Cishe owesifazane oyedwa kwabayi-1 manje usehlaselwe yi-endometriosis, isifo esiqhubekayo sabesifazane esikhuthaza ingozi yokungazali kanye nezinkinga ezithile phakathi nokukhulelwa. Iphathwa kanjani i-endometriosis kusukela ekukhulelweni kuya ekuzalweni? Ayini amathuba okubona umsebenzi womkhaya wakho uphumelela? Ukususa ukubethela.

THEi-endometriosis yisifo esiqhubekayo sezifo zabesifazane okucatshangwa ukuthi sithinta cishe oyedwa kwabesifazane abayi-1 ngisho nama-10% abesifazane abane-subfertility kanye nobuhlungu be-pelvic. Ibonakala ngokuba khona kwe-endometrial mucosa ngaphandle kwesibeletho. Lawa maseli e-endometrial angaba nezindawo ezihlukene. Uma zivame ukutholakala ohlelweni lokuzala lowesifazane (i-ovary, amashubhu, i-peritoneum, i-vagina, njll.), zingathinta isimiso sokugaya ukudla, amaphaphu, noma esinyeni. Ngokuya ngokujula kwezilonda kanye nenkambo yalesi sifo, i-endometriosis ichazwa ngezigaba ezahlukene kusukela kokuncane kuya kokunzima.

Ngaphezu kwakho konke, ukubuyela kancane emjikelezweni wesifazane kulungile. Kowesifazane ongeyena umthwali, lawa maseli akhona ngokwemvelo esibelethweni ashintsha nezinga le-estrogen. Lapho izinga landa phakathi nomjikelezo wokuya esikhathini, la maseli akhula. Uma kuncipha, izicubu ze-endometrial ziphuka kancane kancane.

Yisikhathi semithetho: ulwelwesi lwamafinyila lukhishwa emlonyeni wesibeletho, ngesitho sangasese sowesifazane. Kwabesifazane abathintekayo yi-endometriosis, lawa maseli, angekho esibelethweni, awakwazi ukuphuma. Khona-ke ukuvuvukala okungapheli kuyavela futhi kungaqina emijikelezweni neminyaka. Ezimweni ezinzima kakhulu ze-endometriosis, ama-cysts angavela kuma-ovari ikakhulukazi, kanye nokunamathela phakathi kwezitho ezahlukene ezithintekile.

Uma i-endometriosis ngezinye izikhathi ingabonakali (okwenza kube nzima ukuyixilonga kulezi zimo), lokhu kuvuvukala kuhambisana nezimpawu ezingase zihluke kuye ngokuthi indawo yamaseli e-endometrial. Izimpawu ezingase zibonise i-endometriosis yilezi:

• ubuhlungu besisu obunzima (njengobuhlungu besikhathi, ngaphandle kokuthi akulula ngaso sonke isikhathi nge-analgesic);
• ukuphazamiseka kokugaya ukudla kanye / noma umchamo (ukuqunjelwa, isifo sohudo, ubuhlungu noma ubunzima bokuchama noma ukuhambisa amathumbu, njll.);
• umuzwa wokukhathala okukhulu, njalo;
• ubuhlungu ngesikhathi socansi (I-dyspareunia);
• ukopha, njll.

Nakuba ukukhulelwa okuzenzakalelayo kusengenzeka, ikakhulukazi uma i-endometriosis incane, lesi simo singase futhi sibangele ubunzima bokukhulelwa kwengane, noma ngisho nokungabi nabantwana. Ngakho-ke, ngokwenhlangano ye-EndoFrance, ama-30 kuye kwangama-40% abesifazane abane-endometriosis bangabhekana nenkinga yokuzala. Esinye isibalo esikhuluma kakhulu ngalesi sifo: Amaphesenti angama-20 kuye kwangama-50 abesifazane abayinyumba bahlushwa i-endometriosis.

Ungasichaza kanjani lesi sixhumanisi phakathi kwe-endometriosis nokungazali? Izindlela ezehlukene zivezwa ochwepheshe bezempilo:

• ukuvuvukala okungamahlalakhona kungaphazamisa ukuxhumana phakathi kwesidoda ne-oocyte;
• ukunamathela noma ukuvinjelwa kwe-proboscis, lapho kukhona, kungaphinde kunciphise noma kuvimbele ukuvundiswa;
• Ukwakhiwa kwama-cysts e-endometriotic ku-ovary kungavimbela ama-follicles ekukhuleni kahle lapho.

Uma ukuxilongwa kwe-endometriosis sekutholakele, udokotela wakho angase akudlulisele ekuzaleni ngosizo lwezokwelapha uma ebona kudingekile. Kuya ngezinga kanye nohlobo lwe-endometriosis onalo kanye nemininingwane yombhangqwana wakho, ithimba lezokwelapha elikulandelayo lingancoma:

• ukuvuselelwa kwe-ovarian, noma ngaphandle i-intrauterine insemination (IUI) ;
• I-IVF ngezinye izikhathi yandulelwa ukwelashwa kwangaphambili okusekelwe ekuvimbeleni inzalo kwe-estrogen-progestogen (iphilisi) noma ama-agonists e-GnRH.

Qaphela: iziphathimandla zezempilo azincomi njalo ukwelashwa kokuhlinzwa kwe-endometriosis ukuze kuthuthukiswe amathuba okukhulelwa. Kodwa-ke, lokhu kungacatshangwa ngudokotela wakho uma kwenzeka ukwehluleka kwe-IVF futhi uma i-endometriosis yakho iphakathi nendawo ukuya kokuqina. Esimeni sokunakekelwa okuhlinzekwa njengengxenye yesifundo sokuzala okusizwa ngemithi (AMP), amathuba okukhulelwa ngomjikelezo we-IVF kwabesifazane abane-endometriosis acishe afane nawabanye besifazane abahlomulayo kumjikelezo we-IVF. 'impatho efanayo, cishe 1 koku-4.

Ngezinye izikhathi kunenkolelo yokuthi ukukhulelwa kuyikhambi le-endometriosis. Okungokoqobo kuyinkimbinkimbi kakhulu. Ngempela, ukukhulelwa kwama-hormone, ikakhulukazi i-estrogen, kuyashintsha ngesikhathi sokukhulelwa.

Ngenxa yalokho, izimpawu ze-endometriosis zingase zibe zimbi kakhulu phakathi ne-trimester yokuqala, bese zehla noma zinyamalale kuze kube yilapho umntwana ezalwa. Nokho, izimpawu ze-endometriosis zivame ukubuya lapho ukuya esikhathini kuqala futhi. Ngakho-ke lesi sifo singalaliswa kuphela ngesikhathi sokukhulelwa.

Ngaphezu kwalokho, i-endometriosis ingakhuthaza ukuqala kwezinkinga ezithile ngesikhathi sokukhulelwa. Ikakhulukazi, kukhona ukwanda kwezingozi zoku:

• ukukhulelwa kwesisu kusenesikhathi (+10%);
• ngaphambi kwesikhathi futhi ngaphambi kwesikhathi kakhulu;
• i-placenta yangaphambili;
• ukubeletha ngokuhlinzwa. Okubuzwayo: iqhuqhuva noma imiphumela yokuhlinzwa kwangaphambilini okwenza ukubeletha kube nzima kakhulu.

Kodwa-ke, kubalulekile ukukhumbula ukuthi akubona bonke ukukhulelwa okubangelwa yi-pathological kwabesifazane abane-endometriosis futhi kungaholela ekubelethweni kwesitho sangasese sowesifazane kanye nokukhulelwa okungavinjelwe. Uma uzibuza ngenqubekelaphambili yokukhulelwa kwakho, ungangabazi ukuphendukela ku-patrician wakho ozoncoma ukulandelwa okuhambisana necala lakho.