So wowɔ ɛyaw a ɛkɔ so wɔ wo yafunu ase nso? Eyi betumi ayɛ Pelvic Congestion Syndrome (PCS)!

So woanya ɛyaw a ano yɛ nnam na ɛtwetwe wo yafunu ase asram pii pɛn? Ebia wubesusuw sɛ ɛyɛ ade a ɛfata, anaasɛ ɛyɛ brayɛ ara kwa. Nanso ɛtɔ mmere bi a ɛyɛ biribi a ɛsɛ sɛ wodwen ho kɛse. Ɛno ne tebea a yɛbɛka ho asɛm nnɛ, a wɔfrɛ no Pelvic Congestion Syndrome (PCS).

Dɛn ne Pelvic Congestion Syndrome (PCS) a ɛma obi ho yɛ hyew?

Sɛ yɛbɛka no tiawa a, Pelvic Congestion Syndrome (PCS) yɛ yaw a enni sabea a mogya a ɛkɔ ntini a ɛwɔ wo yafunu ase, anaa wo hwene mu no ho haw. "Chronic" kyerɛ ɛyaw a ɛtra hɔ bɛboro asram 6 na ɛne wo bra anaa nyinsɛn nni abusuabɔ tẽẽ.

Fa no sɛ, wɔ tebea yi mu no, ntini a ɛwɔ wo mmadwoa ne wo hwene mu no ntumi nyɛ adwuma yiye. Saa ntini yi yɛ kɛse ara kwa (ɛtrɛw), ɛtɔ mmere bi a ɛkyinkyim, na afei mogya hyɛ mu ma na ɛyɛ ma. Te sɛ kar akwan a ayɛ ma. Sɛ mogya no kɔhyɛ baabi biako, kyerɛ sɛ, sɛ ‘ɛboaboa ano’ a, wufi ase te ɛyaw nka.

Hena na tebea yi ka no kɛse?

Wɔtaa hu saa `PCS` tebea yi wɔ mmea a wɔadi fi mfe 20 kosi 45 a wɔawo mmofra bɛboro biako mu . Nea ɛka ho no, asiane afoforo bi wɔ hɔ a ebetumi aka no:

• Sɛ wowɔ ntini a ɛyɛ mmerɛw a.
• Sɛ obi wɔ w’abusua mu a ɔwɔ ntini a ɛyɛ mmerɛw a.
• Sɛ wowɔ Polycystic Ovarian Syndrome (PCOS) a.

Nanso, ɛnyɛ den koraa sɛ mmea a wɔakɔ brayɛ mu no benya Pelvic Congestion Syndrome.

Saa tebea yi abu so dɛn?

Mmea a wɔkɔ mmea ho animdefo nkyɛn no mu bɛyɛ 40% taa nwiinwii wɔ yafunu ase yaw a enni sabea ho. Wobu akontaa sɛ mmea yi mu bɛyɛ 30% wɔ pelvic congestion syndrome . Eyi kyerɛ sɛ ɛwom sɛ ɛnyɛ ade a ɛtaa ba de, nanso ebetumi ayɛ nea ɛde yafunu ase yaw a wontumi nkyerɛkyerɛ mu ba ma nnipa binom.

Dɛn ne Pelvic Congestion Syndrome ho sɛnkyerɛnne ahorow?

Ɛyaw a PCS de ba yafunu no ase no betumi ayɛ soronko. Wɔ nnipa binom fam no, ebetumi ayɛ ɛyaw a ɛyɛ mmerɛw, ɛyɛ yaw, anaasɛ ɛyɛ yaw a emu yɛ duru . Ɛntaa mma koraa sɛ ɛyaw no bɛyɛ nnam na emu yɛ den.

Mpɛn pii no, benkum so nkutoo na wɔte ɛyaw yi nka. Nanso wobetumi ate nka nso wɔ nifa anaa afã abien no nyinaa. Wɔ nnipa pii fam no, ɛyaw yi fi ase wɔ nyinsɛn mu anaa awo akyi. Saa ɛyaw yi betumi ayɛ kɛse wɔ nyinsɛn a edi hɔ no mu.

Ɛyaw a ɛbata PCS ho no betumi ayɛ kɛse wɔ mmere te sɛ eyinom mu:

• Bere a da no aba awiei no.
• Ɛyɛ ansa na wo nna no afi ase, wɔ saa nna kakraa no mu.
• Wɔ nna mu ne akyi (wɔsan frɛ saa tebea yi `dyspareunia`).
• Ɛba bere a wugyina hɔ anaa wotena ase kyɛ (nanso sɛ woda fam a, ɛso tew kakra).

Nsɛnkyerɛnne kakraa bi bio:

• Ntini a ɛyɛ mmerɛw no da adi wɔ wo srɛ, w’asen, w’asen, wo awotwaa mu, ne wo honam ani hwɛbea mu.
• Atiridiinini ne akisikuru (a wɔsan frɛ no irritable bowel syndrome) a ɛtaa sesa.
• Nsu a ɛyera a ɔmpɛ bere a ɔreserew, ɔfe, anaa ɔreyɛ nneɛma a ɛde nhyɛso ba akisikuru no so (wɔfrɛ eyi `adwennwen a wontumi nhyɛ mu`).
• Ɛyaw bere a woretow (wɔfrɛ eyi `dysuria`).

Dɛn na ɛde Pelvic Congestion Syndrome ba?

Nokwarem no, nhwehwɛmufo nnya nhuu nea ɛde Pelvic Congestion Syndrome ba ankasa. Nanso, ɛda adi pefee sɛ ɔhaw ahorow a ɛfa mogya a ɛkɔ wo mmadwoa ntini mu ne ntini a ɛwɔ wo akyi berɛmo mu no ho.

Eyi ne nea ɛtaa ba: Mogya fi ntini a ɛwɔ wo hwene mu no mu kɔ soro, kɔ wo koma mu, fa awotwaa ntini no mu. Nneɛma nketenkete a ɛte sɛ apon a wɔfrɛ no valve . Eyinom siw mogya no kwan sɛ ɛnsan nkɔ akyi. Wɔfrɛ saa mogya a ɛkɔ akyi yi `reflux`.

Nanso wɔ obi a ɔwɔ `PCS` mu no, saa ntini yi trɛw na valve ahorow no ntumi nyɛ adwuma yiye. Afei mogya no fi ase sen kɔ akyi. Mogya hyɛ ntini no ma na ɛyɛ kyinkyim. Ɛno ne bere a mogya no boaboa ano wɔ ntini a ɛwɔ akyi berɛmo no mu na ɛma ɛyaw ba. Saa ɛyaw yi betumi aba esiane sɛ wɔatrɛw ntini no mu ma mogya a ɛboro so no akɔ mu nti, anaasɛ esiane sɛ ntini a asɛe no repiapia ntini a ɛbɛn hɔ nti.

Nneɛma pii nti na ntini no nhyehyɛe sesa wɔ `PCS` mu:

• Nyinsɛn: Nsusuwii biako ne sɛ eyi ne nsakrae a ɛba mogya ntini mu bere a wɔyem no wɔ abusuabɔ. Bere a akokoaa nyin wɔ awotwaa mu no, mogya ntini no trɛw bɛyɛ 50% wɔ ne kɛse a ɛfata no mu na ama wɔadi mogya a ɛboro so a akokoaa no hia no ho dwuma. Saa nsakrae yi betumi asɛe mogya ntini no afasu bere tenten. Afei ntini no betumi akɔ so atrɛw bere a wɔawo akokoaa no mpo akyi.
• Estrogen: Esiane sɛ mmea a wɔagyae brayɛ no ntaa nnya pelvic congestion syndrome nti, wosusuw sɛ ebia estrogen di dwuma. Estrogen dodow so tew bere a wagyae brayɛ akyi. Estrogen ka mogya ntini no afasu, na ɛma wo ntini no yɛ mmerɛw kɛse sɛ ɛbɛyɛ mmerɛw a ɛde PCS ba no.

Wɔ ɔkwan kɛse so no, `PCS` yɛ nea efi nneɛma ahorow pii a ɛfa wɔn ho wɔn ho mu ba.

Ɔkwan bɛn so na wohu sɛ obi anya Pelvic Congestion Syndrome (PCS)?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo w’ayaresa ho abakɔsɛm ne wo yare no ho sɛnkyerɛnne. Afei wɔbɛyɛ nipadua mu nhwehwɛmu, a ebia nea ɛka ho ne akyi berɛmo mu nhwehwɛmu. Oduruyɛfo no bɛhwɛ wo mmadwoa, awotwaa, ne awotwaa mu de ahu baabi pɔtee a ɛyaw no fi.

Imaging tests can help rule out other conditions that may be causing persistent lower abdominal pain and look for any abnormalities in the nerves that may be involved in PCS. Saa sɔhwɛ ahorow yi bi ne:

• Ultrasound: Mpɛn pii no, ade a edi kan a wo duruyɛfo bɛkra ne ultrasound. Eyi betumi ahwɛ sɛ ntini no atrɛw anaa. Ebetumi aboa nso ma woahu sɛ ebia nneɛma foforo bi wɔ hɔ a ɛnteɛ a ebetumi de wo yaw no aba anaa. Doppler afã a ɛwɔ ultrasound no mu no nso betumi ahwɛ sɛ mogya rekɔ wo ntini mu anaa.
• MRI anaa CT scan: MRI (Magnetic Resonance Imaging) anaa CT (Computed Tomography) scan betumi akyerɛ ntini ahorow a ebia ultrasound hwere no ho nsɛm. Wobetumi ada ntini a twitwiw ne ntini a ɛtrɛw wɔ awotwaa ne akyi berɛmo mu adi pefee sen ultrasound. Wobetumi nso akyerɛ sɛ ebia nyini a ɛnteɛ bi wɔ akyi berɛmo no mu a ebetumi ama obi ate ɛyaw afoforo a ɛtra hɔ kyɛ te sɛ endometriosis anaa.
• Pelvic venography: This is considered the gold standard for diagnosing PCS. Nanso, ɛyɛ sɔhwɛ a emu yɛ den, enti wɔtaa yɛ bere a mfoninitwa sɔhwɛ afoforo nyɛ nea edi mũ no. Ɛtɔ mmere bi a, wo duruyɛfo betumi de sɔhwɛ yi adi dwuma ansa na wɔayɛ wo ntini mu oprehyɛn. Wɔ pelvic venography mu no, wo duruyɛfo de afiri ketewaa bi a wɔfrɛ no catheter hyɛ ntini bi a ɛwɔ wo kɔn anaa wo srɛ mu mu. Afei ɔde X-ray di dwuma de kyerɛ afiri no kwan kɔ wo nifa ne benkum fallopian tubes no so. Afei wɔde aduru bi a ahobammɔ wom gu ntini no mu. X-ray no kyerɛ ntini no pefee. Saa venography yi betumi akyerɛ baabi a ntini no wɔ, baabi a ɛtrɛw, ɛkyinkyim, sɛnea mogya no sen, ne baabi a mogya no aboaboa ano.
• Laparoscopy: Laparoscopy betumi ahwɛ sɛ ntini no ayɛ kɛse anaa. Nanso, ebia ɛremmoa te sɛ nhwehwɛmu afoforo wɔ mogya a ɛkɔ mu ho haw ahorow a ɛfa PCS ho a wobehu mu. Ebia wo duruyɛfo nso bɛyɛ laparoscopy de ayi tebea afoforo a ebetumi ama wo yafunu ase ayɛ wo yaw, a PCS ka ho, afi hɔ. Nea ɛka eyi ho ne sɛ wobɛtwitwa wo yafunu mu nketenkete pii na wode mfoninitwa afiri afa mu de ahwehwɛ w’awo akwaa ahorow mu.

Ade a ɛho hia:Ɛtɔ mmere bi a, ebetumi ayɛ den sɛ wobehu sɛ obi anya akyi berɛmo mu yaw, efisɛ nnipa pii a wonni akyi berɛmo mu yaw no wɔ ntini mu nsakrae te sɛ wɔn a wɔwɔ bi no. Mfoninitwa nhwehwɛmu ada no adi sɛ nnipa a wɔwɔ akyi berɛmo mu ɛyaw a enni sabea ne wɔn a wonni bi nyinaa betumi anya ntini mu nsakrae na wɔasan akɔ akyi.

Sɛ wo mfoninitwa nhwehwɛmu ahorow no kyerɛ sɛ wo ntini no atrɛw mpo a, ebia wunhia ayaresa gye sɛ wote ɛyaw bere tenten.

Wɔtaa hu Pelvic Congestion Syndrome bere a wɔabu nneɛma afoforo a ebetumi de yafunu ase yaw aba nyinaa akyi.

So wobetumi asa Pelvic Congestion Syndrome (PCS) no? So wobetumi asiw ano?

Aduru biara nni hɔ a wɔde sa Pelvic Congestion Syndrome, nanso nnuru ne ayaresa ahorow bi wɔ hɔ a ebetumi aboa ma woadi wo sɛnkyerɛnne ahorow ho dwuma na woate ɛyaw so.

Afei nso, ɔkwan biara nni hɔ a wɔbɛfa so asiw saa `Pelvic Congestion Syndrome` yi ano.

Dɛn ne ayaresa ahorow a wɔde sa Pelvic Congestion Syndrome?

Ebia wobɛkɔ nnuruyɛfo ahorow nkyɛn akɔhwɛ wɔn yare. Sɛ nhwɛso no, mmea ho ɔyaresafo, yafunu mu yare (GI) ho ɔbenfo, ɛyaw ho ɔbenfo, ne nipadua mu ayaresa ho ɔbenfo. Ebia wo duruyɛfo anaa nnuruyɛfo kuw no bɛkamfo nnuru a wode bedi wo yare no ho sɛnkyerɛnne ahorow so akyerɛ ansa na wɔakamfo oprehyɛn akyerɛ wo.

Nnuru a wɔde di dwuma

Nnuru a ɛtew hormone estrogen a ɛba no so no betumi aboa ma ɛyaw a ɛbata Pelvic Congestion Syndrome ho no so atew. Eyinom bi ne:

• ``Medroxyprogesterone a wɔde yɛ aduru (Depo-Provera®)''.
• ``Etonogestrel a wɔde hyɛ nipadua mu (Implanon®)''.
• `Nnuru a wɔde siw GnRH ano` (sɛ nhwɛso no, Goserelin) .

Aduruyɛ mu Nneɛma a Wɔyɛ

Sɛ nnuru ntumi nnyae wo yare no ho sɛnkyerɛnne a, ebia wo duruyɛfo bɛkamfo ayaresa yi mu biako akyerɛ:

• Ovarian vein embolization anaa sclerotherapy: Nea ɛka saa adeyɛ yi ho ne sɛ wobesiw ntini a ɛrema mogya no akɔ akyi na ɛma mogya no boaboa ano no. Nea edi kan no, oduruyɛfo no de afiri bi hyɛ awotwaa ntini ne akyi berɛmo ntini a ɔhaw wom no mu. Afei, wɔde nnuru fa catheter no mu gu mu ma ɛhyɛ ntini no abufuw anaasɛ ɛyɛ hyew na ɛma ɛyɛ ketewaa. Wɔde dade nhama nketewa, gluu soronko, anaa ahuru nso hyɛ saa ntini yi mu na ama mogya no antumi ankɔ akyi (reflux).
• Laparoscopy: Oduruyɛfo no betumi ayɛ laparoscopic oprehyɛn bi de akyekyere ntini no na ama mogya no antumi ankɔ akyi.
• Salpingo-oophorectomy a wɔde twa afã abien:Sɛ woawo awie, anaasɛ wompɛ sɛ wowo mma a, ebia wo duruyɛfo besi gyinae sɛ obeyi wo hwene akwaa (awotwaa, awotwaa mu ntini, ne awotwaa) afi hɔ. Nanso, wɔntaa nyɛ oprehyɛn yi mma PCS.

So Pelvic Congestion Syndrome (PCS) de nkwa to asiane mu? Dɛn na wubetumi ahwɛ kwan?

Pelvic Congestion Syndrome nyɛ tebea a ɛde ne nkwa to asiane mu . Nanso, egyina sɛnea wo yaw no mu yɛ den so no, ebetumi ayɛ den araa ma asiw wo da biara da asetra kwan na asiw wo kwan sɛ wobɛyɛ nneɛma a w’ani gye ho no. Enti sɛ wo yafunu ase yaw no reka w’asetra pa a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn.

Ɛwom sɛ wonni ayaresa biara a ɛfata a wɔde sa pelvic congestion syndrome de, nanso nea efi nneɛma a wɔde wɔn ho gye mu de tew ɛyaw so mu ba no ye yiye . Sɛ nhwɛso no, nnipa a wɔyɛ ovarian vein embolization no mu 75% nya ɛyaw ano aduru. Wɔ tebea horow a ɛtete saa mu no, yare no san ba wɔ nsɛm no mu ɔha biara mu nkyem kakraa bi pɛ mu, bɛyɛ 5%.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɛbɛyɛ papa sɛ wubebisa nsɛm yi:

• Nnuruyɛfo atitiriw baahe na ebehia sɛ mekɔ wɔn nkyɛn na ama wɔahu yare no anaa wɔasa me yare?
• Nnuru bɛn na wokamfo kyerɛ na ama yare no ho sɛnkyerɛnne so atew?
• Bere bɛn na wɔbɛkamfo aduruyɛ bi a ɛbɛboa ma me yare no ho sɛnkyerɛnne atu mpɔn?
• Ayaresa bɛn na wokamfo kyerɛ?
• Asiane bɛn na ebetumi aba wɔ saa aduruyɛ mu?

Ebia ebegye bere kakra ansa na woahu nea ɛde wo yafunu ase yaw no ba ankasa. Nokwarem no, tebea horow pii wɔ hɔ a ebetumi ama awotwaa no ayɛ yaw. Sɛ wobɛhunu wo `PCS` tebea no a, ebia ɛbɛhia sɛ woyɛ nhwehwɛmu ahodoɔ pii, na ebia ɛho bɛhia sɛ wo ne animdefoɔ dodoɔ bi yɛ adwuma. Asɛmpa no ne sɛ, mpɛn pii no, wotumi de nnuru siw yare no ho sɛnkyerɛnne ano. Sɛ nnuru ntumi nyɛ adwuma mpo a, wo duruyɛfo betumi akamfo ayaresa a ebetumi aboa wo akyerɛ wo. Enti, ntwentwɛn wo nan ase sɛ wobɛhwehwɛ ayaresa na woanya ahotɔ.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Enti, `Pelvic Congestion Syndrome` nyɛ aniberesɛm anaasɛ ɛde nkwa to asiane mu sɛnea ebia wubesusuw no. Nanso, ɛyaw a ɛkyɛ a ɛde ba no betumi ayɛ akwanside kɛse ama wo da biara da asetra ne w’anigye.

• Sɛ wote ɛyaw a ɛyɛ nwonwa, wo mu duru, anaasɛ woretwe wo yafunu ase asram pii a, nea ɛho hia sen biara ne sɛ wobɛhwehwɛ aduruyɛ mu afotu a wummu w’ani ngu so kɛkɛ.
• Ebia ebegye bere kakra ansa na wɔahu nea ɛde ba, na ebia ɛho behia sɛ wɔyɛ nhwehwɛmu mpɛn pii. Nanso sɛ wunya yare no yiye a, wubetumi anya ahotɔ denam ayaresa so.
• Kae sɛ ɛnyɛ wo nko ara. Mmea pii di apere wɔ tebea horow yi ho. Sɛ wonya aduruyɛ mu akwankyerɛ ne mmoa a ɛfata a, wubetumi adi tebea yi ho dwuma na woatra ase yiye.

Enti, tie wo nipadua. Sɛ wote nka sɛ biribi soronko anaa ɛyɛ soronko a, yɛ aso tie. Ɛno ansa na yebetumi anya apɔwmuden na yɛn ani agye.

` Pelvic Congestion Syndrome, yafunu ase yaw, varicose veins, pelvic yaw, mmea akwahosan, mmea ho yare, mogya a ɛkɔ nipadua no mu, PCS