Kujwayelekile ukuthi abesifazane abaningi bazizwe ubuhlungu obuthile ngesikhathi sokuya esikhathini. Kodwa kwabanye, lobu buhlungu abubekezeleleki. Ubuhlungu bukhulu kangangokuthi abakwazi ngisho nokwenza imisebenzi yabo yansuku zonke futhi kufanele bahlale embhedeni. Uma kunjalo kuwe, ungabuthathi nje ngokuthi "ubuhlungu obuvamile bokuya esikhathini." Ngoba kungase kube nesimo esibizwa ngokuthi i-endometriosis ngemuva kwaso. Ake sixoxe ngakho konke ngamazwi alula namuhla.
Iyini ngempela i-Endometriosis?
Kalula nje, i-endometriosis ukukhula kwezicubu okufana kakhulu nolwelwesi lwesibeletho sakho, ngaphandle kwesibeletho, kwezinye izingxenye zomzimba wakho. Ngokuvamile, lolu lwelwesi luyaqina ngesikhathi somjikelezo wakho wokuya esikhathini bese luchitheka njengegazi lokuya esikhathini. Kodwa le zicubu ezengeziwe ezikhula ngaphandle kwesibeletho azinandawo yokuya. Ngakho-ke ziyanamathelana futhi zibangele ukuvuvukala, izicubu ezibomvu, kanye nobuhlungu.
Lesi yisimo esivame kakhulu, esithinta cishe owesifazane oyedwa kwabayi-10 emhlabeni jikelele. Ngokuvamile sitholakala kwabesifazane abaseminyakeni yabo yama-20 nama-30.
Le ngxube ingakhula kuphi?
Nakuba izicubu ze-endometriosis zingakhula noma kuphi emzimbeni, kunezindawo ezithile lapho zivame kakhulu khona kanti ezinye azivamile kangako.
| Izindawo ezivame ukubonwa | Izindawo ezingavamile kangako |
|---|---|
| Ama-ovary | I-Rectum |
| Amapayipi e-Fallopian | Isinye |
| Isikhala esingemuva kwesibeletho | Amathumbu |
| Ingqimba yemisipha yodonga lwesibeletho (i-Myometrium) | I-Diaphragm |
| I-Peritoneum (ulwelwesi lwangaphakathi lwesisu) | Isitho sangasese sowesifazane noma iphaphu |
Ziyini izimpawu zalesi simo?
Uphawu oluyinhloko noluvame kakhulu lwe-endometriosis ubuhlungu be-pelvic . Lobuhlungu bungaba buncane kwabanye, kodwa bungaba nzima kwabanye. Lobuhlungu bungaba bukhulu kakhulu ezinsukwini ezimbalwa ngaphambi nangesikhathi sokuya esikhathini. Lokhu kungenxa yokuthi izicubu ezikulezo zindawo ezingavamile zisabela ezinguqukweni zama-hormone ezenzeka phakathi naleso sikhathi futhi zibangele ukuvuvukala.
Nazi ezinye zezimpawu eziyinhloko:
- Ubuhlungu obukhulu bokuya esikhathini: Ubuhlungu obukhulu kangangokuthi abukwazi ukulawulwa ngamaphilisi obuhlungu avamile.
- Ubuhlungu besisu noma umhlane: Lobuhlungu bungenzeka ngesikhathi sokuya esikhathini noma phakathi nesikhathi sokuya esikhathini.
- Ukopha kakhulu: Ukopha kakhulu ngesikhathi sokuya esikhathini noma ukopha okuncane (ukubona amabala) phakathi kokuya esikhathini.
- Ubuhlungu ngesikhathi socansi: Lokhu kubizwa ngokuthi "i-Dyspareunia" ngokwezokwelapha.
- Ukungazali: Abanye besifazane bathola ukuthi bane-endometriosis kuphela lapho bezama ukuba nomntwana.
- Ubuhlungu ngesikhathi sokuhamba kwamathumbu noma ukuchama.
- Ukungakhululeki esiswini: Izinto ezifana nokuqunjelwa, uhudo, noma ukuqunjelwa.
Okumangalisayo ukuthi ngezinye izikhathi i-endometriosis ingaba khona ngaphandle kwezimpawu . Futhi akukho ukuhlobana phakathi kobukhulu bezimpawu nobukhulu besifo. Okusho ukuthi, umuntu angase abe nezicubu ezincane kakhulu ze-endometriosis futhi azwe ubuhlungu obukhulu. Omunye umuntu angase abe nezicubu eziningi futhi angabi nobuhlungu nhlobo.
Ingabe i-endometriosis ibangela ukukhuluphala?
Cha, i-endometriosis ayibangeli ngqo ukukhuluphala. Kodwa-ke, ukuqunjelwa kanye nokugcinwa kwamanzi okuhambisana nalesi simo kungakwenza uzizwe uqunjelwe.
Kungani i-endometriosis ikhula? Yiziphi izici eziyingozi?
Odokotela abasazi kahle ukuthi yini ebangela lokhu. Kodwa kunezinto eziningana abacabanga ukuthi zingase zibe nomthelela kukho. Isibonelo, abacwaningi bakholelwa ukuthi igazi lokuya esikhathini ligeleza ngesitho sangasese sowesifazane bese inani elincane ligeleza libuyele esiswini ngamapayipi e-fallopian (`ukuya esikhathini okubuyayo`), izinkinga zesimiso somzimba sokuzivikela, kanye nokungalingani kwama-hormone konke kungase kube nomthelela kukho.
Ingabe lokhu kuyinto evela ezizukulwaneni ngezizukulwane?
Yebo. Nakuba imbangela eqondile ingaziwa, kutholakale ukuthi ihlobene nomlando womndeni. Uma umama wakho, ugogo wakho, noma udadewenu ene-endometriosis, usengozini enkulu yokuthola lesi simo. Ngakho-ke uma kukhona emndenini wakho onalesi simo, kubaluleke kakhulu ukukhuluma nodokotela wakho ngaso.
Yiziphi izinto ezibangela ingozi?
Kunezici eziningana ezandisa ingozi yokuthola i-endometriosis.
- Ukuba nomlando womndeni we-endometriosis.
- Umjikelezo wokuya esikhathini omfushane (ngaphansi kwezinsuku ezingu-27).
- Ukuya esikhathini isikhathi eside kanye nokopha kakhulu (okuthatha izinsuku ezingaphezu kwezingu-8).
- Ukungazali abantwana.
Yiziphi izinkinga ezingaba khona ngenxa ye-endometriosis?
Uma lesi simo singelashwa kahle, kungavela izinkinga eziningana. Eziyinhloko ubuhlungu obungapheli kanye nokungabi nabantwana .
Ngaphezu kwalokho, uma isifo siba sibi kakhulu, okulandelayo kungenzeka:
- Izinkinga zamathumbu noma esinyeni: Uma izicubu zikhula emathunjini, e-rectum, noma esinyeni, zingabangela igazi endle noma emchameni, kanye nobuhlungu obukhulu lapho ziphuma.
- Ubunzima bokuphefumula noma ubuhlungu besifuba: Akuvamile kakhulu, lesi zicubu zingasakazekela emaphashini noma e-diaphragm, okubangela ubunzima bokuphefumula.
Uma unezinkinga ezinjalo, ungakhuluma nodokotela wakho futhi uzixazulule.
I-endometriosis ibangela kanjani ubunzima ekutholeni abantwana?
I-Endometriosis iyimbangela enkulu yokungazali. Cabanga nje, uma lesi zicubu sivimba amapayipi e-fallopian, silimaze ama-ovari, noma sidala izicubu zesilonda ngaphakathi komgodi wesisu, singaphazamisa isidoda esihlangana neqanda bese silivundisa. Yingakho ukuba nabantwana kungabambezeleka noma kube nzima.
Ungasithola kanjani lesi sifo ngokunembile?
Ukuxilongwa kuvame ukuqala ngezimpawu zakho. Uma utshela udokotela wakho ngobuhlungu bakho obukhulu, uzobuza ngomlando wakho wezokwelapha nokuthi ngabe kukhona yini emndenini wakho oke waba nalesi simo. Ngemuva kwalokho, bazokwenza ukuhlolwa kwe-pelvic. Uma kudingeka, bangakuthumela ukuze uthole izivivinyo ezifana ne-ultrasound noma i-MRI scan.
Kodwa, ngine-endometriosis.Ukuphela kwendlela yokuqiniseka nge-100% ukusebenzisa i-laparoscopy.
I-Laparoscopy inqubo lapho kufakwa khona ithuluzi elincane, elifakwe ikhamera emgodini wesisu ngokusebenzisa ukusikwa okuncane ukuze kuhlolwe ingaphakathi lomzimba. Lokhu kuvumela udokotela ukuthi abone kahle ukuthi izicubu ze-endometriosis zikuphi. Ngesikhathi esifanayo, ucezu oluncane lwezicubu ezisolisayo lungathathwa luthunyelwe elabhorethri ukuze luhlolwe ('i-biopsy').
Ngokuvamile, lapho enza lokhu kuhlinzwa, udokotela uzama nokususa noma yiziphi izicubu ze-endometriosis ezikhona. Ngakho-ke, lokhu kuyindlela yokuxilonga kanye nokwelapha.
Yiziphi izindlela zokwelapha?
Inketho engcono kakhulu yokwelashwa izonqunywa ngokucabangela izici eziningana.
- Ubunzima besifo
- Kungakhathaliseki ukuthi ulindele izingane esikhathini esizayo.
- iminyaka yakho
- Ubunzima bezimpawu (ikakhulukazi ubuhlungu)
Ukwelashwa kunemigomo emibili eyinhloko. Eyokuqala ukulawula ubuhlungu . Eyokuqala ukukusiza ukuthi ukhulelwe uma uzama ukukhulelwa. Lokhu kungenziwa ngemithi, ukuhlinzwa, noma inhlanganisela yakho kokubili.
Ukwelashwa ngemithi
Ama-painkiller afana nama-NSAID (njenge-ibuprofen) angasiza ekulawuleni ubuhlungu. Ngaphezu kwalokho, ukwelashwa ngama-hormone kuyindlela yokwelapha evame ukusetshenziswa. Lokhu kusiza ekulawuleni umjikelezo wokuya esikhathini futhi kunciphise ubuhlungu.
- Izindlela zokuvimbela inzalo: Amaphilisi okuvimbela inzalo, ama-patches, imijovo, noma ama-IUD angasiza ekunciphiseni isikhathi sakho sokuya esikhathini futhi anciphise ubuhlungu.
- Ama-agonist/abaphikisi be-GnRH: Le mithi ivimba ama-hormone abangela umjikelezo wokuya esikhathini. Kalula nje, isebenza sengathi uhlelo lwakho lokuzala "luseholidini" okwesikhashana futhi luqeda ubuhlungu. I-Lupron® ingenye yemijovo enjalo.
- I-Danazol: Lona futhi umuthi ovimba ukukhiqizwa kwama-hormone abangela ukuya esikhathini.
Into ebaluleke kakhulu ukuthi izimpawu zingabuya uma le mithi isiyekiwe. Futhi, lokhu kwelashwa ngama-hormone akufaneleki kumuntu okhulelwe.
Ukwelashwa ngokuhlinzwa
Kwezinye izimo, ukuhlinzwa kunganconywa. Umgomo wokuhlinzwa ukususa izicubu eziningi ze-endometriosis ezingajwayelekile ngangokunokwenzeka.
- Ukuhlinzwa kwe-Laparoscopic: Njengoba kushiwo ngaphambili, lesi zicubu zivame ukususwa ngokusikwa okuncane kusetshenziswa ikhamera.
- Ukususwa kwesibeletho: Ezimweni ezimbi kakhulu, uma lesi sifo singenakulawuleka ngezinye izindlela zokwelapha, udokotela wakho angase ancome ukuthi kususwe isibeletho kanye/noma ama-ovari.
I-Endometriosis yisimo esingapheli. Nakuba abantu abaningi bethola impumuzo ebuhlungwini ngemva kokuhlinzwa, izimpawu zingase zibuye ngemva kweminyaka embalwa.
Eminye imibuzo ongase ube nayo
Kwenzekani uma ingelashwa?
Ngokuhamba kwesikhathi, lesi zicubu ezikhula ngaphandle kwesibeletho zingakha ama-cysts, ukunamathela, kanye nezicubu zesilonda. Lokhu kungabangela ubuhlungu obuhlala isikhathi eside nobunzima. Kungenza kube nzima nokuba nezingane.
Kungenzeka yini ukukhulelwa ngalesi simo?
Yebo, kungenzeka ukukhulelwa. Kodwa kungaba nzima kakhulu kunomuntu ongenalo i-endometriosis. Uma uzama ukuba nomntwana, khuluma nodokotela wakho ukuze wakhe uhlelo lokwelashwa olusebenza kahle kuwe. Ungase ukwazi ukukhulelwa ngemva kokususwa kwezicubu ngokuhlinzwa.
Ingabe lokhu kusengenzeka ngemva kokunqamuka kokuya esikhathini?
I-Endometriosis ngokuvamile ayiphinde ivele ngemva kokunqamuka kokuya esikhathini, njengoba amazinga e-estrogen emzimbeni ehla. Kodwa-ke, uma umuntu obe nalesi simo ngaphambi kokunqamuka kokuya esikhathini ethatha ukwelashwa kokushintsha ama-hormone (HRT), izimpawu zingase zibuye.
Kunini lapho udinga ukubonana nodokotela?
Uma unezinye zezimpawu ezibalwe ngenhla, ikakhulukazi ubuhlungu obukhulu bokuya esikhathini, ukopha okukhulu, noma ubuhlungu ngesikhathi socansi , kufanele nakanjani ubone udokotela, ikakhulukazi udokotela wezifo zabesifazane. Ungacabangi nje ukuthi lokhu kuyinto evamile bese ubekezelela ubuhlungu.
Uma uya kudokotela, ungabuza imibuzo efana nale:
- Yikuphi ukwelashwa okungcono kakhulu engikunconyelwe?
- Ingabe lesi simo singaphinde sibuye ngemva kokwelashwa?
- Ingabe lokhu kuzothinta ikhono lami lokuba nezingane?
- Ingabe ngisengozini yokuthola ezinye izifo ngenxa ye-endometriosis?
Uma kutholakala ukuthi une-endometriosis, ungase uzizwe imizwa ehlukahlukene. Nakuba ungase uzizwe ukhululekile, "O, kuhle, ekugcineni sengiyazi imbangela yobuhlungu bami," ungase uzizwe ukhathazekile ngokwelashwa kanye nekhono lakho lokuba nabantwana. Yonke le mizwa ivamile. Into ebalulekile ukwazi ukuthi awuwedwa. Khuluma ngokukhululekile nodokotela wakho bese uthuthukisa uhlelo lokwelapha olungcono kakhulu lwesimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Endometriosis yisimo esivame kakhulu lapho izicubu okufanele zibe ngaphakathi kwesibeletho zikhula ngaphandle kwesibeletho.
- Uphawu oluyinhloko ubuhlungu bokuya esikhathini obungabekezeleleki. Kodwa-ke, lungabangela ukopha okukhulu kanye nobunzima bokukhulelwa.
- Akukhona njalo ukuhlobana phakathi kobukhali bezimpawu nobukhali besifo. Abanye abantu bangaba naso ngaphandle kwezimpawu.
- Ukuphela kwendlela yokuqinisekisa lokhu ngo-100% ukuhlinzwa kwe-laparoscopy.
- Imithi kanye nokuhlinzwa kungasiza ekulawuleni ubuhlungu futhi kwenze impilo ibe lula. Uma uzwa ubuhlungu obukhulu, ungacabangi nje ukuthi, "Lokhu kuyinto evamile," kodwa bona udokotela.
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