LI PID

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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&ltin!

    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&lti(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&lti(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&lt &'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 &lt&'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

    anonym , #tt(:))),mayolini,o'!diseasesonditions(el%iinammato'y

    disease$asistestsdia!nosison20022341

    anonym, #tt(:))),mayolini,o'!diseasesonditions(el%iinammato'y

    disease$asisom(liationson20022341

    anonym, #tt(:))),n#s,&

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