Kuyini i-Endometriosis yamathumbu?

-Delile

• Ziyini izimpawu?
• Yini ebangela i-endometriosis yamathumbu?
• Kutholakala kanjani?
• Yiziphi izindlela zokwelashwa ezitholakalayo?
• Ukuhlinzwa
• Imithi
• Ingabe kungenzeka izinkinga?
• Yini ongayilindela?

Ingabe kuvamile?

I-Endometriosis yisimo esibuhlungu lapho izicubu ezivame ukubeka khona isibeletho sakho (izicubu ze-endometrium) zikhula kwezinye izingxenye zamathambo akho, njengama-ovari akho noma amashubhu e-fallopian.

Izinhlobo ezahlukene ze-endometriosis zisuselwa lapho izicubu zitholakala khona. Ku-endometriosis yamathumbu, izicubu ze-endometrial zikhula ngaphezulu noma ngaphakathi kwamathumbu akho.

Kuze kube kwabesifazane abane-endometriosis banezicubu ze-endometrial emathunjini abo. Iningi le-endometriosis yamathumbu yenzeka engxenyeni engezansi yamathumbu, ngenhla nje kwe-rectum. Ingakha futhi esithasiselweni sakho noma emathunjini amancane.

I-endometriosis yamathumbu kwesinye isikhathi iyingxenye ye-rectovaginal endometriosis, ethinta isitho sangasese sowesifazane kanye ne-rectum.

Iningi labesifazane abane-endometriosis yamathumbu nayo inezindawo ezivame kakhulu ezizungeze ukhalo lwazo.

Lokhu kufaka phakathi:

• amaqanda
• isikhwama sikaDouglas (indawo ephakathi komlomo wesibeletho kanye nengxenyeni yakho)
• isinye

Ziyini izimpawu?

Abanye besifazane abazitholi izimpawu. Ungahle ungaboni ukuthi une-endometriosis yamathumbu kuze kube yilapho uthola ukuhlolwa kwe-imaging kwesinye isimo.

Lapho izimpawu zenzeka, zingase zifane nalezo zesifo sofuba esiswini (IBS). Umehluko ukuthi, izimpawu ze-endometriosis zivame ukuqala cishe ngesikhathi sakho. Lesi sicubu siphendula umjikelezo wehomoni wesikhathi sakho, ukuvuvukala nokuthinta izicubu ezizungezile.

Izimpawu ezihlukile kulesi simo zifaka:

• ubuhlungu lapho unesisu
• amajaqamba esiswini
• isifo sohudo
• ukuqunjelwa
• ukuqunjelwa
• ukuhlunga ngokunyakaza kwamathumbu
• ukuphuma kwegazi

ngamathumbu endometriosis nawo anayo okhalweni lwawo, okungadala:

• ubuhlungu ngaphambi nangesikhathi
• ubuhlungu ngesikhathi socansi
• ukopha kakhulu ngesikhathi noma phakathi nezikhathi
• ukukhathala
• isicanucanu
• isifo sohudo

Yini ebangela i-endometriosis yamathumbu?

Odokotela abazi ukuthi yini imbangela ye-endometriosis yamathumbu noma ezinye izinhlobo zesifo.

Umbono owamukelwa kabanzi uthi. Ngezikhathi zokuya esikhathini, igazi lihlehla liye emuva ngamashubhu we-fallopian lingene esinqeni esikhundleni sokuphuma emzimbeni. Lawo maseli abe esefaka emathunjini.

Ezinye izimbangela kungenzeka zifaka:

• Ukuguqulwa kwamaseli okuqala. Amaseli asele embungwini akhula abe izicubu ze-endometrium.
• Ukufakelwa kabusha. Amaseli we-Endometrial ahamba ngohlelo lwe-lymph noma igazi aye kwezinye izitho.
• Izakhi zofuzo. I-Endometriosis kwesinye isikhathi isebenza emindenini.

I-Endometriosis ithinta abesifazane phakathi neminyaka yabo yokuzala.

Kutholakala kanjani?

Udokotela wakho uzoqala ngokwenza ukuhlolwa komzimba. Ngesikhathi sokuhlolwa, udokotela wakho uzohlola isitho sakho sangasese kanye ne-rectum nganoma yikuphi ukukhula.

Lezi zivivinyo zingasiza udokotela wakho ukuthola isifo se-endometriosis yamathumbu:

• I-Ultrasound. Lokhu kuhlolwa kusebenzisa amaza omsindo wemvamisa ephezulu ukudala izithombe ngaphakathi komzimba wakho. Umshini obizwa ngokuthi i-transducer ufakwa ngaphakathi kwesitho sakho sangasese (i-transvaginal ultrasound) noma i-rectum yakho (i-transrectal endoscopic ultrasound). I-ultrasound ingakhombisa udokotela wakho ubukhulu be-endometriosis nokuthi ikuphi.
• I-MRI. Lokhu kuhlolwa kusebenzisa ozibuthe abanamandla namagagasi omsakazo ukubheka i-endometriosis emathunjini akho nakwezinye izingxenye zokhalo lwakho.
• I-Barium enema. Lokhu kuhlolwa kusebenzisa ama-X-ray ukuthatha izithombe zamathumbu akho amakhulu - i-colon ne-rectum yakho. Ikholoni yakho iqala igcwale udayi wokuqhathanisa ukusiza udokotela wakho ukuthi ayibuke kalula.
• Colonoscopy. Lokhu kuhlolwa kusebenzisa ububanzi obuguquguqukayo ukubuka ngaphakathi kwamathumbu akho. I-Colonoscopy ayihlolisisi i-endometriosis yamathumbu. Kodwa-ke, ingawulahla umdlavuza wekoloni, ongadala ezinye zezimpawu ezifanayo.
• I-Laparoscopy. Phakathi nalokhu kuhlinzwa, udokotela wakho uzofaka indawo encane, ekhanyisiwe emaceleni amancane esiswini sakho ukuthola i-endometriosis esiswini nasesinqeni. Bangase basuse ucezu lwethishu ukuze balihlole. Uthobekile ngale nqubo.

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

• Isigaba 1. Okuncane. Kunezimagqabhagqabha ze-endometriosis ezithweni noma ezizungezile ezithweni zakho zesisu.
• Isigaba 2. Imnene. Amachashazi abanzi kakhulu kunasesigabeni 1, kodwa awekho ngaphakathi kwezitho zakho zangasese.
• Isigaba 3. Maphakathi. I-Endometriosis isakazeke kakhulu, futhi isiqala ukungena ezithweni zangaphakathi okhalweni lwakho.
• Isigaba 4. Kakhulu. I-Endometriosis ingene ezithweni eziningi okhalweni lwakho.

I-endometriosis yamathumbu ivame ukuba isigaba 4.

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. Uma ungenazo izimpawu, ukwelashwa kungahle kungadingeki.

Ukuhlinzwa

Ukuhlinzwa ukwelashwa okuyinhloko kwamathumbu endometriosis. Ukususa izicubu ze-endometrial kungadambisa ubuhlungu futhi kuthuthukise ikhwalithi yakho yokuphila.

Izinhlobo ezimbalwa zokuhlinzwa zisusa i-endometriosis yamathumbu. Odokotela abahlinzayo bangenza lezi zinqubo ngokusika okukodwa okukhulu (i-laparotomy) noma ukusikeka okuncane (i-laparoscopy). Yiluphi uhlobo lokuhlinzwa onalo oluxhomeke ekutheni zinkulu kangakanani izindawo ze-endometriosis, nokuthi zitholakala kuphi.

Ukwehlukaniswa kwamathumbu okuhlukaniswa. Lokhu kwenzelwa izindawo ezinkudlwana ze-endometriosis. Udokotela wakho ohlinzayo uzosusa ingxenye yamathumbu lapho i-endometriosis ikhule khona. Izingcezu ezimbili ezisele bese zixhunyaniswa nenqubo ebizwa nge-reanastomosis.

Abesifazane abangaphezu kwesigamu abanalenqubo bayakwazi ukukhulelwa ngemuva kwalokho. I-Endometriosis mancane amathuba okuthi ibuye ngemuva kokuphinda yenziwe kabusha kunezinye izinqubo.

Ukushefa kabusha. Udokotela wakho ohlinzayo uzosebenzisa ithuluzi elibukhali ukususa i-endometriosis ngaphezulu kwamathumbu, ngaphandle kokukhipha noma yiliphi ithumbu. Le nqubo ingenziwa ezindaweni ezincane ze-endometriosis. I-Endometriosis inamathuba amaningi okuthi ibuye ngemuva kwalokhu kuhlinzwa kunangemva kokuvuselelwa kwesigaba.

Ukuthengiswa kabusha kwediski. Ezingxenyeni ezincane ze-endometriosis, udokotela wakho ohlinzayo uzosika i-disc yezicubu ezithintekile emathunjini bese evala imbobo.

Udokotela wakho ohlinzayo angasusa futhi i-endometriosis kwezinye izingxenye zesikhumba sakho ngesikhathi sokuhlinzwa.

Imithi

Ukwelashwa kweHormone ngeke kuvimbe i-endometriosis ekuqhubekeni. Noma kunjalo, ingabudambisa ubuhlungu nezinye izimpawu.

Ukwelashwa kwamahomoni we-endometriosis wamathumbu kufaka:

• ukulawulwa kokuzalwa, kufaka phakathi amaphilisi, isichibi noma iringi
• imijovo yeprogestin (Depo-Provera)
• i-gonadotropin-release hormone (GnRH) agonists, efana ne-triptorelin (Trelstar)

Udokotela wakho angancoma ama-anti-inflammatory drug (NSAIDs) e-the-counter noma kadokotela, njenge-ibuprofen (Advil) noma naproxen (Aleve), ukusiza ukudambisa izinhlungu.

Ingabe kungenzeka izinkinga?

I-Endometriosis emathunjini ingathinta ukuzala kwakho - ikakhulukazi uma unayo kumaqanda akho nakwezinye izitho ze-pelvic. kwabesifazane abanalesi simo abakwazi ukukhulelwa. Ukuhlinzwa ukususa izilonda ze-endometriosis kungathuthukisa amathuba akho okukhulelwa. Noma ukuzala kungeyona inkinga, abanye besifazane banezinhlungu ezihlala njalo zomgogodla ezihambisana nalesi simo, esinomthelela kwikhwalithi yabo yokuphila.

Yini ongayilindela?

I-Endometriosis yisifo esingelapheki. Kuzofanele ukuthi uphathe izimpawu zayo kuyo yonke impilo yakho.

Umbono wakho uzoncika ekutheni i-endometriosis yakho inzima kangakanani nokuthi iphathwa kanjani. Ukwelashwa nokuhlinzwa kwehormonal kungasiza ukuphatha ubuhlungu bakho. Izimpawu kufanele zithuthuke uma usudlulile esikhathini sokuya esikhathini.

I-Endometriosis ingaba nomthelela omkhulu kuzinga lakho lempilo. Ukuthola ukwesekwa endaweni yangakini, vakashela i-Endometriosis Foundation of America noma i-Endometriosis Association.