I-Endometriosis: indlela yokubona kangcono lesi sifo

Endometriosis, kuyini?

I-endometrium yi-a ulwelwesi lwesibeletho. Ngaphansi komphumela wamahomoni (i-estrogen ne-progesterone), phakathi nomjikelezo, i-endometrium iyaqina ngesikhathi sokuvuthwa, futhi uma kungabikho ukukhulelwa, ihlephula futhi iphume igazi. Lena imithetho. I-Endometriosis yisifo esibangelwa izicubu ezifana nezicubu ze-endometrial ezifudukayo futhi zikhule ngaphandle kwesibeletho, bese kubangela izilonda, ukunamathela kanye nama-cysts ezithweni ezikoloni. Kwezinye izimo, izilonda zingangena ngokujulile ezindongeni zezitho ze-pelvic ngokuhamba kwesikhathi (uhlelo lokugaya ukudla, isinye, njll.). Lokhu kubizwa ngokuthi yi-deep endometriosis okungenye yezinhlobo zesifo esinzima kakhulu. Ngokuphambene, sibiza i-endometriosis ekha phezulu nge-endometriosis ethinta kuphela izicubu ezizungeze isibeletho (amashubhu, ama-ovari). Njengoba lezi izingcezu ze-endometrium, izilonda ze-endometriosis zizoziphatha inyanga ngayinye njenge-endometrium: bazoqina ngaphansi komphumela wama-hormone futhi baphume igazi, okubangela ubuhlungu phakathi nezikhathi kanye / noma ubulili, noma lapho beya endlini yokugezela, kuye ngokuthi indawo yezilonda.

Qaphela: kuze kube manje, kunemibono kuphela ngemvelaphi yalesi sifo esihlala "imfihlakalo" kodokotela. Izakhi zofuzo (izinhlobo zomndeni) nezemvelo (ukungcola, iziphazamisi ze-endocrine, amahomoni) ziye zabekwa phambili.

Obani abantu “abasengozini”?

Isilinganiso seminyaka yokutholwa kwalesi sifo cishe sineminyaka engama-27 kodwa, bonke abesifazane bangahlaselwa yilesi sifo, inqobo nje uma silawulwa. Ngokuvamile laba ngabesifazane abasebasha abangenazo izingane. Nokho, kwenzeka futhi ukuthi i-endometriosis ibonakala ngemva kokukhulelwa. Qaphela ukuthi abesifazane abane-endometriosis ngokuvamile baye baba nayo ubuhlungu obukhulu kakhulu phakathi nesikhathi sabo, ngezinye izikhathi zibavimbele ukuba baye esikoleni noma emsebenzini. Ukuba khona kwezikhathi ezinzima entsheni kungase, eqinisweni, kwakha isimo esandulela lesi sifo. Ngaphezu kwalokho, kuvamile ukuthola izihlobo eziphethwe yile pathology ngezinga lokuqala.

Eminyakeni yamuva, lesi sifo sishiwo obala. Bayanda izinhlangano zabesifazane abagulayo,

Indlela yokubona izimpawu zokuqala ze-endometriosis?

Ukuhlukanisa phakathi kobuhlungu besikhathi "okuvamile" kanye nobuhlungu "obungavamile" kunzima kakhulu, hhayi kuphela kwabesifazane, kodwa nodokotela. Abesifazane abathintekayo yilabo ababa nezinhlungu eziphindelelayo ngesikhathi sokuya esikhathini, ezidinga ukwelashwa (isib. i-Antadys). Bona kanye laba besifazane kwesinye isikhathi abakwazi ukuvuka ekuseni ngenxa yobuhlungu obukhulu noma bethathe ikhefu lokugula. Kufanele wazi ukuthi ubuhlungu bungakhula ngokuhamba kwesikhathi futhi bungagcini kuphela esikhathini semithetho. Ubulili obubuhlungu, izakhi zofuzo ngesikhathi sokuthunjwa noma ukuchama ngesikhathi esifanayo nokuya esikhathini, kungabuye kubhekwe njenge-endometriosis. Kodwa futhi kwenzeka ukuthi lesi sifo asibonakali nalezi zimpawu, singase "sithule". Ukuxilongwa kwe-endometriosis kuvame ukwenziwa lapho owesifazane ebonana ngoba akakwazi ukuba nomntwana.

Indlela yokuxilonga i-endometriosis?

Lesi sifo sivame ukutholakala ngesikhathi sokuqeqeshwa kokungabi nabantwana okumiselwe imibhangqwana enenkinga yokukhulelwa. Ubuhlungu be-pelvic bungabuye baxwayise odokotela ababese be-oda i-ultrasound, ngezinye izikhathi i-MRI. Okokugcina, ngezinye izikhathi ukutholakala kwe-cyst ku-ultrasound evamile okuyisici esivezayo.

Un ukuhlolwa komtholampilo (imibuzo, ukuhlolwa kwesitho sangasese sowesifazane) okwenziwa uchwepheshe kulesi sifo ngokuvamile kunikeza umbono onembe ngokuqhathaniswa nezinga lezilonda. I-MRI noma i-ultrasound, lapho yenziwa odokotela abanolwazi ngalesi simo, inganikeza izimpendulo. Kodwa-ke, ukuxilongwa ngokuqiniseka kunzima ukukuthola, ngoba ukuphela kwendlela yokwazi ngokugcwele ukuqina kwezilonda ukwenza a i-laparoscopy. Phakathi nalokhu kungenelela kokuhlinzwa, udokotela ohlinzayo uthatha isampula yezilonda ukuze azihlaziye futhi athole ukuxilongwa.

I-Endometriosis yisifo esiyinkimbinkimbi okunzima ukusixilonga. Isikhathi sokuxilongwa cishe iminyaka eyisikhombisa, okuyinto enkulu. Iziguli nodokotela ngamunye unesabelo somthwalo wemfanelo. Ngakolunye uhlangothi, abesifazane bayephuza ukuyobonana ngoba izikhathi ezibuhlungu ziyingxenye yokuphila kwabo futhi bacabanga ukuthi “kuyinto evamile ukuba nobuhlungu” njengoba unina nogogo wabo babatshela ngaphambili. Ngakolunye uhlangothi, odokotela bavame ukubukela phansi izikhalazo zabesifazane, futhi inikeze izidambisi zinhlungu noma amaphilisi avala izimpawu ngaphandle kokuthi kutholakale ukuthi unalesi sifo. Kubalulekile ukuthi isihloko se-endometriosis sifundwe ngokujulile ngesikhathi socwaningo lodokotela besikhathi esizayo, kodwa futhi nababelethisi ukuze kuncishiswe lesi sikhathi sokuxilonga.

Yiziphi izinkinga ezingenzeka ze-endometriosis?

Ingozi enkulu ehambisana ne-endometriosis wukungazali. Mayelana U-30-40% wabesifazane abane-endometriosis bazothola ubunyumba. Futhi oyedwa kwabesifazane abathathu abanenkinga yokukhulelwa une-endometriosis. Ukunamathela okuningi kungalimaza amashubhu nama-ovari (ngisho ukuwavimba), futhi kwenze isibeletho singabi nandawo yokuhlala. Udokotela angase asikisele isu lezokwelapha noma lokuhlinza, kuye ngokuxilonga. Indlela yomugqa wokuqala ukuthatha a iphilisi eliqhubekayo lokuvimba ukuya esikhathini, futhi ngaleyo ndlela kubambezele ukuqhubeka kwesifo. Ukuhlinzwa kuhloswe ukususa izilonda eziningi ngangokunokwenzeka, ngenhloso yokunciphisa ubuhlungu kanye / noma ukwandisa amathuba okukhulelwa.

Qaphela: kungcono ukuthi ungalibali ukukhulelwa okufunayo kakhulu, ngoba lapho isikhathi siqhubeka, amathuba okukhulelwa ngokwemvelo ayancipha.

I-Endometriosis: yini ukwelashwa kwamanje?

Ukuphatha kuyehluka kuye ngesiguli ngoba i-endometriosis izibonakalisa ngendlela ehlukile kumuntu ngamunye. Uma okubalulekile kowesifazane kuwukwelapha ubuhlungu bakhe, ngokuvamile siqala ngokunikeza iphilisi ngokuqhubekayo. Umgomo uwukufinyelela i-amenorrhea (ukucindezelwa kokuya esikhathini) ngokuvinjelwa kwe-ovulation nokuncipha kwamazinga e-estrogen. Ukubeka ama-ovari ekuphumuleni ngokwenza imijikelezo inyamalale kusiza ukunciphisa ubuhlungu, nakuba lokhu kungayixazululi unomphela i-endometriosis. Enye inketho ingenzeka: ama-analogues we-Gn-RH. Lezi yizidakamizwa ezibeka isiguli esimweni sokunqamuka kokuya esikhathini sokwenziwa. Kodwa-ke, zingaba nemiphumela emibi kakhulu, njengokushisa okushisayo, ukuncipha kwe-libido noma i-osteoporosis. Umuthi wabo kadokotela akufanele udlule unyaka owodwa. Uma ubuhlungu bumelana nokwelashwa, ukuhlinzwa kuyindlela ehlukile. I-Laparoscopy ngokukhishwa kwazo zonke izilonda ze-endometriotic iyindlela yokuzikhethela, kuncike engcupheni evumayo / ibhalansi yenzuzo yesiguli.

Ukudla, kungasisiza kanjani ukwehlisa izimpawu ze-endometriosis?

Ingabe ukukhulelwa kungenzeka naphezu kwe-endometriosis?

Cishe u-30-40% wabesifazane abathintekile banenkinga yokukhulelwa. I-Endometriosis iyimbangela yokungazali, kodwa hhayi yodwa. Ukuba khona kwe-endometriosis, iminyaka yowesifazane, indawo yakhe yokugcina amaqanda, ukuvuthwa kwamashubhu yizo zonke izici okufanele zicatshangelwe ekunqumeni isu elingcono kakhulu. Sinezinketho ezimbili: ukuhlinzwa kanye nokuzala okusizwa ngokwemithi (MAP). Ucwaningo lubonisa ukuthi imiphumela mayelana nokuzala ikhuphuka kakhulu lapho ukukhishwa kokuhlinzwa kwezilonda sekuphelile. Nokho, kusengenzeka ukukhetha i-ART ngaphandle kokuhlinzwa okwenziwa ngaphambilini. Ngokuya ngobunzima be-endometriosis, kunezinketho zokwelashwa eziningana: ukukhuthazwa kwe-ovarian nge-intrauterine insemination kanye ne-IVF.