I-hysterectomy ayiyinyango ye-Endometriosis
Yintoni i-Endometriosis?
Ngokutsho kweeNational Institutes of Health, "i-endometriosis isifo apho izicubu ezivame ukukhula ngaphakathi kwesibeletho zikhula ngaphandle kwesibeletho. Iyakhula kwii-ovari, i-fallopian tubes, amabilini, okanye i-vestile. Ngokuqhelekileyo, ikhula kwezinye iindawo umzimba. " Ukukhula kwezicubu kungakhokelela kwimpawu ezinzima kakhulu kubafazi abathile kwiimpawu ezinzima ezinokubangela ukuba i-anemia, iintsuku zomsebenzi ezilahlekileyo, kunye nentlungu ebalulekileyo.
Nangona iimpawu ze-endometriosis zihluka ngokubanzi phakathi kwabasetyhini ngabanye, le micimbi ilandelayo ibangela ukuba abafazi bafune unyango kunye nokuxilongwa:
- Ubunzima, ngokuqhelekileyo esiswini, emzantsi okanye ngasemva
- Ukungenzi lutho
- Amaxesha amaninzi kunye nokuphaphaza phakathi kwamaxesha
- Iintlungu zesikhumba ezibuhlungu
Iinkonzo kunye neNgcono yeHysterectomy ye-Endometriosis
Nangona kungekho nonyango yokuphela kwe-endometriosis, kodwa ke enye yezizathu eziqhelekileyo ukuba abafazi bane- hysterectomy (ukususwa kokuhlinzwa kwesibeletho) unyaka ngamnye. Ngaphambi kokuqwalasela i-hysterectomy ye-endometriosis, kubalulekile ukuqwalasela iziphumo ezibonakalayo kunye nezinye iindlela zokuhlinzwa njengokwenziwa kwe-hysterectomy okanye akunakunciphisa intlungu ye-endometriosis.
Kwezinye iimeko, ukuhlinzwa ezininzi kunokufuneka, kwaye kwiimeko ezininzi iintlungu zengxaki ayigqibekanga.
Uphando lubonisa ukuba ukukhululeka kwentlungu ye-endometri enkulu xa utyando lubandakanya ukususwa kwee-ovari. Ngokwenziwe uphando olwenziwa ngabaphengululi bakaJohn Hopkins, abafazi abanobuchopho obungazange babandakanye ukususa ama-ovari babenokuba kakhulu ukuba ne-endometriosis eyabangela ubuhlungu kwiminyaka emva kokuhlinzwa.
Kweso sifundo, ama-62% wabasetyhini abagcina ii-ovari zabo zineentlungu ze-endometriosis kwaye i-31% yayidinga ukuhlinzwa okwesibini.
Iziphumo zahluke kakhulu kwabesetyhini ababenokukhutshwa ngamaqanda abo ngexesha le-hysterectomy. Ipesenti ezilishumi zala mabhinqa ziva iintlungu ezivela ku-endometriosis emva kokuhlinzwa kwaye ngaphantsi kwe-4% kwakufuneka utyando lwesibini.
Kungabonakala ukuba ukuba i-ovaries yakho isuswe nge-hysterectomy yimpendulo ecacileyo, kodwa kumfazi onokufuna abantwana, oku kuthetha ukunyaniseka okusisigxina. Ukongeza, ukuba ii-ovari ziyakususwa, i-menopause iza kuqala kwiintsuku ezilandelayo ukuhlinzwa kunye ne-hormone yonyango yokutshintshwa kufuneka ibe yimfuneko. Ubungozi obongezelelweyo bunxulumene nokukhutshwa kwama-ovari, inkqubo ebizwa ngokuba yi-oophorectomy.
Eminye i-Hysterectomy ye-Endometriosis
I-Endometriosis ayiphiliswa yi-hysterectomy. Iimpawu ezibuhlungu zihlala zihlala kwaye zihlala ziyenza. Ngenxa yoko, iilparoscopic kunye non-opticularly treatments are often considered before hysterectomy.
Ezinye unyango lwe-endometriosis zingabandakanya:
- amayeza enhlungu, kuquka iikhompyutheni ezifana neIbuprofen
- unyango lwe-hormone (ngokuqhelekileyo ngendlela yokulawulwa kwemithi yokuzala)
- i-laparoscopy, apho udokotela ogqirha ekhupha isisu esiswini aze afake izixhobo ezincinci ngokusebenzisa isiqhezu esincinci ukubona nokususa ukukhula kwe-endometri
- i-laparotomy, apho kusetshenziselwa khona ubugcisa bendabuko ukususa ukukhula kwe-endometrili kwaye, kwezinye iimeko, i-ovaries
- utyando lokususa iimbilini ze-pelvic, apho ububele buhlala buqinile xa iimbulunga zixunyiwe ukuze zithintele intlungu
Ukhetho lwonyango luya kuhlala lulunye. Isekelwe kumanani amaninzi kubandakanya ubudala, impilo, ubunzima be-endometriosis nentlungu. Ukunyangwa kwesigulane esinqwenela ukuba nabantwana kunokuba kuhluke kakhulu kunonyango lomfazi ongafuni ukuba nabantwana, njengokuba unyango oluthile lungaba nefuthe lokuzala.
Ngaphambi kokufumanisa nokunyanga i-endometriosis, ugqirha wakho unokuqhuba iimvavanyo zengqondo ezifana ne-MRI okanye i-ultrasound ukuqinisekisa ukuba akukho zimo ezinzima. Kwiimeko ezininzi, oogqirha baya kuqala ngonyango olulondolozayo njengamayeza ngaphambi kokuba azame naluphi na uhlobo lokunyangwa okunyanga.
ILizwi
Kuya kuba kubalulekile ukucaca kunye nomboneleli wakho wezempilo malunga neenjongo (ukuzala komntwana, ukukhululeka kwentlungu, ukunciphisa igazi) kunye nento ofuna ukuyifeza ngonyango. Unyango lwakho, ukuba ufuna ukuba nabantwana, kunokuthi ubenokuhluke kakhulu kunonyango olwamkelayo ukuba unomdla wokukhulelwa.
Inkqubo esebenza kakuhle kumntu onomdlavuza kwaye ufuna indlela yokunciphisa ukuphuma kwamanzi ingabi yonyango elungileyo kumntu ofuna ukuba nentlungu engaphantsi.
Imithombo:
AmaZiko eZiko lezeMpilo. Endometriosis. Fi kelele ngo-2017.
AmaZiko eZiko lezeMpilo. >> Ziziphi ionyango ze-endometriosis? Fi kelele ngo-2015.
> Rizk, B., Fischer, AS, Lotfy, HA, Turki, R., Zahed, HA, Malik, et al. Ukuphindaphinda kwe-endometriosis emva kwe-hysterectomy. Amaqiniso, Umbono noBume kwi-ObGyn, 6 (4), 219-227.