Kodi mumakhala ndi ululu wosatha m'mimba mwanu? Izi zitha kukhala Pelvic Congestion Syndrome (PCS)!

Kodi munayamba mwamvapo ululu waukulu m'mimba mwanu kwa miyezi ingapo? Mungaganize kuti ndi zachilendo, kapena kuti ndi msambo chabe. Koma nthawi zina ndi chinthu chomwe muyenera kuda nkhawa nacho kwambiri. Umenewo ndi mtundu wa vuto lomwe tikambirane lero, lotchedwa Pelvic Congestion Syndrome (PCS).

Kodi Pelvic Congestion Syndrome (PCS) ndi chiyani?

Mwachidule, Pelvic Congestion Syndrome (PCS) ndi vuto lopweteka kwambiri lomwe limayamba chifukwa cha vuto la kuyenda kwa magazi m'mitsempha ya m'mimba mwanu, kapena m'chiuno. "Chronic" amatanthauza ululu womwe umakhalapo kwa miyezi yoposa 6 ndipo sukugwirizana mwachindunji ndi msambo wanu kapena mimba.

Tangoganizirani, pamenepa, mitsempha ya m'mazira anu ndi m'chiuno sigwira ntchito bwino. Mitsempha iyi imangokulirakulira (kufalikira), nthawi zina imapotoka, kenako imadzaza ndi magazi ndi kudzaza. Monga kuchuluka kwa magalimoto. Magazi akamangika pamalo amodzi, ndiko kuti, 'akamasonkhana', mumayamba kumva kupweteka.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Matenda a `PCS' nthawi zambiri amapezeka mwa akazi azaka zapakati pa 20 ndi 45 omwe abereka ana oposa mmodzi . Kuphatikiza apo, palinso zinthu zina zomwe zingakhudze matendawa:

• Ngati muli ndi mitsempha ya varicose.
• Ngati wina m'banja mwanu ali ndi mitsempha yotupa.
• Ngati muli ndi matenda a Polycystic Ovarian Syndrome (PCOS).

Komabe, akazi omwe adasiya kusamba nthawi zambiri sangakhale ndi vuto la Pelvic Congestion Syndrome.

Kodi vutoli ndi lofala bwanji?

Pafupifupi 40% ya akazi omwe amapita kwa madokotala a matenda a akazi nthawi zambiri amadandaula za kupweteka kosatha m'mimba. Akuti pafupifupi 30% ya akaziwa ali ndi vuto la kutsekeka kwa m'chiuno . Izi zikutanthauza kuti ngakhale kuti si zachilendo, zitha kukhala chifukwa cha kupweteka m'mimba kosaneneka kwa anthu ena.

Kodi zizindikiro za Pelvic Congestion Syndrome ndi ziti?

Ululu m'mimba mwa munthu amene amabwera chifukwa cha PCS umasiyana. Kwa anthu ena, ululuwu ukhoza kukhala wowawa, wopweteka, kapena wolemera . Ndikosowa kwambiri kuti ululuwo ukhale woopsa komanso woopsa.

Nthawi zambiri, ululu uwu umamveka kumanzere kokha. Koma ukhozanso kumveka kumanja kapena mbali zonse ziwiri. Kwa anthu ambiri, ululu uwu umayamba panthawi ya mimba kapena atabereka. Ululu uwu ukhoza kukulirakulira ndi mimba yotsatira.

Ululu wokhudzana ndi PCS ukhoza kukhala woipitsitsa nthawi ngati izi:

• Tsiku likatha.
• Ndi nthawi yomwe msambo wanu usanayambe, m'masiku ochepa amenewo.
• Panthawi yogonana komanso pambuyo pake (vutoli limatchedwanso `dyspareunia`).
• Zimachitika mukamayimirira kapena kukhala pansi kwa nthawi yayitali (koma zimachepa pang'ono mukagona).

Zizindikiro zina zingapo:

• Mitsempha ya varicose imawonekera m'chiuno, matako, ntchafu, maliseche, ndi nyini.
• Kutsegula m'mimba ndi kudzimbidwa nthawi ndi nthawi (komwe kumatchedwanso kuti irritable bowel syndrome).
• Kutaya mkodzo mwadala mukaseka, mukutsokomola, kapena mukuchita zinthu zomwe zimaika chikhodzodzo pampanipani (izi zimatchedwa `stress incontinence`).
• Ululu mukamakodza (izi zimatchedwa `dysuria`).

Kodi n’chiyani chimayambitsa matenda a m’chiuno (pelvic congestion syndrome)?

Ndipotu, ofufuza sanapezebe chomwe chimayambitsa Pelvic Congestion Syndrome. Komabe, n'zoonekeratu kuti mavuto okhudza kuyenda kwa magazi m'mitsempha ya mazira ndi m'mitsempha ya m'chiuno mwanu ndi omwe amakhudzidwa.

Izi ndi zomwe zimachitika nthawi zambiri: Magazi amatuluka m'mwamba kuchokera m'mitsempha ya m'chiuno mwanu, kupita kumtima mwanu, kudzera m'mitsempha ya mazira. M'kati mwa mitsempha iyi muli zinthu zazing'ono ngati chitseko zotchedwa ma valve . Izi zimaletsa magazi kuyenda m'mbuyo. Kuyenda kwa magazi kumeneku kumatchedwa `reflux`.

Koma mwa munthu amene ali ndi `PCS`, mitsempha iyi imatambasuka ndipo ma valve sagwira ntchito bwino. Kenako magazi amayamba kuyenda chammbuyo. Mitsempha imadzaza ndi magazi ndipo imapotoka. Pamenepo magazi amasonkhana m'mitsempha ya m'chiuno ndipo amachititsa ululu. Ululuwu ukhoza kuchitika chifukwa mitsempha imatambasulidwa kuti igwirizane ndi magazi owonjezera, kapena chifukwa mitsempha yolakwika ikukankhira mitsempha yapafupi.

Pali zifukwa zingapo zomwe kapangidwe ka mitsempha kamasinthira mu `PCS`:

• Mimba: Lingaliro limodzi ndi lakuti izi zikugwirizana ndi kusintha kwa mitsempha yamagazi panthawi ya mimba. Pamene mwana akukula m'mimba, mitsempha yamagazi imakula ndi pafupifupi 50% ya kukula kwake kwabwinobwino kuti igwire magazi owonjezera omwe mwana amafunikira. Kusintha kumeneku kungayambitse kuwonongeka kwa nthawi yayitali kwa makoma a mitsempha yamagazi. Mitsempha imatha kukhalabe yotambasuka ngakhale mwana atabadwa.
• Estrogen: Popeza akazi omwe asiya kusamba nthawi zambiri samakhala ndi vuto la kutsekeka kwa m'chiuno, akuganiza kuti estrogen ingathandize. Kuchuluka kwa estrogen kumachepa pambuyo pa kusamba. Estrogen imakhudza makoma a mitsempha yamagazi, zomwe zimapangitsa kuti mitsempha yanu ikhale yofooka kwambiri zomwe zimayambitsa PCS.

Kwambiri, `PCS` ndi zotsatira za zinthu zosiyanasiyana zogwirizana.

Kodi matenda a Pelvic Congestion Syndrome (PCS) amawapeza bwanji?

Mukapita kwa dokotala, iye adzakufunsani kaye za mbiri yanu ya matenda ndi zizindikiro zake. Kenako adzakuyesani thupi, zomwe zingaphatikizepo kuyeza m'chiuno. Dokotalayo adzayang'ana mazira anu, khomo lachiberekero, ndi chiberekero kuti adziwe komwe ululu ukuchokera.

Mayeso ojambulira zithunzi angathandize kuchotsa matenda ena omwe angayambitse kupweteka kosalekeza m'mimba ndikuyang'ana zolakwika zilizonse mu mitsempha zomwe zingakhudze PCS. Mayesowa akuphatikizapo:

• Ultrasound: Nthawi zambiri chinthu choyamba chomwe dokotala wanu angakulamulireni ndi ultrasound. Izi zitha kuwona ngati mitsempha ya magazi yakula. Zingathandizenso kudziwa ngati pali zovuta zina zomwe zingayambitse ululu wanu. Chizindikiro cha Doppler cha ultrasound chingathenso kuwona ngati magazi akuyenda bwino m'mitsempha yanu.
• MRI kapena CT scan: MRI (Magnetic Resonance Imaging) kapena CT (Computed Tomography) scan ingasonyeze tsatanetsatane wa mitsempha yomwe ultrasound ingaphonye. Ikhoza kusonyeza mitsempha yopotoka ndi kukula kwa mitsempha m'mazira ndi m'chiuno momveka bwino kuposa ultrasound. Ikhozanso kusonyeza ngati pali kukula kwina kulikonse m'chiuno komwe kungayambitse ululu wina wa nthawi yayitali, monga endometriosis.
• Kuyeza kwa m'chiuno: Iyi ndi njira yabwino kwambiri yodziwira matenda a PCS. Komabe, ndi njira yovuta kwambiri, choncho nthawi zambiri imachitika pamene mayeso ena owunikira sali otsimikiza. Nthawi zina dokotala wanu angagwiritse ntchito njira iyi musanachite opaleshoni pa mitsempha yanu. Mu kuyesa kwa m'chiuno, dokotala wanu amaika chubu chaching'ono chotchedwa catheter mu mitsempha yomwe ili pakhosi kapena m'mimba mwanu. Kenako amagwiritsa ntchito X-ray kutsogolera chubucho ku machubu anu akumanja ndi kumanzere a fallopian. Kenako utoto wotetezeka umalowetsedwa mu mitsempha. X-ray imawonetsa mitsempha bwino. Kuyeza kumeneku kumatha kuwonetsa komwe mitsempha ili, komwe ili yayikulu, yopotoka, momwe magazi akuyendera, komanso komwe magazi asonkhana.
• Laparoscopy: Laparoscopy imatha kuyang'ana ngati mitsempha yakula. Komabe, sizingakhale zothandiza monga mayeso ena pozindikira mavuto oyendera magazi okhudzana ndi PCS. Dokotala wanu angachitenso laparoscopy kuti athetse matenda ena omwe angayambitse kupweteka m'mimba mwanu, kuphatikizapo PCS. Izi zimaphatikizapo kudula pang'ono m'mimba mwanu ndikuyika kamera kudzera m'magawowo kuti muone ziwalo za ziwalo zanu zoberekera.

Chinthu chofunika:Kuzindikira matenda a m'chiuno nthawi zina kumakhala kovuta, chifukwa anthu ambiri omwe alibe ululu m'chiuno amakhala ndi kusintha kwa mitsempha yamagazi mofanana ndi omwe ali ndi ululu. Kafukufuku wowonetsa zithunzi wasonyeza kuti anthu omwe ali ndi ululu wam'chiuno komanso omwe alibe ululu wosatha amatha kusintha mitsempha yamagazi ndi kubwereranso m'mimba.

Ngakhale mayeso anu ojambulira zithunzi akusonyeza kuti mitsempha yanu yatambasuka, simungafunikire chithandizo pokhapokha ngati muli ndi ululu wa nthawi yayitali.

Matenda a Pelvic Congestion Syndrome nthawi zambiri amapezeka pambuyo poti zifukwa zina zonse zomwe zingayambitse kupweteka m'mimba zachotsedwa.

Kodi Pelvic Congestion Syndrome (PCS) ingachiritsidwe? Kodi ingapewedwe?

Palibe mankhwala a Pelvic Congestion Syndrome, koma pali mankhwala ndi mankhwala omwe angathandize kuchepetsa zizindikiro zanu ndikuchepetsa ululu.

Komanso, palibe njira yopewera `Pelvic Congestion Syndrome` iyi.

Kodi mankhwala a Pelvic Congestion Syndrome ndi ati?

Mungapite kwa madokotala osiyanasiyana kuti akakuthandizeni. Mwachitsanzo, dokotala wa matenda a akazi, katswiri wa matenda a m'mimba (GI), katswiri wa ululu, komanso katswiri wa zamaganizo. Dokotala wanu kapena gulu lachipatala lingakulangizeni mankhwala oletsa zizindikiro zanu musanakulangizeni opaleshoni.

Mankhwala

Mankhwala omwe amachepetsa kupanga kwa hormone ya estrogen angathandize kuchepetsa ululu wokhudzana ndi Pelvic Congestion Syndrome. Izi zikuphatikizapo:

• "Medroxyprogesterone acetate (Depo-Provera®)"
• ``Etonogestrel implant (Implanon®)''
• `Ma agonist a GnRH` (monga Goserelin)

Njira Zachipatala

Ngati mankhwala sakuchepetsa zizindikiro zanu, dokotala wanu angakulangizeni chimodzi mwa izi:

• Kuchotsa mitsempha ya ovarian kapena sclerotherapy: Njirayi imaphatikizapo kutseka mitsempha yomwe ikupangitsa magazi kubwerera m'mbuyo ndikupangitsa magazi kubwera pamodzi. Choyamba, dokotala amaika catheter mu mitsempha ya ovarian ndi m'chiuno. Kenako, mankhwala amalowetsedwa kudzera mu catheter kuti akwiyitse kapena kuwotcha mitsempha ndikupangitsa kuti ichepetse. Ma coil ang'onoang'ono achitsulo, guluu wapadera, kapena thovu amalowetsedwanso mu mitsempha iyi kuti magazi asayende m'mbuyo (reflux).
• Laparoscopy: Dokotala angachite opaleshoni ya laparoscopic kuti amange mitsempha kuti magazi asayende mmbuyo.
• Kuchotsa kwa salpingo-oophorectomy ya mbali ziwiri:Ngati mwamaliza kukhala ndi ana, kapena ngati simukufuna kukhala ndi ana, dokotala wanu angasankhe kuchotsa ziwalo zanu za m'chiuno (chiberekero, machubu a fallopian, ndi mazira). Komabe, opaleshoni iyi siichitika kawirikawiri pa PCS.

Kodi Pelvic Congestion Syndrome (PCS) ndi yoopsa kwa moyo? Kodi mungayembekezere chiyani?

Matenda a m'mimba mwanu si matenda oopsa . Komabe, kutengera kuopsa kwa ululu wanu, ukhoza kukhala woopsa kwambiri moti umasokoneza moyo wanu watsiku ndi tsiku ndipo umakulepheretsani kuchita zinthu zomwe mumakonda. Chifukwa chake ngati ululu wanu wa m'mimba ukukhudza moyo wanu, ndikofunikira kuonana ndi dokotala.

Ngakhale palibe chithandizo chokhazikika cha matenda a m'chiuno, zotsatira za njira zochepetsera ululu ndizabwino kwambiri . Mwachitsanzo, 75% ya anthu omwe amachitidwa opaleshoni ya mtsempha wa ovarian amamva kupweteka pang'ono. M'matenda otere, matendawa amabwereranso m'matenda ochepa okha, pafupifupi 5%.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso awa:

• Kodi ndifunika akatswiri angati kuti ndipeze matenda kapena chithandizo?
• Ndi mankhwala ati omwe mumalimbikitsa kuti muchepetse zizindikiro?
• Kodi ndi liti pamene ndingalimbikitsidwe kuti ndichite opaleshoni yothandizira kuchepetsa zizindikiro zanga?
• Kodi mumalimbikitsa chithandizo chamankhwala chamtundu wanji?
• Kodi ndi zoopsa ziti zomwe zingachitike chifukwa cha njira yachipatala imeneyo?

Zingatenge nthawi kuti mudziwe chomwe chimayambitsa ululu m'mimba mwanu. Ndipotu, pali matenda ambiri omwe angayambitse ululu m'chiuno. Kuzindikira vuto lanu la 'PCS' kungafunike mayeso angapo, ndipo mungafunike kugwira ntchito ndi akatswiri angapo. Nkhani yabwino ndi yakuti nthawi zambiri, zizindikiro zimatha kuthetsedwa ndi mankhwala. Ngakhale mankhwala sagwira ntchito, dokotala wanu angakulangizeni chithandizo chamankhwala chomwe chingakuthandizeni. Choncho, musazengereze kufunafuna chithandizo ndikupeza mpumulo.

Uthenga Womaliza Wopita Nawo Kunyumba

Kotero, `Pelvic Congestion Syndrome` si yoopsa kwambiri kapena yoopsa monga momwe mungaganizire. Komabe, ululu womwe umayambitsa kwa nthawi yayitali ukhoza kukhala chopinga chachikulu pa moyo wanu watsiku ndi tsiku komanso chisangalalo chanu.

• Ngati mwakhala mukumva kupweteka kwachilendo, kulemera, kapena kukoka m'mimba mwanu kwa miyezi ingapo, chofunika kwambiri ndikupempha upangiri kwa dokotala popanda kungonyalanyaza.
• Zingatenge nthawi kuti mudziwe chomwe chikuyambitsa vutoli, ndipo mayeso angapo angafunike. Koma ngati mutapeza matenda oyenera, mutha kupeza mpumulo ndi chithandizo.
• Kumbukirani, simuli nokha. Azimayi ambiri amavutika ndi mavuto amenewa. Ndi malangizo ndi chithandizo choyenera chachipatala, mutha kuthana ndi vutoli ndikukhala bwino.

Choncho, mvetserani thupi lanu. Ngati mukumva china chake chosiyana kapena chachilendo, chimvereni. Pokhapokha tingakhale ndi thanzi labwino komanso osangalala.

Matenda a m'chiuno , kupweteka m'mimba, mitsempha yotupa, kupweteka m'chiuno, thanzi la akazi, matenda a akazi, kuyenda kwa magazi, PCS