Yintoni iRectovaginal Endometriosis?

Umxholo

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

Ngaba iqhelekile?

I-Endometriosis yimeko apho izicwili zihlala zilungelelanisa isibeleko sakho- esibizwa ngokuba yinyama ye-endometrium- sikhula kwaye siqokelelene kwezinye iindawo zesisu sakho kunye nesinqe.

Ngexesha lokuya kwakho esikhathini, eli phepha linokuphendula kwiihormoni njengoko lisenza kwisibeleko sakho. Nangona kunjalo, kuba ingaphandle kwesibeleko sakho apho ingeyiyo, inokuchaphazela amanye amalungu, ibangele ukudumba, kwaye ibangele amanxeba.

Kukho amanqanaba obukhali kwi-endometriosis:

• Endometriosis engaphezulu. Iindawo ezincinci zibandakanyeka, kwaye izicubu azikhuli ngokunzulu kumalungu akho e-pelvic.
• Ukungena ngaphakathi kwi-endometriosis. Eli linqanaba elinzima lemeko. I-Rectovaginal endometriosis iwela phantsi kweli nqanaba.

I-Rectovaginal endometriosis yenye yeendlela zesifo. Izicubu ze-endometrium zinokwanda ziye kwii-intshi ezimbini okanye nangaphezulu kubunzulu. Inokungena nzulu kwilungu lobufazi, i-rectum, kunye nethishu elele phakathi kwelungu lobufazi kunye ne-rectum, ebizwa ngokuba yi-rectovaginal septum.

I-Rectovaginal endometriosis ayixhaphakanga kangako kune-endometriosis kwii-ovari okanye kumda wesisu. Ngokokuphononongwa kwiJenali yaMazwe ngaMazwe yezeMpilo yaBasetyhini, i-rectovaginal endometriosis ichaphazela ukuya kuthi ga kwabasetyhini abane-endometriosis.

Ziintoni iimpawu?

Ezinye iimpawu ze-endometriosis ye-rectovaginal ziyafana nezinye iintlobo ze-endometriosis.

Iimpawu zezinye iintlobo ze-endometriosis zibandakanya:

• iintlungu zangasese kunye neekram
• amaxesha abuhlungu
• isini esibuhlungu
• iintlungu ngexesha lokuhamba kwamathumbu

Iimpawu ezizodwa kule meko zibandakanya:

• ukungakhululeki ngexesha lokuhamba kwamathumbu
• ukopha kwi-rectum
• ukuqhina okanye urhudo
• iintlungu ezinxibe ezinokuziva ngathi "uhleli emeva"
• irhasi

Ezi mpawu zihlala zisiba mandundu ngexesha lokuya esikhathini.

Yintoni ebangela i-rectovaginal endometriosis?

Oogqirha abazi ngqo ukuba yintoni ebangela i-rectovaginal okanye ezinye iindlela ze-endometriosis. Kodwa baneembono ezimbalwa.

Eyona ithiyori ixhaphakileyo ye-endometriosis inxulumene nokubuyela umva kwegazi lokuya exesheni. Oku kwaziwa njengokuya exesheni kwakhona. Ngexesha lokuya exesheni, igazi kunye nezicubu zinokuhamba zibuye umva ngeetyhubhu zokungena kwaye ziye kwi-pelvis, kunye nasemzimbeni. Le nkqubo inokufaka izicubu ze-endometrium kwezinye iindawo zesisu kunye nesisu.

Nangona kunjalo, uphando lwakutsha nje lufumanise ukuba ngelixa ukuya kuthi ga kwabafazi banokuba namava okubuyela exesheni kwakhona, uninzi aluqhubeki nokuphuhlisa i-endometriosis. Endaweni yoko, abaphandi bakholelwa ukuba amajoni omzimba anendima ebalulekileyo kule nkqubo.

Abanye abaxhasi abanokubakho ekuphuhliseni le meko kubandakanya:

• Utshintsho kwiseli. Iiseli ezichaphazeleka yi-endometriosis ziphendula ngokwahlukileyo kwiihomoni kunye nolunye uphawu lweekhemikhali.
• Ukudumba. Izinto ezithile ezinendima yokudumba zifumaneka kumanqanaba aphezulu kwizicwili ezichaphazeleka kwi-endometriosis.
• Ugqirha. Ukuhanjiswa kwe-cearean, i-hysterectomy, okanye olunye utyando lwe-pelvic kunokuba ngumngcipheko wokuqhubeka kweziqendu ze-endometriosis. Isifundo sika-2016 kwiiNzululwazi zokuZala sicebisa ukuba olu tyando lunokubangela ukuba umzimba ukhuthaze ukukhula kweethishu esele zisebenza.
• Imfuza. I-Endometriosis inokusebenza kwiintsapho. Ukuba unomama okanye udade onale meko, kukho ekuphuculayo, endaweni yomntu ongenayo imbali yosapho yesi sifo.

Abasetyhini kunokwenzeka kakhulu ukuba baphuhlise i-rectovaginal endometriosis.

Kufunyaniswa njani oku?

I-Rectovaginal endometriosis kunokuba nzima ukuyichonga. Kukho indlela yokuchonga le fomu yesi sifo.

Ugqirha wakho uya kuqala abuze imibuzo malunga neempawu zakho, kubandakanya:

• Uqale nini ukuya exesheni? Ngaba kwakubuhlungu?
• Ngaba unayo iimpawu ezinjengeentlungu zesisu, okanye iintlungu ngexesha lokwabelana ngesondo okanye ukuhamba kwamathumbu?
• Zeziphi iimpawu onazo xa usexesheni?
• Uneempawu ezingakanani? Ngaba batshintshile? Ukuba kunjalo, batshintshe njani?
• Ngaba ukhe wenza utyando kwindawo yakho ye-pelvic, njengokuhanjiswa kwe-cearean?

Emva koko, ugqirha wakho uya kuvavanya ubufazi bakho kunye ne-rectum ngomnwe ogcotyiweyo ukujonga nayiphi na intlungu, amaqhuma, okanye izicwili ezingaqhelekanga.

Ugqirha wakho unokusebenzisa enye okanye nangaphezulu kwezi mvavanyo zilandelayo ukukhangela izicubu ze-endometrium ngaphandle kwesibeleko:

• I-Ultrasound. Olu vavanyo lusebenzisa amaza esandi esihamba ngesantya esiphezulu ukwenza imifanekiso engaphakathi komzimba wakho. Isixhobo esibizwa ngokuba yi-transducer sinokufakwa ngaphakathi kwilungu lakho lobufazi (i-transvaginal ultrasound) okanye i-rectum.
• IMRI. Olu vavanyo lusebenzisa iimagnethi ezinamandla kunye namaza erediyo ukwenza imifanekiso yangaphakathi esiswini sakho. Ingabonisa indawo ye-endometriosis kwizitho zakho nakwimigca esiswini.
• I-CT colonography (i-colonoscopy ebonakalayo). Olu vavanyo lusebenzisa i-X-reyi yedosi esezantsi ukuthatha imifanekiso yelineni yangaphakathi yekolon kunye nerectum yakho.
• Ilaparoscopy. Olu tyando luhlala lukhona. Ngelixa uleleyo kwaye ungenazintlungu phantsi kweanesthesia ngokubanzi, ugqirha wakho wenza izicucu ezimbalwa esiswini sakho. Baya kubeka ityhubhu encinci kunye nekhamera kwelinye icala, elibizwa ngokuba yi-laparoscope, kwisisu sakho ukujonga izicubu ze-endometrium. Isampulu yethishu ihlala isuswa kuvavanyo.

Emva kokuba ugqirha wakho achonge izicubu ze-endometrium, baya kuvavanya ubungqongqo bayo. I-Endometriosis yahlulwe yangamanqanaba ngokusekwe kwinani lezicubu ze-endometrium onazo ngaphandle kwesibeleko sakho kunye nokuba nzulu kangakanani:

• Inqanaba 1. Ubuncinci. Kukho iindawo ezizimeleyo zethishu ye-endometrium.
• Inqanaba 2. Ubumnene. Amalaphu ubukhulu becala aphezu komphezulu wamalungu ngaphandle kokuqhekeka
• Inqanaba 3. Iphakathi. Amalungu amaninzi ayabandakanyeka, kunye nemimandla ethile enezikrelemnqa.
• Inqanaba 4. Kakhulu. Kukho amalungu amaninzi achaphazelekayo kwiindawo ezininzi ze-endometrium kunye nokuqhekeka.

Nangona kunjalo, inqanaba le-endometriosis alinanto yakwenza neempawu. Kunokubakho iimpawu ezibonakalayo nokuba kunamanqanaba asezantsi esifo. I-Rectovaginal endometriosis ihlala ihleli.

Zeziphi iindlela zonyango ezikhoyo onokukhetha kuzo?

Ngenxa yokuba le meko iyaqhubeka kwaye ingapheliyo, injongo yonyango kukulawula iimpawu zakho. Ugqirha wakho uya kukunceda ukhethe unyango ngokubhekisele kwindlela enzima ngayo imeko kunye nalapho ikhoyo. Oku kuhlala kubandakanya indibaniselwano yotyando kunye namayeza.

Ugqirha

Utyando lokususa izicwili ezininzi kangangoko kunokwenzeka lubonelela ngesiqabu esikhulu. Uphando lubonisa ukuba inokuphucula ukuya kwiimpawu ezinxulumene nentlungu.

Utyando lwe-Endometriosis lunokwenziwa kwi-laparoscopically okanye nge-robotic ngokusebenzisa izinto ezincinci kusetyenziswa izixhobo ezincinci.

Iindlela zokuhlinzwa zinokubandakanya:

• Ukutsheva. Ugqirha wakho uza kusebenzisa isixhobo esibukhali ukususa indawo ye-endometriosis. Le nkqubo inokuhlala ishiya izicubu ze-endometrium ngasemva.
• Ukubanjwa kwakhona. Ugqirha wakho uya kususa indawo yamathumbu apho i-endometriosis ikhule khona, emva koko uphinde uqhagamshele emathunjini.
• Ukufumana ukukhutshwa. Kwiindawo ezincinci ze-endometriosis, ugqirha wakho wotyando unokusika idiski yethishu echaphazelekayo emathunjini kwaye uvale ukuvula.

Amayeza

Okwangoku, zimbini iintlobo eziphambili zamayeza asetyenziselwa ukunyanga i-rectovaginal kunye nezinye iintlobo ze-endometriosis: iihomoni kunye nokuphelisa iintlungu.

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

Iindidi zeziyobisi zehomoni zibandakanya:

• ulawulo lokuzalwa, kubandakanya iipilisi, isiziba, okanye iringi
• i-gonadotropin-ekhulula i-hormone (GnRH) ye-agonists
• i-danazol, engasasetyenziswa kakhulu namhlanje
• Inaliti yeprogestin (Depo-Provera)

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

Ngaba iingxaki zinokwenzeka?

Utyando lokunyanga i-endova ye-endometriosis ye-rectovaginal inokubangela iingxaki ezinje nge:

• ukopha ngaphakathi esiswini
• i-fistula, okanye unxibelelwano olungaqhelekanga, phakathi kwelungu lobufazi kunye ne-rectum okanye amanye amalungu
• ukuqhina okungapheliyo
• Ukuvuza ujikeleze amathumbu aqhagamshelwe kwakhona
• ingxaki yokudlula izitulo
• ulawulo lweempawu olungaphelelanga olufuna utyando olungakumbi

Abasetyhini abanolu hlobo lwe-endometriosis banokuba nengxaki enkulu yokukhulelwa. Inqanaba lokukhulelwa kwabasetyhini abane-rectovaginal endometriosis lingaphantsi kunenqanaba labasetyhini abaneendlela ezingaphantsi kwesi sifo. Ugqirha kunye nokuchumisa kwi-vitro kunokunyusa amathuba okukhulelwa.

Ungalindela ntoni?

Imbonakalo yakho ixhomekeke ekubeni inzima kangakanani i-endometriosis kunye nendlela ephathwa ngayo. Ukwenza utyando kunokuthomalalisa iintlungu kunye nokuphucula ukuzala.

Ngenxa yokuba i-endometriosis yimeko ebuhlungu, inokuba nefuthe elikhulu kubomi bakho bemihla ngemihla. Ukufumana inkxaso kwindawo yakho, ndwendwela i-Endometriosis Foundation yaseMelika okanye uMbutho we-Endometriosis.