Uma unezikhathi ezibuhlungu kakhulu noma ngaphandle kokuphuma kwezinkinga ezisindayo, kungenzeka ukuthi unesifo esibucayi sezinkinga ezibizwa ngokuthi i-adenomyosis.
Kuyini i-Adenomyosis?
I-Adenomyosis ivela esibelethweni futhi iyimbangela evamile yezikhathi ezibuhlungu nokuphuma kweqile kokuya esikhathini.
Isibeletho sakho senziwe nge-muscle ebushelelezi ehlanganiswe nesendlalelo esikhethekile esibizwa nge- endometrium.
I-endometrium yiyiphi eyakhayo iphinde iphendule ekuphenduleni izinguquko emazingeni akho e-hormone ngesikhathi sokujikeleza kokuya esikhathini njalo ngenyanga. Ngokuvamile i-endometrium ihlukaniswe nobunqunu bomzimba besisu noma i-myometrium. Kulabo besifazane abane-adenomyosis, ubunikazi be-endometrial buye lwasakaza emdongeni wamasuli wesibeletho. Lezi zindawo ze-endometrium ezihlanganisiwe odongeni lwesibeletho zinezinguquko ezifanayo ze-hormonal njenge-endometrium evamile. Lezi zinguquko zibangela ukucasuka nokuvuvukala emisipha yesibeletho okubangelwa ubuhlungu nokuguquka kwegazi okubangelwa ukuphuma esikhathini esibi kakhulu.
Yini eyenza i-Adenomyosis?
Isizathu se-adenomyosis sisengenkulumompikiswano emphakathini wezokwelapha.
Nokho, kubonakala sengathi ukulimala noma ukuphazanyiswa komgqa wesibeletho kuyisici esibalulekile se-adenomyosis. Uma uke wakhulelwa okungenani noma ukukhulelwa kwesisu ungase uthuthukise ukuhlaselwa komzimba kunomuntu ongakaze akhulelwe.
Usengozini enkulu nakakhulu uma uke wahlinzwa ngokukhulelwa noma ukhulise ingane ngesigaba sokugcina.
I-adenomyosis ngokuvamile iyenzeka ngemuva kweminyaka engama-30 ngesikhulu esiphezulu sokuxilongwa phakathi kweminyaka engama-40-50 ubudala. I-adenomyosis ingenzeka emantombazaneni asakhula kodwa kungavamile kakhulu.
Kodwa ukuxilongwa kufanele kucatshangelwe kwentombazane eseneminyaka eyishumi nambili ephethe izikhathi ezibuhlungu kakhulu ezingaphenduli emithonjeni evamile.
Ngenxa yokuthi uhlaka lwesisu luye lwasakazeka emgqeni wezinthambo, isisu esisithinteka yi-adenomyosis siyokwanda usayizi. Lokhu kwandiswa kwesayizi kungukuthi usho ukuthi isandulela sonke sikhuphuka ngosayizi, kufana nendlela ukwandisa ngayo isibeletho ekuqaleni kwengxenye yokukhulelwa. Uma uhlolwa ngokuvivinya umzimba, udokotela wakho angase abone ukuthi usayizi wesisu sakho uye wanda. Igama elisetshenziselwa ukuchaza lolu shintsho ngu-globular. Ukujula emdongeni wamasipha i-adenomyosis ibuhlungu kakhulu.
Ziyini Izimpawu Zokuthi Adenomyosis?
Ngenkathi abesifazane abaningi abane-adenomyosis bengabonakali , abesifazane abathola izimpawu zabo bangase babe ne-dysmenorrhea enzima nokuphuma kwezinyathi ezinzima. Kuyinto engavamile ukuthi uma uthola ukuthi une-adenomyosis ungase utholakale ne-uterine fibroids noma i-endometriosis. Ukuhlanganiswa kwalezi zimo ezinobuthi ezinobungozi kungabangela ukwanda okukhulu kwezimpawu zezikhathi ezibuhlungu nokukhishwa okukhulu kokuya esikhathini.
I-Adenomyosis ihlolwe kanjani?
Uma odokotela bakholelwa ukuthi une-adenomyosis cishe uzohlehlisa i-ultrasound yangaphandle noma i- MRI ye-pelvis yakho.
Lezi zifundo ze-imaging zenza umsebenzi omuhle wokuqinisekisa ukutholakala. Kwezinye izimo, udokotela wakho angase akhombise i-biopsy odongeni lwesibeletho sakho ukuqinisekisa ukuxilongwa kwe-adenomyosis nakuba lokhu kungavamile ukukhonjiswa.
I-Adenomyosis iphathwa kanjani?
Uma usuvele uthola ukuthi unesifo sokudakwa, udokotela wakho cishe uzophakamisa izinketho zokwelapha ezahlukene. Inketho efanele kuwe iyoxhomeka eminyakeni yakho, ubunzima bezimpawu zakho, izinhlelo zakho zokukhulelwa esikhathini esizayo, nokuthi ngabe unayo yini i-fibroid noma i-endometriosis noma cha. Udokotela wakho angase asikisele ukuthi uzame ukuphathwa kwezokwelapha ngaphambi kokucubungula indlela yokuhlinzwa.
Umgomo wezokwelapha ukulawula izimpawu zezikhathi ezibuhlungu nokukhishwa okukhulu kokuya esikhathini. Imithi udokotela wakho angase ayiphakamise ihlanganisa:
- Ama-NSAID
- Amaphilisi okubeletha ngomlomo
- GnRH agonists
- I-Mirena (idivayisi ye-intrauterine ene-progestin)
Lezi zinketho zezokwelapha zingase zingakwazi noma zingasize izimpawu zakho. Kulezi zindlela zokwelapha, ubufakazi bukhomba ukuthi i-Mirena IUD ingase ibe yindlela ephumelelayo kakhulu ekulawuleni izimpawu ze-adenomyosis.
Uma ukuphathwa kwezokwelapha kwehluleka ukulawula izimpawu zakho futhi usuqedile ukuba nezingane, udokotela wakho angase akhethe ukhetho lokuhlinzwa. Ukwelashwa okucacile kunazo zonke kususa isibeletho sakho ukuhlinzwa okuthiwa yi-hysterectomy. Kuye ngokuthi izinga lenzeni le-adenomyosis lingakhuluma ngenye indlela engakuvumela ukuba ugcine isisu sakho. Lezi zindlela zihlanganisa:
- Ukuphumula kwe-Endometrial
- Ukwenziwa komthambo wesibindi
- Ukuthengiswa kwe-Myometrial
Kubuyekezwe ngu-Andrea Chisholm, MD
I-Struble J, i-Reid S, i-Bedaiwy MA, i-Adenomyosis; Ukubukezwa Kwemitholampilo Ye-Gynecologic Inselele, I-Journal of Minimally Invasive Gynecology (2015), ini: 10.1016 / j.jmig.2015.09.018