I-endometriosis esibelethweni: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu ze-endometriosis esibelethweni
• Ingabe i-endometriosis ku-ovary ingakuvimbela ukukhulelwa?
• Yelashwa kanjani

I-Endometriosis esibelethweni, ebizwa nangokuthi i-endometrioma, yisimo lapho izicubu nezindlala ze-endometrium, okufanele ngabe zingaphakathi kwesibeletho kuphela, nazo zimboza i-ovary, okungaholela ebunzimeni bokukhulelwa kanye namajaqamba amakhulu ngesikhathi sokuya esikhathini.

Udokotela angathola ukuthi owesifazane une-endometriosis esibelethweni ngokusebenzisa i-transvaginal noma i-pelvic ultrasound, lapho kutholakala khona ukutholakala kwe-cyst ovarian enkulu kune-2 cm futhi igcwele uketshezi olumnyama.

Ukwelashwa kwe-endometriosis esibelethweni esikhonjiswe ngudokotela wezifo zabesifazane kungahluka ngokuya ngeminyaka yowesifazane nobungako be-endometriosis, futhi ukusetshenziswa kwezidakamizwa ukuqeda izimpawu noma ukuhlinzwa ukususa i-ovary kungakhonjiswa.

Izimpawu ze-endometriosis esibelethweni

I-Endometriosis esibelethweni ibhekwa njengoshintsho olungenabungozi, kepha izimpawu nezimpawu zingabonakala zingahle zingaphatheki kahle kwabesifazane futhi ezingakhombisa ushintsho, njenge:

• Kunzima ukukhulelwa, noma ngemuva kwezinyanga eziyisithupha kuya onyakeni wokuzama;
• I-colic ebucayi kakhulu ngesikhathi sokuya esikhathini;
• Igazi esitokisini, ikakhulukazi ngesikhathi sokuya esikhathini;
• Ubuhlungu ngesikhathi sokuxhumana obuseduze.

Ukuxilongwa kwenziwa ngudokotela wezifo zabesifazane kususelwa ekuhlolweni kokuthinta kwesitho sangasese sowesifazane kanye nezivivinyo zesithombe, njenge-transvaginal ultrasound, lapho amathumbu kufanele akhishwe khona phambilini, noma ngomfanekiso wamagnetic resonance. Ngakho-ke, ngalezi zivivinyo, udokotela uzokwazi ukwazi ubukhulu be-endometriosis yama-ovari futhi akhombise ukwelashwa okufanele kakhulu.

Ingabe i-endometriosis ku-ovary ingakuvimbela ukukhulelwa?

Njengoba i-ovary isengozini, inani lamaqanda akhiqizwayo lincipha kakhulu, okwenza ukuthi inzalo yowesifazane ingasebenzi kahle. Amathuba okukhulelwa kwabesifazane abane-endometriosis esibelethweni ancipha inyanga ngayinye ngokusho kwesifo. Ngaphezu kwalokho, udokotela angancoma ukuhlinzwa ukuze kususwe lesi sicubu, ikakhulukazi lapho lesi sifo sesivele sithuthuke kakhulu, kepha ukuhlinzwa uqobo kungaphazamisa i-ovary, kulimaze ukuzala kowesifazane.

Ngakho-ke, udokotela angancoma ukuthi owesifazane aqale ukuzama ukukhulelwa ngokushesha okukhulu, noma angakhombisa inqubo yokuqandisa iqanda, ukuze ngokuzayo owesifazane anqume ukuthi uyafuna yini ukufaka inzalo yokufakelwa futhi abe nezingane.

Yelashwa kanjani

Ukwelashwa kuzoya ngeminyaka yowesifazane, isifiso sokuzala, izimpawu nobukhulu besifo. Ezimweni lapho izicubu zingaphansi kuka-3 cm, ukusetshenziswa kwemithi yokwehlisa izimpawu kungasebenza, kepha ezimweni ezinzima kakhulu, lapho i-cyst ingaphezu kuka-4 cm, ukuhlinzekwa kwe-laparoscopic kukhonjiswa ukuklama izicubu ze-endometrium noma ngisho nokususwa kwamaqanda.

I-Endometrioma ayinyamalali iyodwa, noma ngabe kusetshenziswa iphilisi lokulawula ukubeletha, kepha lokhu kunganciphisa ubungozi bokwenza i-endometriosis entsha esibelethweni ngemuva kokususwa kwayo ngokuhlinzwa.

Kwezinye izimo, udokotela wezifo zabesifazane angakhombisa nokusetshenziswa kwemithi ethile yokuqeda izimpawu nokuvikela ukuqhubeka kwe-endometrioma, kepha lokhu kukhonjiswa kuvame ukwenziwa kakhulu kwabesifazane asebevele banqamuka.