Ingaba unayo nentlungu engapheliyo kwisisu sakho esisezantsi? Oku kusenokuba yiPelvic Congestion Syndrome (PCS)!

Ngaba wakha waba nentlungu ebukhali, etsalayo esiswini sakho kangangeenyanga? Usenokucinga ukuba yinto eqhelekileyo, okanye ukuba yinyanga nje. Kodwa ngamanye amaxesha yinto ekufuneka ukhathazeke ngayo. Leyo yimeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yiPelvic Congestion Syndrome (PCS).

Yintoni iPelvic Congestion Syndrome (PCS)?

Ngamafutshane, iPelvic Congestion Syndrome (PCS) yimeko ebuhlungu engapheliyo ebangelwa yingxaki yokuhamba kwegazi kwimithambo esezantsi kwesisu sakho, okanye i-pelvis. Igama elithi "Chronic" lithetha intlungu ehlala ixesha elingaphezu kweenyanga ezi-6 kwaye ayinxulumananga ngokuthe ngqo nokuya kwakho exesheni okanye ukukhulelwa.

Khawucinge nje, kule meko, imithambo ekwii-ovari zakho nakwi-pelvis ayisebenzi kakuhle. Le mithambo iba mikhulu (iyanda), ngamanye amaxesha iyajikajika, ize igcwale ligazi ize ixinane. Njengengxinano yezithuthi. Xa igazi libambeka kwindawo enye, oko kukuthi, xa 'lihlangana', uqala ukuziva iintlungu.

Ngubani ochaphazeleka kakhulu yile meko?

Le meko ye-'PCS' idla ngokubonakala kakhulu kubasetyhini abaphakathi kweminyaka engama-20 ukuya kwengama-45 abaye bazala abantwana abangaphezu komnye . Ukongeza, kukho nezinye izinto ezinokubangela umngcipheko:

• Ukuba unemithambo ye-varicose.
• Ukuba kukho umntu kusapho lwakho onemithambo yegazi eyomileyo.
• Ukuba unePolycystic Ovarian Syndrome (PCOS).

Nangona kunjalo, abafazi abaye badlula kwixesha lokuya exesheni akunakwenzeka ukuba babe nePelvic Congestion Syndrome.

Ixhaphake kangakanani le meko?

Malunga nama-40% abafazi abatyelela oogqirha bezifo zabesifazane badla ngokukhalaza ngeentlungu ezingapheliyo zesisu esisezantsi. Kuqikelelwa ukuba malunga nama-30% aba bafazi bane-pelvic congestion syndrome . Oku kuthetha ukuba nangona kungeyonto iqhelekileyo, isenokuba yimbangela yeentlungu zesisu esisezantsi ezingachazwanga kwabanye abantu.

Zithini iimpawu zePelvic Congestion Syndrome?

Iintlungu ezisezantsi kwesisu ezibangelwa yi-PCS zingahluka. Kwabanye abantu, zinokuba yintlungu ebuhlungu, ebuhlungu, okanye enzima . Akunqabile ukuba iintlungu zibe bukhali kwaye zibe qatha.

Ixesha elininzi, le ntlungu ivakala kuphela kwicala lasekhohlo. Kodwa inokuvakala nakwicala lasekunene okanye kumacala omabini. Kubantu abaninzi, le ntlungu iqala ngexesha lokukhulelwa okanye emva kokubeleka. Le ntlungu inokuba mandundu xa ukukhulelwa okulandelayo kusenzeka.

Intlungu enxulumene ne-PCS inokuba mandundu ngamaxesha anje ngala:

• Xa usuku luphela.
• Kungaphambi nje kokuba uqale ukuya exesheni, ngaloo mihla imbalwa.
• Ngexesha nasemva kokwabelana ngesondo (le meko ikwabizwa ngokuba yi-'dyspareunia').
• Kwenzeka xa ume okanye uhleli ixesha elide (kodwa kuncipha kancinci xa ulele).

Ezinye iimpawu:

• Imithambo ye-Varicose ibonakala kwi-pelvis yakho, ezinqeni, emathangeni, kwi-vulva nakwi-vagina.
• Iziqendu ezihlala zitshintshana zesifo sorhudo kunye nokuqhina (ekwaziwa ngokuba yi-irritable bowel syndrome).
• Ukulahlekelwa ngumchamo ngokungeyomfuneko xa uhleka, ukhohlela, okanye usenza izinto ezibeka uxinzelelo kwisinyi (oku kubizwa ngokuba yi-'stress incontinence').
• Intlungu xa uchama (oku kubizwa ngokuba yi-'dysuria').

Yintoni ebangela i-Pelvic Congestion Syndrome?

Enyanisweni, abaphandi abakafumani unobangela ochanekileyo wePelvic Congestion Syndrome. Nangona kunjalo, kuyacaca ukuba iingxaki zokuhamba kwegazi kwimithambo yakho yamaqanda kunye nemithambo ekwisinqe sakho zibandakanyeka.

Oku kuqhele ukwenzeka: Igazi liphuma phezulu lisuka kwimithambo ekwisinqe sakho, liye entliziyweni yakho, ngemithambo yesibeleko. Ngaphakathi kwezi mithambo kukho izinto ezincinci ezifana nomnyango ezibizwa ngokuba ziivalvu . Ezi zithintela igazi ukuba lingaphumi libuyele umva. Oku kuphuma kwegazi libuyela umva kubizwa ngokuba yi-'reflux'.

Kodwa kumntu one-'PCS', le mithambo iyanda kwaye iivalvu azisebenzi kakuhle. Emva koko igazi liqala ukuhamba ngasemva. Imithambo izaliswe ligazi kwaye ijijeke. Kulapho igazi lihlangana khona kwimithambo ye-pelvic kwaye libangele intlungu. Le ntlungu inokwenzeka nokuba imithambo yoluliwe ukuze ikwazi ukuthwala igazi elongezelelweyo, okanye kuba imithambo ekhubazekileyo icinezela imithambo-luvo ekufutshane.

Kukho izizathu ezahlukeneyo zokuba ulwakhiwo lwemithambo lutshintsha kwi-'PCS':

• Ukukhulelwa: Enye ingcamango kukuba oku kunxulumene notshintsho kwimithambo yegazi ngexesha lokukhulelwa. Njengoko umntwana ekhula esibelekweni, imithambo yegazi iyanda malunga ne-50% yobukhulu bayo obuqhelekileyo ukuze ikwazi ukusingatha igazi elongezelelweyo elifunekayo kumntwana. Olu tshintsho lunokubangela umonakalo wexesha elide eludongeni lwemithambo yegazi. Imithambo yegazi inokuhlala ivulekile nasemva kokuba umntwana ezelwe.
• I-estrogen: Ekubeni abafazi abasele beyekile ukuya exesheni bengenalo ithuba lokufumana isifo sokuxinana kwe-pelvic, kucingelwa ukuba i-estrogen inokudlala indima. Amanqanaba e-estrogen ayancipha emva kokuya exesheni. I-estrogen ichaphazela udonga lwemithambo yegazi, nto leyo eyenza imithambo yakho ibe sesichengeni sobuthathaka obukhokelela kwi-PCS.

Ngomlinganiselo omkhulu, i-'PCS' sisiphumo sezinto ezahlukeneyo ezinxulumeneyo.

Ifunyanwa njani iPelvic Congestion Syndrome (PCS)?

Xa ubona ugqirha, uza kuqala akubuze ngembali yakho yezonyango kunye neempawu zakho. Emva koko baza kwenza uvavanyo lomzimba, olunokubandakanya uvavanyo lwe-pelvic. Ugqirha uza kuhlola ama-ovari akho, umlomo wesibeleko, kunye nesibeleko ukuze afumane ukuba intlungu ivela phi kanye kanye.

Uvavanyo lwemifanekiso lunokunceda ekuthinteleni ezinye iimeko ezinokubangela iintlungu ezingapheliyo zesisu esisezantsi kwaye lukhangele naziphi na iingxaki kwimithambo-luvo enokuba negalelo kwi-PCS. Ezi mvavanyo ziquka:

• I-Ultrasound: Ngokuqhelekileyo into yokuqala ugqirha wakho aya kuyiyalela yi-ultrasound. Oku kunokujonga ukuba imithambo yegazi iyanda na. Kunokunceda ekuqinisekiseni ukuba kukho ezinye iingxaki ezinokubangela intlungu yakho. Uphawu lwe-Doppler lwe-ultrasound lunokujonga nokuhamba kwegazi kwimithambo yakho.
• I-MRI okanye i-CT scan: I-MRI (Magnetic Resonance Imaging) okanye i-CT (Computed Tomography) scan ingabonisa iinkcukacha zemithambo yegazi ezinokuthi zingabonwa yi-ultrasound. Zingabonisa imithambo ejijekileyo kunye nokwanda kwemithambo yegazi kuma-ovari nakwi-pelvic cavity ngokucacileyo kune-ultrasound. Zingabonisa nokuba kukho na ukukhula okungaqhelekanga kwi-pelvic cavity okunokubangela ezinye iintlungu ezihlala ixesha elide, njenge-endometriosis.
• I-venography yePelvic: Le ithathwa njengomgangatho olungileyo wokufumanisa i-PCS. Nangona kunjalo, luvavanyo oluntsonkothileyo, ngoko ke ludla ngokwenziwa xa ezinye iimvavanyo zokuthatha imifanekiso zingaqinisekanga. Ngamanye amaxesha ugqirha wakho unokusebenzisa olu vavanyo ngaphambi kotyando kwimithambo yakho. Kwi-venography ye-pelvic, ugqirha wakho ufaka ityhubhu encinci ebizwa ngokuba yi-catheter kumthambo osentanyeni okanye emqolo wakho. Emva koko usebenzisa i-X-ray ukukhokela umbhobho kwiityhubhu zakho ze-fallopian zasekunene nezasekhohlo. Emva koko kufakwa idayi ekhuselekileyo emthanjeni. I-X-ray ibonisa imithambo ngokucacileyo. Le venography inokubonisa apho imithambo ikhoyo, apho ibanzi khona, ijijekile khona, indlela igazi elihamba ngayo, kunye nendawo apho igazi lidibene khona.
• I-Laparoscopy: I-laparoscopy inokujonga imithambo yegazi ekhulisiweyo. Nangona kunjalo, isenokungabi luncedo njengezinye iimvavanyo ekufumaniseni iingxaki zokuhamba kwegazi ezinxulumene ne-PCS. Ugqirha wakho angenza ne-laparoscopy ukuthintela ezinye iimeko ezinokubangela iintlungu zesisu sakho esisezantsi, kuquka ne-PCS. Oku kuquka ukwenza imingxunya embalwa esiswini sakho nokufaka ikhamera kuyo ukuze kuhlolwe amalungu omzimba wakho wokuzala.

Into ebalulekileyo:Ukufumanisa isifo sokuxinana kwemisipha ye-pelvic ngamanye amaxesha kunokuba nzima, njengoko abantu abaninzi abangenazo iintlungu ze-pelvic banotshintsho olufanayo kwimithambo yegazi njengabo banazo. Izifundo zomfanekiso zibonise ukuba abantu abaneentlungu ze-pelvic ezingapheliyo nabangenazo banokuba notshintsho kwimithambo yegazi kunye nokubuyela umva kwemisipha.

Nokuba uvavanyo lwakho lwemifanekiso lubonisa ukuba imithambo yakho ivulekile, usenokungadingi unyango ngaphandle kokuba unentlungu ende.

I-Pelvic Congestion Syndrome idla ngokufunyaniswa emva kokuba zonke ezinye izizathu ezinokubangela iintlungu zesisu ezisezantsi zisusiwe.

Ngaba iPelvic Congestion Syndrome (PCS) inganyangeka? Ngaba ingathintelwa?

Akukho nyango lwePelvic Congestion Syndrome, kodwa kukho amayeza kunye nonyango olunokukunceda ukulawula iimpawu zakho kunye nokunciphisa iintlungu.

Kwakhona, akukho ndlela yokuthintela le `Pelvic Congestion Syndrome`.

Ziziphi iindlela zonyango lwe-Pelvic Congestion Syndrome?

Ungabona oogqirha abahlukeneyo ukuze ufumane unyango. Umzekelo, ugqirha wezifo zabesifazane, ingcali ye-gastroenterology (GI), ingcali yeentlungu, kunye nogqirha wezonyango. Ugqirha wakho okanye iqela lezonyango linokucebisa amayeza okulawula iimpawu zakho ngaphambi kokuba ucebise utyando.

Amayeza

Amayeza anciphisa ukuveliswa kwehomoni i-estrogen anokunceda ukunciphisa iintlungu ezinxulumene ne-Pelvic Congestion Syndrome. Ezi ziquka:

• ``I-Medroxyprogesterone acetate (Depo-Provera®)''
• ``I-Etonogestrel implant (Implanon®)''
• `Ii-agonists ze-GnRH` (umz. iGoserelin)

Iinkqubo zonyango

Ukuba amayeza awayithobeli imiqondiso yakho, ugqirha wakho unokucebisa enye yezi ndlela zonyango:

• Ukufakwa kwemithambo ye-ovarian okanye i-sclerotherapy: Le nkqubo ibandakanya ukuvala imithambo ebangela ukuba igazi libuyele umva kwaye ibangele ukuba igazi lihlangane. Okokuqala, ugqirha ufaka i-catheter kwimithambo ye-ovarian enengxaki kunye nemithambo ye-pelvic. Emva koko, iikhemikhali zifakwa kwi-catheter ukuze zivuthe okanye zivuthe imithambo kwaye zibangele ukuba inciphe. Iikhoyili ezincinci zesinyithi, iiglue ezikhethekileyo, okanye amagwebu nazo zifakwa kule mithambo ukuze kuthintelwe igazi ukuba lingaphumi umva (reflux).
• I-Laparoscopy: Ugqirha unokwenza inkqubo ye-laparoscopic yokubopha imithambo yegazi ukuze igazi lingaphumi libuyele umva.
• Ukususwa kwe-salpingo-oophorectomy emacaleni omabini:Ukuba ugqibile ukuba nabantwana, okanye ukuba awufuni ukuba nabantwana, ugqirha wakho unokugqiba ekubeni asuse amalungu akho esinqeni (isibeleko, iityhubhu ze-fallopian, kunye nama-ovari). Nangona kunjalo, olu tyando alufane lwenziwe kwi-PCS.

Ingaba iPelvic Congestion Syndrome (PCS) iyingozi ebomini? Yintoni onokuyilindela?

I-Pelvic Congestion Syndrome ayisiyongxaki esongela ubomi . Nangona kunjalo, kuxhomekeke kubukhulu bentlungu yakho, inokuba nkulu kangangokuba iphazamisane nobomi bakho bemihla ngemihla kwaye ikuthintele ekwenzeni izinto ozithandayo. Ngoko ke ukuba iintlungu zakho ezisezantsi kwesisu zichaphazela umgangatho wobomi bakho, kubalulekile ukubona ugqirha.

Nangona kungekho unyango oluqhelekileyo lwe-pelvic congestion syndrome, iziphumo zokungenelela ukunciphisa iintlungu zilungile kakhulu . Umzekelo, ama-75% abantu abafumana i-ovarian vein embolization bafumana isiqabu kwiintlungu. Kwiimeko ezinjalo, esi sifo siphinda sibuye kwipesenti encinci kuphela yamatyala, malunga ne-5%.

Ndingayibuza yiphi imibuzo ugqirha?

Xa usiya kugqirha, kungcono ukubuza le mibuzo:

• Zingaphi iingcali ekufuneka ndizibone ukuze ndifumane unyango okanye ndixilongwe?
• Ngawaphi amayeza owacebisayo ukunciphisa iimpawu?
• Ndingacetyiswa nini ukuba ndisebenzise unyango ukuze ndiphucule iimpawu zam?
• Luhlobo luni lonyango olucetywayo?
• Ziziphi iingozi ezinokubakho ezinxulumene naloo nkqubo yezonyango?

Kungathatha ixesha ukufumanisa unobangela ochanekileyo wentlungu yakho esezantsi kwesisu. Enyanisweni, zininzi iimeko ezinokubangela intlungu ye-pelvic. Ukuchonga imeko yakho ye-'PCS' kusenokufuna uvavanyo oluninzi, kwaye kunokufuneka usebenze neengcali ezininzi. Iindaba ezimnandi zezokuba uninzi lwexesha, iimpawu zinokulawulwa ngamayeza. Nokuba amayeza awasebenzi, ugqirha wakho unokucebisa unyango olunokukunceda. Ngoko ke, musa ukulibazisa ukufuna unyango nokufumana isiqabu.

Umyalezo Wokugqibela Wokuya Ekhaya

Ngoko ke, i-'Pelvic Congestion Syndrome' ayisiyonto imbi okanye isongela ubomi njengoko unokucinga. Nangona kunjalo, intlungu ehlala ixesha elide ebangelwa yiyo inokuba ngumqobo omkhulu kubomi bakho bemihla ngemihla kunye nolonwabo lwakho.

• Ukuba ubusoloko uziva iintlungu ezingaqhelekanga, ubunzima, okanye ukutsala isisu sakho esisezantsi kangangeenyanga, eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ngaphandle kokuyityeshela.
• Kungathatha ixesha ukufumana unobangela, kwaye kusenokufuneka iimvavanyo ezininzi. Kodwa ukuba ufumene uxilongo olufanelekileyo, ungafumana isiqabu ngonyango.
• Khumbula, awuwedwa. Abafazi abaninzi bayasokola nezi meko. Ngoncedo nolwalathiso olufanelekileyo lwezonyango, unokukwazi ukulawula le meko kwaye uphile ubomi obusempilweni.

Ngoko ke, mamela umzimba wakho. Ukuba uziva into eyahlukileyo okanye engaqhelekanga, yithathele ingqalelo. Kulapho kuphela apho sinokuba sempilweni kwaye sonwabe khona.

Isifo sokuxinana kwesisu, iintlungu zesisu esisezantsi, imithambo erhabaxa, iintlungu zesisu, impilo yabasetyhini, i-gynecology, ukujikeleza kwegazi, i-PCS