Kuyini i-Rectovaginal Endometriosis?

-Delile

• Ziyini izimpawu?
• Yini ebangela i-rectovaginal endometriosis?
• Kutholakala kanjani lokhu?
• Yiziphi izindlela zokwelashwa ezitholakalayo?
• Ukuhlinzwa
• Imithi
• Ingabe kungenzeka izinkinga?
• Yini ongayilindela?

Ingabe kuvamile?

I-Endometriosis yisimo lapho izicubu ezivame ukubeka khona isibeletho sakho - esibizwa ngokuthi izicubu ze-endometrial - zikhula futhi ziqoqane kwezinye izingxenye zesisu nesitho sakho sangasese.

Phakathi nomjikelezo wakho wokuya esikhathini, lesi sicubu singaphendula kuma-hormone njengoba senza esibelethweni sakho. Kodwa-ke, ngoba ingaphandle kwesibeletho sakho lapho ingeyona eyeyayo, ingathinta ezinye izitho, idale ukuvuvukala, futhi ibangele isibazi.

Kunamazinga obunzima be-endometriosis:

• I-endometriosis ekha phezulu. Izindawo ezincane ziyabandakanyeka, futhi izicubu azikhuli ngokujulile ezithweni zakho ze-pelvic.
• I-endometriosis ejulile. Leli yizinga elibi lesimo. I-Rectovaginal endometriosis iwela ngaphansi kwaleli zinga.

I-Rectovaginal endometriosis ingenye yezinhlobo zesifo. Izicubu ze-endometrial zingadlulela kuma-intshi amabili noma ngaphezulu ngokujula. Ingangena ekujuleni kwesitho sangasese sowesifazane, i-rectum, kanye nezicubu eziphakathi kwesitho sangasese sowesifazane kanye ne-rectum, ebizwa nge-septum ye-rectovaginal.

I-Rectovaginal endometriosis ayijwayelekile kakhulu kune-endometriosis kuma-ovari noma ulwelwesi lwesisu. Ngokuya ngokubuyekeza ku-International Journal of Women’s Health, i-rectovaginal endometriosis ithinta kuze kufike kwabesifazane abane-endometriosis.

Ziyini izimpawu?

Ezinye izimpawu ze-rectovaginal endometriosis ziyefana nezinye izinhlobo ze-endometriosis.

Izimpawu zezinye izinhlobo ze-endometriosis zifaka:

• ubuhlungu be-pelvic kanye ne-cramps
• izikhathi ezibuhlungu
• ucansi olubuhlungu
• ubuhlungu ngesikhathi sokuhamba kwamathumbu

Izimpawu ezihlukile kulesi simo zifaka:

• ukungakhululeki ngesikhathi sokuhamba kwamathumbu
• ukuphuma kwegazi
• ukuqunjelwa noma uhudo
• Ubuhlungu ku-rectum obungazwakala sengathi "uhleli emeveni"
• igesi

Lezi zimpawu zivame ukuba zimbi kakhulu ngesikhathi sakho sokuya esikhathini.

Yini ebangela i-rectovaginal endometriosis?

Odokotela abazi kahle ukuthi yini ebanga ama-rectovaginal noma ezinye izinhlobo ze-endometriosis. Kepha banemibono embalwa.

Umbono ovame kakhulu we-endometriosis uhlobene nokugeleza kwegazi okubuyela emuva. Lokhu kwaziwa njengokuya esikhathini kabusha. Ngesikhathi sokuya esikhathini, igazi nezicubu zingagudlukela emuva ngamashubhu we-fallopian ziye ku-pelvis, kanye nasemzimbeni. Le nqubo ingafaka izicubu ze-endometrial kwezinye izingxenye zokhalo nesisu.

Kodwa-ke, ucwaningo lwakamuva luthole ukuthi yize kuze kufike kubantu besifazane abangahlangabezana nokuya esikhathini kabusha, iningi aliqhubeki nokuthuthukisa i-endometriosis. Esikhundleni salokho, abacwaningi bakholelwa ukuthi amasosha omzimba anendima ebalulekile kule nqubo.

Abanye abanikeli abangaba khona ekuthuthukiseni lesi simo kungenzeka bafake:

• Ukuguqulwa kweseli. Amaseli athinteka yi-endometriosis aphendula ngokuhlukile kuma-hormone nakwezinye izimpawu zamakhemikhali.
• Ukuvuvukala. Izinto ezithile ezinendima ekuvukeleni zitholakala emazingeni aphezulu ezicubu ezithintekayo yi-endometriosis.
• Ukuhlinzwa. Ukulethwa ngokuhlinzwa, i-hysterectomy, noma okunye ukuhlinzwa kwe-pelvic kungaba yingozi engozini yeziqephu eziqhubekayo ze-endometriosis. Ucwaningo lwango-2016 lweSayensi Yokuzala lukhombisa ukuthi lokhu kuhlinzwa kungadala umzimba ukuthi ukhuthaze ukukhula kwezicubu esezivele zisebenza.
• Izakhi zofuzo. I-Endometriosis ingasebenza emindenini. Uma unomama noma udadewenu onalesi sifo, kukhona ongasithuthukisa, kunokuba kube nomuntu ongenawo umlando womndeni walesi sifo.

Abesifazane kungenzeka kakhulu ukuthi bahlakulele i-rectovaginal endometriosis.

Kutholakala kanjani lokhu?

I-Rectovaginal endometriosis ingaba nzima ukuyithola. Kunendlela yokuthi ungalikhomba kanjani leli fomu lesifo.

Udokotela wakho uzoqala abuze imibuzo mayelana nezimpawu zakho, kufaka phakathi:

• Uqale nini ukuya esikhathini? Ingabe kwakubuhlungu?
• Ngabe unezimpawu ezifana nobuhlungu be-pelvic, noma ubuhlungu ngesikhathi socansi noma sokuhamba kwamathumbu?
• Yiziphi izimpawu onazo ngasikhathi sakho?
• Unezimpawu ezingakanani? Ingabe seziguqukile? Uma kunjalo, bashintshe kanjani?
• Ngabe uke wahlinzwa endaweni yangakini, njengokulethwa ngokuhlinzwa?

Ngemuva kwalokho, udokotela wakho uzohlola isitho sakho sangasese kanye ne-rectum ngomunwe ovalwe ukuze ahlole noma yibuphi ubuhlungu, izigaxa noma izicubu ezingavamile.

Udokotela wakho futhi angasebenzisa okunye noma okuningi kokuhlolwa okulandelayo ukubheka izicubu ze-endometrium ngaphandle kwesibeletho:

• I-Ultrasound. Lokhu kuhlolwa kusebenzisa amaza omsindo wemvamisa ephezulu ukudala izithombe ezingaphakathi komzimba wakho. Umshini obizwa ngokuthi i-transducer ungabekwa ngaphakathi esithweni sakho sangasese (i-transvaginal ultrasound) noma i-rectum.
• I-MRI. Lokhu kuhlolwa kusebenzisa ozibuthe abanamandla namagagasi omsakazo ukudala izithombe zengaphakathi lesisu sakho. Ingakhombisa izindawo ze-endometriosis ezithweni zakho nakulwelwesi lwesisu.
• I-CT colonography (i-colonoscopy ebonakalayo). Lokhu kuhlolwa kusebenzisa i-X-ray yomthamo ophansi ukuthatha izithombe zolwelwesi lwangaphakathi lwekholoni yakho kanye nengxenyeni.
• I-Laparoscopy. Lokhu kuhlinzwa kuvame ukuba yi. Ngenkathi ulele futhi ungenazinhlungu ngaphansi kwe-anesthesia ejwayelekile, udokotela wakho ohlinzayo usika kancane esiswini sakho. Bazobeka ithubhu ezacile enekhamera ohlangothini olulodwa, olubizwa ngokuthi yi-laparoscope, esiswini sakho ukuze ubheke izicubu ze-endometrium. Isampula lezicubu livame ukususwa ukuze lihlolwe.

Ngemuva kokuthi udokotela wakho akhombe izicubu ze-endometrium, bazohlola ubunzima baso. I-Endometriosis ihlukaniswe ngezigaba ngokuya kwenani lezicubu ze-endometrium onayo ngaphandle kwesibeletho sakho nokuthi ijula ​​kangakanani:

• Isigaba 1. Okuncane. Kunezindawo ezithile eziqhelile zezicubu ze-endometrium.
• Isigaba 2. Imnene. Izicubu ikakhulukazi ebusweni bezitho ngaphandle kwesibazi
• Isigaba 3. Maphakathi. Izitho eziningi ziyabandakanyeka, kunezindawo ezithile zesibazi.
• Isigaba 4. Kakhulu. Kunezitho eziningi ezibandakanyeka nezindawo ezibanzi zezicubu ze-endometrium kanye nesibazi.

Kodwa-ke, isigaba se-endometriosis asihlobene neze nezimpawu. Kungaba nezimpawu eziphawulekayo noma ngabe amazinga aphansi ezifo. I-Rectovaginal endometriosis imvamisa.

Yiziphi izindlela zokwelashwa ezitholakalayo?

Ngoba lesi simo siyaqhubeka futhi asipheli, inhloso yokwelashwa ukulawula izimpawu zakho. Udokotela wakho uzokusiza ukhethe ukwelashwa ngokuya ngokuthi isimo sinzima kangakanani nokuthi sitholakala kuphi. Lokhu kuvame ukufaka inhlanganisela yokuhlinzwa nemithi.

Ukuhlinzwa

Ukuhlinzwa ukususa izicubu eziningi ngangokunokwenzeka kunikeza ukukhululeka okukhulu. Ucwaningo lukhombisa ukuthi kungathuthukisa kuze kube sezimpawu ezihlobene nobuhlungu.

Ukuhlinzwa kwe-Endometriosis kungenziwa nge-laparoscopically noma nge-robot ngokusebenzisa ukusika okuncane usebenzisa izinsimbi ezincane.

Izindlela zokuhlinza zingabandakanya:

• Ukushefa. Udokotela wakho ohlinzayo uzosebenzisa insimbi ebukhali ukususa izindawo ze-endometriosis. Le nqubo ingahle ishiye izicubu ezithile ze-endometrium ngemuva.
• Ukuthola kabusha. Udokotela wakho ohlinzayo uzosusa ingxenye yamathumbu lapho i-endometriosis ikhule khona, bese exhuma kabusha isisu.
• Thola ukusika. Ezingxenyeni ezincane ze-endometriosis, udokotela wakho ohlinzayo angasika idiski lezicubu ezithintekile emathunjini bese evala ukuvulwa.

Imithi

Njengamanje, kunezinhlobo ezimbili eziyinhloko zemithi esetshenziselwa ukwelapha i-rectovaginal nezinye izinhlobo ze-endometriosis: ama-hormone nokunciphisa izinhlungu.

Ukwelashwa kweHormone kungasiza ekunciphiseni ukukhula kwezicubu ze-endometrial futhi kunciphise ukusebenza kwayo ngaphandle kwesibeletho.

Izinhlobo zezidakamizwa zehomoni zifaka:

• ukulawulwa kokuzalwa, kufaka phakathi amaphilisi, isichibi noma iringi
• i-gonadotropin-ikhulula ama-hormone (GnRH) agonists
• i-danazol, engasetshenziswa kakhulu namuhla
• imijovo yeprogestin (Depo-Provera)

Udokotela wakho futhi angancoma ama-anti-inflammatory anti-inflammatory (NSAIDs), okufana ne-ibuprofen (Advil) noma naproxen (Aleve), ukusiza ukulawula ubuhlungu.

Ingabe kungenzeka izinkinga?

Ukuhlinzwa ukwelapha i-rectovaginal endometriosis kungadala izinkinga ezifana nalezi:

• ukopha ngaphakathi esiswini
• i-fistula, noma ukuxhumana okungajwayelekile, phakathi kwesitho sowesifazane sangasese kanye ne-rectum noma ezinye izitho
• ukuqunjelwa okungapheli
• ukuvuza kuzungeze amathumbu axhumeke kabusha
• inkathazo yokudlula indle
• ukulawula izimpawu ezingaphelele okudinga ukuhlinzwa okwengeziwe

Abesifazane abanalolu hlobo lwe-endometriosis bangaba nenkinga enkulu yokukhulelwa. Izinga lokukhulelwa kwabesifazane abane-rectovaginal endometriosis liphansi kunezinga labesifazane abanezinhlobo ezingaphansi kwesifo. Ukuhlinzwa nokukhulelwa kwe-in vitro kungakhuphula izingqinamba zakho zokukhulelwa.

Yini ongayilindela?

Umbono wakho uncike ekutheni i-endometriosis yakho inzima kangakanani nokuthi iphathwa kanjani. Ukuhlinzwa kungadambisa izinhlungu futhi kuthuthukise ukuzala.

Ngoba i-endometriosis iyisimo esibuhlungu, ingaba nomthelela omkhulu empilweni yakho yansuku zonke. Ukuthola ukwesekwa endaweni yangakini, vakashela i-Endometriosis Foundation of America noma i-Endometriosis Association.