Yintoni i-Bladder Endometriosis?

Umxholo

• Ziintoni iimpawu?
• Yintoni ebangela isinyi endometriosis?
• Kufunyaniswa njani oku?
• Zeziphi iindlela zonyango ezikhoyo onokukhetha kuzo?
• Ugqirha
• Amayeza
• Ngaba iingxaki zinokwenzeka?
• Ungalindela ntoni?

Ngaba iqhelekile?

I-Endometriosis yenzeka xa izicwili ze-endometriary eziqhele ukubeka isibeleko sakho zikhula kwezinye iindawo zepelvis yakho, ezinjengee-ovari zakho okanye iitopian tubes. Kukho iintlobo ezahlukeneyo ze-endometriosis esekwe kwindawo ekubekwe kuyo izihlunu.

I-bladder endometriosis yindlela enqabileyo yesi sifo. Kwenzeka xa izicubu ze-endometrium zikhula ngaphakathi okanye kumphezulu wesinyi sakho.

Inyanga nganye ngexesha lokuya esikhathini, izicubu ze-endometrial ziyakha. Amathambo kwisibeleko sakho aphala emzimbeni wakho. Kodwa xa iseludongeni olungaphandle lwesinyi sakho, izicwili azinandawo zinokuya kuyo.

Ngokwengxelo yetyala lika-2014 kule meko, ukuya kuthi ga kwiipesenti ezintlanu zabasetyhini abane-endometriosis abanayo kwinkqubo yabo yokuchama. Isinyi lilungu lomchamo elihlala lichaphazeleka. I-ureters-iityhubhu umchamo ohamba ukusuka kwizintso ukuya kwisinyi-nazo zinokubandakanyeka.

Zimbini iintlobo ze-endometriosis yesinyi. Ukuba iyenzeka kumphezulu wesinyi kuphela, yaziwa njenge-endometriosis engaphezulu. Ukuba izihlunu ziye zafikelela kumbhinqo wesinyi okanye eludongeni, yaziwa njenge-endometriosis enzulu.

Ziintoni iimpawu?

Ngokwe-2012 yokuphononongwa kwe-endometriosis yesinyi, malunga neepesenti ezingama-30 zabasetyhini abanazo naziphi na iimpawu. Ugqirha wabo unokufumana imeko xa kuvavanywa olunye uhlobo lwe-endometriosis, okanye ukungachumi.

Ukuba iimpawu ziyavela, zihlala zijikeleza ixesha lakho. Iimpawu zingabandakanya:

• imfuneko engxamisekileyo okanye ethe rhoqo yokuchama
• intlungu xa isinyi sakho sigcwele
• ukutshisa okanye iintlungu xa uchama
• igazi kumchamo wakho
• iintlungu kwi-pelvis yakho
• iintlungu kwelinye icala lomqolo wakho osezantsi

Ukuba i-endometriosis ikwezinye iindawo zepelvis, unokufumana:

• iintlungu kunye neekram ngaphambi nangexesha lakho
• intlungu ngexesha lokwabelana ngesondo
• ukopha kakhulu ngexesha okanye phakathi kwamaxesha
• ukudinwa
• isicaphucaphu
• urhudo

Yintoni ebangela isinyi endometriosis?

Oogqirha abazi kakuhle ukuba yintoni ebangela i-endometriosis yesinyi. Iithiyori ezimbalwa ezinokubakho zezi:

• Ukuya esikhathini kwakhona. Ngexesha lokuya exesheni, igazi lihamba liye ngasemva ngeetyhubhu zokungena kwaye liye kwi-pelvis endaweni yokuphuma emzimbeni. Ezo seli ke zityala eludongeni lwesinyi.
• Ukutshintsha kweseli kwangoko. Iiseli ezishiyekileyo kwi-umbungu zikhula zibe ziisithambo ze-endometrium.
• Ugqirha. Iiseli ze-Endometrial zisasazeka kwi-bladder ngexesha lotyando lwe-pelvic, njengaxa uhanjiswa ngoqhaqho okanye i-hysterectomy. Olu hlobo lwesifo lubizwa ngokuba yi-endometriosis yesibini.
• Ukutshintshwa. Iiseli ze-Endometriya zihamba ngenkqubo ye-lymph okanye igazi ukuya kwisinyi.
• Imfuza. I-Endometriosis ngamanye amaxesha isebenza kwiintsapho.

I-Endometriosis ichaphazela abasetyhini ngexesha lokuzala. Umyinge weminyaka xa abafazi befumana ukuxilongwa kwe-endometriosis ye-bladder yiminyaka engama-35.

Kufunyaniswa njani oku?

Ugqirha wakho uya kuqala ngokwenza uvavanyo lomzimba. Baza kujonga ubufazi bakho kunye nesinyi nakuphi na ukukhula. Unokufumana uvavanyo lomchamo ukukhangela igazi kumchamo wakho.

Olu vavanyo lunokunceda ugqirha wakho ukuba afumane isifo i-endometriosis yesinyi:

• I-Ultrasound. Olu vavanyo lusebenzisa amaza esandi ahamba ngesantya esiphezulu ukwenza imifanekiso ngaphakathi komzimba wakho. Isixhobo esibizwa ngokuba ngumtshintshi sibekwa kwisisu sakho (transabdominal ultrasound) okanye ngaphakathi kwilungu lakho lobufazi (transvaginal ultrasound). I-ultrasound ingabonisa ubungakanani kunye nendawo ye-endometriosis.
• Ukuskena iMRI. Olu vavanyo lusebenzisa iimagnethi ezinamandla kunye namaza erediyo ukujonga i-endometriosis kwisinyi sakho. Inokusifumana esi sifo nakwezinye iindawo zesinqe sakho.
• ICystoscopy. Ngethuba lovavanyo, ugqirha wakho ufaka ububanzi ngokusebenzisa i-urethra ukujonga i-bladder lining kunye nokujonga i-endometriosis.

I-Endometriosis yahlulwe yangamanqanaba ngokusekwe kwinani lezicubu onazo kunye nokuba zinabela nzulu kangakanani kumalungu akho.

Amanqanaba ngala:

• Inqanaba 1. Ubuncinci. Kukho amabala amancinci e-endometriosis kumalungu angqonge isinqe.
• Inqanaba 2. Ubumnene. Iipatches zibanzi kakhulu kunakwinqanaba loku-1, kodwa azikabikho ngaphakathi kwizitho zangasese.
• Inqanaba 3. Iphakathi. I-Endometriosis ixhaphake kakhulu. Iqala ukungena ngaphakathi kwizitho zangasese.
• Inqanaba 4. Kakhulu. I-Endometriosis ingene kumalungu amaninzi esinqeni.

Zeziphi iindlela zonyango ezikhoyo onokukhetha kuzo?

I-Endometriosis ayinakunyangeka, kodwa amayeza kunye notyando lunokunceda ukulawula iimpawu zakho. Loluphi unyango olufumanayo luxhomekeke ekubeni i-endometriosis yakho ibukhali kangakanani kwaye ikweyiphi na.

Ugqirha

Utyando lolona nyango lusisiseko lwe-endometriosis yesinyi. Ukususa zonke izicwili ze-endometrial kunokuthomalalisa iintlungu kunye nokuphucula umgangatho wobomi.

Olu tyando lunokwenziwa ngeendlela ezahlukeneyo. Oku kukodwa kunyango lwe-endometriosis yesinyi. Ezinye iindawo zisenokufuna ukujoliswa.

• Utyando lotyando. Ugqirha ubeka umda omncinci kwi-urethra nakwisinyi. Isixhobo sokusika esiphelweni somda sisetyenziselwa ukususa izicwili ze-endometrium.
• I-cystectomy ekhethekileyo. Ugqirha ususa icandelo lesinyi esinezihlunu ezingaqhelekanga. Le nkqubo inokwenziwa ngesicatshulwa esinye esikhulu, esibizwa ngokuba yi-laparotomy, okanye iziqwengana ezincinci, ezibizwa ngokuba yi-laparoscopy, esiswini.

Unokuba ne-catheter efakwe kwi-bladder yakho emva kokuhlinzwa. I-catheter iya kususa umchamo emzimbeni wakho ngelixa isinyi sakho siphilisa.

Amayeza

Unyango lweHormone lucotha ukukhula kwezicubu ze-endometrium. Inokupholisa iintlungu kwaye ikuncede ugcine ukuchuma kwakho.

Unyango lwehormonal lubandakanya:

• i-gonadotropin-ekhulula i-hormone (GnRH) i-agonists, efana ne-leuprolide (Lupron)
• iipilisi zokulawula inzala
• danazol

Ngaba iingxaki zinokwenzeka?

Ngaphandle konyango, i-bladder endometriosis inokubangela ukonakala kwezintso. Ukwenza utyando kunokuthintela le ngxaki.

Kunqabile kakhulu, umhlaza ungakhula ukusuka kwizicubu ze-endometrium kwisinyi sakho.

I-bladder endometriosis ayichaphazeli ngqo ukuzala kwakho. Nangona kunjalo, ukuba unayo i-endometriosis kwii-ovari zakho okanye ezinye iinxalenye zenkqubo yakho yokuzala, unokuba nexesha elinzima lokukhulelwa. Ukuhlinzwa kunokunyusa amathuba okukhulelwa.

Ungalindela ntoni?

Imbonakalo yakho ixhomekeke ekubeni inzima kangakanani i-endometriosis kunye nendlela ephathwa ngayo. Utyando lunokuthomalalisa iimpawu. Nangona kunjalo, olunye uphando lubonisa ukuba ukuya kuthi ga kwabafazi, i-endometriosis ibuya emva kotyando. Isenokufuna olunye utyando.

I-Endometriosis yimeko engapheliyo. Inokuba nefuthe elikhulu kubomi bakho bemihla ngemihla. Ukufumana inkxaso kwindawo yakho, ndwendwela i-Endometriosis Foundation yaseMelika okanye uMbutho we-Endometriosis.