Izifo zokuvuvukala ezithombeni zokubeletha kwabesifazane

Ezimweni ezingaphezu kwezingu-50%, isizathu sokudluliselwa kweziguli ku-gynecologist izifo ezivuvukalayo zendlela yokuzala. Ngokuyinhloko, laba bangamantombazane abasha abaphila ngokuhlanganyela ngokocansi. Isizathu esiyinhloko sokuvuvukala yi-STD, nakuba ngokuvamile i-agent causative yi-banal flora.

Kubaluleke kakhulu ukuxilonga nokuphatha lesi sifo ngokuhamba kwesikhathi, ngaphandle kwalokho kungabangela imiphumela embi. Noma kunjalo, lokhu kungenziwa hhayi kalula, ngoba kuvame ukuvuvukala kungabonakali, futhi owesifazane akazi ukuthi uyagula.

Kulesi simo, ukusiza ukuxilonga izifo zokuvuvukala ezithombeni zobulili kuzosiza kuphela izivivinyo kumzimba wezifo zokwelapha. Owesifazane kufanele ahambe nabo kanye ngonyaka. Uma kukhona okukukhathazayo, khona-ke ngokushesha.

Ukunakekela kufanele kuthathwe empilweni yakho emva kokubeletha, ukukhishwa kwesifo, ukushintsha isisu somlingani wezocansi, ukukhipha isisu, ubulili obungavamile, i-GHA, ukuhlinzwa kwegazi, ukufakwa kwe-IUD, i-hypothermia, ukucindezeleka okukhulu nokugula. Kubaluleke kakhulu ukugcina ukuhlanzeka komuntu siqu nokusebenzisa ikhondomu. Futhi, izici ezivusa amadlingozi zinciphisa izifo zokuzivikela kanye nokuhluleka kwe-hormonal.

Izifo ezivame ukuvuvukala ziholela emiphumeleni elandelayo:

• Ukukhipha isisu ngokukhulelwa ;
• Ukungenzi lutho;
• Ukungasebenzi kwama-ovari;
• Ukuzizwa kabi ngocansi;
• Ubuhlungu be-pelvic;
• Ukukhulelwa kwe-Ectopic.

Ngeshwa, kwenzeka ukuthi yizibonakaliso ezenza owesifazane aphenduke kudokotela. Kulokhu, izinguquko ezingenakuguqulwa zenzeka kakhulu kakhulu.

Ngakho-ke, izifo ezivuvukalayo zezinsikazi zofuzo zinezinkomba ezilandelayo:

• Ama-neoplasms kuma-appendages nangokwezifiso zangaphandle;
• Ukuphazanyiswa kokuchama;
• Ukubuthwa kwezitho zangasese;
• Ukukhishwa kwamagciwane (ngokuvamile kuvame ukwanda, umbala ongavamile kanye nokuvumelana);
• Ukuvota, isicanucanu;
• I-Fever;
• Ubuhlungu esiswini nasezintanjeni.

Ukuba khona kwesinye sezibonakaliso ezine zokuqala kuyanele ukuvakashela udokotela.

Kubalulekile ukukhumbula ukuthi kuphela umjozi wesifo sofuzo kufanele ahlolisise futhi aphathe izifo ezivuthayo. Awukwazi ukubeka ukwelashwa ngokwakho. Ngokushesha udokotela uyabiza, okufushane futhi okubizayo ukwelashwa kuyoba, futhi amathuba okuba nezinkinga azobe esezansi.

Ucwaningo kufanele luqukathe izinto ezilandelayo:

• I-ultrasound ye-gynecological;
• Igazi le-HIV, i-syphilis, i-hepatitis C ne-B;
• Ucwaningo lwezokwelapha lwe-urine negazi;
• Smear kuma-STD usebenzisa indlela ye-PCR;
• Izitshalo kwi microflora, ureaplasma kanye ne-mycoplasma;
• Ukuhlolwa kwedokotela;
• Ukuhlaziywa kwamaseli ase-atypical and flora.

Izimpawu ziyi-colposcopy, i-laparoscopy, i-hysteroscopy, i-biochemical blood test.

Inqubo yokwelashwa ixhomeke esikhathini, ubunzima kanye nokwakhiwa kwendawo yokuvuvukala. Kuye ngamagciwane, i-antibacterial, i-antiviral noma i-antifungal agents ingabekwa.

Ngokwengqondo kadokotela, ama-immune nama-microflora-repairing agent asetshenziswa. Kanti futhi kusetshenziswa ama-vitamin therapy, imishanguzo yokulwa nokuvuvukala, imithi uma kunesidingo.

Kuphela ukwelashwa kwendawo akusetshenziswanga, kodwa ukusetshenziswa kwayo kusiza ukunciphisa isikhathi se-systemic therapy. Ngokuvamile, ikakhulukazi ezinkingeni ezingapheli, i-physiotherapy isetshenziswa. Uma ukwelashwa okulondolozayo kunganele, khona-ke ukuhlinzwa kuyasetshenziswa.

Ngakho-ke, zikhona izifo ezilandelayo zokuvuvukala:

• I-peritoneum yama-pelvic (i-pelvioperitonitis);
• Amashubhu nama-ovari (ama-salpingoophoritis noma i-adnexitis);
• Ama-ovari (oophoritis);
• Isibeletho somswakama (endometritis);
• Amashubhu we-Fallopian (salpingitis);
• I-Mucosa emngceleni wesibeletho (endocervicitis);
• Izitho zangasese zangaphandle (vulvitis);
• I-Cervix (cervicitis) ;
• Iwesifazane (i-colpitis);
• Ama-glands ngosuku lwesifazane (ibartholinitis).

Ngakho-ke, izifo ezivuthayo zezifo zofuzo zivame kakhulu. Kumele batholakale futhi baphathwe ngesikhathi esifanele, ngaphandle kwalokho babangele imiphumela embi.