I-Endometriosis iyisifo sezinkinga lapho amangqamuzana e-endometrili akhula abe izitho ezizungezile nezicubu. Ukuba khona kwabo kugxile kwi-peritoneum, emaqanda ama-ovari, amashubhu angama-fallopian ngisho nasesiswini, i-rectum. Cabanga ngalesi sifo ngokuningiliziwe, sizobona ukuthi i-endometriosis nokukhulelwa kuyahambisana yini.
Ngingakhulelwa yini nge-endometriosis?
Abesifazane abaningi abanesifo esifanayo bavame ukuthakazela impendulo yombuzo wokuthi kungenzeka ukuthi ukukhulelwa kungenzeka nge-endometriosis. Konke kuncike ebuchosheni be-disorder kanye nokwaziswa kwendawo yokukhula kwezicubu ze-endometrial. Ngokuvamile, abesifazane bahlangabezana nezinkinga zokukhulelwa kulephulwa. Ukuphendula umbuzo wokuthi ngabe ukukhulelwa kungenzeka yini nge-endometriosis yesisu, izibeletho zilalele okulandelayo:
- Ukungabi khona kwe-ovulation. Ezimweni ezinjalo, abesifazane bangaqopha iziqephu ezihlukene zokukhishwa kwesikhashana, ezingenasisekelo, azikho njalo, ngokuvamile zibuhlungu. Izinqubo ze-ovulatory kuleli cala zingase zingekho, ngenxa yokuthi yikuphi ukukhulelwa okungenakwenzeka. Lokhu kubonakala lapho ama-ovari esithintekile.
- Ukuphazamiseka kokutshalwa. Kubonakala nge- adenomyosis , lapho igobolondo elingaphakathi lesibeletho lilimaza kakhulu. Ngesikhathi esifanayo, ukukhulelwa kungenzeka, ukukhulelwa kwenzeka, kodwa kuphazanyiswa ngesikhathi esifushane, izinsuku ezingu-7-10 emva kokukhulelwe. Iqanda lokubeletha alikwazi ukunamathela odongeni lwesibeletho, ngenxa yalokho okufa ngalo futhi likhishwe ngaphandle.
- Ukuphazamiseka ohlelweni lwe-endocrine. Izinto ezinjalo zivusa ukusabalala kwe-endometriosis ezithombeni ezihlangene nezicubu, ukunqotshwa kohlelo lonke lokuzala.
Ngokusho kwedatha, izibalo zokukhulelwa ne-endometriosis cishe ngu-50%. Ingxenye yeziguli inezinkinga zokukhulelwa. Kumele kuqashelwe ukuthi cishe ama-30-40% wamacala atholakala ngqo ngesikhathi sokukhulelwa. Lokhu yisiqinisekiso sokuthi kungenzeka ukuthi umklamo kungenzeka kanjani lapho kukhona isifo. Konke kuncike kulokho okwenziwe ngqo. Uma izilonda zobulili noma enye yazo isebenza ngendlela evamile, amathuba okukhulelwa akhona.
Ukukhulelwa kanye ne-endometriosis yama-ovari
Ngemva kokubhekana nalokho okuyi-endometriosis yama-ovari, kungakhathaliseki ukuthi kungenzeka yini ukukhulelwa kulokhu, kufanele kuqashelwe ukuthi ngokwenza lokhu kuyinkinga kakhulu. Ukufometha okuphindaphindiwe kaningi kwizinhlayiya zobulili kubonakala sengathi i-cyst - igumbi eligcwele okuqukethwe oketshezi. Ububanzi bawo buhluka kusuka ku-5 mm kuya ku-cm ambalwa. Kulokhu, ukuhlanganiswa kwezinhlobo eziningana zibe yinye kungagcinwa. Ngenxa yalokho, zonke izicubu zezinhlayiya zocansi zihilelekile futhi inqubo yokuvuthwa ayinakwenzeka. Izingosi ze-endometrial tishu ngokwazo zingangena ama-ovari ngezindlela ezilandelayo:
- gemptogenous - ngegazi lokugeleza;
- lymphogenous - ngokusebenzisa i-lymph.
Ukukhulelwa kanye ne-endometriosis yesibeletho
Njengoba sekushiwo ngenhla, ukukhulelwa ne-endometriosis yesisu kungenzeka. Kulokhu, ngokuvamile ukuxilongwa kutholakala ngqo ekuhloleni owesifazane okhulelwe. Odokotela kulokhu bahlala balinde bese bebona amaqhinga. Ukuhlola izinga le-lesion, indawo yalo, izifo zezinzwa zenza esinye isinqumo mayelana nohlobo lokwelapha. Nokho, ngokuvamile i-endometriosis ngokwayo iba imbangela yokungabikho kokukhulelwa.
Ngemuva kokukhulelwa okuphumelelayo, iqanda kuma-tubes fallopian athunyelwa emgodini we-uterine wokufakelwa. Ukulungiswa kweqanda lesibusiso odongeni lwegciwane lesiguli kungumzuzu obalulekile ekukhulelweni okuzayo. Uma izingqimba zangaphakathi zithinteka kakhulu, ngeke zikwazi ukungena odongeni lwe-uterine, ngenxa yalokho okufa ngemva kwezinsuku ezingu-1-2. Ukukhulelwa akufiki, futhi owesifazane ulungisa ukuphuma kwegazi, okuthatha isikhathi sokuya esikhathini.
I-Endometriosis nokukhulelwa emva kweminyaka engu-40
I-Endometriosis nokukhulelwa ngemva kuka-40 kuyizici ezingahambisani neze. Inani lamacala anjalo amancane, kodwa akunakwenzeka ukuqeda ngokuphelele lesi simo. Ukuziqhenya kwe-pathology kusekhona ekusakazeni kokugxila ezithombeni eziseduze nezinhlelo. Ngaphezu kwalokho, ukuvota kulesi sikhathi akusiyo njalo, ngakho-ke amathuba okukhulelwa anciphisa izikhathi eziningana.
Uma owesifazane ebonisa i-endometriosis nokukhulelwa ngesikhathi esifanayo, odokotela batusa ukuphazamisa ukubeletha. Kukhona ingozi enkulu yokukhulelwa kwesisu, okubangelwa izinguquko ezisebenzayo kanye nezasomzimba ohlelweni lokuzala. Ukwelashwa kwalesi sifo kuhlanganisa ukungenelela kokuhlinzeka, okungahambisani nokukhulelwa. Phakathi kwezinkinga ezikhona zokubeletha ngalesi sikhathi:
- ukukhulelwa kudlulela;
- ukwephulwa kwezinqubo zokuthuthukiswa kwe-embryonic wengane;
- ukulethwa ngaphambi kwesikhathi;
- ukuhlukunyezwa kokubeletha.
Ungakhulelwa kanjani nge-endometriosis?
Ngokuvamile izifo zezinzwa zitshela owesifazane onenkinga yokukhulelwa ukuthi ukukhulelwa kanye ne-endermriosis ye-uterine yomlomo wesibeletho akuzona izincazelo ezihlangene. Ngokwenza kanjalo, bahlale beqaphela ukuthi kungenzeka ukuthi bafunde ukukhulelwa. Ngisho nalapho kwenzeka khona ukukhulelwa, ukukhulelwa akuqali ngenxa yokuntuleka kokufakelwa okujwayelekile. Ukuze ukhulelwe futhi ukhuthaze ingane ngesifo, odokotela bayeluleka:
- siphumelele ukwelashwa okugcwele ngisho nangaphambi kokuhlela ukukhulelwa;
- ukuqeda izinqubo ezikhona ezingapheli nokuvuvukala;
- qaphela izincomo ezitholiwe.
Ukukhulelwa emva kokwelashwa kwe-endometriosis
Ukukhulelwa emva kwe-endometriosis akufani nalokho okwenzeka uma kungekho isifo. Ukubuyiselwa kwengqimba yangaphakathi kwesibeletho kwenza ukufakwa kwesitshalo kungenzeke. Ngaphandle kwalokho, emva kokudlula kwelashwa, izinqubo ze-ovulatory zijwayelekile. Ngalo mqondo kungenzeka ngenyanga yokuqala. Ngokwenzayo, nge ukwelashwa okhethwe kahle, kwenzeka ezinkampanini ezingu-3-5.
Ukukhulelwa kwe-endometriosis
Ukukhulelwa ku-endometriosis akusifisi. Uma kukhona ukwephulwa, odokotela batuswa ukuba bafundele ngaphambi kokuhlela ingane. Ngemuva kokwelashwa, ukuphathwa kwezidakamizwa ze-hormone kunqunywe. Ukwelashwa okunjalo kuthatha isikhathi eside - izinyanga ezingu-4-6. Izidakamizwa ze-hormonal zethula uhlelo lokuzala ekumoyeni "wokuphumula", ngakho-ke kungcono ukuthi ungazami ukukhulelwa. Kuphela emva kwenkambo, ukuhlolwa kokugcina, odokotela banikeza imvume yokuhlela ukukhulelwa.
I-endometriosis ithinta kanjani ukukhulelwa?
Abesifazane abafunde nge-endometriosis nokukhulelwa cishe usuku olulodwa banesithakazelo embuzweni wokuthi ukukhulelwa kwenzeka kanjani ekupheleni kwe-endometriosis. Odokotela abanikezi impendulo engavamile, isixwayiso mayelana nezinkinga ezingase zibe khona zenqubo yokuthoma. Phakathi kokuphulwa okuvamile:
- ukukhipha isisu ngesikhathi sokuqala;
- ukulethwa ngaphambi kwesikhathi;
- ukuphumula komzimba;
- ukunciphisa umsebenzi osebenza ngokuvumelana nesibindi ekubelethweni;
- uterine ukuphuma kwegazi emva kokubeletha.
Ungakusindisa kanjani ukukhulelwa ku-endometriosis?
Ngemuva kokudalula i-endometriosis ngesikhathi sokukhulelwa ezinyangeni zokuqala, odokotela basungula umbono onamandla kumama ozayo. Lokhu kuhlotshaniswa nobungozi obukhulu bezinkinga - ukukhulelwa okufile , ukukhulelwa kwesisu. Ukuzigwema, owesifazane okhulelwe kumele ahambisane nemigomo yezokwelapha nemigomo. Ngokuvamile, imishanguzo ye-hormonal inqunyelwe ukusekela ukubeletha. Ukuze asindise ukukhulelwa kwakhe, umama omele kufanele:
- vakashela umjozi wezifo okungenani kanye ngenyanga;
- bahlolwa;
- qaphela isimiso samanje nsuku zonke;
- uthathe izidakamizwa ngesilinganiso esinqunyiwe, ubheke ukuphindaphindeka nobude.
Ingabe ukukhulelwa kwe-endometriosis kuyaphatha?
Odokotela bathi i-endometriosis yangaphambili ekhona, ngesikhathi sokukhulelwa ayibonakali futhi cishe ayithinti owesifazane. Lokhu kungenxa yokwanda kwezinga le-progesterone, eliyingozi kakhulu ekukhuleni kwe-foci. Amancane kakhulu anganyamalala ngokuphelele. Ezimweni ezinjalo, abesifazane bathi baphulukisa i-endometriosis nokukhulelwa esikhathini esizayo kuzofika maduzane. Ngokwengxenye lokhu kuyiqiniso - isithombe somtholampilo siyanyamalala, isiguli asikhathazeki. Kodwa-ke, emva kokubeletha kubalulekile ukuba uhlole ukuqeda lesi sifo ngokuphelele.