Ukuqonda Izinketho Zakho Zokusiza Ubuhlungu nge-Endometriosis

-Delile

• Imithi yokusiza izinhlungu
• Ukwelashwa kweHormone
• Ukulawulwa kokuzalwa kwehormonal
• I-Gonadotropin-ikhulula ama-hormone (Gn-RH) ama-agonists nabaphikisi
• Ukwelashwa kwe-Progestin
• Ukuhlinzwa
• Ezinye izindlela zokwelashwa ezihambisanayo
• Ukuthatha

Ukubuka konke

Uphawu oluyinhloko lwe-endometriosis ubuhlungu obungapheli. Ubuhlungu buvame ukuba namandla kakhulu ngesikhathi se-ovulation kanye nokuya esikhathini.

Izimpawu zingabandakanya ukucindezelwa okukhulu, ubuhlungu ngesikhathi socansi, imisipha yaphansi ye-pelvic eqinile, nokungaphatheki kahle ngokuhamba kwamathumbu nokuchama, phakathi kwabanye. Lezi zimpawu zingaphazamisa nokuphila kwansuku zonke, futhi.

Alikho ikhambi le-endometriosis, kepha ukwelashwa kungasiza. Ukusebenza kwemithi ehlukahlukene kuyahluka kuye ngomuntu nomuntu. Inhloso ukumisa noma ukuthuthukisa ubuhlungu besimo. Funda ukuze ufunde kabanzi mayelana nezinketho ezithile zokwelashwa ezingasiza.

Imithi yokusiza izinhlungu

Kokubili imishanguzo yokusiza kanye nemithi yokusiza ebuhlungu kungaba yindlela ye-endometriosis. Ngokuthola i-endometriosis elinganiselayo kuya kwelinzima, abesifazane abaningi bathola ukuthi ukudambisa izinhlungu ezithengiswayo akunamandla anele okubhekana nobuhlungu. Ungakhuluma nodokotela wakho mayelana nesinqumo esingcono kakhulu kuwe, ngokuya ngezimpawu zakho.

Imithi yezinhlungu ejwayelekile kakhulu ye-endometriosis yizidakamizwa ezingezona ukuvuvukala (ama-NSAID). I-NSAIDS engaphezulu kwamakhompiyutha ifaka i-ibuprofen, i-aspirin ne-naproxen. Ama-NSAID kadokotela ayatholakala, futhi.

Ama-NSAID asebenza ngobuhlungu be-endometriosis ngokuvimba ukuthuthukiswa kwama-prostaglandin, uhlobo lwekhompiyutha yezinto eziphilayo ezikhiqizwa emzimbeni wakho. Ama-Prostaglandins abangela ubuhlungu, ukuvuvukala nokuvuvukala kwabesifazane abaningi abanesipiliyoni se-endometriosis ngezikhathi zabo.

Ukubamba? Ukuze ama-NSAID asebenze kakhulu, kufanele athathwe ngaphambi kokuba umzimba uqale ukukhiqiza lezi zinhlanganisela ezibangela ubuhlungu.

Uma uthatha ama-NSAID e-endometriosis, zama ukuqala ukuwathatha okungenani amahora angama-24 kuye kwangama-48 ngaphambi kokuba uqale ukuvuthisa nangaphambi kosuku lokuqala lwesikhathi sakho. Lokhu kuzonikeza isikhathi semithi ukuvimba ukukhula kwama-prostaglandin emzimbeni wakho. Uma isikhathi sakho singavamile noma singalindelekile, udokotela wakho angase asikisele ukuthatha imithi yezinhlungu isonto lonke eliholela esikhathini sakho.

Imithi efanayo ayisebenzi kuwo wonke umuntu. Udokotela wakho angancoma ukuthi uzame ama-NSAID ahlukene - noma inhlanganisela yama-NSAID nezinye izindlela zokwelashwa - ukuthola ukukhululeka. Amanye ama-NSAID akufanele ahlanganiswe nezinye izidakamizwa. Qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuqala noma imuphi umuthi omusha.

Ukwelashwa kweHormone

Ukwelashwa kweHormone kulapha ubuhlungu be-endometriosis ngokulawula ama-spikes we-hormonal ngesikhathi sakho sokuya esikhathini. Kunganciphisa noma kuyeke ukuya esikhathini ngokuphelele. Ngokuvamile akuyona inketho uma uzama ukukhulelwa.

Ama-hormone akhishwa ngumzimba wakho ngokuzungeza i-ovulation kanye nesikhathi sakho kuvame ukudala ukuthi izimpawu ze-endometriosis ziba zimbi kakhulu. Lokhu kungaholela ekunqandeni ku-pelvis noma wenze ukuqina okukhona okukhona. Umgomo wokwelashwa kwamahomoni ukuvimbela ukusikama okusha noma okwengeziwe ngokugcina izinga lamahomoni akho.

Izinhlobo zokwelashwa kwe-hormonal ze-endometriosis zifaka:

Ukulawulwa kokuzalwa kwehormonal

Amaphilisi okulawula ukubeletha asetshenziswa ukwelapha i-endometriosis kusukela ngawo-1950. Zibhekwa njengezinsika zokwelashwa. Ezinye izinhlobo zokulawulwa kokubeletha, njenge-hormonal IUD, izindandatho zesitho sangasese sowesifazane, noma amabala, zivame ukubekwa futhi.

Uma ukhetha i-contraceptive yomlomo, udokotela wakho angancoma ukuphuza iphilisi ngokuqhubekayo. Lokhu kusho ukuthi uzokugwema ukuba nesikhathi ngokuphelele, kanye nobuhlungu obuhambisana nakho. Kuphephile ukweqa isikhathi sakho izinyanga ezimbalwa (noma ngisho neminyaka).

I-Gonadotropin-ikhulula ama-hormone (Gn-RH) ama-agonists nabaphikisi

I-Gn-RH empeleni ibeka umzimba ekunqamukeni kokuya esikhathini. Iyanciphisa amazinga e-estrogen futhi iyeke ukuphuma kwe-ovulation nokuya esikhathini.Lokhu, nakho, kungasiza ukusikeka okuncane kwe-endometrium.

Yize zisebenza kahle, ama-agonists we-Gn-RH nabaphikisi bangaba nemiphumela emibi kakhulu ye-menopausal, njengokulahleka kwesisindo samathambo, ukoma kwesitho sangasese sowesifazane, nokukhanya okushisayo, phakathi kwabanye. Le mithi itholakala ngomjovo, isifutho samakhala, kanye nephilisi lansuku zonke.

Ukwelashwa kwe-Progestin

Kukholelwa ukuthi ama-progestin anciphisa izimpawu ze-endometriosis ngokunciphisa isibazi se-endometriosis. Udokotela wakho wezifo zabesifazane angancoma i-progestin IUD, umjovo, noma iphilisi ukuphatha kangcono izimpawu zakho.

Izindlela zokwelapha zeHormonal zingasebenza ngokwedlulele ekwehliseni izimpawu nobuhlungu be-endometriosis. Kepha kubalulekile ukukhumbula ukuthi izimpawu zakho zingabuya uma uyeka ukwelashwa kwakho kwamahomoni nganoma yisiphi isikhathi.

Ukuhlinzwa

Ukuhlinzwa kwe-endometriosis kulapha isimo ngokususa izilonda ze-endometrium eziwumthombo wezinhlungu. Kunezinhlobo eziningi zokuhlinzwa ezingasetshenziswa. I-Endometriosis Foundation of America ithatha umbono wokuthi ukuhlinzwa nge-laparoscopic excision kuyindinganiso yegolide yokwelashwa kwe-endometriosis.

Ukuhlinza ngomshini we-laparoscopic kuvame ukuchazwa ngokuthi "kugcinwa kudla ngoludala." Lokhu kusho ukuthi inhloso ukugcina izicubu ezinempilo, ngenkathi kususwa izilonda ze-endometrium.

Ukubuyekezwa kuka-2016 kumagazini i-Women’s Health kuphawula ukuthi ukuhlinzwa kungasebenza ekunciphiseni ubuhlungu be-endometriosis. Ucwaningo lwango-2018 ku-BMJ lubike ukuthi ukuhlinzwa okwenziwe nge-laparoscopic kwelapha ngempumelelo izinhlungu zokhalo nezimpawu ezihlobene namathumbu. Ukuhlinzwa futhi kuthuthukise izinga lempilo labesifazane abaphila ne-endometriosis. Ucwaningo lweBMJ lubandakanye ababambiqhaza abangaphezu kuka-4,000 kuzikhungo ezehlukene zezokwelapha.

Ukuhlinzwa okuningi okuthe xaxa kwakuvame kakhulu esikhathini esedlule. I-Hysterectomy ne-oophorectomy, esusa isibeletho nama-ovari, ibithathwa njengezindlela zokwelapha ezihamba phambili ze-endometriosis. Ngokuvamile, lokhu akusanconywa kubantu abaningi. Noma ngabe kususwa isibeletho nama-ovari, kungenzeka ukuthi izilonda ze-endometrial zivele kwezinye izitho.

Khumbula ukuthi ukuhlinzwa akusona isiqinisekiso sokukhululeka kwesikhathi eside. Izilonda ze-Endometrial, kanye nobuhlungu obubangelayo, kungahle kubuye ngemuva kwenqubo.

Ezinye izindlela zokwelashwa ezihambisanayo

Ukuthola ukwelashwa okulungile kobuhlungu be-endometriosis kungaba yisilingo nephutha. Ungazama futhi amakhambi e-homeopathic ngokuhambisana nokwelashwa kwakho. Njalo khuluma nodokotela wakho ngaphambi kokuzama ukwelashwa okusha kwanoma yiluphi uhlobo.

Ezinye izindlela zokwelashwa ze-endometriosis zifaka:

• Ukuthoma. Ukucwaninga ngokusetshenziswa kwe-acupuncture ekwelapheni i-endometriosis kunqunyelwe. Ucwaningo olukhona ngo-2017 lukhombisa ukuthi ukutshopa kungasiza ekuphumuleni kobuhlungu be-endometriosis.
• Imishini ye-Transcutaneous electrical nerve stimulation (TENS). Amadivayisi we-TENS akhipha amandla kagesi asezingeni eliphansi anciphisa izinhlungu futhi adambise imisipha. Olunye ucwaningo oluncane lwathola ukuthi imishini ye-TENS yayisebenza kakhulu ekunciphiseni ubuhlungu, noma ngabe izenzela yona.
• Ukushisa. Amapayipi okushisa namabhati afudumele angahlehlisa imisipha eqinile futhi anciphise ubuhlungu obuhlobene ne-endometriosis.
• Ukukhululeka kwengcindezi. Ukucindezeleka kuxhunyaniswe nokuvuvukala okungapheli futhi kungathinta namazinga akho e-hormone. Amasu wokulawula ukucindezela, njengokuzindla, i-yoga, ukufaka umbala, nokuvivinya umzimba, kungagcina ukucindezeleka kwakho kubheke.

Ukuthatha

I-Endometriosis ingaba yisimo esibuhlungu. Ukuzama izindlela zokwelashwa ezihlukile zokuphulukisa izinhlungu, nokuthola ukuthi yini okukusebenzela kangcono, kuyisihluthulelo sokulawula izimpawu zakho. Khuluma nodokotela wakho ngezinketho zakho, kanye nanoma yiziphi ezinye izindlela zokwelapha abazincomayo.