Ukuqonda ukhetho lwakho loNcedo lwePain nge-Endometriosis

Umxholo

• Amayeza okuphucula iintlungu
• Unyango lweHormone
• Ulawulo lokuzalwa lweHormonal
• I-Gonadotropin-ekhulula i-hormone (Gn-RH) i-agonists kunye nabachasi
• Unyango lweprogestin
• Ugqirha
• Olunye unyango kunye nolongezelelweyo
• Ukuthatha

Ushwankathelo

Uphawu oluphambili lwe-endometriosis yintlungu engapheliyo. Intlungu ihlala yomelele ngakumbi ngexesha lokuhamba kunye nasexesheni.

Iimpawu zinokubandakanya ukucofa okunzima, iintlungu ngexesha lokwabelana ngesondo, ukuqina kwemisipha yomzimba, kunye nokungahambi kakuhle ngokuhamba kwamathumbu kunye nokuchama, phakathi kwabanye. Ezi mpawu zinokuphazamisa ubomi bemihla ngemihla, nazo.

Akukho lonyango lwe-endometriosis, kodwa unyango lunokunceda. Ukusebenza kweendlela ezahlukeneyo zonyango kuyahluka ukusuka komnye umntu ukuya komnye. Injongo kukumisa okanye ukuphucula intlungu yesimo. Funda ukuze ufunde ngakumbi malunga neendlela ezithile zonyango ezinokunceda.

Amayeza okuphucula iintlungu

Omabini amayeza kunye neyeza zokuthomalalisa iintlungu zinokuba lukhetho lwe-endometriosis. Ngokumodareyitha ukuya kwi-endometriosis ebukhali, uninzi lwabasetyhini lufumanisa ukuba ukuphelisa iintlungu ngaphezulu kwekhawuntara akunamandla ngokwaneleyo okujongana nentlungu. Ungathetha nogqirha wakho malunga nokhetho olufanelekileyo kuwe, ngokusekwe kwiimpawu zakho.

Amayeza aqhelekileyo eentlungu kwi-endometriosis zii-nonsteroidal anti-inflammatory drug (NSAIDs). I-NSAIDS engaphezulu kwekhawuntali ibandakanya ibuprofen, aspirin, kunye neaproxen. Ii-NSAID zemithi ziyafumaneka, ngokunjalo.

Ii-NSAID zisebenza kwintlungu ye-endometriosis ngokuthintela ukukhula kwe-prostaglandins, uhlobo lwekhompiyutha yezinto eziphilayo eziveliswa emzimbeni wakho. Iiprostaglandins zibangela iintlungu, ukudumba, kunye nokudumba kwabasetyhini abaninzi abanamava e-endometriosis ngamaxesha abo.

Ukubamba? Ukuze ii-NSAID zisebenze kakhulu, kufuneka zithathwe ngaphambi kokuba umzimba uqale ukuvelisa ezi zinto zibangela iintlungu.

Ukuba uthatha ii-NSAIDs kwi-endometriosis, zama ukuqala ukuzithatha ubuncinci iiyure ezingama-24 ukuya kuma-48 ngaphambi kokuba uqalise ukuvuthisa naphambi kosuku lokuqala lwexesha lakho. Oku kuyakunika iyeza ixesha lokuthintela ukukhula kweeprostaglandin emzimbeni wakho. Ukuba ixesha lakho alingaqhelekanga okanye lingaqikelelwa, ugqirha wakho unokucebisa ukuba uthathe amayeza entlungu kwiveki yonke ekhokelela kwixesha lakho.

Amayeza afanayo awasebenzi kuye wonke umntu. Ugqirha wakho unokuncoma ukuba uzame ii-NSAID ezahlukeneyo-okanye indibaniselwano yee-NSAID kunye nolunye unyango-ukufumana isiqabu. Ezinye ii-NSAID akufanele zidibaniswe nezinye iziyobisi. Qiniseka ukuba uthethe nogqirha wakho ngaphambi kokuba uqalise naliphi na iyeza elitsha.

Unyango lweHormone

Unyango lweHormone lunyanga iintlungu ze-endometriosis ngokulawula ii-spikes zehomoni ngexesha lokuya esikhathini. Inokunciphisa okanye iyeke ukuya exesheni ngokupheleleyo. Ngokuqhelekileyo akunakukhetha ukuba uzama ukukhulelwa.

Iihomoni ezikhutshwa ngumzimba wakho malunga ne-ovulation kunye nexesha lakho zihlala zibangela ukuba iimpawu ze-endometriosis zibe mandundu. Oku kunokukhokelela ekunqobeni kwi-pelvis okanye wenze ukutshatyalaliswa okhoyo okhoyo. Injongo yonyango lwehomoni kukuthintela intsholongwane entsha okanye eyongezelelweyo ngokugcina inqanaba lamahomoni akho.

Iindidi zonyango lwehomoni kwi-endometriosis zibandakanya:

Ulawulo lokuzalwa lweHormonal

Ukudityaniswa kolawulo lokuzalwa kweepilisi zisetyenziselwe ukunyanga i-endometriosis ukusukela kwiminyaka yoo-1950. Zithathwa njengeyona nto iphambili kunyango. Ezinye iindlela zolawulo lokuzalwa, njengehomoni yehomoni, iiringi zangasese, okanye iipatches, zihlala zimiselwe, nazo.

Ukuba ukhetha ukuthintela inzala ngomlomo, ugqirha unokucebisa ukuba uthathe ipilisi ngokuqhubekayo. Oku kuthetha ukuba uyakuphepha ukuba nexesha ngokupheleleyo, kunye nentlungu ehamba nayo. Kukhuselekile ukutsiba ixesha lakho kwiinyanga ezininzi (okanye iminyaka).

I-Gonadotropin-ekhulula i-hormone (Gn-RH) i-agonists kunye nabachasi

I-Gn-RH ibeka umzimba ekunqandeni kwexesha lokufakelwa. Iyanciphisa amanqanaba e-estrogen kwaye iyeke i-ovulation kunye nokuya esikhathini. Oku kunokunceda ekunciphiseni i-endometrium scarring.

Nangona zisebenza kakuhle, i-Gn-RH agonists kunye nabachasi banokuba neziphumo ebezingalindelekanga ze-menopausal, njengokulahleka kweethambo, ukoma kwilungu lobufazi, kunye nokukhanya okutshisayo, phakathi kwabanye. La mayeza afumaneka ngenaliti, ukutshiza ngeempumlo, kunye nepilisi yemihla ngemihla.

Unyango lweprogestin

Kukholelwa ukuba iiprogesini zinciphisa iimpawu ze-endometriosis ngokunciphisa isikrelemnqa se-endometriosis. Ugqirha wakho ugqirha unokucebisa iprogestin IUD, inaliti, okanye ipilisi ukulawula ngcono iimpawu zakho.

Unyango lwehormonal lunokusebenza ngokugqibeleleyo ekunciphiseni iimpawu ze-endometriosis kunye nentlungu. Kodwa kubalulekile ukuba ukhumbule ukuba iimpawu zakho zinokubuya xa uyeka unyango lwakho lwehomoni nangaliphi na ixesha.

Ugqirha

Utyando lwe-endometriosis lunyanga imeko ngokususa izilonda ze-endometrium eziyimbangela yentlungu. Kukho iintlobo ezininzi zotyando ezinokusetyenziswa. I-Endometriosis Foundation yaseMelika ithatha umbono wokuba utyando lwe-laparoscopic excision ngumgangatho wegolide kunyango lwe-endometriosis.

Utyando olwenziwa ngoomatshini ekuthiwa yiLaparoscopic Oku kuthetha ukuba injongo kukugcina izicubu ezisempilweni, ngelixa kususwa izilonda ze-endometrium.

Ukuphononongwa ngo-2016 kwiphephancwadi lezeMpilo yabasetyhini kuphawula ukuba utyando lunokusebenza ukunciphisa iintlungu ze-endometriosis. Isifundo se-2018 kwi-BMJ sixele ukuba utyando lwe-laparoscopic excision lunyango olusebenzayo lwanyanga iintlungu ze-pelvic kunye neempawu ezinxulumene namathumbu. Olu tyando lukwaphucule umgangatho wobomi babafazi abaphila ne-endometriosis. Uphononongo lweBMJ lubandakanye ngaphezulu kwama-4,000 abathathi-nxaxheba kumaziko ohlukeneyo ezonyango.

Olunye utyando olungenayo lwaluxhaphake kakhulu ngaphambili. I-Hysterectomy kunye ne-oophorectomy, esusa isibeleko kunye namaqanda, esetyenziselwa ukuthathwa njengezona ndlela zonyango zilungileyo ze-endometriosis. Ngokubanzi, oku akusaphakanyiswa kuninzi lwabantu. Nokuba isibeleko kunye namaqanda kususwe, kunokwenzeka ukuba izilonda ze-endometrium zivele kwamanye amalungu.

Gcina ukhumbula ukuba ukwenza utyando akusosiqinisekiso sonyango lwexesha elide. Izilonda ze-Endometrium, kunye neentlungu ezibangelwa zizo, zinokuphinda zibuye emva kwenkqubo.

Olunye unyango kunye nolongezelelweyo

Ukufumana unyango olufanelekileyo lweentlungu ze-endometriosis kunokuba luvavanyo kunye nephutha. Unokuzama ezinye iindlela zonyango kunye nonyango lwe-homeopathic ngokudibeneyo nonyango lwakho. Soloko uthetha nogqirha wakho ngaphambi kokuzama unyango olutsha lwalo naluphi na uhlobo.

Ezinye iindlela zonyango lwe-endometriosis zibandakanya:

• Unyango. Uphando ngokusetyenziswa kwe-acupuncture kunyango lwe-endometriosis lilinganiselwe. I-2017 yezifundo esele zikho zibonisa ukuba i-acupuncture inokunceda ekupheliseni iintlungu ze-endometriosis.
• Oomatshini bokuhambisa amandla ombane weTranscutaneous (TENS). Izixhobo ze-TENS zikhupha umbane okwinqanaba eliphantsi lombane elinciphisa iintlungu kwaye liphumle izihlunu. Olunye uphononongo oluncinci lufumanise ukuba oomatshini be-TENS babesebenza kakhulu ekunciphiseni iintlungu, nokuba sele zizilawula.
• Ubushushu. Iiphedi zokufudumeza kunye neebhafu ezifudumeleyo zinokuphumla izihlunu eziqinileyo kunye nokunciphisa iintlungu ezinxulumene ne-endometriosis.
• Uxinzelelo loxinzelelo. Uxinzelelo lunxulunyaniswa nokudumba okungapheliyo kwaye kunokuba nefuthe kumanqanaba akho ehomoni. Iindlela zokulawula uxinzelelo, ezinje ngokucamngca, iyoga, imibala, kunye nokuzilolonga, kunokugcina uxinzelelo lwakho lukhangele.

Ukuthatha

I-Endometriosis inokuba yimeko ebuhlungu. Ukuzama iindlela ezahlukeneyo zokunyanga iintlungu, kunye nokufumana eyona nto isebenzayo kuwe, kubalulekile ekulawuleni iimpawu zakho. Thetha nogqirha wakho malunga nezinto onokukhetha kuzo, kunye nolunye unyango abalucebisayo.