Ukuqonda Okubangela Nokukhethwa Kwamanje Kwokwelapha
I-Endometriosis yisimiso lapho uketshezi lwesisu ( endometrium ) lukhula ngaphandle kwesibeletho. Isifo esingavamile futhi esibuhlungu esibuhlungu esithinta noma yikuphi okuvela kumaphesenti ayisithupha kuya kwangu-10 kwabesifazane. Okuphathelene nalokho kungenxa yokuthi kungabangela ukungabi nabantwana emaphesenti angama-30 kuya kwangu-50 alabo abathintekayo.
Ukugqama kwezicubu kuphela yingxenye yokuthi kungani i-endometriosis iphazamisa ukuzala.
Ngenhlanhla, kunezindlela zokwelapha ezingasiza .
Ukuqonda i-Endometriosis: A Primer
I-endometrium yimbani engaphandle yesikhumba esiyingxenye yayo ukuhlinzeka indawo yeqanda elikhulelwe ukuze lifake. Phakathi nenkathi yomjikelezo wesifazane, i-lining izokweqa ukulungiselela umbungu . Uma ukukhulelwa kungenzeki, i-lining ihlehla futhi ichitheka ngesikhathi sokuya esikhathini.
Nge-endometriosis, i-lining izokhula ngaphezu kwesibeletho. Lokhu kunqwaba kwezicubu kubonakala ngokuyinhloko esifundeni sezintambo noma eduze kwama-ovari. Kungaphinda futhi ikhule kancane kakhulu eduze kwe-rectum, ubulili, amashubhu angama-fallopian, noma ngisho namapheshana amaminerali noma emathunjini. Ezimweni ezingavamile, zingase zenzeke ekufinyeleleni komzimba, kuhlanganise namaphaphu, izingalo noma amathanga.
Ngisho noma lesi sikhulu sinyama singaphandle kwesibeletho, sisabuswa yizinguquko ezifanayo ze-hormonal yomjikelezo wesimiso.
Njengalokhu, kuzothuthuka, kuphule phansi, bese kuphuma igazi. Noma kunjalo, ngokungafani nokugqoka kwe-endometrial kwesibeletho, lezi zicubu ezifakiwe azikwazi ukuxoshwa ngaphakathi. Esikhundleni salokho, bayakha phezu kwesikhathi futhi bakha ama-cysts, ukunamathela kanye nezicubu ezibomvu.
Izimpawu ze-endometriosis zingafaka:
- ubuhlungu obukhulu be-pelvic, ngisho nalapho kungenaso ukuya esikhathini
- izikhathi ezibuhlungu
- ubulili obubuhlungu
- izikhathi ezinzima noma ukuphazamisa phakathi kwemijikelezo
- imijikelezo engavamile
- ukuvuthwa okubuhlungu nokuhamba kwamathumbu, ikakhulukazi ngesikhathi sakho
Esinye sezici ezicindezelayo ze-endometriosis ingozi eyengeziwe yokwehluleka . Ngisho nabesifazane abangenazo izimpawu zangaphandle bangafunda kuphela ukuthi bane-endometriosis ngesikhathi sokuhlolwa kokungapheli.
Indlela i-Endometriosis eyenza ngayo ukungenzi lutho
Nakuba i-endometriosis kucatshangwa ukuthi ihileleke kumaphesenti angama-30 amacala angenasifo, akukacaci ukuthi ixhunyiwe kanjani. Yize kungase kube kuhle ukucabanga ukuthi ukuthuthukiswa kokunamathela kanye nokwehluleka kungaphazamisa ngokuqondile ukukhulelwe, ukungabi nabantwana kungabangela ngisho nakwabesifazane lapho kungekho lutho oluvimbela khona.
Phakathi kwezimbangela ezaziwa futhi ezisolakala ukuthi:
- Ukwehla kwezicubu ezungeze ama-ovari kungavimbela iqanda lingangeni emathinini angama-fallopian.
- Ukukhuphuka kwe-endometrial ku-ovary kungavimbela ukuvuthwa okungaveli.
- I-Endometriosis ingafakela ngaphakathi kwamatayipi we-fallopian, ukuvimbela amaqanda kanye nesidoda ekuhlanganisweni.
- Ucwaningo lubonisa ukuthi abesifazane abane-endometriosis banamazinga aphansi e -gonadotropin ye-chorionic yabantu (hCG) , i-hormone ebalulekile ekugcineni ukukhulelwa.
- Ama-cysts e-Endometrial akhiqiza amakhemikhali kanye neminye imithi engenzeka kakhulu kubantu abangaphansi kwama- ovarian follicles okukhululwa kuwo amaqanda avuthiwe.
Ngisho nangomqondo wokuzama ukukhulelwa, i-endometriosis ingenza ubulili bubuhlungu, uma kungenakubekezelela, kwabanye besifazane. Ngaphezu kwalokho, ubuhlungu buvame ukwedlulela kakhulu ngesikhathi sokuvuthwa.
Ukwelapha Ukungabi Nabulungisa Kwabesifazane abane-Endometriosis
Ukwelapha ukungabi nabantwana kwabesifazane abane-endometriosis ngokuvamile kuhilela ukukhishwa kwezicubu eziphazamisa ukukhulelwa, ukusetshenziselwa amasu okuzala abasiko bendabuko, noma kokubili.
Phakathi kwezinketho ezivame ukwelashwa:
- Ukuhlinzeka nge-laparoscopic kungasetshenziswa ukususa ukukhukhulwa kwe-endometrial ngenkathi kugcina umsebenzi we-ovary. Lokhu akuwona "ukwelashwa" nge-seometriosis njengoba i-endometriosis ingabuya kamuva. Kodwa-ke, abanye besifazane bayothola ukuzala okwengeziwe kuze kube izinyanga eziyisishiyagalolunye emva kokuhlinzwa.
- I-in vitro fertilization (i-IVF) ingaba yindlela yokukhetha abesifazane abathile ngaphandle kokudinga ukuhlinzwa okuhlinzekwa yi-laparoscopic. Eminye, ingasetshenziswa ngokubambisana nokuhlinzwa.
- Ukufakelwa kwe-intrauterine (IUI) , kanye nemithi yokuzala, kungase kubhekwe njengendlela yokukhetha abesifazane abaphethe i-endometriosis emnene kuya ekulinganiseni.
Uma ubulili obubuhlungu buyisivimbela esibalulekile ekukhuliseni, ukususwa kokuhlinzwa kwe-tishu ephezulu kuyoba ngokuqinisekile kuhlinzeke ukuphumula.
Amazinga okuphumelela ahluke futhi ancike ekutheni isifo sithuthukile kangakanani. Abesifazane abane-endometriosis emnene kuya ekulinganiseni bavame ukuba nempumelelo enkulu emva kokuhlinzwa ngaphandle kwalabo abanezifo eziphambili.
Uma ukuhlinzwa kubonakala kungaphumelelanga kunoma yikuphi, i-IVF iyindlela enamandla.
Izwi elivela ku-Verywell
Uma une-endometriosis, kungcono ukuthi uhlolwe uma wena nomlingani wakho uhlela ukukhulelwa. Ngakolunye uhlangothi, uma unezinkinga zokungakhulelwa futhi ungakaze utholakale, xoxani ngokukhetha kokuhlolwa kwe- laparoscopic nomchwepheshe wakho wezinkinga zokubeletha noma ukuzala.
Kubalulekile ukukhumbula ukuthi akuwona wonke owesifazane onokuphela kwe-endometriosis oyoba nenkinga yokukhulelwa. Uma noma nini lapho ukhulelwa, ukuphela kwe-endometriosis ngeke kuthinte ukukhulelwa. Eqinisweni, ushintsho lwe-hormonal olubangelwa ukukhulelwa lunganciphisa izimpawu nokuqhubeka kwesifo, kungakhathaliseki ukuthi kwenzeke okwesikhashana.
> Umthombo:
> Bulleti, C .; Coccia, M .; Battistoni, S .; et al. "I-Endometriosis nokungasebenzi." J Ngisiza i-Repro Genet. Agasti 2010: 27 (8): 441-447.