Ingabe nawe unesikhathi esikwenza uzizwe udabukile njalo ngenyanga? Ungase ungakwazi ukwenza imisebenzi yakho evamile ngenxa yobuhlungu besisu obungabekezeleleki kanye nokopha kakhulu. Ungase ucabange, "Lokhu kujwayelekile kithina besifazane." Kodwa akunjalo ngaso sonke isikhathi. Ngezinye izikhathi, imbangela yalobu buhlungu obukhulu nokopha kakhulu kungaba yisimo esibizwa ngokuthi i-adenomyosis. Namuhla, sizoxoxa ngalokhu ngendlela elula ongayiqonda.
Kalula nje, iyini i-adenomyosis?
Ukuze siqonde lokhu, ake siqale sifunde kancane ngesibeletho sethu. Udonga lwangaphakathi lwesibeletho lwenziwe nge-membrane ekhethekile. Lokhu sikubiza ngokuthi i-endometrium. Yilolu lwelwesi olukhishwa njalo ngenyanga ngesikhathi sokuya esikhathini. Ngaphandle kwalolu lwelwesi kukhona udonga olujiyile olwenziwe ngemisipha yesibeletho. Lubizwa ngokuthi i-myometrium.
Manje, esimweni esibizwa ngokuthi i-adenomyosis , okwenzekayo ukuthi amangqamuzana ayingxenye yolwelwesi lwe-endometrial, olungaphakathi kwesibeletho, awagcini nje ngokuhlala lapho, kodwa futhi aqala ukukhula abe ungqimba lwemisipha yesibeletho (i-myometrium).
Cabanga ngakho njengopende ofuna ukuwusebenzisa odongeni ngaphakathi endlini, kodwa usakazeka odongeni ungene phakathi kwezitini. Lapho lolu lwelwesi lukhula lube yimisipha ngale ndlela, isibeletho siqala kancane kancane ukujiya futhi sikhule. Ngezinye izikhathi isibeletho singakhula sibe kabili noma kathathu ngobukhulu baso obujwayelekile . Lokhu kubizwa ngokuthi i-adenomyosis.
Ziyini izimpawu zalesi simo?
Ngokumangazayo, akubona bonke abantu abane-adenomyosis abanezimpawu. Abanye besifazane bangase babe nalesi simo ngaphandle kwezimpawu. Kodwa kulabo abanaso, kungaba nzima kancane. Ake sibheke izimpawu eziyinhloko.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukuya esikhathini okubuhlungu kakhulu (i-Dysmenorrhea) | Ungase uzwe ubuhlungu obukhulu, obungabekezeleleki obudlula ubuhlungu besisu obuvamile. |
| Ukopha kakhulu kokuya esikhathini (i-Menorrhagia) | Igazi lingaphuma ngamaqhubu amakhulu. Ukopha kungase kube nzima kangangokuthi kufanele ushintshe i-napkin yakho yangasese njalo ngehora. |
| Ubuhlungu be-pelvic | Hhayi ngesikhathi sokuya esikhathini kuphela, kodwa nangezinye izinsuku, ungase uzizwe ubuhlungu obungapheli noma isisindo esiswini esingezansi. |
| Ubuhlungu ngesikhathi socansi (i-Dyspareunia) | Kwabanye abantu, ukuya ocansini kungaba yinto ebuhlungu. |
| Isisu se-Adenomyosis | Njengoba isibeletho sikhula, isisu esingezansi singase siphume, sizizwe sisinda, noma sizizwe sivuvukele. |
| Ubunzima bokuthola abantwana (Ukungazali) | Nakuba kungavamile, lesi simo singabangela izinkinga ngokukhulelwa kwengane. |
Kungani lokhu kwenzeka? Yiziphi izinto ezibangela ingozi?
Eqinisweni, odokotela abanayo impendulo eqinisekile eyi-100% yokuthi kungani abanye besifazane beba ne-adenomyosis. Kodwa kunezinto ezimbalwa abacabanga ukuthi zingadlala indima. Ucwaningo luthole ukuthi izinguquko zamahomoni, amathonya ezakhi zofuzo, kanye nezimo zokuvuvukala emzimbeni kungaba yizinto ezibangela lokhu.
Kodwa-ke, kunezici eziningana eziye zatholakala ezikhulisa ingozi yalesi simo.
- Ubudala: Lesi simo sivame kakhulu kwabesifazane abaneminyaka ephakathi kuka-40 no-50.
- Ukuba nezingane: Le ngozi iphezulu kwabesifazane abazale okungenani umntwana oyedwa.
- Ukuhlinzwa kwesibeletho: Uma uke wahlinzwa ngaphambilini ukuze kususwe ama-fibroids esibeletho noma i-D&C (ukwanda nokususwa kwesibeletho), ingozi yakho ingase ikhuphuke kancane.
- Ukuba ne-endometriosis: Abantu abanesifo esibizwa ngokuthi i-endometriosis banamathuba amaningi okuthuthukisa i-adenomyosis.
Uyini umehluko phakathi kwe-adenomyosis ne-endometriosis?
La magama amabili avame ukudidaniswa. Womabili abangelwa ukukhula kwezicubu ezifana nolwelwesi lwesibeletho (i-endometrium) endaweni engafanele. Umehluko usendaweni.
I-Adenomyosis: Ulwelwesi lwesibeletho lukhula lube udonga lwemisipha lwesibeletho uqobo.
I-Endometriosis: Isimo lapho izicubu ezifana nolwelwesi lwesibeletho zikhula ngaphandle kwesibeletho , isibonelo kuma-ovari, amashubhu e-fallopian, noma kwenye indawo esiswini.
Kalula nje, i-adenomyosis iyinkinga eyenzeka ngaphakathi kwesibeletho. I-Endometriosis iyinkinga eyenzeka ngaphandle kwesibeletho.
Ingabe lokhu kungaba umdlavuza? Yiziphi izinkinga?
Lokhu ukwesaba abantu abaningi abanakho. Kodwa into eyodwa ongaqiniseka ngayo ukuthi i-adenomyosis ayiwona umdlavuza. Futhi ayiguquki ibe umdlavuza.
Kodwa uma ingelashwa, enye yezinkinga ezinkulu ezingaba khona i-anemia, okusho ukwehla kwegazi emzimbeni . Ngoba uma unesifo sokuya esikhathini, inani elikhulu lensimbi liyasuswa emzimbeni. Ngenxa yalokhu, ungase uzizwe ukhathele, ubuthakathaka, futhi ubanda ngaso sonke isikhathi.
Ngaphezu kwalokho, ubuhlungu obungapheli bungathinta impilo yakho yansuku zonke kanye nempilo yengqondo.
Udokotela uhlonza kanjani lokhu?
Uma utshela udokotela wakho ngezimpawu zakho, angase akuhlole futhi asole lesi simo. Ukuqinisekisa lokhu, bavame ukwenza okukodwa noma ngaphezulu kwalokhu kuhlolwa.
- Ukuhlolwa Kwesitho Sangasese Sowesifazane: Uma udokotela wakho ekuxilonga, uzohlola ukuthi isibeletho sakho sikhule kancane, sithambile, noma sibuhlungu uma usithinta.
- I-Ultrasound Scan: Kulokhu, i-scan, ikakhulukazi i-ultrasound ye-transvaginal, ingabona ngokucacile ukuthi izindonga zesibeletho zijiyile noma kukhona izinguquko kuso.
- Ukuskena kwe-MRI: Kwezinye izimo, ukuskena kwe-MRI kunganikeza isithombe esijulile nesicacile sesimo sesibeletho.
Ngezinye izikhathi, udokotela wakho angase anqume ukuthatha isampula encane yolwelwesi lwesibeletho sakho (i-biopsy) ukuqinisekisa ukuthi asikho esinye isimo esibucayi.
Yiziphi izindlela zokwelapha ezitholakalayo?
Njengoba isimo esibizwa ngokuthi i-adenomyosis sivame ukuxhomeka ku-hormone i-estrogen, sivame ukuphela ngemva kokunqamuka kokuya esikhathini., okungukuthi, ngemva kokuba ukuya esikhathini sekuphelile ngokuphelele, lezi zimpawu zizophela kancane kancane. Kodwa akudingeki uhlupheke kuze kube yilapho leso sikhathi sifika. Kunezindlela ezahlukene zokwelapha zokulawula izimpawu. Udokotela wakho uzokhetha ukwelashwa okufanele kakhulu kuwe, ecabangela iminyaka yakho, uhlobo lwezimpawu, nokuthi uyafuna yini ukuba nezingane ezengeziwe.
| Indlela yokwelapha | Incazelo |
|---|---|
| Izibulali-zinhlungu | Imithi engeyona i-steroidal elwa nokuvuvukala (ama-NSAID) njenge-ibuprofen ne-naproxen ingasiza ekulawuleni ubuhlungu bokuya esikhathini. |
| Ukwelashwa ngama-hormone | Amaphilisi okuvimbela inzalo, ama-IUD e-hormone, nezinye izindlela zingasiza ekulawuleni ukopha okukhulu kanye nobuhlungu. Kukhona nemijovo yama-hormone efana ne-Depo-Provera. |
| Imithi engeyona i-hormone | Imithi efana ne-tranexamic acid inganciphisa inani lokopha kokuya esikhathini. |
| Ukususwa kwe-Adenomyomectomy | Lokhu kuhilela ukususa ngokuhlinzwa kuphela izicubu ezikhule zaba yimisipha, ngaphandle kokususa sonke isibeletho. |
| Ukususwa kwesisu | Uma kungekho okunye ukwelashwa okungalawula izimpawu futhi ungasafisi ukuba nabantwana, ukususwa kwesibeletho kuyindlela yokugcina. Ngemva kwalokhu, ngeke usaya esikhathini futhi ngeke ukwazi ukuba nabantwana. |
Kufanele uye nini kudokotela?
Uma unezinye zezimpawu ezingezansi, ungacabangi nje ukuthi "lokhu kujwayelekile" futhi nakanjani ubone udokotela ukuze akunike iseluleko.
- Ukopha kakhulu kokuya esikhathini: Uma kufanele ushintshe ama-sanitary pad cishe kanye ngehora.
- Ubuhlungu obukhulu besisu: Uma ubuhlungu bukhulu kangangokuthi awukwazi ngisho nokwenza imisebenzi evamile.
- Uma uzwa ubuhlungu ngesikhathi socansi .
- Uma uzizwa uzizwa usinda noma ugcwele esiswini esingezansi .
Ngisho noma lezi zimpawu zingabangelwa yi-adenomyosis ngokwayo, zingabangelwa esinye isimo esidinga ukwelashwa. Ngakho-ke, kubaluleke kakhulu ukubona udokotela.
Umlayezo Wokuya Nawe Ekhaya
- I-Adenomyosis ukukhula kolwelwesi lwesibeletho lube yimisipha yesibeletho. Lokhu akuwona umdlavuza .
- Ubuhlungu obukhulu bokuya esikhathini kanye nokopha kakhulu akuzona njalo "ezivamile." Kungaba uphawu lwesimo sezempilo esiyimfihlo.
- Kunemithi ephumelela kakhulu kanye nokwelashwa kokuhlinzwa ukulawula lezi zimpawu, ngakho-ke asikho isidingo sokuhlupheka ngenxa yobuhlungu.
- Uma unezinye zalezi zimpawu, ungesabi noma ube namahloni okukhuluma nodokotela wakho ngazo. Leso isinyathelo sokuqala sokuphila impilo enempilo.
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