Ukuba unexesha elibuhlungu kakhulu okanye ngaphandle kokuphuma kwexesha lokunyuka kokuya esikhathini kunokwenzeka ukuba unesimo sengqondo esichaphazelayo esibizwa ngokuba yi-adenomyosis.
Yintoni iAdenomyosis?
I-Adenomyosis ivela kwi-uterus kwaye iyona nto ibangela iimeko ezibuhlungu kunye nokuphuma kwexesha elinzima.
Isibeleko sakho senziwe nge-muscle ehamba phambili elineenkcukacha ezizodwa ezibizwa ngokuba yi- endometrium.
I-endometrium yintoni eyakhayo kwaye iphendule ekuphenduleni utshintsho kumazinga akho e-hormone ngexesha lokuhamba kwakho kwinyanga nganye nyanga. Ngokuqhelekileyo i-endometrium iyahlukana ukusuka kumgca we-muscle we-uterus okanye i-myometrium. Kwimabhinqa ene-adenomyosis, i-endometrial lining has spread in the wall muscular of the uterus. Le mimandla ye-endometrium efakwe eludongeni lwesisu ihamba ngokufanayo kunye ne-endometrium evamile. Olu tshintsho lubangela ukucaphukisa kunye nokuvuvukala kwisisu se-uterus okubangelwa intlungu kunye nokuguquka kwegazi okubangelwa ukuphuma kwindoda.
Yintoni eyenza iAdenomyosis?
Isizathu se-adenomyosis sisaphakamisela ingxoxo kwingingqi yoluntu.
Noko ke, kubonakala ukuba ukulimala okanye ukuphazanyiswa kwimbumba yesisu kuyingxaki ebalulekileyo ye-adenomyosis. Ukuba unako ukukhulelwa okuncinci okanye ukukhulelwa komzimba, unokukwazi ukuhlakulela ukunyuka komzimba kunowesifazane ongeke akhulelwe.
Usemngciphekweni omkhulu nakakhulu xa unesifo sokukhulelwa kokukhulelwa okanye ukhulise umntwana ngecandelo lokulahla.
I-adenomyosis ngokuqhelekileyo ivela emva kweminyaka yobudala engama-30 kunye nexesha eliphambili lokuxilongwa phakathi kweminyaka engama-40-50 ubudala. I-Adenomyosis inokuthi ivele kumantombazana aselula kodwa kunjalo kakhulu.
Kodwa ukuxilongwa ngokuqinisekileyo kufuneka kuthathelwe ingqalelo kwiintombazana eziseneminyaka elibuhlungu kakhulu engaphenduliyo kwizifo eziqhelekileyo.
Ngenxa yokuba umbane we-uterus usasazeke kwisangqa se-muscular, i-uterus echaphazelekayo yi-adenomyosis iya kwanda ngobukhulu. Ukongezwa kobukhulu bubonisa intsingiselo yokuba i-uterus yonke ikhulisa ubungakanani, kufana nendlela ukwanda kwenyuka ngayo kwinxalenye yokuqala yokukhulelwa. Kwi-pelvic test, ugqirha wakho unokukwazi ukubona ukuba ubukhulu bombele wakho bunyukile. Igama elisetyenziselwa ukuchaza olu tshintsho luyi-globular. Ingxangxangxantye emdongeni we-muscle i-adenomyosis ihamba kakhulu kwiimpawu.
Ziziphi iimpawu ze-Adenomyosis?
Ngelixa amaninzi amabhinqa ane-adenomyosis asymptomatic , abafazi abaneempawu ezinamava banokuba ne-dysmenorrhea enamandla kunye nokuphuma kwexesha elinzima lokuphuma kwexesha. Akuqhelekanga ukuba ukuba ufumene ukuba unesifo se-adenomyosis ungaphinda ufumane i-uterine fibroids okanye i-endometriosis. Ukudibanisa kwezi zimo ezinobunzima bemizimba kunokubangela ukwanda okukhulu kweempawu zexesha elibuhlungu kunye nokuphuma kwindoda enzima.
I-Adenomyosis ichongwa njani?
Ukuba oogqirha bakholelwa ukuba une-adenomyosis uya kudala i-ultrasound yangaphakathi okanye iMRI ye-pelvis yakho.
Ezi zifundo zengcamango zenza umsebenzi omhle wokuqinisekisa ukuxilongwa. Kwezinye iimeko, ugqirha wakho unokubonisa intsingiselo yodonga lwesisu sakho ukuqinisekisa ukuxilongwa kwe-adenomyosis nangona oku kungabonakaliyo.
I-Adenomyosis ithathwa njani?
Emva kokuba ufumene ukuba unesifo se-adenomyosis ugqirha wakho uya kubonisa ukuba ukhetho oluthile lwenyango. Ikhetho elifanelekileyo kuwe liya kuxhomekeka kwiminyaka yakho, ubunzima beempawu zakho, izicwangciso zakho zokukhulelwa kwangaphambili, nokuba ingaba unayo i-fibroid okanye i-endometriosis okanye ayikho. Ugqirha wakho unokubonisa ukuba uzame ukulawulwa kwezokwelapha ngaphambi kokuqwalasela ukhetho oluphandwayo.
Injongo yonyango ngonyango ukulawula iimpawu zexesha elibuhlungu kunye nokuphuma kwexesha elinzima lokuphuma kwindoda. Amachiza ogqirha wakho angabonisa:
- NSAID
- Iipilisi zomlomo zomlomo
- GnRH agonists
- I-Mirena (i-progesin ene-intrauterine device)
Ezi zikhetho zonyango zinokuthi okanye zingenakunceda iimpawu zakho. Kolu khetho lwezokwelapha, ubungqina bubonisa ukuba i-Mirena IUD ingaba yinkqubela phambili ekulawuleni iimpawu ze-adenomyosis.
Ukuba ulawulo lwezonyango luhluleka ukulawula iimpawu zakho kwaye lwenziwe ubenabantwana, ugqirha wakho unokubonisa ukuba ukhetho lokutyunjwa. Unyango olugqithisileyo lokunyanga luyasusa isibeleko sakho utyando olubizwa ngokuba yi-hysterectomy. Ngokuxhomekeke kumlinganiselo we-adenomyosis ugqirha wakho unokuxoxa ngezinye iindlela ezinokukuvumela ukuba ugcine isisu sakho. Ezi zikhethi ziquka:
- Ukupheliswa kwe-Endometrial
- Ubunjineli obumbini
- Ukuthengiswa kweMetometrial
Ukuhlaziywa ngu-Andrea Chisholm, MD
I-Struble J, Reid S, i-Bedaiwy MA, i-Adenomyosis; Ukuhlaziywa Kwezonyango ZeMeko Ejongene Neengxaki, I-Journal ye-Gynecology Minimally Invasive (2015), i-doi: 10.1016 / j.jmig.2015.09.018