Ukuthi yini i-Adenomyosis? Izimpawu, Izimbangela, kanye Nokwelashwa

I-Adenomyosis yisimo lapho ithusi evamile ukubekela umgudu wakho ikhula ngaphakathi odongeni lwemisipha womgudu wakho. Cabanga ngakho njengokuthi ukugqoka komgudu wakho kunquma ukukhula ezindaweni lapho kungafanele kukhule khona.

Lesi simo sithinta abesifazane abaningi, ikakhulukazi labo abaseminyakeni yabo yama-30 nama-40. Nakuba singabangela izimpawu ezingathandeki, kubalulekile ukwazi ukuthi i-adenomyosis ayinampilo, okusho ukuthi ayilona icala lokuqala futhi ngeke isakazeke kwezinye izingxenye zomzimba wakho.

Ziyini izimpawu ze-adenomyosis?

Uphawu oluvamile lwe-adenomyosis ukopha okukhulu, okuhlala isikhathi eside komjikelezo wesikhathi, okukhulu kunokujwayelekile kwakho. Ungase uqaphele ukuthi imijikelezo yakho ihlala isikhathi eside kunamasonto ayisikhombisa noma kudingeka ushintshe ama-pad noma ama-tampons njalo ngehora.

Abesifazane abaningi abane-adenomyosis baba nezimpawu ezilandelayo, ezingaba ukusuka kokulinganisela kuya kokukhulu:

• Ubuhlungu obukhulu bomjikelezo wesikhathi obukhula ngokuhamba kwesikhathi
• Ukopha okukhulu komjikelezo wesikhathi ngamaqanda
• Ukopha phakathi kwemijikelezo
• Imijikelezo emide ehlasele isikhathi esingaphezu kwamasonto ayisikhombisa
• Ukungakhululeki komgudu kanye nokuqina
• Ubuhlungu ngesikhathi sokuhlangana
• Umgudu oluthambile, olukhulu

Abanye abesifazane nabo baba nezimpawu ezingavamile njengobhlungu ngesikhathi sokuya esikhathini, ubuhlungu obuhlala isikhathi eside bomgudu obuhlala phakathi kwemijikelezo, noma ukukhathala ngenxa yokulahlekelwa igazi okukhulu. Ubunzima bezimpawu akuhambisani njalo nobukhulu besimo, ngakho-ke ngisho ne-adenomyosis ephansi ngezinye izikhathi ingabangela ukungakhululeki okukhulu.

Yini ebangela i-adenomyosis?

Imbangela eqondile ye-adenomyosis ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ithuthukiswa lapho isikhombimoya phakathi kokugqoka komgudu wakho kanye nodonga lwemisipha lilimazeka noma libuthakathaka. Lokhu kuvumela ithusi le-endometrial ukukhula lapho kungafanele kukhule khona.

Izici eziningi zingase zifake isandla ekukhuleni kwalesi simo:

• Ukuhlinzwa komgudu wangaphambili njenge-C-sections noma ukususwa kwe-fibroid
• Ukubeletha, okungabangela ukukhishwa okuncane odongeni lomgudu
• Ukuhlukahluka kwe-hormonal, ikakhulukazi amazinga e-estrogen
• Ukuvuvukala emgudwini ngezimbangela ezihlukahlukene
• Ukushintsha okuhlobene nobudala ethusi lomgudu

Abanye abesifazane bangase babe nokuthambekela kwezakhiwo zofuzo ekukhuleni kwe-adenomyosis, nakuba lobu buhlobo busacwaningwa. Isimo ngokuvamile sithuthuka kancane kancane ngokuhamba kwesikhathi kunokuba lube khona ngokuzumayo.

Ziyini izici ezikhulayo ze-adenomyosis?

Izici ezithile zingandisa amathuba akho okukhula kwe-adenomyosis, nakuba ukuba nalezi zici ezikhulayo akusho ukuthi uzokhula ngalesi simo. Ubudala yiyona nto ebaluleke kakhulu, ngezimo eziningi ezenzeka kubesifazane abaphakathi kweminyaka engama-35 nama-50.

Izici ezikhulayo ezivamile zihlanganisa:

• Ukuba eminyakeni yakho yama-30 kuya kuma-50
• Ukuba ubelethe izingane
• Ukuhlinzwa komgudu wangaphambili noma izinqubo
• Umbhalo we-endometriosis
• Imijikelezo emifushane yesikhathi (ngaphansi kwamasonto angu-24)
• Ukuqala kwesikhathi sokuqala

Izici ezingavamile ezikhulayo zihlanganisa ukuba nemimathane eminingi, ukubhekana nezinkinga zokukhulelwa, noma ukuba nezimo ezithile zokuziphatha komzimba. Ngokuthakazelisayo, izimpawu ze-adenomyosis zivame ukuthuthuka ngemuva kwe-menopause lapho amazinga e-estrogen ewa kakhulu.

Nini okufanele ubheke udokotela nge-adenomyosis?

Kufanele uhlele i-aphoyintimenti nodokotela wakho uma imijikelezo yakho yesikhathi ibe nzima kakhulu, ihlala isikhathi eside, noma ibuhlungu kakhulu kunokujwayelekile. Ungalindi uma lezi zinguquko zithinta impilo yakho yansuku zonke noma zikubangele ukuba uphuthelwe umsebenzi noma imisebenzi.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nalokhu okulandelayo:

• Ukushisa i-pad noma i-tampon njalo ngehora amahora amaningana
• Imijikelezo ehlasele isikhathi esingaphezu kwamasonto ayisikhombisa
• Ubuhlungu obukhulu bomgudu obuphazamisa imisebenzi yansuku zonke
• Ukopha phakathi kwemijikelezo
• Izimpawu ze-anemia njengokukhathala, ukukhungatheka, noma ukuphefumula okusheshayo

Shaya udokotela wakho ngokushesha uma uhlangabezana nobuhlungu obukhulu bomgudu ngokuzumayo, ukopha okukhulu okungapheli, noma izimpawu ze-anemia enzima njengobhlungu esifubeni noma ukuphefumula okunzima. Lezi zimpawu, nakuba zingavamile, zidinga ukuhlolwa kwezokwelapha okusheshayo.

Ziyini izinhlanganisela ezingase zenzeke ze-adenomyosis?

Nakuba i-adenomyosis ngokwayo ingabi yingozi eyingozi, ingabangela izinhlanganisela eziningi ezithinta ikhwalithi yempilo yakho kanye nempilo yakho jikelele. Inhlanganisela evamile yi-anemia yokushoda kwe-iron ngenxa yokopha okukhulu okuhlala isikhathi eside.

Izinhlanganisela ezingase zenzeke zihlanganisa:

• I-anemia yokushoda kwe-iron ngenxa yokulahlekelwa igazi
• Ukukhathala okuhlala isikhathi eside nobuthakathaka
• Ukuhlukunyezwa kokukhulelwa (nakuba ukukhulelwa kusengase kwenzeke)
• Ukuthinta ubuhlobo obuseduze ngenxa yobhlungu ngesikhathi sokuhlangana
• Imiphumela yobuhlungu njengokucindezeleka noma ukukhathazeka ngenxa yobhlungu obuhlala isikhathi eside
• Ukuhlupheka kokulala ngenxa yokopha okukhulu nobuhlungu

Izinhlanganisela ezingavamile zingase zihlanganise i-anemia enzima edinga ukuthuthukiswa kwegazi noma ukungena esibhedlela ngenxa yokopha okungalawuleki. Abanye abesifazane bangase babe nezinkinga zokukhulelwa uma benesimiso se-adenomyosis, nakuba abaningi besaba ne mimathane ephumelelayo ngenakekelwa kwezokwelapha efanele.

I-adenomyosis ihlonishwa kanjani?

Ukuhlola i-adenomyosis ngokuvamile kuqala ngodokotela wakho oxoxa ngezimpawu zakho kanye nomlando wakho wezokwelapha, okulandelelwa yi-pelvic examination. Udokotela wakho uzobona umgudu olukhulu, oluthambile ngesikhathi sokuhlola.

Izivivinyo eziningi zingasiza ekuqinisekiseni ukuxilongwa:

• I-Transvaginal ultrasound ukuhlola ubukhulu bomgudu
• I-MRI yezithombe ezinemininingwane yezilayi zethusi lomgudu
• Izivivinyo zegazi ukuhlola i-anemia noma ukukhipha ezinye izimo
• I-Endometrial biopsy ukuhlola ithusi lokugqoka komgudu

Ngezinye izikhathi udokotela wakho angase akukhuthaze ukuhlolwa okwengeziwe njenge-hysterosonography, lapho i-fluid ifakwa emgudwini ngesikhathi se-ultrasound ukuze kube nokubona kangcono. Ezimweni ezingavamile lapho ezinye izimo kudingeka zikhishiwe, i-diagnostic laparoscopy ingase iphakanyiswe, nakuba lokhu kungavamile nge-adenomyosis yodwa.

Yini ukwelashwa kwe-adenomyosis?

Ukwelashwa kwe-adenomyosis kuncike ebunzimeni bezimpawu zakho, ubudala bakho, nokuthi ufuna yini ukulondoloza ukukhulelwa kwakho. Abesifazane abaningi bathola impumuzo ngokwelashwa okuqondile, kanti abanye bangase badinge ukungenelela okukhulu.

Izinketho zokwelashwa ezingenaso ukuhlinzwa zihlanganisa:

• Imithi engapheli ye-anti-inflammatory (NSAIDs) yokunciphisa ubuhlungu
• Ukuphathwa kwe-hormonal ukulawula ukopha
• I-hormonal IUD ukunciphisa ukopha komjikelezo wesikhathi
• I-GnRH agonists ukuyeka imijikelezo yesikhathi okwesikhashana
• I-Tranexamic acid ukunciphisa ukopha okukhulu

Ezimeni ezinzima ezingaphenduli emithi, izinketho zokwelashwa zingase zicatshangelwe. Lezi zihlanganisa i-endometrial ablation ukubhubhisa ukugqoka komgudu, i-uterine artery embolization ukunciphisa ukopha kwegazi, noma i-hysterectomy yokwelashwa okuqinisekile lapho ukulondolozwa kokukhulelwa kungeyona into ebalulekile.

Indlela yokuphatha i-adenomyosis ekhaya?

Amasu okuphatha ekhaya angasiza kakhulu ekuthuthukiseni izimpawu zakho nokuthuthukisa ikhwalithi yempilo yakho kanye nokwelashwa kwezokwelapha. Ukwelashwa ngokushisa kuvame ukuba nomphumela omkhulu ekulawuleni ubuhlungu bomgudu kanye nokuqina.

Izindlela zokwelapha ekhaya eziwusizo zihlanganisa:

• Ukusebenzisa ama-heating pads noma amasimi afudumele ukunciphisa ubuhlungu
• Ukuzivocavoca okulula njengokuhamba noma i-yoga ukunciphisa ukuqina
• Ukudla ukudla okunama-iron amaningi ukuvimbela i-anemia
• Ukuphumula ngokwanele, ikakhulukazi ngesikhathi sakho sesikhathi
• Ukulawula ukucindezeleka ngokuzindla noma amasu okuphumula
• Ukubheka izimpawu zakho ukuqonda izibonelo

Abanye abesifazane bathola impumuzo ngokushintsha ukudla njengokunciphisa i-caffeine kanye ne-alcohol, kanti abanye bathola izinzuzo ngezinye izinto ezinjenge-magnesium noma i-omega-3 fatty acids. Noma kunjalo, hlala uxoxa ngezinye izinto nodokotela wakho ngaphambi kokuba uqale ukuzisebenzisa, ikakhulukazi uma usebenzisa ezinye izidakamizwa.

Kufanele uzilungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kuzokusiza uthole okuningi ekuhambeleni kwakho futhi kuqinisekise ukuthi udokotela wakho unemininingwane edingekayo ukukusiza. Qala ngokubheka imijikelezo yakho yesikhathi kanye nezimpawu okungenani izinyanga ezimbili ngaphambi kwe-aphoyintimenti yakho.

Letha ulwazi olulandelayo:

• Umbhalo wemijikelezo yesikhathi oluqondile kuhlanganise ubude bomjikelezo kanye nobunzima bokugeleza
• Uhlu lwemithi yamanje kanye nezinye izinto
• Umbhalo womndeni wezimo ze-gynecological
• Imibuzo mayelana nezinketho zokwelashwa kanye nemiphumela yazo ebi
• Amarekhodi ezokwelapha wangaphambili ahlobene nezinkinga ze-gynecological

Bhala izibonelo ezithile zendlela izimpawu ezithinta ngayo impilo yakho yansuku zonke, umsebenzi, noma ubuhlobo. Ungalujabuli ukuxoxa ngemininingwane yokuhlangana, njengoba lolu lwazi lubalulekile ekuxilongweni nasekulungiseni ukwelashwa okuqondile.

Iyini into ebalulekile mayelana ne-adenomyosis?

I-Adenomyosis yisimo esilawuleka esithinta abesifazane abaningi, futhi awudingi ukuhlupheka ngokuthula ngemijikelezo yesikhathi ebuhlungu, enzima. Nakuba ingathinta kakhulu ikhwalithi yempilo yakho, izinketho eziningi zokwelashwa ezisebenzayo ziyatholakala ukukusiza uzizwe kangcono.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuxilongwa nokwelashwa kwasekuqaleni kungavimbela izinhlanganisela futhi kuthuthukise izimpawu zakho kakhulu. Isipiliyoni sikawomamukeli ngamunye se-adenomyosis sihlukile, ngakho ukusebenzisana eduze nodokotela wakho ukuthola indlela efanele yokwelashwa yesimo sakho esithile kubalulekile.

Ngenakekelwa kwezokwelapha efanele namasu okuphatha ngokwakho, abesifazane abaningi abane-adenomyosis bangagcina impilo esebenzayo, ezele.

Imibuzo evamile ebuzwa mayelana ne-adenomyosis

Ingabe i-adenomyosis ingathinta ukukhulelwa?

I-Adenomyosis ingenza kube nzima ukukhulelwa futhi ingase ikhulise ingozi yokulahlekelwa umntwana, kodwa abesifazane abaningi abanesimo esinjalo basaba ne mimathane ephumelelayo. Isimo singathinta ukufakwa futhi singabangela izinhlanganisela ngesikhathi sokubeletha, kodwa ngenakekelwa kwezokwelapha efanele, abesifazane abaningi baqhubeka beba nezingane ezimpilo. Uma uzama ukukhulelwa futhi unesimo se-adenomyosis, sebenzisana eduze nodokotela wakho ukuthuthukisa amathuba akho okukhulelwa okuphumelelayo.

Ingabe i-adenomyosis iyahamba ngemuva kwe-menopause?

Yebo, izimpawu ze-adenomyosis ngokuvamile ziyaqina kakhulu ngemuva kwe-menopause lapho amazinga e-estrogen ewa. Njengoba i-estrogen ikhuthaza ukukhula kwethusi le-endometrial, amazinga e-hormone aphansi ngemuva kwe-menopause abangela ithusi elibekwe endaweni engalungile ukunciphisa nokungasebenzi. Abesifazane abaningi bathola ukuthi izimpawu zabo ziyaphela ngokuphelele eminyakeni embalwa ngemuva kwe-menopause, nakuba ukushintsha komzimba odongeni lomgudu kungase kuhlale.

Ingabe i-adenomyosis ifana ne-endometriosis?

Cha, nakuba kokubili izimo zihlanganisa ithusi le-endometrial elikhula lapho kungafanele kukhule khona, ziyizimo ezihlukile. Ku-adenomyosis, ithusi likhula ngaphakathi odongeni lwemisipha womgudu, kuyilapho ku-endometriosis, likhula ngaphandle komgudu ngokuphelele. Noma kunjalo, cishe ama-15-20% wabesifazane banezimo zombili ngesikhathi esisodwa, futhi bangaba nezimpawu ezifanayo njengobhlungu besikhathi kanye nokopha okukhulu.

Ingabe i-adenomyosis ingabangela ukwanda kwesisindo?

I-Adenomyosis ngokwayo ayibangeli ukwanda kwesisindo, kodwa ingase ifake isandla ekuqineni nasekuqineni komgudu okungase kukwenze uzizwe ukhulu noma kubangele izingubo ukuba zilingane ngokuhlukile. Abanye abesifazane bangase bandise isisindo ngenxa yokukhathala ngenxa yokopha okukhulu okulinganiselwe amazinga abo omsebenzi, noma ngenxa yokwelashwa kwe-hormonal okusetshenziswa ekulawuleni isimo. Umgudu olukhulu ungase futhi udale imizwa yokugcwaliswa noma ukuqina esiswini sakho esingezansi.

Izimpawu ze-adenomyosis zithuthuka ngokushesha kangakanani?

Izimpawu ze-adenomyosis ngokuvamile zithuthuka kancane kancane ngezinyanga noma iminyaka kunokuba zibe khona ngokuzumayo. Abesifazane abaningi baqaphela ukuthi imijikelezo yabo yesikhathi iba nzima kakhulu futhi ibuhlungu ngokuhamba kwesikhathi. Ukuqhubeka kancane kusho ukuthi izimpawu zingase zilahlekwe njengokushintsha okujwayelekile kwesikhathi ekuqaleni, yingakho abesifazane abaningi bangaxilongwa kuze kube yilapho izimpawu zibe nzima ngokwanele ukuba zithinte kakhulu impilo yabo yansuku zonke.