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nama : Vondy Holianto NIM : 004011381419157 Kelas : Gamma
2014
A. Pelvic Infamatory Desease ( PID )
PID is an asendin! in"etion t#at $e!ins in t#e %&l%a o' %a!ina and s('eads
&()a'd to in%ol%e most o" t#e st'&t&'es in t#e "emale !enital system* 'es<in!
in (el%i (ain* adne+al tende'ness* "e%e'* and %a!inal dis#a'!e, -)o se+&ally
t'ansmitted diseases ./-Ds!ono''#ea and #lamydiaa'e t#e main a&se o"
PID, Gono''#ea and #lamydia may a&se %a!&e sym(toms o' e%en no
sym(toms in a )oman, -#e o'!anisms asend t#'o&!# t#e endoe'%ial anal to
t#e endomet'ial a%ity* and t#en to t#e t&$es and o%a'ies, -#e endoe'%ial
anal is sli!#tly dilated d&'in! menst'&ation* allo)in! $ate'ia to !ain ent'ane
to t#e &te'&s and ot#e' (el%i st'&t&'es, "te' ente'in! t#e &((e' 'e('od&ti%e
t'at* t#e o'!anisms m<i(ly 'a(idly in t#e "a%o'a$le en%i'onment o" t#e
slo&!#in! endomet'i&m and asend to t#e "allo(ian t&$e .i!, 4,
6esides t#ese t)o o'!anisms* in"etions a"te' s(ontaneo&s o' ind&ed a$o'tions
and no'mal o' a$no'mal deli%e'ies .alled (&e'(e'al in"etions a'e im(o'tant
a&ses o" PID, In t#ese sit&ations t#e in"etions a'e ty(ially (olymi'o$ial and
may $e a&sed $y sta(#ylooi* st'e(tooi* oli"o'm $ate'ia* and Clostridiumperfringens,
it# !onoo&s* inammato'y #an!es sta't to a((ea' a(('o+imately 2 to 7
days a"te' ino&lation, ndoe'%ial m&osa is t#e most ommon site o" initial
in%ol%ement, Gonooal inammation may also $e!in in t#e 6a't#olin !land and
ot#e' %esti$&la'* o' (e'i&'et#'al* !lands, 'om any o" t#ese sites* t#e o'!anisms
may s('ead &()a'd to in%ol%e t#e "allo(ian t&$es and t&$oo%a'ian 'e!ion, -#e
non!onooal $ate'ial in"etions t#at "ollo) ind&ed a$o'tion* dilation and
&'etta!e o" t#e &te'&s* and ot#e' s&'!ial ('oed&'es o" t#e "emale !enital t'at
a'e t#o&!#t to s('ead "'om t#e &te'&s &()a'd t#'o&!# t#e lym(#atis o' %eno&s
#annels 'at#e' t#an on t#e m&osal s&'"aes, -#e'e"o'e* t#ese in"etions tend to
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('od&e less m&osal in%ol%ement $&t mo'e 'eation )it#in t#e dee(e' laye's o"
t#e o'!ans,
ato's t#at ('edis(ose )omen to t#e de%elo(ment o" PID inl&de an a!e o" 1
to 24 yea's* n&lli(a'ity* #isto'y o" m<i(le se+&al (a'tne's* and ('e%io&s #isto'y
o" PID, lt#o&!# t#e &se o" an ID #as $een assoiated )it# a t#'ee to ;%e"old
in'eased 'is< "o' de%elo(ment o" PID* st&dies #a%e s#o)n t#at )omen )it# only
one se+&al (a'tne' )#o a'e at lo) 'is< o" a=&i'in! /-Is #a%e no si!ni;ant 'ised e!! "'om mo%in! into t#e
&te'&s, Instead* it an $e!in to !'o) in t#e "allo(ian t&$e, -#e t&$e may '&(t&'e
.$'ea
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D. #ymptom
/i!ns and sym(toms o" (el%i inammato'y disease may inl&de:
Pain in yo&' lo)e' a$domen and (el%is Hea%y %a!inal dis#a'!e )it# an &n(leasant odo'% I''e!&la' menst'&al $leedin! Pain d&'in! inte'o&'se e%e' Pain"&l o' diE< &'ination
PID may a&se only mino' si!ns and sym(toms o' none at all, PID )it# mild o' no
sym(toms is es(eially ommon )#en t#e in"etion is d&e to #lamydia,
$.Diagnosis
Doto's dia!nose (el%i inammato'y disease $ased on si!ns and sym(toms* a
(el%i e+am* an analysis o" %a!inal dis#a'!e and e'%ial <&'es* o' &'ine
tests,
D&'in! t#e (el%i e+am* yo&' doto' &ses a otton s)a$ to ta
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D-@ P/-K
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