I-Hysterectomy Akuyona Imithi Ye-Endometriosis
Kuyini i-Endometriosis?
Ngokusho kweNational Institutes of Health, "i-endometriosis iyisifo lapho izicubu ezivame ukukhula ngaphakathi kwesibeletho zikhula ngaphandle kwesibeletho, zingakhula kuma-ovari, ama-tublopian tubes, amathumba, noma isambiso. Ngokuvamile, ikhula kwezinye izingxenye umzimba. " Lokhu kukhula kwezicubu kungabangela izimpawu ezincane kakhulu kwabanye besifazane ukuba zibe nezimpawu ezinzima ezingabangela ukutholakala kwegazi, izinsuku zokusebenza ezingabanjwanga, kanye nobuhlungu obukhulu.
Nakuba izimpawu ze-endometriosis zihluka kakhulu phakathi kwabesifazane ngabanye, lezi zindaba ezilandelayo zivame ukuholela abesifazane ukuba bafune ukwelashwa nokuxilongwa:
- Ubuhlungu, ngokuvamile esiswini, emuva okuphansi, noma ezindaweni zendawo
- Ukungenzi lutho
- Izikhathi ezinzima nokuphuma kwegazi phakathi kwezinkathi
- Izikhukhula ezinomunyu ezinzima
I-Pros and Cons of Hysterectomy ye-Endometriosis
Nakuba kungenakho ukwelashwa kwe-endometriosis, kodwa kungenye yezizathu ezivame kakhulu ukuthi abesifazane banesifo se- hysterectomy (ukususwa kokuhlinzwa kwesibeletho) unyaka ngamunye. Ngaphambi kokucubungula i-hysterectomy ye-endometriosis, kubalulekile ukucabangela imiphumela engenzeka futhi ezinye izindlela zokwelapha njenge-hysterectomy kungenzeka noma zinganciphisi ubuhlungu be-endometriosis.
Kwezinye izimo, ukuhlinzwa okuhlukahlukene kungadingeka, futhi ezimweni eziningi ukuphumula ubuhlungu akuphelelanga.
Ucwaningo lubonisa ukuthi ukuphulukiswa kobuhlungu be-endometribu bukhulu uma ukuhlinzwa kuhilela ukususwa kwama-ovari. Ngokusho kocwaningi oluqhutshwa abacwaningi bakaJohn Hopkins, abesifazane abano-hysterectomy abangazange bahlanganise nokukhipha ama-ovari bekungaba kakhulu ukuthi babe ne-endometriosis eyabangela ubuhlungu eminyakeni elandela ukuhlinzwa.
Kulolu cwaningo, abesifazane abangamaphesenti angama-62 abagcina ama-ovari abo babe nobuhlungu be-endometriosis kanti abangu-31% babedinga ukuhlinzwa okwesibini.
Imiphumela yayihluke kakhulu kwabesifazane ababenezinyosi zabo ezikhishwe ngesikhathi senqubo ye-hysterectomy. Amaphesenti ayishumi alabo besifazane abhekana nobuhlungu obuvela ku-endometriosis ngemuva kokuhlinzwa futhi abangaphansi kuka-4% babedinga ukuhlinzwa kwesibili.
Kungase kubonakale ukuthi ukuba nama-ovaries akho asuswe nge-hysterectomy yimpendulo ecacile, kodwa kumfazi ongase afune izingane, lokhu kusho ukuthobeka okuhlala njalo. Ngaphezu kwalokho, uma ama-ovari esuswa, ukuyeka esikhathini sokuqala kuzokuqala ezinsukwini ezilandelayo ukuhlinzwa nokwelashwa kwe-hormone esikhundleni. Izingozi ezingeziwe zihlobene nokukhishwa kwama-ovari, inqubo ebizwa ngokuthi i-oophorectomy.
Ezinye izindlela zokwenza i-Hysterectomy ye-Endometriosis
I-Endometriosis ayilulwanga yi-hysterectomy. Izimpawu ezibuhlungu zingahle zibuye futhi zivame ukukwenza. Ngenxa yalesi sizathu, ukwelashwa kwama- laparoscopic kanye non-surgical ngokuvamile kubhekwe ngaphambi kwe-hysterectomy.
Ezinye izindlela zokwelapha i-endometriosis zingafaka:
- imithi ebuhlungu, kuhlanganise nemithi yokwelashwa efana ne-Ibuprofen
- ama-hormone zokwelapha (ngokuvamile ngesimo semithi yokulawula ukubeletha)
- i-laparoscopy, lapho udokotela ohlinzayo ehlunga isisu kancane bese efaka izinsimbi ezincane ngokusebenzisa ukusika okuncane ukubona nokususa ukukhula kwe-endometri
- i-laparotomy, lapho amasu okuhlinzwa endabuko asetshenziselwa ukukhipha ukukhula kwe-endometrial futhi, kwezinye izimo, ama-ovaries
- ukuhlinzekwa ukukhipha izinzwa ze-pelvic, lapho lesi sibeletho sihlala siphelile ngenkathi izinzwa zisuswa ukukhulula ubuhlungu
Ukukhethwa kokwelapha kuzohlale kube ngabanye. Isekelwe eziningana zezici ezihlanganisa ubudala, impilo, ukuqina kwe-endometriosis nobuhlungu. Ukwelashwa kwesiguli esifisa ukuba nezingane kungase kuhluke kakhulu kunokwelashwa kowesifazane ongafuni ukuba nezingane, njengoba ezinye izindlela zokwelapha zingakhuphula umthelela wokuzala.
Ngaphambi kokuba uhlolisise futhi uphathe i-endometriosis, udokotela wakho angase aqhube ukuhlolwa kwe-imaging njenge-MRI noma i-ultrasound ukuqinisekisa ukuthi ayikho enye imibandela eqinile. Ezikhathini eziningi, odokotela bazoqala ngokuphathwa ngendlela efanele njengemithi ngaphambi kokuzama ukwelashwa okuphazamisayo.
Izwi elivela
Kubalulekile ukucaca nomhlinzeki wakho wezempilo mayelana nemigomo yakho (ukubeletha kwengane, ukukhululeka kobuhlungu, ukuphumula okunciphile) nokuthi yini ofuna ukuyifeza ngemithi. Ukwelashwa kwakho, uma ufuna ukuba nezingane, kungenzeka ukuthi uhluke kakhulu kunokwelashwa owutholayo uma unesithakazelo sokukhulelwa.
Inqubo esebenza kangcono kunomuntu one-anemic futhi efuna indlela yokunciphisa ukuphuma kwegazi ingase ingabi ukwelashwa okufanele kumuntu ofuna ukuzwa ubuhlungu obuncane.
Imithombo:
Izikhungo zezempilo zikazwelonke. I-Endometriosis. Kufinyelelwe ngo-2017.
Izikhungo zezempilo zikazwelonke. >> Iyiphi imithi yokwelashwa kwe-endometriosis? Ifinyelele ngo-2015.
> Rizk, B., Fischer, AS, Lotfy, HA, Turki, R., Zahed, HA, Malik, et al. Ukuphindaphinda kwe-endometriosis ngemuva kwe-hysterectomy. Amaqiniso, Ukubuka & Umbono ku-ObGyn, 6 (4), 219-227.