Created at:1/16/2025
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I-Endometriosis yisimo lapho ithusi elifana nelinayo emathunjini akho ekhula ngaphandle kwesbeletho lakho. Lethusi, elibizwa ngokuthi yi-endometrial tissue, linganamathela kuma-ovari akho, emiphumeni ye-fallopian, nakwezinye izitho ze-pelvic, libangele ubuhlungu nezinye izimpawu.
Cishe owesifazane oyedwa kwabayishumi abaseminyakeni yokuzala uhlala ne-endometriosis, nakuba abaningi bangaqapheli ukuthi bayinawo. Lesi simo sithinta umuntu ngamunye ngokuhlukile, futhi nakuba singaba inselele, kukhona ukwelashwa okuphumelelayo okukhona ukukusiza uphathe izimpawu futhi ugcine ikhwalithi yokuphila kwakho.
Isimpawu esivamile kakhulu yibuhlungu le-pelvic, ikakhulukazi ngesikhathi sakho sesikhathi. Noma kunjalo, ubuhlungu be-endometriosis buvamise ukuba bukhulu kunokukhahlela okuvamile kwesikhathi futhi kungase kungaphenduli kahle ekuqedeni ubuhlungu okungenakunqunywa.
Nazi izimpawu ongazihlangabezana nazo, kusukela ezivamile kakhulu kuya kwezingavamile:
Abanye abesifazane abane-endometriosis bahlangabezana nezimpawu ezilula noma azikho nhlobo, kanti abanye banebuhlungu obukhulu obuphazamisa imisebenzi yansuku zonke. Ukubaluleka kwezimpawu zakho akuhambisani njalo nobukhulu besimo emzimbeni wakho.
Ezimeni ezingavamile, i-endometriosis ingathinta ezinye izitho ngaphandle kwe-pelvis. Ungase uhlangabezane nobuhlungu esifubeni ngesikhathi sesikhathi uma ithusi likhula ku-diaphragm yakho, noma ubuhlungu obuphindaphindayo ezibambeni ezivela ekuhlinzweni kwangaphambili uma i-endometrial tissue ithuthukiswa lapho.
Odokotela bahlukanisa i-endometriosis ngokusekelwe lapho ithusi likhula khona emzimbeni wakho. Ukuqonda lezi zinhlobo kusiza iqembu lakho lokunakekelwa kwezempilo ukudala uhlelo lokwelapha oluhle kakhulu isimo sakho esithile.
Izinhlobo ezintathu eziyinhloko zihlanganisa:
Udokotela wakho angase futhi asebenzise uhlelo lokuqondisa kusukela ku-I kuya ku-IV ukuchaza ukuthi i-endometriosis yakho ibanzi kangakanani. I-Stage I imelela isifo esincane, kanti i-Stage IV ibonisa i-endometriosis ebuhlungu, ebanzi nge-scar tissue enkulu.
Ngokungavamile, i-endometriosis ingase ibe khona ezindaweni ezikude njengaphefumulweni, ubuchopho, noma izibambo zokwelapha. Le endometriosis ekude ithonya abantu abangaphansi kuka-1% wabesifazane abanesimo kodwa ingabangela izimpawu ezihlukile ezihlobene nalezo zindawo ezithile.
Imbangela eqondile ye-endometriosis isalungile, kodwa abacwaningi baye baqaphela ezinye izinkolelo mayelana nendlela ekuthuthukiswa ngayo. Ngokuningi, izinto eziningi zisebenza ndawonye ukudala lesi simo.
Umbono ohola phambili uqaphela ukuthi igazi lesikhathi liphuma ngemuva ngemiphume ye-fallopian yakho liye e-pelvic cavity esikhundleni sokushiya umzimba wakho ngokuphelele. Lokhu kuphuma ngemuva, okubizwa ngokuthi yi-retrograde menstruation, kungase kufake amaseli e-endometrial lapho angafaneleki khona.
Kodwa-ke, i-retrograde menstruation kwenzeka kubantu abaningi besifazane, kodwa abanye kuphela abathuthukisa i-endometriosis. Lokhu kuqaphela ukuthi isimiso sakho sokuvikela nokufana kwakho kudlala indima ebalulekile futhi.
Ezinye izimbangela ezingase zifake:
Ezinye izinkolelo ezingavamile ziqaphela ukuthi amaseli e-endometrial angase ahambe nge-bloodstream yakho noma i-lymphatic system aye ezindaweni ezikude zomzimba. Izinto ezingqongile nokuvezwa ezintweni ezithile ezikhemikhali kungase futhi kuthinte ingozi yakho, nakuba ucwaningo kulendawo luyaqhubeka.
Kufanele uhlele i-aphoyintimenti nodokotela wakho uma ubuhlungu be-pelvic buphazamisa imisebenzi yakho yansuku zonke noma abulilungisi ngemithi yokwelapha ubuhlungu engangenakunqunywa. Abesifazane abaningi banciphisa ukufuna usizo ngoba bacabanga ukuthi ubuhlungu obukhulu besikhathi buvamile, kodwa akunjalo.
Funani ukunakekelwa kwezokwelapha uma uhlangabezana nalokhu:
Cabanga lokhu njengesimo esiphuthumayo esidinga ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu be-pelvic, ikakhulukazi ngomkhuhlane, ukuphefumula, noma ukugabha. Nakuba kungavamile, lokhu kungase kubonise i-ovarian cyst ephukile noma enye inkinga enzima.
Khumbula ukuthi ubuhlungu bakho buyiqiniso, futhi ufanele ukunakekelwa okuzwelayo. Uma udokotela oyedwa engakuqapheli ukukhathazeka kwakho, ungangabazi ukufuna umbono wesibili, ikakhulukazi odokotela we-gynecologist onolwazi ekwelapheni i-endometriosis.
Izinto ezithile zingase zikhulise amathuba akho okuthuthukisa i-endometriosis, nakuba ukuba nalezi zinto ezingase zikhulise ingozi akuqinisekisi ukuthi uzothola lesi simo. Ukuziqonda kungakusiza uhlale uqaphele izimpawu futhi ufunane ukwelashwa kwasekuqaleni.
Izinto eziyinhloko ezingase zikhulise ingozi zihlanganisa:
Iminyaka futhi idlala indima, njengoba i-endometriosis ivame ukubathinta abesifazane abaseminyaka engu-30 nengu-40. Noma kunjalo, lesi simo singathuthuka kusukela ekuqaleni kwesikhathi sakho sokuqala.
Ezinye izinto ezivikela zingase zinciphisa ingozi yakho, kuhlanganise ukuba nezingane, ukuncelisa isikhathi eside, nokuqala i-menopause ekuqaleni. Ukuzivocavoca okuvamile nokulondoloza isisindo esinempilo kungase futhi kunikeze isivikelo ethile, nakuba ucwaningo olwengeziwe lufanele ukuqinisekisa le miqondiso.
Nakuba i-endometriosis ngokuvamile ayiyona into eyingozi ekuphileni, ingabangela izinkinga eziningi ezithinta kakhulu impilo yakho nekhalithi yokuphila. Ukuqonda lezi zinkinga ezingase zenzeke kukusiza usebenze neqembu lakho lokunakekelwa kwezempilo ukuzivimbela noma ukuziphatha ngokuphumelelayo.
Izinkinga ezivamile kakhulu zihlanganisa:
Izinkinga ezingavamile kodwa ezinzima zingase zenzeke uma i-deep infiltrating endometriosis ithinta izitho ezibalulekile. Ungase uhlangabezane nokuvimbela kwamabele uma ukubamba okukhulu kuvimba amabele akho, noma izinkinga zezinso uma i-endometriosis ivimba ama-ureters akho.
Ezimeni ezingavamile kakhulu, i-endometriosis tissue ingase iguqulwe ibe yi-malignant, ithuthukise i-ovarian cancer. Lokhu kwenzeka kubantu abangaphansi kuka-1% wabesifazane abane-endometriosis, ngokuvamile kulabo abane-ovarian endometriomas.
Izindaba ezinhle ukuthi ukuxilongwa kwasekuqaleni nokwelashwa okufanele kungasiza ukuvimbela izinkinga eziningi. Ukulandelela njalo ukunakekelwa kuvumela iqembu lakho lokunakekelwa kwezempilo ukulandelela isimo sakho futhi ulungise ukwelashwa njengoba kudingeka.
Ngeshwa, ayikho indlela eqinisekisiwe yokuvimbela i-endometriosis njengoba singayiqondi ngokuphelele into eyibangela. Noma kunjalo, ungathatha izinyathelo ezingase zinciphisa ingozi yakho noma zikusize uphathe isimo uma ulithuthukisa.
Ezinye izindlela ezingase zikusize zihlanganisa:
Uma unomlando womndeni we-endometriosis, ukuqapha izimpawu nokufuna ukunakekelwa kwezokwelapha kwasekuqaleni kungakusiza uthole ukuxilongwa nokwelashwa ngokushesha. Ukwelashwa kwasekuqaleni kungase kuvimbele isimo ukuthi lingathuthuki zibe izigaba ezinzima.
Abanye abesifazane bathola ukuthi izindlela zokulawula ukubeletha kwamahomoni zisiza ekuphatheni izimpawu futhi zingase zithintele ukuthuthuka kwe-endometriosis. Xoxani ngalezi zindlela nodokotela wakho ukuze ubone ukuthi yini efanele isimo sakho.
Ukuxilonga i-endometriosis kungaba inselele ngoba izimpawu zayo zihambisana nezinye izimo eziningi. Udokotela wakho ngokuvamile uzoqala ngengxoxo eningiliziwe mayelana nezimpawu zakho, umlando wesikhathi, nomlando womndeni wezokwelapha.
Inqubo yokuxilonga ngokuvamile ihlanganisa izinyathelo eziningi:
I-Laparoscopy ihlala iyindlela engcono kakhulu yokuxilonga i-endometriosis. Ngalesi sikhathi, udokotela wakho wokuhlinzwa wenza izigamu ezincane esiswini sakho futhi afake ikhamera ethambile ukuhlola izitho zakho ngokuqondile.
Uma i-endometriosis tissue itholakala ngesikhathi se-laparoscopy, udokotela wakho wokuhlinzwa angase ayisuse ngokushesha noma athathe isampula encane ukuze ayihlole. Le biopsy iqinisekisa ukuxilongwa futhi ikusiza ubone indlela engcono kakhulu yokwelapha.
Abanye odokotela bangase bazame ukwelapha i-endometriosis ecingelwayo ngemithi yamahomoni ngaphambi kokuncoma ukuhlinzwa. Uma izimpawu zakho ziphucuka kakhulu ngokwelashwa, lokhu kungase kusekele ukuxilongwa ngisho noma kungekho ukuqinisekiswa kokwelapha.
Ukwelashwa kwe-endometriosis kugxile ekuphatheni ubuhlungu bakho, ekuthinteleni ukukhula kwe-endometrial tissue, nasekulondolozeni ukukhulelwa kwakho uma ufuna ukuba nezingane. Udokotela wakho uzothola uhlelo lokwelapha oluhle kakhulu olusekelwe ezimpawini zakho, iminyaka, nemigomo yokuhlela umndeni.
Izindlela zokwelapha ngokuvamile ziya kusuka ezilula ziye kwezinzima:
Ukuphatha ubuhlungu: Imithi yokwelapha ubuhlungu engangenakunqunywa njenge-ibuprofen noma i-naproxen ingasiza ekuthinteleni ukutheleleka nobuhlungu. Udokotela wakho angase ancome imithi enamandla yokwelapha ubuhlungu uma kudingeka.
Ukwelashwa kwamahomoni: Amaphilisi okulawula ukubeletha, ama-patches, noma ama-hormonal IUD angasiza ekulawuleni isimiso sakho sesikhathi futhi anciphise ubuhlungu. Ama-GnRH agonists ngokwesikhashana adala isimo elifana ne-menopause elithinta i-endometrial tissue.
Izindlela zokuhlinzwa: Ukuhlinzwa kwe-laparoscopic kungasusa ama-endometrial implants ne-scar tissue ngenkathi kulondoloza izitho zakho. Ezimeni ezinzima, i-hysterectomy ngokususa ama-ovari ingase icatshangelwe njengendlela yokugcina.
Kwabesifazane abazimisele ukuthola izingane, ukwelashwa kokukhulelwa njengokuvuselela ukubeletha noma i-in vitro fertilization (IVF) kungase kunconywe ndawonye nokwelashwa kwe-endometriosis.
Ukwelashwa okusha okuhlolwa kuhlanganisa i-immunotherapy nemithi ehloselwe ekuvimbeleni izindlela ezithile ezihilelekile ekuthuthukiseni i-endometriosis. Lezi zindlela zingase zitholakale esikhathini esizayo.
Nakuba ukwelashwa kwezokwelapha kubalulekile, izindlela zokwelapha zasekhaya nezinguquko zendlela yokuphila zingakusiza ukuphatha izimpawu ze-endometriosis futhi uthuthukise impilo yakho yonke. Lezi zindlela zisebenza kangcono uma zihlanganiswe nokunakekelwa kwezokwelapha kochwepheshe.
Izindlela zokuphatha ekhaya eziphumelelayo zihlanganisa:
Cabanga ukugcina idayari yesimpawu ukuze ulandelele amazinga obuhlungu bakho, isimiso sakho sesikhathi, nemisebenzi. Lolu lwazi lungakusiza ukubona izinto ezibangela nokuqondana ngenkathi lunikeza ulwazi oluwusizo iqembu lakho lokunakekelwa kwezempilo.
Ukujoyina amaqembu wokusekela, noma ngokomuntu siqu noma ku-inthanethi, kungakunikeza ukusekelwa ngokomzwelo nezeluleko eziwusizo kwabesifazane abaphatha i-endometriosis. Khumbula ukuthi lokho okusebenza komunye umuntu kungase kungasebenzi komunye, ngakho-ke bekezela njengoba uthola ukusebenzisana kwakho okuhle kakhulu kwezindlela.
Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola okuningi esikhathini sakho nodokotela wakho. Ukulungiselela okuhle kungase kukhombise ukuxhumana okuhle nokwenza uhlelo lokwelapha oluphumelelayo.
Ngaphambi kwe-aphoyintimenti yakho, butha ulwazi olubalulekile:
Unganciphisi izimpawu zakho noma uxolise ngenxa yobuhlungu bakho. Yiba eqotho mayelana nendlela i-endometriosis ethinta ngayo impilo yakho yansuku zonke, umsebenzi, ubudlelwano, nempilo yengqondo.
Cabanga ukubuza imibuzo ethile efana nale: "Ziyini izindlela zami zokwelapha?" "Lokhu kuzothinta kanjani ukukhulelwa kwami?" "Yini engingayenza ekhaya ukuphatha izimpawu?" nokuthi "Nini okumele ngikulandele nawe?"
Uma ubona udokotela omusha, cela amakhophi amarekhodi akho ezempilo kubanikeli bangaphambili. Lokhu kusiza iqembu lakho lokunakekelwa kwezempilo elisha ukuqonda umlando wakho futhi ugweme ukuphinda izilingo ezingadingekile.
I-Endometriosis yisimo esilawuleka, nakuba ingase ithonye impilo yakho kakhulu. Into ebaluleke kakhulu okumele uyikhumbule ukuthi ubuhlungu bakho buyiqiniso futhi buyiqiniso, futhi kukhona ukwelashwa okuphumelelayo okukhona ukukusiza uzizwe kangcono.
Ukuxilongwa kwasekuqaleni nokwelashwa kungavimbela izinkinga futhi kuthuthukise ikhwalithi yokuphila kwakho. Ungavumeli muntu akuphikise izimpawu zakho njengokukhahlela okuvamile "kwesikhathi" – uyazi umzimba wakho kangcono, futhi ubuhlungu obuhlala isikhathi eside be-pelvic bufanelwe ukunakekelwa kwezokwelapha.
Ngeqembu lokunakekelwa kwezempilo elifanele nehlelo lokwelapha, abesifazane abaningi abane-endometriosis bangaphatha izimpawu zabo ngokuphumelelayo. Abaningi baqhubeka bekhulelwa ngempumelelo futhi balondoloze impilo esebenzayo, ezele.
Khumbula ukuthi ukuphatha i-endometriosis ngokuvamile uhambo oludinga isineke nokuqina. Yiba muhle kuwe, umele izidingo zakho, futhi ungangabazi ukufuna ukusekelwa kwabakwa-healthcare providers, umndeni, abangane, noma amaqembu wokusekela.
I-Endometriosis ayipheli ngokuphelele ngaphandle kokwelashwa. Noma kunjalo, izimpawu zingase ziphucuke okwesikhashana ngesikhathi sokukhulelwa noma ngokuhlala njalo ngemva kwe-menopause lapho amazinga e-estrogen ewa kakhulu. Abesifazane abaningi badinga ukuphathwa okuqhubekayo ukulawula izimpawu nokuvimbela ukuthuthuka kwalesi simo.
Cha, i-endometriosis ayihlali ibangela ukungabi nambeletho. Nakuba ingenza ukukhulelwa kube inselele, abesifazane abaningi abane-endometriosis bangakhulelwa ngokwemvelo noma ngokwelashwa kokukhulelwa. Cishe i-60-70% yabesifazane abane-endometriosis elula kuya ephakathi bangakhulelwa ngaphandle kosizo.
I-Endometriosis ayisiye isisu somdlavuza, nakuba ihlanganyela ezinye izici njengokukhula kwethusi ngaphandle kwemingcele evamile. Nakuba kunengozi encane ethuthukisiwe yezinye izifo zomdlavuza, ikakhulukazi i-ovarian cancer, iningi labesifazane abane-endometriosis alithuthuki libe yisifo somdlavuza.
Yebo, i-endometriosis ingase ithonye intsha, nakuba ngokuvamile ayixilongwa kuleli qembu leminyaka. Ubuhlungu obukhulu besikhathi obuphazamisa esikoleni noma emisebenzini kufanele buhlolwe udookotela, njengoba ukwelashwa kwasekuqaleni kungavimbela ukuthuthuka futhi kuthuthukise ikhwalithi yokuphila.
Ukukhulelwa akuqedi i-endometriosis, nakuba abesifazane abaningi bahlangabezana nokunciphisa izimpawu ngesikhathi sokukhulelwa ngenxa yenguquko yamahomoni. Izimpawu ngokuvamile zibuya ngemva kokubeletha nokunciphisa, nakuba abanye abesifazane bebika ukuthuthuka isikhathi eside. Isipiliyoni somuntu ngamunye sihlukile.