I-Adenomyosis noma i-endometriosis yangaphakathi yisifo esivamile futhi esiyingozi. Uma uthintwa yilesi sifo, yazi ukuthi izindlela zokwelapha ezimbalwa zingabhekwa kuye ngokuthi uyafuna yini ukukhulelwa noma cha. 

Incazelo

I-adenomyosis yesibeletho ivame ukuchazwa ngokuthi i-endometriosis yangaphakathi esibelethweni. Ihambisana nokungenwa kwamaseli e-endometrium (ulwelwesi lwesibeletho) emsipheni wodonga lwesibeletho (myometrium), okuholela ekuqinisweni kwe-myometrium. 

I-Adenomyosis ingasakazeka noma igxile (i-foci eyodwa noma ezimbalwa ngaphakathi kwe-myometrium), ibheke phezulu noma ijule. I-Diffuse adenomyosis ivame kakhulu. 

Okungukuthi: kukhona ukuxhumana phakathi kwe-endometriosis ne-adenomyosis kodwa owesifazane angaba ne-endometriosis ngaphandle kwe-adenomyosis noma abe ne-adenomyosis ngaphandle kwe-endometriosis. 

Lesi sifo se-uterine singathinta ukuzala. 

Izimbangela 

Izimbangela eziqondile zalesi sifo azaziwa. Siyazi ukuthi kuncike ezingeni le-estrogen nokuthi abesifazane abaye bakhulelwa okungenani okukodwa noma labo abaye bahlinzwa isibeletho (isigaba sokuhlinzwa, ukuphulukiswa, njll.) basengozini enkulu yokuthola i-adenomyosis. 

kwesifo 

Uma kukhona ukusola kwe-adenomyosis, i-ultrasound ye-pelvic yenziwa. Uma kunganele ukwenza ukuxilongwa, i-pelvic magnetic resonance imaging (MRI) yenziwa. Ngaphezu kokuvumela ukuxilongwa, ukuhlolwa kwe-imaging kwenza kube lula ukunquma izinga lokunwetshwa, ukubheka i-pathology yesibeletho ehambisanayo (i-endometriosis, i-uterine fibroids), ikakhulukazi uma kwenzeka ukungazali). 

Abantu abathintekayo 

I-Adenomyosis ithinta cishe oyedwa kwabesifazane ababili abaphakathi kweminyaka engama-40 no-50. I-Adenomyosis ne-endometriosis zihlotshaniswa ku-6 kuya ku-20% wezimo. I-Adenomyosis ihlotshaniswa cishe namacala angama-30% ngokuba khona kwe-uterine fibroids. 

Izici zengozi 

I-Adenomyosis ivela ikakhulukazi kwabesifazane abanezingane eziningana (ubuningi). 

Ezinye izici eziyingozi ezihlonziwe ze-adenomyosis yilezi: usuku lokuya esikhathini sokuqala, ukuphuphuma kwesisu okuzenzakalelayo sekwephuzile noma ukukhipha isisu, ukuhlinzwa, ukwelashwa nge-Tamoxifen. 

Kungaba nokuthambekela kofuzo. 

Esikhathini sesithathu samacala, i-adenomyosis ayinikezi zimpawu (kuthiwa ayinazimpawu).

Uma kuyizimpawu, izimpawu ziyizikhathi ezinzima nezinde, ubuhlungu obuhlobene nemijikelezo, ubuhlungu be-pelvic.

Izikhathi ezinzima nezinde (menorrhagia)

Izikhathi ezinzima kakhulu nezinde ziyizimpawu ezivame kakhulu ze-adenomyosis. Kuyisifo esitholakala engxenyeni yabesifazane abathintekile. I-Adenomyosis iyimbangela evame kakhulu yezikhathi ezinzima kakhulu nezinde kubantu besifazane abaneminyaka engama-40-50. Kungase futhi kubangele igazi ligeleze ngaphandle kwesikhathi sakho (menorrhagia). 

Ubuhlungu obuhlobene nomjikelezo (i-dysmenorrhea) 

I-Adenomyosis nayo ingakhonjiswa ngobuhlungu bokuya esikhathini kepha nobuhlungu be-pelvic obumelana nama-analgesics ajwayelekile nobuhlungu ngesikhathi sokuya ocansini. 

Ukuhlolwa komtholampilo kubonisa isibeletho esikhulisiwe.

Ukwelashwa kwe-adenomyosis kuyehluka kuye ngokuthi owesifazane ufuna ukugcina ithuba lokukhulelwa noma cha.

Uma owesifazane efuna ukugcina amathuba okukhulelwa, ukwelashwa kuhlanganisa nemithi elwa nokopha esebenza kanye koku-1 ekopheni noma ekubekweni kwe-intrauterine device (IUD) ene-progesterone, esebenza izikhathi ezi-2 kwezi-2. ekudambiseni izimpawu. 

Lapho owesifazane engasafuni ukukhulelwa, ukwelashwa kuqukethe ukubhujiswa kwe-endometrium (endometrectomy). Lapho ukungena kolwelwesi lwesibeletho kukukhulu kakhulu futhi kubangela ubuhlungu obukhulu nokopha, isibeletho singakhishwa (hysterectomy).

Izindlela zokungenelela ze-radiology (ukuhlanganiswa kwemithambo yesibeletho, i-ultrasound egxile) zinikeza imiphumela ethokozisayo kepha indawo yazo kumele icaciswe ekwelapheni i-adenomyosis. 

I-Adenomyosis, izixazululo zemvelo 

Ukusetshenziswa njalo kwemifino emndenini we-cruciferous (iklabishi, i-broccoli, njll.) Kunganciphisa izimpawu ze-adenomyosis ngesenzo sabo emazingeni ama-hormone abesifazane.

I-Adenomyosis ayinakuvinjelwa ngoba izimbangela zesifo azikaziwa. 

Mayelana nokuvimbela i-endometriosis, noma kunjalo, siyazi ukuthi indlela yokuphila enempilo, ukudla okulinganiselayo, ukulawula ukucindezeleka okuhle kanye nokuzivocavoca okuvamile kunganciphisa ingozi yokuthuthukiswa noma ukuphindaphinda kwesifo.