I-Endometriosis

-Delile

• Izimpawu ze-Endometriosis
• Ukwelashwa kwe-Endometriosis
• Imithi yezinhlungu
• Ukwelashwa kweHormone
• Izindlela zokuvimbela inzalo zeHormonal
• I-Gonadotropin-ikhulula ama-hormone (GnRH) agonists kanye nabaphikisi
• IDanazol
• Ukuhlinzwa okulondolozayo
• Ukuhlinzwa kokugcina (i-hysterectomy)
• Yini ebangela i-endometriosis?
• Izigaba ze-Endometriosis
• Isigaba 1: Okuncane
• Isigaba 2: Mild
• Isigaba 3: Silinganiselwe
• Isigaba 4: Kunzima
• Ukuxilongwa
• Umlando oningiliziwe
• Ukuhlolwa ngokomzimba
• I-Ultrasound
• I-Laparoscopy
• Izinkinga ze-Endometriosis
• Izici zobungozi
• Ubudala
• Umlando womndeni
• Umlando wokukhulelwa
• Umlando wokuya esikhathini
• Isibikezelo se-Endometriosis (umbono)

Kuyini i-endometriosis?

I-Endometriosis yisifo lapho izicubu ezifanayo nezicubu ezakha ulwelwesi lwesibeletho sakho zikhula ngaphandle kwesisu sakho sesibeletho. Ulwelwesi lwesibeletho sakho lubizwa ngokuthi i-endometrium.

I-Endometriosis yenzeka lapho izicubu ze-endometrium zikhula kuma-ovari akho, emathunjini nasezicutshini ezifaka ukhalo lwakho. Akuvamile ukuthi izicubu ze-endometrium zisabalale zingaphezulu kwesifunda sakho se-pelvic, kodwa akunakwenzeka. Izicubu ze-Endometrial ezikhula ngaphandle kwesibeletho sakho zaziwa njengokufakwa kwe-endometrial.

Izinguquko ze-hormonal zomjikelezo wakho wokuya esikhathini zithinta izicubu ze-endometriamu ezingekho kahle, okwenza indawo ivuthe futhi ibuhlungu. Lokhu kusho ukuthi izicubu zizokhula, zijiye futhi zehle. Ngokuhamba kwesikhathi, izicubu eziye zaphuka azinandawo ongaya kuyo futhi zivaleleka okhalweni lwakho.

Lezi zicubu eziboshwe ku-pelvis yakho zingadala:

• ukucasuka
• ukwakheka kwesibazi
• ukunamathela, lapho izicubu zibopha khona izitho zakho zangasese ndawonye
• ubuhlungu obukhulu ngesikhathi sakho
• izinkinga zokuzala

I-Endometriosis yisimo esijwayelekile sabesifazane, esithinta amaphesenti angama-10 abesifazane. Awuwedwa uma unale nkinga.

Izimpawu ze-Endometriosis

Izimpawu ze-endometriosis ziyahlukahluka. Abanye besifazane baba nezimpawu ezincane, kepha abanye bangaba nezimpawu ezilinganiselayo kuya kwezinzima. Ubukhulu bezinhlungu zakho abukhombisi izinga noma isigaba sesimo. Ungaba nesimo esimnene sesifo kepha ube nobuhlungu obuzwisa ubuhlungu. Kungenzeka futhi ukuthi ube nefomu elibi futhi ube nokungakhululeki okuncane kakhulu.

Ubuhlungu be-pelvic uphawu oluvame kakhulu lwe-endometriosis. Ungaba nezimpawu ezilandelayo:

• izikhathi ezibuhlungu
• ubuhlungu esiswini esingezansi ngaphambi nangesikhathi sokuya esikhathini
• amajaqamba isonto elilodwa noma amabili ezinsukwini zokuya esikhathini
• ukopha okunzima ukuya esikhathini noma ukopha phakathi nezikhathi
• ukungazali
• ubuhlungu ngemuva kocansi
• ukungaphatheki kahle ngokuhamba kwamathumbu
• ubuhlungu beqolo obungemuva okungenzeka noma nini ngesikhathi sokuya esikhathini

Ungase futhi ungabi nazimpawu. Kubalulekile ukuthi uthole izivivinyo ezijwayelekile zabesifazane, ezizovumela udokotela wakho wezifo zabesifazane ukuthi aqaphe noma yiziphi izinguquko. Lokhu kubaluleke kakhulu uma unezimpawu ezimbili noma ngaphezulu.

Ukwelashwa kwe-Endometriosis

Kuyaqondakala ukuthi ufuna ukukhululeka okusheshayo ebuhlungwini nakwezinye izimpawu ze-endometriosis. Lesi simo singaphazamisa impilo yakho uma singalashwa. I-Endometriosis ayinalo ikhambi, kepha izimpawu zayo zingalawulwa.

Izinketho zezokwelapha nezokuhlinza ziyatholakala ukusiza ukunciphisa izimpawu zakho nokuphatha noma yiziphi izinkinga ezingaba khona. Udokotela wakho angaqala azame ukwelashwa okulondolozayo. Bangase batuse ukuhlinzwa uma isimo sakho singathuthuki.

Wonke umuntu usabela ngendlela ehlukile kulezi zindlela zokwelashwa. Udokotela wakho uzokusiza ukuthi uthole okukusebenzela kahle kakhulu.

Kungakhungathekisa ukuthola ukuxilongwa kanye nezinketho zokwelashwa ekuqaleni kwesifo. Ngenxa yezinkinga zokuzala, ubuhlungu nokwesaba ukuthi akukho ukukhululeka, lesi sifo kungaba nzima ukusiphatha ngengqondo. Cabanga ukuthola iqembu lokusekela noma ukuzifundisa ngokwengeziwe ngesimo. Izinketho zokwelashwa zifaka:

Imithi yezinhlungu

Ungazama imishanguzo yezinhlungu zasesitolo ezifana ne-ibuprofen, kodwa lokhu akusebenzi kuzo zonke izimo.

Ukwelashwa kweHormone

Ukuthatha ama-hormone okwengeza kwesinye isikhathi kungadambisa izinhlungu futhi kumise ukuqhubeka kwe-endometriosis. Ukwelashwa kweHormone kusiza umzimba wakho ukulawula izinguquko zanyanga zonke zehomoni ezikhuthaza ukukhula kwezicubu okwenzeka lapho une-endometriosis.

Izindlela zokuvimbela inzalo zeHormonal

Izindlela zokuvimbela inzalo zamahomoni zinciphisa ukuzala ngokuvimbela ukukhula nyangazonke nokwakhiwa kwezicubu ze-endometrium. Amaphilisi okulawula ukubeletha, amapeshi nezindandatho zesitho sangasese sowesifazane kunganciphisa noma kuqede nobuhlungu ku-endometriosis engaphansi kakhulu.

Umjovo we-medroxyprogesterone (Depo-Provera) nawo uyasebenza ekunqandeni ukuya esikhathini. Imisa ukukhula kokufakwa kwe-endometrium. Kudambisa izinhlungu nezinye izimpawu. Lokhu kungenzeka kungabi ukukhetha kwakho kokuqala, kepha, ngenxa yengozi yokwehla kokukhiqizwa kwamathambo, ukuzuza kwesisindo, kanye nokwanda kokucindezeleka kwezinye izimo.

I-Gonadotropin-ikhulula ama-hormone (GnRH) agonists kanye nabaphikisi

Abesifazane bathatha lokho okubizwa ngokuthi yi-gonadotropin-releasing hormone (GnRH) agonists kanye nabaphikisi ukuvimba ukukhiqizwa kwe-estrogen okushukumisa ama-ovari. I-Estrogen yi-hormone ebhekele ikakhulu ukuthuthukiswa kwezici zesifazane zobulili. Ukuvimba ukukhiqizwa kwe-estrogen kuvimbela ukuya esikhathini futhi kudala ukunqamuka kokuya esikhathini.

Ukwelashwa kwe-GnRH kunemiphumela emibi njengokuma kwesitho sangasese sowesifazane nokukhanya okushisayo. Ukuthatha imithamo emincane ye-estrogen ne-progesterone ngasikhathi sinye kungasiza ukunciphisa noma ukuvimbela lezi zimpawu.

IDanazol

IDanazol ngomunye umuthi osetshenziselwa ukunqanda ukuya esikhathini nokunciphisa izimpawu. Ngenkathi sithatha i-danazol, lesi sifo singaqhubeka nokuthuthuka. IDanazol ingaba nemiphumela engemihle, kufaka phakathi induna kanye ne-hirsutism. I-Hirsutism ukukhula kwezinwele okungavamile ebusweni nasemzimbeni wakho.

Kufundwa ezinye izidakamizwa ezingathuthukisa izimpawu nokuthuthuka kwesifo okuhamba kancane.

Ukuhlinzwa okulondolozayo

Ukuhlinzwa okulondolozayo kungokwabesifazane abafuna ukukhulelwa noma ukuzwa ubuhlungu obukhulu futhi okungasebenzeli ukwelashwa kwamahomoni. Umgomo wokuhlinzwa okulondolozayo ukususa noma ukubhubhisa ukukhula kwe-endometrium ngaphandle kokulimaza izitho zokuzala.

I-Laparoscopy, ukuhlinzwa okuncane okungahlaseli, kusetshenziselwa ukubona nokubona, i-endometriosis. Ibuye isetshenziselwe ukususa izicubu ze-endometrium. Udokotela ohlinzayo wenza ukusikeka okuncane esiswini ukuze asuse ngokuhlinzayo iziqu noma azishise noma azenze zibe ngumphunga. Ama-Lasers asetshenziswa kakhulu kulezi zinsuku njengendlela yokucekela phansi lesi sicubu "esingasendaweni".

Ukuhlinzwa kokugcina (i-hysterectomy)

Imvamisa, udokotela wakho angancoma i-hysterectomy ephelele njengenketho yokugcina uma isimo sakho singathuthuki nezinye izindlela zokwelapha.

Ngesikhathi se-hysterectomy isiyonke, udokotela ohlinzayo ususa isibeletho nomlomo wesibeletho. Futhi asusa ama-ovari ngoba lezi zitho zenza i-estrogen, kanti i-estrogen ibanga ukukhula kwezicubu ze-endometrium. Ngokwengeziwe, udokotela ohlinzayo ususa izilonda ezifakwayo ezibonakalayo.

I-hysterectomy ayivame ukubhekwa njengokwelashwa noma ukwelashwa kwe-endometriosis. Ngeke ukwazi ukukhulelwa ngemuva kokukhishwa kwesibeletho. Thola umbono wesibili ngaphambi kokuvuma ukuhlinzwa uma ucabanga ukuqala umndeni.

Yini ebangela i-endometriosis?

Ngesikhathi sokuya esikhathini njalo, umzimba wakho ubeka ulwelwesi lwesibeletho sakho. Lokhu kuvumela ukuphuma kwegazi lokuya esikhathini kusuka esibelethweni sakho ngembobo encane yomlomo wesibeletho futhi iphumele ngaphandle esithweni sakho sangasese.

Imbangela ngqo ye-endometriosis ayaziwa, futhi kunemibono eminingi emayelana nembangela, yize kungekho mbono owodwa ofakazelwe ngokwesayensi.

Omunye wemibono emidala kunayo yonke ukuthi i-endometriosis ivela ngenxa yenqubo ebizwa ngokuthi i-retrograde menstruation. Lokhu kwenzeka lapho igazi lokuya esikhathini ligeleza libuyele kumashubhu akho e-fallopian liye emgodini wakho we-pelvic esikhundleni sokushiya umzimba wakho ngesitho sangasese.

Enye inkolelo ithi amahomoni aguqula amangqamuzana angaphandle kwesibeletho abe amaseli afana nalawo angena ngaphakathi kwesibeletho, awaziwa njengamaseli endometrium.

Abanye bakholelwa ukuthi lesi simo singenzeka uma izindawo ezincane zesisu sakho ziguquka zibe izicubu ze-endometrium. Lokhu kungenzeka ngoba amaseli esiswini sakho akhula kusuka kumaseli ombungu, angashintsha ukwakheka futhi asebenze njengamaseli endometrium. Akwaziwa ukuthi kungani lokhu kwenzeka.

Lawa maseli we-endometrial asuswe emakhaya angaba sezindongeni zakho ze-pelvic nasezingxenyeni zezitho zakho ze-pelvic, njenge-bladder, ama-ovari, ne-rectum. Ziyaqhubeka zikhula, zijiye, futhi zophe phakathi nesikhathi sokuya esikhathini ekuphenduleni amahomoni omjikelezo wakho.

Kungenzeka futhi ukuthi igazi lokuya esikhathini livuzele emgodini we-pelvic ngesibazi sokuhlinzwa, njengangemva kokubeletha ngokuhlinzwa (okubizwa futhi ngokuthi yi-C-section).

Enye inkolelo ukuthi amangqamuzana e-endometriary akhishwa ngaphandle kwesibeletho ngohlelo lwe-lymphatic. Futhi enye inkolelo ithi kungenzeka kungenxa yesistimu yomzimba engasebenzi kahle engaqedi amaseli we-endometriary ayiphutha.

Abanye bakholelwa ukuthi i-endometriosis ingaqala esikhathini se-fetal ngezicubu zeseli ezingekho kahle eziqala ukuphendula kumahomoni wokuthomba. Lokhu kuvame ukubizwa ngokuthi yi-Mullerian theory. Ukuthuthukiswa kwe-endometriosis kungahle futhi kuxhunyaniswe nezakhi zofuzo noma ubuthi bezemvelo.

Izigaba ze-Endometriosis

I-Endometriosis inezigaba noma izinhlobo ezine. Kungaba noma yikuphi okulandelayo:

• okuncane
• imnene
• ngokulinganisela
• ezinzima

Izici ezahlukahlukene zinquma isigaba sokuphazamiseka. Lezi zinto zingafaka indawo, inombolo, usayizi, nokujula kokufakwa kwe-endometrium.

Isigaba 1: Okuncane

Ku-endometriosis encane, kunezilonda ezincane noma amanxeba kanye nokufakwa okungajulile kwe-endometrial ku-ovary yakho. Kungase kube nokuvuvukala ngaphakathi noma eduze nomgodi wakho we-pelvic.

Isigaba 2: Mild

I-endometriosis emnene ibandakanya izilonda ezikhanyayo nokufakwa okungajulile ku-ovary kanye nolwelwesi lwe-pelvic.

Isigaba 3: Silinganiselwe

I-endometriosis elinganiselayo ibandakanya ukufakelwa okujulile kulwelwesi lwe-ovary nolwe-pelvic. Kungabuye kube nezilonda eziningi.

Isigaba 4: Kunzima

Isigaba esinzima kunazo zonke se-endometriosis sihilela okufakelwa okujulile kulwelwesi lwakho lwangasese kanye namaqanda. Kungase kube khona nezilonda kumashubhu akho wangaphandle kanye namathumbu.

Ukuxilongwa

Izimpawu ze-endometriosis zingafana nezimpawu zezinye izimo, njengama-cysts ama-ovari kanye nesifo sokuvuvukala kwezitho zangasese. Ukwelapha ubuhlungu bakho kudinga ukuxilongwa okunembile.

Udokotela wakho uzokwenza isivivinyo esisodwa noma eziningi ezilandelayo:

Umlando oningiliziwe

Udokotela wakho uzobona izimpawu zakho nomlando wakho siqu noma womndeni we-endometriosis. Ukuhlolwa kwezempilo okujwayelekile nakho kungenziwa ukuthola ukuthi ngabe kukhona yini ezinye izimpawu zesifo sesikhathi eside.

Ukuhlolwa ngokomzimba

Ngesikhathi sokuhlolwa kwe-pelvic, udokotela wakho uzokuzwa ngesandla isisu sakho sama-cysts noma izibazi ngemuva kwesibeletho.

I-Ultrasound

Udokotela wakho angasebenzisa i-transvaginal ultrasound noma i-ultrasound yesisu. Ku-ultrasound engaphandle kwangaphansi, kufakwa i-transducer esithweni sakho sangasese.

Zombili izinhlobo ze-ultrasound zinikeza izithombe zezitho zakho zokuzala. Bangasiza udokotela wakho ukuthi abone ama-cysts ahlobene ne-endometriosis, kepha awasebenzi ekuphumeni ngaphandle kwalesi sifo.

I-Laparoscopy

Ukuphela kwendlela ethile yokuhlonza i-endometriosis ukuyibuka ngqo. Lokhu kwenziwa inqubo encane yokuhlinza eyaziwa njenge-laparoscopy. Uma sesitholakele, izicubu zingasuswa ngendlela efanayo.

Izinkinga ze-Endometriosis

Ukuba nezinkinga ngokuzala kuyinkinga enkulu ye-endometriosis. Abesifazane abanamafomu amancane bangakwazi ukukhulelwa futhi bathwale ingane kuze kube sekugcineni. Ngokusho kweMayo Clinic, cishe amaphesenti angama-30 - 40 wabesifazane abane-endometriosis banenkinga yokukhulelwa.

Imithi ayikuthuthukisi ukuzala. Abanye besifazane bakwazile ukukhulelwa ngemuva kokususwa ngokuhlinzwa kwezicubu ze-endometrium. Uma lokhu kungasebenzi kuwe, ungahle uthande ukucabangela ukwelashwa kokuzala noma ukukhulelisa i-in vitro ukusiza ukuthuthukisa amathuba akho okuthola umntwana.

Ungahle uthande ukucabangela ukuba nezingane ngokushesha uma kutholakala ukuthi une-endometriosis futhi ufuna izingane. Izimpawu zakho zingase zibe nzima ngokuhamba kwesikhathi, okungenza kube nzima ukukhulelwa wedwa. Kuzodingeka uhlolwe udokotela wakho ngaphambi nangesikhathi sokukhulelwa. Khuluma nodokotela wakho ukuze uqonde izinketho zakho.

Noma ukuzala kungakhathazi, ukuphatha ubuhlungu obungapheli kungaba nzima. Ukudana, ukukhathazeka, nezinye izinkinga zengqondo akuvamile. Khuluma nodokotela wakho ngezindlela zokubhekana nale miphumela emibi. Ukujoyina iqembu lokusekela kungasiza futhi.

Izici zobungozi

NgokukaJohns Hopkins Medicine, cishe amaphesenti amabili kuya kwayishumi abesifazane ababelethayo e-United States abaphakathi kweminyaka engama-25 kuya kwengama-40 bane-endometriosis. Imvamisa kuba neminyaka ngemuva kokuqala komjikelezo wakho wokuya esikhathini. Lesi simo singaba buhlungu kepha ukuqonda izinto ezinobungozi kungakusiza ukuthi unqume ukuthi ngabe unalesi sifo nokuthi kufanele ukhulume nodokotela wakho nini.

Ubudala

Abesifazane bayo yonke iminyaka basengozini ye-endometriosis. Imvamisa kuthinta abesifazane abaphakathi kweminyaka engama-25 nengama-40, kepha izimpawu zingaqala lapho uthomba.

Umlando womndeni

Khuluma nodokotela wakho uma unelungu lomndeni eline-endometriosis. Ungaba nengozi enkulu yokuthola lesi sifo.

Umlando wokukhulelwa

Ukukhulelwa kunganciphisa okwesikhashana izimpawu ze-endometriosis. Abesifazane abangenazo izingane basengozini enkulu yokuthola lesi sifo. Kodwa-ke, i-endometriosis isengaqhubeka nakwabesifazane abathole izingane. Lokhu kusekela ukuqonda ukuthi ama-hormone anomthelela ekuthuthukiseni nasekuqhubekeni kwesimo.

Umlando wokuya esikhathini

Khuluma nodokotela wakho uma unezinkinga maqondana nesikhathi sakho. Lezi zinkinga zingafaka imijikelezo emifushane, izinkathi ezisindayo nezinde, noma ukuya esikhathini okuqala usemncane. Lezi zinto zingakubeka engcupheni enkulu.

Isibikezelo se-Endometriosis (umbono)

I-Endometriosis yisifo esingelapheki esingelapheki. Asizwisisi ukuthi kubangelwa yini okwamanje.

Kepha lokhu akusho ukuthi isimo kufanele sithinte impilo yakho yansuku zonke. Izindlela zokwelapha ezisebenzayo ziyatholakala ukuphatha izinkinga zobuhlungu nokuzala, njengemithi yokwelashwa, ukwelashwa kwamahomoni, nokuhlinzwa. Izimpawu ze-endometriosis zivame ukuthuthuka ngemuva kokunqamuka kokuya esikhathini.