Pelvic inflammatory disease yog dab tsi (PID), lub hauv paus tseem ceeb thiab cov tsos mob

Zoo Siab

• Cov tsos mob ntawm lub plab hu ua pelvic inflammatory
• Cov tseem ceeb ua
• Yuav kho tus mob li cas

Pelvic inflammatory disease, tseem hu ua PID, yog qhov mob tshwm sim los ntawm qhov chaw mos thiab qhov kev vam meej cuam tshuam rau lub tsev menyuam, nrog rau txoj hlab thiab zes qe menyuam, kis thoob thaj chaw hu ua pelvic loj, thiab feem ntau nws yog qhov tshwm sim ntawm kev kis mob tsis tau kho kom zoo.

DIP tuaj yeem muab faib raws li nws qhov hnyav raws li:

• Theem 1: Kev mob ntawm endometrium thiab hlab leeg, tab sis yam tsis muaj tus kab mob peritoneum;
• Theem 2: Kev mob hlab leeg nrog kev kis tus kab mob peritoneum;
• Theem 3: Kev ua mob rau txoj hlab ntshav nrog tubal occlusion lossis hlab-zes qe menyuam koom tes, thiab sib sib zog ua tsis tau;
• Chaw ntau pob 4: Lub raj ntshav ntawm zes qe menyuam rwj, lossis tso zis tawm huv hauv cov kab noj hniav.

Tus kab mob no feem ntau cuam tshuam rau cov hluas thiab cov tub ntxhais hluas sib deev, nrog rau ntau tus neeg sib deev, uas tsis siv hnab looj thiab cov neeg uas tswj tus cwj pwm ntxuav chaw mos sab hauv.

Txawm hais tias ib txwm cuam tshuam nrog kev sib daj sib deev los, kev sib deev PID kuj tseem tuaj yeem cuam tshuam rau lwm yam xwm txheej xws li kev tso IUD lossis endometriosis, uas yog xwm txheej ntawm cov nqaij mos ntawm endometrium loj hlob sab nraum lub tsev menyuam. Kawm ntxiv txog endometriosis.

Cov tsos mob ntawm lub plab hu ua pelvic inflammatory

Pelvic inflammatory disease tuaj yeem hloov maj mam heev, thiab cov poj niam tsis yog ib txwm muaj peev xwm pom nws cov cim thiab cov tsos mob, txhawb qhov loj hlob ntawm cov kab mob me me thiab ua rau muaj ntau dua ntawm cov caj ces ntawm qhov chaw mos. Qee qhov xwm txheej qee yam cim qhia tau thiab cov tsos mob tuaj yeem txheeb xyuas tau, xws li:

• Ua npaws sib npaug lossis siab dua 38ºC;
• Mob hauv plab, thaum nws palpation;
• Qhov chaw mos los ntshav sab nraum poj niam lossis tom qab qhov kev sib deev;
• Qhov chaw mos muaj daj lossis ntsuab muaj tus ntxhiab tsw phem;
• Mob lub sij hawm sib chwv, tshwj xeeb tshaj yog thaum coj khaub ncaws.

Cov poj niam uas ntxim yuav tsim hom mob no yog cov hnub nyoog 15 thiab 25 xyoo, tsis siv hnab looj txhua lub sijhawm, uas muaj kev sib deev ntau leej, thiab cov uas muaj tus cwj pwm siv cov paum da dej, uas hloov pauv paum muaj mob rau txoj kev loj hlob ntawm cov kab mob.

Cov tseem ceeb ua

Pelvic inflammatory disease yog feem ntau cuam tshuam nrog kev nthuav tawm ntawm cov kab mob me me thiab tsis muaj tshuaj kho kom txaus. Cov laj thawj tseem ceeb ntawm PID yog kis kab mob sib kis los ntawm kev sib deev, uas, nyob rau hauv cov xwm txheej no, tej zaum yuav yog ib qho kev rau txim ntawm tus kab mob gonorrhea lossis mob chlamydia.

Ntxiv rau, PID tuaj yeem txhim kho qhov txiaj ntsig ntawm kev kis tus menyuam thaum muab tus menyuam tso tawm, qhia tawm ntawm cov khoom tsis huv rau chaw mos thaum lub sijhawm masturbation, kev tso tus menyuam IUD tsawg dua 3 lub lis piam, endometriosis lossis tom qab endometrial me lossis uterine curettage.

Kev txheeb xyuas tus kab mob pelvic inflammatory tsis yog ib qho yooj yim, tab sis nws tuaj yeem ua los ntawm kev ua tiav cov ntshav kuaj, thiab kev ntsuas cov duab xws li pelvic lossis transvaginal ultrasound.

Yuav kho tus mob li cas

Kev kho kab mob pelvic inflammatory tuaj yeem ua tiav siv tshuaj tua kab mob los ntawm ncauj los yog intramuscularly txog 14 hnub. Tsis tas li ntawd, nws yog ib qho tseem ceeb rau so, tsis muaj kev sib raug zoo thaum lub sijhawm kho, tsis hais txawm tias lub hnab looj kom siv sijhawm rau cov ntaub so ntswg los kho, thiab tshem tawm IUD, yog tias tsim nyog.

Ib qho piv txwv ntawm cov tshuaj tua kab mob rau pelvic inflammatory disease yog Azithromycin, tab sis lwm tus, xws li Levofloxacin, Ceftriaxone, Clindamycin lossis Ceftriaxone kuj tseem qhia tau. Lub sijhawm kho nws pom zoo tias tus khub kev sib deev tseem yuav kho tau txawm tias nws tsis muaj tsos mob kom tsis txhob rov ua mob ntxiv thiab phais yuav tsim nyog los kho qhov mob ntawm txoj hlab qe ntshav los yog txhaws kom tshem tawm. Nkag siab txog kev kho cov PID li cas.