I-Endometriosis isifo sesisu apho iiseli ze-endometrial zikhula zibe ngamalungu angamakhelwane kunye nezicubu. Ubukho babo bunqamle kwi-peritoneum, kwii-ovari, kwiibhubhu ze-fallopian nakwi-vestile, i-rectum. Cinga ngesifo ngokubanzi, siya kufumanisa ukuba i-endometriosis nokukhulelwa kuyahambelana.
Ngaba ndiyakhulelwa i-endometriosis?
Abafazi abaninzi abanesifo esifanayo bahlala benomdla kwimpendulo yombuzo malunga nokuba ukukhulelwa kunokwenzeka nge-endometriosis. Yonke into incike kwixinzelelo le-disorder kunye neendawo ezikhoyo zokukhula kweethambo ze-endometri. Ngokuqhelekileyo, abafazi bafumana iingxaki ngokukhulelwa kwesi sigwebo. Ukuphendula umbuzo malunga nokuba ukukhulelwa kunokwenzeka nge-endometriosis yesibindi, izifo zengqondo ziqwalasela oku kulandelayo:
- Ukungabikho kwe-ovulation. Kwiimeko ezinjalo, abafazi banokurekhoda iziqephu ezithile zokukhulelwa kwesisu, ezingenasigxina, abaqhelekanga, bahlala bebuhlungu. Iinkqubo ze-ovulatory kulo mzekelo zingabikho, ngenxa yokuba yintoni into yokukhulelwa ayinakwenzeka. Oku kuphawulwa xa ii-ovari zichaphazelekayo.
- Iziphazamiso zokufakelwa. Kuyabonwa nge- adenomyosis , xa igobolondo elingaphakathi le-uterus lonakaliswe kakhulu. Ngelo xesha, ukukhulelwa kunokwenzeka, ukukhulelwa kwenzeka, kodwa kuphazamiseka kwixesha elifutshane, iintsuku ezi-7-10 emva kokukhulelwa. Iqanda lomntwana ongasayi kuluxhoma eludongeni lwesisu, njengesiphumo sokufa kwayo kwaye sikhululwe ngaphandle.
- Iintlupheko kwinkqubo ye-endocrine. Ezi zinto zikhupha ukusabalala kwe-endometriosis kumalungu angumakhelwane kunye nezicubu, ukunqotshwa kwenkqubo yonke yokuzala.
Ngokwezibalo zedatha, amathuba okukhulelwa ne-endometriosis malunga nama-50%. Isiqingatha sezigulane sinengxaki yokukhulelwa. Kufuneka kuqatshelwe ukuba malunga ne-30-40% yamatyala afunyaniswa ngokuthe ngqo ngexesha lokukhulelwa. Oku kuqinisekiswa kwendlela yokukwazi ukufumana isifo phambi kwesifo. Yonke into incike kwizinto ezichaphazelekayo ngqo. Ukuba izilwanyana zesini okanye omnye wabo usebenza ngokuqhelekileyo, unako ukukhulelwa.
Ukukhulelwa kunye ne-endometriosis yama-ovari
Ukujongana nantoni ye-endometriosis yama-ovari, nokuba ingaba nako ukukhulelwa kule meko, kufuneka kuphawulwe ukuba ngokwenza oku kunzima kakhulu. Ngokuqhelekileyo ama-endometrioid formations kwizitho zengqingili zengqingili zibukeka njenge-cyst - igumbi eligcwele izixhobo zamanzi. Ububanzi bayo buhluka ukusuka kwi-5 mm ukuya kwii-cm ezininzi. Kule meko, ukuhlanganiswa kwamanyathelo athile ukuya kwelinye kunokwenziwa. Ngenxa yoko, zonke izicubu zeentlobano zesondo zibandakanyekile kwaye inqubo ye- ovulation ayinakwenzeka. Izingosi ze-endometrial tissue ziyakwazi ukungena kuma-ovari ngeendlela ezilandelayo:
- gemptogenous - ngegazi;
- i-lymphogenous - nge-lymph.
Ukukhulelwa kunye ne-endometriosis yesisu
Njengoko sele kuphawuliwe ngasentla, ukukhulelwa ne-endometriosis yesisu kuya kwenzeka. Kule meko, ngokuqhelekileyo ukuxilongwa kuxilongwa ngokuthe ngqo kwiimviwo zowesifazane okhulelweyo. Oogqirha beli gama bahlala balindile baze babone amaqhinga. Ukuvavanya ubungakanani besilonda, indawo yaso, izazi zezilwanyana zenza esinye isigqibo malunga nohlobo lwonyango. Nangona kunjalo, i-endometriosis ngokuqhelekileyo iba yimbangela yokungabikho kokukhulelwa.
Emva kokuchumisa ngokuphumelelayo, iqanda kwiibhulo zomzimba zithunyelwa kwisigxina se-uterine sokufakelwa. Ukulungiswa kweqanda le-fetal eludongeni lomzimba wesini somzimba kuyona mzuzwana xa ukhulelwe. Ukuba iigobolondo zangaphakathi zichaphazeleka kakhulu, akunakwenzeka ukuba zingene eludongeni lwe-uterine, njengesiphumo sokufa emva kweentsuku ezi-1-2. Ukukhulelwa akufikanga, kwaye umfazi ulungisa ukubonakala kokuphuma kwegazi, oko kuthatha ukuya esikhathini.
Endometriosis nokukhulelwa emva kweminyaka engama-40
I-Endometriosis kunye nokukhulelwa emva kwama-40 ngokuqhelekileyo kuyaqondaniswa. Inani laloo matyala lincinci, kodwa akunakwenzeka ukuqeda ngokupheleleyo le nto. Ubungqina bentsholongwane buhlala ekusasazeni kwezinto ezikufutshane kunye nezisistim. Ukongeza, i-ovulation kule minyaka ayisoloko ihlala njalo, ngoko ukuba amathuba okukhulelwa anciphisa amaxesha amaninzi.
Xa ibhinqa libonisa i-endometriosis nokukhulelwa ngexesha elinye, oogqirha bancomela ukuphazamisa isisu. Kukho umngcipheko ophezulu wokukhulelwa kwesisu, ngenxa yokuguqulwa komsebenzi kunye ne-anatomical kwinkqubo yokuzala. Ukunyangwa kwesi sifo kubandakanya ukungenelela kokungena, okungahambisani nokukhulelwa. Phakathi kweengxaki ezinokuthi zithweswe ububele kulo nyaka:
- ku khulelwa;
- ukuphulwa kweenkqubo zokuphuhliswa kwamathumbu emntwaneni;
- ukuhanjiswa kwangethuba;
- ukuxhatshazwa.
Indlela yokukhulelwa kwe-endometriosis?
Ngokuqhelekileyo iintsholongwane zezilwanyana zitsho ibhinqa elijongene neengxaki zokukhulelwa ukuba ukukhulelwa ne-endermriosis ye-uterine yomlomo akuyiyo ingcaciso ekhethekileyo. Ngokwenza njalo, bahlala bekela ingqalelo kwiimeko eziqhelekileyo zokukhulelwa. Kwimeko apho ukuchumisa kwenzeka, ukukhulelwa akuqali ngenxa yokungabikho kokuveliswa okuqhelekileyo. Ukukhulelwa nokunyamezela umntwana esi sifo, oogqirha bacebisa:
- ukuhamba ngokuqhubekayo kunyango ngaphambi kokucwangcisa ukukhulelwa;
- ukuphelisa iinkqubo ezingapheliyo kunye nokuvuvukala;
- ugcine iziphakamiso ezifunyenweyo.
Ukukhulelwa emva kokunyangwa kwe-endometriosis
Ukukhulelwa emva kwe-endometriosis akufani noko kwenzekayo kungekho sifo. Ukubuyiselwa kobunqamle obungaphakathi bentsholongwane kubangela ukufakelwa. Ngaphandle koko, emva kwekhosi eqhubekileyo yonyango, iinkqubo ze-ovulatory ziqhelekile. Ngalo mbono inokwenzeka ngenyanga yokuqala. Ngokwenzayo, unyango olukhethiweyo olufanelekileyo, lwenzeka phakathi kwama-3-5.
Ukukhulelwa kwe-endometriosis
Ukukhulelwa kwi-endometriosis akufuneki. Ukuba kukho ukuphulwa, oogqirha banconywa ukuba baqhube ikhosi ngaphambi kokucwangcisa umntwana. Emva kokunyangwa ngonyango, ukulawulwa kweziyobisi ze-hormone kumiselwe. Ukunyangwa okunjalo kuthatha ixesha elide - iinyanga ezi-4-6. Izidakamizwa zaseHormon zivelisa inkqubo yokuzala in "indlela yokuphumla", ngoko kungcono ukuba ungazami ukukhulelwa. Kuphela emva kwekhosi, uviwo lokugqibela, oogqirha banika imvume yokuceba ukukhulelwa.
I-endometriosis ithinta njani ukukhulelwa?
Abasetyhini abafunde nge-endometriosis nokukhulelwa malunga nenye imini banomdla kumbuzo wokuba ukhulelwe njani ekupheleni kwe-endometriosis. Oogqirha abanikeli impendulo engabonakaliyo, isilumkiso malunga neengxaki ezinokwenzeka zenkqubo yokunyusa. Phakathi kweziphene eziqhelekileyo:
- ukukhipha isisu ngexesha lokuqala;
- ukuhanjiswa kwangethuba;
- ukuphuka komzimba;
- ukunciphisa umsebenzi onesivumelwano sokubeletha;
- ukuphuma kwegazi emva kokubeleka.
Indlela yokugcina ukukhulelwa kwi-endometriosis?
Emva kokutyhila i-endometriosis ngexesha lokukhulelwa kwinqanaba lokuqala, oogqirha bamisela ukujonga okubonakalayo kumama ozayo. Oku kuhambelana nomngcipheko ophezulu weengxaki- ukukhulelwa okufileyo , ukukhulelwa kwesisu. Ukuziphepha, ibhinqa elikhulelweyo kufuneka lihambisane nemigqaliselo yonyango nemiqathango. Amaxesha amaninzi, amayeza e-hormone ayalelwe ukuba axhaswe. Ukuze ugcine ukukhulelwa kwakhe, umama omele ukuba:
- tyelela i-gynecologist ubuncinane kanye ngenyanga;
- ukufumana iimviwo ezimiselweyo;
- qaphela indlela yokucetywa imihla ngemihla;
- ukuthatha iziyobisi kumlinganiselo obhaliweyo, ukujonga ukuphindaphinda kunye nobude.
Ngaba ukhulelwe i-endometriosis?
Oogqirha bathi i-endometriosis ekhoyo ngaphambili, ngexesha lokukhulelwa alibonakali kwaye akukho phantse ayikhathazi loo ntokazi. Oku kubangelwa ukwanda kwinqanaba leprogesterone, elichaphazela kakubi ukukhula kweefayile. Ncinci kakhulu inokuphela. Kwiimeko ezinjalo, abafazi bathi baphilise i-endometriosis kwaye ukukhulelwa kwangoku kuza kuza kungekudala. Ngokwengxenye oku kuyinyaniso - umfanekiso weklinikhi uyanyamalala, isiguli asiyikhathazi kwakhona. Nangona kunjalo, emva kokunikezelwa, kuyimfuneko ukuba ihlolwe ukuphelisa ngokupheleleyo eso sifo.