Izifo ezinokuvuthayo zamalungu okhulayo kwabasetyhini

Kwiimeko ezingaphezu kwama-50%, isizathu sokudluliselwa kwezigulane kwi-gynecologist izifo ezivuthayo zendlela yokuzala. Ngokukodwa, aba bafana abasetyhini abahlala ubomi obunempilo ngokwesini. Isizathu esibalulekileyo sokuvuvukala yi-STD, nangona kunjalo igosa elikhuselekileyo liyi-flora.

Kubalulekile ukuxilonga nokunyanga kwesi sifo ngexesha, kungenjalo kungakhokelela kwimiphumo emibi. Nangona kunjalo, oku kunokwenziwa kungekhona nje, kuba ngokuqhelekileyo ukuvuvukala kungabonakali, kwaye umfazi akazi ukuba uyagula.

Kule meko, uncedo ekufumaneni izifo ezithintekayo zezifo zofuzo ziya kunceda kuphela iimviwo kwi-gynecologist. Ibhinqa kufuneka lihambe nayo kanye ngonyaka. Ukuba kukho into ekukhathazayo, ngoko nangoko.

Unonophelo kufuneka uthathwe kwimpilo yakho emva kokubeleka, ukunyangwa kwengxaki, ukutshatyalaliswa kwesondo, isondo, isini, isifo sobuntu, i-GHA, ukusetyenziswa kwemisebenzi yobomi, ukuqaliswa kwe-IUD, i-hypothermia, uxinzelelo olubi kunye nokugula. Kubaluleke kakhulu ukugcina ucoceko lomntu kunye nokusebenzisa iikhondom. Kwakhona, izinto ezinokubangela ukunciphisa umzimba ziyanciphisa ukukhuseleka komzimba kunye nokuhluleka kwe-hormonal.

Izifo ezivame ukuvuthayo zikhokelela kwimiphumo elandelayo:

• Ukutshatyalaliswa kokutshatyalaliswa kokukhulelwa ;
• Ukungenzi lutho;
• Ukungasebenzi kwezi-ovari;
• Ukukhathazeka ngesondo;
• Ubuhlungu bepelvic;
• Ukukhulelwa kwe-Ectopic.

Ngelishwa, kwenzeka ukuba zezi zibonakaliso ezenza umfazi aphendule ugqirha. Kule meko, utshintsho olungenakuguquka olwenzeka kunzima kakhulu ukunyanga.

Ngoko, izifo ezivuthayo zesitho zomzimba zesini zineziphumo ezilandelayo:

• Iiplastiki kwiifowuni kunye nezo zangaphandle;
• Ukuphazamiseka kokuhamba;
• Ukubethelwa kwezesondo;
• Ukukhutshwa kwamagciwane (kaninzi kuninzi kunomlilo, umbala ongaqhelekanga kunye nokuvumelana);
• Ukuvuthwa, isicupunu;
• Fever;
• Ubuhlungu kwisisu nasezintlangeni.

Ukuba khona kweyodwa yeempawu zokuqala ezine zanele ukutyelela ugqirha.

Kubalulekile ukukhumbuza ukuba kuphela umgulane wesifo somzimba kufuneka ahlolisise kwaye aphathe izifo ezivuthayo. Awukwazi ukunika unyango. Ngokukhawuleza ugqirha uyabiza, mfutshane kwaye ishibhile unyango luya kuba, kwaye amathuba okuba iingxaki ziya kuba ziphantsi.

Uphononongo kufuneka ube nezinto ezilandelayo:

• I-ultrasound gynecological;
• Igazi le-HIV, i-syphilis, i-hepatitis C ne-B;
• Ucwaningo lwezonyango lwe-urine negazi;
• Smear kwi-STD ngokusebenzisa indlela ye-PCR;
• Izityalo kwi microflora, ureaplasma kunye ne-mycoplasma;
• Uviwo logqirha;
• Uhlalutyo lwamaseli kunye namahlumela.

Iimpawu ziyi-colposcopy, laparoscopy, hysteroscopy, uvavanyo lwegazi lwegazi.

I-regimen yonyango ixhomekeke kubude, ubunzima kunye nokwakhiwa kwenkqubo yokuvuvukala. Kuxhomekeke kwii-infathogens ezifunyenweyo, i-antibacterial, anti-antial or antifungal agents zingabhalwa.

Ngengqiqo yogqirha, amajoni e-immune kunye ne-microflora-repair repair agents asetyenziswa. Kwakhona kusetyenziswe unyango lwe-vitamin, unyango oluchasayo, unyango lweentlungu xa luyimfuneko.

Ukuphela kwonyango lwengingqi alusetyenziswanga, kodwa ukusetyenziswa kwalo kunceda ukunciphisa ixesha lonyango lwenkqubo. Ngokuqhelekileyo, ngokukodwa kwiinkqubo ezingapheliyo, i-physiotherapy isetyenziswa. Ukuba unyango olulondolozayo aluyanele, utyando luyasetyenziswa.

Ngoko, kukho ezi zifo ezivuzayo:

• Iprolvic peritoneum (i-pelvioperitonitis);
• Izibhabhane ze-Fallopian kunye nama-ovari (salpingoophoritis okanye adnexitis);
• Ama-ovari (oophoritis);
• Isibeletho somzimba (endometritis);
• Izibhabhane ze-Fallopian (salpingitis);
• I-Mucosa kwinqanawa yomlomo wesibeleko (endocervicitis);
• I-genitalia yangaphandle (vulvitis);
• I-Cervix (cervicitis) ;
• Ibhinqa (i-colpitis);
• Izigulane ngehora lesini (ibartholinitis).

Ngako oko, izifo ezivuthayo zezifo zofuzo ziqhelekile. Kufuneka zifumaneke kwaye ziphathwe ngendlela efanelekileyo, ngaphandle koko zibangele imiphumo emibi.