Ðe vevesese atraɖii le wò ƒodo ƒe akpa si le anyime hã? Esia ate ŋu anye Pelvic Congestion Syndrome (PCS)!

Ðe vevesese sesẽ aɖe si hea wò le wò ƒodo ƒe akpa si le ete ɣleti geɖea? Ðewohĩ àsusu be esɔ, alo be dzinukpɔkpɔ koe wònye. Gake ɣeaɖewoɣi la, enyea nusi ŋu wòle be nàtsi dzi ɖo wu. Emae nye nɔnɔme si ŋu míaƒo nu tsoe egbea, si woyɔna be Pelvic Congestion Syndrome (PCS).

Nukae nye Akɔta ƒe Ʋuʋu ƒe Dɔléle (PCS)?

Kpuie ko la, Pelvic Congestion Syndrome (PCS) nye vevesese si nɔa anyi didi si tsoa ʋu ƒe sisi le ʋuka siwo le wò ƒodo ƒe akpa si le anyime, alo akɔta ƒe kuxi aɖe gbɔ. "Esi nɔa anyi didi" fia vevesese si nɔa anyi wu ɣleti 6 eye medo ƒome kple wò dzinukpɔkpɔ alo fufɔfɔ tẽ o.

Bu eŋu kpɔ be le nɔnɔme sia me la, ʋuka siwo le wò azigolowo kple akɔta me mewɔa dɔ nyuie o. Ðeko ʋuka siawo lolona (kekena), ɣeaɖewoɣi la, wotrona, eye emegbe ʋu yɔa wo me fũ hetsia. Abe ʋuwo ƒe ʋuʋu ene. Ne ʋua tsi teƒe ɖeka, si fia be ne ‘eƒo ƒu’ la, èdzea vevesese gɔme.

Ameka dzie nɔnɔme sia gblẽa nu le wu?

Zi geɖe la, wokpɔa `PCS` nɔnɔme sia zi geɖe le nyɔnu siwo xɔ tso ƒe 20 va ɖo ƒe 45 siwo dzi vi siwo wu ɖeka me . Tsɔ kpe ɖe eŋu la, afɔku bubu aɖewo li siwo ate ŋu akpɔ ŋusẽ ɖe edzi:

• Ne ʋuka siwo me ʋu sina tona le ŋuwò.
• Ne ʋuka siwo me ʋu sina tona le wò ƒomea me.
• Ne Polycystic Ovarian Syndrome (PCOS) le ŋuwò.

Gake anɔ eme be nyɔnu siwo to dzinukpɔkpɔ me la mexɔ Pelvic Congestion Syndrome kura o.

Aleke gbegbee nɔnɔme sia bɔe?

Zi geɖe la, nyɔnu siwo yia nyɔnuwo ƒe dɔléleŋutinunyalawo gbɔ la dometɔ siwo ade 40% toa nyatoƒoe le ƒodo ƒe vevesese si nɔa anyi didi ŋu. Wobu akɔnta be nyɔnu siawo dometɔ siwo ade 30% ŋue akɔta ƒe ʋuʋu ƒe dɔléle le . Esia fia be togbɔ be menye nusi bɔ o hã la, ate ŋu anye nusi gbɔ ƒodo ƒe vevesese si womenya o tsona na ame aɖewo.

Nukae nye Pelvic Congestion Syndrome ƒe dzesiwo?

Vevesese si le ƒodo ƒe akpa si le ete si PCS hena vɛ ate ŋu ato vovo. Le ame aɖewo gome la, ate ŋu anye vevesese si nu mesẽ o, vevesese, alo vevesese sesẽ . Ƒã ŋutɔ be vevesesea nasẽ eye wòasẽ.

Zi geɖe la, miame koe wosea veve sia le. Gake woate ŋu asee le ɖusime alo akpa eveawo hã. Le ame geɖe gome la, vevesese sia dzea egɔme le fufɔɣi alo le vidzidzi megbe. Vevesese sia ate ŋu agblẽ ɖe edzi ne wofɔ fu emegbe.

Vevesese si do ƒome kple PCS ate ŋu agblẽ ɖe edzi le ɣeyiɣi siawo tɔgbe me:

• Ne ŋkekea wu enu.
• Do ŋgɔ teti na wò dzinukpɔkpɔ nadze egɔme, le ŋkeke ʋɛ mawo me.
• Le gbɔdɔdɔ me kple emegbe (wogayɔa nɔnɔme sia be `dyspareunia`).
• Edzɔna ne ètsi tre alo nɔ anyi ɣeyiɣi didi aɖe (gake edzi ɖena kpɔtɔna vie ne èmlɔ anyi).

Dzesi ʋɛ bubuwo:

• Varicose veins dzena le wò akɔta, akɔta, ata, vidzidɔ, kple vidzidɔ me.
• Aɖuɖɔtoe kple dɔgbo ƒe ʋuʋu (si wogayɔna be dɔgbo ƒe dɔléle si doa dziku na ame) ƒe dzɔdzɔ siwo nɔa wo nɔewo yome enuenu.
• Aɖuɖɔtoe ƒe bu le eɖokui si ne wole nu kom, le kɔdzi, alo le nusiwo naa tsinyegoe ƒe nyaƒoɖeamenu wɔm (woyɔa esia be `stress incontinence`).
• Vevesese ne wole aɖuɖɔ tom (woyɔa esia be `dysuria`).

Nukae hea Pelvic Congestion Syndrome vɛ?

Le nyateƒe me la, numekulawo mekpɔ nya nusi tututu gbɔ Pelvic Congestion Syndrome tsona haɖe o. Gake eme kɔ ƒã be ʋu ƒe sisi le wò azigolo ƒe ʋukawo kple ʋuka siwo le wò akɔta ƒe kuxiwoe le eme.

Esiae dzɔna zi geɖe: Ʋu sina yia dzi tso ʋuka siwo le wò akɔta, yia wò dzi gbɔ, to azigolo ƒe ʋukawo me. Nu suesuesue siwo le abe ʋɔtru ene siwo woyɔna be ʋuƒo . Esiawo xea mɔ na ʋua ƒe sisi yi megbe. Woyɔa ʋu ƒe sisi yi megbe sia be `reflux`.

Gake le amesi ŋu `PCS` le gome la, ʋuka siawo kekena eye ʋukawo mewɔa dɔ nyuie o. Emegbe ʋua dzea sisi yi megbe. Ʋu yɔa ʋukaawo me fũ eye wotrɔna. Ɣemaɣie ʋua ƒoa ƒu ɖe akɔta ƒe ʋukawo me eye wònaa vevesese. Vevesese sia ate ŋu ado mo ɖa le esi wokeke ʋukaawo be woaxɔ ʋu si sɔ gbɔ ɖe eme ta, alo esi ʋuka siwo gblẽ la le lãmeka siwo te ɖe wo ŋu la tem ta.

Susu geɖewo li siwo tae ʋukawo ƒe wɔwɔme trɔna le `PCS` me ɖo:

• Fufɔfɔ: Nufiafia ɖekae nye be esia do ƒome kple tɔtrɔ siwo vaa ʋukawo me le fufɔɣi. Ne vidzĩ le tsitsim le vidzidɔa me la, ʋukawo lolona abe 50% ene le woƒe lolome si sɔ nu be woakpɔ ʋu bubu si vidzĩa hiã la gbɔ. Tɔtrɔ siawo ate ŋu agblẽ nu le ʋukawo ƒe gliwo ŋu ɣeyiɣi didi. Emegbe ʋukaawo ate ŋu anɔ kekem le vidzĩa dzidzi vɔ megbe gɔ̃ hã.
• Estrogen: Esi wònye be nyɔnu siwo tsi megbe la mexɔa akɔta ƒe ʋuʋu ƒe dɔléle boo o ta la, wosusui be estrogen ate ŋu awɔ akpa aɖe. Estrogen ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna le dzinukpɔkpɔ megbe. Estrogen gblẽa nu le ʋukawo ƒe gliwo ŋu, si wɔnɛ be wò ʋukawo te ŋu gbɔdzɔna bɔbɔe si hea PCS vɛ.

Le go geɖe me la, `PCS` nye nu vovovo geɖe siwo do ƒome kple wo nɔewo ƒe emetsonu.

Aleke wokpɔa Pelvic Congestion Syndrome (PCS) ƒe dɔlélea?

Ne èyi ɖɔkta gbɔ la, abia wò gbã tso wò atikewɔwɔ ŋutinya kple eƒe dzesiwo ŋu. Emegbe woawɔ ŋutilãmedɔ, si ate ŋu alɔ akɔta dodokpɔ hã ɖe eme. Ðɔktaa ado wò azigolo, vidzidɔ, kple vidzidɔ kpɔ be yeanya afisi tututu vevesesea tso.

Nɔnɔmetatawo dodokpɔ ate ŋu akpe ɖe ame ŋu woagbe nɔnɔme bubu siwo ate ŋu anɔ ƒodo ƒe akpa si le ete ƒe vevesese atraɖii hem vɛ eye woadi lãmeka siwo ate ŋu akpɔ gome le PCS me la ƒe masɔmasɔ ɖesiaɖe. Dodokpɔ siawo dometɔ aɖewoe nye:

• Ultrasound: Zi geɖe la, nu gbãtɔ si wò ɖɔkta abiae nye ultrasound. Esia ate ŋu akpɔe ɖa be ʋukawo keke hã. Ate ŋu akpe ɖe ŋuwò hã be nànya ne nu bubu aɖewo li siwo mesɔ o siwo ate ŋu anɔ wò vevesese hem vɛ. Doppler ƒe akpa si le ultrasound me hã ate ŋu akpɔe ɖa be ʋu le sisim le wò ʋukawo me hã.
• MRI alo CT scan: MRI (Magnetic Resonance Imaging) alo CT (Computed Tomography) scan ate ŋu aɖe ʋuka siwo me ultrasound ate ŋu ato la ŋuti nyatakakawo afia. Woate ŋu aɖe ʋuka siwo tro kple ʋuka siwo keke le azigolowo kple akɔta ƒe do me afia nyuie wu ultrasound. Woate ŋu aɖee afia hã nenye be tsitsi aɖe si mesɔ o le akɔta ƒe do me si ate ŋu ahe vevesese bubu siwo nɔa anyi didi abe vidzidɔ me dɔléle ene vɛ.
• Pelvic venography: Wobua esia be enye sikadzidzenu si wotsɔ dea dzesi PCS. Gake dodokpɔ sesẽ aɖee wònye, eyata zi geɖe la, wowɔa esia ne nɔnɔmetatawo ɖeɖe ƒe dodokpɔ bubuwo meƒo nya ta o. Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu azã dodokpɔ sia hafi awɔ dɔ na wò ʋukawo. Le pelvic venography me la, wò ɖɔkta dea mɔ̃ sue aɖe si woyɔna be catheter ʋuka aɖe si le wò kɔ alo akɔta me. Emegbe ezãa X-ray tsɔ fiaa mɔ mɔ̃a yia wò ɖusime kple miame vidzidɔ me. Emegbe wodoa amadede si le dedie ɖe ʋukaa me. X-ray la ɖea ʋukaawo fiana nyuie. Venography sia ate ŋu afia afisi ʋukaawo le, afisi wokeke le, afisi wotro, alesi ʋua le sisim le, kple afisi ʋua ƒo ƒu ɖo.
• Laparoscopy: Laparoscopy ate ŋu akpɔe ɖa be ʋukawo lolo hã. Gake ɖewohĩ makpe ɖe ame ŋu abe dodokpɔ bubuwo ene le ʋu ƒe sisi ƒe kuxi siwo do ƒome kple PCS la didi me o. Wò ɖɔkta ate ŋu awɔ dɔ na wò hã be wòaɖe nɔnɔme bubu siwo ate ŋu anɔ wò ƒodo ƒe akpa si le ete, siwo dome PCS hã le, hem vɛ la ɖa. Esia bia be nàtso nu suesuesue geɖe le wò ƒodo me eye nàde fotoɖemɔ̃ to wo me atsɔ alé ŋku ɖe wò vidzidzi ƒe ŋutinuwo ŋu.

Nu vevi aɖe:Pelvic congestion syndrome didi ate ŋu asesẽ ɣeaɖewoɣi, elabena ame geɖe siwo ƒe akɔta mesea veve o la ƒe ʋukawo ƒe tɔtrɔwo sɔ kple esiwo ŋu wòle. Numekuku siwo wowɔ le nɔnɔmetatawo ŋu ɖee fia be amesiwo ŋu akɔtave atraɖii le kple esiwo mele wo ŋu o siaa ate ŋu atrɔ ʋukawo eye woƒe ʋukawo nagbugbɔ.

Ne wò nɔnɔmetatawo dodokpɔwo ɖee fia be wò ʋukawo keke hã la, ɖewohĩ mahiã be woawɔ atike na wò o negbe ɖe nèle veve sem ɣeyiɣi didi hafi.

Zi geɖe la, wokpɔa Pelvic Congestion Syndrome ne wogbe nu bubu siwo katã ate ŋu ahe ƒodo ƒe vevesese vɛ vɔ.

Ðe woate ŋu ada Pelvic Congestion Syndrome (PCS)a? Ðe woate ŋu axe mɔ ɖe enua?

Atike aɖeke meli na Pelvic Congestion Syndrome o, gake atikewo kple atikewo li siwo ate ŋu akpe ɖe ŋuwò nàɖu wò dzesiwo dzi eye nàɖe vevesese dzi akpɔtɔ.

Azɔ hã, mɔ aɖeke meli si dzi woato axe mɔ ɖe `Pelvic Congestion Syndrome` sia nu o.

Nukae nye atike siwo wozãna na Pelvic Congestion Syndrome?

Àte ŋu ayi ɖɔkta vovovowo gbɔ be woawɔ atike na wò. Le kpɔɖeŋu me, nyɔnuwo ƒe dɔléleŋutinunyala, dɔgboŋutinunya (GI) ŋuti nunyala, veveseseŋutinunyala, kple ŋutilãmedɔdala. Wò ɖɔkta alo atikewɔlawo ƒe ƒuƒoƒo ate ŋu aɖo aɖaŋu na wò be nàzã atikewo atsɔ aɖu wò dzesiwo dzi hafi nàkafui be nàwɔ dɔ na wò.

Atikewo

Atike siwo ɖea lãmetsi si nye estrogen ƒe wɔwɔ dzi kpɔtɔna ate ŋu akpe ɖe ame ŋu be woaɖe vevesese si do ƒome kple Pelvic Congestion Syndrome dzi akpɔtɔ. Esiawo dometɔ aɖewoe nye:

• ``Medroxyprogesterone acetate (Depo-Provera®) ƒe atike si wotsɔna ƒoa ƒui''.
• ``Etonogestrel ƒe atike si wotsɔ dea lãme na ame (Implanon®)''.
• `GnRH ƒe dɔlékuiwutikewo` (e.g. Goserelin) .

Atikewɔwɔ Ŋuti Ðoɖowo

Ne atikewo meɖe wò dzesiwo dzi kpɔtɔ o la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike siawo dometɔ ɖeka:

• Ovarian vein embolization alo sclerotherapy: Dɔwɔwɔ sia bia be woaxe ʋuka siwo le ʋua hem ɖe megbe eye wòana ʋu naƒo ƒu. Gbã la, ɖɔktaa dea ka aɖe azigolo ƒe ʋuka kple akɔta ƒe ʋuka siwo me kuxia le la me. Emegbe wodoa atikewo to ʋukaa me be wòado dziku alo abi ɖe ʋukaawo me eye wòana woatsi. Wodea gavi suewo, aŋɔ tɔxɛwo, alo futukpɔwo hã ʋuka siawo me be ʋua nagasi ayi megbe (reflux).
• Laparoscopy: Ðɔkta ate ŋu awɔ laparoscopic dɔ aɖe atsɔ abla ʋukaawo be ʋua nagasi ayi megbe o.
• Salpingo-oophorectomy ƒe akpa eve:Ne èdzi vi vɔ, alo ne mèdi be yeadzi vi o la, wò ɖɔkta ate ŋu atso nya me be yeaɖe wò akɔta ƒe ŋutinuwo (vidzidɔ, vidzidɔ, kple azigolowo) ɖa. Gake ƒã hafi wowɔa dɔ sia na PCS.

Ðe Pelvic Congestion Syndrome (PCS) ate ŋu ade ame ƒe agbe afɔku mea? Nukae nàte ŋu akpɔ mɔ na?

Menye dɔléle si ate ŋu ade ame ƒe agbe afɔku me nye Pelvic Congestion Syndrome o . Gake le alesi wò vevesesea nu sẽe nu la, ate ŋu asẽ ale gbegbe be wòado kplamatse wò gbesiagbegbenɔnɔ eye wòaxe mɔ na wò be màte ŋu awɔ nu siwo doa dzidzɔ na wò o. Eyata ne wò ƒodo ƒe vevesese le ŋusẽ kpɔm ɖe wò agbenɔnɔ dzi la, ele vevie be nàyi ɖɔkta gbɔ.

Togbɔ be atike si wozãna ɖaa aɖeke meli na akɔta ƒe ʋuʋu ƒe dɔlélea o hã la, nusiwo dona tso nusiwo wowɔ be woatsɔ aɖe vevesese dzi akpɔtɔ me nyo ŋutɔ . Le kpɔɖeŋu me, ame siwo wowɔa ovarian vein embolization na la dometɔ 75% kpɔa vevesese dzi ɖeɖe kpɔtɔ. Le nɔnɔme siawo tɔgbe me la, dɔlélea gadzena le dɔlélea ƒe alafa memamã sue aɖe ko me, si ade 5%.

Nya kawoe wòle be mabia ɖɔktaa?

Ne èyi ɖɔkta gbɔ la, anyo be nàbia nya siawo:

• Eŋutinunyala bibi nenie wòahiã be makpɔ hafi woakpɔ dɔlélea alo awɔ atike nɛ?
• Atike kawoe nèkafu be woatsɔ aɖe dzesiawo dzi akpɔtɔ?
• Ɣekaɣie woakafu atikewɔwɔ aɖe si akpe ɖe ŋunye be nye dzesiwo nanyo ɖe edzi?
• Atikewɔwɔ ka ƒomevie nèkafu?
• Afɔku kawoe ate ŋu ado tso atikewɔwɔ ma me?

Ðewohĩ axɔ ɣeyiɣi aɖe hafi nànya nusi tututu gbɔ wò ƒodo ƒe vevesese tso. Le nyateƒe me la, nɔnɔme geɖe li siwo ate ŋu ana akɔta nase veve. Wò `PCS` nɔnɔmea didi ate ŋu abia dodokpɔ geɖe, eye ahiã be nàwɔ dɔ kple eŋutinunyala bibi geɖewo. Nya nyuiae nye be zi geɖe la, woate ŋu atsɔ atikewo aɖu dzesiawo dzi. Ne atikewo mewɔ dɔ o hã la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atikewɔmɔnu siwo ate ŋu akpe ɖe ŋuwò. Eyata, mègahe ɖe megbe le atikewɔwɔ didi kple gbɔdzɔe didi me o.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Eyata, `Pelvic Congestion Syndrome` menye nu sesẽ alo agbe afɔku abe alesi nàsusui ene o. Ke hã, vevesese si wòhena vɛ ɣeyiɣi didi ate ŋu anye mɔxenu gã aɖe na wò gbesiagbegbenɔnɔ kple wò dzidzɔkpɔkpɔ.

• Ne èle veve sem nukutɔe, èle kpekpem, alo nèle hehem ɖe wò ƒodo ƒe akpa si le anyime ɣleti geɖe la, nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo evɔ màŋe aɖaba aƒu edzi ko o.
• Ate ŋu axɔ ɣeyiɣi aɖe hafi woake ɖe nusi gbɔ wòtso ŋu, eye ahiã be woawɔ dodokpɔ geɖe. Gake ne wokpɔ dɔlélea nyuie la, àte ŋu akpɔ gbɔdzɔe to atikewɔwɔ me.
• Ðo ŋku edzi be menye wò ɖeka koe o. Nyɔnu geɖe wɔa avu kple nɔnɔme siawo. Ne atikewɔlawo ƒe mɔfiame kple kpekpeɖeŋu nyui le asiwò la, àte ŋu akpɔ nɔnɔme sia gbɔ ahanɔ agbe nyuie.

Eyata, ɖo to wò ŋutilã. Ne èse le ɖokuiwò me be nane to vovo alo esi mebɔ o la, ke lé to ɖe eŋu. Ema ko hafi míate ŋu anɔ lãmesẽ me ahakpɔ dzidzɔ.

` Pelvic Congestion Syndrome, ƒodo ƒe vevesese, ʋuka siwo me ʋu sina tona, akɔta ƒe vevesese, nyɔnuwo ƒe lãmesẽ, nyɔnuwo ƒe dɔléle, ʋu ƒe sisi, PCS