Ingabe nawe uzwa ubuhlungu obukhulu bokuya esikhathini? Ubuhlungu besisu? Lokhu kungaba ngenxa ye-adenomyosis!

Kwabesifazane abaningi, ubuhlungu nokopha okukhulu okuhambisana nokuya esikhathini kuyinto evamile. Kodwa ngezinye izikhathi kungaba nesinye isizathu salezi zinto. Leso yisimo esizokhuluma ngaso namuhla, esibizwa ngokuthi i-adenomyosis. Ungakhathazeki, ake sixoxe ngalokhu ngokuningiliziwe.

Kuyini i-adenomyosis?

Kalula nje, i-adenomyosis yisimo lapho izicubu ezifana nolwelwesi lwesibeletho sakho (olubizwa ngokuthi i-endometrium ) zikhula zibe udonga lwemisipha yesibeletho sakho (olubizwa ngokuthi i-myometrium ). Cabanga nje, lapho lolu hlobo lwezicubu lukhula lube udonga lwesibeletho, isibeletho siyaqina kancane kancane futhi sikhule. Ngezinye izikhathi singaphindeka kabili noma kathathu ubukhulu baso obujwayelekile. Yingakho uzwa ubuhlungu obukhulu ngesikhathi sokuya esikhathini, ukopha okukhulu, amabala, kanye nobuhlungu besisu/esingezansi.

Ubani onamathuba amaningi okuthola lokhu?

Abesifazane abaningi abazi nokuthi bane-adenomyosis. Akubona bonke abantu abanezimpawu, ngakho-ke kunzima ukusho ukuthi ivame kangakanani. Kodwa ucwaningo luthole ukuthi ivame kakhulu kwabesifazane abaye bakhishwa i-hysterectomy kanye nakwabesifazane abangaphezu kweminyaka engama-40. Ingathinta nabesifazane abasebasha (cishe u-2% kuya ku-5%) abanobuhlungu obukhulu bokuya esikhathini.

Ziyini izimpawu zalokhu?

Cishe ingxenye yesithathu yabantu kuthiwa ayinazo nhlobo izimpawu, kodwa abanye bangase babe nezinto ezifana nalezi:

• Ubuhlungu obukhulu ngesikhathi sokuya esikhathini (okubizwa nangokuthi i-dysmenorrhea ).
• Ukopha ngokweqile ngesikhathi sokuya esikhathini (lokhu kubizwa ngokuthi i-menorrhagia ).
• Ukuya esikhathini okungajwayelekile.
• Ubuhlungu besisu esingezansi (noma ngabe ubuhlungu obukhulu emhlane noma cha).
• Ubuhlungu ngesikhathi socansi (lokhu kubizwa ngokuthi i-dyspareunia ).
• Ubunzima bokuthola abantwana (Ukungazali).
• Ukukhula kwesibeletho .
• Ukuzizwa ugcwele noma usinda esiswini (abanye abantu babiza lokhu ngokuthi 'isisu se-adenomyosis').

Kungani lokhu kwenzeka? Yiziphi izizathu?

Abacwaningi abakakazi kahle ukuthi kungani abanye abantu beba ne-adenomyosis, noma ukuthi iyini imbangela yangempela. Kodwa-ke, ezinye izifundo ziphakamisa ukuthi izinguquko zamahomoni, izici zofuzo, ukuvuvukala emzimbeni, noma ukulimala kwesibeletho kungadlala indima.Izinto ezinjalo zingathinta lokhu.

Yiziphi izinto ezibangela ingozi?

I-Adenomyosis ivame kakhulu kwabesifazane aba:

• Abantu abaneminyaka ephakathi kuka-40 no-50.
• Labo abazale okungenani ingane eyodwa.
• Labo abake bahlinzwa isibeletho ngaphambilini njengokuhlinzwa kokususwa kwe-fibroid yesibeletho noma i-D&C (Dilation and Curettage).
• Abantu abane-endometriosis.

Kodwa-ke, i-adenomyosis manje ivame ukutholakala kwabesifazane abaseminyakeni yabo-30 abathola ukopha okungajwayelekile kwesitho sangasese sowesifazane noma ubuhlungu obukhulu bokuya esikhathini.

Ingabe i-adenomyosis ingabangela ezinye izinkinga?

Yebo, nge-adenomyosis, izimpawu zingaba zimbi kancane ngokuhamba kwesikhathi.

Khumbula ikakhulukazi ukuthi ukulahlekelwa igazi ngokweqile kungaholela ekulahlekelweni yigazi . Ngakho-ke uma uhlala uzizwa ukhathele futhi ubanda, qaphela nalokho.

I-anemia imane nje iyisimo lapho umzimba wakho ungenawo amangqamuzana egazi abomvu anele ane-iron. Lokhu kungakwenza uzizwe ukhathele futhi ubanda .

Ingabe lokhu kungaba umdlavuza?

Cha. I-Adenomyosis ayiyona umdlavuza. Futhi ayiholeli kumdlavuza. Ngakho-ke akukho okufanele ukhathazeke ngakho.

Udokotela ukubona kanjani lokhu?

Odokotela bavame ukusola i-adenomyosis ngokubuza ngezimpawu zakho bese benza olunye noma ngaphezulu lwalezi zivivinyo:

• Ukuhlolwa kwe-pelvic: Phakathi nalokhu kuhlolwa, udokotela angase aqaphele ukuthi isibeletho sakho sikhulu kunesivamile, sithambile, noma sibuhlungu uma usithinta.
• Ukuskena kwe-Ultrasound: I-ultrasound edluliselwa ngesitho sangasese sowesifazane, ikakhulukazi eyenziwa ngesitho sangasese sowesifazane, isebenzisa amaza omsindo ukuthatha izithombe zezitho zakho zesitho sangasese sowesifazane . Lezi zithombe ngezinye izikhathi zingabonisa ukuqina kodonga lwesibeletho.
• Ukuskena kwe-MRI : Ukuskena kwe-MRI (Magnetic Resonance Imaging) kukhombisa ngokusobala ukuthi isibeletho sikhule kanjani nokuthi ezinye izindawo zesibeletho ziqine kanjani.

Ngezinye izikhathi udokotela wakho angathatha isampula encane yezicubu esibelethweni sakho (esibizwa ngokuthi i-biopsy ) ayithumele elebhu ukuze ihlole ezinye izimo ezingathi sína.

Iyini indlela yokwelapha?

Isikhathi esiningi, i-estrogenI-hormone i-estrogen isiza lesi zicubu ze-endometrial ukuba zikhule. Ngakho-ke, ngemva kokunqamuka kokuya esikhathini, lapho ukuya esikhathini kuphela ngokuphelele, izimpawu ze-adenomyosis zizonyamalala kakhulu. Kodwa kuze kube yileso sikhathi, lezi zindlela zokwelapha zingasiza ekunciphiseni ubuhlungu, zilawule ukopha okukhulu, futhi zinikeze impumuzo kwezinye izimpawu:

• Iziqeda-buhlungu : Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID), njenge -ibuprofen (Advil®, Motrin®) kanye ne-naproxen (Aleve®), inciphisa ubuhlungu.
• Imithi yama-hormone: Eminye imithi yama-hormone ingasiza ekulawuleni ukuphuma kwegazi esikhathini kanye nokuya esikhathini okungajwayelekile. Izibonelo zifaka phakathi amaphilisi okuvimbela inzalo, umjovo we-Depo-Provera® , kanye namadivayisi e-intrauterine (ama-IUD) e-hormone njenge -Mirena® .
• Imithi engeyona i-hormone: Imithi efana ne -tranexamic acid inganciphisa inani lokopha kwesitho sangasese sowesifazane.
• Ukususwa kwe-Adenomyomectomy: Lokhu kuhlinzwa kususa izicubu ze-adenomyosis emisipheni yesibeletho. Lokhu kufana kancane ne -myomectomy, esusa ama-fibroids esibelethweni.
• Ukususwa kwesibeletho: Lokhu kuhilela ukususwa kwesibeletho ngokuphelele. Ngemva kokususwa kwesibeletho , ngeke usaya esikhathini futhi ngeke ukwazi ukuba nezingane.

Kwenzekani uma ukwelashwa kunganikezwa?

Uma ingelashwa, i-adenomyosis ingaholela ekungazalini noma ekuphuphumeni kwesisu , njengoba inciphisa amathuba okuthi umbungu utshalwe odongeni lwesibeletho. Ingabangela nobuhlungu obungapheli besisu esingezansi kanye ne-pelvic .

Ingabe ikhona indlela yokuvimbela lokhu?

Ngenxa yokuthi imbangela eqondile ye-adenomyosis ayaziwa, odokotela abakayazi indlela ethile yokuyivimbela.

Yini ongayilindela uma uphila nalesi simo?

Abantu abaningi abanezimpawu ze-adenomyosis eziphazamisa impilo yabo yansuku zonke bathola impumuzo ngokwelashwa. Njengoba kushiwo ngaphambili, izimpawu kufanele ziphele ngemva kokunqamuka kokuya esikhathini. Kodwa-ke, isibeletho esikhulu singase siqhubeke.

I-Adenomyosis nokukhulelwa

I-Adenomyosis ivame ukubonakala kwabesifazane abaye baba nomntwana okungenani oyedwa. Kodwa-ke, ngenxa yalesi simoKungaba nzima ukukhulelwa umntwana okokuqala, noma ukuba nomunye umntwana. Ngisho noma ukhulelwa, kunezingozi, ezifana nalezi:

• Ukuphuphuma kwesisu.
• Ukubeletha ngaphambi kwesikhathi.

Kufanele ngimbone nini udokotela?

Uma unezinye zalezi zimpawu, qiniseka ukuthi ubona udokotela:

• Ukopha kakhulu esikhathini.
• Ubuhlungu obukhulu kakhulu bokuya esikhathini.
• Ubuhlungu ngesikhathi socansi.
• Ukuzwa ukugcwala noma isisindo esiswini.

Imibuzo ebalulekile okufanele uyibuze udokotela

Uma utholakale une-adenomyosis, ungase ufune ukubuza udokotela wakho imibuzo efana nale:

• "Kungani ngithole i-adenomyosis?"
• "Iyiphi indlela yokwelapha engcono kakhulu kimi?"
• "Ingabe kufanele ngisebenzise enye indlela yokuvimbela inzalo?"
• "Ngizokwazi yini ukuba nezingane?"
• "Ingabe kufanele ngikhathazeke ngezimpawu zezinkinga?"

Uyini umehluko phakathi kwe-Adenomyosis ne-Endometriosis?

I-Adenomyosis kanye ne-endometriosis zombili izimo lapho izicubu ezifana nolwelwesi lwesibeletho (i-endometrium) zikhula khona ngaphandle kwesibeletho. Zombili zingaba buhlungu. Kodwa-ke, i-adenomyosis cishe ingabangela ukopha okukhulu kokuya esikhathini. Umehluko omkhulu phakathi kwalezi zimo ezimbili yilapho izicubu zikhula khona:

• I-Adenomyosis: Izicubu ezifana ne-endometrium zikhula zibe izicubu zemisipha yesibeletho.
• I-Endometriosis: Izicubu ezifana ne-endometrium zikhula ngaphandle kwesibeletho, isibonelo ema-ovari noma emapayipini e-fallopian.

Ingabe lesi yisimo esibucayi?

I-Adenomyosis ngokuvamile ayibangeli izinkinga ezinkulu nezisongela ukuphila. Kodwa-ke, ingabangela ubunzima bokukhulelwa noma ukuphuphuma kwesisu.

Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha kunokuhlupheka wedwa uma lezi zimpawu ziphazamisa impilo yakho yansuku zonke.

Ngakho-ke ungesabi ukukhuluma nodokotela wakho ngezindlela zokuzizwa ungcono.

Umyalezo esifuna ukuwuthatha ekhaya kule ndaba uthi

Kulungile, ngakho-ke sesikhulume kakhulu nge-adenomyosis. Uma ubhekene nezimpawu ezinjengalezi, njengobuhlungu obukhulu bokuya esikhathini, ukopha okukhulu, kanye nobuhlungu besisu esingezansi, kungcono ukubona udokotela bese uthola iseluleko kunokuhlupheka wedwa. Khumbula, lokhu akuwona umdlavuza, futhi abantu abaningi bangathola impumuzo ngokwelashwa.Lezi zimpawu zivame ukuphela ngemva kokunqamuka kokuya esikhathini. Uma ungahleli ukuba nezingane, ukuhlinzwa kwesibeletho kungayelapha ngokuphelele le nkinga. Ngakho-ke, ungesabi ukuxoxa ngezinkinga zakho nodokotela wakho bese uthola ikhambi elikufanele kakhulu.