loea i ka ʻike olakino a me ka lāʻau lapaʻau.
He maʻi laha hiki ke hoʻōla ʻia ka Gonorrhea (STI). Hoʻolaha ʻia ia ma o ka moekolohe vaginal, anal, a waha paha me ka ʻole o ka condom. ʻO kēlā me kēia mea e moe kolohe ana a moe me ka ʻole o ka condom hiki ke loaʻa ka gonorrhea mai kahi hoa i loaʻa i ka maʻi.
Loaʻa paha iā ʻoe ka gonorrhea a ʻaʻole ʻoe i ʻike. ʻAʻole kēia ʻano e hōʻike mau i nā hōʻailona, ​​​​ʻoi aku hoʻi i ka poʻe me ka uterus. ʻO nā hōʻailona o ka gonorrhea i ka poʻe o kēlā me kēia kāne e komo pū me:
Ma kahi o 5 i loko o 10 mau wahine i loaʻa i ka maʻi he asymptomatic (ʻaʻohe hōʻailona). Hiki iā ʻoe ke loaʻa nā hōʻailona liʻiliʻi i hiki ke kuhihewa ʻia no kekahi maʻi ʻē aʻe, e like me ka maʻi vaginal a i ʻole ka maʻi mimi.
Ke hoʻoulu ka gonorrhea i nā hōʻailona, ​​​​hiki iā lākou ke kū i nā lā, nā pule, a i ʻole nā ​​​​mahina ma hope o ka maʻi mua. Hiki i nā hōʻailona hope ke alakaʻi i ka lohi o ka ʻike ʻana a me ka lohi o ka mālama ʻana. Inā ʻaʻole mālama ʻia ka gonorrhea, hiki ke loaʻa nā pilikia. ʻO kēia mau mea ka maʻi mumū pelvic (PID), hiki ke alakaʻi i ka hānau ʻole.
E kūkākūkā kēia ʻatikala pehea e hiki ai i ka gonorrhea ke alakaʻi i ka hānau ʻole ʻana, nā hōʻailona āu e loaʻa ai, a me ka lāʻau i manaʻo ʻia.
Hoʻokumu ʻia ka gonorrhea e ka maʻi gonococcal. Inā ʻike koke ʻia, hiki ke mālama maʻalahi ʻia ka hapa nui o nā hihia o ka gonorrhea me nā antibiotics injectable. ʻO ka nele o ka lāʻau lapaʻau hiki ke alakaʻi i ka hānau ʻole ʻana i nā wahine (ka poʻe me ka uterus) a me nā kāne ʻaʻole pinepine (ka poʻe me nā testicles).
Inā ʻaʻole mālama ʻia, hiki i ka bacteria e hoʻoulu ai i ka gonorrhea ke komo i loko o nā ʻōpū hānau ma o ka vagina a me ka cervix, e hana ana i ka maʻi mumū pelvic (PID) i nā poʻe me ka uterus. Hiki i ka PID ke hoʻomaka i nā lā a i ʻole nā ​​​​pule ma hope o ka maʻi gonorrhea mua.
Hoʻokumu ka PID i ka mumū a me ke kūkulu ʻia ʻana o nā abscesses (nā ʻeke wai i loaʻa i ka maʻi) i loko o nā ʻōmole fallopian a me nā ovaries. Inā ʻaʻole i mālama ʻia i ka wā mua, hiki ke hana ʻia nā ʻiʻo ʻeha.
Ke hoʻokumu ʻia ka ʻiʻo ʻeha ma ka uhi palupalu o ka ʻōmole fallopian, hoʻohaiki a pani paha ia i ka ʻōmole fallopian. ʻO ka maʻamau, hana ʻia ka hoʻoulu ʻana i loko o nā ʻōmole fallopian. ʻO ka ʻiʻo ʻeha i hoʻokumu ʻia e PID e paʻakikī a hiki ʻole paha i ka hua ke hoʻoulu ʻia e ka sperm i ka wā moe. Inā ʻaʻole hiki i ka hua a me ka sperm ke hui, ʻaʻole e hiki mai ka hāpai maoli.
Hoʻonui pū ka PID i ka pilikia o ka hāpai ectopic (ke kau ʻana o kahi hua manu i hoʻoulu ʻia ma waho o ka ʻōpū, ʻo ka mea maʻamau i loko o ka ʻōmole fallopian).
I ka poʻe me nā testicles, ʻaʻole nui ka hiki ke loaʻa ka hānau ʻole ʻana e ka gonorrhea. Eia nō naʻe, hiki i ka gonorrhea i mālama ʻole ʻia ke hoʻopilikia i nā testicles a i ʻole ka prostate, e hōʻemi ana i ka hānau ʻana.
ʻO ka gonorrhea i mālama ʻole ʻia i nā kāne hiki ke hana i ka epididymitis, kahi maʻi mumū. Hoʻoulu ka epididymitis i ka mumū o ka ʻōmole i ʻōwili ʻia ma ke kua o ka testicle. Mālama kēia ʻōmole a lawe i ka sperm.
Hiki i ka epididymitis ke hoʻoulu i ka mumū o nā testicles. Ua kapa ʻia kēia he epididymo-orchitis. Hoʻōla ʻia ka epididymitis me nā antibiotics. ʻO nā hihia i mālama ʻole ʻia a koʻikoʻi paha e alakaʻi i ka hānau ʻole.
Hiki i nā hōʻailona PID ke ʻano mai ka ʻoluʻolu loa a me ka liʻiliʻi ʻole a hiki i ka koʻikoʻi. E like me ka gonorrhea, hiki ke loaʻa ka PID me ka ʻike ʻole i ka wā mua.
Hiki ke hana ʻia ka ʻike ʻana i ka gonorrhea me kahi hoʻāʻo mimi a i ʻole ka hoʻāʻo swab. Hiki ke hana ʻia nā hoʻāʻo swab ma ka vagina, rectum, throat, a i ʻole urethra.
Inā kānalua ʻoe a i ʻole kāu mea mālama ola kino i ka PID, e nīnau lākou e pili ana i kāu mau hōʻailona olakino a me ka mōʻaukala moekolohe. Hiki ke paʻakikī ka ʻike ʻana i kēia kūlana no ka mea ʻaʻohe hoʻokolohua diagnostic kikoʻī no PID.
Inā loaʻa iā ʻoe ka ʻeha pelvic a i ʻole ka ʻeha o ka ʻōpū haʻahaʻa me ke kumu ʻole ʻē aʻe, hiki i kāu mea mālama ola ke hoʻomaopopo i ka PID inā loaʻa iā ʻoe ma ka liʻiliʻi o kekahi o nā hōʻailona ʻē aʻe:
Inā kānalua ʻia ka maʻi holomua, hiki ke hana ʻia nā hoʻokolohua hou aʻe e loiloi i ka nui o ka hōʻino ʻana i kāu mau kino hānau. Hiki i kēia mau hoʻokolohua ke komo pū me:
Ma kahi o 1 i loko o 10 mau kānaka me PID e hānau ʻole ma muli o PID. ʻO ka mālama mua ʻana he mea nui ia no ka pale ʻana i ka hānau ʻole ʻana a me nā pilikia ʻē aʻe.
ʻO nā antibiotics ka lāʻau lapaʻau mua no PID. Hiki ke kuhikuhi ʻia ʻoe i nā antibiotics waha, a i ʻole e hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau ma ke inikini a i ʻole intravenously (IV, intravenous). Pono pū kāu hoa moe a hoa paha i nā antibiotics, ʻoiai inā ʻaʻohe o lākou mau hōʻailona.
Inā maʻi nui ʻoe, loaʻa iā ʻoe kahi abscess, a hāpai paha, pono paha ʻoe e hoʻokomo ʻia i ka haukapila i ka wā e mālama ʻia ai. ʻO kahi abscess i pohā a pohā paha e pono ai ke hoʻokahe ʻoki kino e wehe i ka wai i loaʻa i ka maʻi.
Inā loaʻa iā ʻoe ka ʻeha i hoʻokumu ʻia e ka PID, ʻaʻole e hoʻihoʻi nā antibiotics iā ia. I kekahi mau hihia, hiki ke mālama ʻia nā ʻōpū fallopian i ālai ʻia a hōʻino ʻia paha ma ke ʻoki ʻana e hoʻihoʻi i ka momona. Hiki iā ʻoe a me kāu mea mālama ola ke kūkākūkā i ka hiki ke hoʻoponopono ʻoki no kou kūlana.
ʻAʻole hiki i ka ʻenehana hānau kōkua ke hoʻoponopono i ka pōʻino PID. Eia nō naʻe, hiki i nā kaʻina hana e like me ka hoʻoulu ʻana i loko o ka vitro (IVF) ke uhi i ka ʻeha o nā ʻōpū fallopian, e ʻae ana i kekahi poʻe e hāpai. Inā loaʻa iā ʻoe ka hānau ʻole i hoʻokumu ʻia e PID, hiki i nā loea e like me nā endocrinologists hānau ke kūkākūkā i nā koho hāpai me ʻoe.
ʻAʻole hōʻoiaʻiʻo ʻia ka pono o ka wehe ʻana i nā ʻōpala ʻoki kino a i ʻole ka IVF. I kekahi mau hihia, makemake paha ʻoe e noʻonoʻo i nā koho ʻē aʻe no ka hāpai ʻana a me ka makua. ʻO kēia mau mea e pili ana i ka surrogacy (ke lawe mai kekahi kanaka i kahi hua manu i hoʻoulu ʻia i ka manawa), ka hānai ʻana, a me ka hānai ʻana i ka mālama hānai.
He maʻi bacteria i laha ma ke ʻano moekolohe ka Gonorrhea. Hiki i ka Gonorrhea ke hoʻoulu i ka hānau ʻole inā ʻaʻole mālama ʻia. Pono ka mālama mua ʻana e pale i nā pilikia e like me ka maʻi mumū pelvic (PID) i nā wahine a me ka epididymitis i nā kāne.
ʻO ka PID i mālama ʻole ʻia hiki ke alakaʻi i ka ʻeha o nā ʻōpū fallopian, e paʻakikī ai ka hāpai ʻana a hiki ʻole paha no ka poʻe me ka ʻōpū. Inā loaʻa koke, hiki ke mālama pono ʻia ka gonorrhea, PID, a me ka epididymitis me nā antibiotics. Inā loaʻa iā ʻoe ka ʻeha mai ka PID holomua, hiki i ka lāʻau ke kōkua iā ʻoe e hāpai a lilo paha i makua.
ʻO kēlā me kēia mea e moe kolohe ana a ʻaʻole hoʻohana i ka condom, ʻoiai hoʻokahi manawa, hiki ke loaʻa i ka gonorrhea. Hiki i kēia maʻi maʻamau i laha ma ke moe kolohe ke hiki i nā kānaka o kēlā me kēia makahiki.
ʻAʻole ka loaʻa ʻana o ka gonorrhea he hōʻailona o ke ʻano maikaʻi ʻole a i ʻole nā ​​​​koho maikaʻi ʻole. Hiki ke hana i kekahi. ʻO ke ala wale nō e pale aku ai i nā pilikia e like me ka gonorrhea a me ka PID ʻo ia ka hoʻohana mau ʻana i ka condom i ka wā o ka moekolohe.
Inā ʻoe e moe kolohe a manaʻo paha ʻoe he kiʻekiʻe kou pilikia, he mea kūpono paha ke kipa pinepine aku i kāu mea mālama ola no ka nānā ʻana. Hiki iā ʻoe ke hoʻāʻo no ka gonorrhea a me nā maʻi ʻē aʻe i laha ma ka moekolohe ma ka home. Pono e hahai mau ʻia kahi hopena hoʻāʻo maikaʻi e ke kipa ʻana aku i kahi mea mālama ola.
ʻAe. Hiki i ka Gonorrhea ke alakaʻi i nā 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 laha ma ke ʻano moekolohe e like me ka gonorrhea a me ka chlamydia he mau asymptomatic. Hiki iā ʻoe ke loaʻa i ka maʻi no ka manawa lōʻihi, a hiki i nā makahiki, me ka ʻike ʻole.
ʻAʻohe manawa maopopo no ka pōʻino a lākou e hana ai. Eia naʻe, ʻaʻole ma kou ʻaoʻao ka manawa. He mea nui ka mālama mua ʻana e pale aku i nā pilikia e like me ka ʻeha o loko a me ka hānau ʻole ʻana.
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 āpau. Pono ʻolua e hoʻāʻo hou ʻia ma kahi o ʻekolu mahina e hōʻoia ai ua maikaʻi ʻole ʻoe.
I kēlā manawa, hiki iā ʻoe a me kāu mea mālama ola ke kūkākūkā i ka wā e hoʻomaka ai ʻoe e hoʻāʻo e hāpai. E hoʻomanaʻo, ʻaʻole e pale ka mālama mua ʻana no ka gonorrhea iā ʻoe mai ka loaʻa hou ʻana.
E kākau inoa i kā mākou nūhou ʻōlelo aʻoaʻo olakino i kēlā me kēia lā a loaʻa iā ʻoe nā ʻōlelo aʻoaʻo i kēlā me kēia lā e kōkua iā ʻoe e ola i kou ola olakino loa.
ʻO Panelli DM, Phillips CH, Brady PC. Ka hanana, ka ʻike, a me ka hoʻokele ʻana i ka hāpai ʻana o ka ectopic tubal a me ka nontubal: he loiloi. Fertilizer a me ka hana.2015;1(1):15.doi10.1186/s40738-015-0008-z
ʻO Zhao H, Yu C, He C, Mei C, Liao A, Huang D. Nā waiwai pale o ka epididymis a me nā ala pale i ka epididymitis i hoʻokumu ʻia e nā pathogens like ʻole.pre-immune.2020;11:2115.doi:10.3389/fimmu.2020.02115
Nā Kikowaena no ka Manaʻo a me ka Kāohi ʻana i nā Maʻi. Pepa ʻoiaʻiʻo CDC no ka maʻi mumū Pelvic (PID).