Okuqukethwe
I-Salpingitis: ukuvuvukala kwamashubhu we-fallopian
Iyini i-salpingitis?
I-salpingitis ihambisana ne-a ukuvuvukala amashubhu esibeletho, noma amashubhu fallopian. Ababili ngenombolo, ukuxhuma isibeletho kuma-ovari, amashubhu e-uterine ayizakhiwo ezibalulekile zesistimu yokuzala yabesifazane. Ku-salpingitis, womabili amashubhu e-fallopian ngokuvamile ayathinteka.
Yiziphi izimbangela ze-salpingitis?
Ezimweni eziningi, i-salpingitis ibangelwa izifo ezithathelwana ngocansi (STI) njenge :
- la chlamydia, okubangelwa amagciwane Chlamydia trachomatis, okubalelwa ku-60% amacala e-salpingitis;
- la i-gonorrhea noma "i-hot piss", ngenxa yamagciwane Neisseria gonorrhoeae, elimelela phakathi kuka-5 no-10% wamacala e-salpingitis;
- ukutheleleka kwe-mycoplasma, okungabangelwa I-Mycoplasma et Ureaplasma urealyticum, okumelela phakathi kuka-5 no-20% wamacala e-salpingitis.
Nakuba izifo ezithathelwana ngocansi ziyizimbangela ezivame kakhulu ze-salpingitis, zingabangelwa futhiezinye izifo ezithathelwanayo kuhlanganise streptococci, staphylococci, enterococci kanye enterobacteriaceae. Ukutheleleka ngala magciwane kungabangelwa:
- esinye isifo okwenzeke esithweni esiseduze nesitho sangasese;
- ukungenelela kokuhlinzwa njengokwelashwa kwesibeletho kanye nokukhishwa kokukhulelwa ngokuzithandela (ukukhipha isisu) ngokuhlinzwa;
- ukuhlolwa kwezokwelapha kwe-endo-uterine njenge-hysterosalpingography kanye ne-hysteroscopy;
- ukufakwa kwe-IUD, noma idivayisi ye-intrauterine (IUD).
Ezimweni ezingavamile, i-salpingitis ingaba umphumela wesifo esithile esifana nesifo sofuba noma i-bilharzia.
Obani abathintekayo nge-salpingitis?
Phakathi kuka-55 no-70% wezigameko ze-salpingitis zithinta abesifazane abaneminyaka engaphansi kuka-25. Abantu abasengcupheni kakhulu abesifazane abasebasha abangakabatholi abantwana.
Iyini ingozi yezinkinga?
I-salpingitis ebukhali ingathuthuka kancane kancane, ibe yisifo esingelapheki futhi ibangele izinkinga. Ezimweni ezimbi kakhulu, lokhu kuthuthukiswa okuthulile kungaholela inzalo.
Yiziphi izimpawu ze-salpingitis?
Ezimweni ezingama-50-70%, i-salpingitis ebukhali ayinazimpawu, okungukuthi, ayibonakali ngokungabi khona kwezimpawu zesici. Lokhu kwenza kube nzima kakhulu ukuhlonza isifo.
Kwezinye izimo, i-salpingitis ingavela ngezimpawu ezilandelayo:
- a imfiva okusezingeni eliphezulu, okungase kuhambisane nokugodola;
- ubuhlungu esiswini esingezansi, okungenzeka ukuthi kwenzeke unilaterally noma kabili, futhi okungase futhi kukhanye phansi emathangeni, phansi ngemuva noma ngisho nezitho zangasese zangaphandle;
- i-leucorrhoea, okungukuthi, ukukhishwa okungenayo igazi esithweni sangasese, okugcwele futhi okuphuzi, futhi kwezinye izimo ku-purulent;
- i-metrorrhagia, okubonisa ukulahlekelwa kwegazi kwemvelaphi yesibeletho;
- ukusha kokuchama;
- isifiso esivamile sokuchama;
- ukuphazamiseka kwamathumbu okufana nokucanuzela kwenhliziyo, ukuqunjelwa noma ukuqunjelwa.
Yiziphi izinto eziyingozi?
Ingozi yokuthola i-salpingitis eyingozi inkulu kulezi zimo ezilandelayo:
- ucansi olungavikelekile;
- abalingani abaningi bocansi;
- umlando we-STIs noma i-salpingitis;
- i-urethritis kumlingani wocansi;
- ukuhlolwa kwezokwelapha kwe-endo-uterine;
- ukuhlinzwa kwe-endo-uterine.
Indlela yokwelapha i-salpingitis?
I-Salpingitis idinga ukwelashwa ngokushesha ngangokunokwenzeka ukuze kukhawulwe ingozi yezinkinga, futhi ikakhulukazi ingozi yokungazali. Ukulaliswa esibhedlela kungase kudingeke.
Ukuphathwa kwezokwelapha kwe-salpingitis kusekelwe ekwelashweni kwezidakamizwa kanye nokuphumula kombhede okuqinile. Ukwelashwa ngama-antibiotic kwenziwa kuye ngokuthi igciwane le-pathogenic elibhekene nokutheleleka. Ama-analgesics, antispasmodics kanye nezidakamizwa ezilwa nokuvuvukala nazo zingasetshenziswa ngokuya ngecala.
Ukwelashwa kwezidakamizwa kuhambisana nezinyathelo zokuvimbela:
- ukuyeka ucansi noma ukufaka amakhondomu kuze kuphele ukwelashwa;
- ukuhlolwa nokuphathwa komlingani (abazakwethu);
- ukwenza ukuhlolwa kokuhlolwa kwezifo ezithathelana ngokocansi ezahlukene.
Ukuze kuncishiswe ingozi yokuphindaphinda, ukubhekwa kwezokwelapha nakho kuqalwa ngemva kokwelashwa kwe-salpingitis.