Endometriosis

I-Endometriosis yenzeka xa iiseli ezivela kumngxunya wesibeleko sakho (isibeleko) zikhula kwezinye iindawo zomzimba wakho. Oku kunokubangela iintlungu, ukopha kakhulu, ukopha phakathi kwamaxesha, kunye neengxaki zokukhulelwa (ukungachumi).

Qho ngenyanga, ii-ovari zowasetyhini zivelisa iihormoni ezixelela iiseli ezingqonge isibeleko ukuba zidumbe kwaye zijiye. Isibeleko sakho sikhupha ezi seli kunye negazi kunye nezicubu kwilungu lakho lobufazi xa usexesheni.

I-Endometriosis yenzeka xa ezi seli zikhula ngaphandle kwesibeleko kwamanye amalungu omzimba wakho. Esi sihlunu sinokuncamathela kwi:

• Amaqanda
• Iibhubhu ze-fallopian
• Isisu
• Uqikelelo
• Isinyi
• Umbane wendawo yakho ye-pelvic

Ingakhula kwezinye iindawo zomzimba, nayo.

Oku kukhula kuhlala emzimbeni wakho, kwaye njengeeseli ezikwimbombo yesibeleko sakho, oku kukhula kusabela kwiihomoni ezivela kwii-ovari zakho. Oku kunokubangela ukuba ube neentlungu ngexesha lenyanga ngaphambi kokuqala kwexesha lakho. Ngokuhamba kwexesha, ukukhula kungongeza izicwili kunye negazi. Ukukhula nako kunokwakha esiswini kunye ne-pelvis ekhokelela kwintlungu engapheliyo ye-pelvic, imijikelezo enzima kunye nokungachumi.

Akukho mntu waziyo ukuba yintoni ebangela i-endometriosis. Olunye uluvo kukuba xa ufumana ixesha lakho, iiseli zinokuhamba zibuye umva ngeetyhubhu ze-fallopian ziye kwi-pelvis. Nje ukuba zifike, iiseli zincamathele kwaye zikhule. Nangona kunjalo, eli xesha lokubuya lihamba livela kubafazi abaninzi. Amajoni omzimba angadlala indima ebangela i-endometriosis kwabasetyhini abanemeko.

I-Endometriosis iqhelekile. Kwenzeka malunga ne-10% yabasetyhini beminyaka yokuzala. Ngamanye amaxesha, inokuhamba kwiintsapho. I-Endometriosis mhlawumbi iqala xa owasetyhini eqala ukuba nexesha. Nangona kunjalo, ihlala ifunyaniswa ingekho kwiminyaka yobudala engama-25 ukuya kwengama-35.

Unamathuba okuphuhlisa i-endometriosis ukuba:

• Unomama okanye udade one-endometriosis
• Uqale ixesha lakho usemncinci
• Andizange ndibenabantwana
• Banamaxesha aqhelekileyo, okanye bahlala iintsuku ezi-7 okanye ngaphezulu

Ubuhlungu luphawu oluphambili lwe-endometriosis. Unokuba:

• Amaxesha abuhlungu-Iikram okanye iintlungu esiswini sakho esisezantsi zinokuqala iveki okanye ezimbini ngaphambi kwexesha lakho. Iikram zinokuzinza kwaye ziqale ukusuka ekuqaqambeni ukuya kubukhali.
• Intlungu ngexesha okanye emva kokwabelana ngesondo.
• Ubuhlungu xa uchama.
• Ubuhlungu ngokuhamba kwamathumbu.
• Ixesha elide le-pelvic okanye iintlungu ezisezantsi ezinokubakho nangaliphi na ixesha kwaye zihlala iinyanga ezi-6 okanye nangaphezulu.

Ezinye iimpawu ze-endometriosis zibandakanya:

• Ukuya exesheni okunzima okanye ukopha phakathi kwexesha
• Ukungachumi (kunzima ukufumana okanye ukuhlala ukhulelwe)

Awunakho ukuba naziphi na iimpawu. Abanye abantu basetyhini abanezicubu ezininzi esinqeni sabo abana ntlungu kwaphela, ngelixa abanye abantu basetyhini abanesifo esibuhlungu benentlungu ebukhali.

Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba, kubandakanya uvavanyo lwe-pelvic. Unokuba nolunye lolu vavanyo ukunceda ukufumanisa isifo:

• I-ultrasound yangaphantsi
• Iiparvic laparoscopy
• Imagnetic resonance imaging (iMRI)

Ukufunda indlela yokulawula iimpawu zakho kungenza kube lula ukuhlala ne-endometriosis.

Loluphi uhlobo lonyango onalo ngokuxhomekeke:

• Iminyaka yakho
• Ubunzima beempawu zakho
• Ubunzima besifo
• Nokuba ufuna abantwana kwixa elizayo

Okwangoku alukho unyango lwe-endometriosis. Kukho iindlela ezahlukeneyo zonyango.

UKUDLULA IINTLUNGU

Ukuba unempawu ezincinci, unokukwazi ukulawula ukunyanzeliswa kunye nentlungu nge:

• Ukuzivocavoca kunye neendlela zokuphumla.
• Ukuphelisa iintlungu ngaphezulu kwekhawuntareni- Oku kubandakanya ibuprofen (Advil), naproxen (Aleve), kunye neacetaminophen (Tylenol).
• Amayeza okuphelisa iintlungu, ukuba ayimfuneko, kwiintlungu eziqatha.
• Iimviwo eziqhelekileyo rhoqo kwiinyanga ezi-6 ukuya kwezi-12 ukuze ugqirha wakho asivavanye esi sifo.

UNYANGO LWEHORMONE

La mayeza anokumisa i-endometriosis ekubeni mandundu. Banokunikwa njengeepilisi, ukutshiza ngeempumlo, okanye ukudubula. Kuphela ngabafazi abangazamiyo ukukhulelwa ekufuneka befumene olu nyango. Ezinye iintlobo zonyango lwehomoni ziya kukuthintela ukuba ungakhulelwa ngelixa uthatha iyeza.

Iipilisi zolawulo lokuzalwa- Ngolu nyango, uthatha iipilisi zehomoni (hayi iipilisi ezingasebenziyo okanye ze-placebo) iinyanga ezi-6 ukuya kwezi-9 ngokuqhubekekayo. Ukuthatha ezi pilisi kunciphisa uninzi lweempawu. Nangona kunjalo, ayinyangi nawuphi na umonakalo osele wenzekile.

Iipilisi zeprogesterone, inaliti, i-IUD-Olu nyango lunceda ukunciphisa ukukhula. Iziphumo ezinokubandakanya ukutyeba kunye noxinzelelo.

Amayeza e-Gonadotropin-agonist-La mayeza ayamisa ama-ovari akho ekuveliseni i-hormone estrogen. Oku kubangela imeko efana nokuyeka ukuya exesheni. Iziphumo zibandakanya ukukhanya okushushu, ukoma kwilungu lobufazi, kunye nokutshintsha kwemozulu. Unyango luhlala lilinganiselwe kwiinyanga ezi-6 kuba lunokuwenza buthathaka amathambo akho. Umboneleli wakho unokukunika iidosi ezincinci zehomoni ukunciphisa iimpawu ngexesha lonyango. Oku kwaziwa ngokuba lunyango 'lokongeza'. Inokukunceda ukukhusela ekulahlekelweni kwethambo, ngelixa ingabangeli ukukhula kwe-endometriosis.

I-Gonadotropin- iyeza elichasayo- eli liyeza linceda ukuveliswa okuncinci kwe-estrogen kukhokelela kwisimo sokuyeka ukuya exesheni kunye nokulawula ukukhula kweethisri ze-endometriya ezikhokelela kubunzima obunzima kunye nobunzima.

UKUGQIBELA

Umboneleli wakho unokucebisa utyando ukuba unentlungu ebuhlungu engaphuculiyo nolunye unyango.

• I-Laparoscopy inceda ukufumanisa isifo kwaye inokususa ukukhula kunye nezihlunu ezibomvu. Ngenxa yokuba kuphela ukusikwa okuncinci kwenziwa esiswini sakho, uya kuphilisa ngokukhawuleza kunezinye iintlobo zotyando.
• I-Laparotomy ibandakanya ukusika (ukusika) okukhulu esiswini sakho ukususa ukukhula kunye nezicwili ezibomvu. Olu luqhaqho olukhulu, ke unyango luthatha ixesha elide.
• I-Laparoscopy okanye i-laparotomy inokuba yinto elungileyo ukuba ufuna ukukhulelwa, kuba bayasinyanga esi sifo kwaye bashiye amalungu akho endaweni.
• IHysterectomy ngotyando lokususa isibeleko sakho, iityhubhu zomzimba, kunye namaqanda. Ukususwa kwesibeleko sakho kokubini kuthetha ukungena exesheni. Uya kuba nolu tyando kuphela ukuba uneempawu ezinzima ezingakhange zibengcono ngezinye iindlela zonyango kwaye awufuni ukuba nabantwana kwixa elizayo.

Akukho lonyango lwe-endometriosis. Unyango lwehormone lunokunceda ekunciphiseni iimpawu, kodwa iimpawu zihlala zibuya xa unyango lumisiwe. Unyango lotyando lunokunceda ekunciphiseni iimpawu iminyaka. Nangona kunjalo, ayingawo onke amabhinqa ane-endometriosis ancedwa lolu nyango.

Emva kokuba ungene kwi-menopause, i-endometriosis ayinakwenzeka ukuba ibangele iingxaki.

I-Endometriosis inokukhokelela kwiingxaki zokukhulelwa. Nangona kunjalo, uninzi lwabasetyhini abaneempawu ezincinci banokuqhubeka nokukhulelwa. I-Laparoscopy ukususa ukukhula kunye nezihlunu ezibomvu kunokunceda ukuphucula amathuba akho okukhulelwa. Ukuba ayenzi njalo, unokufuna ukujonga unyango lwezityalo.

Ezinye iingxaki ze-endometriosis zibandakanya:

• Iintlungu zexesha elide ezithintela intlalo kunye nemisebenzi yomsebenzi
• Ii-cysts ezinkulu kwii-ovari kunye ne-pelvis ezinokuthi zivuleke (zivuleke)

Kwiimeko ezinqabileyo, izicubu ze-endometriosis zinokuthintela amathumbu okanye umchamo.

Kunqabile kakhulu, umhlaza unokukhula kwiindawo zokukhula kwethishu emva kokuyeka ukuya exesheni.

Fowunela umnikezeli wakho ukuba:

• Unempawu ze-endometriosis
• Zive unesiyezi okanye iintloko ngenxa yokulahleka kwegazi okunzima
• Umqolo obuhlungu okanye ezinye iimpawu eziphinda zenzeke emva kokuphathwa kwe-endometriosis

Unokufuna ukuvavanyelwa i-endometriosis ukuba:

• Umama okanye udadewenu unesi sifo
• Awunakho ukukhulelwa emva kokuzama unyaka omnye

Iipilisi zolawulo lokuzalwa zinganceda ukuthintela okanye ukucothisa ukukhula kwe-endometriosis. Iipilisi zolawulo lokuzalwa ezisetyenziswa njengonyango lwe-endometriosis zisebenza kakuhle xa zithathwa ngokuqhubekayo kwaye zingayeki ukuvumela ukuba sexesheni. Zingasetyenziselwa abafazi abancinci ebusheni okanye ebutsheni be-20s ngamaxesha abuhlungu anokubangelwa yi-endometriosis.

Iintlungu zepelvic - endometriosis; Endometrioma

• I-Hysterectomy - isisu - ukukhutshwa
• I-Hysterectomy-laparoscopic-ukukhutshwa
• I-Hysterectomy - ubufazi-ukukhutshwa

• Iiparvic laparoscopy
• Endometriosis
• Amaxesha angaqhelekanga okuya exesheni

I-Advincula A, Truong M, Lobo RA. I-Endometriosis: i-etiology, i-pathology, isifo, isifo, kunye nolawulo. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 19.

UBrown J, uCrawford TJ, uDatta S, uPrentice A.Ukuthintela ngomlomo iintlungu ezinxulunyaniswa ne-endometriosis. Isiseko sedatha yeCochrane Rev. 2018; 5 (5): CD001019. IINKCUKACHA: 29786828 pubmed.ncbi.nlm.nih.gov/29786828/.

UZondervan KT, Becker CM, uMissmer SA. Endometriosis. N Engl J Med. Ngo-2020; 382 (13): 1244-1256. IINKCUKACHA: 32212520 pubmed.ncbi.nlm.nih.gov/32212520/.