Endometriosis

Umxholo

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Yintoni

I-Endometriosis yingxaki yezempilo kubantu basetyhini. Ifumana igama layo kwigama elithi endometrium, ithishu edibanisa isibeleko (isibeleko). Kwabasetyhini abanale ngxaki, izicwili ezijongeka zisebenze njengombane wesibeleko ukhula ngaphandle kwesibeleko kwezinye iindawo. Ezi ndawo zinokubizwa ngokuba kukukhula, amathumba, ukufakelwa, izilonda, okanye amaqhuqhuva.

Uninzi lwe-endometriosis lufunyenwe:

* phezu okanye phantsi kwee-ovari

ngasemva kwesibeleko

* kwiithishu ezibambe isibeleko endaweni

* emathunjini okanye kwisinyi

Esi sihlunu "sibekwe bucala" sinokubangela iintlungu, ukungachumi, kunye namaxesha anzima kakhulu.

Ukukhula kwe-endometriosis phantse kuhlala kunobungozi okanye kungabi ngumhlaza, kodwa kusenokubangela iingxaki ezininzi. Ukuze ubone isizathu, kuyanceda ukuqonda umjikelo wenyanga webhinqa. Qho ngenyanga, iihomoni zibangela ukuba ungqameko lwesibeleko sowasetyhini lusakhe kunye nezicubu kunye nemithambo yegazi. Ukuba owasetyhini akakhulelwa, isibeleko sikhupha esi sihlunu kunye negazi, sishiya umzimba wakhe kwilungu lobufazi njengexesha lakhe lokuya exesheni.

Iipetshi ze-endometriosis nazo zisabela kumjikelo wenyanga womfazi. Nyanga nganye ukukhula kukongeza izicwili kunye negazi, kodwa akukho ndawo yethishu eyakhiweyo kunye negazi ukuphuma emzimbeni. Ngesi sizathu, ukukhula kuye kube kukhulu kwaye iimpawu ze-endometriosis zihlala zisiba mandundu ngokuhamba kwexesha.

Izicubu kunye negazi eliphala emzimbeni kunokubangela ukudumba, izicwili kunye nentlungu. Njengoko izicwili ezibekwe endaweni engeyiyo zikhula, zinokugquma okanye zikhule ziye kwii-ovari kwaye zibhloke kwimibhobho yesibeleko. Oku kunokwenza kube nzima kubasetyhini abane-endometriosis ukuba bakhulelwe. Ukukhula kunokubangela iingxaki emathunjini nakwisinyi.

Oonobangela

Akukho namnye owaziyo ngokuqinisekileyo ukuba sibangelwa yintoni esi sifo, kodwa izazinzulu zinethiyori ezininzi.

Bayazi ukuba i-endometriosis isebenza kwiintsapho. Ukuba umama wakho okanye udade wenu une-endometriosis, amathuba amathandathu okufumana eso sifo kunabanye abafazi. Ke, ithiyori ithi u-endometriosis ubangelwa ziijini.

Enye ithiyori kukuba ngexesha lokuya enyangeni kwabasetyhini, ezinye izicubu ze-endometriya zibuyele esiswini ngeetyhubhu ze-fallopian. Esi sihlunu sitshintshelwe emva koko sikhulela ngaphandle kwesibeleko. Abaphandi abaninzi bacinga ukuba amajoni omzimba angalunganga adlala indima kwi-endometriosis. Kwabasetyhini abanesifo, amajoni omzimba akakwazi ukufumana kunye nokutshabalalisa izicubu ze-endometrial ezikhula ngaphandle kwesibeleko. Ukongeza, uphononongo lwakutsha nje lubonisa ukuba ukuphazamiseka kwamajoni omzimba (iingxaki zempilo apho umzimba uzihlasela ngokwawo) zixhaphake kakhulu kubasetyhini abane-endometriosis. Olunye uphando kule ndawo lunokunceda oogqirha baqonde ngcono kwaye banyange i-endometriosis.

Iimpawu

Intlungu yenye yeempawu eziqhelekileyo ze-endometriosis. Ngokwesiqhelo iintlungu zisesiswini, ngasemva kunye nesinqe. Ubungakanani bentlungu umfazi ayivayo abuxhomekekanga kubungakanani be-endometriosis anayo. Abanye abantu basetyhini abanazintlungu, nangona isifo sabo sichaphazela iindawo ezinkulu. Abanye abantu basetyhini abane-endometriosis baneentlungu ezibuhlungu nangona benokukhula okuncinci okuncinci. Iimpawu ze-endometriosis ziquka:

Iintlungu zokuya exesheni

* Iintlungu ezinamaxesha eziba mandundu ngokuhamba kwexesha

* Iintlungu ezingapheliyo kumqolo ongezantsi kunye nesinqe

* Ubuhlungu ngexesha okanye emva kwesondo

* Iintlungu zamathumbu

Ukuhamba kwamathumbu okuqaqambayo okanye ukuchama okubuhlungu ngexesha lokuya exesheni

* Ixesha elinzima kunye / okanye ixesha elide lokuya exesheni

Ukuchaphaza okanye ukopha phakathi kwamaxesha exesheni

Ukungachumi (ukungabinakho ukukhulelwa)

* Ukudinwa

Abasetyhini abane-endometriosis banokuba neengxaki zesisu ezifana nesifo sohudo, ukuqunjelwa, okanye ukudumba, ngakumbi ngamaxesha abo.

Ngubani osemngciphekweni?

Malunga nezigidi ezihlanu zabasetyhini eUnited States bane-endometriosis. Oku kuyenza ibe yenye yeengxaki zempilo kwabasetyhini.

Ngokubanzi, abasetyhini abane-endometriosis:

bafumane ixesha labo lenyanga

baneminyaka engama-27 ubudala ngokwe-avareji

baneempawu zeminyaka emibini ukuya kwemihlanu phambi kokufumanisa ukuba banesi sifo

Abasetyhini abaye bayeka ukuya exesheni (xa umfazi eyeka ukuba sexesheni) kunqabile ukuba babe neempawu.

Unamathuba okuphuhlisa i-endometriosis ukuba:

* uqale ukufumana ixesha lakho usemncinci

banamaxesha anzima

Amaxesha ahlala ngaphezulu kweentsuku ezisixhenxe

* unomjikelo omfutshane wenyanga (iintsuku ezingama-27 okanye ngaphantsi)

Isihlobo esisondeleyo (umama, umakazi, udade) one-endometriosis

Olunye uphando lubonisa ukuba ungawanciphisa amathuba okuphuhlisa i-endometriosis ukuba:

* zilolonge rhoqo

thintela utywala kunye necaffeine

Uxilongo

Ukuba ucinga ukuba unesi sifo, thetha nengcali yokubelekisa / ugqirha wamazinyo (OB / GYN). Ugqirha wakho uya kuthetha nawe malunga neempawu zakho kunye nembali yezempilo. Emva koko uya kwenza uvavanyo lwe-pelvic. Ngamanye amaxesha ngexesha loviwo, ugqirha unokufumana iimpawu ze-endometriosis.

Ngokwesiqhelo oogqirha kufuneka benze iimvavanyo ukufumanisa ukuba ngaba umntu obhinqileyo une-endometriosis. Ngamanye amaxesha oogqirha basebenzisa iimvavanyo zokucinga "ukubona" ​​ukukhula okukhulu kwe-endometriosis ngaphakathi komzimba. Ezona mvavanyo zixhaphakileyo zokucinga:

I-ultrasound, esebenzisa amaza esandi ukubona ngaphakathi komzimba

Ukujonga ngemagneti (i-MRI), esebenzisa iimagnethi kunye namaza erediyo ukwenza "umfanekiso" ongaphakathi komzimba

Ekuphela kwendlela yokwazi ngokuqinisekileyo ukuba unayo i-endometriosis kukwenza utyando olubizwa ngokuba yi-laparoscopy. Kule nkqubo, ukusikwa okuncinci kwenziwa esiswini sakho. Ityhubhu ebhityileyo enokukhanya ibekwe ngaphakathi ukuze ibone ukukhula kwi-endometriosis. Ngamanye amaxesha oogqirha banokufumanisa i-endometriosis ngokubona nje ukukhula. Ngamanye amaxesha, kufuneka bathathe isampulu encinci yethishu, okanye i-biopsy, bayifunde phantsi kwemicroscope.

Unyango

Alukho unyango lwe-endometriosis, kodwa luninzi unyango lwentlungu kunye nokungachumisi okubangelwayo. Thetha nogqirha wakho malunga nokuba loluphi ukhetho olulungele wena. Unyango olukhethileyo luya kuxhomekeka kwiimpawu zakho, ubudala, kunye nezicwangciso zokukhulelwa.

Amayeza Entlungu. Abanye abantu basetyhini abaneempawu ezibuthathaka, oogqirha banokucebisa ukuba bathathe amayeza e-counter ukuze bafumane iintlungu. Oku kubandakanya: ibuprofen (Advil neMotrin) okanye naproxen (Aleve). Xa la mayeza engancedi, oogqirha banokucebisa ukuba banciphise iintlungu ezinamandla ezifumanekayo ngugqirha.

Unyango lweHormone. Xa iyeza leentlungu alonelanga, oogqirha bahlala becebisa amayeza e-hormone ukunyanga i-endometriosis. Kuphela ngabasetyhini abanganqweneli ukukhulelwa banokusebenzisa la machiza. Unyango lweHormone lungcono kubasetyhini abanokukhula okuncinci abangenazo iintlungu ezinzima.

IiHormones ziza ngeendlela ezininzi kuquka iipilisi, izitofu, kunye nezitshizi zempumlo. Iihomoni ezininzi zisetyenziselwa i-endometriosis kubandakanya:

• Iipilisi zokulawula ukuzalwa zithintela imiphumo ye-hormone yendalo ekukhuleni kwe-endometrial. Ke, bayakuthintela ukwakhiwa kunye nokuqhekeka kokukhula kwenyanga. Oku kunokwenza i-endometriosis ingabi buhlungu. Iipilisi zokulawula ukuzalwa nazo zinokwenza ukuba kubelula ukuya exesheni kowasetyhini kwaye kungakhululeki. Uninzi lweepilisi zolawulo lokuzalwa ziqukethe iihomoni ezimbini, i-estrogen kunye neprogestin. Olu hlobo lwepilisi yokulawula ukuzalwa lubizwa ngokuba yi "combination pill." Xa umntu obhinqileyo eyeka ukuzithatha, amandla okufumana imbuyekezo yokukhulelwa, kodwa kunjalo nangeempawu ze-endometriosis.
  
• Iiprogestin okanye amayeza eprogesterone asebenza kakhulu njengeepilisi zokulawula ukuzalwa kwaye anokuthathwa ngabasetyhini abangakwaziyo ukuthatha i-estrogen. Xa owasetyhini eyeka ukuthatha iiprogestins, unokukhulelwa kwakhona. Kodwa, iimpawu ze-endometriosis ziyabuya nazo.

Utyando. Ugqirha lolona khetho lulungileyo kwabasetyhini abane-endometriosis abanobunzima bokukhula, iintlungu ezininzi, okanye iingxaki zokuzala. Kukho zombini utyando oluncinci noluntsonkothileyo olunokunceda. Ugqirha wakho unokucebisa enye yezi zinto zilandelayo:

• I-Laparoscopy inokusetyenziselwa ukuxilonga nokunyanga i-endometriosis. Ebudeni bolu tyando, oogqirha basusa izinto ezikhulelayo kunye nezivubeko okanye bazitshabalalise ngobushushu obukhulu. Injongo kukunyanga i-endometriosis ngaphandle kokulimaza izicubu eziphilileyo ezijikeleze kuyo. Abasetyhini bayachacha kwi-laparoscopy ngokukhawuleza kunotyando olukhulu lwesisu.
  
• I-Laparotomy okanye utyando olukhulu lwesisu lukhetho lokugqibela lonyango lwe-endometriosis eqatha. Kolu tyando, ugqirha usika kakhulu esiswini kunakwilaparoscopy. Oku kuvumela ugqirha ukuba afikelele kwaye asuse ukukhula kwe-endometriosis kwi-pelvis okanye esiswini. Ukuchacha kolu tyando kunokuthatha ukuya kwiinyanga ezimbini.
  
• I-Hysterectomy kufuneka ithathelwe ingqalelo kuphela ngabasetyhini abangafuni ukukhulelwa kwixa elizayo. Ngethuba lolu tyando, ugqirha uyasisusa isibeleko. Usenokukhupha ii-ovari kunye nemibhobho yesibeleko ngaxeshanye. Oku kwenziwa xa i-endometriosis iwonakalise kakhulu.

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