Chimwe cheMakonzera Ekushaya Infertility
Chii chinonzi Pelvic Inflammatory Disease?
Chirwere chechipembenene chinoputira, kana PID, chirwere chemuviri wepamusoro wechikadzi. Nzvimbo dzakakanganisika dzinogona kusanganisira zvivako zvechibereko, maovha, uye fallopian tubes. Salpingitis, kuputika kwe fallopian tubes , ndiyo inoratidzika kuratidzwa kwechirwere. PID inozivikanwa kuva mhedziso yenguva refu yezvirwere zvakawanda zvepabonde uye zvebhakitiriya vaginosis (BV), chirwere chepachivande, uye mamwe maitiro ekugadzikana anokwira mumuviri.
Icho chinonyanya kudzivirirwa mamiriro. Icho chiriwo chikonzero chikuru chekudzivirirwa kusununguka.
Chirwere chechipembenene chirwere chinopisa, chinonyanya, chinokonzerwa nemuviri kunopesana nehutachiona. Sezvo masimba ezvirwere mumuviri ari kuedza kurwisa bhakitiriya inopinda, inokonzera kuvhuvhuta uye kupera. Kunyange zvazvo izvi zvingabudirira kuronga kubva kune hutachiona mukati mehutano, zvinogona kukuvadza nhengo. PID inogona kukonzera kuora mukati mechiberekero, fallopian tubes, uye kunyange mumakumbo emakumbo . Ichi ndicho chimwe chezvikonzero zvikonzero zvinokonzera kusarwadziwa kwepilvic kusingaperi .
Zvipembenene zvakajairika zvakabatwa nehosha yepecvic inoputira ndeye chlamydia uye gonorrhea. Nemhaka yokuti zviratidzo zvePID ndezvakaguma nemhinduro yemuviri kune hutachiwana hwehutachiona, kurapwa kazhinji kunosanganisira mishonga inorwisa mabhakitiriya kutarisa utachiona. Muzviitiko zvakakomba, kana mukukurumidzira, kuvhiwa kunogona kudikanwa kubvisa pfupfu iyo yakaputsika kana inotyisidzira kuputsika.
Ndezvipi zviratidzo zvePID?
- Pain mucheche nechepasi
- Izvo zvisina nguva nguva
- Pain panguva yepabonde
- Pain panguva yekuzora
- Kunzwa kurwadziwa kwepamusoro
- Kuwedzerwa kwemvura yakasviba nekunhuhwirira kwakashata
- Fivhiri, kuneta, kuora, kurutsa, uye zvimwe zviratidzo zvehutachiona.
Inonyanya Kuita PID?
Mukutanga kwema1990, kuzvipa kwehuwandu hwehuwandu hwePID muvakadzi kwakange kune imwe yepfumbamwe.
PID yaive inopfuura kaviri inowanzoonekwa kune vakadzi vane nhoroondo yezvirwere zvepabonde (26 muzana) kupfuura yevakadzi vasina kumbobvira vaudza STD (10 muzana). Nenzira yakanaka, PID yakave isina kunyanya kufanana nekuongororwa kwe chlamydia uye gonorrhea yave yakawanda zvikuru.
Ndezvipi zvinokonzera ngozi kune PID?
Zvinhu zvinokuvadza zvePID zvinosanganisira:
- Vechiduku vaduku: Vechidiki vane zvepabonde vane ruzivo kanowanikwa katatu kuti vaonekwe nePID kupfuura vamwe vavo vane makore 25 kusvika ku29. Masayendisiti haazive, zvisinei, nei ichi chiri ichocho. Zvinogona kunge zvichiitika nekuda kwezvinhu zvipenyu zvinoita kuti vechidiki vaduku vanzwe zvirwere zveSDD. Inogonawo kuratidza maitiro akasiyana epabonde mune aya mazera maviri.
- Race: Vakadzi veAfrica -America vane ngozi yakanyanya yePID yemadzinza anoonekwa muUnited States Izvi zvingave zvakabatana nezvinhu zvipenyu. Iyo inogonawo kufananidzwa nekuenzaniswa kwayo yakakwirira yeka douching .
- Kusarura Mikana : Shanduro nzira s, yakadai semakondomu, uye mishonga yekudzivirira pamuviri kunopedza njodzi yePID. Pasinei nezvinetso neDalkon Shield muma1970, kushandiswa kwezvinhu zvemazuva ano zvinonzi intrauterine (IUD) hazvifungidzirwe kuti zvinowedzera kuwedzera kungozi yePID, kunze kwekuda kwekukomberedza nguva yekuiswa.
Nei Ndichifanira Kufunganya Pamusoro pePID?
Munyika yose, PID ndechimwe chezvikonzero zvinokonzera ectopic pamuviri uye kudzivirirwa kuberekwa kwevakadzi. Muna 2000, chidzidzo chakafungidzira kuti mari yePID muUnited States yaiva munzvimbo inosvika $ 2 biliyoni. Chimwe chidzidzo chekare chakanyatsoongorora mari yekudzivirirwa kusingagoni kudzivirirwa yakawana kuti mari yaive yaive yakadarika $ 64 mabhiriyoni. Icho chidzidzo chakabatanidza mari yezvinhu zvose kurapa zvirwere zvepabonde uye PID izvo zvakakonzera kusabereka, uye kugadzirisa kusava nehutano kune vakaroorana vanoda kuva nepamuviri.
Kusiyana nematambudziko ekurapa kupera kwePID, zvinodhura zvekudzivirira PID-yakasangana nehutachiona ingangoderera zvikuru.
Iko mari inonyanya kusanganisira iyo yekudzidzisa nezvekurara kwepabonde, douching, uye kushandiswa kwekondomu pamwe nekuongorora uye kurapa kwechlamydia nedzimwe zvirwere. Izvo zvinodhura zvezviyero zvakadaro zvekudzivirira zvingangodaro zvingori chikamu chiduku chiduku chemari yakashandiswa pakurapa.
Ukama huripo pakati pePID nehutachiona hunobvumidzwa zvakanaka. PID inokonzera kusagadzikana kuburikidza nekucheka kunowanikwa panguva yekurapa kwezvirwere zvepabonde. Iyo kuvhara kwakakura kunogona kupedzisira kuvhara rimwe kana kuti zvose mawere. Kuipa kunowedzera kuipa pakati pevakadzi vakwegura, vanosvuta uye vakadzi vanoshandisa IUDs . Zvichienderana nehuwandu hwekuvhara zvingave zvisingabviri kuti chirume chinosvika paii, kana, kana chirume chinogona kupfuura, dhe rinogadzirwa rinogona kusakwanisa kusvika pachibereko. Kana dhe rinogadzirwa risingagoni kusvika kumubereki, rinogona kuva ectopic pamuviri.
Hazvishamisi kuti chikamu chevakadzi vanoona kusununguka pamusana pePID chakanyatsoenderana nekuwanda kwezvikamu zvePID zvavakaona. Saka, zvose kurapa nekudzivirira PID matanho anokosha mukuderedza kusapera muUnited States.
Sources:
> Cates, W., Wasserheit, JN, uye Marchbanks, PA. Zvirwere zvepamuviri zvinoputira uye tubal kuberekwa: mamiriro ezvinhu anodzivirirwa. Ann NY Academy Sci. (1994 Feb 18) 709: 179-95.
> Grodstein, F. naRothman, KJ Epidemiology yezvirwere zvinopisa. Epidemiology. 1994; 5: 234-42.
> Khatamee, MA Infertility: chirwere chinodzivirirwa? Int J Fertil. 1988 Jul; 33. 33 (4. 4): 246-51246-51.
> Mitchell C, Prabhu M. Pelvic zvirwere zvokuputira: zvino maitiro mupathogenesis, kuongororwa uye kurapwa. Infect Dis Clin North Am. 2013 Dec; 27 (4): 793-809. doi: 10.1016 / j.idc.2013.08.004.
> Rein DB, Kassler WJ, Irwin KL, Rabiee L. Kurapa kwezvokurapa kwezvipembenene zvinopisa muviri uye sequelae yake: kuderera, asi kuchiripo. Obstet Gynecol. 2000 Mar; 95 (3): 397-402.