Ukuzisola kwami okukhulu, ezingqondweni zabesifazane bethu, ukuhlolwa okuvimbela umjozi wezifo zomzimba kuzwakala njengokuthile okumnandi. Lesi simo sengqondo empilweni yakho siqu imbangela yezinkinga eziningi, okungenakube kwenzeka uma lesi sifo sitholakale ngesikhathi. Isibonelo esicacile yi- adenomyosis , enye yezinhlobo ze-endometriosis. Esikhathini sokuqala, ukuhlaselwa komzimba kungathuthuka ngokungabikho okuphelele kwezimpawu. Njengendlela yokukhetha, owesifazane uphendukela kudokotela ngenxa yokungabi nabantwana, okuwumphumela wokuguliswa kwe-adenomyosis.
Izimpawu ze-adenomyosis
I-Adenomyosis yisifo esibonakaliswa ukuhluma kwe-endometrium ibe yingqimba yomzimba wesisu, kuyilapho amaseli we-membrane enamangcwaba angene ku-myometrium agcina umsebenzi wawo wokuzalwa. Ngakho-ke, lapho kuqhutshwa izinguquko ze-cyclic, zikhula esikhathini esithile futhi zidinga indawo engekho emathisini omzimba. Ngenxa yalokho, lesi sibeletho sikhula ngosayizi, ukusebenza komzimba kunzima.
Uma ukuphazamiseka okunjalo sekuqala kuphela, njengoba sekushiwo ngenhla, izibonakaliso ze-adenomyosis kwesibeletho kungenzeka zingekho. Kodwa-ke, uma ulalele ngokucophelela izinsimbi zomzimba wakho, ungabona ezinye zezimpawu zesifo sokubeletha esibelethweni:
- isibonakaliso sokuqala se-adenomyosis ukuphazamiseka komjikelezo wokuya esikhathini, izinyanga zonke ziba zide futhi zivame kakhulu;
- futhi izibonakaliso zokuqala ze-adenomyosis zihlanganisa ukubukeka kwe-smearing excreta ngaphambi nangemva kokuya esikhathini;
- ukukhathazeka ngokulala;
- isici se-adenomyosis sinciphisa esikhathini sokujikeleza;
- Isibonakaliso esingacacile se-adenomyosis ubuhlungu obukhulu ngaphambi nangemva kokuya esikhathini esifundeni.
Ngokuchanekile, ungakwazi ukucacisa ukuphakama kwezikhangiso ezitholakala kwi-ultrasound. Ngalolu hlobo lokuhlolwa, isiguli sinama-echolineses alandelayo e-adenomyosis:
- uhlobo olushintshiwe lwesisu, okuthiwa "isisu sangaphakathi";
- ukuqina okungenzeka komunye wodonga;
- i-echogenicity eyengeziwe ye-myometrium;
- ukubonakala kwama-cysts avulekile ngaphambi kokuya esikhathini.
Ngokuvamile ukucacisa ukuxilongwa akuyona nje ukuhlolwa kwesimiso kanye ne-ultrasound, kodwa kuningi lokuhlolwa kanye nezinqubo ezengeziwe.
Amafomu we-adenomyosis
Kuncike ekutheni uhlobo lwe-endometrium luyingqimba ye-muscular, ochwepheshe bahlukanisa izinhlobo eziningana ze-adenomyosis:
- Focal. Kulesi simo, ukuhlanganiswa kwe-endometrium kwakha.
- Ukusabalalisa. Isibonakaliso sohlobo olusakazekile lwe-adenomyosis ukufakwa kwamifomu okufanayo.
- Kukhona nefomu le-nodular. Kubonakala ngokubonakala kwama-node, okuhlanganisa izicubu zabo ezixhumeneyo kanye nesakhi se-glandular.
- Ifomu le-diffuse-nodular elihlanganisiwe le-adenomyosis livame ukubhekwa.
Ukwelashwa kwe-adenomyosis
Uma kunezibonakaliso ze-adenomyosis kanye nokuqinisekiswa kwalokhu kutholakala, ukwelashwa kufanele kumiswe ngumchwepheshe oqeqeshiwe emva kokuhlolwa okuyinkimbinkimbi. Okokuqala, ukwelashwa kwe-adenomyosis kuhloswe ekuqedeni izimpawu nemiphumela yesifo. Kunezinkhombandlela eziningana zokuqeda lesi sifo:
- Okuvamile kakhulu ukusetshenziswa kwe-hormone therapy. Izidakamizwa ze-hormonal zidala ngokuzenzakalelayo ukuyeka esikhathini sokumisa ngokuvimba ukukhula kwe-endometrium. Ngemuva kokunqamuka kokudla kwe-hormone, ukukhula kwayo kungase kuqale, ukwelashwa okusekelwayo, okwenza isenzo esiwusizo ngokungabi khona kwemiphumela emibi.
- Imiphumela emihle ingafinyelelwa ngokufaka umthambo wesibindi .
- Ukungenelela kokuhlinzwa kusetshenziswe ezimweni ezimbi kakhulu izimpawu ezinzima ze-adenomyosis nesigaba esikhulu sokuhluma.
Kuze kube manje, izimbangela zokubonakala kwe-adenomyosis azichazwe ngokucacile. Ukuphazanyiswa kungaba nomthelela emvelweni ompofu, indlela yokuphila, izimo ezicindezelayo, ubuhlobo, nokuqedwa kokukhulelwa kokukhulelwa kanye nokunye ukungenelela emzimbeni wesibindi, ukubeletha okunzima, njll. Ngakho-ke, isincomo esiyinhloko sabesifazane ukuvimbela lesi sifo nemiphumela yaso ukuvakashelwa njalo kumjozi wezifo .