Endometriosis: izimpawu kanye nokwelashwa

 

Yiziphi izimpawu ze-endometriosis?

Isibonakaliso esivame kakhulu se-endometriosis "i-dysmenorrhea". Kumayelana a ubuhlungu ngesikhathi sokuya esikhathini ehambisana nayo ama-cramps kwesinye isikhathi kushube kakhulu esiswini esingezansi. Ngezinye izikhathi le dysmenorrhea ngezinye izikhathi ihambisana nokucanuzela kwenhliziyo nokuhlanza, futhi ngokuvamile ibangela ukuba abesifazane balale phansi izinsuku ezimbalwa. I-Dysmenorrhea ikhona kwabesifazane abayisishiyagalombili kwabayishumi abane-endometriosis.

Ngokuhamba kwesikhathi, i- imvamisa yobuhlungu izoqina. Lezi ziqala ngokwesibonelo ngaphambi kokuya esikhathini futhi bayaqhubeka ngemva, izinsuku ezimbalwa bese kuba amasonto ambalwa, zize zibe yizifo ezingelapheki.

Ngokuvamile, uma sixoxa namantombazane asemancane noma abesifazane abane-endometriosis, sibona ukulova kanye nokuphuma emsebenzini okuphindaphindiwe ngenxa yobuhlungu.

Ezinye izimpawu ze-endometriosis

Ubuhlungu ngesikhathi sex (i-dyspareunia), nakuba ingavamile kakhulu, iwuphawu lwakudala lwesifo. Ikakhulukazi ubuhlungu kwezinye izikhundla, okwenza ucansi lungenakwenzeka.

Izimpawu ezingase futhi ziphakamise i-endometriosis zihlanganisa i-dyschezia (ukunyakaza kwamathumbu okubuhlungu) ngesikhathi sokuya esikhathini, ubuhlungu ngesikhathi se-ovulation, ubuhlungu kuma-ovari kanye ukukhathala okungapheli.

The izimpawu ze-endometriosis zihlukile kowesifazane ngamunye, ngoba zincike ikakhulukazi endaweni yezilonda. Ngokuvamile, i-endometriosis inzima ukuyixilonga, ngoba izimpawu zayo eziningi zifana nalezo zesifo esingezona i-gynecological, njenge-pathologies ethile yesistimu yamathumbu.

I-Endometriosis: izimpawu zokuqala zivela nini?

Kwabanye besifazane, izimpawu zingase ziqale kusukela esigabeni sokuqala futhi intuthuko iminyaka eminingana ngaphambi kokuba i-endometriosis itholwe, njenge- ubuhlungu ngesikhathi sokuya esikhathini zibhekwa njengezinto ezijwayelekile noma ezengqondo. Ngokuvamile kusukela eminyakeni engu-15-20, amantombazane amancane ahlushwa ubuhlungu ngesikhathi sokuya esikhathini nokuya ocansini. I-Endometriosis ingenzeka ukuthuthukisa eminyakeni eminingana ngaphambi kokutholwa ngokuhlolwa okwengeziwe, okufana noku i-ultrasound ye-endovaginal noma i-MRI. Ngenxa yalesi sizathu, intombazane encane ekhononda ngobuhlungu phakathi neminyaka yayo yobusha kufanele ibhekwe. Kufanele thintana nodokotela wezifo zabesifazane okungenani kanye ngonyaka.

Kukhona nabesifazane abaqala ukuhlupheka kamuva, ngokuvamile lapho umisa iphilisi kanye / noma isifiso sokukhulelwa. Ubunzima bokukhulelwa kanye / noma ubuhlungu ngesikhathi sokuya esikhathini budinga ukuvakashela udokotela wezifo zabesifazane. 

Lesi sifo esingamahlalakhona sinesibopho Ama-30% kuya ku-50% amacala okuzala.

Ukwelashwa kwe-endometriosis

Kuyiqiniso, kukhona a ubudlelwano phakathi kwe-endometriosis nokungazali kwabesifazane. Izikhathi eziningi, odokotela baxilonga lesi sifo ngesikhathi se-a ukuhlolwa kokungazali. Kwabesifazane abane-endometriosis, kukhona a ukuzala, okungukuthi, iphansi kunesilinganiso sokuzala. Nokho, ukuxhumana phakathi kwezifo nokungazali akulula ukukuqonda kochwepheshe bezempilo. Ukunamathela okukhona emgodini wesibeletho, kanye nokuvuvukala kwe-peritoneum kungaba imbangela yalokhu kungazali. Yinye into eqinisekile, lapho isifo selashwa, ukuzala kubuyela “kokuvamile” ! Kungalesi sizathu kwesinye isikhathi kubhekwa ukuhlinzwa ukuze kubekwe wonke amathuba ohlangothini lwakhe.

Ukwelapha i-endometriosis kungaba yinkinga: isifo siyaqhubeka futhi amathuba akho okukhulelwa ayancipha. Ngaphezu kwalokho, ubuhlungu ngezinye izikhathi bungakuvimbela ukuba ulale kahle nomlingani wakho. Akulula kulezi zimo ukuqala ingane.

Odokotela bangakunikeza a isu lezokwelapha kanye nokuhlinzwa (uma kunesidingo). Lelisu liyanqunywa icala ngecala, futhi ngaphezu kwakho konke, kubalulekile ukuthi ohamba naye abe khona. Isinqumo sokugcina kufanele ngempela sithathwe ngokubambisana phakathi kombhangqwana nochwepheshe.   

  • Ukwelapha okuhlinzwa

Ukuhlinzwa kokuhlinzwa kwenziwa ngu i-laparoscopy. Il n'y a (a priori) akukho ukukhipha izitho zomzimba. Ngakolunye uhlangothi, ukuhlinzwa kufanele kuphelele ukuze kugwenywe noma iyiphi ingozi yokuphinda kwenzeke. Lokhu kuhilela ukususa wonke ama-cysts, adhesions kanye namanye amaqhuqhuva akheke ngaphandle kwesibeletho. Lokhu kusekela ivumela imibhangqwana ukuba yandise amathuba abo okukhulelwa ngokwemvelo ingane ngemva kokuhlinzwa.

  • Ukwelashwa

Uma kungenzeki ukuhlinzwa, noma isiguli singafisi ukuhlinzwa, kungase kunikezwe ukwelashwa. Lokhu kukuvumela ukuba phumuza amaqanda. Kwesinye isikhathi kuyasiza shwabana izilonda. Udokotela uyala ama-progestin aqhubekayo, amaphilisi e-estrogen-progestogen aqhubekayo, noma imijovo ye-analog ye-Gn-RH (ukuya esikhathini yokwenziwa), cishe izinyanga ezi-3 kuye kwezi-4. Lokhu ukwesekwa kungaba kulandele ukukhulelwa kwe-in vitro (IVF). Ngezinye izikhathi ukusebenza kwe-ovarian kuyaphazamiseka, futhi i-IVF ayiphumeleli. Kulokhu, odokotela bazokuqondisa ekunikeleni kwamaqanda.

Ungasusa kanjani izimpawu ze-endometriosis?

Kuvidiyo: Ukudla, yikuphi ukudla ongakuthanda futhi okufanele ukugweme ukuze ukhulule izimpawu ezihlobene ne-endometriosis. UCatherine Malpas, i-naturopath, uyasiphendula.

Ukukhulelwa nge-endometriosis (ngokuvamile) kungenzeka

Izindaba ezimnandi, abesifazane abaningi abane-endometriosis bayakhulelwa, ngoba ukukhulelwa kanye ne-endometriosis azihambisani! Izinga lempumelelo liphezulu uma unquma ngamasu okwelapha alungile! Ukukhulelwa, ngezinye izikhathi kuzuzwe kanzima, kubonakala njengesimangaliso kwabesifazane abane-endometriosis.

Qaphela: ukulandelelwa kokubeletha kuvame ukuba kudingekile ukuze kuthathwe isivikelo-nzalo kanye nokuhlola ukuthi akukho ukuphindeka.

Ukuze uthole ukwaziswa okwengeziwe:

  •  The I-Endofrance, enye yezinhlangano zaseFrance zokulwa ne-endometriosis.
  •  Indawo ye National College of French Gynecologists kanye Obstetricians (CNGOF) => izincomo nge-endometriosis yango-2006.

shiya impendulo