Yintoni i-Diaphragmatic Endometriosis?

Umxholo

• Ziintoni iimpawu?
• Yintoni ebangela i-diaphragmatic endometriosis?
• Ifunyaniswa njani?
• Zeziphi iindlela zonyango ezikhoyo onokukhetha kuzo?
• Ugqirha
• Amayeza
• Ngaba iingxaki zinokwenzeka?
• Ungalindela ntoni?

Ngaba iqhelekile?

I-Endometriosis yimeko ebuhlungu apho izicwili zihlala zilungelelanisa isibeleko sakho (esibizwa ngokuba yinyama ye-endometrial) esikhulayo kwezinye iindawo zesisu sakho kunye nesinqe.

I-endometriosis yedayaphragmatic yenzeka xa le tishu ye-endometrium ikhula iye kwi-diaphragm yakho.

Idayaphragm yakho sisihlunu esimise okwedome phantsi kwemiphunga yakho esikunceda uphefumle. Xa i-endometriosis ibandakanya uvalo, ihlala ichaphazela icala lasekunene.

Xa izicubu ze-endometrium zisakha ngaphakathi kwidayaphragm, iyasabela kwiihormoni zomjikelo wakho wokuya esikhathini, njengoko isenza kwisibeleko sakho. Abasetyhini abane-diaphragmatic endometriosis phantse bahlala benesifo se-endometriosis kwi-pelvis yabo, nabo.

I-diaphragmatic endometriosis ixhaphake kakhulu kunezinye iintlobo zesifo ezichaphazela ii-ovari kunye nezinye izitho zangasese. Kuqikelelwa ukuba malunga neepesenti ezisibhozo ukuya kwezili-15 zabasetyhini abane-endometriosis. Kwaye kuye kwabafazi abanamava e-endometriosis bafumana ubunzima bokukhulelwa. I-diaphragm ikholelwa ukuba ichaphazela nje i-0.6 ukuya kwi-1.5 yeepesenti yabasetyhini abaye batyandwa kwesi sifo.

Ziintoni iimpawu?

I-diaphragmatic endometriosis ayinakubanga zimpawu.

Kodwa unokufumana iintlungu kwezi ndawo:

• isifuba
• isisu esingasentla
• igxalaba lasekunene
• ingalo

Le ntlungu ihlala ivela ngexesha lakho. Inokuba namandla, kwaye inokuba mandundu xa uphefumla okanye ukhohlela. Kwiimeko ezinqabileyo, inokukhokelela kwi-.

Ukuba i-endometriosis ikwiinxalenye zepelvis yakho, unokuba neempawu ezinje:

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

Yintoni ebangela i-diaphragmatic endometriosis?

Oogqirha abazi ngokuthe ngqo ukuba yintoni ebangela ukuba i-diaphragmatic okanye ezinye iintlobo ze-endometriosis. Eyona ngcamango yamkelweyo kukuya exesheni kwakhona.

Ngexesha lokuya exesheni, igazi linokuhamba libuye umva ngeetyhubhu zokungena kwaye liye kwi-pelvis, kunye nasemzimbeni. Ezo seli zinokuhamba ngesisu kunye nesinqe kunye nokuya kwidayaphragm.

Nangona kunjalo, uphando lubonakalisile ukuba uninzi lwamabhinqa luye lubuyele exesheni. Nangona kunjalo uninzi lwabasetyhini aluphuhlisi i-endometriosis, ke amajoni omzimba kurhanelwa ukuba adlala indima.

Abanye abanokuba negalelo kwi-endometriosis kunokwenzeka kubandakanya:

• Utshintsho kwiseli. Iiseli ezichaphazeleka yi-endometriosis ziphendula ngokwahlukileyo kwiihomoni nakwezinye izinto zeekhemikhali.
• Imfuza. I-Endometriosis ibonakalisiwe ukuba ibaleka kwiintsapho.
• Ukudumba. Izinto ezithile ezinendima yokudumba zifumaneka kumanani aphezulu kwi-endometriosis.
• Ukukhula komntwana. Ezi seli zinokukhula kwiindawo ezahlukeneyo ukusukela ngaphambi kokuzalwa.

Ifunyaniswa njani?

I-diaphragmatic endometriosis ayinakubangela zimpawu. Nokuba unayo impawu, ungaziphosisa ngenye into - njengesihlunu esitshiweyo.

Ngenxa yokuba le meko inqabile, ugqirha wakho akanakuzibona iimpawu nokuba. Inqaku elinye elibalulekileyo linokuba ukuba ngaba iimpawu zibi kakhulu kwixesha lakho.

Ngamanye amaxesha oogqirha bafumanisa i-endometriosis ngelixa besenza utyando lokufumanisa enye imeko.

Ukuba ufumana iimpawu okanye ukrokrela ukuba unokuchaphazeleka yi-endometriosis, thetha nogqirha wakho malunga namanyathelo angcono okufumana isifo.

Banokusebenzisa uvavanyo lwe-MRI ukumisela ukuba ingaba izicubu ze-endometrium zikhulile kwi-diaphragm yakho kwaye zichonga le meko. Ukuvavanywa kwe-MRI kunye nee-ultrasound kunokuba luncedo ekufumaneni i-endometriosis kwi-pelvis yakho.

Rhoqo eyona ndlela yokufumanisa isifo se-endometriosis enedayaphragm ine-laparoscopy. Oku kubandakanya ugqirha wakho owenza utyando oluncinci esiswini sakho. Ubungakanani benekhamera kwelinye icala kufakelwe ukunceda ugqirha wakho abone uvalo lwakho kwaye ufumane izicwili ze-endometrium. Iisampulu ezincinci zethishu, ebizwa ngokuba zii-biopsies, zihlala ziqokelelwa zize zithunyelwe elebhu ukuze kujongwe kwezi seli phantsi kwemicroscope.

Nje ukuba ugqirha wakho achonge izicubu ze-endometrium, baya kwenza uxilongo ngokusekwe kwindawo, ubungakanani, kunye nenani lezi zihlunu.

Apha ngezantsi kukho inkqubo esetyenziswa ngokuxhaphakileyo ye-endometriosis, esekwe nguMbutho waseMelika woNyango lokuZala. Nangona kunjalo, ezi zigaba azisekelwanga kwiimpawu. Iimpawu zinokubaluleka nakwinqanaba loku-1 okanye kwisigaba sesi-2 sesifo.

Ziquka:

• Inqanaba 1: Amancinci amancinci amancinci kwi-pelvis, indawo ezinqunyelweyo kunye namalungu
• Inqanaba 2: Ubumnene-iindawo ezingakumbi kwi-pelvis kuneqonga loku-1, kodwa linobunzima obuncinci
• Inqanaba 3: Ukumodareyitha amalungu omzimba wesisu kunye nesisu kuchaphazeleka ngenxa yokonakala
• Inqanaba 4: Izilonda ezixhaphakileyo ezichaphazela ukubonakala komzimba kunye nokuqhekeka

Izazinzulu ngoku zisebenza ukuseka ezinye iindlela zokuchaza i-endometriosis, ngakumbi kwimeko apho kubandakanyeka izicwili ezinzulu. Inkqubo entsha isaqhuba.

Zeziphi iindlela zonyango ezikhoyo onokukhetha kuzo?

Ukuba awunazo iimpawu, ugqirha wakho unokucebisa ukuba ulinde ukunyanga i-endometriosis yakho. Ugqirha wakho uya kukujonga rhoqo ukuze abone ukuba iimpawu ziyavela na.

Ukuba unayo impawu, ugqirha wakho uya kuncoma indibaniselwano yotyando kunye namayeza ukunceda ukulawula naziphi na iimpawu onokuba nazo.

Ugqirha

Utyando lolona nyango luphambili lwe-endometriosis yedayaphragmatic.

Ugqirha lunokwenziwa ngeendlela ezimbalwa ezahlukeneyo:

• Laparotomy. Kule nkqubo, ugqirha wakho ugqobhoza udonga olukhulu lwesisu kwaye asuse iinxalenye zesithintelo esichaphazelekayo yi-endometriosis. Kwisifundo esinye esincinci, olu nyango lanciphisa iimpawu kubo bonke abantu basetyhini kwaye lwasusa ngokupheleleyo iintlungu esifubeni nasemagxeni kwabafazi abasixhenxe kwabasibhozo.
• Thoracoscopy. Kule nkqubo, ugqirha wakho ugqirha ufaka indawo eguqukayo kunye nezixhobo ezincinci ngokusebenzisa izinto ezincinci esifubeni ukuze ujonge kwaye ususe iindawo ze-endometriosis ngaphakathi kwidayaphragm.
• Ilaparoscopy. Kule nkqubo, ugqirha wakho ogqirha ufaka indawo eguqukayo kunye nezixhobo ezincinci kwisisu ukuze asuse indawo ye-endometriosis ngaphakathi kwesisu kunye nesinqe.

Ugqirha wakho unokusebenzisa i-laser ukunyanga izicubu ezichaphazelekayo yi-endometriosis. Utyando lunokuba yimfuneko ukulawula ukwakheka kwezicubu ezibomvu, ingxaki eqhelekileyo kwi-endometriosis. Iindlela ezintsha zonyango zihlala zifumaneka. Thetha nogqirha wakho.

Ukuba i-endometriosis ikuzo zombini isisu sakho kunye ne-pelvis, unokufuna utyando olungaphezulu kolunye.

Amayeza

Iindidi ezimbini zamayeza ngoku zisetyenziselwa ukunyanga i-endometriosis: iihomoni kunye nokuphelisa iintlungu.

Unyango lweHormone lunokucothisa ukukhula kwethishu ye-endometrial kunye nokunciphisa ukusebenza kwayo ngaphandle kwesibeleko.

Unyango lwehormonal lubandakanya:

• ulawulo lokuzalwa, kubandakanya iipilisi, isiziba, okanye iringi
• i-gonadotropin-ekhulula i-hormone (GnRH) ye-agonists
• i-danazol (iDanocrine), ngoku ayisetyenziswa ngokuxhaphakileyo
• Inaliti yeprogestin (Depo-Provera)

Ugqirha wakho unokucebisa ngaphezulu kwe-counter-counter (i-OTC) okanye i-nonsteroidal anti-inflammatory drug (NSAIDs), njenge-ibuprofen (Advil) okanye naproxen (Aleve), ukulawula intlungu.

Ngaba iingxaki zinokwenzeka?

Ngokuqhelekileyo, i-endometriosis ye-diaphragm inokubangela ukuba imingxunya yenze i-diaphragm.

Oku kunokukhokelela kwiingxaki ezisongela ubomi ezifana:

• ukuwa kwemiphunga (pneumothorax) ngexesha lakho
• endometriosis eludongeni lwesifuba okanye emiphungeni
• umoya negazi kwisifuba

Ukwenza utyando lokususa i-endometriosis ngaphakathi kwidayaphragm kunokunciphisa umngcipheko kwezi ngxaki.

I-Endometriosis yesithambisi sakho akufuneki ichaphazele ukuzala kwakho. Kodwa uninzi lwabasetyhini abanolu hlobo lwe-endometriosis banayo kwi-ovaries nakwezinye izitho ze-pelvic, ezinokubangela iingxaki zokuzala. Utyando kunye nokuchumisa kwi-vitro kunokunyusa amathuba okuba ukhulelwe.

Ungalindela ntoni?

Imbonakalo yakho ixhomekeke ekubeni inzima kangakanani i-endometriosis, kunye nendlela ephathwa ngayo.

Olu hlobo lwe-endometriosis alunakubangela zimpawu. Ukuba kubuhlungu okanye kubangela iingxaki, unokuhlinzwa ukuze ususe izicubu ze-endometrium.

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