I-Endometriosis

-Delile

• Buyekeza kwe-

Yini

I-Endometriosis iyinkinga yezempilo ejwayelekile kwabesifazane. Ithola igama layo egameni elithi endometrium, izicubu ezibeka isibeletho (isibeletho). Kwabesifazane abanale nkinga, izicubu ezibukeka futhi ezisebenza njengolwelwesi lwesibeletho zikhula ngaphandle kwesibeletho kwezinye izindawo. Lezi zindawo zingabizwa ngokuthi izimila, izimila, izimila, izilonda, noma amaqhuqhuva.

Iningi le-endometriosis litholakala:

on noma ngaphansi kwamaqanda

* ngemuva kwesibeletho

* ezicutshini ezibambe isibeletho endaweni

* emathunjini noma esinyeni

Lesi sicubu "esilahlekile" singadala izinhlungu, ukungabi nenzalo, nezikhathi ezinzima kakhulu.

Ukukhula kwe-endometriosis cishe kuhlala kuyingozi noma kungabi nomdlavuza, kepha kusengadala izinkinga eziningi. Ukuze ubone ukuthi kungani, kuyasiza ukuqonda umjikelezo wanyanga zonke wowesifazane. Njalo ngenyanga, amahomoni enza ulwelwesi lwesibeletho sowesifazane lukhule ngezicubu nemithambo yegazi. Uma owesifazane engakhulelwa, isibeletho sichitha lesi zicubu negazi, sishiya umzimba wakhe esithweni sangasese njengenkathi yakhe yokuya esikhathini.

Amachashaza e-endometriosis nawo aphendula kumjikelezo wanyanga zonke wowesifazane. Inyanga ngayinye ukukhula kuyanezela izicubu negazi elengeziwe, kepha ayikho indawo yezicubu negazi ezakhiwe ukuphuma emzimbeni. Ngenxa yalesi sizathu, ukukhula kuvame ukuba kukhudlwana futhi izimpawu ze-endometriosis zivame ukuba zimbi kakhulu ngokuhamba kwesikhathi.

Izicubu negazi elichithwa emzimbeni kungadala ukuvuvukala, izicubu ezibomvu, nobuhlungu. Njengoba izicubu ezibekwe endaweni engafanele zikhula, zingamboza noma zikhule zibe ama-ovari futhi uvimbele amashubhu e-fallopian. Lokhu kungenza kube nzima ngabesifazane abane-endometriosis ukukhulelwa. Ukukhula kungadala nezinkinga emathunjini nasesinyeni.

Izimbangela

Akekho owazi ngokuqinisekile ukuthi yini ebangela lesi sifo, kodwa ososayensi banemibono eminingi.

Bayazi ukuthi i-endometriosis igijima emindenini. Uma umama noma udadewenu ene-endometriosis, unamathuba aphindwe kayisithupha okuthola lesi sifo kunabanye besifazane. Ngakho-ke, omunye umbono uphakamisa ukuthi i-endometriosis ibangelwa izakhi zofuzo.

Enye inkolelo ithi ngezikhathi zesifazane zanyanga zonke, ezinye izicubu ze-endometrium ziya emuva ziye esiswini ngamashubhu e-fallopian. Lesi zicubu ezitshalwe kabusha sibe sesikhula ngaphandle kwesibeletho. Abacwaningi abaningi bacabanga ukuthi isimiso somzimba sokuzivikela ezifweni esinephutha sinengxenye ku-endometriosis. Kwabesifazane abanalesi sifo, amasosha omzimba ahluleka ukuthola nokubhubhisa izicubu ze-endometrial ezikhula ngaphandle kwesibeletho. Futhi, ucwaningo lwakamuva lubonisa ukuthi ukuphazamiseka kwamasosha omzimba (izinkinga zempilo lapho umzimba uzihlasela ngokwawo) kuvame kakhulu kwabesifazane abane-endometriosis. Ucwaningo olwengeziwe kule ndawo lungasiza odokotela ukuthi baqonde kangcono futhi baphathe i-endometriosis.

Izimpawu

Ubuhlungu bungesinye sezimpawu ezivame kakhulu ze-endometriosis. Ngokuvamile ubuhlungu buba sesisu, emhlane ongezansi, nasesinqeni. Inani lobuhlungu abuzwa owesifazane alincikile ekutheni une-endometriosis engakanani. Abanye besifazane abanabuhlungu, nakuba isifo sabo sithinta izindawo ezinkulu. Abanye besifazane abane-endometriosis banezinhlungu ezinzima yize benokukhula okumbalwa okuncane. Izimpawu ze-endometriosis zihlanganisa:

* Ukuqaqamba kokuya esikhathini kubuhlungu kakhulu

Izinhlungu ezinezikhathi eziba zimbi kakhulu ngokuhamba kwesikhathi

* Ubuhlungu obungapheli emhlane ongezansi nasezinqeni

* Ubuhlungu ngesikhathi socansi noma ngemuva kwaso

Izinhlungu zesisu

* Ukuhamba kwamathumbu okubuhlungu noma ukuchama okubuhlungu ngesikhathi sokuya esikhathini

* Isikhathi esinzima kanye / noma eside sokuya esikhathini

Ukubeka noma ukopha phakathi kwezikhathi

Ukuzala (ukungakwazi ukukhulelwa)

Ukukhathala

Abesifazane abane-endometriosis bangaba nezinkinga zamathumbu ezifana nohudo, ukuqunjelwa, noma ukuqunjelwa, ikakhulukazi ngezikhathi zabo.

Ngubani osengozini?

Cishe abesifazane abayizigidi ezinhlanu e-United States bane-endometriosis. Lokhu kwenza kube yinkinga yezempilo ejwayelekile kwabesifazane.

Ngokuvamile, abesifazane abane-endometriosis:

* thola isikhathi sabo senyanga

* baneminyaka engu-27 ubudala ngokwesilinganiso

banezimpawu zeminyaka emibili kuya kwemihlanu ngaphambi kokuthola ukuthi banesifo

Abesifazane asebedlule esikhathini sokuya esikhathini (lapho owesifazane eyeka ukuya esikhathini) kuyaqabukela besenezimpawu.

Kungenzeka ukuthi uthuthukise i-endometriosis uma:

* waqala ukuthola isikhathi sakho usemncane

* banezikhathi ezinzima

* banezikhathi ezihlala ngaphezu kwezinsuku eziyisikhombisa

* inomjikelezo wanyanga zonke omfushane (izinsuku ezingama-27 noma ngaphansi)

* ube nesihlobo esiseduze (umama, u-anti, udadewabo) one-endometriosis

Ezinye izifundo ziphakamisa ukuthi unganciphisa amathuba akho okuthuthukisa i-endometriosis uma:

ukuzivocavoca umzimba njalo

gwema utshwala ne-caffeine

Ukuxilongwa

Uma ucabanga ukuthi unalesi sifo, khuluma nodokotela wakho wokubelethisa / wezifo zabesifazane (OB / GYN). Udokotela wakho uzokhuluma nawe ngezimpawu zakho nomlando wezempilo. Ngemuva kwalokho yena noma yena uzokwenza ukuhlolwa kwe-pelvic. Kwesinye isikhathi ngesikhathi sokuhlolwa, udokotela angathola izimpawu ze-endometriosis.

Imvamisa odokotela kudingeka benze izivivinyo ukuthola ukuthi ngabe owesifazane une-endometriosis. Kwesinye isikhathi odokotela basebenzisa izivivinyo zemifanekiso ukuze "babone" ukukhula okukhulu kwe-endometriosis ngaphakathi komzimba. Izivivinyo ezimbili ezivame kakhulu zezithombe yilezi:

* i-ultrasound, esebenzisa amaza omsindo ukubona ngaphakathi emzimbeni

* imaging resonance magnetic (MRI), esebenzisa omagnethi namaza omsakazo ukwenza "isithombe" sangaphakathi emzimbeni

Ukuphela kwendlela yokwazi ngokuqinisekile ukuthi une-endometriosis ukuhlinzwa okubizwa ngokuthi i-laparoscopy. Kule nqubo, ukusika okuncane kwenziwa esiswini sakho. Ishubhu elincanyana elinokukhanya lifakwa ngaphakathi ukuze libone ukukhula kwe-endometriosis. Kwesinye isikhathi odokotela bangathola i-endometriosis ngokubona nje ukukhula. Ngezinye izikhathi, badinga ukuthatha isampula elincane lezicubu, noma i-biopsy, balifunde ngaphansi kwesibonakhulu.

Ukwelashwa

Alikho ikhambi le-endometriosis, kepha kunezindlela eziningi zokwelapha izinhlungu nokungabi nenzalo okubangelayo. Khuluma nodokotela wakho mayelana nokuthi iyiphi inketho ekulungele. Ukwelashwa okukhethayo kuzoncika kuzimpawu zakho, ubudala, nezinhlelo zokukhulelwa.

Imithi Yezinhlungu. Kwabanye besifazane abanezimpawu ezithambile, odokotela bangase baphakamise ukuthi baphuze imishanguzo etholakala ngaphandle kwekhawunta yezinhlungu. Lokhu kufaka phakathi: ibuprofen (Advil neMotrin) noma naproxen (Aleve). Lapho le mithi ingasizi, odokotela bangakweluleka ukuthi basebenzise ukudambisa izinhlungu okunamandla okutholakala ngudokotela.

Ukwelashwa kweHormone. Lapho umuthi wezinhlungu unganele, odokotela bavame ukutusa imithi yehomoni ukwelapha i-endometriosis. Abesifazane kuphela abangafisi ukukhulelwa abangasebenzisa le mithi. Ukwelashwa kweHormone kungcono kakhulu kwabesifazane abaneziqu ezincane abangenabo ubuhlungu obunzima.

AmaHormoni eza ngezindlela eziningi kubandakanya amaphilisi, isibhamu kanye nezifutho zamakhala. Ama-hormone amaningi asetshenziselwa i-endometriosis kufaka phakathi:

• Amaphilisi okulawula ukubeletha avimba imiphumela yamahomoni emvelo ekukhuleni kwe-endometrium. Ngakho-ke, zivimbela ukwakhiwa nyangazonke nokuwohloka kokukhula. Lokhu kungenza i-endometriosis ingabi buhlungu kangako. Amaphilisi okulawula ukubeletha angenza ukuya esikhathini kowesifazane kube lula futhi kungabi lula. Amaphilisi amaningi okulawula inzalo aqukethe amahomoni amabili, i-estrogen ne-progestin. Lolu hlobo lwephilisi lokulawula ukubeletha lubizwa nge- "combination pill." Lapho nje owesifazane eyeka ukuzithatha, amandla okuthola ukukhulelwa abuya, kepha kanjalo nezimpawu ze-endometriosis.
  
• Ama-progestin noma imithi ye-progesterone isebenza kakhulu njengamaphilisi okulawula ukubeletha futhi ingathathwa ngabesifazane abangakwazi ukuthatha i-estrogen. Uma owesifazane eyeka ukuthatha ama-progestin, angaphinde akhulelwe. Kodwa, izimpawu ze-endometriosis nazo ziyabuya.

Ukuhlinzwa. Ukuhlinzwa ngokuvamile kuyisinqumo esingcono kakhulu kwabesifazane abane-endometriosis abanenani elinzima lokukhula, izinhlungu eziningi, noma izinkinga zokuzala. Kukhona kokubili ukuhlinzwa okuncane nokuyinkimbinkimbi okungasiza. Udokotela wakho angase asikisele okunye kokulandelayo:

• I-Laparoscopy ingasetshenziselwa ukuxilonga nokwelapha i-endometriosis. Phakathi nalokhu kuhlinzwa, odokotela basusa iziqu nezicubu ezibomvu noma bazibhubhise ngokushisa okukhulu. Umgomo uwukwelapha i-endometriosis ngaphandle kokulimaza izicubu ezinempilo ezizungezile. Abesifazane bayalulama kwi-laparoscopy ngokushesha okukhulu kunokuhlinzwa okuyinhloko esiswini.
  
• I-Laparotomy noma ukuhlinzwa okukhulu kwesisu kuyindlela yokugcina yokwelapha i-endometriosis enzima. Kulokhu kuhlinzwa, udokotela usika kakhulu esiswini kunange-laparoscopy. Lokhu kuvumela udokotela ukuthi afinyelele futhi asuse ukukhula kwe-endometriosis ethangeni noma esiswini. Ukululama kulokhu kuhlinzwa kungathatha izinyanga ezimbili.
  
• I-Hysterectomy kufanele ibhekwe kuphela ngabesifazane abangafuni ukukhulelwa ngokuzayo. Ngesikhathi sokuhlinzwa lokhu, udokotela ususa isibeletho. Angase futhi akhiphe ama-ovari namashubhu e-fallopian ngesikhathi esisodwa. Lokhu kwenziwa lapho i-endometriosis ibalimaze kakhulu.

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