Une kurwadziwa kunogara kuripo here mudumbu rako rezasi? Izvi zvinogona kunge zviri Pelvic Congestion Syndrome (PCS)!

Wakambova nekurwadziwa kwakakomba mudumbu rako kwemwedzi yakati wandei here? Ungafunga kuti zvakajairika, kana kuti kungori kumwedzi. Asi dzimwe nguva chinhu chaunofanira kunetseka nacho. Ndiyo mhando yechirwere chatiri kutaura nezvacho nhasi, chinonzi Pelvic Congestion Syndrome (PCS).

Chii chinonzi Pelvic Congestion Syndrome (PCS)?

Zvichitaurwa zviri nyore, Pelvic Congestion Syndrome (PCS) chirwere chinorwadza chisingaperi chinokonzerwa nedambudziko rekuyerera kweropa mutsinga dziri mudumbu rako rezasi, kana muchiuno. "Chronic" zvinoreva kurwadziwa kunogara kwemwedzi inopfuura mitanhatu uye hakunei zvakananga nekuenda kwako kumwedzi kana pamuviri.

Fungidzira, mumamiriro ezvinhu aya, tsinga dziri mumazai ako nechiuno hadzishande zvakanaka. Tsinga idzi dzinokura (dzinotambanuka), dzimwe nguva dzinomonyoroka, dzozozara neropa dzozara. Sekunge kune vanhu vakawanda vari mumigwagwa. Kana ropa rikanamatira panzvimbo imwe chete, kureva kuti, parinoungana, unotanga kunzwa kurwadziwa.

Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?

Chirwere ichi che "PCS" chinowanzoonekwa kakawanda mumadzimai ari pakati pemakore makumi maviri nemakumi mana nemashanu ane vana vanopfuura mumwe chete . Pamusoro pezvo, kune zvimwe zvinhu zvinogona kukonzera njodzi iyi:

• Kana uine mitsipa iri kurwadza.
• Kana paine munhu mumhuri yako ane mitsipa yakakuvara.
• Kana uine Polycystic Ovarian Syndrome (PCOS).

Zvisinei, vakadzi vakambosvika panguva yekuenda kumwedzi kashoma kuti vabatwe nePelvic Congestion Syndrome.

Dambudziko iri rakajairika zvakadii?

Vanenge 40% yevakadzi vanoshanyira vanachiremba vevakadzi vanowanzo nyunyuta nezvekurwadziwa kwenguva refu kwemudumbu. Zvinofungidzirwa kuti vanenge 30% yevakadzi ava vane chirwere chekuvharika kwechiuno . Izvi zvinoreva kuti kunyange zvazvo zvisiri chiitiko chinowanzoitika, zvinogona kunge zviri chikonzero chekurwadziwa kwemudumbu kusingatsananguriki kune vamwe vanhu.

Ndezvipi zviratidzo zvePelvic Congestion Syndrome?

Marwadzo ari mudumbu repazasi anokonzerwa nePCS anogona kusiyana. Kune vamwe vanhu, anogona kunge ari kurwadziwa kusingafadzi, kunorwadza, kana kuti kwakanyanya . Hazviwanzoitiki kuti marwadzo acho ave akanyanya uye akasimba.

Kazhinji, kurwadziwa uku kunongonzwikwa kuruboshwe chete. Asi kunogonawo kunzwikwa kurudyi kana kumativi ese. Kune vanhu vazhinji, kurwadziwa uku kunotanga panguva yekuzvitakura kana mushure mekusununguka. Kurwadziwa uku kunogona kuwedzera nekubata pamuviri kunotevera.

Marwadzo anokonzerwa nePCS anogona kuwedzera munguva dzakadai sedzinotevera:

• Kana zuva rapera.
• Nguva pfupi yasvika nguva yako yekuenda kumwedzi isati yatanga, mumazuva iwayo mashoma.
• Panguva yebonde uye mushure mebonde (chirwere ichi chinonziwo `dyspareunia`).
• Zvinoitika kana wakamira kana kugara kwenguva yakareba (asi zvinodzikira zvishoma paunorara pasi).

Zvimwe zviratidzo zvishoma:

• Mitsipa yevaricose inoonekwa muchiuno, magaro, zvidya, vhudzi, uye pabonde.
• Zviitiko zvemanyoka nekuzvimba (inozivikanwawo se irritable bowel syndrome) zvinowanzochinjana.
• Kurasikirwa weti netsaona kana uchiseka, uchikosora, kana kuita zvinhu zvinomanikidza dundira (izvi zvinonzi `stress incontinence`).
• Kurwadziwa pakuita weti (izvi zvinonzi `dysuria`).

Chii chinokonzera Pelvic Congestion Syndrome?

Kutaura zvazviri, vaongorori havasati vawana chikonzero chaicho chePelvic Congestion Syndrome. Zvisinei, zviri pachena kuti matambudziko ekuyerera kweropa mutsinga dzemazai netsinga dziri muchiuno anobatanidzwa.

Izvi ndizvo zvinowanzoitika: Ropa rinoyerera richikwira kubva mutsinga dziri muchiuno chako, kuenda kumoyo wako, kuburikidza netsinga dzemazai. Mukati metsinga idzi mune zvinhu zvidiki zvakaita semusuwo zvinonzi mavharuvhu . Izvi zvinomisa ropa kuti risayerere kumashure. Kuyerera kweropa uku kunonzi `reflux`.

Asi mumunhu ane `PCS`, tsinga idzi dzinokura uye mavharuvhu haashande zvakanaka. Ipapo ropa rinotanga kuyerera richidzokera kumashure. Tsinga dzinozara neropa uye dzinokombama. Ndipo apo ropa rinoungana mutsinga dzechiuno uye rinokonzera kurwadziwa. Kurwadziwa uku kunogona kuitika nekuti tsinga dzinotambanudzwa kuti dzikwane ropa rakawedzerwa, kana kuti tsinga dzakaremara dziri kudzvanya tsinga dziri pedyo.

Pane zvikonzero zvakawanda zvinoita kuti chimiro chetsinga chishanduke mu 'PCS':

• Kubata Pamuviri: Imwe dzidziso ndeyekuti izvi zvine chekuita nekuchinja kwetsinga dzeropa panguva yekuzvitakura. Sezvo mwana achikura mudumbu, tsinga dzeropa dzinokura ne50% yehukuru hwadzo hwenguva dzose kuti dzikwanise kubata ropa rakawanda rinodiwa nemwana. Kuchinja uku kunogona kukonzera kukuvara kwenguva refu kumadziro etsinga dzeropa. Tsinga dzinogona kuramba dzakatambanuka kunyangwe mwana azvarwa.
• Estrogen: Sezvo vakadzi vasvika panguva yekupedza kuenda kumwedzi vasinganyanyi kuva nechirwere chekuvharika kwechiuno, zvinofungidzirwa kuti estrogen inogona kunge iine chekuita nazvo. Huwandu hweestrogen hunoderera mushure mekupedza kuenda kumwedzi. Estrogen inokanganisa madziro etsinga dzeropa, zvichiita kuti tsinga dzako dzive nyore kukundwa nekushaya simba kunokonzera PCS.

Kazhinji, `PCS` inokonzerwa nezvinhu zvakasiyana-siyana zvine chekuita nemuviri.

Pelvic Congestion Syndrome (PCS) inoonekwa sei?

Kana ukaona chiremba, iye achatanga nekukubvunza nezvenhoroondo yako yezvekurapa uye zviratidzo. Zvadaro vachakubvunzurudza muviri, izvo zvinogona kusanganisira kuongororwa kwechiuno. Chiremba achaongorora mazai ako, muromo wechibereko, uye chibereko kuti aone kuti kurwadziwa kuri kubva kupi chaizvo.

Kuongororwa kwemifananidzo kunogona kubatsira kubvisa zvimwe zvirwere zvinogona kukonzera kurwadziwa kusingaperi mudumbu uye kutsvaga chero kusarongeka kwetsinga dzinogona kunge dziri muPCS. Miedzo iyi inosanganisira:

• Ultrasound: Kazhinji chinhu chekutanga chinorayirwa nachiremba wako iultrasound. Izvi zvinogona kutarisa kana mitsipa yeropa yakawedzera. Zvinogonawo kubatsira kuona kana paine zvimwe zvirwere zvinogona kukonzera kurwadziwa kwako. Chiratidzo cheDoppler cheultrasound chinogonawo kutarisa kuyerera kweropa mutsinga dzako.
• MRI kana CT scan: MRI (Magnetic Resonance Imaging) kana CT (Computed Tomography) scan inogona kuratidza ruzivo rwetsinga dzingatadza kubatwa neultrasound. Dzinogona kuratidza tsinga dzakakombama uye kuwedzera kwetsinga mumazai nepadumbu zvakajeka kupfuura ultrasound. Dzinogonawo kuratidza kana paine kukura kusina kujairika mudumbu redumbu kunogona kukonzera mamwe marwadzo kwenguva refu, akadai se endometriosis.
• Kuongororwa kwepelvic venography: Iyi ndiyo nzira yakanaka yekuongorora PCS. Zvisinei, iyi bvunzo yakaoma, saka inowanzoitwa kana mimwe miedzo yekufungidzira isina kujeka. Dzimwe nguva chiremba wako anogona kushandisa bvunzo iyi usati wavhiyiwa patsinga dzako. Mukuongorora pelvic venography, chiremba wako anoisa chubhu diki inonzi catheter mutsinga iri mumutsipa wako kana muhudyu. Iye anobva ashandisa X-ray kutungamira chubhu kuenda kumachubhu ako ekurudyi nekuruboshwe. Dhayi rakachengeteka rinozopinzwa mutsinga. X-ray inoratidza tsinga zvakajeka. Iyi venography inogona kuratidza kuti tsinga dziri papi, dzakafara, dzakakombama, kuti ropa riri kufamba sei, uye kuti ropa raungana papi.
• Laparoscopy: Laparoscopy inogona kutarisa kana tsinga dzakakura. Zvisinei, zvingasabatsira semamwe maedzo ekuongorora matambudziko ekuyerera kweropa ane chekuita nePCS. Chiremba wako anogonawo kuita laparoscopy kuti aone zvimwe zvirwere zvinogona kukonzera kurwadziwa kwemudumbu, kusanganisira PCS. Izvi zvinosanganisira kucheka dumbu rako zvishoma nezvishoma uye kuisa kamera kuburikidza nazvo kuti uongorore nhengo dzemuviri wako wekubereka.

Chinhu chakakosha:Kuziva chirwere chekuvharika kwechiuno dzimwe nguva kunogona kuoma, sezvo vanhu vazhinji vasina kurwadziwa muchiuno vaine shanduko dzakafanana nedzevaya vane kurwadziwa muchiuno. Ongororo dzakaratidza kuti vanhu vane kurwadziwa muchiuno kwenguva refu uye vasina kunogona kuchinja tsinga dzeropa uye kudzoka kweropa.

Kunyangwe kana bvunzo dzako dzemifananidzo dzichiratidza kuti tsinga dzako dzakakura, ungasada kurapwa kunze kwekunge uine kurwadziwa kwenguva refu.

Chirwere chePelvic Congestion Syndrome chinowanzoonekwa mushure mekunge zvimwe zvikonzero zvese zvinogona kukonzera kurwadziwa kwemudumbu zvabviswa.

Pelvic Congestion Syndrome (PCS) inogona kurapwa here? Inogona kudzivirirwa here?

Hakuna mushonga wePelvic Congestion Syndrome, asi kune mishonga nemishonga inogona kubatsira kudzora zviratidzo zvako uye kuderedza marwadzo.

Uyewo, hapana nzira yekudzivirira iyi 'Pelvic Congestion Syndrome'.

Ndeipi mishonga yekurapa Pelvic Congestion Syndrome?

Unogona kuona vanachiremba vakasiyana-siyana kuti varapwe. Semuenzaniso, chiremba wemadzimai, nyanzvi yezvekudya, nyanzvi yekurwadziwa, uye nyanzvi yezvekurovedza muviri. Chiremba wako kana timu yezvekurapa vanogona kukukurudzira mishonga yekudzora zviratidzo zvako usati wakurudzira kuvhiyiwa.

Mishonga

Mishonga inoderedza kugadzirwa kwehomoni inonzi estrogen inogona kubatsira kuderedza marwadzo anokonzerwa nePelvic Congestion Syndrome. Izvi zvinosanganisira:

• "Medroxyprogesterone acetate (Depo-Provera®)"
• ``Etonogestrel implant (Implanon®)''
• `MaGnRH agonists` (semuenzaniso Goserelin)

Maitiro Ekurapa

Kana mushonga usingaderedzi zviratidzo zvako, chiremba wako anogona kukurudzira imwe yemishonga iyi:

• Kubvisa ropa kubva mutsinga dzemazai kana sclerotherapy: Maitiro aya anosanganisira kuvhara tsinga dziri kukonzera kuti ropa ridzokere shure uye kukonzera kuti ropa riungane. Kutanga, chiremba anoisa catheter mutsinga dzemazai nedzemuchiuno dzine dambudziko. Zvadaro, makemikari anopinzwa kuburikidza necatheter kuti atsamwise kana kuputitsa tsinga uye aite kuti dzitete. Masimbi madiki, manamu akakosha, kana furo zvinopinzwawo mutsinga idzi kudzivirira ropa kuti risayerere kumashure (reflux).
• Laparoscopy: Chiremba anogona kuita laparoscopic oparesheni yekubatanidza tsinga kuti ropa risayerera richidzokera kumashure.
• Kubviswa kwesalpingo-oophorectomy:Kana wapedza kuva nevana, kana kuti kana usingade kuva nevana, chiremba wako anogona kusarudza kubvisa nhengo dzechiuno (chibereko, machubhu efallopian, uye maovari). Zvisinei, kuvhiyiwa uku hakuwanzoitwa paPCS.

Ko Pelvic Congestion Syndrome (PCS) inogona kuisa upenyu panjodzi here? Chii chaungatarisira?

Dambudziko rePelvic Congestion Syndrome harisi dambudziko rinotyisidzira hupenyu . Zvisinei, zvichienderana nekuoma kwemarwadzo ako, rinogona kuva rakakomba zvekuti rinokanganisa hupenyu hwako hwezuva nezuva uye rinokutadzisa kuita zvinhu zvaunofarira. Saka kana kurwadziwa kwemudumbu rako rezasi kuri kukanganisa hupenyu hwako, zvakakosha kuona chiremba.

Kunyangwe pasina mushonga wekurapa pelvic congestion syndrome, mhedzisiro yekurapa kuderedza marwadzo yakanaka kwazvo . Semuenzaniso, 75% yevanhu vanoitwa ovarian vein embolization vanonzwa zororo remarwadzo. Muzviitiko zvakadaro, chirwere ichi chinodzoka muzvikamu zvidiki chete, zvinenge 5%.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Paunoenda kunoona chiremba, zvakanaka kubvunza mibvunzo iyi:

• Ndichafanira kuona nyanzvi ngani kuti ndionekwe kana kurapwa?
• Ndeipi mishonga yaunokurudzira kuderedza zviratidzo?
• Ndirini pandingakurudzirwa kuti ndirapwe kuti ndibatsire kuvandudza zviratidzo zvangu?
• Munokurudzira rudzii rwekurapwa?
• Ndezvipi njodzi dzingangoitika dzine chekuita nekurapwa ikoko?

Zvinogona kutora nguva kuti uzive chikonzero chaicho chekurwadziwa kwemudumbu. Kutaura zvazviri, kune zvirwere zvakawanda zvinogona kukonzera kurwadziwa muchiuno. Kuziva chirwere chako che 'PCS' kunogona kuda kuongororwa kwakawanda, uye ungangoda kushanda nenyanzvi dzakawanda. Mashoko akanaka ndeekuti kazhinji, zviratidzo zvinogona kudzorwa nemishonga. Kunyangwe kana mishonga isingashande, chiremba wako anogona kukurudzira kurapwa kunogona kukubatsira. Saka, usanonoka kutsvaga kurapwa uye kuwana zororo.

Mharidzo Yekupedzisira Yekuenda Kumba

Saka, `Pelvic Congestion Syndrome` haisi chirwere chakakomba kana kuti chinotyisidzira hupenyu sezvaungafunga. Zvisinei, kurwadziwa kwainoita kwenguva refu kunogona kuva chipingamupinyi chikuru kuhupenyu hwako hwezuva nezuva uye mufaro wako.

• Kana wave uchinzwa kurwadziwa kusinganzwisisike, kurema, kana kudhonza dumbu rako repazasi kwemwedzi yakati wandei, chinhu chakakosha kutsvaga mazano echiremba usingangoregeredzi.
• Zvinogona kutora nguva kuti uwane chikonzero chacho, uye bvunzo dzinoverengeka dzingadiwa. Asi kana ukawana chirwere chacho nemazvo, unogona kuwana zororo nekurapwa.
• Yeuka kuti hausi wega. Vakadzi vazhinji vanotambura nematambudziko aya. Nekutungamirirwa kwakakodzera kwechiremba nerutsigiro, unogona kurarama zvakanaka.

Saka, teerera muviri wako. Kana uchinzwa chimwe chinhu chakasiyana kana chisingawanzoitiki, chiteerere. Ndipo chete patinogona kuva neutano hwakanaka uye kufara.

` Pelvic Congestion Syndrome, kurwadziwa kwemudumbu, mitsipa iri kurwadza, kurwadziwa kwechiuno, hutano hwevakadzi, gynecology, kutenderera kweropa, PCS