7/23/2019 Pelvic Inflammatory Disease (e)

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RKNQJC J@ANLOOLXITZ HJSKLSK &RJH*

Mkssjcl Ul`egk

HKAJ@JSJ

RJH lxl{ Rk`zlgjx Tlhl`e Rl`ee{n &RTR* lhlnlf j`akgsj rinjojgtidjln rlhl ul jxl zl`e

ok`ek`lj xtlgx{s ek`jxlnjl dlejl` lxls. zl`e hjskdldgl` inkf rk`zkdltl` itel`jsok gk lxls

&lsk`hk`* hltj qlej`l)sktqjgs gk k`hiokxtj{o &k`hiokxtjxjs*. x{dl alnirjj &slnrj`ejxjs*. hl`

sxt{gx{t hj skgjxlt`zl &ldsks x{di/iqltj{o)XIL. rknqjrktjxi`jxjs*

7/23/2019 Pelvic Inflammatory Disease (e)

2/10

/ Rtisks ok sxt{lsj &rtisks ok sxt{lsj hlrlx oko{hlfgl` xktmlhj`zl j`akgsj gltk`l

fjnl`e`zl nlrjsl` k`hiokxtj{o zl`e ok`zkdldgl` dktg{tl`e`zl rktxlfl`l` hltj tlfjo.

sktxl ok`zkhjlgl` okhj{o zl`e dljg {`x{g rktx{od{fl` dlgxktj*

/ Ul`jxl zl`e lgxja skcltl skgs{ln hj dlulf {sjl 4; xlf{` &ul`jxl o{hl dktgkck`hkt{`el`

{`x{g dktel`xj/el`xj rlsl`el` skgs{ln hl` oknlg{gl` f{d{`el` skgs{ln xjhlg lol`

hjdl`hj`egl` ul`jxl dkt{o{t Sknlj` jx{ ul`jxl o{hl hl` tkolml ck`hkt{`e okojnjgj

nk`hjt zl`e xjrjs skfj`eel xjhlg hlrlx okortixkgsj ols{g`zl dlgxktj*

/ Hi{cfj`e &ul`jxl zl`e xktnln{ sktj`e ok`ee{`lgl` rkodktsjf gkul`jxll` hlrlx

oknkolfgl` anitl `itoln rlhl ek`jxlnjl skfj`eel g{ol` o{hlf ols{g gk dlejl` zl`e

nkdjf hlnlo*

/ Xj`eeln hj hlktlf zl`e xj`eej rtkqlnk`sj SXH/`zl

KRJHKOJINIEJ

/ Rk`j`eglxl` tksjgi RJH hjxko{gl` rlhl kx`jg dktg{njx r{xjf hl` rlhl eini`el` sisji/

kgi`iojg tk`hlf RJH sktj`e o{`c{n rlhl {sjl

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Itel`jsok zl`e hjgkxlf{j ok`zkdlt hk`el` okgl`jsok j`j lhlnlf @.ei`ittfiklk. C.

Xtlciolxjs. Sxtkrxicicc{s lelnlxjlk sjxiokelniqjt{s hl` qjt{sFktrks sjornkgs

Njoalxjg

J`akgsj r{ktr{tlnjs &xktols{g skxknlf lditx{s* hl` j`akgsj zl`e dktf{d{`el` hk`el` J[H

ok`zkdlt oknln{j sjsxko njoalxjg skrktxj j`akgsj Ozirnlsol `i` r{tr{tlnjs

Fkolxiek`

Rk`zkdltl` fkolxiek` rk`zlgjx rl`ee{n xktdlxls rlhl rk`zlgjx xktxk`x{ &ojsln`zl XDC*

J`xtlrktjxi`k{o

J`akgsj j`xtlldhiok` &ojsln`zl lrk`hjsjxjs. hjqktxjg{njxjs* hl` gkcknlgll` j`xtl ldhiok`

&ojsln`zl {ng{s hk`el` rktaitlsj* hlrlx ok`zkdldgl` j`akgsj zl`e ok`ek`lj sjsxko

ek`kxlnjl j`xkt`l

Gi`xlg nl`es{`e

J`akgsj rlscl rkodkhlfl` ej`kginiej xktmlhj lgjdlx rk`zkdltl` j`akgsj skxkorlx hltj

hlktlf j`akgsj hl` `kgtisjs mltj`el`

Elodlt

7/23/2019 Pelvic Inflammatory Disease (e)

4/10

sktqjgiqlej`ln hlrlx xjod{n lgjdlx xktlrj l`xjdjixjg hl` rk`zlgjx ok`{nlt skgs{ln zl`e hlrlx

ok`eel`ee{ gkskjodl`el` anitl k`hiek`. ok`zkdldgl` itel`jsok `i`rlxiek` dktx{od{f

skcltl dktnkdjfl` hl` dktektlg gk lxls Rkod{gll` sktqjgs sknlol ok`sxt{lsj hl`el` lnjtl`

ok sxt{ln zl`e tkxtietlh hlrlx okoalsjnjxlsj rktektlgl` lsk`hk` hltj ojgtiitle`jsok

F{d{`el` skgs{ln m{el hlrlx ok`zkdldgl` j`akgsj lsk`hk` lgjdlx hltj gi`xtlgsj {xkt{s okgl`js

zl`e tjxojg Dlgxktj hlrlx xktdlul dktslol srktol ok`{m{ {xkt{s hl` x{dl

Dkdktlrl mk`js j`anlolsj zl`e xktols{g RJH hl` sktj`e hjxko{gl` lhlnlf=

l Slnrj`ejxjs

Ojgtiitel`jsok zl`e xktsktj`e ok`zkdldgl` slnrj`ejxjs lhlnle @. Ei`itfkl hl` C.

xtlcfiolxjs. Slnrj`ejxjs xjod{n rlhl tkolml zl`e okojnjgj rlsl`el` skgs{ln o{nxjrnk hl` xjhlg

ok`ee{`lgl` gi`xtlskrsj Ekmlnl oknjr{xj `zktj rkt{x dlulf hl` `zktj rknqjs zl`e lg{x @zktj

hlrlx ok`mlnlt gk glgj Hlrlx xjod{n skgtksj qlej`l Ekmlnl xlodlfl` dkt{rl o{ln. o{`xlf. hl`

`zktj gkrlnl Xko{l` nlditlxitj{o zljx{ `itoln nk{gisjx lxl{ nk{gisjxisjs Rk`lxlnlgsl`ll`

lhlnlf hk`el` l`xjojctidjln xktlrj Rlsjk` flt{s hjfisrjxlnjslsj. xjtlf dltj`e. hl` hjdktj

rk`eidlxl` korjtjc Rtie`isjs dktel`x{`e rlhl xktlrj l`xjojctidjln srkcxt{o n{ls hl` jsxjtlflx

zl`e xixln Giornjglsj dkt{rl fjhtislnrj`e. rzislnrj`e. ldsks x{dliqltjl`. hl` j`aktxjnjxls

d. Ldsks X{dl Iqltjl` &XIL*

Ldsks j`j hlrlx o{`c{n skxknlf i`skx slnrj`ejxjs. `lo{` nkdjf sktj`e lgjdlx j`akgsj

lh`kvl zl`e dkt{nl`e Rlsjk` hlrlx lsjorxiolxjg lxl{ hlnlo gklhll` skrxjc sficg I`skx

hjxko{gl` 4 oj`ee{ skxknlf ok sxt{lsj hk`el` `zktj rknqjs hl` ldhiok`. o{ln. o{ xlf.

hkolo. hl` xlgjglthj Skn{t{f ldhiok` xkel`e hl` `zktj Nk{gisjx hlrlx tk`hlf. `itoln. lxl{

sl`elx ok`j`eglx Hjle`isl hjaktk`sjln zljx{ gjsxl iqltj{o. `kirnlsol iqltj{o. gkflojnl`

kgxirjg. hl` rktjlrk`hjckln ldsks Rk`lxlnlgsl`ll` luln hk`el` l`xjdjixjg Mjgl olssl xjhlg

ok`ekcjn skxknlf 4/3 oj`ee{ xktlrj l`xjdjixjc. okt{rlgl` j`hjglsj rkodkhlfl`

OL@JAKSXLSJ GNJ@JS

Ekmlnl djlsl`zl o{`c{n skektl skxknlf sjgn{s ok`sxt{lsj Rk`hktjxl oktlslgl` `zktj rlhl rkt{x

dlejl` dlulf zl`e skolgj` okod{t{g hl` hjsktxlj inkf o{ln lxl{ o{`xlf Djlsl`zl j`akgsj

lgl` ok`z{odlx x{dl alnirjj X{dl zl`e xkts{odlx djsl okodk`eglg hl` xktjsj cljtl` Skdlelj

lgjdlx`zl djsl xktmlhj `zktj ok`lf{`. rkthltlfl` ok`sxt{lsj zl`e xjhlg xktlx{t hl` gkol`h{nl`

7/23/2019 Pelvic Inflammatory Disease (e)

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J`akgsj djsl ok`zkdlt gk sxt{gx{t hj skgjxlt`zl. ok`zkdldgl` xktdk`x{g`zl mltj`el` rlt{x hl`

rktnk`egkxl` ajdtisl zl`e ld`itoln hjl`xltl itel`/itel` rkt{x sktxl ok`zkdldgl` `zktj

ok`lf{` Hj hlnlo x{dl. iqltj{o. ol{r{` rl`ee{n djsl xktdk`x{g ldsks &rk`jod{`l` `l`lf*

Mjgl ldsks rkclf hl` `l`lf ols{g gk ti`eel rl`ee{n. ekmlnl`zl skektl okod{t{g hl` rk`hktjxl

djsl ok`elnloj szig Nkdjf ml{f nlej djsl xktmlhj rk`zkdltl` j`akgsj gk hlnlo hltlf skfj`eel

xktmlhjskrsjs Ekmlnl nlj``zl zl`e o{`egj` hjxko{gl` rlhl RJH=

Gkn{lt cljtl` hltj qlej`l hk`el` ult`l. gi`sjsxk`sj hl` dl{ zl`e ld`itoln

Okxtitltejl

Hkolo

Rkthltlfl` ok`sxt{lsj zl`e xjhlg xktlx{t lxl{ srixxj`e&dktclg/dktclg gkoktlfl` hj cknl`l

hlnlo

Gtlo gltk`l ok`sxt{lsj

@zktj gkxjgl oknlg{gl` f{d{`el` skgs{ln

Rkthltlfl` skxknlf oknlg{gl` f{d{`el` skgs{ln

@zktj r{`ee{`e dlejl` dlulf

Gknknlfl`

@las{ olgl` dktg{tl`e

Sktj`e dktgkojf

@zktj gkxjgl dktgkojf

HJLE@ISJS

l L`lo`ksjs &sks{lj hk`el` algxit tksjgi hl` ekmlnl gnj js*

d. RA &rlnrlsj rl`ee{n hl` rkt{x `zktj xkgl` rkt{x dlejl` dlulf87 XXQ s{f{

ok`j`eglx &036iC*. `lhj ckrlx