Olina n’obulumi obutasalako mu lubuto lwo olwa wansi? Kino kiyinza okuba nga kye kizibu ky’okuzimba omubiri (Pelvic Congestion Syndrome - PCS)!

Wali ofunye obulumi obw’amaanyi era obusika mu lubuto lwo olwa wansi okumala emyezi? Oyinza okulowooza nti kya bulijjo, oba nti kibeera kya nsonga yokka. Naye oluusi kiba kintu ky’olina okwongera okufaayo. Eyo y’ekika ky’embeera gye tugenda okwogerako leero, eyitibwa Pelvic Congestion Syndrome (PCS).

Obulwadde bw’okuzimba ekisambi (PCS) kye ki?

Mu ngeri ennyangu, Pelvic Congestion Syndrome (PCS) mbeera ya bulumi obutawona obuva ku buzibu bw’omusaayi okutambula mu misuwa mu lubuto lwo olwa wansi, oba mu kisambi. "Chronic" kitegeeza obulumi obumala emyezi egisukka mu 6 era nga tebukwatagana butereevu na nsonga yo oba olubuto lwo.

Teebereza, mu mbeera eno, emisuwa mu nkwaso zo n’ekisambi tegikola bulungi. Emisuwa gino gimala kweyongera obunene (gigaziwa), oluusi ne gikyukakyuka, olwo ne gijjula omusaayi ne gizimba. Nga akalippagano k’ebidduka. Omusaayi bwe gusibira mu kifo kimu, kwe kugamba, bwe gukwata ‘pool’, otandika okuwulira obulumi.

Ani asinga okukosebwa embeera eno?

Embeera eno eya `PCS` etera okulabibwa okusinga mu bakyala abali wakati w'emyaka 20 ne 45 abazadde abaana abasukka mu omu . Okugatta ku ekyo, waliwo ebintu ebirala ebiyinza okukikosa:

• Bw’oba ​​olina emisuwa egy’ekika kya varicose.
• Singa omuntu yenna mu maka go alina emisuwa egy’ekika kya varicose.
• Bw’oba ​​olina obulwadde bwa Polycystic Ovarian Syndrome (PCOS).

Wabula abakyala abayise mu nsonga tebatera nnyo kufuna bulwadde bwa Pelvic Congestion Syndrome.

Embeera eno ya bulijjo etya?

Abakyala nga 40% abagenda mu basawo b’abakyala batera okwemulugunya olw’obulumi obutawona mu lubuto olwa wansi. Kiteeberezebwa nti abakyala bano nga 30% balina obulwadde bw’okuzimba ekisambi . Kino kitegeeza nti wadde si kya bulijjo, kiyinza okuba nga kye kivaako abantu abamu okulumwa olubuto olwa wansi mu ngeri etategeerekeka.

Bubonero ki obulaga obulwadde bwa Pelvic Congestion Syndrome?

Obulumi mu lubuto olwa wansi obuva ku PCS buyinza okwawukana. Ku bantu abamu, kiyinza okuba ekizibu ekizibu, ekiruma oba ekizito . Tekitera kubaawo nnyo obulumi okubeera obw’amaanyi era obw’amaanyi.

Ebiseera ebisinga, obulumi buno buwulira ku ludda olwa kkono lwokka. Naye era osobola okuguwulira ku ludda olwa ddyo oba ku njuyi zombi. Abantu bangi obulumi buno butandika nga bali lubuto oba nga bamaze okuzaala. Obulumi buno buyinza okweyongera ng’ofunye embuto eziddirira.

Obulumi obukwatagana ne PCS buyinza okweyongera mu biseera nga bino:

• Olunaku bwe luggwaako.
• Kiba nga ennaku zo tezinnatandika, mu nnaku ezo entono.
• Mu kiseera ky’okwegatta n’oluvannyuma lw’okwegatta (embeera eno era eyitibwa `dyspareunia`).
• Kibaawo ng’oyimiridde oba ng’otudde okumala ebbanga eddene (naye nga kikendeera katono ng’ogalamidde).

Obubonero obulala obutonotono:

• Emisuwa egy’ekika kya Varicose girabika mu kisambi kyo, mu bisambi, mu bisambi, mu bukyala n’obukyala.
• Ebiseera ebitera okukyukakyuka eby’ekiddukano n’okuziyira (era ebimanyiddwa nga irritable bowel syndrome).
• Okufiirwa omusulo mu ngeri etaali ya kyeyagalire ng’oseka, ng’osesema, oba ng’okola ebintu ebiteeka puleesa ku kibumba (kino kiyitibwa `stress incontinence`).
• Obulumi nga ofulumya omusulo (kino kiyitibwa `dysuria`).

Kiki ekivaako obulwadde bwa Pelvic Congestion Syndrome?

Mu butuufu, abanoonyereza n’okutuusa kati tebannazuula kituufu ekivaako obulwadde bwa Pelvic Congestion Syndrome. Wabula kyeyoleka lwatu nti obuzibu bw’okutambula kw’omusaayi mu misuwa gy’enkwaso n’emisuwa mu kisambi bye bikwatibwako.

Kino kye kitera okubaawo: Omusaayi gukulukuta waggulu okuva mu misuwa mu kifuba kyo, nga gugenda ku mutima gwo, nga guyita mu misuwa gy’enkwaso. Munda mu misuwa gino mulimu ebintu ebitonotono ebiringa enzigi ebiyitibwa vvaalu . Bino bikomya omusaayi okukulukuta okudda emabega. Okutambula kuno okw’omusaayi okudda emabega kuyitibwa `reflux`.

Naye mu muntu alina `PCS`, emisuwa gino gigaziwa era ne valve tezikola bulungi. Olwo omusaayi ne gutandika okukulukuta emabega. Emisuwa gijjula omusaayi ne gikyuka. Wano omusaayi we gukuŋŋaanira mu misuwa gy’omu kifuba ne guleeta obulumi. Obulumi buno buyinza okubaawo olw’okuba emisuwa gigoloddwa okusobola okuyingiza omusaayi ogwongezeddwayo, oba olw’okuba emisuwa egy’obulema ginyiga ku busimu obuli okumpi.

Waliwo ensonga eziwerako lwaki ensengekera y’emisuwa ekyuka mu `PCS`:

• Olubuto: Endowooza emu eri nti kino kikwatagana n’enkyukakyuka mu misuwa gy’omusaayi ng’oli lubuto. Omwana bw’akula mu lubuto, emisuwa gigaziwa ebitundu nga 50% ku sayizi yaago eya bulijjo okusobola okukwata omusaayi ogw’enjawulo ogwetaagisa omwana. Enkyukakyuka zino zisobola okuleeta okwonooneka okumala ebbanga eddene ku bisenge by’emisuwa. Olwo emisuwa gisobola okusigala nga gigaziye ne bw’aba amaze okuzaalibwa.
• Estrogen: Okuva abakyala abava mu nsonga tebatera kukwatibwa bulwadde bwa pelvic congestion syndrome, kirowoozebwa nti estrogen ayinza okukola kinene. Estrogen ekendeera oluvannyuma lw’okuggwaamu amaanyi mu nsonga. Estrogen akosa ebisenge by’emisuwa, ekifuula emisuwa gyo okubeera amangu okunafuwa ekivaako PCS.

Ku kigero ekinene, `PCS` kiva ku nsonga eziwerako ez'enjawulo ezikwatagana.

Obulwadde bwa Pelvic Congestion Syndrome (PCS) buzuulibwa butya?

Bw’olaba omusawo, ajja kusooka kukubuuza ku byafaayo byo eby’obujjanjabi n’obubonero bwo. Oluvannyuma bajja kukola okukebera omubiri, nga kuno kuyinza okuzingiramu okukebera ekisambi. Omusawo ajja kukebera enkwaso zo, omumwa gwa nnabaana ne nnabaana okumanya ddala obulumi gye buva.

Okukebera ebifaananyi kuyinza okuyamba okuggyawo embeera endala eziyinza okuba nga zireeta obulumi obutasalako mu lubuto olwa wansi n’okunoonya obutali bwa bulijjo bwonna mu busimu obuyinza okwenyigira mu PCS. Ebigezo bino mulimu:

• Ultrasound: Ebiseera ebisinga ekintu omusawo ky’asooka okulagira kwe kukebera ultrasound. Kino kiyinza okukebera oba emisuwa gigaziye. Era kiyinza okuyamba okuzuula oba waliwo ebintu ebirala ebitali bya bulijjo ebiyinza okuba nga bikuleetera obulumi. Ekintu kya Doppler ekiri mu ultrasound nakyo kisobola okukebera oba omusaayi gutambula mu misuwa gyo.
• MRI oba CT scan: MRI (Magnetic Resonance Imaging) oba CT (Computed Tomography) scan esobola okulaga ebikwata ku misuwa gy’eyinza okusubwa ultrasound. Ziyinza okulaga emisuwa egy’ekyekulungirivu n’okugaziwa kw’emisuwa mu nkwaso n’ekisenge ky’omu kifuba mu ngeri etegeerekeka obulungi okusinga ultrasound. Era zisobola okulaga oba waliwo okukula okutali kwa bulijjo mu kifuba ekiyinza okuvaako obulumi obulala obw’ekiseera ekiwanvu, gamba ng’obulwadde bwa endometriosis.
• Pelvic venography: Kino kitwalibwa ng’omutindo gwa zaabu okuzuula PCS. Kyokka, kigezo kizibu, n’olwekyo kitera okukolebwa ng’okukebera okulala okw’okukuba ebifaananyi tekulina nkomerero. Oluusi omusawo ayinza okukozesa okukebera kuno nga tannalongoosa misuwa gyo. Mu pelvic venography, omusawo wo ayingiza akatubo akatono akayitibwa catheter mu musuwa oguli mu bulago oba mu kisambi. Olwo n’akozesa ekifaananyi kya X-ray okulungamya ttanka okutuuka ku nseke yo eya ddyo ne kkono. Olwo langi etali ya bulabe efuyirwa mu musuwa. X-ray eraga bulungi emisuwa. Venography eno esobola okulaga emisuwa gye giri, gye gigazi, gye gikyusiddwa, engeri omusaayi gye gukulukutamu, ne omusaayi gye gukuŋŋaanye.
• Laparoscopy: Laparoscopy esobola okukebera oba emisuwa gigaziye. Wabula kiyinza obutayamba nga okukebera okulala mu kuzuula obuzibu bw’okutambula kw’omusaayi obukwatagana ne PCS. Omusawo ayinza n’okukola laparoscopy okusobola okugaana embeera endala eziyinza okuba nga zikuleetera okulumwa olubuto olwa wansi omuli ne PCS. Kino kizingiramu okusala obutundutundu obutonotono mu lubuto lwo n’oyingizaamu kkamera ng’oyita mu byo okwekenneenya ebitundu by’omubiri gwo eby’okuzaala.

Ekikulu:Okuzuula obulwadde bw’okuzimba ekisambi oluusi kiyinza okuba ekizibu, kubanga abantu bangi abatalina bulumi mu kifuba baba n’enkyukakyuka z’emisuwa ze zimu n’abo abalina bulumi. Okunoonyereza ku bifaananyi kulaga nti abantu abalina n’abatalina bulumi bwa kifuba obutawona basobola okuba n’enkyukakyuka mu misuwa n’okuddamu okuzimba.

Ne bwe kiba nti okukebera ebifaananyi kulaga nti emisuwa gyo gigaziye, oyinza obuteetaaga bujjanjabi okuggyako ng’olina obulumi obw’ekiseera ekiwanvu.

Obulwadde bwa Pelvic Congestion Syndrome butera okuzuulibwa oluvannyuma lw’ebintu ebirala byonna ebiyinza okuvaako obulumi mu lubuto olwa wansi okugobwa.

Obulwadde bwa Pelvic Congestion Syndrome (PCS) busobola okuwona? Kiyinza okuziyizibwa?

Tewali ddagala lya Pelvic Congestion Syndrome, naye waliwo eddagala n’obujjanjabi ebiyinza okuyamba okuddukanya obubonero bwo n’okukendeeza ku bulumi.

Ate era, tewali ngeri yonna gye tuyinza kuziyiza kino `Pelvic Congestion Syndrome`.

Bujjanjabi ki obw’obulwadde bwa Pelvic Congestion Syndrome?

Oyinza okulaba abasawo ab’enjawulo okufuna obujjanjabi. Okugeza, omusawo w’abakyala, omukugu mu by’omu lubuto (GI), omukugu mu by’obulumi, n’omusawo w’omubiri. Omusawo wo oba ttiimu y’abasawo bayinza okukuwa amagezi okukozesa eddagala erifuga obubonero bwo nga tonnakuwa magezi kulongoosa.

Eddagala

Eddagala erikendeeza ku kukola obusimu obuyitibwa estrogen liyinza okuyamba okukendeeza ku bulumi obukwatagana n’obulwadde bwa Pelvic Congestion Syndrome. Mu bino mulimu:

• ``Ekirungo kya medroxyprogesterone acetate (Depo-Provera®)''.
• ``Ekiteekebwamu eddagala lya Etonogestrel (Implanon®)''.
• `Ebirungo ebiziyiza GnRH` (e.g. Goserelin) .

Enkola z’Obujjanjabi

Singa eddagala terikukendeeza ku bubonero, omusawo ayinza okukukuwa amagezi ku bumu ku bujjanjabi buno:

• Ovarian vein embolization oba sclerotherapy: Enkola eno erimu okuziba emisuwa egivaako omusaayi okudda emabega ne kireetera omusaayi okukuŋŋaana. Okusooka, omusawo ayingiza ekituli mu musuwa gw’enkwaso ogulina obuzibu n’emisuwa gy’omu kifuba. Olwo, eddagala liyisibwa nga liyita mu kasengejja okunyiiza oba okuzimba emisuwa ne gikendeera. Obukoola obutono obw’ebyuma, sigiri ez’enjawulo oba ebiwujjo nabyo biteekebwa mu misuwa gino okulemesa omusaayi okukulukuta emabega (reflux).
• Laparoscopy: Omusawo ayinza okukola laparoscopic okusiba emisuwa okukomya omusaayi okukulukuta emabega.
• Okusala salpingo-oophorectomy ku njuyi zombi:Bw’oba ​​omaze okuzaala, oba bw’oba ​​toyagala kuzaala, omusawo ayinza okusalawo okuggyamu ebitundu by’omu kifuba (mu nnabaana, enseke, n’enkwaso). Wabula okulongoosa kuno tekutera kukolebwa ku PCS.

Obulwadde bwa Pelvic Congestion Syndrome (PCS) buli mu bulabe eri obulamu? Kiki ky’oyinza okusuubira?

Pelvic Congestion Syndrome si mbeera eyinza okutta omuntu . Kyokka okusinziira ku buzibu bw’obulumi bwo, buyinza okuba obw’amaanyi ennyo ne butaataaganya obulamu bwo obwa bulijjo n’okukulemesa okukola ebintu by’onyumirwa. Kale singa obulumi bw’olubuto olwa wansi bukosa omutindo gw’obulamu bwo, kikulu okugenda ew’omusawo.

Wadde nga tewali bujjanjabi bwa mutindo ku bulwadde bwa pelvic congestion syndrome, ebiva mu kuyingirira okukendeeza ku bulumi birungi nnyo . Okugeza, abantu 75% abakola embolization y’emisuwa gy’enkwaso bafuna okukendeeza ku bulumi. Mu mbeera ng’ezo, obulwadde buno buddamu mu bitundu bitono ku buli kikumi, nga 5%.

Bibuuzo ki bye nnina okubuuza omusawo?

Bw’ogenda okulaba omusawo, kiba kirungi n’obuuza ebibuuzo bino:

• Abakugu bameka be nja okwetaaga okulaba okusobola okuzuulibwa oba okujjanjabibwa?
• Eddagala ki ly’ogamba okukendeeza ku bubonero?
• Ddi lwe nnandiragiddwa okukozesa obujjanjabi okuyamba okulongoosa obubonero bwange?
• Bujjanjabi bwa ngeri ki bw’okuwa amagezi?
• Obulabe ki obuyinza okuva mu nkola eyo ey’obujjanjabi?

Kiyinza okukutwalira ekiseera okuzuula ekituufu ekikuviirako okulumwa olubuto olwa wansi. Mu butuufu waliwo embeera nnyingi eziyinza okuvaako obulumi mu kifuba. Okuzuula embeera yo eya `PCS` kiyinza okwetaagisa okukeberebwa okuwerako, era oyinza okwetaaga okukolagana n'abakugu abawerako. Amawulire amalungi gali nti ebiseera ebisinga, obubonero busobola okufugibwa n’eddagala. Eddagala ne bwe litakola, omusawo asobola okukuwa amagezi ku bujjanjabi obuyinza okukuyamba. Kale, tolwawo kunoonya bujjanjabi n’okufuna obuweerero.

Obubaka Obusembayo Okutwala Awaka

Kale, `Pelvic Congestion Syndrome` si ya maanyi oba ya bulabe eri obulamu nga bw'oyinza okulowooza. Kyokka, obulumi obw’ekiseera ekiwanvu bwe buleeta buyinza okukulemesa ennyo obulamu bwo obwa bulijjo n’essanyu lyo.

• Bw’oba ​​omaze emyezi ng’owulira obulumi obw’ekyewuunyo, okuzitowa oba okusika mu lubuto lwo olwa wansi, ekisinga obukulu kwe kunoonya amagezi g’abasawo nga tomaze kukibuusa maaso.
• Kiyinza okutwala ekiseera okuzuula ekivaako, era kiyinza okwetaagisa okukeberebwa okuwerako. Naye bw’ofuna okuzuulibwa okutuufu, osobola okufuna obuweerero ng’ofunye obujjanjabi.
• Jjukira nti toli wekka. Abakyala bangi balwanagana n’embeera zino. Bw’oba ​​olina obulagirizi obulungi n’obuwagizi bw’abasawo, osobola okuddukanya embeera eno n’obeera obulungi.

Kale, wuliriza omubiri gwo. Bw’oba ​​owulira ekintu kyonna eky’enjawulo oba ekitali kya bulijjo, kifaayo. Olwo lwe tusobola okuba abalamu obulungi era abasanyufu.

` Pelvic Congestion Syndrome, obulumi mu lubuto olwa wansi, emisuwa egy’ekika kya varicose, obulumi mu kifuba, obulamu bw’abakyala, abakyala, okutambula kw’omusaayi, PCS