Endometriosis

Umxholo

• Iimpawu ze-Endometriosis
• Unyango lwe-Endometriosis
• Amayeza entlungu
• Unyango lweHormone
• Izinto zokucwangcisa zehormonal
• I-Gonadotropin-ekhulula i-hormone (GnRH) i-agonists kunye nabachasi
• IDanazol
• Utyando olulondolozayo
• Utyando lokugqibela lokugqibela (hysterectomy)
• Yintoni ebangela i-endometriosis?
• Amanqanaba endometriosis
• Inqanaba 1: Ubuncinci
• Inqanaba 2: Ubumnene
• Inqanaba 3: Phakathi
• Inqanaba 4: Eqatha
• Uxilongo
• Imbali eneenkcukacha
• Uvavanyo lomzimba
• I-Ultrasound
• Ilaparoscopy
• Iingxaki ze-Endometriosis
• Imiba yomngcipheko
• Ubudala
• Imbali yosapho
• Imbali yokukhulelwa
• Imbali yokuya exesheni
• I-Endometriosis prognosis (imbonakalo)

Yintoni i-endometriosis?

I-Endometriosis sisifo apho izicwili ezifanayo kwizicubu ezenza ubume besibeleko sakho zikhula ngaphandle kwesisu sakho. Umbane wesibeleko sakho ubizwa ngokuba yi-endometrium.

I-Endometriosis yenzeka xa izicwili ze-endometrium zikhula kwii-ovari zakho, emathunjini, nakwizicubu ezikumbala we-pelvis. Kuyinto engavamile ukuba izicubu ze-endometrial zisasazeka ngaphaya kwendawo yakho ye-pelvic, kodwa akunakwenzeka. Izicubu ze-Endometrium ezikhula ngaphandle kwesibeleko sakho ziyaziwa njengokufakwa kwe-endometrium.

Utshintsho lwehomoni kumjikelo wakho wokuya exesheni luchaphazela izicubu ze-endometriamu ezingafakwanga kakuhle, zibangela ukuba indawo ibe nokudumba kwaye ibe buhlungu. Oku kuthetha ukuba izicwili ziya kukhula, zijiye, kwaye zonakale. Ngokuhamba kwexesha, izicubu eziye zaphuka azikho ndawo kwaye ziya kubanjwa kwi-pelvis yakho.

Ezi zicubu ziboshwe kwi-pelvis yakho zinokubangela:

• ukucaphuka
• ukwakheka komqala
• ukubambelela, apho izicwili zibopha amalungu akho e-pelvic ngokudibeneyo
• Ubuhlungu obukhulu ngexesha lakho
• Iingxaki zokuchuma

I-Endometriosis yimeko eqhelekileyo yamanina, ichaphazela ukuya kuthi ga kwiipesenti zabasetyhini. Awuwedwa xa unale ngxaki.

Iimpawu ze-Endometriosis

Iimpawu ze-endometriosis ziyahluka. Abanye abantu basetyhini bafumana iimpawu ezinobulali, kodwa abanye banokuba neempawu ezilinganiselweyo ukuya kwezinzima. Ubukrakra bentlungu yakho abubonisi isidanga okanye inqanaba lale meko. Unokuba nefom epholileyo yesifo kodwa uva iintlungu ezibuhlungu. Kuyenzeka ukuba ube nefom ebukhali kwaye ube nokungonwabi okuncinci.

Iintlungu zepelvic luphawu oluqhelekileyo lwe-endometriosis. Unokuba nezi mpawu zilandelayo:

• amaxesha abuhlungu
• iintlungu emazantsi esisu ngaphambi kunye nasexesheni
• Ukuxhuzulwa ziiveki ezimbini okanye ezimbini esexesheni
• ukuphuma kwegazi okunzima okanye ukopha phakathi kwexesha
• ukungachumi
• Intlungu emva kokwabelana ngesondo
• ukungahambi kakuhle ngokuhamba kwamathumbu
• iintlungu ezisezantsi ezinokuthi zivele nangaliphi na ixesha ngexesha lokuya esikhathini

Kananjalo awunazo iimpawu. Kubalulekile ukuba ufumane iimviwo zamanina rhoqo, eziya kuthi zivumele ugqirha wakho ukuba abeke iliso kulo naluphi na utshintsho. Oku kubaluleke ngakumbi ukuba uneempawu ezimbini okanye ezingaphezulu.

Unyango lwe-Endometriosis

Kuyaqondakala ukuba ufuna ukukhululeka ngokukhawuleza kwiintlungu kunye nezinye iimpawu ze-endometriosis. Le meko inokuphazamisa ubomi bakho ukuba ishiywe inganyangwa. I-Endometriosis ayinalo unyango, kodwa iimpawu zayo zinokulawulwa.

Unyango kunye nokhetho lonyango luyafumaneka ukunceda ukunciphisa iimpawu zakho kunye nokulawula naziphi na iingxaki ezinokubakho. Ugqirha wakho unokuzama kuqala unyango olulondolozayo. Banokucebisa utyando ukuba imeko yakho ayiphucuki.

Wonke umntu usabela ngokwahlukileyo kwezi ndlela zonyango. Ugqirha wakho uya kukunceda ufumane eyona isebenza ngcono kuwe.

Inokukhathaza into yokufumana isifo kunye nokukhetha unyango kwangoko kwesi sifo. Ngenxa yemicimbi yokuzala, iintlungu, kunye noloyiko lokuba akukho kuphumla, esi sifo kunokuba nzima ukusiphatha ngengqondo. Cinga ngokufumana iqela lenkxaso okanye uzifundise ngakumbi kwimeko leyo. Izinketho zonyango zibandakanya:

Amayeza entlungu

Ungazama amayeza eentlungu zekhawuntareni ezifana ne-ibuprofen, kodwa ezi azisebenzi kuzo zonke iimeko.

Unyango lweHormone

Ukuthatha iihormoni ezongezelelweyo ngamanye amaxesha kunokuthomalalisa iintlungu kwaye kuyeke ukuqhubela phambili kwe-endometriosis. Unyango lwehormone lunceda umzimba wakho ukuba ulawule utshintsho lwenyanga lwehomoni olukhuthaza ukukhula kwezicubu okwenzeka xa une-endometriosis.

Izinto zokucwangcisa zehormonal

Izicwangcisi zeHormonal zinciphisa ukuchuma ngokuthintela ukukhula kwenyanga kunye nokwakha izicwili ze-endometrium. Iipilisi zolawulo lokuzalwa, iipatches, kunye nemisesane yelungu lobufazi zinokunciphisa okanye zisuse neentlungu kwi-endometriosis engaphantsi kakhulu.

Inaliti ye-medroxyprogesterone (Depo-Provera) iyasebenza ekunqandeni ukuba sexesheni. Iyayeka ukukhula kokufakwa kwe-endometrium. Kuphelisa iintlungu kunye nezinye iimpawu. Oku akunakuba lukhetho lwakho lokuqala, nangona kunjalo, ngenxa yomngcipheko wokuncipha kwemveliso yethambo, ukuzuza ubunzima, kunye nokwanda kweziganeko zoxinzelelo kwezinye iimeko.

I-Gonadotropin-ekhulula i-hormone (GnRH) i-agonists kunye nabachasi

Abasetyhini bathatha oko kubizwa ngokuba yi-gonadotropin-releasing hormone (GnRH) agonists kunye nabachasi ukubhloka kwimveliso ye-estrogen ekhuthaza ii-ovari. I-Estrogen yincindi yamadlala exhomekeke ikakhulu kuphuhliso lweempawu zesini sabasetyhini. Ukuthintela ukuveliswa kwe-estrogen kuthintela ukuba sexesheni kwaye kudala ukuyeka ukuya exesheni.

Unyango lwe-GnRH luneziphumo ebezingalindelekanga njengokomisa kwilungu lobufazi kunye nokukhanya okutshisayo. Ukuthatha iidosi ezincinci ze-estrogen kunye neprogesterone ngaxeshanye kunokunceda ukunciphisa okanye ukuthintela ezi mpawu.

IDanazol

I-Danazol lelinye iyeza elisetyenziselwa ukuyeka ukuya exesheni kunye nokunciphisa iimpawu. Ngelixa sithatha i-danazol, esi sifo sinokuqhubeka siqhubeka. I-Danazol inokuba neziphumo ebezingalindelekanga, kubandakanya amabala kunye ne-hirsutism. I-Hirsutism kukukhula kweenwele okungaqhelekanga ebusweni nasemzimbeni.

Amanye amachiza afundwayo anokuphucula iimpawu kunye nenkqubela phambili yesifo.

Utyando olulondolozayo

Utyando olulondolozayo lolwabasetyhini abafuna ukukhulelwa okanye abanamava entlungu kwaye abangasebenziyo kunyango lwehomoni. Injongo yoqhaqho olusebenzayo kukususa okanye ukutshabalalisa ukukhula kwe-endometrium ngaphandle kokonakalisa amalungu okuzala.

I-Laparoscopy, utyando oluncinci olungenayo intsholongwane, isetyenziselwa ukubona kunye nokufumanisa isifo, i-endometriosis. Isetyenziselwa ukususa izicwili ze-endometrium. Ugqirha wenza ukubonakala okuncinci esiswini ukuze asuse ngotyando okanye ukuzitshisa okanye ukuziphunga. I-Lasers zihlala zisetyenziswa kwezi ntsuku njengendlela yokutshabalalisa le "ndawo ngaphandle" kwezihlunu.

Utyando lokugqibela lokugqibela (hysterectomy)

Rhoqo, ugqirha wakho unokucebisa nge-hysterectomy iyonke njengendawo yokugqibela ukuba imeko yakho ayiphucuki nolunye unyango.

Ngexesha le-hysterectomy iyonke, ugqirha ususa isibeleko kunye nomlomo wesibeleko. Zisusa ii-ovari kuba la malungu enza i-estrogen, kwaye i-estrogen ibangela ukukhula kwezicubu ze-endometrium. Ukongeza, ugqirha ususa izilonda ezifakwayo ezibonakalayo.

I-hysterectomy ayisoloko ithathwa njengonyango okanye unyango lwe-endometriosis. Awuyi kukwazi ukukhulelwa emva kokukhulelwa kwesibeleko. Fumana uluvo lwesibini ngaphambi kokuba uvume utyando ukuba ucinga ngokuqala usapho.

Yintoni ebangela i-endometriosis?

Ngexesha lokuya exesheni rhoqo, umzimba wakho ukhupha umgca wesibeleko sakho. Oku kuvumela igazi lokuya exesheni ukuba liphume kwisibeleko sakho ngokuvula okuncinci kumlomo wesibeleko nangaphandle kwilungu lakho lobufazi.

Isizathu ngqo se-endometriosis asaziwa, kwaye kukho iithiyori ezininzi malunga nonobangela, nangona kungekho ithiyori inye engqinisisiweyo ngokwesayensi.

Enye yeengcamango ezindala kukuba i-endometriosis iyenzeka ngenxa yenkqubo ebizwa ngokuba kukuya exesheni kwakhona. Oku kwenzeka xa igazi lokuya exesheni libuyela emva kwiityhubhu zakho zangasese ziye kwisisu sakho se-pelvic endaweni yokushiya umzimba wakho kwilungu lobufazi.

Enye inkolelo kukuba iihomoni ziguqula iiseli ezingaphandle kwesibeleko zibe ziiseli ezifanayo nezo zingaphakathi ngaphakathi kwesibeleko, ezaziwa ngokuba ziiseli ze-endometrium.

Abanye bakholelwa ukuba imeko inokwenzeka ukuba iindawo ezincinci zesisu sakho ziguquka zibe ziithambo ze-endometrium. Oku kunokwenzeka ngenxa yokuba iiseli esiswini sakho zikhula zisuka kwiiseli zombungu, ezinokuthi zitshintshe imilo kwaye zisebenze njengeeseli ze-endometrium. Ayaziwa ukuba kutheni le nto isenzeka.

Ezi seli ze-endometrium ezifudukayo zisenokuba kwiindonga zakho zepelevic kunye nomphezulu wamalungu akho e-pelvic, njenge-bladder, ovaries, kunye ne-rectum. Baqhubeka bekhula, bexakekile, kwaye bopha igazi ngaphezulu komjikelo wakho wokuya exesheni ekuphenduleni iihormoni zomjikelo wakho.

Kwakhona kunokwenzeka ukuba igazi lokuya esikhathini liye livuleke kwi-pelvic cavity nge-scar scar, njengokuba emva kokuhanjiswa kwe-cearean (ebizwa ngokuba yiC-section).

Enye inkolelo kukuba iiseli ze-endometrial zithunyelwa ngaphandle kwesibeleko ngenkqubo ye-lymphatic. Ukanti enye ithiyori ithi kusenokwenzeka ukuba kungenxa yenkqubo yomzimba yokuzikhusela engalunganga engatshabalalisi iiseli ze-endometriya eziphosakeleyo.

Abanye bakholelwa ukuba i-endometriosis inokuthi iqale ngexesha lokuzala kunye nezicubu zeseli ezingalunganga eziqala ukuphendula kwihomoni yokufikisa. Oku kuhlala kubizwa ngokuba yi-Mullerian theory. Ukuphuhliswa kwe-endometriosis kunokudityaniswa kwimfuza okanye kwityhefu yendalo esingqongileyo.

Amanqanaba endometriosis

I-Endometriosis inezigaba ezine okanye iintlobo. Inokuba yeyiphi na kwezi zilandelayo:

• encinci
• ithambile
• ngcathu
• kakhulu

Izinto ezahlukeneyo zichonga inqanaba lesifo. Ezi zinto zinokubandakanya indawo, inani, ubungakanani, kunye nobunzulu bokufakwa kwe-endometrium.

Inqanaba 1: Ubuncinci

Kwi-endometriosis encinci, kukho izilonda ezincinci okanye amanxeba kunye nokufakwa okungapheliyo kwe-endometrium kwi-ovary yakho. Kukho kwakhona ukuvuvukala ngaphakathi okanye malunga nomlenze wakho we-pelvic.

Inqanaba 2: Ubumnene

I-endometriosis emnene ibandakanya izilonda ezikhanyayo kunye nokufakwa okungekho nzulu kwi-ovary kunye nelining ye-pelvic.

Inqanaba 3: Phakathi

I-endometriosis emodareyitha ibandakanya ukufakelwa okunzulu kwi-ovary kunye ne-pelvic lining. Kukho ezinye izilonda.

Inqanaba 4: Eqatha

Elona nqanaba libi kakhulu le-endometriosis libandakanya ukufakelwa okunzulu kwiluhlu lwakho lwe-pelvic kunye nee-ovari. Kukho ukubakho kwezilonda kwimibhobho yakho ye-fallopian kunye namathumbu.

Uxilongo

Iimpawu ze-endometriosis zinokufana neempawu zezinye iimeko, ezinje ngee-ovarian cysts kunye nesifo sokudumba kwentliziyo. Ukunyanga iintlungu zakho kufuna ukuba ufumane isifo ngokuchanekileyo.

Ugqirha wakho uya kwenza olu vavanyo lulandelayo okanye nangaphezulu:

Imbali eneenkcukacha

Ugqirha wakho uya kuqaphela iimpawu zakho kunye nembali yobuqu okanye yosapho ye-endometriosis. Uvavanyo lwempilo ngokubanzi lunokwenziwa ukwazisa ukuba ngaba zikhona ezinye iimpawu zesifo sexesha elide.

Uvavanyo lomzimba

Ngexesha lovavanyo lwe-pelvic, ugqirha wakho uya kuziva ngesandla isisu sakho ngee-cysts okanye amanxeba emva kwesibeleko.

I-Ultrasound

Ugqirha wakho unokusebenzisa i-transvaginal ultrasound okanye isisu esisisu. Kwi-ultrasound ehamba ngasemva, kufakwa i-transducer kwilungu lakho lobufazi.

Zombini ezi ntlobo ze-ultrasound zibonelela ngemifanekiso yamalungu akho okuzala. Banokukunceda ugqirha wakho achonge ii-cysts ezinxulunyaniswa ne-endometriosis, kodwa azisebenzi ekulawuleni isifo.

Ilaparoscopy

Ekuphela kwendlela ethile yokuchonga i-endometriosis kukuyijonga ngqo. Oku kwenziwa yinkqubo encinci yotyando eyaziwa ngokuba yi-laparoscopy. Nje ukuba kufunyenwe isifo, izicubu zinokususwa kwinkqubo efanayo.

Iingxaki ze-Endometriosis

Ukuba nemicimbi ngokuzala yingxaki enkulu ye-endometriosis. Abasetyhini abaneefom ezinobunzima banokukwazi ukukhulelwa kwaye baphathe umntwana ukuya kwikota. Ngokwe-Mayo Clinic, malunga neepesenti ezingama-30 ukuya kuma-40 yabasetyhini abane-endometriosis abanengxaki yokukhulelwa.

Amayeza akakuphuculi ukuchuma. Abanye abantu basetyhini baye bakwazi ukukhulelwa emva kokuba kususwe izicubu ze-endometrial. Ukuba oku akusebenzi kwimeko yakho, unokufuna ukuqaphela unyango lwezityalo okanye ukuchumisa i-vitro ukunceda ukuphucula amathuba akho okufumana umntwana.

Unokufuna ukuqaphela ukuba nabantwana kungekudala kunokuba ufumene ukuba une-endometriosis kwaye ufuna abantwana. Iimpawu zakho zinokuba mandundu ngokuhamba kwexesha, ezinokwenza kube nzima ukukhulelwa ngokwakho. Uya kudinga ukuvavanywa ngugqirha wakho ngaphambi nangexesha lokukhulelwa. Thetha nogqirha wakho ukuqonda ukhetho lwakho.

Nokuba ukuzala akuyiyo inkxalabo, ukulawula iintlungu ezingapheliyo kunokuba nzima. Uxinzelelo, unxunguphalo, kunye neminye imiba yengqondo ayiqhelekanga. Thetha nogqirha wakho malunga neendlela zokujongana nale miphumo emibi. Ukujoyina iqela lenkxaso nako kunokunceda.

Imiba yomngcipheko

Ngokuka-Johns Hopkins Medicine, malunga neepesenti ezimbini ukuya kwezili-10 zabasetyhini abazalayo eUnited States abaphakathi kweminyaka engama-25 ukuya kwengama-40 abane-endometriosis. Ihlala ikhula iminyaka emva kokuqala komjikelo wokuya esikhathini. Le meko inokuba buhlungu kodwa ukuqonda izinto ezinobungozi kunokukunceda ubone ukuba ngaba uyachaphazeleka kule meko kwaye xa kufuneka uthethe nogqirha wakho.

Ubudala

Abasetyhini bayo yonke iminyaka basengozini ye-endometriosis. Ihlala ichaphazela abasetyhini abaphakathi kweminyaka engama-25 nengama-40, kodwa iimpawu zingaqala xa ufikisa.

Imbali yosapho

Thetha nogqirha wakho ukuba unelungu losapho eline-endometriosis. Unokuba nomngcipheko ophezulu wokuphuhlisa eso sifo.

Imbali yokukhulelwa

Ukukhulelwa kunokunciphisa okwethutyana iimpawu ze-endometriosis. Abasetyhini abangenabo abantwana baba semngciphekweni omkhulu wokukhula kwesi sifo. Nangona kunjalo, i-endometriosis isenokwenzeka nakwabasetyhini abanabantwana. Oku kuxhasa ukuqonda ukuba iihormoni zinempembelelo kuphuhliso nakwinkqubela phambili yale meko.

Imbali yokuya exesheni

Thetha nogqirha wakho ukuba unengxaki malunga nexesha lakho. Le micimbi inokubandakanya imijikelezo emifutshane, ixesha elinzima kunye nexesha elide, okanye ukuya exesheni okuqala usemncinci. Ezi zinto zinokukubeka emngciphekweni omkhulu.

I-Endometriosis prognosis (imbonakalo)

I-Endometriosis sisifo esinganyangekiyo. Asiyiqondi ukuba ibangelwa yintoni.

Kodwa oku akuthethi ukuba imeko kufuneka ichaphazele ubomi bakho bemihla ngemihla. Unyango olusebenzayo luyafumaneka ukulawula intlungu kunye nemiba yokuzala, enje ngamayeza, unyango lwehomoni kunye notyando. Iimpawu ze-endometriosis zihlala ziphucula emva kokuyeka ukuya exesheni.