Matenda a Fitz-Hugh-Curtis ndi omwe mabakiteriya, omwe nthawi zambiri amatuluka m'mimba, amafalikira pamimba ndipo amachititsa kutupa pamimba ndi m'mimba yomwe imadutsa chiwindi. Mphuno (minofu yomwe imalekanitsa mmimba kuchokera pachifuwa) ingasokonezedwenso.
Gonococcal Perihepatitis kapena Perihepatitis Syndrome, Fitz-Hugh-Curtis Syndrome ndi matenda osadziwika omwe amapezeka mwa amayi 15-30% omwe ali ndi matenda opatsirana m'mimba (PID).
Nthawi zambiri, matendawa amatha kupezeka kwa amayi opanda PID komanso amuna.
Zizindikiro
Mu matenda a Fitz-Hugh-Curtis, kutupa kwa matenda a chiwindi kumayambitsa mapangidwe osakanikirana (othandizira) pakati pa chiwindi ndi mkati mwa mimba. Kwa anthu ena, izi zimapangitsa kuti asakhale ndi zizindikiro. Ena akhoza kukhala ndi zizindikiro zotsatirazi zokhudzana ndi Fitz-Hugh-Curtis:
- Kuyamba mwadzidzidzi kupweteka kwambiri kumtunda kumene kumakhala pamimba, pamwamba pa ndulu
- Ululu umene ukhoza kusuntha pa phewa lakumanja ndi mkati mwa dzanja lamanja
- Kupweteka kochulukanso ndi kutsokomola, kutchera, kapena kuyenda
- Nausea
- Kuthamanga
- Chills ndi fever
- Kutuluka kwa usiku
- Mutu
- Kuwombera
Zomwe Zimayambitsa Ndi Kuzindikira
Kawirikawiri, dokotala sangakhoze kuwona kapena kumva kukhalapo kwa matenda a Fitz-Hugh-Curtis, kotero ululu wamimba wapamtima ukhoza kukhala njira yokhayo yowonjezeretsa kulangizidwa kwa matenda. Kukhalapo kwa matenda a pelvic kumaperekanso chitsimikizo cha matendawa, popeza matendawa nthawi zambiri amakhala ndi matenda a chifuwa chachikulu (PID), omwe ali ndi kachilombo ka HIV m'mimba mwa amayi.
Matendawa amayamba chifukwa cha Neisseria gonorrhoeae ndi Chlamydia trachomatis.
Popanda kukhala ndi PID, matendawa angakhale ovuta, chifukwa chakuti zinthu zambiri zingayambitse ululu m'mimba. Kwa amayi, zikhalidwe za chiberekero za chlamydia ndi gonorrhea zidzachitika, chifukwa matendawa ndi omwe amachititsa kuti matenda a Fitz-Hugh-Curtis awonongeke.
Ngati matenda alipo, maselo oyera a magazi (WBC) m'magazi adzakhala okwera, monga momwe chiwerengero cha erythrocyte sedimentation (ESR) chidzakhalira.
Dokotala adzayang'ana munthu payekha zomwe zili ndi zizindikiro zofanana ndi matenda a Fitz-Hugh-Curtis, monga zilonda zam'mimba , kutupa kwa chiwindi (hepatitis), impso miyala kapena matenda, ndi zilonda zam'mimba. Mimba ya ultrasound ndi computed tomography (CT) ingathandize kuthana ndi matendawa. Chifuwa cha x-ray chikhoza kutulutsa chibayo chifukwa cha ululu ndi kukhwima kapena kupopera.
Laparoscopy kuti Imitsimikizire Kuzindikira
Njira yabwino kwambiri yotsimikizira kuti matenda a Fitz-Hugh-Curtis ndi amene amachititsa kuti dokotala ayang'ane mkati mwa thupi (kuyang'ana chiwindi). Izi zimachitika poika kamera mkati mwa mimba, yotchedwa laparoscopy . Dokotala amatha kuwona zojambulidwa kunja kwa chiwindi, zomwe zimawonekera mwachidule (zotchedwa "string-string" adhesions).
Chithandizo
Chithandizo cha munthu payekha ndi matenda a Fitz-Hugh-Curtis ali ndi maantibayotiki a matenda ndi mankhwala opweteka. Matendawa akatha, zizindikirozo zimatsimikiza. Popeza chlamydia ndi gonorrhea zimafalikira kudzera mu kugonana, munthuyo ayenera kumangokhalira kuchita zogonana mpaka matenda atatha, ndipo wokondedwayo ayenera kuthandizidwa.
Zotsatira:
National Organisation for Disorder Disorders. Fitz Hugh Curtis Syndrome.