Ingabe nawe unesihlungu esingapheli esiswini sakho esingezansi? Lokhu kungaba yi-Pelvic Congestion Syndrome (PCS)!

Wake waba nobuhlungu obuhlabayo obudonsayo esiswini sakho esingezansi izinyanga? Ungase ucabange ukuthi kuyinto evamile, noma ukuthi kumane kuyimjikelezo wokuya esikhathini. Kodwa ngezinye izikhathi kuyinto okudingeka ukhathazeke kakhulu ngayo. Yilolo hlobo lwesimo esizokhuluma ngaso namuhla, esibizwa ngokuthi i-Pelvic Congestion Syndrome (PCS).

Iyini i-Pelvic Congestion Syndrome (PCS)?

Kalula nje, i-Pelvic Congestion Syndrome (PCS) yisimo esibuhlungu esingapheli esibangelwa inkinga yokugeleza kwegazi emithanjeni esesiswini sakho esingezansi, noma ethangeni. Igama elithi "Chronic" lisho ubuhlungu obuhlala izinyanga ezingaphezu kweziyisithupha futhi obungahlobene ngqo nokuya esikhathini noma ukukhulelwa kwakho.

Cabanga nje, kulesi simo, imithambo emaqanda akho kanye ne-pelvis ayisebenzi kahle. Le mithambo ivele ibe mikhulu (ivuleke), ngezinye izikhathi iphendukezeleke, bese igcwala igazi bese iqina. Njengokuxinana kwezimoto. Uma igazi libhajwa endaweni eyodwa, okungukuthi, uma 'lihlangana', uqala ukuzwa ubuhlungu.

Ubani othinteka kakhulu yilesi simo?

Lesi simo se-'PCS' sivame ukubonakala kakhulu kwabesifazane abaneminyaka ephakathi kuka-20 no-45 ababelethe izingane ezingaphezu kweyodwa . Ngaphezu kwalokho, kunezinye izici eziyingozi ezingasithinta:

• Uma unemithambo ye-varicose.
• Uma kukhona emndenini wakho onemithambo yegazi ephukile.
• Uma une-Polycystic Ovarian Syndrome (PCOS).

Kodwa-ke, abesifazane asebedlule esikhathini sokunqamuka kokuya esikhathini cishe abanaso isifo sokuvaleka kwesisu.

Sivame kangakanani lesi simo?

Cishe u-40% wabesifazane abavakashela odokotela bezifo zabesifazane bavame ukukhala ngobuhlungu obungapheli besisu esingezansi. Kulinganiselwa ukuthi cishe u-30% walaba besifazane bane-pelvic congestion syndrome . Lokhu kusho ukuthi nakuba kungeyona into evamile, kungaba imbangela yobuhlungu besisu esingezansi obungachazeki kwabanye abantu.

Ziyini izimpawu ze-Pelvic Congestion Syndrome?

Ubuhlungu esiswini esingezansi obubangelwa yi-PCS bungahlukahluka. Kwabanye abantu, kungaba ubuhlungu obungajabulisi, obubuhlungu, noma obunzima . Akuvamile kakhulu ukuthi ubuhlungu bube bukhali futhi bube bukhulu.

Esikhathini esiningi, lobu buhlungu buzwakala kuphela ohlangothini lwesobunxele. Kodwa bungazwakala futhi ohlangothini lwesokudla noma zombili izinhlangothi. Kubantu abaningi, lobu buhlungu buqala ngesikhathi sokukhulelwa noma ngemva kokubeletha. Lobu buhlungu bungakhula kakhulu ngokukhulelwa okulandelayo.

Ubuhlungu obuhambisana ne-PCS bungaba bubi kakhulu ngezikhathi ezinjengalezi:

• Uma usuku luphela.
• Kungaphambi nje kokuba uqale ukuya esikhathini, phakathi nalezo zinsuku ezimbalwa.
• Ngesikhathi nangemva kocansi (lesi simo sibizwa nangokuthi 'i-dyspareunia').
• Kwenzeka uma ume noma uhleli isikhathi eside (kodwa kuncipha kancane uma ulele phansi).

Ezinye izimpawu ezimbalwa:

• Imithambo ye-Varicose iyabonakala ethangeni lakho, ezinqeni, emathangeni, e-vulva kanye nasesithweni sangasese sowesifazane.
• Izigameko eziphindaphindwayo zohudo kanye nokuqunjelwa (ezaziwa nangokuthi i-irritable bowel syndrome).
• Ukulahlekelwa umchamo ngokungenhloso lapho uhleka, ukhwehlela, noma wenza izinto ezicindezela esinyeni (lokhu kubizwa ngokuthi 'ukucindezeleka kokungakwazi ukuzibamba').
• Ubuhlungu lapho uchama (lokhu kubizwa ngokuthi 'i-dysuria').

Yini ebangela i-Pelvic Congestion Syndrome?

Eqinisweni, abacwaningi abakayitholi imbangela eqondile ye-Pelvic Congestion Syndrome. Kodwa-ke, kusobala ukuthi izinkinga zokugeleza kwegazi emithanjeni yakho yama-ovari kanye nemithambo ethangeni lakho zihilelekile.

Yilokhu okuvame ukwenzeka: Igazi ligeleza phezulu lisuka emithanjeni esesinqeni sakho, liye enhliziyweni yakho, ngemithambo yesibeletho. Ngaphakathi kwale mithambo kunezinto ezincane ezifana nomnyango ezibizwa ngokuthi ama-valve . Lezi zivimba igazi ukuthi lingagelezi emuva. Lokhu kugeleza kwegazi emuva kubizwa ngokuthi 'i-reflux'.

Kodwa kumuntu one-'PCS', le mithambo iyavuleka futhi ama-valve awasebenzi kahle. Bese igazi liqala ukugeleza emuva. Imithambo igcwala igazi bese iphenduka. Yilapho igazi lihlangana khona emithanjeni ye-pelvic bese libangela ubuhlungu. Lobuhlungu bungenzeka ngoba imithambo yeluliwe ukuze ikwazi ukuthwala igazi elengeziwe, noma ngoba imithambo ekhubazekile icindezela imithambo eseduze.

Kunezizathu eziningana zokuthi kungani isakhiwo semithambo sishintsha ku-'PCS':

• Ukukhulelwa: Enye inkolelo-mbono ukuthi lokhu kuhlobene noshintsho emithanjeni yegazi ngesikhathi sokukhulelwa. Njengoba umntwana ekhula esibelethweni, imithambo yegazi ikhula cishe ngo-50% wobukhulu bayo obujwayelekile ukuze ikwazi ukusingatha igazi elengeziwe elidingwa yingane. Lezi zinguquko zingabangela umonakalo wesikhathi eside ezindongeni zemithambo yegazi. Imithambo yegazi ingahlala ivulekile ngisho nangemva kokuzalwa kwengane.
• I-Estrogen: Njengoba abesifazane asebedlulile esikhathini sokuya esikhathini bengenawo amathuba amaningi okuthola isifo sokuminyana kwe-pelvic, kucatshangwa ukuthi i-estrogen ingadlala indima. Amazinga e-Estrogen ayancipha ngemva kokuya esikhathini. I-Estrogen ithinta izindonga zemithambo yegazi, okwenza imithambo yakho ibe sengozini enkulu yobuthakathaka obuholela ku-PCS.

Ngokwezinga elikhulu, i-'PCS' ingumphumela wezici eziningana ezihlobene.

I-Pelvic Congestion Syndrome (PCS) ihlolwa kanjani?

Uma ubona udokotela, uzoqala ngokukubuza ngomlando wakho wezokwelapha kanye nezimpawu. Bese bezokwenza ukuhlolwa ngokomzimba, okungase kuhlanganise nokuhlolwa kwe-pelvic. Udokotela uzohlola ama-ovari akho, umlomo wesibeletho, kanye nesibeletho ukuze athole ukuthi ubuhlungu buvelaphi ngempela.

Ukuhlolwa kwezithombe kungasiza ekususeni ezinye izimo ezingase zibangele ubuhlungu obuqhubekayo besisu esingezansi futhi kubheke noma yikuphi ukukhubazeka emizweni okungase kuhileleke ku-PCS. Lezi zivivinyo zifaka:

• I-Ultrasound: Ngokuvamile into yokuqala udokotela wakho azoyi-oda i-ultrasound. Lokhu kungahlola ukunwebeka kwemithambo yegazi. Kungasiza futhi ekunqumeni ukuthi kukhona yini okunye ukukhubazeka okungase kubangele ubuhlungu bakho. Isici se-Doppler se-ultrasound singahlola nokugeleza kwegazi emithanjeni yakho.
• I-MRI noma i-CT scan: I-MRI (Magnetic Resonance Imaging) noma i-CT (Computed Tomography) scan ingabonisa imininingwane yemithambo engase iphuthelwe yi-ultrasound. Zingabonisa imithambo egobile kanye nokwanda kwemithambo emaqanda nasezimbotsheni ze-pelvic ngokucacile kune-ultrasound. Zingabonisa nokuthi kukhona yini ukukhula okungavamile emgodini we-pelvic okungabangela ezinye izinhlungu zesikhathi eside, njenge-endometriosis.
• I-venography ye-pelvic: Lokhu kubhekwa njengendlela ejwayelekile yokuxilonga i-PCS. Kodwa-ke, kuwukuhlolwa okuyinkimbinkimbi, ngakho-ke kuvame ukwenziwa lapho ezinye izivivinyo zezithombe zingaphelele. Ngezinye izikhathi udokotela wakho angase asebenzise lokhu kuhlolwa ngaphambi kokuhlinzwa emithanjeni yakho. Ku-venography ye-pelvic, udokotela wakho ufaka ithubhu elincane elibizwa ngokuthi i-catheter emthanjeni osentanyeni noma embotsheni yakho. Ube esesebenzisa i-X-ray ukuqondisa ithubhu kuma-tubes akho e-fallopian kwesokudla nakwesobunxele. Udayi ophephile ube esefakwa emthanjeni. I-X-ray ikhombisa imithambo ngokucacile. Le venography ingabonisa ukuthi imithambo ikuphi, ibanzi kuphi, ijijekile, ukuthi igazi ligeleza kanjani, nokuthi igazi lihlangane kuphi.
• I-Laparoscopy: I-laparoscopy ingahlola imithambo yegazi ekhuphukile. Kodwa-ke, kungase kungabi usizo njengezinye izivivinyo ekuxilongeni izinkinga zokugeleza kwegazi ezihlobene ne-PCS. Udokotela wakho angase futhi enze i-laparoscopy ukuze akhiphe ezinye izimo ezingase zibangele ubuhlungu besisu sakho esingezansi, okuhlanganisa ne-PCS. Lokhu kuhilela ukwenza izimbobo eziningana ezincane esiswini sakho nokufaka ikhamera kuzo ukuze kuhlolwe izitho zohlelo lwakho lokuzala.

Into ebalulekile:Ukuxilonga isifo sokuminyana kwemisipha ye-pelvic ngezinye izikhathi kungaba yinselele, njengoba abantu abaningi abangenabo ubuhlungu be-pelvic banezinguquko ezifanayo zemithambo yegazi njengalabo abanabo. Izifundo zokuthatha izithombe zikhombisile ukuthi kokubili abantu abanobuhlungu be-pelvic obungapheli nabangenabo bangaba nezinguquko zemithambo yegazi kanye nokubuyela emuva.

Ngisho noma ukuhlolwa kwakho kwezithombe kubonisa ukuthi imithambo yakho ivulekile, ungase ungadingi ukwelashwa ngaphandle kokuthi ube nobuhlungu besikhathi eside.

I-Pelvic Congestion Syndrome ivame ukutholakala ngemva kokuba zonke ezinye izimbangela zobuhlungu besisu esingezansi sezisusiwe.

Ingabe i-Pelvic Congestion Syndrome (PCS) ingelapheka? Ingabe ingavinjelwa?

Akukho ukwelashwa kwe-Pelvic Congestion Syndrome, kodwa kunemithi kanye nokwelashwa okungasiza ekulawuleni izimpawu zakho nokunciphisa ubuhlungu.

Futhi, ayikho indlela yokuvimbela lesi 'Sifo Sokugoqana Kwesisu'.

Yiziphi izindlela zokwelapha i-Pelvic Congestion Syndrome?

Ungase ubone odokotela abahlukahlukene ukuze uthole ukwelashwa. Isibonelo, udokotela wezifo zabesifazane, uchwepheshe we-gastroenterology (GI), uchwepheshe wezinhlungu, kanye nochwepheshe wezokwelapha ngokomzimba. Udokotela wakho noma ithimba lezokwelapha lingancoma imithi yokulawula izimpawu zakho ngaphambi kokuncoma ukuhlinzwa.

Imithi

Imithi enciphisa ukukhiqizwa kwe-hormone i-estrogen ingasiza ekunciphiseni ubuhlungu obuhambisana ne-Pelvic Congestion Syndrome. Lokhu kufaka phakathi:

• "I-Medroxyprogesterone acetate (Depo-Provera®)"
• ``I-Etonogestrel implant (Implanon®)''
• `Ama-agonist e-GnRH` (isib. i-Goserelin)

Izinqubo Zezokwelapha

Uma imithi ingaziqedi izimpawu zakho, udokotela wakho angase ancome enye yalezi zindlela zokwelapha:

• Ukwelashwa ngemithambo ye-ovary noma i-sclerotherapy: Le nqubo ihilela ukuvimba imithambo ebangela ukuba igazi libuyele emuva futhi ibangele ukuthi igazi lihlangane. Okokuqala, udokotela ufaka i-catheter emthanjeni we-ovarian onenkinga kanye nemithambo ye-pelvic. Ngemuva kwalokho, kufakwa amakhemikhali nge-catheter ukuze acasule noma avuvukele imithambo futhi abangele ukuthi inciphe. Kufakwa nama-coil amancane ensimbi, ama-glue akhethekile, noma amagwebu kule mithambo ukuze kuvinjwe igazi ukuthi lingagelezi emuva (reflux).
• I-Laparoscopy: Udokotela angenza inqubo ye-laparoscopic yokubopha imithambo ukuze avimbe igazi ukuthi lingagelezi emuva.
• Ukususwa kwe-salpingo-oophorectomy emaceleni amabili:Uma usuqedile ukuba nabantwana, noma uma ungafisi ukuba nabantwana, udokotela wakho angase anqume ukususa izitho zakho ze-pelvic (isibeletho, amashubhu e-fallopian, nama-ovari). Kodwa-ke, lokhu kuhlinzwa akuvamile ukwenziwa nge-PCS.

Ingabe i-Pelvic Congestion Syndrome (PCS) isongela ukuphila? Yini ongayilindela?

I-Pelvic Congestion Syndrome akuyona inkinga esongela impilo . Kodwa-ke, kuye ngokuthi ubuhlungu bakho bukhulu kangakanani, bungaba bukhulu kangangokuthi buphazamisa impilo yakho yansuku zonke futhi buvimbele ekwenzeni izinto ozithandayo. Ngakho-ke uma ubuhlungu besisu sakho esingezansi buthinta izinga lempilo yakho, kubalulekile ukubona udokotela.

Nakuba kungekho ukwelashwa okujwayelekile kwe-pelvic congestion syndrome, imiphumela yokungenelela ukunciphisa ubuhlungu mihle kakhulu . Isibonelo, abantu abangu-75% abadlula ekumisweni kwemithambo ye-ovarian bathola ukukhululeka kobuhlungu. Ezimweni ezinjalo, lesi sifo siphinde sivele kumaphesenti amancane kuphela amacala, cishe angu-5%.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza le mibuzo:

• Bangaki ochwepheshe engizodinga ukubabona ukuze ngithole ukuxilongwa noma ukwelashwa?
• Yimiphi imithi oyincomayo ukunciphisa izimpawu?
• Kunini lapho inqubo yezokwelapha inganconywa khona ukuze kusizwe ekuthuthukiseni izimpawu zami?
• Hlobo luni lokwelashwa olunconywayo?
• Yiziphi izingozi ezingaba khona ezihlobene naleyo nqubo yezokwelapha?

Kungathatha isikhathi ukuthola imbangela eqondile yobuhlungu besisu sakho esingezansi. Eqinisweni, kunezimo eziningi ezingabangela ubuhlungu be-pelvic. Ukuxilonga isimo sakho se-'PCS' kungadinga ukuhlolwa okuningana, futhi kungadingeka ukuthi usebenzisane nochwepheshe abaningana. Izindaba ezinhle ukuthi isikhathi esiningi, izimpawu zingalawulwa ngemithi. Ngisho noma imithi ingasebenzi, udokotela wakho angancoma ukwelashwa okungakusiza. Ngakho-ke, ungalibali ukufuna ukwelashwa nokuthola impumuzo.

Umyalezo Wokugcina Wokuya Nasekhaya

Ngakho-ke, i-'Pelvic Congestion Syndrome' ayiyona into embi noma esongela impilo njengoba ungase ucabange. Kodwa-ke, ubuhlungu besikhathi eside obubangelayo bungaba yisithiyo esikhulu empilweni yakho yansuku zonke kanye nenjabulo yakho.

• Uma ubulokhu uzwa ubuhlungu obungavamile, usinda, noma ukudonsa esiswini sakho esingezansi izinyanga, into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngaphandle kokusishaya indiva.
• Kungathatha isikhathi ukuthola imbangela, futhi kungadingeka ukuhlolwa okuningana. Kodwa uma uthola ukuxilongwa okufanele, ungathola impumuzo ngokwelashwa.
• Khumbula, awuwedwa. Abesifazane abaningi balwa nalezi zimo. Ngokuqondiswa nokusekelwa okufanele kwezokwelapha, ungabhekana nalesi simo futhi uphile kahle.

Ngakho-ke, lalela umzimba wakho. Uma uzizwa ngendlela ehlukile noma engavamile, yilalele. Kulapho kuphela lapho singaba nempilo futhi sijabule khona.

Isifo Sokugoqana Kwesisu , ubuhlungu besisu esingezansi, imithambo evuvukele, ubuhlungu besisu, impilo yabesifazane, i-gynecology, ukujikeleza kwegazi, i-PCS