Corey Whelan ndi wolimbikitsa odwala yemwe ali ndi zaka zambiri akugwira ntchito yokhudza thanzi la kubereka. Iyenso ndi wolemba wodziyimira pawokha wodziwa bwino za zaumoyo ndi zamankhwala.
Chizonono ndi matenda opatsirana pogonana omwe amachiritsidwa (STI). Amafalikira kudzera mu kugonana kwa m'mimba, kumatako, kapena mkamwa popanda kondomu. Aliyense amene amachita zogonana popanda kondomu akhoza kutenga chizonono kuchokera kwa mnzanu amene ali ndi kachilomboka.
Mwina muli ndi chinzonono koma simukudziwa. Matendawa nthawi zonse samayambitsa zizindikiro, makamaka kwa anthu omwe ali ndi chiberekero. Zizindikiro za chinzonono mwa anthu amitundu yonse ndi monga:
Azimayi pafupifupi 5 mwa 10 omwe ali ndi kachilomboka amakhala opanda zizindikiro (palibe zizindikiro). Muthanso kukhala ndi zizindikiro zochepa zomwe zingasokonezedwe ndi vuto lina, monga matenda a m'mimba kapena matenda a chikhodzodzo.
Ngati chinzonono chikayambitsa zizindikiro, zimatha kuchitika masiku, milungu, kapena miyezi pambuyo pa matenda oyamba. Zizindikiro zochedwa zingayambitse kuchedwa kwa matenda komanso kuchedwa kulandira chithandizo. Ngati chinzonono sichichiritsidwa, mavuto amatha kuchitika. Izi zikuphatikizapo matenda otupa m'chiuno (PID), omwe angayambitse kusabereka.
Nkhaniyi ifotokoza momwe chinzonono chingabweretsere kusabereka, zizindikiro zomwe mungakhale nazo, ndi chithandizo chomwe mukuyembekezera.
Matenda a chinzonono amayamba chifukwa cha matenda a gonococcal. Ngati apezeka msanga, matenda ambiri a chinzonono amachiritsidwa mosavuta ndi maantibayotiki obayidwa jakisoni. Kusowa chithandizo pamapeto pake kungayambitse kusabereka kwa akazi (omwe ali ndi chiberekero) komanso amuna (omwe ali ndi machende).
Ngati sanalandire chithandizo, mabakiteriya omwe amayambitsa chinzonono amatha kulowa m'ziwalo zoberekera kudzera mu nyini ndi pachibelekero, zomwe zimayambitsa matenda otupa m'chiuno (PID) mwa anthu omwe ali ndi chiberekero. PID ikhoza kuyamba masiku kapena milungu ingapo pambuyo pa matenda oyamba a chinzonono.
PID imayambitsa kutupa ndi kupangika kwa matuza (matumba amadzimadzi omwe ali ndi kachilombo) m'machubu a fallopian ndi mazira. Ngati sichinachiritsidwe msanga, minofu ya zipsera ingapangidwe.
Minofu ya chilonda ikapangika pa chingwe chofooka cha thireyi ya mazira, imachepa kapena kutseka thireyi ya mazira. Kubereka nthawi zambiri kumachitika m'machubu a mazira. Minofu ya chilonda yomwe imayambitsidwa ndi PID imapangitsa kuti zikhale zovuta kapena zosatheka kuti dzira liphatikizidwe ndi umuna panthawi yogonana. Ngati dzira ndi umuna sizingakumane, mimba yachibadwa sidzachitika.
PID imawonjezeranso chiopsezo cha mimba yotuluka m'mimba (kuikidwa kwa dzira lopangidwa ndi umuna kunja kwa chiberekero, makamaka mu chubu cha fallopian).
Kwa anthu omwe ali ndi machende, kusabereka sikumachitika kawirikawiri chifukwa cha chinzonono. Komabe, chinzonono chosachiritsidwa chingathe kufalikira ku machende kapena prostate, zomwe zimachepetsa kubereka.
Chinzonono chosachiritsidwa mwa amuna chingayambitse epididymitis, matenda otupa. Epididymitis imayambitsa kutupa kwa chubu chozungulira chomwe chili kumbuyo kwa chidendene. Chubuchi chimasunga ndi kunyamula umuna.
Epididymitis ingayambitsenso kutupa kwa machende. Izi zimatchedwa epididymo-orchitis. Epididymitis imachiritsidwa ndi maantibayotiki. Ngati sanalandire chithandizo kapena milandu yoopsa ingayambitse kusabereka.
Zizindikiro za PID zimatha kuyambira zofatsa kwambiri komanso zosafunikira kwenikweni mpaka zowopsa kwambiri. Monga chinzonono, n'zotheka kukhala ndi PID osadziwa poyamba.
Kuzindikira matenda a chinzonono kungachitike pogwiritsa ntchito mkodzo kapena swab test. Kuyesa swab kungachitikenso mu nyini, rectum, pakhosi, kapena mkodzo.
Ngati inu kapena dokotala wanu akukayikira kuti muli ndi PID, adzakufunsani za zizindikiro zanu zachipatala komanso mbiri yanu yogonana. Kuzindikira vutoli kungakhale kovuta chifukwa palibe mayeso enieni a PID.
Ngati muli ndi ululu wa m'chiuno kapena m'mimba popanda chifukwa china chilichonse, dokotala wanu angazindikire PID ngati muli ndi chimodzi mwa zizindikiro zotsatirazi:
Ngati mukukayikira kuti matenda afika pamlingo wokulirapo, mayeso ena angachitike kuti awone kuchuluka kwa kuwonongeka kwa ziwalo zanu zoberekera. Mayeso awa angaphatikizepo:
Pafupifupi munthu m'modzi mwa anthu 10 omwe ali ndi PID adzakhala osabereka chifukwa cha PID. Chithandizo choyambirira ndi chofunikira kwambiri popewa kusabereka ndi mavuto ena omwe angakhalepo.
Mankhwala opha tizilombo toyambitsa matenda ndi mankhwala oyamba a PID. Mutha kupatsidwa mankhwala opha tizilombo toyambitsa matenda, kapena mungapatsidwe mankhwala kudzera mu jakisoni kapena kudzera mu mtsempha (IV, kudzera mu mtsempha). Mnzanu wogonana nayenso adzafunika mankhwala opha tizilombo toyambitsa matenda, ngakhale atakhala kuti alibe zizindikiro.
Ngati mukudwala kwambiri, muli ndi thumba, kapena muli ndi pakati, mungafunike kugonekedwa kuchipatala panthawi ya chithandizo. Chifuwa chomwe chaphulika kapena chomwe chingasweke chingafunike opaleshoni kuti muchotse madzi omwe ali ndi kachilomboka.
Ngati muli ndi zipsera zomwe zimayambitsidwa ndi PID, maantibayotiki sadzathetsa vutoli. Nthawi zina, machubu otsekeka kapena owonongeka amatha kuchiritsidwa ndi opaleshoni kuti abwezeretse chonde. Inu ndi dokotala wanu mutha kukambirana za kuthekera kokonza opaleshoni yanu.
Ukadaulo wothandizira kubereka sungathe kukonza kuwonongeka kwa PID. Komabe, njira monga feteleza wa in vitro (IVF) zimatha kuphimba zipsera za machubu a fallopian, zomwe zimathandiza anthu ena kutenga pakati. Ngati muli ndi vuto la kusabereka chifukwa cha PID, akatswiri monga akatswiri odziwa zachipatala za kubereka angakambirane nanu njira zina zothanirana ndi mimba.
Kuchotsa zipsera ndi IVF sikungagwire ntchito bwino. Nthawi zina, mungafune kuganizira njira zina zopezera mimba ndi kukhala kholo. Izi zikuphatikizapo kubereka mwana (pamene munthu wina wabereka dzira loberekedwa), kutenga mwana, ndi kutenga mwana wolera.
Chizonono ndi matenda opatsirana pogonana. Chizonono chingayambitse kusabereka ngati sichinachiritsidwe. Chithandizo choyambirira n'chofunikira kuti tipewe mavuto monga matenda otupa m'chiuno (PID) mwa akazi ndi epididymitis mwa amuna.
PID yosalandira chithandizo ingayambitse zipsera m'machubu a fallopian, zomwe zimapangitsa kuti kutenga mimba kukhale kovuta kapena kosatheka kwa iwo omwe ali ndi chiberekero. Ngati yapezeka msanga, chinzonono, PID, ndi epididymitis zitha kuchiritsidwa bwino ndi maantibayotiki. Ngati muli ndi zipsera kuchokera ku PID yapamwamba, chithandizo chingakuthandizeni kutenga mimba kapena kukhala kholo.
Aliyense amene amachita zogonana ndipo sagwiritsa ntchito kondomu, ngakhale kamodzi kokha, akhoza kutenga chinzonono. Matenda opatsirana pogonana ofala kwambiriwa amatha kuchitika kwa anthu azaka zilizonse.
Kukhala ndi chinzonono si chizindikiro cha khalidwe loipa kapena zisankho zoipa. Zitha kuchitika kwa aliyense. Njira yokhayo yopewera mavuto monga chinzonono ndi PID ndikugwiritsa ntchito kondomu nthawi zonse mukuchita zogonana.
Ngati mukuchita zachiwerewere kapena mukuganiza kuti muli pachiwopsezo chachikulu, zingakhale bwino kupita kwa dokotala wanu nthawi zonse kuti akakuyezeni. Muthanso kuyezetsa matenda a chinzonono ndi matenda ena opatsirana pogonana kunyumba. Zotsatira zabwino ziyenera kutsatiridwa nthawi zonse ndikupita kwa dokotala.
Inde. Chizonono chingayambitse matenda a uterine fibroids ndi testicular epididymitis. Matenda onsewa angayambitse kusabereka. Matenda a PID ndi ofala kwambiri.
Matenda opatsirana pogonana monga chinzonono ndi chlamydia nthawi zambiri samakhala ndi zizindikiro. Mutha kutenga matendawa kwa nthawi yayitali, ngakhale zaka zambiri, osadziwa.
Palibe nthawi yeniyeni yodziwira kuwonongeka komwe kungachitike. Komabe, nthawi siili kumbali yanu. Chithandizo choyambirira n'chofunikira kuti mupewe mavuto monga zipsera zamkati ndi kusabereka.
Inu ndi mnzanu muyenera kumwa mankhwala opha majeremusi ndikusiya kugonana kwa sabata imodzi mutamaliza kumwa mankhwala onse. Nonse muyenera kuyezetsanso pakatha miyezi itatu kuti muwone ngati mulibe kachilomboka.
Panthawiyo, inu ndi dokotala wanu mungakambirane nthawi yomwe muyenera kuyamba kuyesa kutenga pakati. Kumbukirani, chithandizo cha chinzonono sichidzakulepheretsani kutenganso.
Lembetsani ku nkhani yathu ya malangizo azaumoyo ya tsiku ndi tsiku ndipo landirani malangizo a tsiku ndi tsiku kuti akuthandizeni kukhala ndi moyo wathanzi.
Panelli DM, Phillips CH, Brady PC. Zochitika, kuzindikira, ndi kasamalidwe ka mimba ya m'mimba ndi yopanda m'mimba: ndemanga. Feteleza ndi machitidwe.2015;1(1):15.doi10.1186/s40738-015-0008-z
Zhao H, Yu C, He C, Mei C, Liao A, Huang D. Kapangidwe ka chitetezo cha mthupi cha epididymis ndi njira zodzitetezera ku epididymitis zomwe zimayambitsidwa ndi tizilombo toyambitsa matenda tosiyanasiyana. pre-immune.2020;11:2115.doi:10.3389/fimmu.2020.02115
Malo Oyang'anira ndi Kuteteza Matenda. Chikalata cha mfundo za matenda otupa m'chiuno (PID).