Adenomyosis

Umxholo

• Imiba yomngcipheko we-adenomyosis
• Iimpawu adenomyosis
• Ukuchonga i-adenomyosis
• Unyango ukhetho lwe-adenomyosis
• Amayeza anti-ukudumba
• Unyango lwehormonal
• Ukupheliswa kwe-Endometrial
• Ukudityaniswa komthambo wesibeleko
• Utyando olugxile kwi-MRI (MRgFUS)
• Uhlobo lweHysterectomy
• Iingxaki ezinokubakho ze-adenomyosis
• Umbono wexesha elide

Yintoni i-adenomyosis?

I-Adenomyosis yimeko ebandakanya ukungenelela, okanye ukuhamba, kwezicubu ze-endometrium ezibeka isibeleko kwiimisipha zesibeleko. Oku kwenza ukuba iindonga zesibeleko zikhule ziqine. Ingakhokelela ekuphumeni okunzima okanye okude kunokwesiqhelo ukuphuma kwegazi, kunye nentlungu ngexesha lokuya esikhathini okanye ukulala.

Oyena nobangela wale meko akaziwa. Nangona kunjalo, inxulumene namanqanaba okwanda kwe-estrogen. I-Adenomyosis idla ngokunyamalala emva kokuyeka ukuya exesheni (kwiinyanga ezili-12 emva kokuba sexesheni kokugqibela komfazi). Yilapho amanqanaba e-estrogen ehla.

Kukho iingcamango ezininzi malunga nento ebangela i-adenomyosis. Oku kubandakanya:

• izicwili ezongezelelekileyo eludongeni lwesibeleko, ezikhoyo ngaphambi kokuzalwa, ezikhula ebudaleni
• ukukhula okungafunekiyo kwezicubu ezingaqhelekanga (ezibizwa ngokuba yi-adenomyoma) ukusuka kwiiseli ze-endometrium ezizityhala kwisisu se-uterine- oku kunokuba ngenxa yesicwecwe esenziwe esibelekweni ngexesha lotyando (njengakwixesha lokuhanjiswa kwe-cearean) okanye ngexesha lesibeleko
• iiseli zeziqu kudonga lwezihlunu zesibeleko
• Ukudumba kwesibeleko okwenzeka emva kokubeleka- oku kungaphula imida yesiqhelo yeeseli ezihambelana nesibeleko

Imiba yomngcipheko we-adenomyosis

Unobangela ngqo adenomyosis ayaziwa. Nangona kunjalo, kukho izinto ezibeka abesetyhini emngciphekweni omkhulu wale meko. Oku kubandakanya:

• ukuba kwi-40 yakho okanye i-50s (ngaphambi kokuyeka ukuya esikhathini)
• ukuba nabantwana
• utyando lwesibeleko, njengokuhanjiswa kwe-cearean okanye utyando ukususa i-fibroids

Iimpawu adenomyosis

Iimpawu zale meko zinokuba mnene ukuya kubukhali. Abanye abantu basetyhini banokungabinamava konke konke. Iimpawu eziqhelekileyo zibandakanya:

• inkqayi exesheni elide
• ukubona phakathi kwamaxesha
• ukuphuma kwegazi okunzima
• ixesha elide lokuya exesheni kunesiqhelo
• amahlwili egazi ngexesha lokopha exesheni
• intlungu ngexesha lokwabelana ngesondo
• ukuthamba kwindawo esiswini

Ukuchonga i-adenomyosis

Uvavanyo olupheleleyo lonyango lunokunceda ukumisela olona nyango luphambili lonyango. Ugqirha wakho uya kuqala afune ukwenza uvavanyo lomzimba ukumisela ukuba isibeleko sakho sidumbile. Abasetyhini abaninzi abane-adenomyosis baya kuba nesibeleko esiphindwe kabini okanye esiphindwe kathathu kubungakanani obuqhelekileyo.

Olunye uvavanyo lunokusetyenziswa. I-ultrasound inokunceda ugqirha wakho ukuba afumane imeko, ngelixa ekwahlula nokuba kunokwenzeka ukuba amathumba kwisibeleko. I-ultrasound isebenzisa amaza esandi ukuvelisa imifanekiso eshukumayo yezitho zakho zangaphakathi- kule meko, isibeleko. Kule nkqubo, i-ultrasound technician (i-sonographer) iya kubeka i-gel eqhuba i-gel kwisisu sakho. Emva koko, baya kubeka iphenyo encinci ephathwa ngesandla ngaphezulu kwendawo. Iprojekthi iya kuvelisa imifanekiso eshukumayo kwiscreen ukunceda i-sonographer ibone ngaphakathi kwesibeleko.

Ugqirha wakho unokuyalela ukuskena kwe-MRI ukufumana imifanekiso enesisombululo esiphakamileyo sesibeleko ukuba abakwazi ukwenza uxilongo kusetyenziswa i-ultrasound. I-MRI isebenzisa umazibuthe kunye namaza erediyo ukuvelisa imifanekiso yamalungu akho angaphakathi. Le nkqubo ibandakanya ukulala kakhulu kwitafile yesinyithi eya kuthi ityibilike kumatshini wokuskena. Ukuba ucwangciselwe ukuba ube neMRI, qiniseka ukuxelela ugqirha wakho ukuba ngaba likho ithuba lokuba ukhulelwe. Kwakhona, qiniseka ukuxelela ugqirha wakho kunye nobuchwephesha be-MRI ukuba unazo naziphi na izinto zesinyithi okanye izixhobo zombane ngaphakathi komzimba wakho, ezinje nge-pacemaker, ukugqobhoza, okanye isinyithi esenziwe ngesinyithi kwingozi yemipu.

Unyango ukhetho lwe-adenomyosis

Abasetyhini abaneendlela ezipholileyo zale meko abanakufuna unyango. Ugqirha wakho unokucebisa ukhetho kunyango ukuba iimpawu zakho ziphazamisa imisebenzi yakho yemihla ngemihla.

Unyango olujolise ekunciphiseni iimpawu ze-adenomyosis zibandakanya oku kulandelayo:

Amayeza anti-ukudumba

Umzekelo ibuprofen. La mayeza anokunceda ukunciphisa ukuhamba kwegazi ngexesha lakho ngelixa uphungula neekram ezinzima. I-Mayo Clinic icebisa ukuba uqale amayeza okuchasana nokudumba kwiintsuku ezimbini ukuya kwezintathu ngaphambi kokuqala kwexesha lakho kwaye uqhubeke nokuthatha ixesha lakho. Akufanele usebenzise la mayeza ukuba ukhulelwe.

Unyango lwehormonal

Oku kubandakanya izinto zokucwangcisa zomlomo (iipilisi zolawulo lokuzalwa), iiprogesin kuphela zokucwangcisa (ngomlomo, inaliti, okanye isixhobo sangaphakathi), kunye nee-analog ze-GnRH ezinjengeLupron (leuprolide). Unyango lweHormonal lunokunceda ukulawula amanqanaba e-estrogen anyukayo anokuba negalelo kwiimpawu zakho. Izixhobo zangaphakathi, ezinje ngeMirena, zinokufikelela kwiminyaka emihlanu.

Ukupheliswa kwe-Endometrial

Oku kubandakanya ubuchwephesha bokususa okanye ukutshabalalisa i-endometrium (umtya wesibeleko). Yinkqubo yezigulana ezingalaliswayo enexesha elifutshane lokuchacha. Nangona kunjalo, le nkqubo ayinakusebenzela wonke umntu, kuba i-adenomyosis ihlala ihlasela izihlunu ngokunzulu.

Ukudityaniswa komthambo wesibeleko

Le yinkqubo ethintela imithambo ethile ekunikezeleni ngegazi kwindawo echaphazelekayo. Xa kunqunyulwe ukunikezelwa kwegazi, i-adenomyosis iyancipha. Ukudityaniswa komthambo wesibeleko kusetyenziswa ukunyanga enye imeko, ebizwa ngokuba yi-uterine fibroids. Inkqubo yenziwa esibhedlele. Ngokuqhelekileyo kubandakanya ukuhlala ubusuku emva koko. Kuba iyangena kancinci, iyakuthintela ukwakheka kwesibeletho esibelekweni.

Utyando olugxile kwi-MRI (MRgFUS)

I-MRgFUS isebenzisa amaza aphezulu egxile ngqo ekwenzeni ubushushu kunye nokutshabalalisa izicubu ekujoliswe kuzo. Ubushushu bujongwa kusetyenziswa imifanekiso ye-MRI ngexesha lokwenyani. Izifundo zibonise ukuba le nkqubo iphumelele ekuboneleleni ngoncedo lweempawu. Nangona kunjalo, kufuneka uphando olongezelelekileyo.

Uhlobo lweHysterectomy

Olona hlobo kuphela lokunyanga le meko kukuba nesibeleko. Oku kubandakanya ukususwa ngokupheleleyo kwesibeleko. Kucatshangelwa ukungenelela okukhulu kokuhlinzwa kwaye kusetyenziswa kuphela kwiimeko ezinzima kunye nakwabasetyhini abangacwangcisi ukuba babe nabantwana. Ama-ovari akho awachaphazeli i-adenomyosis kwaye inokushiyeka emzimbeni wakho.

Iingxaki ezinokubakho ze-adenomyosis

I-Adenomyosis ayinabungozi. Nangona kunjalo, iimpawu zinokuchaphazela kakubi indlela ophila ngayo. Abanye abantu banegazi eligqithisileyo kunye neentlungu zangasese ezinokubathintela ukuba bonwabe kwimisebenzi eqhelekileyo enjengokwabelana ngesondo.

Abasetyhini abane-adenomyosis basemngciphekweni wokunyuka kwegazi. I-anemia yimeko edla ngokubangelwa kukusilela kwentsimbi. Ngaphandle kwentsimbi eyaneleyo, umzimba awukwazi ukwenza iiseli ezibomvu ezaneleyo zokuthwala ioksijini ukuya kwizicwili zomzimba. Oku kunokubangela ukudinwa, isiyezi, kunye nokudlamka. Ukuphulukana kwegazi okunxulunyaniswa ne-adenomyosis kunokunciphisa amanqanaba e-iron emzimbeni kwaye kukhokelele kwi-anemia.

Le meko ikwanxulunyaniswe noxinzelelo, uxinzelelo kunye nokucaphuka.

Umbono wexesha elide

I-Adenomyosis ayisongelanga ebomini. Unyango oluninzi luyafumaneka ukunceda ukunciphisa iimpawu zakho. I-hysterectomy yonyango kuphela olunokubasusa ngokupheleleyo. Nangona kunjalo, imeko ihlala iqhubeka iyodwa emva kokuyeka ukuya exesheni.

I-Adenomyosis ayifani ne-endometriosis. Le meko yenzeka xa izicwili ze-endometrium zifakwa ngaphandle kwesibeleko. Abasetyhini abane-adenomyosis banokuba nayo okanye bayiphuhlise i-endometriosis.