Endometriosis

Yintoni i-Endometriosis?

I-Endometriosis yimeko eqhelekileyo kwaye ngamanye amaxesha yintlungu yokuzala enokuthi ichaphazele ukuya kuthi ga kwabasetyhini abalishumi. I-endometriosis inokubangela uluhlu olubanzi lweempawu ezibuthathaka ezinjenge-pelvic, isisu esibuhlungu kunye nasemva, ixesha elinzima kunye elibuhlungu, kunye nokungachumisi.

I-Endometriosis yenzeka xa izicubu eziqhele ukujikeleza ngaphakathi kwesibeleko zikhula kwamanye amalungu omzimba wakho apho zingezizo. Olu luhlu lungabandakanya ii-ovari, i-fallopian tubes, ngaphandle komhlaba wesibeleko, isifuba, isinye isifuba kunye ne-rectum. Le minwe yongezelelweyo ye-endometrial iziphatha ngendlela efanayo naleyo ifunyenwe kwisibeleko sakho kwaye iphendule nakwinguqu kwiihomoni zakho ngexesha lokuya esikhathini. Oku kubangela ukuba izicubu ziqhekeze kwaye ziphume kwindawo ezijikelezileyo ezinokubangela ukuqaqanjelwa kakhulu kunye nosulelo kunye nokuqunjelwa kunye nokubambelela. I-endometriosis efumaneka kwi-ovary nayo inokwenza i-cysts eyaziwa ngokuba yi 'chocolate cysts'. Xa i-cysts yopha ngexesha ngalinye hayi lonke ulwelo olunokuphuma. Oku kubangela ukuba igazi elidala lakha kunye nokuphuhlisa ukubukeka kwe 'chocolaty'.

Xa ikho kwi-pelvis, izicubu ze-endometrial zingakhokelela ekuvukelweni kokubonakalisa okuchaphazela inkqubo yokuzala kumanqanaba ahlukeneyo ukusuka ekukhuleni kweqanda kunye ne-ovulation ukuya kwisichumiso, ukuhamba kwe-umbungu ngokusebenzisa ishubhu ye-fallopian, kunye nokufakwa kwe-uterine. I-endometriosis inokuthi ikhokelele ekwakhiweni kwezicubu ngaphakathi komphandle wethambo, ethi yona ikhokelele ekucuthweni kweetyhubhu zokuwa kwethambo kunye nentlungu ebuthathaka. Phantse i-30% yabasetyhini abaneengxaki zokuzala kunye ne-endometriosis.

I-Endometriosis ayinakulindeleka kakhulu. Abanye abantu basetyhini banokufakelwa izilwanyana ezimbalwa ezizodwa ezingazange zisasazeke okanye zikhule, ngelixa kwezinye izifo zinokusasazeka kuyo yonke i-pelvis. I-Endometriosis iyacaphukisa izicubu ezirhangqileyo kwaye inokuvelisa ukukhula okufana ne-webhu kwezicubu ezibizwa ngokuba zii-adhesions. Esi sicubu sinokubopha naliphi na ilungu lezitho zomzimba kwelinye kwaye ngamanye amaxesha sinokugubungela ngokupheleleyo.

Abasetyhini abaninzi abane-endometriosis banamava ambalwa okanye abanazo kwaphela iimpawu. Ngapha koko, ihlala ifunyaniswa xa isigulana senziwa utyando lwe-pelvic kwezinye izizathu. Nangona kunjalo, kwabanye abantu basetyhini, i-endometriosis inokubangela ukuba umntu abe sexesheni, iintlungu ngexesha lokwabelana ngesondo, ukungachumi okanye ezinye iimpawu. I-Endometriosis kunokwenzeka ukuba ifumaneke kwabasetyhini abangazange bakhulelwe. Ngesi sizathu, imeko ngamanye amaxesha ibhalwa ngokuba "sisifo somfazi okhetha ikhondo lomsebenzi", kuba abafazi abasebenzayo bahlala belibazisa ukumitha.

Ngelixa i-endometriosis ingunobangela owaziwayo wokungazali, amayeza kunye neenkqubo ezikhoyo zokukunceda ukhulelwe zikhule kwaye zisebenza ngokufanelekileyo. Kuyenzeka ukuba ukhulelwe xa une-endometriosis.

I-Endometriosis inokuzibonakalisa ngeendlela ezininzi ezahlukeneyo zendlela eyahlukeneyo yokunyanga, kwaye unyango kufuneka lubelungiselelwe isigulana ngasinye ngokusekelwe kwimbali, iimpawu, kunye neziphumo zonyango. I-Medfem Fertility Clinic isebenzisa iindlela ezikhuselekileyo nezingqinisisiweyo zokufumanisa isifo esichanekileyo se-endometriosis kunye nonyango olulandelayo. Izigulana ze-Endometriosis ezineengxaki zokungakwazi ukuzala zithathwa ngeeprotocol ezithile zokukhuthaza ezinamazinga aphezulu empumelelo. Ukongeza, uvavanyo lwe-ovarian reservation lwenziwa ukujonga ukuba ingaba unyango olunobundlobongela kufanele lube njani. Yonke imizamo yenziwa ukunqanda ukutshintshwa kwe-endometriomas ukuze kuthintelwe ukonakaliswa kwesigcini se-ovari kunye nomonakalo kwizicubu ze-ovari.

Ngubani ofumana i-Endometriosis?

I-Endometriosis inokuchaphazela abasetyhini ukusuka kwiminyaka yabo yokufikisa kwabo bakwiminyaka yabo ye-40. Unethuba lokuphuhlisa i-endometriosis ukuba unezi zinto zilandelayo:

  • Khange ube nabantwana
  • Ngaba bhetyebhetye
  • Ukuba nexesha elinzima okanye elide
  • Ngaba ixesha lakho lokuqala usemncinci, ngaphambi kwexesha le-12
  • Yiba nembali yosapho ye-endometriosis

Yintoni ebangela i-Endometriosis?

Akukaziwa ukuba yintoni kanye kanye ebangela i-endometriosis nangona kuye kwaphawulwa ukuba kusebenze kwiintsapho.

Ufunyanwa njani i-Endometriosis?

Ukuchongwa kwe-endometriosis akunakwenziwa kwiimpawu zodwa. Iimpawu ezinje ngeengxaki zokuchuma, ukungqungqa kokuya esikhathini okanye iintlungu ngexesha lokwabelana ngesondo ziimpawu ezibonakalayo zemeko. Ngexesha lokuvavanywa kwentliziyo kwithambo le-pelvic, isibeleko esisisigxina okanye esisemotweni, kunye namaqanda akhulisiweyo konke kunokubonisa ubukho be-endometriosis.

I-laparoscopy yeyona ndlela ichanekileyo yokufumanisa i-endometriosis. Ngaphantsi kwe-anesthetic iteleskopu efana nesixhobo esifakwe kwisigxoba esincinci esiphantsi kweqhosha lesisu ukuvavanya amalungu e-pelvic. Ubukho be-endometriosis bunokuqinisekiswa kwaye nenqanaba lobungakanani bayo buvavanywe. Ukukhutshwa kwee-endometri zokufakwa kunye nokubambelela kunokwenziwa ngexesha elifanayo ngeli xesha lenkqubo yophando. Ukuba kukho nakuphi na ukungaqiniseki, isiqwenga esincinci somzimba sinokukhutshwa ukuze uviwo lwe-microscopic ngeli xesha. Oku kubizwa ngokuba yi-biopsy.

Luluphi unyango olufumanekayo kwi-Endometriosis?

Unyango lunokuhlinzwa okanye lonyango (kusetyenziswa amayeza). Indlela eqhelekileyo yokunyanga i-endometriosis ngonyango ngexesha le-laparoscopy yokuxilonga. Iidipozithi ze-endometriosis zingasuswa okanye zitshatyalaliswe i-laparoscopically kwaye izicubu ezinqabileyo zinokukhutshwa.

Abanye abaguli bafuna indibaniselwano yonyango kunye nonyango lokuhlinzwa. Ukuba umntu obhinqileyo ongafezekanga onesifo i-endometriosis engaphumeleli ukukhulelwa kwanasemva konyango kunye nonyango, in-vitro yokuchumisa inokuba ukhetho. Nabasetyhini abanesifo esibanzi, abamaqanda abo angqongwe kukunamathela, ngaba bafanelwe ukufaka isichumiso kwi-vitro. Xa ukhulelwe ngokwendalo, ukuchumisa kwenzeka kwi-fallopian tube kodwa ke kwiishubhu ezonakalisiweyo ngenxa ye-endometriosis, IVF iyakwazi ukubeka iqanda elichumileyo ngqo esibelekweni. Elona xesha lililo lokufumana ukhulelwe nge-IVF liphakathi kweenyanga ezintandathu ukuya kunyaka omnye emva koqhaqho. Njengoko iimpawu zinokubuya kukho iwindow encinci apho unokukhulelwa khona.

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