I-Adenomyosis
I-Adenomyosis ukuqina kwezindonga zesibeletho. Kwenzeka lapho izicubu ze-endometrial zikhula zibe izindonga zangaphandle zemisipha yesibeletho. Izicubu ze-Endometrial zakha ulwelwesi lwesibeletho.
Isizathu asaziwa. Kwesinye isikhathi, i-adenomyosis ingadala ukuthi isibeletho sikhule ngosayizi.
Lesi sifo sivame ukwenzeka kubantu besifazane abaneminyaka engama-35 kuye kwengama-50 asebekhulelwe okungenani okukodwa.
Ezimweni eziningi, azikho izimpawu. Lapho kuvela izimpawu, zingabandakanya:
- Ukopha isikhathi eside noma okunzima kokuya esikhathini
- Izikhathi ezibuhlungu zokuya esikhathini, eziba zimbi kakhulu
- Ubuhlungu bomzimba ngesikhathi sokuya ocansini
Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuxilongwa uma owesifazane enezimpawu ze-adenomyosis ezingabangelwa ezinye izinkinga ezibanzi zabesifazane. Okuwukuphela kwendlela yokuqinisekisa ukuxilongwa ngokuhlola izicubu zesibeletho ngemuva kokuhlinzwa ukusikhipha.
Ngesikhathi sokuhlolwa kwe-pelvic, umhlinzeki angathola isibeletho esithambile nesikhulisiwe kancane. Ukuhlolwa kungabuye kuveze ubukhulu besizalo noma ubumnene besibeletho.
I-ultrasound yesibeletho ingenziwa. Kodwa-ke, kungenzeka kunganikeli ngokusobala ukuxilongwa kwe-adenomyosis. I-MRI ingasiza ukuhlukanisa lesi simo kwezinye izicubu zesibeletho. Kuvame ukusetshenziswa lapho ukuhlolwa kwe-ultrasound kunganikeli ngemininingwane eyanele yokwenza ukuxilongwa.
Abesifazane abaningi bane-adenomyosis njengoba besondela esikhathini sokuya esikhathini. Kodwa-ke, bambalwa kuphela abazoba nezimpawu. Iningi labesifazane alidingi ukwelashwa.
Amaphilisi okulawula ukubeletha kanye ne-IUD ene-progesterone kungasiza ekwehliseni ukopha kakhulu. Imithi efana ne-ibuprofen noma i-naproxen nayo ingasiza ukuphatha izimpawu.
Ukuhlinzwa ukususa isibeletho (i-hysterectomy) kungenziwa kwabesifazane abanezimpawu ezinzima.
Izimpawu zivame ukuphela ngemuva kokunqamuka kokuya esikhathini. Ukuhlinzwa ukususa isibeletho kuvame ukukuqeda nya izimpawu.
Shayela umhlinzeki wakho uma uba nezimpawu ze-adenomyosis.
I-endometriosis interna; I-Adenomyoma; Ubuhlungu bomzimba - i-adenomyosis
UBrown D, uLevine D. Isibeletho. Ku: Rumack CM, Levine D, eds. I-ultrasound yokuxilonga. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 15.
I-Bulun SE. I-Physiology kanye ne-pathology ye-eksisi yokuzala yabesifazane. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 17.
I-Dolan MS, i-Hill C, i-Valea FA. Izilonda ze-Benign gynecologic: isisu, isitho sangasese sowesifazane, umlomo wesibeletho, isibeletho, i-oviduct, i-ovary, i-ultrasound imaging yezakhiwo ze-pelvic. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 18.
IGambone JC. I-Endometriosis ne-adenomyosis. Ku: IHacker NF, iGambone JC, iHobel CJ, ama-eds. I-Hacker & Moore's Essentials ye-Obstetrics ne-Gynecology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 25.