Yu kin gɛt pen bak we nɔ de dɔn na yu bɛlɛ we de dɔŋ? Dis kin bi Pɛlvik Kɔnjɛshɔn Sindrom (PCS)!

Yu dɔn ɛva gɛt shap, pul pen na yu bɛlɛ fɔ sɔm mɔnt? Yu kin tink se na nɔmal tin, ɔ na jɔs we yu de gɛt mɔnt. Bɔt sɔntɛnde, na sɔntin we yu nid fɔ bisin bɔt mɔ. Na da kayn sik de wae wi go tɔk bɔt tide, wae dɛn kɔl Pelvic Congestion Syndrome (PCS).

Wetin na di Pɛlvik Kɔnjɛshɔn Sindrom (PCS)?

Fɔ tɔk am simpul wan, Pɛlvik Kɔnjɛshɔn Sindrɔm (PCS) na wan sik we de mek yu fil pen ɔltɛm we yu gɛt prɔblɛm wit blɔd we de flɔ na di vein dɛn na yu bɛlɛ we de dɔŋ, ɔ yu bɛlɛ. "Krכnik" min pen we de las fכ pas 6 mכnt εn we nכ de rilayt dairekt to yu pεriכd כ bεlε.

imajin, insay dis situeshכn, di vein dεm na yu ovaries εn pelvis nכ de wok fayn. dis vein dεm jכs de big (dilate), sכmtεm dεn kin twist, dεn kin fulכp wit bכdi εn kin kכnεkt. Lɛk trafik jam. We di blɔd stɔp na wan ples, dat na we i ‘pul’, yu kin bigin fɔ fil pen.

Udat dis tin kin afɛkt mɔ?

dis `PCS` kכndyushכn dεn kin si am bכku pan uman dεm we ol bitwin 20 εn 45 ia we dεn bכn pas wan pikin . Apat frɔm dat, sɔm ɔda tin dɛn de we kin mek i gɛt prɔblɛm:

• If yu gɛt varicose veins.
• If ɛnibɔdi na yu famili gɛt varicose veins.
• If yu gɛt di sik we dɛn kɔl Polycystic Ovarian Syndrome (PCOS).

Bɔt uman dɛn we dɔn go tru mɛnɔpos nɔ kin rili gɛt di sik we dɛn kɔl Pelvic Congestion Syndrome.

Aw dis sik kin kɔmɔn?

Na lɛk 40% pan di uman dɛn we kin go to dɔktɔ dɛn we de mɛn uman dɛn kin kɔmplen bɔt pen na dɛn bɛlɛ we nɔ de dɔn. Dɛn se lɛk 30% pan dɛn uman ya gɛt pelvik kɔnjɛshɔn sindrom . Dis min se pan ɔl we i nɔ kin apin ɔltɛm, i kin bi wan tin we kin mek sɔm pipul dɛn gɛt pen na dɛn bɛlɛ we dɛn nɔ kin ɛksplen.

Wetin na di sayn dɛm fɔ Pɛlvik Kɔnjɛshɔn Sindrom?

di pen na di lכw bכdi we PCS kin mek kin difrεn. Fɔ sɔm pipul dɛn, e kin bi pen wae nɔr de fil fayn, wae dɛn kin fil pen, ɔr kin gɛt ebi ebi pen . I nɔ kin izi fɔ mek di pen shap ɛn tranga.

Bɔrku tɛm, na di lɛft say nɔmɔ dɛn kin fil dis pen. Bɔt yu kin fil am bak na di rayt say ɔ na ɔl tu di say dɛn. Fɔ bɔku pipul dɛn, dis pen kin bigin we dɛn gɛt bɛlɛ ɔ afta dɛn bɔn pikin. Dis pen kin wɔs wit bɛlɛ we de kam afta dat.

De pen wae gɛt fɔ du wit PCS kin wɔs pan tɛm lɛk dis:

• We di de dɔn.
• Na jɔs bifo yu prɛgnɛshɔn bigin, insay dɛn smɔl de dɛn de.
• di tεm we dεn de du mami ɛn dadi biznɛs εn afta dεn de du mami ɛn dadi biznɛs (dεn kin kכl dis kכndyushכn bak `dyspareunia`).
• I kin apin we yu tinap ɔ sidɔm fɔ lɔng tɛm (bɔt i kin go dɔŋ smɔl we yu ledɔm).

Sɔm ɔda sayn dɛn:

• di vεrikos vein dεm de sho na yu bכdi, bכtכk, tכŋ, vulva, εn vagina.
• Bɔku tɛm we yu kin gɛt dayarɛa ɛn kɔnstipɛshɔn (dɛn kin kɔl am bak irritable bowel syndrome).
• di urine we yu nɔ want we yu de laf, kɔf, ɔ du tin dɛn we de put prɛshɔn pan di blad (dɛn kɔl dis `stress incontinence`).
• Pen we yu de pis (dεn kכl dis `dysuria`).

Wetin kin mek pɔsin gɛt di sik we dɛn kɔl Pelvic Congestion Syndrome?

Infakt, di wan dɛn we de stɔdi bɔt dis stil nɔ dɔn no di rayt tin we kin mek pɔsin gɛt di sik we dɛn kɔl Pelvic Congestion Syndrome. כltu, i klia se prכblεm dεm wit bכdi fכ fכlכ na yu ovarian vein dεm εn di vein dεm na yu bכdi de involv.

dis na wetin kin apin: di bכdi de fכlכ כp frכm di vein dεm na yu bכdi, tכwεd yu at, tru di ovarian vein dεm. Insay dɛn vein dɛn ya, smɔl smɔl tin dɛn de we tan lɛk domɔt we dɛn kɔl valv . Dɛn tin ya kin mek di blɔd nɔ flɔ bak. dis bakכd fכ fכlכ bכdi dεn kכl am `rεfluks`.

bכt pan pכsin we gεt `PCS`, dεn vein dεm ya de dilayt εn di valv dεm nכ de wok fayn. Dɔn di blɔd kin bigin fɔ rɔn bak. Di vein dɛn kin ful-ɔp wit blɔd ɛn dɛn kin twist. na da tεm de di bכdi kin pul na di bכdi we de na di bכdi εn i kin mek yu fil pen. dis pen kin apin biכs di vein dεm dεn strεch fכ tek di εkstra bכdi, כ biכs di vein dεm we dεn fכm de prεs pan di nεv dεm we de nia.

difrεn rizin dεm de we mek di strכkchכ fכ di vein dεm de chenj na `PCS`:

• Bεlε: Wan tiori na se dis kin gεt di chenj dεm na di bכdi we di bεlε de chenj. as di pikin de gro na di bכdi, di bכdi vεsul dεm de big bay lεk 50% pan dεn nכmal saiz fכ hεnd di εkstra bכdi we di pikin nid. Dɛn chenj ya kin mek di blɔd vesel dɛn wɔl pwɛl fɔ lɔng tɛm. afta dat di vein dεm kin stil dilayt ivin afta dεn bכn di pikin.
• εstrojen: Bikɔs uman dɛn we dɔn pas 40 ia nɔ kin gɛt di sik we dɛn kɔl pelvik kɔnjɛshɔn sindrom, dɛn kin tink se ɛstrojen kin ple wan pat. di εstrojen lεvεl dεm de dכn afta di mεnopos. εstrojen de afekt di wכl dεm na di bכdi vεsul dεm, we de mek yu veins dεm fכ wik we de mek yu gεt PCS.

to big pat, `PCS` na di rizulyt fכ sεvεra difrεn tin dεm we de rilet to dɛnsɛf.

Aw dɛn kin no se pɔsin gɛt di sik we dɛn kɔl Pelvic Congestion Syndrome (PCS)?

We yu go to dɔktɔ, i go aks yu fɔs bɔt yu mɛdikal istri ɛn di sayn dɛm we yu gɛt. Dɔn dɛn go du ɛgzam fɔ dɛn bɔdi, we kin inklud ɛgzam fɔ dɛn bɛlɛ. Di dɔktɔ go chɛk yu ovaria, sɛviks, ɛn uterus fɔ no ustɛm di pen de kɔmɔt.

Imej tɛst kin ɛp fɔ pul ɔda kɔndishɔn dɛn we kin de mek yu gɛt pen na yu bɛlɛ we nɔ de dɔn ɛn luk fɔ ɛni abnɔmal tin na di nɛv dɛn we kin involv pan PCS. Dɛn tɛst ya na:

• Ɔltrasɔund: Bɔku tɛm di fɔs tin we yu dɔktɔ go ɔda na fɔ du ɔltrasɔund. dis kin chεk fכ di vein dilayshכn. I kin ɛp bak fɔ no if ɛni ɔda tin de we nɔ fayn we go de mek yu fil pen. Di Doppler feature of di ultrasound kin chɛk bak fɔ blɔd flɔ na yu veins.
• MRI ɔ CT skan: MRI (Magnetic Resonance Imaging) ɔ CT (Computed Tomography) skan kin sho di ditel dɛn bɔt di vein dɛn we ɔltra saund kin mis. dεn kin sho twist vein dεm εn vein dilayshכn na di ovaria dεm εn di pεlvik kεviti klia wan pas כltra saund. dεn kin sho bak if εni abnכmal growth de na di pεlvik kεviti we kin mek כda pen fכ lכng tεm, lεk εndometriosis.
• Pɛlvik venografi: Dɛn kin tek dis as di gold standad fɔ no if pɔsin gɛt PCS. Bɔt na kɔmplikɛt tɛst, so dɛn kin du am we ɔda tɛst dɛn we dɛn kin du fɔ tek pikchɔ nɔ kin no klia wan. Sɔntɛnde, yu dɔktɔ kin yuz dis tɛst bifo dɛn du yu ɔpreshɔn pan yu veins. Insay pelvik venografi, yu dɔktɔ kin put wan smɔl tiub we dɛn kɔl kateta insay wan vein na yu nɛk ɔ yu groin. Dɔn i kin yuz ɛkstrem rayt fɔ gayd di tiub to yu rayt ɛn lɛft fallopian tyub. Dɔn dɛn kin injɛkt wan day we sef insay di vein. Di X-ray de sho di vein dɛn klia wan. Dis venografi kin sho usay di vein dɛn de, usay dɛn wayd, twis, aw di blɔd de flɔ, ɛn usay di blɔd dɔn gɛda.
• Laparoscopy: Laparoscopy kin chɛk fɔ si if di vein dɛn dɔn big. Bɔt i nɔ go ɛp lɛk ɔda tɛst dɛn fɔ no di prɔblɛm dɛn we gɛt fɔ du wit di blɔd flɔ we gɛt fɔ du wit PCS. Yu dɔktɔ kin du laparoskopi bak fɔ pul ɔda tin dɛn we kin mek yu gɛt pen na yu bɛlɛ we de dɔŋ, lɛk PCS. Dis involv fɔ mek sɔm smɔl smɔl say dɛn na yu bɛlɛ ɛn put kamɛra tru dɛn fɔ chɛk di ɔgan dɛn na yu riprodaktiv sistɛm.

Impɔtant tin:Sɔntɛnde, fɔ no bɔt di pelvik kɔnjɛshɔn sindrom kin tranga, bikɔs bɔku pipul dɛn we nɔ gɛt pen na dɛn bɛlɛ kin gɛt di sem vaskul chenj dɛn lɛk di wan dɛn we gɛt am. stכdi dεm we dεn du pan imej dεn sho se pipul dεm we gεt εn we nכ gεt krεse pεlvik pen kin gεt vaskulכr chenj εn rεfluks.

Ivin if yu imej tɛst sho se yu vein dɛn dɔn dilayt, yu nɔ go nid tritmɛnt pas yu gɛt pen fɔ lɔng tɛm.

Dɛn kin no se pɔsin gɛt di sik we dɛn kɔl Pelvic Congestion Syndrome afta dɛn dɔn pul ɔl ɔda tin dɛn we kin mek pɔsin fil pen na di bɛlɛ we de dɔŋ.

Yu tink se dɛn kin mɛn di sik we dɛn kɔl Pelvic Congestion Syndrome (PCS)? Yu tink se dɛn go ebul fɔ stɔp am?

Nɔr mɛrɛsin nɔr de fɔ Pelvic Congestion Syndrome, bɔt mɛrɛsin ɛn tritmɛnt dɛn de wae kin ɛp fɔ kɔntrol yu sik ɛn ridyus pen.

Dɔn bak, no we nɔ de fɔ mek dɛn nɔ gɛt dis `Pelvic Congestion Syndrome`.

Wetin na di tritmɛnt fɔ Pɛlvik Kɔnjɛshɔn Sindrom?

Yu kin go to difrɛn dɔktɔ dɛn fɔ gɛt tritmɛnt. Fɔ ɛgzampul, dɔktɔ we de mɛn uman dɛn, dɔktɔ we de mɛn pipul dɛn we gɛt bɛlɛ (GI), dɔktɔ we sabi bɔt pen, ɛn dɔktɔ we de mɛn pipul dɛn we gɛt bɔdi. Yu dɔktɔ ɔ di mɛdikal tim kin tɛl yu fɔ tek mɛrɛsin fɔ kɔntrol yu sik bifo dɛn tɛl yu fɔ du ɔpreshɔn.

Di mɛrɛsin dɛn we dɛn kin yuz

Mεdikeshכn dεm we de ridyus di prodakshכn fכ di כmon εstrojen kin εp fכ ridyus di pen we de asai wit Pεlvik Kכnjεshכn Sεndrכm. Dɛn tin ya na:

• ``Mεdroksiprojεstεrכn asetεt (Depo-Provera®)''
• ``Etonogestrel implant (Implanon®)''.
• `GnRH agonist dεm` (e.g. Goserelin) .

Di we aw fɔ mɛn pipul dɛn

If mɛrɛsin nɔr de pul yu sik, yu dɔktɔ kin tɛl yu fɔ gi yu wan pan dɛn tritmɛnt ya:

• Ovarian vein embolization ɔ sclerotherapy: Dis we aw dɛn kin du am kin mek dɛn blok di vein dɛn we de mek di blɔd bak ɛn mek di blɔd gɛda. Fɔs, di dɔktɔ kin put kateta insay di ovarian vein ɛn di pelvik vein we gɛt prɔblɛm. Dɔn, dɛn kin injɛkt kemikal dɛn tru di kateshɔn fɔ mek di vein dɛn vɛks ɔ inflam ɛn mek dɛn smɔl. Dɛn kin put smɔl smɔl mɛtal kɔyl dɛn, spɛshal glu dɛn, ɔ fom dɛn bak insay dɛn vein dɛn ya fɔ mek di blɔd nɔ flɔ bak (riflɔks).
• Laparoscopy: Di dɔktɔ kin du laparoscopic prosidur fɔ tay di veins fɔ stɔp di blɔd fɔ flɔ bak.
• Baylatarɛl salpingo-oofɔrɛktɔmi: .If yu dɔn bɔn pikin, ɔ if yu nɔ want fɔ bɔn pikin, yu dɔktɔ kin disayd fɔ pul yu bɔdi ɔgan dɛn (uterus, fallopian tubes, ɛn ovaries). Bɔt dɛn nɔ kin du dis ɔpreshɔn fɔ PCS.

Yu tink se di sik we dɛn kɔl Pelvic Congestion Syndrome (PCS) kin mek pɔsin in layf de pan denja? Wetin yu go ɛkspɛkt?

Pelvic Congestion Syndrome nɔto wan sik we de mek pɔsin in layf de pan denja . Bɔt i kin dipen pan aw yu de fil bad, i kin so bad dat i kin ambɔg yu ɛvride layf ɛn mek yu nɔ ebul fɔ du di tin dɛn we yu lɛk. So if di pen we yu de fil na yu bɛlɛ we de dɔŋ de afɛkt yu kwaliti fɔ liv, i impɔtant fɔ go to dɔktɔ.

Pan ɔl we no standad tritmɛnt nɔ de fɔ di pelvik kɔnjɛshɔn sindrom, di tin dɛn we kin kɔmɔt frɔm di tin dɛn we dɛn kin du fɔ ridyus di pen kin rili fayn . fכ egzampl, 75% pan di pipul dεm we de du ovarian vein embolizεshכn kin gεt pen rilif. Na dɛn kayn kayn tin ya, di sik kin kam bak na smɔl pasɛnt nɔmɔ, lɛk 5%.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu go si dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:

• Ɔmɔs spɛshal pipul dɛn a go nid fɔ si fɔ gɛt diagnosis ɔ tritmɛnt?
• Us mɛrɛsin yu kin advays fɔ ridyus di sik?
• Ustɛm dɛn go tɛl mi fɔ du mɛrɛsin fɔ ɛp mi fɔ mek a gɛt bɛtɛ sik?
• Us kayn mɛrɛsin yu kin advays?
• Wetin na di prɔblɛm dɛn we kin apin we pɔsin du da mɛrɛsin de?

I kin tek sɔm tɛm fɔ no di rayt tin we mek yu bɛlɛ de fil pen. Infakt, bɔku tin dɛn de we kin mek pɔsin fil pen na in bɛlɛ. Fɔ no yu `PCS` kɔndishɔn kin nid fɔ du sɔm tɛst dɛm, ɛn yu kin nid fɔ woke wit sɔm spɛshal pipul dɛm. De gud nyus na dat, bɔrku tɛm, dɛn kin kɔntrol de sik wit mɛrɛsin. Ilɛksɛf di mɛrɛsin nɔ wok, yu dɔktɔ kin tɛl yu bɔt mɛrɛsin we go ɛp yu. So, nɔ de delay fɔ go fɛn tritmɛnt ɛn fɛn rilif.

Faynal Mɛsej fɔ Tek-Hom

So, `Pelvic Congestion Syndrome` nɔr siriɔs ɔr de put yu layf pan denja lɛk aw yu kin tink. Bɔt di pen we i de mek yu fil fɔ lɔng tɛm kin bi big tin we de ambɔg yu ɛvride layf ɛn yu gladi at.

• If yu dɔn de fil strenj pen, ebi, ɔ pul na yu bɛlɛ fɔ sɔm mɔnt, di tin we impɔtant pas ɔl na fɔ go to dɔktɔ ɛn nɔ jɔs ignore am.
• I kin tek sɔm tɛm fɔ no di rizin, ɛn dɛn kin nid fɔ du bɔku tɛst dɛn. Bɔt if yu gɛt di rayt diagnosis, yu kin gɛt rilif wit tritmɛnt.
• Mɛmba se nɔto yu wangren de. Bɔku uman dɛn kin sɔfa wit dɛn tin ya. If yu gɛt di rayt mɛdikal gayd ɛn sɔpɔt, yu kin ebul fɔ mɛn dis sik ɛn liv fayn fayn wan.

So, lisin to yu bɔdi. If yu fil ɛnitin we difrɛn ɔ we nɔ kɔmɔn, pe atɛnshɔn to am. Na da tɛm de nɔmɔ wi go gɛt wɛlbɔdi ɛn gladi at.

` Pεlvik Kכnjεshכn Sεndrכm, lכw bכdi pen, vεrikos vein, pεlvik pen, uman dεm hεlth, gaynikכlכji, blכd sirkulεshכn, PCS