Yintoni i-Bowel Endometriosis?

Umxholo

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

Ngaba iqhelekile?

I-Endometriosis yimeko ebuhlungu apho izicwili zihlala zigcina isibeleko sakho (izicwili ze-endometrium) zikhula kwezinye iindawo zepelvis yakho, ezinjengee-ovari zakho okanye iitopian tubes.

Iindidi ezahlukeneyo ze-endometriosis zisekwe apho izicubu zifumaneka khona. Kwi-endometriosis yamathumbu, izicubu ze-endometrium zikhula ngaphezulu okanye ngaphakathi kwamathumbu akho.

Ukuya kuthi ga kwabafazi abane-endometriosis banezicubu ze-endometrium kwisisu sabo. Uninzi lwe-endometriosis yamathumbu lwenzeka kwindawo esezantsi yamathumbu, ngaphezulu nje kwethanga. Inokwakha kwisihlomelo sakho okanye kwithumbu elincinci.

I-endometriosis yesisu ngamanye amaxesha yinxalenye ye-endometriosis ye-rectovaginal, echaphazela ubufazi kunye ne-rectum.

Uninzi lwabasetyhini abane-endometriosis yamathumbu nayo inayo kwiindawo eziqhelekileyo ezijikeleze isinqe.

Oku kubandakanya:

• amaqanda
• Isingxobo sikaDouglas (indawo ephakathi komlomo wesibeleko kunye nomqolo)
• isinyi

Ziintoni iimpawu?

Abanye abantu basetyhini abanamava. Awunakuqonda ukuba une-endometriosis yamathumbu de ufumane uvavanyo lokucinga ngenye imeko.

Xa iimpawu zenzeka, zinokufana nezo zesifo sengqondo sesibindi (IBS). Umahluko kukuba, iimpawu ze-endometriosis zihlala ziqala malunga nexesha lakho. Esi sihlunu siphendula kumjikelo wehomoni yexesha lakho, ukudumba kunye nokuchaphazela izicwili ezijikelezileyo.

Iimpawu ezizodwa kule meko zibandakanya:

• iintlungu xa usuhamba
• isisu esiswini
• urhudo
• ukuqhina
• ukudumba
• ukuxina ngokuhamba kwamathumbu
• ukuphuma kwegazi

nge-endometriosis yamathumbu nayo inayo kwi-pelvis yayo, enokubangela:

• iintlungu ngaphambi nangamaxesha
• intlungu ngexesha lokwabelana ngesondo
• ukopha kakhulu ngexesha okanye phakathi kwamaxesha
• ukudinwa
• isicaphucaphu
• urhudo

Yintoni ebangela amathumbu endometriosis?

Oogqirha abazi ngqo ukuba yintoni ebangela u-endometriosis wamathumbu okanye ezinye iintlobo zesifo.

Eyona ithiyori yamkelwe ngokubanzi. Ngexesha lokuya exesheni, igazi lihamba liye ngasemva ngeetyhubhu zokungena kwaye liye kwi-pelvis endaweni yokuphuma emzimbeni. Ezo seli ke zityala emathunjini.

Ezinye izizathu ezinokubakho zibandakanya:

• Ukutshintsha kweseli kwangoko. Iiseli ezishiyekileyo kwi-umbungu zikhula zibe ziisithambo ze-endometrium.
• Ukutshintshwa. Iiseli ze-Endometrial zihamba ngenkqubo ye-lymph okanye igazi kwamanye amalungu.
• Imfuza. I-Endometriosis ngamanye amaxesha isebenza kwiintsapho.

I-Endometriosis ichaphazela abasetyhini ngexesha lokuzala.

Kufunyaniswa njani?

Ugqirha wakho uya kuqala ngokwenza uvavanyo lomzimba. Ngexesha loviwo, ugqirha wakho uya kujonga kwilungu lakho lobufazi kunye ne-rectum kulo naluphi na ukukhula.

Olu vavanyo lunokunceda ugqirha wakho ukuba afumane isifo se-endometriosis yamathumbu:

• I-Ultrasound. Olu vavanyo lusebenzisa amaza esandi ahamba ngesantya esiphezulu ukwenza imifanekiso ngaphakathi komzimba wakho. Isixhobo esibizwa ngokuba yi-transducer sibekwe ngaphakathi kwilungu lakho lobufazi (transvaginal ultrasound) okanye kwi-rectum yakho (transrectal endoscopic ultrasound). I-ultrasound ingabonisa ugqirha wakho ubungakanani be-endometriosis kunye nalapho ikhoyo.
• IMRI. Olu vavanyo lusebenzisa iimagnethi ezinamandla kunye namaza erediyo ukujonga i-endometriosis kwisisu sakho nakwezinye iinxalenye zethambo lakho.
• I-enema yeBarium. Olu vavanyo lusebenzisa i-X-ray ukuthatha imifanekiso yamathumbu akho amakhulu-ikholoni kunye ne-rectum. Ikholoni yakho iqale izaliswe ngombala owahlukileyo ukunceda ugqirha ukuba awujonge ngokulula.
• Colonoscopy. Olu vavanyo lusebenzisa umda oguqukayo ukujonga ngaphakathi kwamathumbu akho. I-Colonoscopy ayichongi i-endometriosis yamathumbu. Nangona kunjalo, inokuwukhuphela ngaphandle umhlaza wekolon, onokubangela ezinye zeempawu ezifanayo.
• Ilaparoscopy. Ngexesha lotyando, ugqirha wakho uya kufaka ubungakanani obucekeceke, obukhanyisiweyo kubuncinci besisu sakho ukufumana i-endometriosis esiswini kunye nasesinqeni. Banokususa isiqwenga seethishu ukuba bayihlole. Uhleli phantsi kule nkqubo.

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

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

I-endometriosis yamathumbu ihlala inqanaba lesi-4.

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 ikho. Ukuba awunazo iimpawu, unyango lusenokungafuneki.

Ugqirha

Utyando lolona nyango luphambili lwe-endometriosis yamathumbu. Ukususa izicwili ze-endometrial kunokuthomalalisa iintlungu kunye nokuphucula umgangatho wobomi.

Iindidi ezimbalwa zotyando zisusa i-endometriosis yamathumbu. Oogqirha banokuzenza ezi nkqubo ngokwenza into enye enkulu (i-laparotomy) okanye izinto ezininzi ezincinci (i-laparoscopy). Loluphi uhlobo lotyando onalo kuxhomekeke ekubeni zinkulu kangakanani iindawo ze-endometriosis, kwaye zibekwa phi.

Icandelo lokuthengiswa kwamathumbu ngokwahlukileyo. Oku kwenziwa kwiindawo ezinkulu ze-endometriosis. Ugqirha wakho uza kususa indawo yamathumbu apho i-endometriosis ikhule khona. Amacandelo amabini aseleyo adityaniswa kwakhona nenkqubo ebizwa ngokuba yi-reanastomosis.

Ngaphezu kwesiqingatha sabasetyhini abanale nkqubo bayakwazi ukukhulelwa emva koko. I-Endometriosis ayinakufane ibuye emva kokuphinda yenziwe kwakhona kunenye yeenkqubo.

Ukuchetywa ngokutsha. Ugqirha wakho uza kusebenzisa isixhobo esibukhali ukususa i-endometriosis ngaphezulu kwamathumbu, ngaphandle kokukhupha amathumbu. Le nkqubo inokwenziwa kwiindawo ezincinci ze-endometriosis. I-Endometriosis inokwenzeka ukuba ibuye emva kolu tyando kunasemva kokuphinda kunikezelwe kwicandelo.

Ukuthengiswa kwakhona kwediski. Kwiindawo ezincinci ze-endometriosis, ugqirha wakho wotyando uya kusika idiski yethishu echaphazelekayo emathunjini aze avale umngxunya.

Ugqirha wakho unokukhupha i-endometriosis kwezinye iindawo zesikhumba sakho ngexesha lokusebenza.

Amayeza

Unyango lwehormone aluyi kumisa i-endometriosis ekuqhubekeni. Nangona kunjalo, inokuthomalalisa iintlungu kunye nezinye iimpawu.

Unyango lwehormonal lwamathumbu endometriosis abandakanya:

• ulawulo lokuzalwa, kubandakanya iipilisi, isiziba, okanye iringi
• Inaliti yeprogestin (Depo-Provera)
• i-gonadotropin-ekhulula i-hormone (GnRH) i-agonists, efana ne-triptorelin (Trelstar)

Ugqirha wakho unokuncoma i-counter-counter okanye i-anti-inflammatory drug (NSAIDs), njenge-ibuprofen (Advil) okanye naproxen (Aleve), ukukunceda ukunciphisa intlungu.

Ngaba iingxaki zinokwenzeka?

I-Endometriosis emathunjini inokuchaphazela ukuzala kwakho-ngakumbi ukuba unayo kwii-ovari zakho nakwamanye amalungu e-pelvic. kwabasetyhini abakule meko abakwazi ukukhulelwa. Utyando lokususa izilonda ze-endometriosis zinokuphucula amathuba okuba ukhulelwe. Nokuba ukuzala akuyongxaki, abanye abantu basetyhini baneentlungu ezinganyangekiyo ezinxulumene nale meko, enefuthe kumgangatho wabo wokuphila.

Ungalindela ntoni?

I-Endometriosis yimeko engapheliyo. Kuya kufuneka ukuba ulawule iimpawu zayo ebomini bakho bonke.

Imbonakalo yakho iya kuxhomekeka ekubeni inzima kangakanani i-endometriosis kunye nendlela ephathwa ngayo. Unyango lwehormonal kunye notyando lunokunceda ukulawula iintlungu zakho. Iimpawu kufuneka ziphuculwe wakuba uyekile ukuya exesheni.

I-Endometriosis inokuba nefuthe elikhulu kumgangatho wobomi. Ukufumana inkxaso kwindawo yakho, ndwendwela i-Endometriosis Foundation yaseMelika okanye uMbutho we-Endometriosis.