Kuqhelekile ukuba uninzi lwabasetyhini luve iintlungu ezithile ngexesha lokuya esikhathini. Kodwa kwabanye, ezi ntlungu azinyamezeleki. Iintlungu zinzima kangangokuba abakwazi nokwenza imisebenzi yabo yemihla ngemihla kwaye kufuneka bahlale ebhedini. Ukuba kunjalo kuwe, musa ukuzithatha njengento "eqhelekileyo yokuya exesheni." Kuba kunokubakho imeko ebizwa ngokuba yi-endometriosis emva kwayo. Masithethe ngayo yonke into ngokulula namhlanje.
Yintoni kanye kanye i-Endometriosis?
Ngamafutshane, i-endometriosis kukukhula kwezicubu ezifana kakhulu nolwelo lwesibeleko sakho, ngaphandle kwesibeleko, kwezinye iindawo zomzimba wakho. Ngokwesiqhelo, olu lwelo luba lukhuni ngexesha lomjikelo wakho wokuya exesheni kwaye emva koko luphalazwe njengegazi lokuya exesheni. Kodwa olu lwelo longezelelweyo olukhula ngaphandle kwesibeleko alunandawo yakuya kuyo. Ngoko ke luyanamathelana kwaye lubangele ukudumba, izicubu ezibomvu, kunye nentlungu.
Esi sisifo esixhaphakileyo, esichaphazela malunga nomnye wabasetyhini abali-10 kwihlabathi liphela. Sidla ngokufunyaniswa kubafazi abakwiminyaka yabo yama-20 nama-30.
Ingaphuhliswa phi le tissue?
Nangona izicubu ze-endometriosis zinokukhula naphi na emzimbeni, kukho iindawo apho zixhaphake kakhulu khona kwaye kwezinye azixhaphakanga kangako.
| Iindawo ezibonwa rhoqo | Iindawo ezingaqhelekanga kangako |
|---|---|
| Amaqanda | Ingxolo |
| Iityhubhu zeFallopian | Isinyi |
| Indawo engasemva kwesibeleko | Amathumbu |
| Umaleko wemisipha wodonga lwesibeleko (iMyometrium) | I-Diaphragm |
| I-Peritoneum (ulwelo lwangaphakathi lwesisu) | Ilungu lobufazi okanye iLung |
Zithini iimpawu zale meko?
Uphawu oluphambili noluqhelekileyo lwe-endometriosis ziintlungu zesinqe . Le ntlungu inokuba ncinci kwabanye, kodwa isenokunganyamezeleki kwabanye. Le ntlungu inokuba qatha ngakumbi kwiintsuku ezimbalwa ngaphambi nangexesha lokuya exesheni. Oku kungenxa yokuba izicwili ezikwezo ndawo zingaqhelekanga zisabela kutshintsho lweehomoni olwenzeka ngelo xesha kwaye lubangele ukudumba.
Nazi ezinye zeempawu eziphambili:
- Intlungu ebuhlungu kakhulu yokuya exesheni: Intlungu enzima kangangokuba ayinakulawulwa ngeepilisi zokuthomalalisa iintlungu eziqhelekileyo.
- Intlungu yesisu esisezantsi okanye emqolo: Le ntlungu inokwenzeka ngexesha lokuya exesheni okanye phakathi kwexesha lokuya exesheni.
- Ukopha kakhulu: Ukopha kakhulu ngexesha lokuya exesheni okanye ukopha kancinci (ukubona amabala) phakathi kokuya exesheni.
- Intlungu ngexesha lokwabelana ngesondo: Oku kuthiwa yi-"Dyspareunia" ngokwezonyango.
- Ukungazali: Abanye abafazi bafumanisa ukuba bane-endometriosis kuphela xa bezama ukuba nomntwana.
- Intlungu ngexesha lokuhamba kwamathumbu okanye ukuchama.
- Ukungakhululeki esiswini: Izinto ezifana nokudumba, urhudo, okanye ukuqhina kwesisu.
Okumangalisayo kukuba ngamanye amaxesha i-endometriosis inokubakho ngaphandle kweempawu . Kwaye akukho nxu lumano phakathi kobunzima beempawu kunye nobunzima besifo. Oko kukuthi, umntu unokuba nezicubu ezincinci ze-endometriosis aze azive ebuhlungu kakhulu. Omnye umntu unokuba nezicubu ezininzi kwaye angabi nantlungu konke konke.
Ngaba i-endometriosis ibangela ukutyeba?
Hayi, i-endometriosis ayibangeli ngokuthe ngqo ukutyeba. Nangona kunjalo, ukudumba kunye nokugcinwa kwamanzi okuhambisana nale meko kunokukwenza uzive udumbile.
Kutheni i-endometriosis ikhula? Zithini izinto ezibangela umngcipheko?
Oogqirha abakayazi ukuba yintoni ebangela oku. Kodwa kukho izinto ezininzi abacinga ukuba zinokuba negalelo kuko. Umzekelo, abaphandi bakholelwa ukuba igazi lokuya exesheni lihamba nge-vagina kwaye inani elincinci libuyela kwisisu ngemibhobho ye-fallopian (`retrograde menstruation`), iingxaki zenkqubo yomzimba yokuzikhusela, kunye nokungalingani kwamahomoni konke oku kunokubangela oku.
Ingaba le yinto evela kwizizukulwana ngezizukulwana?
Ewe. Nangona unobangela ochanekileyo ungaziwa, kufunyenwe ukuba unxulumene nembali yosapho. Ukuba umama wakho, umakhulu, okanye udadewenu une-endometriosis, usemngciphekweni omkhulu wokufumana esi sifo. Ngoko ke ukuba kukho nabani na kusapho lwakho onayo le meko, kubaluleke kakhulu ukuthetha nogqirha wakho ngayo.
Zithini izinto ezibangela umngcipheko?
Kukho izinto ezininzi ezibangela umngcipheko wokuba ne-endometriosis.
- Ukuba nembali yosapho ene-endometriosis.
- Umjikelo omfutshane wokuya exesheni (ngaphantsi kweentsuku ezingama-27).
- Ukuya exesheni ixesha elide kunye nokopha kakhulu (okuhlala ixesha elingaphezu kweentsuku ezisi-8).
- Akazange abe nabantwana.
Ziziphi iingxaki ezinokwenzeka ngenxa ye-endometriosis?
Ukuba le meko ayinyangwanga kakuhle, iingxaki ezininzi zinokubakho. Ezona ziphambili ziintlungu ezingapheliyo kunye nokungafumani bantwana .
Ukongeza, ukuba isifo siba sibi kakhulu, oku kulandelayo kunokwenzeka:
- Iingxaki zamathumbu okanye isinyi: Ukuba izicubu zikhula emathunjini, kwi-rectum, okanye kwisinyi, zinokubangela igazi kwindle okanye kumchamo, kunye nentlungu eqatha xa ziphuma.
- Ubunzima bokuphefumla okanye iintlungu zesifuba: Kunqabile kakhulu, le tissue inokusasazeka iye emiphungeni okanye kwi-diaphragm, nto leyo ebangela ubunzima bokuphefumla.
Ukuba uneengxaki ezinjalo, ungathetha nogqirha wakho uze uzilawule.
I-endometriosis ibangela njani ubunzima ekufumaneni abantwana?
I-Endometriosis yeyona nto ibangela ukungazali. Khawuthelekelele, ukuba le tissue ivala iityhubhu ze-fallopian, yonakalisa ama-ovari, okanye idale izicubu ezibomvu ngaphakathi kwesisu, inokuphazamisana ne-sperm edibana neqanda ize ilichumise. Yiyo loo nto ukuba nabantwana kunokulibaziseka okanye kube nzima.
Indlela yokuxilonga ngokuchanekileyo esi sifo?
Ukuxilongwa kudla ngokuqala ngeempawu zakho. Xa uxelela ugqirha wakho ngentlungu yakho eqatha, uya kukubuza ngembali yakho yezonyango kunye nokuba kukho umntu kusapho lwakho okhe waba nale meko. Emva koko, baya kwenza uvavanyo lwe-pelvic. Ukuba kuyimfuneko, banokukuthumela kwiimvavanyo ezifana ne-ultrasound okanye i-MRI scan.
Kodwa, ndine-endometriosis.Eyona ndlela yokuqiniseka ngokupheleleyo yi-100% kukusebenzisa i-laparoscopy.
I-Laparoscopy yinkqubo apho kufakwa isixhobo esincinci, esinekhamera kwisisu ngokusebenzisa umngxuma omncinci ukuze kuhlolwe ingaphakathi lomzimba. Oku kuvumela ugqirha ukuba abone ngqo apho izicubu ze-endometriosis zikhoyo. Kwangaxeshanye, iqhekeza elincinci lezicubu ezikrokrisayo linokuthathwa lithunyelwe kwilebhu ukuze livavanywe ('i-biopsy').
Rhoqo, xa esenza olu tyando, ugqirha uzama ukususa naziphi na izicwili ze-endometriosis ezikhoyo. Ke ngoko, le yindlela yokuxilonga kunye nendlela yonyango.
Zithini iindlela zonyango?
Eyona ndlela ilungileyo yonyango kuwe iya kuxhomekeka kwizinto ezahlukeneyo.
- Ubunzima besifo
- Nokuba ulindele abantwana kwixesha elizayo.
- iminyaka yakho
- Ubunzima beempawu (ingakumbi iintlungu)
Unyango luneenjongo ezimbini eziphambili. Enye kukulawula iintlungu . Enye kukunceda ukuba ukhulelwe ukuba uzama ukukhulelwa. Oku kungenziwa ngamayeza, utyando, okanye zombini ezi zinto.
Unyango ngamayeza
Iipilisi zokunciphisa iintlungu ezifana nee-NSAID (ezifana ne-ibuprofen) zinokunceda ukulawula iintlungu. Ukongeza, unyango lwehomoni lolona hlobo lonyango lusetyenziswa kakhulu. Ezi zinceda ekulawuleni umjikelo wokuya exesheni kwaye zinciphise iintlungu.
- Iindlela zokulawula ukukhulelwa: Iipilisi zokulawula ukukhulelwa, amaphetshi, iinaliti, okanye ii-IUD zinokukunceda unciphise ixesha lakho lokuya exesheni kwaye zinciphise iintlungu.
- Ii-agonists/iintshaba ze-GnRH: La mayeza athintela iihomoni ezibangela umjikelo wokuya esikhathini. Ngamafutshane, asebenza ngokungathi inkqubo yakho yokuzala "ikwiholide" okwethutyana kwaye ithomalalisa iintlungu. I-Lupron® yenye yezo naliti.
- I-Danazol: Le ikwaliyeza elithintela ukuveliswa kweehomoni ezibangela ukuya exesheni.
Eyona nto ibalulekileyo kukuba iimpawu zingabuya xa la mayeza eyekekile. Kwakhona, olu nyango lweehomoni alufanelekanga kumntu okhulelweyo.
Unyango ngotyando
Kwezinye iimeko, utyando lunokucetyiswa. Injongo yotyando kukususa uninzi lwezicubu ze-endometriosis ezingaqhelekanga kangangoko kunokwenzeka.
- Utyando lweLaparoscopic: Njengoko bekutshiwo ngaphambili, esi sicwili sisuswa kakhulu ngokusikwa okuncinci kusetyenziswa ikhamera.
- Ukususwa kwesibeleko: Kwiimeko ezinzima kakhulu, ukuba isifo asinakulawulwa ngezinye iindlela zonyango, ugqirha wakho unokucebisa ukuba kususwe isibeleko kunye/okanye ama-ovari.
I-Endometriosis yimeko engapheliyo. Nangona abantu abaninzi befumana isiqabu kwiintlungu emva kotyando, iimpawu zinokubuya emva kweminyaka embalwa.
Eminye imibuzo onokuba nayo
Kuza kwenzeka ntoni ukuba ayinyangwa?
Ekuhambeni kwexesha, ezi zicwili zikhula ngaphandle kwesibeleko zinokwenza amaqhuqhuva, ukunamathela, kunye nezicwili zesilonda. Oku kunokubangela iintlungu eziqatha nezihlala ixesha elide. Kunokwenza kube nzima ngakumbi ukuba nabantwana.
Ngaba kunokwenzeka ukuba ukhulelwe ngale meko?
Ewe, kunokwenzeka ukukhulelwa. Kodwa kunokuba nzima ngakumbi kunomntu ongena-endometriosis. Ukuba uzama ukuba nomntwana, thetha nogqirha wakho ukuze enze isicwangciso sonyango esisebenza kakuhle kuwe. Usenokukwazi ukukhulelwa emva kokususwa kwesicwili ngotyando.
Ngaba oku kusenokwenzeka na emva kokuya exesheni?
I-Endometriosis ayisoloko iphinda ivele emva kokuya exesheni, njengoko amanqanaba e-estrogen emzimbeni ehla. Nangona kunjalo, ukuba umntu obe nale meko ngaphambi kokuya exesheni uthatha unyango lokutshintshwa kweehomoni (HRT), iimpawu zinokuphinda zivele.
Udinga nini ukubona ugqirha?
Ukuba unezinye zeempawu ezikhankanyiweyo apha ngasentla, ingakumbi iintlungu eziqatha zokuya exesheni, ukopha kakhulu, okanye iintlungu ngexesha lokwabelana ngesondo , ngokuqinisekileyo kuya kufuneka ubone ugqirha, ingakumbi ugqirha wezifo zabesifazane. Musa ukucinga nje ukuba oku kuqhelekile kwaye unyamezele iintlungu.
Xa usiya kugqirha, ungabuza imibuzo efana nale:
- Loluphi unyango olungcono endilucebisayo?
- Ingaba le meko ingaphinda ivele emva konyango?
- Ngaba oku kuya kuyichaphazela indlela endikwazi ngayo ukuba nabantwana?
- Ngaba ndisengozini yokufumana ezinye izifo ngenxa ye-endometriosis?
Xa ufunyaniswa ukuba une-endometriosis, ungaziva iimvakalelo ezahlukeneyo. Nangona ungaziva ukhululekile, "Owu, kulungile, ekugqibeleni ndiyazi unobangela wentlungu yam," ungaziva uxhalabile malunga nonyango kunye nokukwazi kwakho ukuba nabantwana. Zonke ezi mvakalelo ziqhelekile. Into ebalulekileyo kukwazi ukuba awuwedwa. Thetha ngokukhululekileyo nogqirha wakho kwaye uphuhlise isicwangciso sonyango esifanelekileyo kwimeko yakho.
Umyalezo Wokuya Ekhaya
- I-Endometriosis yimeko eqhelekileyo apho izicubu ezimele ukuba ngaphakathi kwesibeleko zikhula ngaphandle kwesibeleko.
- Uphawu oluphambili ziintlungu ezinganyamezelekiyo zokuya exesheni. Nangona kunjalo, zinokubangela ukopha kakhulu kunye nobunzima bokukhulelwa.
- Akukho nxibelelwano luhlala lukho phakathi kobunzima beempawu kunye nobunzima besifo. Abanye abantu banokuba naso ngaphandle kweempawu.
- Eyona ndlela yokuqinisekisa oku ngokupheleleyo yi-100% kukuhlinzwa nge-laparoscopy.
- Amayeza kunye notyando kunokunceda ukulawula iintlungu nokwenza ubomi bube lula. Ukuba unentlungu eqatha, musa ukucinga nje ukuba, "Oku kuqhelekile," kodwa bonana nogqirha.
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