I-Adenomyosis

-Delile

• Izici zobungozi ze-adenomyosis
• Izimpawu ze-adenomyosis
• Ukuhlonza i-adenomyosis
• Izinketho zokwelashwa kwe-adenomyosis
• Imithi elwa nokuvuvukala
• Ukwelashwa kwamahomoni
• Ukukhishwa kwe-Endometrial
• Ukuhlanganiswa komthambo wesibeletho
• Ukuhlinzwa kwe-ultrasound okuqondiswe ku-MRI (MRgFUS)
• I-Hysterectomy
• Izinkinga ezingaba khona ze-adenomyosis
• Umbono wesikhathi eside

Kuyini i-adenomyosis?

I-Adenomyosis yisimo esibandakanya ukungena, noma ukunyakaza, kwezicubu ze-endometriamu ezifaka isibeletho emisipheni yesibeletho. Lokhu kwenza izindonga zesibeletho zikhule ziqine. Kungaholela ekuphumeni kokuya esikhathini okunzima noma okude kunokujwayelekile, kanye nobuhlungu ngesikhathi sokuya esikhathini noma ukuya ocansini.

Imbangela ngqo yalesi simo ayikaziwa. Kodwa-ke, kuhlotshaniswa namazinga akhuphukile e-estrogen. I-Adenomyosis ivame ukunyamalala ngemuva kokunqamuka kokuya esikhathini (izinyanga eziyi-12 ngemuva kokuya esikhathini kokugcina kowesifazane). Yilapho amazinga e-estrogen ehla.

Kunemibono eminingi mayelana nokuthi yini ebangela i-adenomyosis. Lokhu kufaka phakathi:

• izicubu ezingeziwe odongeni lwesibeletho, ezikhona ngaphambi kokuzalwa, ezikhula lapho usumdala
• ukukhula okungafuneki kwezicubu ezingajwayelekile (ezibizwa nge-adenomyoma) ezisuka kumaseli e-endometrium zizisunduzela ezicutshini zesibeletho - lokhu kungabangelwa ukusikeka okwenziwe esibelethweni ngesikhathi sokuhlinzwa (njengasesikhathini sokulethwa kokuhlinzwa) noma ngesikhathi sesibeletho esijwayelekile
• amaseli ama-stem odongeni lwemisipha yesibeletho
• ukuvuvukala kwesibeletho okwenzeka ngemuva kokubeletha - lokhu kungaphula imingcele ejwayelekile yamaseli agudle isibeletho

Izici zobungozi ze-adenomyosis

Imbangela ngqo ye-adenomyosis ayaziwa. Kodwa-ke, kunezici ezibeka abesifazane engcupheni enkulu yalesi simo. Lokhu kufaka phakathi:

• ukuba seminyakeni engama-40 noma engama-50 (ngaphambi kokunqamuka kokuya esikhathini)
• ukuba nezingane
• ukuhlinzwa kwesibeletho, njengokulethwa ngokuhlinzwa noma ukuhlinzwa ukususa i-fibroids

Izimpawu ze-adenomyosis

Izimpawu zalesi simo zingaba mnene ziqine. Abanye besifazane kungenzeka bangabi nakho nhlobo. Izimpawu ezivame kakhulu zifaka:

• isikhathi eside amajaqamba
• ukubona phakathi kwezikhathi
• ukuphuma kwegazi okunzima
• imijikelezo yokuya esikhathini ende kunokujwayelekile
• amahlule egazi ngesikhathi sokuya esikhathini
• ubuhlungu ngesikhathi socansi
• ububele endaweni yesisu

Ukuhlonza i-adenomyosis

Ukuhlolwa okuphelele kwezokwelapha kungasiza ekutholeni indlela engcono yokwelashwa. Udokotela wakho uzoqala afune ukwenza ukuhlolwa komzimba ukuthola ukuthi ngabe isibeletho sakho sivuvukile. Abesifazane abaningi abane-adenomyosis bazoba nesibeletho esiphindwe kabili noma kathathu ngosayizi ojwayelekile.

Olunye uvivinyo lungasetshenziswa. I-ultrasound ingasiza udokotela wakho ukuxilonga lesi simo, ngenkathi futhi ekhipha ukuthi kungenzeka yini ukuthi kube nezimila esibelethweni. I-ultrasound isebenzisa amaza omsindo ukukhiqiza izithombe ezihambayo zezitho zakho zangaphakathi - kulokhu, isibeletho. Ngale nqubo, uchwepheshe we-ultrasound (sonographer) uzobeka uketshezi oluqhuba ijeli esiswini sakho. Ngemuva kwalokho, bazobeka uphenyo oluncane oluphathwayo endaweni. Uphenyo luzokhiqiza izithombe ezihambayo esikrinini ukusiza i-sonographer ukuthi ibone ngaphakathi kwesibeletho.

Udokotela wakho angalawula ukuskena kwe-MRI ukuthola izithombe ezinokulungiswa okuphezulu kwesibeletho uma bengakwazi ukwenza ukuxilongwa besebenzisa i-ultrasound. I-MRI isebenzisa uzibuthe namagagasi omsakazo ukukhiqiza izithombe zezitho zakho zangaphakathi. Le nqubo ifaka ukulala unganyakazi etafuleni lensimbi elizosheleleka emshinini wokuskena. Uma uhlelelwe ukuba ne-MRI, qiniseka ukuthi utshela udokotela wakho uma kukhona ithuba lokuthi ukhulelwe. Futhi, qiniseka ukuthi utshela udokotela wakho kanye nochwepheshe we-MRI uma unezinsimbi noma izinsimbi zikagesi emzimbeni wakho, njenge-pacemaker, ukubhoboza, noma insimbi yensimbi yokulimala kwesibhamu.

Izinketho zokwelashwa kwe-adenomyosis

Abesifazane abanezimo eziphansi zalesi simo kungenzeka bangadingi ukwelashwa. Udokotela wakho angancoma izinketho zokwelashwa uma izimpawu zakho ziphazamisa imisebenzi yakho yansuku zonke.

Ukwelashwa okuhloswe ukunciphisa izimpawu ze-adenomyosis kufaka phakathi okulandelayo:

Imithi elwa nokuvuvukala

Isibonelo yi-ibuprofen. Le mithi ingasiza ekwehliseni ukugeleza kwegazi ngesikhathi sakho futhi ikhulule namajaqamba amakhulu. IMayo Clinic incoma ukuqala kwemithi elwa nokuvuvukala ezinsukwini ezimbili kuya kwezintathu ngaphambi kokuqala kwesikhathi sakho futhi uqhubeke nokuyiphuza ngesikhathi sakho. Akufanele usebenzise le mithi uma ukhulelwe.

Ukwelashwa kwamahomoni

Lokhu kufaka phakathi izinto zokuvimbela inzalo zomlomo (amaphilisi okulawula ukubeletha), izivimbelinzalo ze-progestin kuphela (ngomlomo, umjovo, noma i-intrauterine device), nama-analogs we-GnRH afana ne-Lupron (leuprolide). Ukwelashwa kwamahomoni kungasiza ukulawula amazinga e-estrogen akhuphukile angaba nomthelela ezimpawu zakho. Amadivayisi we-intrauterine, njengeMirena, angahlala iminyaka emihlanu.

Ukukhishwa kwe-Endometrial

Lokhu kufaka amasu okususa noma ukubhubhisa i-endometrium (ulwelwesi lwesibeletho sesibeletho). Inqubo yokwelashwa ngaphandle kwesikhathi sokutakula esifushane. Kodwa-ke, le nqubo kungenzeka ingasebenzi kuwo wonke umuntu, ngoba i-adenomyosis ivame ukuhlasela imisipha ngokujulile.

Ukuhlanganiswa komthambo wesibeletho

Le yinqubo evimbela ukuthi imithambo ethile yegazi inganikezeli ngegazi endaweni ethintekile. Lapho ukunqanyulwa kwegazi kunqanyuliwe, i-adenomyosis iyancipha. Ukuhlanganiswa komthambo wesibeletho kusetshenziselwa ukwelapha esinye isimo, esibizwa nge-uterine fibroids. Inqubo yenziwa esibhedlela. Ngokuvamile kuhilela ukulala ubusuku ngemuva kwalokho. Njengoba ihlasela kancane, igwema ukwakheka kwesibeletho esibelethweni.

Ukuhlinzwa kwe-ultrasound okuqondiswe ku-MRI (MRgFUS)

I-MRgFUS isebenzisa amagagasi asezingeni eliphezulu agxile ngqo ekwenzeni ukushisa futhi abhubhise izicubu eziqondisiwe. Ukushisa kuhlolwe kusetshenziswa izithombe ze-MRI ngesikhathi sangempela. Ucwaningo lukhombisile ukuthi le nqubo iphumelele ekuhlinzekeni ukukhululeka kwezimpawu. Kodwa-ke, kudingeka izifundo eziningi.

I-Hysterectomy

Ukuphela kwendlela yokwelapha ngokuphelele lesi simo ukuthi ube nesibeletho. Lokhu kufaka ukukhishwa okuphelele kokuhlinzwa kwesibeletho. Kubhekwa njengokungenelela okukhulu kokuhlinzwa futhi kusetshenziswa kuphela ezimweni ezinzima nakubantu besifazane abangahlelile ukuba nezinye izingane. Ama-ovari akho awaphazamisi i-adenomyosis futhi angahle ashiye emzimbeni wakho.

Izinkinga ezingaba khona ze-adenomyosis

I-Adenomyosis ayiyona ingozi. Kodwa-ke, izimpawu zingayithinta kabi indlela ophila ngayo. Abanye abantu banegazi eleqile kanye nobuhlungu be-pelvic obungabavimbela ukuthi bajabulele imisebenzi ejwayelekile njengokuya ocansini.

Abesifazane abane-adenomyosis basengozini enkulu yokushoda kwegazi. I-anemia yisimo esivame ukubangelwa ukuntuleka kwensimbi. Ngaphandle kwensimbi eyanele, umzimba awukwazi ukwenza amangqamuzana egazi abomvu anele okuthwala i-oksijini ezicutshini zomzimba. Lokhu kungadala ukukhathala, isiyezi, kanye nemoodness. Ukwehla kwegazi okuhambisana ne-adenomyosis kunganciphisa amazinga wensimbi emzimbeni futhi kuholele ekushoneni kwegazi.

Lesi simo sibuye sixhunyaniswe nokukhathazeka, ukudangala, nokucasuka.

Umbono wesikhathi eside

I-Adenomyosis ayisongeli impilo. Izindlela zokwelapha eziningi ziyatholakala ukusiza ukunciphisa izimpawu zakho. I-hysterectomy iyona kuphela ukwelashwa okungayiqeda ngokuphelele. Kodwa-ke, lesi simo sivame ukuzihambela sodwa ngemuva kokunqamuka kokuya esikhathini.

I-Adenomyosis ayifani ne-endometriosis. Lesi simo senzeka lapho izicubu ze-endometrial zifakwa ngaphandle kwesibeletho. Abesifazane abane-adenomyosis bangaba nayo noma bakhulise i-endometriosis.