Endometriosis

Kunezinkomba eziningana ezingase zichaze ukuthi yini ebangela ukukhula kwelisu eliyafana ne-endometrial endaweni engafanele. Kodwa-ke imbangela eqondile isalungile. Noma kunjalo, kunezici ezithile ezenza umuntu abe nethuba elikhulu lokuba ne-endometriosis, njengokungazali, izikhathi zenyanga ezivela njalo ngaphezu kwezinsuku ezingu-28, izikhathi zenyanga eziningi nezikude ezihlala isikhathi esingaphezu kwezinsuku ezisikhombisa, ukuba namanqanaba aphezulu e-estrogen emzimbeni wakho, ukuba ne-body mass index ephansi, ukuba nenkinga yesakhiwo esigabeni, isinyo, noma isisu esivimba ukuphuma kwegazi lenyanga emzimbeni, umlando womndeni we-endometriosis, ukuqala kwesikhathi sakho senyanga ekuqaleni, noma ukuqala kwe-menopause ekuqaleni.

Isibonakaliso esivame kakhulu se-endometriosis ubuhlungu be-pelvic, ngesikhathi noma ngaphandle kwesikhathi senyanga evamile esingaphezu kokukhahlela okuvamile, Ukukhahlela okuvamile kwesikhathi senyanga kufanele kube kukhuthazekile futhi akufanele kudinge umuntu ukuthi aphuthe isikhathi esikoleni, emsebenzini noma emisebenzini evamile. Ezinye izimpawu zihlanganisa ukukhahlela okuqala ngaphambi kokuthi kuqhubeke ngemuva kwesikhathi senyanga, ubuhlungu obungezansi emuva noma esiswini, ubuhlungu ngesikhathi sokuya ocansini, ubuhlungu ngesikhathi sokuya esikhumulweni noma ukuthamba, nokungakhulekeli. Abantu abane-endometriosis bangase babe nomoya ophelileyo, i-constipation, ukukhuluphala, noma ukugula, ikakhulukazi ngesikhathi sezinyanga. Uma uzizwa unezimpawu, kuhle ukukhuluma nodokotela wakho.

Okokuqala, umhlinzeki wakho uzokucela ukuthi uchaze izimpawu zakho, kufaka phakathi indawo yobuningi be-pelvic. Okulandelayo, bangase benze ukuhlolwa kwe-pelvic, i-ultrasound, noma i-MRI ukuze bathole umbono ocacile wezitho zokuzala, kufaka phakathi isisu, ama-ovari, nama-fallopian tubes. Ukuze uqonde ngokuphelele i-endometriosis, ukucutshungulwa kuyadingeka. Lokhu kuvame ukwenziwa yi-laparoscopy. Isigulane sise-anesthesia ejwayelekile ngenkathi udokotela efaka ikhamera esiswini ngokusika okuncane ukuhlola ilisu eliyafana ne-endometrial. Noma yiluphi ilisu elibukeka njenge-endometriosis lisuswa futhi lihlolwe ngaphansi komkhiqizo ukuze kuqinisekiswe ukuba khona noma ukungabikho kwe-endometriosis.

Uma kuziwa ekwelapheni i-endometriosis, izinyathelo zokuqala zihlanganisa ukuzama ukuphatha izimpawu ngemithi yobuningi noma i-hormone therapy. Ama-hormone, njengezithombe zokulawula ukuzalwa, alawula ukuphakama nokwehla kwe-estrogen ne-progesterone esikhathini senyanga. Uma lezo zindlela zokuqala zikwehluleka futhi izimpawu zithinta ikhwalithi yokuphila komuntu, ukucutshungulwa ukususa ilisu le-endometriosis kungacatshangelwa.

Nge-endometriosis, izingxenye ze-lining yesisu (endometrium) - noma ilisu eliyafana ne-endometrial - likhula ngaphandle kwesisu kwezinye izitho ze-pelvic. Ngaphandle kwesisu, ilisu liba nzima futhi ligazi, njengoba ilisu le-endometrial livamile lenza ngesikhathi sezinyanga.

I-Endometriosis (en-doe-me-tree-O-sis) iyimo elibuhlungu khulu lapho ilisu eliyafana ne-lining yangaphakathi yesisu likhula ngaphandle kwesisu. Ivamise ukuthinta ama-ovari, ama-fallopian tubes ne-lining yesisu. Ngokungavamile, ukukhula kwe-endometriosis kungatholakala ngaphandle kwendawo lapho izitho ze-pelvic zikhona.

Ilisu le-Endometriosis lisebenza njengoba ilining yangaphakathi yesisu liyenza - liba nzima, liqhekeka futhi ligazi ngesikhathi ngasinye senyanga. Kodwa-ke likhula ezindaweni lapho lingafanele khona, futhi aliphumi emzimbeni. Uma i-endometriosis ihilela ama-ovari, ama-cysts abizwa ngama-endometriomas angase akhe. Ilisu elizungezile lingase libe luhlungu futhi lenze ilisu le-scar. Amabhande elisu le-fibrous abizwa ngokuthi ama-adhesions angase akhe. Lokhu kungabangela izitho ze-pelvic nezitho ukunamathela komunye nomunye.

I-Endometriosis ingabangela ubuhlungu, ikakhulukazi ngesikhathi sezinyanga. Izinkinga zokuzala zingase zikhule. Kodwa-ke ukwelashwa kungakusiza ukuthi uqale ukuphatha le simo nezingcindezi zalo.

Isimo esiyinhloko se-endometriosis ubuhlungu be pelvis. Ngokuvamile buhlobene nezikhathi zenyanga. Nakuba abantu abaningi behlushwa ukubamba emathunjini ngesikhathi sezikhathi zabo zenyanga, labo abane-endometriosis bavame ukuchaza ubuhlungu bezikhathi zenyanga obukhulu kakhulu kunokujwayelekile. Ubuhlungu bungase bube bukhulu ngokuhamba kwesikhathi. Izimpawu ezivamile ze-endometriosis zihlanganisa: Izikhathi ezibuhlungu. Ubuhlungu be pelvis nokuqina kwamathumbu kungase kuqale ngaphambi kwesikhathi senyanga futhi kuqhubeke izinsuku eziningi. Ungase futhi ube nobuhlungu oluphansi emhlane nasesiswini. Elinye igama lezikhathi ezibuhlungu yi-dysmenorrhea. Ubuhlungu ngesondo. Ubuhlungu ngesikhathi noma ngemva kokuthinta kuyinto evamile nge-endometriosis. Ubuhlungu ngokunyakaza kwamathumbu noma ukuthamba. Cishe uzobe unezimpawu ngaphambi noma ngesikhathi sesikhathi sakho senyanga. Ukopha okukhulu. Ngezinye izikhathi, ungase ube nezinkathi zenyanga ezisindayo noma ukopha phakathi kwezikhathi. Ukungakhulelwa. Kwabanye abantu, i-endometriosis itholakala okokuqala ngesikhathi sezivivinyo zokwelashwa kokungakhulelwa. Ezinye izimpawu. Ungase ube nokuphuza, isifo sohudo, i-constipation, ukukhula noma isicanucanu. Lezi zimpawu zivame kakhulu ngaphambi noma ngesikhathi sezikhathi zenyanga. Ukubaluleka kobuhlungu bakho kungase kungabi uphawu lobuningi noma ukwanda kokukhula kwe-endometriosis emzimbeni wakho. Ungase ube nenani elincane lezicubu ngebuhlungu obukhulu. Noma ungase ube nethumbu le-endometriosis eliningi ngebuhlungu obuncane noma obungekho. Noma kunjalo, abanye abantu abane-endometriosis abanazo izimpawu. Ngokuvamile, bathola ukuthi banalesi simo lapho bengakwazi ukuthola khona ukukhulelwa noma ngemva kokuthola ukuhlinzwa ngenye isizathu. Kulabo abanezibonakaliso, i-endometriosis ngezinye izikhathi ingase ibukeke njengezinye izimo ezingabangela ubuhlungu be pelvis. Lezi zihlanganisa isifo esivuvukayo se-pelvic noma ama-ovarian cysts. Noma ingase idideke ne-irritable bowel syndrome (IBS), ebangela ukopha, i-constipation kanye nokuqina kwamathumbu. I-IBS ingase ibe khona kanye ne-endometriosis. Lokhu kwenza kube nzima eqenjini lakho lokunakekelwa kwezempilo ukuthola imbangela eqondile yezimpawu zakho. Bheka ilungu leqembu lakho lokunakekelwa kwezempilo uma ucabanga ukuthi ungase ube nezibonakaliso ze-endometriosis. I-Endometriosis ingaba inselele ukuyilawula. Ungase ukwazi kangcono ukulawula izimpawu uma: Iqembu lakho lokunakekelwa lithola isifo ngokushesha kunokwephuzile. Ufunda konke ongakwazi nge-endometriosis. Uthola ukwelashwa eqenjini labachwepheshe bezempilo ezivela ezindaweni ezahlukene zezokwelapha, uma kudingeka.

Bona ilungu leqembu lakho lokunakekelwa kwempilo uma ucabanga ukuthi ungase ube nezimpawu zokungapheli komkhuhlane. Ukungapheli komkhuhlane kungaba inselele ukulawula. Ungase ukwazi kangcono ukuthatha izimpawu uma:

• Iqembu lakho lokunakekelwa lithola isifo ngokushesha kunokuba kube sekwephuzile.
• Ufunda konke ongakufunda ngokungapheli komkhuhlane.
• Uthola ukwelashwa eqenjini labachwepheshe bezempilo ezivela ezindaweni ezahlukene zezokwelapha, uma kudingeka.

Imbangela eqondile ye-endometriosis ayicaci. Kodwa-ke ezinye zezizathu ezingaba khona zihlanganisa:

• Ukuphuma kwesigxobo emuva. Lokhu kwenzeka lapho igazi lesigxobo libuyela emuva ngemizimba yamasopho futhi liye emathunjini esiswini esingaphansi kunokuba liphume emzimbeni. Igazi liqukethe amangqamuzana e-endometrial avela ekuqaleni kwesisu. La mangqamuzana anganamathela odongeni lwezitho zesisu esingaphansi. Lapho, angakhula futhi aqhubeke nokukhuluphala nokopha phakathi nesikhathi ngasinye sesigxobo.
• Amagciwane e-peritoneal ashintshile. Ochwepheshe bacebisa ukuthi ama-hormone noma izinto zokulwa nezifo zingasiza ekuguquleni amangqamuzana aqopha ngaphakathi kwesisu, okuthiwa yi-peritoneal cells, abe yizicubu ezifana nalezo ezifaka ngaphakathi kwesisu.
• Ukushintsha kwamagciwane e-embryonic. Ama-hormone afana ne-estrogen angaguqula amangqamuzana e-embryonic - amangqamuzana ezinyathelweni zokuqala zokukhula - abe yizicubu ezifana ne-endometrial ngesikhathi sokuqala.
• Ukuhlupheka kwesilonda sokuhlinzwa. Amangqamuzana e-endometrial anganamathela esilondeni sokuhlinzwa esenziwe ngesikhathi sokuhlinzwa endaweni yesisu, njengokuhlinzwa kwe-C-section.
• Ukudluliselwa kwamagciwane e-endometrial. Izicubu zegazi noma uhlelo lwezinto ezigeleza emathunjini lungasusa amangqamuzana e-endometrial kwenye ingxenye yomzimba.
• Isimo sesistimu yokulwa nezifo. Inkinga yesistimu yokulwa nezifo ingenza umzimba ungakwazi ukuqaphela nokuqeda izicubu ze-endometriosis.

Izimbangela ezikhuphula ingozi ye-endometriosis zifaka phakathi:

• Ukungazali.
• Ukuqala kwesikhathi sakho sokuya esikhathini ebusheni.
• Ukufika ekuqedeni kwesikhathi sokuya esikhathini ugodu.
• Imimango emifushane yesikhathi sokuya esikhathini — ngokwesibonelo, ngaphansi kwezinsuku ezingu-27.
• Izikhathi zokuthola igazi ezinzima ezihlala isikhathi esingaphezu kwezinsuku ezisikhombisa.
• Ukuba namanqanaba aphezulu e-estrogen emzimbeni wakho noma ukukhishwa okukhulu kwesikhathi eside se-estrogen umzimba wakho ulikhiqizayo.
• I-body mass index ephansi.
• Omunye noma abangaphezulu bezihlobo abane-endometriosis, njengonina, umakazi noma udade.

Nanoma iyiphi isimo sempilo esivimbela igazi ekuphumeni emzimbeni ngesikhathi sezinsuku zokuthola igazi nalo lingaba yimbangela ye-endometriosis. Kungenjalo neemeko zendlela yokuzala.

Amazimbe e-endometriosis avame ukuvela eminyakeni eminingi ngemuva kokuba ukuya esikhathini kuqale. Amasimptome angase aqhubeke kahle isikhathi esithile ngokukhulelwa. Ubuhlungu bungase bube buthambile ngokuhamba kwesikhathi ngokuqeda kwesikhathi sokuya esikhathini, ngaphandle kokuthi uthatha ukwelashwa kwe-estrogen.

Phakathi kokukhulelwa, isperm neqanda zihlangana kwenye yezipayipi ze-fallopian ukwakha i-zygote. Khona-ke i-zygote ihamba phansi kwepayipi le-fallopian, lapho ibe yi-morula. Uma ifika esibelekweni, i-morula iba yi-blastocyst. I-blastocyst bese ifukamela odongeni lwesibeleko - inqubo ebizwa ngokuthi ukufakwa.

Inkinga ebaluleke kakhulu ye-endometriosis ukungakwazi ukuthola umntwana, okuthiwa ukungakhulelwa. Abantu abangafika kwengxenye yabo abane-endometriosis banesikhathi esinzima sokuqala.

Ukuze kube khona ukukhulelwa, iqanda kufanele likhishwe e-ovary. Khona-ke iqanda kufanele lihambe ngephayipi le-fallopian futhi liqandwe yiseli yesperm. Iqanda eliqandisiwe bese kufanele lizihlanganise nodonga lwesibeleko ukuze liqale ukuthuthuka. I-endometriosis ingase ivinje ipayipi futhi ivimbele iqanda nesperm ekuhlanganeni. Kodwa isimo sibuye sibonakala sithinta ukukhulelwa ngezindlela ezingadingekile. Ngokwesibonelo, kungalimaza isperm noma iqanda.

Noma kunjalo, abaningi abane-endometriosis ephansi kuya kwephakathi bangakwazi ukuqala nokukhulelwa nokukhipha ukukhulelwa kuze kube sekupheleni. Abachwepheshe bezempilo ngezinye izikhathi bayaluleka labo abane-endometriosis ukuba bangalibeki isikhathi sokuzala abantwana. Lokho kungenxa yokuthi isimo singase sibe sibi ngokuhamba kwesikhathi.

Ezinye izifundo ziqondisa ukuthi i-endometriosis iphakamisa ingozi yomdlavuza we-ovarian. Kodwa ingozi yonke yempilo yomdlavuza we-ovarian iphansi ekuqaleni. Futhi ihlala iphansi kakhulu kubantu abane-endometriosis. Nakuba kunqabile, olunye uhlobo lomdlavuza oluthiwa yi-endometriosis-associated adenocarcinoma lungase lube khona kamuva ekuphileni kulabo abake baba ne-endometriosis.

Ngingathanda ukukutshela impendulo yalokho, kodwa ngeshwa, asiyazi. Okwamanje, sicabanga ukuthi umthombo onamandla we-endometriosis uqala ngesikhathi sokuthuthukiswa njengombungu. Ngakho-ke lapho ingane ithuthuka esibelekweni sikamama wayo, yilapho sicabanga ukuthi i-endometriosis iqala khona.

Lowo umbuzo omuhle kakhulu. Ngakho-ke i-endometriosis into engaba nzima ukubona, kodwa singayibona ngezimpawu obungase uzibone. Uma uhlushwa ubuhlungu phakathi nezikhathi zakho, ubuhlungu emathunjini akho ngokujwayelekile, ubuhlungu ngesikhathi socansi, ukuthamba, ukukhishwa kwesisu, konke lokho kungasibonisa ukuthi kungenzeka ube ne-endometriosis. Kodwa ngeshwa, indlela kuphela yokwazi ngokuqinisekile ukuthi une-endometriosis noma cha iwukwenza ukuhlinzwa. Ngoba ngesikhathi sokuhlinzwa singasusa inyama, siyibheke ngaphansi komkhiqizo, bese sikwazi ukusho ngokuqinisekile ukuthi une-endometriosis noma cha.

Ngeshwa, ngokuvamile, cha. Iningi le-endometriosis yi-endometriosis ebonakalayo, okusho ukuthi kufana nokupaka ubucwebe odongeni, esingeke sikubone ngaphandle kokungena futhi sibheke ngokuhlinzwa. Ukuhlukana nalokho uma i-endometriosis ikhula ezihlabathini emathunjini noma esiswini njengezisu noma i-bladder. Lokho kubizwa nge-endometriosis ejulile. Kulezo zimo, singayibona ngokuvamile leyo gciwane nge-ultrasound noma nge-MRI.

Akumele kube njalo. Ngakho-ke i-endometriosis, izicubu ezifana nokugqoka kwesisu ezikhula ngaphandle kwesisu. Ngakho-ke akuyona inkinga yesisu nhlobo, okuyinto esiyiphatha nge-hysterectomy. Lokho kusho ukuthi, kunesimo esifana ne-endometriosis esibizwa nge-adenomyosis futhi kwenzeka ngesikhathi esifanayo kuma-80 kuya ku-90% wabantu, ngakho-ke nge-adenomyosis, isisu ngokwalo singaba umthombo wezinkinga, kufaka phakathi ubuhlungu. Kulezo zimo, ngezinye izikhathi sicabanga nge-hysterectomy ngesikhathi siphatha i-endometriosis.

Into ebalulekile okumele uyikhumbule lapha iwukuthi i-endometriosis isimo esithuthukayo, futhi izoqhubeka ikhula futhi ingabangela izimpawu ezithuthukayo. Ngakho-ke kwabanye abantu, lokho kusho ukuthi ekuqaleni ubuhlungu babuvela kuphela ngesikhathi sesikhathi. Kodwa ngokuhamba kwesikhathi ngokuthuthuka kwaleso sifo, ubuhlungu bungaqala ukuvela ngaphandle kwesikhathi, ngakho-ke ngezikhathi ezahlukene zenyanga, ngokuthamba, ngokukhishwa kwesisu, ngesikhathi socansi. Ngakho-ke lokho kungasikhuthaza ukuba singene futhi senze ukwelashwa uma singakwenzanga lutho ngaphambili. Kodwa lokho kusho ukuthi, noma yini esiyaziyo ukuthi i-endometriosis iqhubeka, kwabanye abantu, ayithuthuki kuze kube yilapho sidinga ukwenza noma yiluphi ukwelashwa ngoba kuyinkinga yekhwalithi yokuphila. Futhi uma ayithinti ikhwalithi yokuphila, asidingi ukwenza lutho.

100%. Ungaba nezingane ngokuqinisekile uma une-endometriosis. Lapho sikhuluma ngokungakhulekeli, labo bangabantu abalwa nokubeletha kakade. Kodwa uma sibheka bonke abantu abane-endometriosis, wonke umuntu onaleso simo, iningi liyakwazi ukuzuza ukukhulelwa ngaphandle kokungabaza nhlobo. Bangakhulelwa, bangaphatha ukukhulelwa. Bahamba ekhaya besuka esibhedlela benengane enhle ezandleni zabo. Ngakho-ke, yebo, ngeshwa, ukungakhulekeli kungahlotshaniswa ne-endometriosis. Kodwa iningi lesikhathi, akuyona inkinga ngempela.

Ukuba yilungu leqembu lezokwelapha kubaluleke kakhulu. Abantu abaningi abane-endometriosis babehlushwa ubuhlungu isikhathi eside, okusho ukuthi umzimba usushintshile ngenxa yalokho. Futhi ubuhlungu sebuvele njengengubo enezinhlanzi ze-endometriosis ehlwini laleyo ngubo. Ngakho-ke sidinga ukusebenza hhayi kuphela ukwelapha i-endometriosis, kodwa ukwelapha ezinye izimbangela ezingase zibe khona zobuhlungu ezivela. Ngakho-ke ngikukhuthaza ukuba uzifundise, hhayi kuphela ukuze ukwazi ukuya kudokotela wakho wezempilo bese ukhuluma naye mayelana nalokho okudingayo nalokho okuhlangenwe nakho. Kodwa futhi ukuze ukwazi ukuba yisikhulu futhi uqiniseke ukuthi uthola ukunakekelwa kwezempilo okudingayo nokuwafanele. Khuluma ngakho. Kuyaziwa ukuthi abesifazane, iminyaka nezikhathi, batsholwe ukuthi isikhathi kufanele sibe buhlungu futhi kufanele sisikhuthazelele. Akuyona iqiniso. Iqiniso liwukuthi akufanele silale phansi ebhanyini lapho sinezikhathi zethu. Akufanele silile ngesikhathi socansi. Akuyona into evamile. Uma uhlushwa yilokho, khuluma. Khuluma nomndeni wakho. Khuluma nabangane bakho. Khuluma nodokotela wakho wezempilo. Babazise ukuthi kwenzekani. Ngoba ngempela, silapha ukukusiza futhi ndawonye singaqala ukwenza umehluko hhayi kuphela kwi-endometriosis kuwe, kodwa i-endometriosis emphakathini jikelele. Unganqikazi ukubuza iqembu lakho lezokwelapha noma imibuzo noma ukukhathazeka okunawo. Ukuba nolwazi kwenza umehluko ngempela. Siyabonga ngesikhathi sakho futhi sikufisela okuhle.

Ngesikhathi se-ultrasound ye-transvaginal, ochwepheshe bezempilo noma ubuchwepheshe basebenzisa idivayisi efana ne-wand ebizwa nge-transducer. I-transducer ifakwa esibelekweni sakho ngenkathi ulele emuva etafuleni lokukhehla. I-transducer ikhipha amaza omsindo akhiqiza izithombe zezihlahla zakho.

Ukuthola ukuthi une-endometriosis noma cha, udokotela wakho cishe uzoqala ngokukunika ukuhlolwa komzimba. Uzocelwa ukuthi uchaze izimpawu zakho, kufaka phakathi ukuthi ubuhlungu buvela kuphi nokuthi buvela nini.

Izivivinyo zokuhlola izimpawu ze-endometriosis zihlanganisa:

• Ukuhlolwa kwe-pelvic. Ochwepheshe bakho bezempilo bazizwa izindawo emathunjini akho ngeminwe emi-1 noma emi-2 egqokile ukuhlola noma yikuphi ukushintsha okungavamile. Lokhu kushintsha kungafaka phakathi izikhwama ezihlabathini zokuzala, izindawo ezibuhlungu, ukukhula okungavamile okubizwa ngama-nodules namasikhamu ngemuva kwesisu. Ngokuvamile, izindawo ezincane ze-endometriosis azikwazi ukwaziswa ngaphandle kokuthi kukhiqizwe isikhwama.
• Ukuthwebula komsindo oqondiswe yi-magnetic (MRI). Lokhu kuhlolwa kusebenzisa insimu yama-magnetic namaza omsindo ukwenza izithombe zezihlahla nezinyama emzimbeni. Kwabanye, i-MRI iyasiza ekucwaningeni ukuhlinzwa. Kunikeza udokotela wakho ulwazi oluqondile mayelana nendawo nobukhulu bokukhula kwe-endometriosis.
• I-Laparoscopy. Kwezinye izimo, ungase uqondiswe kudokotela ukuze enze le nqubo. I-Laparoscopy ivumela udokotela ukuba ahlole ngaphakathi esiswini sakho izimpawu ze-endometriosis tissue. Ngaphambi kokuhlinzwa, uthola imithi ekufaka esimweni sokulala futhi ivikela ubuhlungu. Khona-ke udokotela wakho wenza isiqu esincane eduze kwesibindi sakho bese ufakela ithuluzi lokubuka elibukhulu elibizwa nge-laparoscope.

I-laparoscopy inganikeza ulwazi mayelana nendawo, ubukhulu nobukhulu bokukhula kwe-endometriosis. Udokotela wakho angase athathe isampula yenyama ebizwa nge-biopsy ukuze enze ukuhlolwa okwengeziwe. Ngohlelo olufanele, udokotela ngokuvamile angaphatha i-endometriosis ngesikhathi se-laparoscopy ukuze udinga ukuhlinzwa okukodwa kuphela.

I-Laparoscopy. Kwezinye izimo, ungase uqondiswe kudokotela ukuze enze le nqubo. I-Laparoscopy ivumela udokotela ukuba ahlole ngaphakathi esiswini sakho izimpawu ze-endometriosis tissue. Ngaphambi kokuhlinzwa, uthola imithi ekufaka esimweni sokulala futhi ivikela ubuhlungu. Khona-ke udokotela wakho wenza isiqu esincane eduze kwesibindi sakho bese ufakela ithuluzi lokubuka elibukhulu elibizwa nge-laparoscope.

A laparoscopy inganikeza ulwazi mayelana nendawo, ubukhulu nobukhulu bokukhula kwe-endometriosis. Udokotela wakho angase athathe isampula yenyama ebizwa nge-biopsy ukuze enze ukuhlolwa okwengeziwe. Ngohlelo olufanele, udokotela ngokuvamile angaphatha i-endometriosis ngesikhathi se-laparoscopy ukuze udinga ukuhlinzwa okukodwa kuphela.