I-Endometriosis yomlomo wesibeletho

-Delile

• Izimpawu
• Izimbangela
• Kutholakala kanjani?
• Ilashwa kanjani?
• I-endometriosis yomlomo wesibeletho ekukhulelweni
• Izinkinga nezimo ezihambisanayo
• Umbono

Ukubuka konke

I-endometriosis yomlomo wesibeletho (i-CE) yisimo lapho izilonda zivela khona ngaphandle komlomo wesibeletho sakho. Iningi labesifazane abane-endometriosis yomlomo wesibeletho abanazo izimpawu. Ngenxa yalokhu, lesi simo sitholakala kuphela ngemuva kokuhlolwa kwe-pelvic.

Ngokungafani ne-endometriosis, i-endometriosis yomlomo wesibeletho ayivamile kakhulu. Ocwaningweni lwango-2011, abesifazane abangu-33 kwabangu-13,566 batholwa benalesi sifo. Ngoba i-CE ayibangeli zimpawu nezimpawu ngaso sonke isikhathi, ukuthola ukuthi kutholakala kungaba nzima.

Izimpawu

Kwabesifazane abaningi, i-CE ayibangeli zimpawu. Ungaqala ufunde ukuthi unesimo esibi ngemuva kokuhlolwa kwe-pelvic.

Ngesikhathi sokuhlolwa, udokotela wakho angathola izilonda ngaphandle kwesibeletho sakho. Lezi zilonda zivame ukuba mnyama okwesibhakabhaka-mnyama noma okububende-obomvu, futhi zingopha uma zithintwa.

Abanye besifazane nabo bangathola lezi zimpawu:

• ukukhishwa kwesitho sangasese sowesifazane
• ubuhlungu be-pelvic
• ucansi olubuhlungu
• ukopha ngemuva kocansi
• ukopha phakathi nezikhathi
• izinkathi ezinzima ngokweqile noma ezinde
• izikhathi ezibuhlungu

Izimbangela

Akucaci ukuthi yini ebangela i-CE, kepha izehlakalo ezithile zandisa ubungozi bokuyithuthukisa.

Isibonelo, ukuba nenqubo esike noma isuse izicubu zomlomo wesibeletho inyusa ingozi yakho. I-Cryotherapy, i-biopsies, izinqubo zokuqothulwa kwe-loop, kanye nokwelashwa kwe-laser konke kungalimaza futhi kubangele umlomo wesibeletho, futhi kungandisa ubungozi bokukhula okuhle.

Ocwaningweni luka-2011, amaphesenti angama-84.8 abesifazane abanomdlavuza womlomo wesibeletho babenokubeletha noma ukwelashwa kwesitho sangasese sowesifazane, okuyinqubo edinga ukukhipha noma ukuklabha ulwelwesi lwesibeletho. Lezi zinhlobo zezinqubo zivame kakhulu namuhla, ngakho-ke kungenzeka ukuthi amacala we-CE aphezulu.

Kutholakala kanjani?

I-CE ayizibangeli njalo izimpawu. Ngaleso sizathu, abesifazane abaningi kungenzeka bangatholi ukuthi banezilonda kuze kube yilapho udokotela ezithola ngesikhathi sokuhlolwa kwe-pelvic. I-Pap smear engajwayelekile nayo ingakwazisa wena nodokotela wakho ngalolu daba.

Uma udokotela wakho ebona izilonda, bangenza iPap smear ukubheka imiphumela engajwayelekile. Uma imiphumela yePap ingajwayelekile, bangenza i-colposcopy. Le nqubo isebenzisa imicroscope ekhanyisiwe ekhanyisiwe futhi ivumela udokotela ukuba ahlole kahle umlomo wesibeletho, isitho sangasese sowesifazane, kanye nesitho sangasese sangasese sezibonakaliso zezifo noma izilonda.

Ezimweni eziningi, udokotela angathatha futhi i-biopsy ye-lesion futhi ayihlole ukuze aqinisekise ukuxilongwa. Ukuhlola amaseli ngaphansi kwesibonakhulu kungahlukanisa i-CE kwezinye izimo ezifanayo.

Ukulimala komlomo wesibeletho kusuka ezinkambisweni zangaphambilini kungenza ukususwa kwesilonda kube nzima. Uma udokotela wakho eqinisekisa ukuthi izilonda zivela ku-CE, ungahle ungadingi ukuzelapha ngokuphelele uma ungenazo izimpawu. Uma unezimpawu, noma kunjalo, ukwelashwa kungasiza ukuzivimbela.

Ilashwa kanjani?

Abesifazane abaningi abane-CE ngeke badinge ukwelashwa. Ukuhlolwa njalo nokuphathwa kwezimpawu kunganele. Kodwa-ke, abesifazane ababhekene nezimpawu ezinjengokopha okungavamile noma izikhathi ezinzima bangadinga ukwelashwa.

Izindlela zokwelashwa ezimbili zivame ukusetshenziselwa i-CE:

• Ukuzikhethela kwe-electrocauterization. Le nqubo isebenzisa ugesi ukukhiqiza ukushisa, okusetshenziselwa izicubu ukususa ukukhula okungavamile kwezicubu.
• Ukukhishwa okukhulu kwe-loop. I-loop enezintambo enentambo kagesi edlula kuyo ingadluliselwa ebusweni bomlomo wesibeletho. Njengoba ihamba nezicubu, isika izilonda bese ivala isilonda.

Uma nje izilonda zingabangeli izimpawu noma ubuhlungu, udokotela wakho angase asikisele ukuthi ungazelaphi. Uma izimpawu ziqhubeka noma zibuhlungu, noma kunjalo, ungadinga ukwelashwa ukususa izilonda. Kwezinye izimo, izilonda zingabuya ngemuva kokuthi zisusiwe.

I-endometriosis yomlomo wesibeletho ekukhulelweni

Cishe i-CE ngeke iphazamise ithuba lowesifazane lokukhulelwa. Kwezinye izimo, izicubu ezibomvu emlomo wesibeletho zingavimbela isidoda ukuba singene esibelethweni ukuze kuvundiswe iqanda. Noma kunjalo, lokhu akuvamile.

Khuluma nodokotela wakho uma ukhathazekile ngokuthi ukushiya izilonda kungathinta ukuzala kwakho, noma ukuthi ukwenza inqubo kunganciphisa amathuba akho okukhulelwa ngokwemvelo.

Izinkinga nezimo ezihambisanayo

I-CE ivame ukudideka ngenxa yezinye izilonda zomlomo wesibeletho ezinobungozi noma ezinomdlavuza. Eqinisweni, esinye isimo singatholwa ngokungahlosile esikhundleni se-CE ngoba akuvamile. Ukuhlolwa komzimba noma ukuvalwa komzimba kungakwazi ukukhipha ezinye izimo ngaphandle.

Lokhu kufaka phakathi:

• ukukhula okuqinile kwemisipha ebushelelezi eqala emlonyeni wesibeletho
• i-cyst yokuvuvukala
• polyp yomlomo wesibeletho
• ama-fibroids angena emgqeni wesibeletho
• i-melanoma (umdlavuza wesikhumba)
• umdlavuza wesibeletho

Ngaphezu kwalokho, ezinye izimo zivame ukuhlotshaniswa ne-CE. Lezi zimo zingenzeka ngasikhathi sinye futhi zingaba nzima ukuxilongwa.

Lokhu kufaka phakathi:

• ukutheleleka kwe-human papillomavirus (HPV)
• ukutheleleka kwamagciwane
• ukuqina kwezicubu zomlomo wesibeletho

Umbono

I-CE ayivelakancane, futhi kungenzeka kungabi yinkinga yokuxilongwa odokotela abakucabangayo njalo lapho behlola isiguli. Izimpawu nezimpawu eziningi zalesi simo kungabangelwa ezinye izimo, kepha ukuxilongwa kuzokusiza uthole ukwelashwa okulungile.

Uma uhlangabezana nezimpawu ezifana ne-CE, yenza i-aphoyintimenti nodokotela wakho. Ngesikhathi sokuhlolwa, kungenzeka ukuthi benze ukuhlolwa kwe-pelvic, kanye ne-Pap smear. Uma izilonda zibonakala, zingathatha nesampula lesicubu se-biopsy.

Kwabesifazane abaningi abatholwe benale nkinga, ukwelashwa kubandakanya ukuphatha noma yiziphi izimpawu zokuqhamuka, njengokubona phakathi kwezikhathi, ubuhlungu be-pelvic, nobuhlungu ngesikhathi socansi. Uma izimpawu ziqhubeka naphezu kokwelashwa, noma uma ziba zimbi kakhulu, ukususa izilonda emlonyeni wesibeletho kungadingeka. Lezi zinqubo ziyaphumelela futhi ziphephile. Lapho izilonda sezihambile, akufanele ube nezimpawu, futhi abantu abaningi bahlala bengenazo izilonda iminyaka eminingi ngemuva kokuhlinzwa.