Kuyini Isinye Endometriosis?

-Delile

• Ziyini izimpawu?
• Yini ebangela isinye endometriosis?
• Kutholakala kanjani lokhu?
• Yiziphi izindlela zokwelashwa ezitholakalayo?
• Ukuhlinzwa
• Imithi
• Ingabe kungenzeka izinkinga?
• Yini ongayilindela?

Ingabe kuvamile?

I-Endometriosis yenzeka lapho izicubu ze-endometrial ezivame ukubeka isibeletho sakho zikhula kwezinye izingxenye zamathambo akho, njengama-ovari akho noma amashubhu e-fallopian. Kunezinhlobo ezahlukahlukene ze-endometriosis ngokuya ngokuthi izicubu zitholakala kuphi.

I-bladder endometriosis iyindlela engajwayelekile yalesi sifo. Kwenzeka lapho izicubu ze-endometrium zikhula ngaphakathi noma ebusweni besinye sakho.

Inyanga ngayinye phakathi nomjikelezo wakho wokuya esikhathini, izicubu ze-endometrium ziyakha. Izicubu esibelethweni sakho zichitheka emzimbeni wakho. Kodwa uma kusodongeni olungaphandle lwesinye sakho, izicubu azinandawo ongaya kuyo.

Ngokombiko wecala lowe-2014 ngalesi simo, kuze kufike kumaphesenti ama-5 abesifazane abane-endometriosis abanayo ohlelweni lwabo lokuchama. Isinye isitho somchamo esivame ukuthinteka kakhulu. Ama-ureters - umchamo wamashubhu ohamba usuka ezinso uye esinyeni - nawo angabandakanyeka.

Kunezinhlobo ezimbili zesinye i-endometriosis. Uma kwenzeka ebusweni besinye kuphela, kwaziwa njenge-endometriosis engaphezulu. Uma isicubu sesifinyelele ulwelwesi lwesinye noma udonga, saziwa njenge-endometriosis ejulile.

Ziyini izimpawu?

Ngokuya ngokubuyekezwa kwe-bladder endometriosis ngo-2012, cishe amaphesenti angama-30 abesifazane abanayo abanazo izimpawu. Udokotela wabo angathola isimo lapho ehlolela olunye uhlobo lwe-endometriosis, noma ukungatholi abantwana.

Uma izimpawu zivela, kuvame ukuzungeza isikhathi sakho. Izimpawu zingafaka:

• isidingo esiphuthumayo noma esivamile sokuchama
• ubuhlungu lapho isinye sakho sigcwele
• ukusha noma ubuhlungu lapho uchama
• igazi emchameni wakho
• ubuhlungu okhalweni lwakho
• ubuhlungu ohlangothini olulodwa lwangaphansi lwakho

Uma i-endometriosis ikwezinye izingxenye zesikhumba sakho, ungahle uzwe:

• ubuhlungu kanye namajaqamba ngaphambi nangesikhathi sakho
• ubuhlungu ngesikhathi socansi
• ukopha kakhulu phakathi noma phakathi kwezikhathi
• ukukhathala
• isicanucanu
• isifo sohudo

Yini ebangela isinye endometriosis?

Odokotela abazi kahle ukuthi yini ebangela i-endometriosis yesinye. Imibono embalwa engaba khona yile:

• Ukuya esikhathini kabusha. Ngezikhathi zokuya esikhathini, igazi lihlehla liye emuva ngamashubhu we-fallopian lingene esinqeni esikhundleni sokuphuma emzimbeni. Lawo maseli abe esefaka odongeni lwesinye.
• Ukuguqulwa kwamaseli okuqala. Amaseli asele embungwini akhula abe izicubu ze-endometrium.
• Ukuhlinzwa. Amaseli we-Endometrial asakazeka esinyeni ngesikhathi sokuhlinzwa kwe-pelvic, njengesikhathi sokulethwa kwe-cearean noma i-hysterectomy. Leli fomu lesifo libizwa ngokuthi yi-secondary bladder endometriosis.
• Ukufakelwa kabusha. Amaseli we-Endometrial ahamba ngohlelo lwe-lymph noma igazi aye esinyeni.
• Izakhi zofuzo. I-Endometriosis kwesinye isikhathi isebenza emindenini.

I-Endometriosis ithinta abesifazane phakathi neminyaka yabo yokuzala. Isilinganiso seminyaka lapho abesifazane bethola ukuxilongwa kwesinye i-endometriosis yiminyaka engama-35.

Kutholakala kanjani lokhu?

Udokotela wakho uzoqala ngokwenza ukuhlolwa komzimba. Bazobheka isitho sakho sangasese nesinye ukuthola noma yikuphi ukukhula. Ungase ube nokuhlolwa komchamo ukubheka igazi emchameni wakho.

Lezi zivivinyo zingasiza udokotela wakho ukuxilonga i-endometriosis yesinye:

• I-Ultrasound. Lokhu kuhlolwa kusebenzisa amaza omsindo wemvamisa ephezulu ukudala izithombe ngaphakathi komzimba wakho. Umshini obizwa ngokuthi i-transducer ubekwa esiswini sakho (transabdominal ultrasound) noma ngaphakathi esithweni sakho sangasese (i-transvaginal ultrasound). I-ultrasound ingakhombisa usayizi nendawo ye-endometriosis.
• Ukuskena kwe-MRI. Lokhu kuhlolwa kusebenzisa ozibuthe abanamandla namagagasi omsakazo ukubheka i-endometriosis esinyeni sakho. Kungasithola futhi lesi sifo kwezinye izingxenye zokhalo lwakho.
• I-cystoscopy. Phakathi nalolu vivinyo, udokotela wakho ufaka isikhala ngokusebenzisa i-urethra yakho ukuze ubheke ulwelwesi lwakho lwesinye bese uhlola i-endometriosis.

I-Endometriosis ihlukaniswe ngezigaba ngokuya ngenani lezicubu onazo nokuthi zingena ngokujule kangakanani ezithweni zakho.

Izigaba yilezi:

• Isigaba 1. Okuncane. Kunezimagqabhagqabha ze-endometriosis ezithweni noma ezizungezile ezithweni zethambo.
• Isigaba 2. Imnene. Amachashazi abanzi kakhulu kunasesigabeni 1, kodwa awakabi ngaphakathi kwezitho zangasese.
• Isigaba 3. Maphakathi. I-Endometriosis yande kakhulu. Iqala ukungena ngaphakathi ezithweni zomzimba.
• Isigaba 4. Kakhulu. I-Endometriosis ingene ezithweni eziningi ethangeni.

Yiziphi izindlela zokwelashwa ezitholakalayo?

I-Endometriosis ayelapheki, kepha umuthi nokuhlinzwa kungasiza ukuphatha izimpawu zakho. Yikuphi ukwelashwa okutholayo kuncike ekutheni i-endometriosis yakho inzima kangakanani nokuthi itholakala kuphi.

Ukuhlinzwa

Ukuhlinzwa kungukwelashwa okuyisisekelo kwe-endometriosis yesinye. Ukususa zonke izicubu ze-endometrial kungadambisa izinhlungu futhi kuthuthukise ikhwalithi yakho yokuphila.

Ukuhlinzwa kungenziwa ngezindlela ezimbalwa ezahlukahlukene. Lokhu kukhethekile ekwelapheni i-endometriosis yesinye. Ezinye izindawo zingadinga nokukhonjwa.

• Ukuhlinzwa kweTransurethral. Udokotela ohlinzayo ubeka ubukhulu obuncane ku-urethra yakho nasesinyeni. Ithuluzi lokusika ekugcineni kwesilinganiso lisetshenziselwa ukususa izicubu ze-endometrium.
• I-cystectomy engaphelele. Udokotela ohlinzayo ususa ingxenye yesinye sakho equkethe izicubu ezingavamile. Le nqubo ingenziwa ngokusika okukodwa okukhulu, okubizwa nge-laparotomy, noma ukusikeka okuncane okuncane, okubizwa ngokuthi yi-laparoscopy, esiswini.

Ungaba ne-catheter efakwe esinyeni sakho ngemuva kokuhlinzwa. I-catheter izosusa umchamo emzimbeni wakho ngenkathi isinye sakho siphila.

Imithi

Ukwelashwa kweHormone kunciphisa ukukhula kwezicubu ze-endometrium. Futhi kungadambisa izinhlungu futhi kusize ekugcineni ukuzala kwakho.

Ukwelashwa kwamahomoni kufaka:

• i-gonadotropin-release hormone (GnRH) agonists, efana ne-leuprolide (Lupron)
• amaphilisi okuvimbela inzalo
• danazol

Ingabe kungenzeka izinkinga?

Ngaphandle kokwelashwa, i-endometriosis yesinye ingadala ukulimala kwezinso. Ukuhlinzwa kungavimbela le nkinga.

Kuyaqabukela, umdlavuza ungakhula usuke ezicutshini ze-endometrium esinyeni sakho.

I-blometder endometriosis ayithinti ngqo ukuzala kwakho. Kodwa-ke, uma une-endometriosis kuma-ovari akho noma kwezinye izingxenye zohlelo lwakho lokuzala, ungaba nesikhathi esinzima sokukhulelwa. Ukuhlinzwa kungakhuphula izingqinamba zakho zokukhulelwa.

Yini ongayilindela?

Umbono wakho uncike ekutheni i-endometriosis yakho inzima kangakanani nokuthi iphathwa kanjani. Ukuhlinzwa kaningi kunganciphisa izimpawu. Kodwa-ke, olunye ucwaningo lukhombisa ukuthi kuze kufike kwabesifazane, i-endometriosis ibuya emuva kokuhlinzwa. Kungadinga ukuhlinzwa okuqhubekayo.

I-Endometriosis yisifo esingelapheki. Kungaba nomthelela omkhulu empilweni yakho yansuku zonke. Ukuthola ukwesekwa endaweni yangakini, vakashela i-Endometriosis Foundation of America noma i-Endometriosis Association.