Kuyini i-Endometriosis eDiaphragmatic?

-Delile

• Ziyini izimpawu?
• Yini ebangela i-diaphragmatic endometriosis?
• 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 (esibizwa ngokuthi izicubu ze-endometrium) ezikhula kwezinye izingxenye zesisu sakho nasesinqeni.

I-endometriosis e-diaphragmatic yenzeka lapho lesi sicubu se-endometrium sikhula sibe yi-diaphragm yakho.

I-diaphragm yakho imisipha emise okwedome ngaphansi kwamaphaphu akho ekusiza ukuthi uphefumule. Lapho i-endometriosis ifaka i-diaphragm, imvamisa ithinta uhlangothi olungakwesokudla.

Lapho izicubu ze-endometrium zikhula ngaphakathi kwesifafula, ziphendula kumahomoni omjikelezo wakho wokuya esikhathini, njengoba enza esibelethweni sakho. Abesifazane abane-diometragosis endometriosis cishe njalo bane-endometriosis emathangeni abo, futhi.

I-diaphragmatic endometriosis ayivamile kangako kunezinye izinhlobo zesifo esivame ukuthinta ama-ovari nezinye izitho zangasese. Kulinganiselwa ukuthi cishe amaphesenti ayisishiyagalombili kuya kwayi-15 abesifazane ane-endometriosis. Futhi kuze kufike kwabesifazane abane-endometriosis babhekana nobunzima bokukhulelwa. I-diaphragm kukholakala ukuthi ithinta kuphela amaphesenti angu-0.6 kuya ku-1.5 wabesifazane abahlinzelwa lesi sifo.

Ziyini izimpawu?

I-diometragosis endometriosis kungenzeka ingabangeli zimpawu.

Kepha ungahle uzwe ubuhlungu kulezi zindawo:

• isifuba
• isisu esingenhla
• ihlombe langakwesokudla
• ingalo

Lobu buhlungu buvame ukwenzeka ngesikhathi sakho. Kungaba namandla, futhi kungahle kube kubi kakhulu lapho uphefumula noma ukhwehlela. Ezimweni ezingavamile, kungaholela kufayela le-.

Uma i-endometriosis isezingxenyeni zesikhumba sakho, ungaba nezimpawu ezifana nokuthi:

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

Yini ebangela i-diaphragmatic endometriosis?

Odokotela abazi kahle ukuthi yini ebangela i-diaphragmatic noma ezinye izinhlobo ze-endometriosis. Umbono owamukelwa kakhulu ukubuyela emuva esikhathini.

Ngezikhathi zokuya esikhathini, igazi lingahlehlela emuva libheke kumashubhu we-fallopian lize liye esikhaleni, kanye nangaphandle komzimba. Lawo maseli angabe esehamba esiswini nasesinqeni bese enyukela kusiwota.

Kodwa-ke, ucwaningo lukhombisile ukuthi iningi labesifazane likuthola ukubuyela emuva esikhathini. Yize kunjalo iningi labesifazane alihlakuleli i-endometriosis, ngakho amasosha omzimba kusolwa ukuthi adlala indima.

Abanye ababambe iqhaza ku-endometriosis kungenzeka bafake:

• Ukuguqulwa kweseli. Amaseli athinteka yi-endometriosis aphendula ngokuhlukile kumahomoni nakwezinye izici zamakhemikhali.
• Izakhi zofuzo. I-Endometriosis ikhonjisiwe ukuthi isebenza emindenini.
• Ukuvuvukala. Izinto ezithile ezinendima ekuvukeleni zitholakala kumanani aphezulu ku-endometriosis.
• Ukukhula kwengane. La maseli angase akhule ezindaweni ezahlukahlukene kusukela ngaphambi kokuzalwa.

Kutholakala kanjani?

I-diometragosis endometriosis kungenzeka ingazibangeli izimpawu. Noma ngabe unezimpawu, ungaziphutha ngokunye - njengesicubu esidonswayo.

Ngoba lesi simo asivamile, udokotela wakho kungenzeka angaziboni nezimpawu. Inkomba eyodwa ebalulekile ingaba uma izimpawu ziba zimbi kakhulu esikhathini sakho.

Kwesinye isikhathi odokotela bathola i-endometriosis ngenkathi behlinza ukuthola esinye isimo.

Uma uhlangabezana nezimpawu noma usola ukuthi ungathinteka yi-endometriosis, khuluma nodokotela wakho ngezinyathelo ezinhle kakhulu zokuxilongwa.

Bangasebenzisa ukuhlolwa kwe-MRI ukuthola ukuthi izicubu ze-endometrium sezikhulile yini ku-diaphragm yakho bese bethola lesi simo. Ukuhlolwa kwe-MRI nama-ultrasound kungaba wusizo ekutholeni i-endometriosis esikhwameni sakho.

Imvamisa indlela engcono yokuthola i-diaphragmatic endometriosis ine-laparoscopy. Lokhu kufaka phakathi udokotela wakho ohlinzayo osika kancane esiswini sakho. Kunesilinganiso esinekhamera ngakolunye uhlangothi esifakiwe ukusiza udokotela wakho abone i-diaphragm yakho futhi athole izicubu ze-endometrium. Amasampula amancane wezicubu, abizwa ngokuthi yi-biopsies, avame ukuqoqwa futhi athunyelwe ebhodini ukuze kubhekwe lawa maseli ngaphansi kwesibonakhulu.

Lapho nje udokotela wakho esekhombe izicubu ze-endometrium, bazokwenza ukuxilongwa ngokuya ngendawo, ubukhulu, kanye nenani lalesi sicubu.

Ngezansi kwesistimu esetshenziswa kakhulu ye-endometriosis, esungulwe yi-American Society of Reproductive Medicine. Noma kunjalo, lezi zigaba azisekelwe ezimpawu. Izimpawu zingabonakala ngisho nangesigaba 1 noma isifo sesigaba 2.

Kubandakanya:

• Isigaba 1: Amachashazi amancane - amancane okhalweni, izindawo ezinomkhawulo, nezitho
• Isigaba 2: Izindawo ezimnene - ezinengi okhalweni kunasesiteji 1, kepha ngesibazi esincane
• Isigaba 3: Okulingene - izitho zesisu nesisu ziyathinteka ngesibazi
• Isigaba 4: Izilonda ezibucayi - ezisabalele ezithinta ukubukeka kwesitho nesibazi

Ososayensi njengamanje basebenzela ukusungula ezinye izindlela zokuchaza i-endometriosis, ikakhulukazi ezimweni lapho kuthinteka izicubu ezijulile. Uhlelo olusha lusathuthuka.

Yiziphi izindlela zokwelashwa ezitholakalayo?

Uma ungenazo izimpawu, udokotela wakho angancoma ukuthi ulinde ukwelapha i-endometriosis yakho. Udokotela wakho uzokuhlola njalo ukubona ukuthi izimpawu ziyavela yini.

Uma unezimpawu, udokotela wakho cishe uzoncoma inhlanganisela yokuhlinzwa nemithi yokusiza ukuphatha noma yiziphi izimpawu onazo.

Ukuhlinzwa

Ukuhlinzwa kungukwelashwa okuyinhloko kwe-endometriosis e-diaphragmatic.

Ukuhlinzwa kungenziwa ngezindlela ezimbalwa ezihlukile:

• I-Laparotomy. Kule nqubo, udokotela wakho ohlinzayo usika kakhulu udonga lwesisu esingenhla bese esusa izingxenye zesifafula esithintwe yi-endometriosis. Kokunye ukufunda okuncane, lokhu kwelashwa kwehlise izimpawu kubo bonke abesifazane futhi kwaqeda ngokuphelele izinhlungu zesifuba nehlombe kwabesifazane abayisikhombisa kwabayisishiyagalombili.
• I-Thoracoscopy. Ngale nqubo, udokotela wakho ohlinzayo ufaka ububanzi obuguquguqukayo nezinsimbi ezincane ngokusebenzisa ukusikeka okuncane esifubeni ukuze ubuke futhi mhlawumbe ususe izindawo ze-endometriosis ngaphakathi kwesiyaluyalu.
• I-Laparoscopy. Kule nqubo, udokotela wakho ohlinzayo ufaka ububanzi obuguquguqukayo nezinsimbi ezincane esiswini ukuze kususwe izindawo ze-endometriosis ngaphakathi kwesisu nasesinqeni.

Udokotela wakho ohlinzayo angasebenzisa futhi i-laser ukwelapha izicubu ezithintekayo yi-endometriosis. Ukuhlinzwa kungadingeka futhi ukuphatha ukwakheka kwezicubu ezibomvu, inkinga ejwayelekile ku-endometriosis. Izindlela ezintsha zokwelashwa zivame ukutholakala. Khuluma nodokotela wakho.

Uma i-endometriosis iku-diaphragm ne-pelvis yakho yomibili, ungadinga ukuhlinzwa okungaphezu kokukodwa.

Imithi

Izinhlobo ezimbili zemithi njengamanje zisetshenziselwa ukwelapha i-endometriosis: ama-hormone nokunciphisa izinhlungu.

Ukwelashwa kweHormone kunganciphisa ukukhula kwezicubu ze-endometrial futhi kwehlise umsebenzi wayo ngaphandle kwesibeletho.

Ukwelashwa kwamahomoni kufaka:

• ukulawulwa kokuzalwa, kufaka phakathi amaphilisi, isichibi noma iringi
• i-gonadotropin-ikhulula ama-hormone (GnRH) agonists
• i-danazol (iDanocrine), manje engasetshenziswa kakhulu
• imijovo yeprogestin (Depo-Provera)

Udokotela wakho futhi angancoma i-over-the-counter (i-OTC) noma imishanguzo yokulwa nokuvuvukala (i-NSAID), efana ne-ibuprofen (Advil) noma i-naproxen (i-Aleve), ukulawula izinhlungu.

Ingabe kungenzeka izinkinga?

Imvamisa, i-endometriosis yedayaphragm ingadala izimbobo ezakheke ku-diaphragm.

Lokhu kungaholela ezinkingeni ezisongela impilo ezifana nokuthi:

• ukuwa kwamaphaphu (pneumothorax) ngesikhathi sakho
• i-endometriosis odongeni lwesifuba noma emaphashini
• umoya negazi esifubeni

Ukuhlinzwa ukuze ususe i-endometriosis ngaphakathi kwe-diaphragm kunganciphisa ubungozi bakho balezi zinkinga.

I-Endometriosis ye-diaphragm yakho akufanele ithinte ukuzala kwakho. Kepha abesifazane abaningi abanale ndlela ye-endometriosis banayo futhi kuma-ovaries abo nakwezinye izitho ze-pelvic, ezingadala izinkinga zokuzala. Ukuhlinzwa nokufakwa kwe-in vitro kungakhuphula amathuba okukhulelwa.

Yini ongayilindela?

Umbono wakho uncike ekutheni i-endometriosis yakho inzima kangakanani, nokuthi iphathwa kanjani.

Lolu hlobo lwe-endometriosis kungenzeka lungabangeli izimpawu. Uma kubuhlungu noma kubangela izinkinga, ungathola ukuhlinzwa ukuze ususe izicubu ze-endometrium.

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