I-Endometriosis

I-Endometriosis yenzeka lapho amaseli avela kulwelwesi lwesibeletho sakho (isibeletho) ekhula kwezinye izindawo zomzimba wakho. Lokhu kungadala izinhlungu, ukopha kakhulu, ukopha phakathi nezikhathi, nezinkinga zokukhulelwa (ukungazali).

Njalo ngenyanga, amaqanda esifazane akhiqiza ama-hormone atshela amangqamuzana angene esibelethweni ukuba avuvuke futhi abe mkhulu. Isibeletho sakho sikhipha la maseli kanye negazi nezicubu esithweni sakho sangasese lapho usesikhathini.

I-Endometriosis yenzeka lapho la maseli ekhula ngaphandle kwesibeletho kwezinye izingxenye zomzimba wakho. Lesi sicubu singanamathisela ku:

• Amaqanda
• Amashubhu we-fallopian
• Amathumbu
• I-Rectum
• Isinye
• Ulwelwesi lwendawo yakho okhalo

Ingakhula nakwezinye izindawo zomzimba, futhi.

Lokhu kukhula kuhlala emzimbeni wakho, futhi njengamaseli asolwelweni lwesibeletho sakho, lokhu kukhula kusabela kumahomoni avela kumaqanda akho. Lokhu kungadala ukuthi ube nezinhlungu phakathi nenyanga ngaphambi kokuqala kwesikhathi sakho. Ngokuhamba kwesikhathi, ukukhula kungangeza izicubu eziningi negazi. Ukukhula nakho kungakhula esiswini nasesinqeni okuholela ebuhlungwini obungapheli be-pelvic, imijikelezo esindayo, nokungabi nenzalo.

Akekho owaziyo ukuthi yini ebangela i-endometriosis. Umqondo owodwa ukuthi uma uthola isikhathi sakho, amaseli angahle ahlehle emuva ngokusebenzisa amashubhu e-fallopian angene okhalweni. Lapho lapho, amangqamuzana anamathisela futhi akhule. Kodwa-ke, lokhu kugeleza kwesikhathi esibuyela emuva kwenzeka kwabesifazane abaningi. Amasosha omzimba angabamba iqhaza ekubangeleni i-endometriosis kwabesifazane abanesimo.

I-Endometriosis ivamile. Kwenzeka cishe kuma-10% wabesifazane abaneminyaka yobudala yokuzala. Kwesinye isikhathi, kungahle kusebenze emindenini. I-Endometriosis cishe iqala lapho owesifazane eqala ukuba nezikhathi. Kodwa-ke, imvamisa ayitholakali kuze kube yiminyaka engama-25 kuye kwengama-35.

Kungenzeka ukuthi uthuthukise i-endometriosis uma:

• Yiba nomama noma udadewenu one-endometriosis
• Uqale isikhathi sakho esemncane
• Angikaze ngibe nezingane
• Yiba nezikhathi ezivamile, noma zihlala izinsuku eziyi-7 noma ngaphezulu

Ubuhlungu uphawu oluyinhloko lwe-endometriosis. Ungahle ube:

• Izikhathi ezibuhlungu - Izikhukhula noma ubuhlungu esiswini sakho esingezansi kungaqala ngesonto noma amabili ngaphambi kwesikhathi sakho. Amajaqamba angahle azinze futhi asuke kokufiphele kuye kokubi kakhulu.
• Ubuhlungu ngesikhathi noma ngemuva kocansi.
• Ubuhlungu ngokuchama.
• Ubuhlungu ngokuhamba kwamathumbu.
• Ubuhlungu be-pelvic besikhathi eside noma obuphansi emuva obungenzeka nganoma yisiphi isikhathi futhi buhlale izinyanga eziyisithupha noma ngaphezulu.

Ezinye izimpawu ze-endometriosis zifaka:

• Ukopha okukhulu kokuya esikhathini noma ukopha phakathi nezikhathi
• Ukuzala (ubunzima bokuthola noma ukuhlala ukhulelwe)

Ungahle ungabi nazimpawu. Abanye besifazane abanezicubu eziningi ezinqeni zabo abanabuhlungu nhlobo, kanti abanye besifazane abanesifo esibi banobuhlungu obukhulu.

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa ngokomzimba, kufaka phakathi ukuhlolwa kwe-pelvic. Ungaba nolunye lwalezi zivivinyo ukusiza ukuxilonga lesi sifo:

• I-ultrasound yangaphambilini
• I-laparoscopy yomzimba
• Ukucabanga kwe-Magnetic resonance (MRI)

Ukufunda ukuphatha izimpawu zakho kungenza kube lula ukuphila ne-endometriosis.

Uhlobo luni lokwelashwa onalo oluxhomeke ku:

• Iminyaka yakho
• Ubukhulu bezimpawu zakho
• Ubukhulu besifo
• Ukuthi ufuna izingane ngokuzayo

Okwamanje alikho ikhambi le-endometriosis. Kunezinketho zokwelashwa ezihlukile.

ABATHOLI Bobuhlungu

Uma unezimpawu ezimnene, ungakwazi ukuphatha ukuqunjelwa nobuhlungu nge:

• Amasu wokuzivocavoca nokuphumula.
• Ukudambisa izinhlungu zasesitolo - Lokhu kufaka phakathi ibuprofen (Advil), naproxen (Aleve), ne-acetaminophen (Tylenol).
• Ama-painkillers kadokotela, uma kudingeka, ngenxa yobuhlungu obunzima kakhulu.
• Ukuhlolwa njalo njalo ezinyangeni eziyisithupha kuya kweziyishumi nambili ukuze udokotela wakho abheke isifo.

UKWELASHWA KWEHORMONE

Le mithi ingavimbela i-endometriosis ekubeni ibe yimbi kakhulu. Zinganikezwa njengamaphilisi, isifutho samakhala, noma isibhamu. Abesifazane abangazami ukukhulelwa kuphela okufanele bathole le ndlela yokwelashwa. Ezinye izinhlobo zokwelashwa kwamahomoni zizokuvimbela nokuthi ungakhulelwa ngenkathi uphuza umuthi.

Amaphilisi okulawula ukubeletha - Ngalokhu kwelashwa, uphuza amaphilisi ama-hormone (hhayi amaphilisi angasebenzi noma we-placebo) izinyanga eziyisithupha kuya kwezi-9 ngokuqhubekayo. Ukuphuza la maphilisi kudambisa izimpawu. Noma kunjalo, awuphathi noma yimuphi umonakalo osuvele wenzekile.

Amaphilisi e-progesterone, imijovo, i-IUD - Lokhu kwelashwa kusiza ukuncipha kokukhula. Imiphumela emibi ingafaka ukuzuza kwesisindo nokudangala.

Imithi ye-Gonadotropin-agonist - Le mithi imisa ama-ovari akho ekukhiqizeni i-hormone estrogen. Lokhu kubangela isimo esifana nokuya esikhathini. Imiphumela emibi ifaka ukukhanya okushisayo, ukoma kwesitho sangasese sowesifazane, kanye nokushintsha kwemizwelo. Ukwelashwa kuvame ukukhawulelwa ezinyangeni eziyisithupha ngoba kungenza buthaka amathambo akho. Umhlinzeki wakho angakunika imithamo emincane yehomoni ukuze unciphise izimpawu phakathi nalokhu kwelashwa. Lokhu kwaziwa ngokuthi yi-'wengeze 'emuva. Kungasiza futhi ekuvikeleni ekulahlekelweni ngamathambo, ngenkathi kungabangeli ukukhula kwe-endometriosis.

Umuthi we-Gonadotropin- antagonist - Lo muthi womlomo usiza ukukhiqizwa okuphansi kwe-estrogen okuholela esimweni esifana ne-menopausal futhi ulawule ukukhula kwezicubu ze-endometriya okuholela ekulimaleni okubuhlungu nobunzima.

UKUHLINZA

Umhlinzeki wakho angancoma ukuhlinzwa uma unezinhlungu ezinzima ezingabi ngcono nezinye izindlela zokwelashwa.

• I-laparoscopy isiza ukuxilonga lesi sifo futhi ingasusa neziqu kanye nezicubu ezibomvu. Ngoba kusikwa okuncane esiswini sakho, uzolulama ngokushesha kunezinye izinhlobo zokuhlinzwa.
• I-laparotomy ifaka phakathi ukusika (ukusika) okukhulu esiswini sakho ukususa iziqu nezicubu ezibomvu. Lokhu ukuhlinzwa okukhulu, ngakho ukuphulukiswa kuthatha isikhathi eside.
• I-laparoscopy noma i-laparotomy kungaba yindlela enhle uma ufuna ukukhulelwa, ngoba bayaselapha lesi sifo futhi bashiye izitho zakho zisendaweni efanele.
• I-Hysterectomy ukuhlinzwa ukuze kususwe isibeletho sakho, amashubhu ezisu, kanye nama-ovari. Ukususwa kwamaqanda akho womabili kusho ukungena esikhathini. Uzohlinzwa lokhu kuphela uma unezimpawu ezinzima ezingazange zibe ngcono ngezinye izindlela zokwelashwa futhi ungafuni ukuba nezingane ngokuzayo.

Alikho ikhambi le-endometriosis. Ukwelashwa kweHormone kungasiza ekunciphiseni izimpawu, kepha izimpawu zivame ukubuya lapho ukwelashwa kumisiwe. Ukwelashwa ngokuhlinzwa kungasiza ekunciphiseni izimpawu iminyaka. Kodwa-ke, akubona bonke abesifazane abane-endometriosis abasizwa yilezi zindlela zokwelapha.

Uma usungene esikhathini sokuya esikhathini, i-endometriosis akunakwenzeka ukuthi idale izinkinga.

I-Endometriosis ingaholela ezinkingeni zokukhulelwa. Kodwa-ke, iningi labesifazane abanezimpawu ezincane lingakhulelwa. I-Laparoscopy ukususa ukukhula kanye nezicubu ezibomvu kungasiza ekuthuthukiseni amathuba akho okukhulelwa. Uma kungenjalo, ungahle uthande ukubheka ukwelashwa kokuzala.

Ezinye izinkinga ze-endometriosis zifaka:

• Ubuhlungu be-pelvic besikhathi eside obuphazamisa imisebenzi yezenhlalo neyomsebenzi
• Ama-cysts amakhulu kuma-ovari kanye ne-pelvis angahle avuleke (aqhekeke)

Ezimweni ezingavamile, izicubu ze-endometriosis zingavimba amathumbu noma umgudu wokuchama.

Kancane kakhulu, umdlavuza ungakhula ezindaweni zokukhula kwezicubu ngemuva kokunqamuka kokuya esikhathini.

Shayela umhlinzeki wakho uma:

• Unezimpawu ze-endometriosis
• Zizwe unesiyezi noma unekhanda elincane ngenxa yokwehla kwegazi okukhulu kokuya esikhathini
• Ubuhlungu beqolo noma ezinye izimpawu ziphinde zenzeke ngemuva kokuphathwa kwe-endometriosis

Ungahle ufune ukuhlolwa i-endometriosis uma:

• Umama noma udadewenu unalesi sifo
• Awukwazi ukukhulelwa ngemuva kokuzama unyaka owodwa

Amaphilisi okulawula ukubeletha angasiza ukuvimbela noma ukubambezela ukukhula kwe-endometriosis. Amaphilisi okulawula inzalo asetshenziswa njengokwelashwa kwe-endometriosis asebenza kahle kakhulu uma ephuzwa ngokuqhubekayo futhi engamiswa ukuvumela isikhathi sokuya esikhathini. Zingahle zisetshenziselwe abesifazane abasebasha ngasekupheleni kobusha noma ama-20s okuqala anezikhathi ezibuhlungu ezingaba ngenxa ye-endometriosis.

Ubuhlungu bomzimba - i-endometriosis; I-Endometrioma

• I-Hysterectomy - isisu - ukuphuma
• Ukukhishwa kwe-Hysterectomy - laparoscopic -
• I-Hysterectomy - ukukhishwa kwesitho sangasese sowesifazane

• I-laparoscopy yomzimba
• I-Endometriosis
• Izikhathi ezingavamile zokuya esikhathini

U-Advincula A, Truong M, Lobo RA. I-Endometriosis: i-etiology, i-pathology, ukuxilongwa, ukuphathwa. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 19.

UBrown J, uCrawford TJ, uDatta S, uPrentice A. Izindlela zokuvimbela inzalo zomlomo zobuhlungu obuhambisana ne-endometriosis. Isikhungo sedatha yeCochrane Rev. 2018; 5 (5): CD001019. I-PMID: 29786828 pubmed.ncbi.nlm.nih.gov/29786828/.

UZondervan KT, Becker CM, uMissmer SA. I-Endometriosis. N Engl J Med. 2020; 382 (13): 1244-1256. I-PMID: 32212520 pubmed.ncbi.nlm.nih.gov/32212520/.