UCorey Whelan ungummeli wesiguli onolwazi lwamashumi eminyaka empilweni yokuzala. Ungumbhali ozimele ogxile kwezempilo nokuqukethwe kwezokwelapha.
I-Gonorrhea iyisifo esithathelwana ngocansi esingelapheki (STI). Sisabalala ngocansi lwesitho sangasese sowesifazane, lwesitho sangasese sowesifazane, noma ngomlomo ngaphandle kwekhondomu. Noma ubani ohlanganyela ucansi futhi ohlanganyela ucansi ngaphandle kwekhondomu angathola i-gonorrhea kumlingani onegciwane.
Ungase ube ne-gonorrhea kodwa ungazi. Lesi simo asihlali sibangela izimpawu, ikakhulukazi kubantu abanesibeletho. Izimpawu ze-gonorrhea kubantu banoma yiluphi ubulili zingafaka:
Cishe abesifazane aba-5 kwabayi-10 abathelelekile abanazimpawu (azikho izimpawu). Ungaba nezimpawu ezincane ezingaphambaniswa nesinye isimo, njengokutheleleka kwesitho sangasese sowesifazane noma ukutheleleka kwesinye.
Uma i-gonorrhea ibangela izimpawu, zingavela ezinsukwini, amasonto, noma izinyanga ngemva kokutheleleka kokuqala. Izimpawu ezifika sekwephuzile zingaholela ekuxilongweni okulibazisekile kanye nokwelashwa okulibazisekile. Uma i-gonorrhea ingelashwa, kungaba nezinkinga. Lezi zinkinga zifaka phakathi isifo sokuvuvukala kwe-pelvic (PID), esingaholela ekungazalini.
Lesi sihloko sizoxoxa ngendlela i-gonorrhea engaholela ngayo ekungazalini, izimpawu ongase ube nazo, kanye nokwelashwa okulindelekile.
I-Gonorrhea ibangelwa ukutheleleka nge-gonococcal. Uma itholakala kusenesikhathi, izimo eziningi ze-gonorrhea zelashwa kalula ngama-antibiotic ajovwayo. Ukuntuleka kokwelashwa kungagcina kuholele ekungazalini kwabesifazane (labo abanesibeletho) kanye nakwabesilisa abavamile (labo abanamasende).
Uma ingelashwa, amagciwane abangela i-gonorrhea angangena ezithweni zokuzala ngesitho sangasese sowesifazane kanye nomlomo wesibeletho, okubangela isifo sokuvuvukala kwe-pelvic (PID) kubantu abanesibeletho. I-PID ingaqala ezinsukwini noma amasonto ngemva kokutheleleka kokuqala kwe-gonorrhea.
I-PID ibangela ukuvuvukala kanye nokwakheka kwamathumba (izikhala zoketshezi ezinegciwane) emapayipini nasema-ovari. Uma kungelashwa kusenesikhathi, izicubu zesilonda zingakheka.
Uma izicubu zesilonda zakheka phezu kolwelwesi olubuthakathaka lwepayipi le-fallopian, linciphisa noma livale ipayipi le-fallopian. Ukukhulelwa kuvame ukwenzeka emapayipini e-fallopian. Izicubu zesilonda ezibangelwa yi-PID zenza kube nzima noma kungenzeki ukuthi iqanda livundiswe yisidoda ngesikhathi socansi. Uma iqanda nesidoda kungahlangani, ukukhulelwa kwemvelo ngeke kwenzeke.
I-PID iphinde yandise ingozi yokukhulelwa kwe-ectopic (ukufakelwa kweqanda elivundisiwe ngaphandle kwesibeletho, ikakhulukazi epayipini le-fallopian).
Kubantu abanama-testicles, ukungabi nabantwana cishe akubangelwa yi-gonorrhea. Kodwa-ke, i-gonorrhea engalashwanga ingathelela ama-testicles noma i-prostate, okunciphisa ukuzala.
I-gonorrhea engelashwanga emadodeni ingabangela i-epididymitis, isifo sokuvuvukala. I-epididymitis ibangela ukuvuvukala kwepayipi eligoqekile elitholakala ngemuva kwesende. Leli payipi ligcina futhi lithuthe isidoda.
I-epididymitis ingabangela nokuvuvukala kwamasende. Lokhu kubizwa ngokuthi i-epididymo-orchitis. I-epididymitis yelashwa ngama-antibiotic. Uma ingelashwa noma izimo ezinzima zingaholela ekungazalini.
Izimpawu ze-PID zingasukela kwezincane kakhulu nezingenamsebenzi kuya kwezinzima kakhulu. Njenge-gonorrhea, kungenzeka ukuthi ube ne-PID ungayazi ekuqaleni.
Ukuxilongwa kwe-gonorrhea kungenziwa ngokuhlolwa komchamo noma ngokuhlolwa kwe-swab. Ukuhlolwa kwe-swab kungenziwa futhi esithweni sangasese sowesifazane, e-rectum, emphinjeni, noma e-urethra.
Uma wena noma umhlinzeki wakho wezempilo nisola i-PID, bazobuza ngezimpawu zakho zezokwelapha kanye nomlando wakho wocansi. Ukuthola lesi simo kungaba nzima ngoba azikho izivivinyo ezithile zokuxilonga i-PID.
Uma unobuhlungu be-pelvic noma ubuhlungu besisu esingezansi ngaphandle kwesizathu esithile, umhlinzeki wakho wezempilo angase axilonge i-PID uma okungenani unesinye sezimpawu ezilandelayo:
Uma kusolwa ukuthi isifo sithuthukile, kungase kwenziwe ezinye izivivinyo ukuze kuhlolwe izinga lomonakalo ezithweni zakho zokuzala. Lezi zivivinyo zingafaka:
Cishe umuntu oyedwa kwabayi-10 abane-PID uzoba nenzalo ngenxa ye-PID. Ukwelashwa kusenesikhathi kubalulekile ekuvimbeleni ukungazali kanye nezinye izinkinga ezingaba khona.
Ama-antibiotic ayindlela yokuqala yokwelapha i-PID. Unganikezwa ama-antibiotic ngomlomo, noma unganikezwa imithi ngomjovo noma ngemithambo yegazi (IV, ngemithambo yegazi). Umlingani wakho wocansi noma umlingani wakho uzodinga nama-antibiotic, noma ngabe akanazo izimpawu.
Uma ugula kakhulu, unethumba, noma ukhulelwe, kungadingeka ukuthi ulaliswe esibhedlela ngesikhathi sokwelashwa. Ithumba eliqhumile noma elingaqhuma lingadinga ukukhishwa kwamanzi ngokuhlinzwa ukuze kususwe uketshezi olunegciwane.
Uma unezibazi ezibangelwa yi-PID, ama-antibiotic ngeke akuqede. Kwezinye izimo, amashubhu e-fallopian avinjiwe noma alimele angelashwa ngokuhlinzwa ukuze kubuyiselwe ukuzala. Wena nomhlinzeki wakho wezempilo ningaxoxa ngokuthi kungenzeka yini ukulungiswa ngokuhlinzwa kwesimo sakho.
Ubuchwepheshe bokuzala obusizayo abukwazi ukulungisa umonakalo we-PID. Kodwa-ke, izinqubo ezifana nokukhulelwa kwe-in vitro (IVF) zingamboza izibazi zama-fallopian tubes, okuvumela abanye abantu ukuthi bakhulelwe. Uma unesifo sokungabi nabantwana esibangelwa yi-PID, ochwepheshe abanjengodokotela be-endocrinologists bokuzala bangaxoxa nawe ngezindlela zokukhulelwa.
Ukususwa kwesibazi ngokuhlinzwa noma i-IVF akuqinisekisiwe ukuthi kuzosebenza kahle. Kwezinye izimo, ungase ufise ukucabangela ezinye izinketho zokukhulelwa nokuba ngumzali. Lokhu kufaka phakathi ukukhulelwa (lapho omunye umuntu eletha iqanda elivundisiwe ekuzalweni), ukutholwa, kanye nokutholwa kwengane enakekelwa yingane.
I-Gonorrhea iyigciwane elidluliselwa ngocansi. I-Gonorrhea ingabangela ukungabi nabantwana uma ingelashwa. Ukwelashwa kusenesikhathi kuyadingeka ukuvimbela izinkinga ezifana nesifo sokuvuvukala kwe-pelvic (PID) kwabesifazane kanye ne-epididymitis kwabesilisa.
I-PID engelashwanga ingaholela ekuqhekekeni kwamapayipi e-fallopian, okwenza ukukhulelwa kube nzima noma kungenzeki kulabo abanesibeletho. Uma kutholakala kusenesikhathi, i-gonorrhea, i-PID, kanye ne-epididymitis kungelashwa ngempumelelo ngama-antibiotic. Uma unezibazi ezivela ku-PID ethuthukile, ukwelashwa kungakusiza ukuthi ukhulelwe noma ube ngumzali.
Noma ubani ohlanganyela ocansini futhi ongasebenzisi ikhondomu, ngisho noma kanye, angathola i-gonorrhea. Lokhu kutheleleka okuvamile okuthelelanayo ngokocansi kungenzeka kubantu banoma yimuphi ubudala.
Ukuba ne-gonorrhea akulona uphawu lobuntu obubi noma ukukhetha okubi. Kungenzeka kunoma ubani. Okuwukuphela kwendlela yokugwema izinkinga ezifana ne-gonorrhea kanye ne-PID ukusebenzisa ikhondomu njalo ngesikhathi socansi.
Uma uhlanganyela ocansini noma ucabanga ukuthi usengozini enkulu, kungaba nengqondo ukuvakashela umhlinzeki wakho wezempilo njalo ukuze uhlolwe. Ungahlola futhi i-gonorrhea nezinye izifo ezithathelwana ngocansi ekhaya. Umphumela wokuhlolwa omuhle kufanele ulandelwe njalo ngokuvakashela umhlinzeki wezempilo.
Yebo. I-gonorrhea ingaholela ku-uterine fibroids kanye ne-testicular epididymitis. Zombili lezi zimo zingaholela ekungazalini. Ama-PID avame kakhulu.
Izifo ezithathelwana ngocansi ezifana ne-gonorrhea kanye ne-chlamydia zivame ukungabi nazimpawu. Ungangenwa yileli gciwane isikhathi eside, ngisho neminyaka, ungazi.
Akukho sikhathi esicacile somonakalo ezingawubangela. Kodwa-ke, isikhathi asikuvumeli. Ukwelashwa kusenesikhathi kubalulekile ukuze ugweme izinkinga ezifana nezibazi zangaphakathi kanye nokungabi nabantwana.
Wena nomlingani wakho kumele nithathe ama-antibiotic futhi niyeke ukuya ocansini isonto lonke ngemva kokuqeda yonke imithi. Nobabili kuzodingeka nihlolwe futhi ezinyangeni ezintathu ukuze kuqinisekiswe ukuthi aninawo umkhuhlane.
Ngaleso sikhathi, wena nomhlinzeki wakho wezempilo ningaxoxa ngokuthi kufanele uqale nini ukuzama ukukhulelwa. Khumbula, ukwelashwa kwangaphambilini kwe-gonorrhea ngeke kukuvimbele ekuphindeni uyithole.
Bhalisela iphephandaba lethu lamathiphu ezempilo lansuku zonke futhi uthole amathiphu ansuku zonke okuzokusiza uphile impilo yakho enempilo kakhulu.
UPannelli DM, uPhillips CH, uBrady PC. Isigameko, ukuxilongwa, kanye nokuphathwa kokukhulelwa kwe-tubal kanye ne-non-tubal ectopic: isibuyekezo. Umanyolo kanye nomkhuba.2015;1(1):15.doi10.1186/s40738-015-0008-z
UZhao H, uYu C, uHe C, uMei C, uLiao A, uHuang D. Izakhiwo zomzimba ze-epididymis kanye nezindlela zomzimba zomzimba ku-epididymitis ezibangelwa amagciwane ahlukene. pre-immune.2020;11:2115.doi:10.3389/fimmu.2020.02115
Izikhungo Zokulawula Nokuvimbela Izifo. Ishidi lamaqiniso le-CDC lesifo sokuvuvukala kwe-pelvic (PID).