Ngaba nawe uneentlungu ezinzima zokuya exesheni? Iintlungu zesisu? Oku kusenokuba kubangelwa yi-adenomyosis!

Kwabaninzi abafazi, iintlungu kunye nokopha kakhulu okuhamba nokuya exesheni ziqhelekile. Kodwa ngamanye amaxesha kunokubakho esinye isizathu sezi zinto. Leyo yimeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yi-adenomyosis. Ungakhathazeki, masithethe ngayo ngokweenkcukacha.

Yintoni i-adenomyosis?

Ngamafutshane, i-adenomyosis yimeko apho izicubu ezifana nolwelo lwesibeleko sakho (esibizwa ngokuba yi-endometrium ) zikhula zibe ludonga lwemisipha yesibeleko sakho (esibizwa ngokuba yi-myometrium) . Khawuthelekelele, xa olu hlobo lwezicubu lukhula lube ludonga lwesibeleko, isibeleko sikhula kancinci kancinci size sikhule. Ngamanye amaxesha sinokuphinda kabini okanye kathathu ubukhulu baso obuqhelekileyo. Yiyo loo nto ufumana iintlungu eziqatha ngexesha lokuya esikhathini, ukopha kakhulu, amabala, kunye nentlungu yesisu/esezantsi kwesisu.

Ngubani onokuthi afumane oku?

Abafazi abaninzi abazi nokuba bane-adenomyosis. Asinguye wonke umntu oneempawu, ngoko ke kunzima ukutsho ukuba ixhaphake kangakanani na. Kodwa uphando lufumanise ukuba ixhaphake kakhulu kubafazi abaye banqunyulwa isisu kunye nakubafazi abangaphezu kweminyaka engama-40 ubudala. Ingachaphazela nabasetyhini abancinci (malunga ne-2% ukuya kwi-5%) abaneentlungu ezinzima zokuya exesheni.

Zithini iimpawu zoku?

Kuthiwa malunga nesithathu sabantu abanazo iimpawu. Kodwa abanye abantu bahlangabezana nezinto ezifana nezi:

• Intlungu ebuhlungu ngexesha lokuya exesheni (ekwabizwa ngokuba yi -dysmenorrhea ).
• Ukopha kakhulu ngexesha lokuya exesheni (oku kubizwa ngokuba yi -menorrhagia ).
• Ukuya exesheni okungaqhelekanga.
• Intlungu yesisu esisezantsi (nokuba nentlungu ebuhlungu okanye ingekho).
• Intlungu ngexesha lokwabelana ngesondo (oku kubizwa ngokuba yi -dyspareunia ).
• Ubunzima bokufumana abantwana (Ukungazali).
• Ukwandiswa kwesibeleko .
• Ukuziva uzele okanye unzima esiswini (abanye abantu babiza oku ngokuthi 'isisu se-adenomyosis').

Kutheni oku kusenzeka? Zithini izizathu?

Abaphandi abakayazi kakuhle ukuba kutheni abanye abantu befumana i-adenomyosis, okanye ukuba yintoni kanye unobangela. Nangona kunjalo, ezinye izifundo zibonisa ukuba utshintsho lweehomoni, izinto zemfuza, ukudumba emzimbeni, okanye ukwenzakala kwesibeleko kunokudlala indima.Izinto ezinjalo zinokuchaphazela oku.

Zithini izinto ezibangela umngcipheko?

I-Adenomyosis ibonakala kakhulu kubafazi aba:

• Abantu abaneminyaka ephakathi kwama-40 nama-50 ubudala.
• Abo bazale ubuncinane umntwana omnye.
• Abo bakhe benza utyando lwesibeleko ngaphambili njengotyando lokususa i-fibroid yesibeleko okanye i-D&C (Dilation and Curettage).
• Abantu abane-endometriosis.

Nangona kunjalo, i-adenomyosis ngoku ixhaphake kakhulu kubafazi abakwiminyaka yabo yama-30 abafumana ukopha okungaqhelekanga kwilungu lobufazi okanye iintlungu eziqatha zokuya exesheni.

Ngaba i-adenomyosis ingabangela ezinye iingxaki?

Ewe, nge-adenomyosis, iimpawu zinokuba zimbi kancinci ngokuhamba kwexesha.

Ingakumbi khumbula ukuba ukulahleka kwegazi elininzi kunokukhokelela kwi- anemia . Ngoko ke ukuba uhlala uziva udiniwe kwaye ubanda, qaphela loo nto.

I-anemia yimeko apho umzimba wakho ungenazo iiseli zegazi ezibomvu ezaneleyo ezine-iron eninzi. Oku kunokukwenza uzive udiniwe kwaye ubanda .

Ngaba oku kungaba ngumhlaza?

Hayi. I-Adenomyosis ayilomhlaza. Kwaye ayibangeli umhlaza. Ngoko ke akukho nto inokubangela ixhala.

Ugqirha uyibona njani le nto?

Oogqirha badla ngokurhanela i-adenomyosis ngokubuza ngeempawu zakho nokwenza olunye okanye ngaphezulu kwezi vavanyo:

• Uvavanyo lwe-pelvic: Ngexesha lovavanyo, ugqirha angabona ukuba isibeleko sakho sikhulu kunesiqhelo, sithambile, okanye sibuhlungu xa usichukumisa.
• I-ultrasound scan: I-ultrasound eyenzeka nge-transvaginal, ingakumbi eyenziwa nge -vaginal, isebenzisa amaza esandi ukuthatha imifanekiso yamalungu akho esinqe . Le mifanekiso ngamanye amaxesha inokubonisa ukutyeba kodonga lwesibeleko.
• I-MRI scan: I-MRI (Magnetic Resonance Imaging) scan ibonisa ngokucacileyo indlela isibeleko esikhule ngayo kunye nendlela ezinye iindawo zesibeleko eziye zatyeba ngayo.

Ngamanye amaxesha ugqirha wakho usenokuthatha isampuli encinci yezicubu esibelekweni sakho (ebizwa ngokuba yi-biopsy ) aze ayithumele kwilabhoratri ukuze kuhlolwe ezinye izifo ezinzulu.

Luthini unyango?

Uninzi lwexesha, i-estrogenIhomoni i-estrogen inceda ukuba esi silwanyana se-endometrial sikhule. Ke ngoko, emva kokuya exesheni, xa ukuya exesheni kuyeka ngokupheleleyo, iimpawu ze-adenomyosis ziya kuphela kakhulu. Kodwa kude kube ngoko, olu nyango lunokunceda ukunciphisa iintlungu, lulawule ukopha okukhulu, kwaye lunike isiqabu kwezinye iimpawu:

• Iintlungu : Amayeza angengowe - steroidal alwa nokuvuvukala (ii-NSAID), afana ne -ibuprofen (Advil®, Motrin®) kunye ne-naproxen (Aleve®), anciphisa iintlungu.
• Amayeza eehomoni: Amanye amayeza eehomoni anokunceda ukulawula ukopha exesheni kunye nokuya exesheni okungacwangciswanga. Imizekelo ibandakanya iipilisi zokulawula ukuzalwa, i-Depo-Provera® shot, kunye nezixhobo ze-hormonal intrauterine (IUDs ) ezifana neMirena® .
• Amayeza angengawo awehomoni: Amayeza anjenge- tranexamic acid anokunciphisa ukopha kwegazi kwilungu lobufazi.
• I-Adenomyomectomy: Olu tyando lususa izicubu ze-adenomyosis kwimisipha yesibeleko. Oku kufana noko ne-myomectomy, esusa ii-fibroids zesibeleko.
• Ukususwa kwesibeleko: Oku kuquka ukususwa ngokupheleleyo kwesibeleko. Emva kokususwa kwesibeleko , awusayi kuba sexesheni kwaye awuyi kuba nabantwana.

Kuza kwenzeka ntoni ukuba unyango alunikwa?

Ukuba ayinyangwa, i-adenomyosis inokukhokelela ekungazalini okanye ekuphunyelweni yisisu , njengoko inciphisa amathuba okuba umbungu utyalwe eludongeni lwesibeleko. Inokubangela intlungu engapheliyo esiswini esisezantsi nakwisinqe .

Ngaba ikho indlela yokuthintela oku?

Ngenxa yokuba unobangela ochanekileyo we-adenomyosis ayaziwa, oogqirha abakayazi indlela ethile yokuyithintela.

Yintoni onokuyilindela xa uphila nale meko?

Abantu abaninzi abaneempawu ze-adenomyosis eziphazamisa ubomi babo bemihla ngemihla bafumana isiqabu ngonyango. Njengoko bekutshiwo ngaphambili, iimpawu kufuneka ziphele emva kokuya exesheni. Nangona kunjalo, isibeleko esikhulu sisenokuqhubeka.

I-Adenomyosis kunye nokukhulelwa

I-Adenomyosis idla ngokubonakala kubafazi abaye baba nomntwana omnye ubuncinane. Nangona kunjalo, ngenxa yesi simoKunokuba nzima ukukhulelwa umntwana okokuqala, okanye ukuba nomnye umntwana. Nokuba ukhulelwe, kukho iingozi, ezinje:

• Ukuphuma kwesisu.
• Ukuzala kwangethuba.

Ndifanele ndimbone nini ugqirha?

Ukuba unayo nayiphi na kwezi mpawu, qiniseka ukuba ubona ugqirha:

• Ukopha kakhulu ukuya exesheni.
• Intlungu enzima kakhulu yokuya exesheni.
• Intlungu ngexesha lokwabelana ngesondo.
• Ukuziva ugcwele okanye ubunzima esiswini.

Imibuzo ebalulekileyo yokubuza ugqirha

Ukuba ufunyaniswa ukuba une-adenomyosis, ungabuza ugqirha wakho imibuzo efana nale:

• "Kutheni ndifumene i-adenomyosis?"
• "Yeyiphi indlela yonyango engcono kum?"
• "Ndingasebenzisa enye indlela yokulawula ukukhulelwa?"
• "Ndiza kukwazi na ukuba nabantwana?"
• "Ngaba kufuneka ndikhathazeke ngeempawu zeengxaki?"

Yintoni umahluko phakathi kwe-Adenomyosis kunye ne-Endometriosis?

I-Adenomyosis kunye ne -endometriosis zombini ziimeko apho izicubu ezifana nolwelo lwesibeleko (i-endometrium) zikhula ngaphandle kwesibeleko. Zombini zinokuba buhlungu. Nangona kunjalo, i-adenomyosis inokubangela ukopha okukhulu kokuya exesheni. Umahluko omkhulu phakathi kwezi meko zimbini kukuba izicubu zikhula phi:

• I-Adenomyosis: Izicubu ezifana ne-endometrium zikhula zibe yimisipha yesibeleko.
• I-Endometriosis: Izicubu ezifana ne-endometrium zikhula ngaphandle kwesibeleko, umzekelo kwii-ovari okanye kwiityhubhu ze -fallopian.

Ingaba le yimeko enzima?

I-Adenomyosis ayisoloko ibangela iingxaki ezinkulu nezisongela ubomi. Nangona kunjalo, inokubangela ubunzima bokukhulelwa okanye ukuphuphuma kwesisu.

Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha kunokuba ubandezeleke wedwa ukuba ezi mpawu ziyakuphazamisa ubomi bakho bemihla ngemihla.

Ngoko ke ungoyiki ukuthetha nogqirha wakho ngeendlela zokuzive ungcono.

Umyalezo esifuna ukuwuthatha ekhaya kweli bali ngulo

Kulungile, ngoko ke sithethe kakhulu nge-adenomyosis. Ukuba ufumana iimpawu ezinje, ezinje ngeentlungu zokuya exesheni ezinzima, ukopha kakhulu, kunye nentlungu esezantsi kwesisu, kungcono ukubona ugqirha kwaye ufumane iingcebiso kunokuba ubandezeleke wedwa. Khumbula, lo asingomhlaza, kwaye abantu abaninzi banokufumana isiqabu ngonyango.Ezi mpawu zihlala ziphela emva kokuya exesheni. Ukuba awucebi ukuba nabantwana, ukususwa kwesibeleko kunokunyanga ngokupheleleyo le meko. Ngoko ke, ungoyiki ukuxoxa ngeengxaki zakho nogqirha wakho uze ufumane isisombululo esikufaneleyo.