Ngaba nawe unexesha elikwenza uzive ungonwabanga nyanga zonke? Usenokungakwazi ukwenza imisebenzi yakho eqhelekileyo ngenxa yokuqaqamba kwesisu okunganyamezelekiyo kunye nokopha kakhulu. Usenokucinga, "Oku kuqhelekile kuthi bafazi." Kodwa oko akusoloko kunjalo. Ngamanye amaxesha, unobangela wale ntlungu inzima nokopha kakhulu inokuba yimeko ebizwa ngokuba yi-adenomyosis. Namhlanje, siza kuthetha ngale nto ngendlela elula onokuyiqonda.
Ngamafutshane, yintoni i-adenomyosis?
Ukuze sikuqonde oku, masiqale sifunde kancinci ngesibeleko sethu. Udonga lwangaphakathi lwesibeleko lwenziwe nge-membrane ekhethekileyo. Siyibiza ngokuba yi-endometrium. Yile membrane ekhutshwa inyanga nenyanga ngexesha lokuya exesheni. Ngaphandle kwale membrane kukho udonga oluqinileyo olwenziwe ngemisipha yesibeleko. Lubizwa ngokuba yi-myometrium.
Ngoku, kwimeko ebizwa ngokuba yi-adenomyosis , okwenzekayo kukuba iiseli ezikwi-endometrial lining, engaphakathi kwesibeleko, azihlali nje apho, kodwa ziqala ukukhula zibe ngumaleko wemisipha yesibeleko (myometrium).
Cinga ngayo njengepeyinti ofuna ukuyifaka eludongeni ngaphakathi endlwini, kodwa isasazeka eludongeni ize ingene phakathi kwezitena. Xa olu lwelwesi lukhula lube yimisipha ngale ndlela, isibeleko siqala ukutyeba size sikhule kancinci kancinci. Ngamanye amaxesha isibeleko sinokukhula sibe kabini okanye kathathu ubukhulu baso obuqhelekileyo . Oku kubizwa ngokuba yi-adenomyosis.
Zithini iimpawu zale meko?
Okumangalisayo kukuba, ayinguye wonke umntu one-adenomyosis oneempawu. Abanye abafazi banokuba nale meko ngaphandle kweempawu. Kodwa kwabo banazo, inokuba yingxaki kancinci. Makhe sijonge iimpawu eziphambili.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukuya exesheni okubuhlungu kakhulu (iDysmenorrhea) | Usenokuba nentlungu ebukhali nenganyamezelekiyo edlula intlungu yesisu eqhelekileyo. |
| Ukopha kakhulu ukuya exesheni (iMenorrhagia) | Igazi lisenokuphuma ngamahlwili amakhulu. Ukopha kusenokuba nzima kangangokuba kufuneka utshintshe i-napkin yakho yokuhlamba rhoqo ngeyure. |
| Intlungu yePelvic | Kungekuphela nje ngexesha lokuya exesheni, kodwa nakwezinye iintsuku, ungaziva iintlungu ezingapheliyo okanye ubunzima esiswini esisezantsi. |
| Intlungu ngexesha lokwabelana ngesondo (iDyspareunia) | Kwabanye abantu, ukulala ngesondo kunokuba ngamava abuhlungu. |
| Isisu se-Adenomyosis | Njengoko isibeleko sikhula, isisu esisezantsi sinokuphuma, sivakale sisinda, okanye sivuvuke. |
| Ubunzima bokufumana abantwana (Ukungazali) | Nangona ingaqhelekanga, le meko inokubangela iingxaki ekukhulelweni komntwana. |
Kutheni oku kusenzeka? Zithini izinto ezibangela umngcipheko?
Enyanisweni, oogqirha abanayo impendulo eqinisekileyo eyi-100% malunga nokuba kutheni abanye abafazi befumana i-adenomyosis. Kodwa kukho izinto ezimbalwa abacinga ukuba zinokudlala indima. Uphando lufumanise ukuba utshintsho lweehomoni, iimpembelelo zemfuza, kunye neemeko zokudumba emzimbeni zinokuba zizinto ezibangela oku.
Nangona kunjalo, kukho izinto ezininzi eziye zachongwa ezonyusa umngcipheko wale meko.
- Ubudala: Le meko ixhaphake kakhulu kubafazi abaphakathi kweminyaka engama-40 ukuya kwengama-50 ubudala.
- Ukuba nabantwana: Lo mngcipheko uphezulu kubafazi abazale ubuncinane umntwana omnye.
- Utyando lwesibeleko: Ukuba ukhe watyandwa ngaphambili ukuze kususwe ii-fibroids zesibeleko okanye i-D&C (ukwandiswa kunye nokususwa kwesibeleko), umngcipheko wakho unokwanda kancinci.
- Ukuba ne-endometriosis: Abantu abane-endometriosis banamathuba amaninzi okufumana i-adenomyosis.
Yintoni umahluko phakathi kwe-adenomyosis kunye ne-endometriosis?
La magama mabini adla ngokubhideka. Omabini abangelwa kukukhula kwezicubu ezifana nolwelo lwesibeleko (i-endometrium) kwindawo engafanelekanga. Umahluko ukwindawo ekuyo.
I-Adenomyosis: Ulwelo lwesibeleko lukhula lube ludonga lwemisipha yesibeleko ngokwaso.
I-Endometriosis: Imeko apho izicubu ezifana nolwelo lwesibeleko zikhula ngaphandle kwesibeleko , umzekelo kuma-ovari, kwiityhubhu ze-fallopian, okanye kwenye indawo esiswini.
Ngamafutshane, i-adenomyosis yingxaki eyenzeka ngaphakathi kwesibeleko. I-Endometriosis yingxaki eyenzeka ngaphandle kwesibeleko.
Ingaba oku kungaba ngumhlaza? Zithini iingxaki ezibangelwa kuko?
Olu loloyiko abantu abaninzi abanalo. Kodwa into enye onokuqiniseka ngayo kukuba i-adenomyosis ayingomhlaza. Kwaye ayiguquki ibe ngumhlaza.
Kodwa ukuba ayinyangwa, enye yeengxaki eziphambili ezinokubakho yi-anemia, nto leyo ethetha ukwehla kwegazi emzimbeni . Kuba xa uphuma igazi elininzi ukuya exesheni, inani elikhulu le-iron liyasuswa emzimbeni. Ngenxa yesi sizathu, ungaziva udiniwe, ubuthathaka, kwaye ubanda ngalo lonke ixesha.
Ukongeza, intlungu engapheliyo inokuchaphazela ubomi bakho bemihla ngemihla kunye nempilo yengqondo.
Ugqirha uyixilonga njani le nto?
Xa uxelela ugqirha wakho ngeempawu zakho, unokukuhlola aze akukrokrele ukuba le meko imbi. Ukuqinisekisa oku, badla ngokwenza olunye okanye ngaphezulu kwezi vavanyo.
- Uvavanyo lwePelvic: Xa ugqirha wakho ekuxilonga, uza kujonga ukuba isibeleko sakho sikhulu kancinci, sithambile, okanye sibuhlungu xa usichukumisa.
- I-Ultrasound Scan: Kule meko, i-scan, ingakumbi i-ultrasound ye-transvaginal, inokubona ngokucacileyo ukuba iindonga zesibeleko zijiyile okanye kukho naluphi na utshintsho kuso.
- I-MRI scan: Kwezinye iimeko, i-MRI scan inokubonelela ngomfanekiso ocacileyo nonzulu wemeko yesibeleko.
Ngamanye amaxesha, ugqirha wakho unokugqiba ekubeni athathe isampuli encinci yolwelo lwesibeleko sakho (i-biopsy) ukuqinisekisa ukuba akukho nye imeko enzulu.
Zeziphi iindlela zonyango ezikhoyo?
Ekubeni imeko ebizwa ngokuba yi-adenomyosis idla ngokuxhomekeka kwi-hormone ye-estrogen, idla ngokuphela emva kokuya exesheni.Oko kukuthi, emva kokuba ukuya exesheni kuyekile ngokupheleleyo, ezi mpawu ziya kuncipha kancinci kancinci. Kodwa akufuneki ubandezeleke de kufike elo xesha. Kukho iindlela ezahlukeneyo zonyango zokulawula iimpawu. Ugqirha wakho uya kukhetha unyango olukufaneleyo, ethathela ingqalelo iminyaka yakho, uhlobo lweempawu, kunye nokuba ufuna ukuba nabantwana abaninzi na.
| Indlela yonyango | Inkcazo |
|---|---|
| Izibulali-ntlungu | Amayeza angengo-steroidal alwa nokuvuvukala (ii-NSAID) afana ne-ibuprofen kunye ne-naproxen anokunceda ukulawula iintlungu zokuya exesheni. |
| Unyango lwehomoni | Iipilisi zokulawula ukuzala, ii-IUD zehomoni, kunye nezinye iindlela zinokunceda ekulawuleni ukopha okukhulu kunye nentlungu. Kukwakho neenaliti zehomoni ezifana neDepo-Provera. |
| Amayeza angengawo amahomoni | Amayeza anjenge-tranexamic acid anokunciphisa ukopha kokuya exesheni. |
| Utyando lwe-Adenomyomectomy | Oku kuquka ukususwa ngotyando kuphela kwezicubu ezikhule zaba yimisipha, ngaphandle kokususa isibeleko sonke. |
| Utyando lwe-Hysterectomy | Ukuba akukho nyango lunokulawula iimpawu kwaye awusafuni ukuba nabantwana, ukususwa kwesibeleko yindlela yokugqibela. Emva koko, awuyi kuphinda uye exesheni kwaye awuyi kukwazi ukuba nabantwana. |
Ufanele uye nini ngokuqinisekileyo kugqirha?
Ukuba unayo nayiphi na kwezi mpawu zingezantsi, musa ukucinga nje ukuba "oku kuqhelekile" kwaye ngokuqinisekileyo bonana nogqirha ukuze akunike ingcebiso.
- Ukopha kakhulu exesheni: Ukuba kufuneka utshintshe ii-sanitary pads malunga neyure.
- Intlungu ebuhlungu esiswini: Ukuba intlungu inzima kangangokuba awukwazi nokwenza imisebenzi eqhelekileyo.
- Ukuba uva iintlungu ngexesha lokwabelana ngesondo .
- Ukuba uziva unesithukuthezi okanye uzele rhoqo esiswini esisezantsi .
Nokuba ezi mpawu azibangelwa yi-adenomyosis ngokwayo, zinokubangelwa yenye imeko efuna unyango. Kungoko ke, kubaluleke kakhulu ukubona ugqirha.
Umyalezo Wokuya Ekhaya
- I-Adenomyosis kukukhula kolwelo lwesibeleko luye kwimisipha yesibeleko. Oku akuyomhlaza .
- Intlungu enkulu yokuya exesheni kunye nokopha kakhulu azisoloko "ziqhelekile." Zinokuba luphawu lwengxaki yempilo engabonakaliyo.
- Kukho amayeza asebenzayo kakhulu kunye nonyango lotyando lokulawula ezi mpawu, ngoko ke akukho mfuneko yokubandezeleka ziintlungu.
- Ukuba unayo nayiphi na kwezi mpawu, ungoyiki okanye ube neentloni ukuthetha nogqirha wakho ngazo. Elo linyathelo lokuqala eliya kubomi obusempilweni.
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