Ukukhulelwa nge-Endometriosis: Kungenzeka Yini?

-Delile

• Sibutsetelo se-endometriosis
• Izimpawu ze-endometriosis
• I-endometriosis ikuthinta kanjani ukukhulelwa?
• Lapho uzobona udokotela wakho
• Ingabe kufanele ubone uchwepheshe we-endometriosis?
• Usizo lokungazali okuhlobene ne-endometriosis
• Ungawathuthukisa kanjani amathuba akho okukhulelwa nge-endometriosis
• Umbono we-endometriosis nokuzala

Isingeniso

I-Endometriosis yisimo esibuhlungu. Inamandla okuthinta ukuzala kowesifazane. Ngenhlanhla, ukwelashwa kuyatholakala.

Ulwelwesi lwesibeletho sakho lwaziwa njenge-endometrium. Lesi sicubu esiyingqayizivele sinesibopho sokuya esikhathini, kufaka phakathi lapho sishibilika futhi sidale ukuphuma kwegazi. Lokhu kwenzeka uma uthola isikhathi sakho.

Lapho owesifazane ene-endometriosis, lesi sicubu sikhula ezindaweni ezingafanele. Izibonelo zifaka amaqanda akho, amathumbu, noma izicubu ezibeka i-pelvis yakho.

Nakhu ukubuka konke kwe-endometriosis, okudingeka ukwazi uma uzama ukukhulelwa, nezinketho zokwelashwa.

Sibutsetelo se-endometriosis

Inkinga yokuba nezicubu ze-endometrial kwezinye izindawo zomzimba wakho ukuthi izicubu zizokwehla bese zopha njengasesizalweni sakho. Kodwa igazi alikho lapho lingaya khona.

Ngokuhamba kwesikhathi, leli gazi nezicubu zikhula zibe ama-cysts, izicubu ezibomvu nokunamathela. Lesi yisicubu esibomvu esidala ukuthi izitho zibambane.

Iningi lezindlela zokwelashwa kwe-endometriosis lihlose ukuvimbela ukuphuma kweqanda. Isibonelo esisodwa ukuthatha amaphilisi okulawula ukubeletha. Lapho uzama ukukhulelwa, uzoyeka ukuthatha lezi zindlela zokwelapha.

Izimpawu ze-endometriosis

Uphawu oluvame kakhulu lwe-endometriosis ubuhlungu, kufaka phakathi ubuhlungu be-pelvic kanye ne-cramping eqinile. Kepha ukungabi nenzalo ngeshwa nakho kungaba uphawu nemiphumela emibi ye-endometriosis.

Kulinganiselwa ukuthi ingxenye eyodwa kwezintathu kuya kwengxenye yabesifazane abane-endometriosis babika ubunzima bokukhulelwa.

I-endometriosis ikuthinta kanjani ukukhulelwa?

Ukungabi nenzalo ngenxa ye-endometriosis kungahlotshaniswa nezimbangela eziningana. Okokuqala ukuthi i-endometriosis ithinta ama-ovari kanye / noma amashubhu e-fallopian.

Iqanda kufanele lisuke esibelethweni, lidlule kushubhu lesizalo, futhi liye esibelethweni ukuze likhuleliswe ngaphambi kokufakwa kulayini wesibeletho. Uma owesifazane ene-endometriosis embondweni weshubhu lakhe lomzimba, izicubu zingagcina iqanda lingahambeli esibelethweni.

Kungenzeka futhi ukuthi i-endometriosis ingalimaza iqanda lowesifazane noma isidoda sowesilisa. Ngenkathi odokotela bengazi kahle ukuthi kungani lokhu kwenzeka, umbono uthi i-endometriosis ibangela amazinga amakhulu okuvuvukala emzimbeni.

Umzimba ukhipha amakhemikhali angalimaza noma aqede amaqanda abesifazane noma isidoda sowesilisa. Lokhu kungakwenza ungakhulelwa.

Lapho uzobona udokotela wakho

Abanye odokotela bangancoma ukubona uchwepheshe wokuzala ngaphambi kokucabanga ngokuzama ukukhulelwa.

Isazi sokuzala singase senze ukuhlolwa kwegazi, njengokuhlolwa kwe-anti-mullerian hormone (AMH). Lokhu kuhlolwa kukhombisa ukunikezwa kweqanda kwakho okusele. Elinye igama elihlinzekwa ngamaqanda “indawo yokugcina amaqanda.” Ukwelashwa kwe-endometriosis kunganciphisa indawo yakho yokugcina ama-ovari, ngakho-ke ungahle uthande ukucabanga ngalesi sivivinyo lapho ucabanga ngemithi yokwelashwa kwe-endometriosis.

Ukuphela kwendlela yokuhlonza ngempela i-endometriosis ukuhlinzwa ukukhomba izindawo lapho kukhona i-endometrium. Kepha lokhu kuhlinzwa kungaholela ekusibazaneni okuthinta ukuzala.

Ingabe kufanele ubone uchwepheshe we-endometriosis?

Uma ucabanga phambili esikhathini lapho ungafisa ukukhulelwa, ungahle uthande ukubona udokotela wezifo zabesifazane noma uchwepheshe wezokuzala lapho uqala ukucabanga ngemithi yokwelashwa kwe-endometriosis. Kwezinye izimo, uchwepheshe wezenzalo angancoma ukuhlinzwa ukuze kususwe ukukhula okugcina owesifazane engakhulelwa.

Kodwa uma uye ocansini olungaphephile nomlingani wakho izinyanga eziyisithupha futhi ungakakhulelwa, xhumana nodokotela wakho. Uma ungatholakali une-endometriosis, kodwa uhlangabezana nezinye zezimpawu zalesi simo, kubalulekile ukuthi wabelane nodokotela wakho.

Udokotela wakho angenza ukuhlolwa, njengokuhlolwa kwegazi nokuhlolwa komzimba, ukuthola ukuthi kukhona yini ukungenelela kokuqala abangakusikisela. Udokotela wakho futhi angakudlulisela kuchwepheshe wokuzala.

Usizo lokungazali okuhlobene ne-endometriosis

Uma uke waba nobunzima bokukhulelwa ngenxa ye-endometriosis, ungahle ufise ukubona isazi sokuzala. Lo chwepheshe angasebenza nodokotela wakho ukuthola ukuthi ngabe i-endometriosis yakho ibucayi kangakanani nokuthi yini engaba nomthelela ekungazali kwakho.

Izibonelo zokwelashwa kokungazali okuhlobene ne-endometriosis zifaka:

• Ukuqanda amaqanda akho: I-Endometriosis ingathinta indawo yakho yokugcina ama-ovari, ngakho-ke abanye odokotela bangancoma ukuthi ugcine amaqanda akho manje uma ufisa ukukhulelwa kamuva. Lolu khetho lungabiza kakhulu, futhi aluvamisile ukumbozwa umshwalense.
• I-Superovulation kanye ne-intrauterine insemination (SO-IUI): Lokhu kuyindlela yabesifazane abanamashubhu ajwayelekile we-fallopian, i-endometriosis emnene, futhi umlingani wabo onesidoda esisezingeni eliphezulu.
• Udokotela uzonikeza imishanguzo yokuzala njengeClomiphene. Le mithi isiza ukukhiqiza amaqanda amabili kuya kwamathathu avuthiwe. Udokotela angaphinde anikeze imijovo ye-progestin.
• Owesifazane uzohlala ehlolwa ngama-ultrasound ukuqinisekisa ukuthi amaqanda avuthwe kakhulu. Lapho amaqanda esekulungele, udokotela uzofaka isidoda esiqoqiwe sikazakwethu.
• In vitro fertilization (IVF): Lokhu kwelashwa kubandakanya ukufaka iqanda kuwe nesidoda kumlingani wakho. Iqanda libe selikhulelwa ngaphandle komzimba bese lifakwa esibelethweni.

Izinga lokuphumelela kwe-IVF lingamaphesenti angama-50 kwabesifazane abangenayo i-endometriosis. Kepha abesifazane abaningi abane-endometriosis batholile ngempumelelo ngenxa yokuthola ukwelashwa kwe-IVF. I-IVF ivame ukunconywa kwabesifazane abane-endometriosis elinganiselayo kuya kwelinzima, noma kwabesifazane abanemizimba engaphendulanga kwezinye izindlela zokwelashwa.

Ungawathuthukisa kanjani amathuba akho okukhulelwa nge-endometriosis

Njengamanje, abukho ubufakazi bokuthi ukuthatha imithi kungenza ngcono amathuba okukhulelwa kowesifazane. Kodwa odokotela bangahle banikeze imishanguzo, njengama-progestin, njengendlela yokwandisa inani lamahomoni okukhulelwa emzimbeni wowesifazane.

Kubalulekile futhi ukuphila ngendlela enempilo ngangokunokwenzeka uma une-endometriosis futhi uzama ukukhulelwa. Lokhu kunganciphisa ukuvuvukala emzimbeni wakho futhi kuwulungiselele ukusiza ingane yakho ikhule futhi ikhule phakathi nokukhulelwa okunempilo.

Izibonelo zezinyathelo ongazithatha zifaka:

• ukugcina isisindo esinempilo
• ukudla ukudla okunempilo okunothe izithelo, imifino, okusanhlamvu okuphelele, namaprotheni anciphile
• ukuzijwayeza ukuzivocavoca umzimba nsuku zonke (izibonelo zifaka ukuhamba, ukuphakamisa izinsimbi, nokuhlanganyela ekilasini lokuvivinya umzimba)

Khumbula ukuthi iminyaka yobudala ingaba yinto kubo bonke abesifazane abafisa ukukhulelwa. Amanani aphezulu okuzala ahlotshaniswa neminyaka emincane. Abesifazane abaneminyaka engama-35 nangaphezulu basengozini enkulu yokungabi nenzalo nokukhulelwa kwesisu kunabesifazane abasebasha.

Umbono we-endometriosis nokuzala

Abesifazane abane-endometriosis banamazinga aphezulu we:

• ukulethwa ngaphambi kwesikhathi
• preeclampsia
• izinkinga ze-placenta
• ukudiliva ngokuhlinzwa

Izindaba ezimnandi ukuthi kunabesifazane abaningi nsuku zonke abane-endometriosis abakhulelwayo futhi ekugcineni balethe ingane enempilo. Ukhiye ukuqala ukuxoxa ngezinketho zakho zokukhulelwa, kwesinye isikhathi ngisho nangaphambi kokuba ucabange ngokukhulelwa. Lapho uzama ukukhulelwa, bheka udokotela wakho uma ungakakhulelwa ngemuva kwezinyanga eziyisithupha.