Iyini i-Endometriosis, Kungani Kwenzeka? Izimpawu Nokwelashwa

I-EndometriosisKulinganiselwa ukuthi ithinta owesifazane oyedwa kwabayishumi emhlabeni. Kuyisifo esihlobene nesistimu yokuzala lapho izicubu ezifana ne-endometrial zakha ngaphandle kwesibeletho ezindaweni ezifana nama-ovari, isisu, namathumbu. Ngokuvamile, izicubu ze-endometrial zitholakala kuphela esibelethweni.

Izimpawu zihlanganisa ukuya esikhathini okubuhlungu nokopha kakhulu, ubuhlungu ngesikhathi sokuya ocansini, ukuphuma kwesisu okubuhlungu nokungazali. I-EndometriosisImbangela ayaziwa futhi okwamanje alikho ikhambi.

Nokho, ezinye ukudla ingozi ye-endometriosis ingakhula noma yehle.

Iyini Isifo Se-Endometriosis?

I-Endometriosisyisimo sezempilo esibuhlungu esenza ulwelwesi lwesibeletho (endometrium) lukhule ngaphandle. Ithinta kakhulu ama-ovari, amashubhu e-fallopian kanye nendawo yangaphakathi ye-pelvis. Ezimweni ezingavamile, izicubu ze-endometrial nazo zingasakazeka ngaphesheya kwezitho ze-pelvic.

Ulayini lwe-endometrial olususiwe luziphatha ngendlela evamile futhi luyajiya, luphuka, futhi lophe ngomjikelezo ngamunye. Kodwa njengoba i-endometrium ingaphandle kwesibeletho, ayikho indlela yokuthi iphume emzimbeni.

I-Endometriosis Ama-cysts abizwa ngokuthi i-endometriomas angakhula uma ehlanganisa ama-ovari.

Izigaba ze-Endometriosis

I-Endometriosis ingahlukaniswa ngezigaba ezine:

Isigaba 1 - Esincane

Izilonda ezincane ezine-endometrial implants ezingajulile kuma-ovari zibonisa i-endometriosis encane. Ukuvuvukala kungase futhi kubonakale ngaphakathi noma eduze komgodi.

Isigaba 2 - I-Lightweight

i-endometriosis encaneIbonakala ngezilonda ezithambile ezihambisana nokufakelwa okungajulile ku-ovary kanye nolwelwesi lwama-pelvic.

Isigaba 3 – Esimaphakathi

Lesi sigaba sibonakala ngokufakwa okujulile kuma-ovari kanye nolwelwesi lwama-pelvic. Izilonda ezengeziwe zingase zibonakale.

Isigaba 4 - Sinzima

Lesi sigaba i-endometriosisYisigaba esinzima kakhulu. Kuhilela ukufaka izimila ezijulile olwelweni lwe-pelvic nama-ovari. Lokhu kungase futhi kuhambisane nezilonda kumashubhu noma emathunjini.

Izinkinga ze-Endometriosis

I-EndometriosisIzinto ezingenzeka ezingabangela u-e yizi:

- Amaseli e-Embryonic ahlanganisa isisu kanye ne-pelvis angathuthuka abe yizicubu ze-endometrial kulezi zikhala.

- Esikhundleni sokushiya umzimba ngendlela evamile, igazi lokuya esikhathini kungenzeka ukuthi liye langena ku-pelvis nasemathunjini e-fallopian.

- Ibangelwa amazinga e-estrogen kumntwana okhulayo i-endometriosis ingase itholakale.

- Izinqubo zokuhlinza ezifana ne-hysterectomy noma ingxenye yokuhlinzwa.

- Ukuphazamiseka kwamasosha omzimba kungavimbela umzimba ekuboneni nasekubhubhiseni izicubu ze-endometrial ezikhula ngaphandle kwesibeletho.

Yiziphi Izimpawu Ze-Endometriosis?

I-Endometriosis Izimpawu nezimpawu ezihlobene nalokhu:

– Dysmenorrhea noma izikhathi ezibuhlungu

- Ubuhlungu ngesikhathi socansi

- Ubuhlungu lapho uchama noma ukhipha amathumbu

– Ukopha kakhulu ngesikhathi noma phakathi kokuya esikhathini

- Ukungabi nanzalo noma ukungakwazi ukukhulelwa

Ngokuvamile i-endometriosis Ezinye izimpawu ezihambisana nakho zihlanganisa ukuqunjelwa noma isifo sohudo, ukuqunjelwa, isicanucanu, nokukhathala.

Ezinye izici i-endometriosis ingase yandise ingozi yokuthuthuka 

I-Endometriosis Risk Factors

I-EndometriosisIzinto ezingandisa ingozi yokuthola i-e yilezi:

– Ukungakhethi ukubeletha

– Ukuqala kokuya esikhathini kusenesikhathi

– Ukuqala sekwephuzile kokunqamuka kokuya esikhathini

- Imijikelezo emifushane yokuya esikhathini engaphansi kwezinsuku ezingama-27

Ukopha okukhulu kokuya esikhathini okuthatha izinsuku ezingaphezu kweziyi-7

- Amazinga aphezulu e-estrogen emzimbeni

- Inkomba yesisindo somzimba ephansi

- I-Endometriosisube nelungu lomndeni elilodwa noma ngaphezulu

Ukuba nanoma yisiphi isimo sezokwelapha esivimbela ukudlula okujwayelekile kwegazi lokuya esikhathini phakathi nomjikelezo wokuya esikhathini

– Ukungajwayelekile kwesistimu yokuzala

I-Endometriosis Uma kubi kakhulu noma kuyekwa kungelashwa, kungagcina kuholele ezinkingeni ezilandelayo.

Izinkinga ze-Endometriosis

I-Endometriosis Izinkinga ezimbili ezimbi kakhulu ezihambisana nokungazali kanye nomdlavuza ukungazali.

I-EndometriosisCishe isigamu sabesifazane abakhulelwe bangase babe nenkinga yokuzala noma babe nobunzima bokukhulelwa.

I-Endometriosis umdlavuza kwabesifazane ababhekene nomdlavuza, ikakhulukazi umdlavuza wesibeletho kanye i-endometriosisKuyabonakala ukuthi izinga le-adenocarcinoma ngenxa yomdlavuza liphezulu.

Nokho, kufanele kuqashelwe ukuthi ingozi yokuba nomdlavuza wesibeletho ngokuvamile iphansi.

Ukuxilongwa kwe-Endometriosis

Ukuxilongwa kwe-endometriosis ngokuvamile esekelwe izimpawu. Ukuhlolwa udokotela angase akuncome ukuze ahlole izimpawu futhi athole imikhondo engokomzimba ihlanganisa:

- Ukuhlolwa kwe-pelvic ukuze kubhekwe okungavamile njengama-cysts noma izibazi ngemuva kwesibeletho

- I-Endometriosis i-ultrasound ukuthola ama-cysts okwenzeka ngawo

- I-Magnetic Resonance Imaging (MRI) ukuthola indawo ngqo kanye nosayizi wezimila ze-endometrial

– ngaphandle kwesibeletho izimpawu ze-endometriosis i-laparoscopy ukusiza ukucinga

Yelashwa Kanjani I-Endometriosis?

Ukwelashwa kwe-Endometriosis kungabandakanya:

Amabhavu Ashisayo noma Amaphedi Okushisa

Amaphedi okushisisa namabhavu ashisayo, amaphakathi ukuya komaphakathi i-endometriosis kungasiza ukukhulula ubuhlungu.

Umuthi ohlukile

Ezinye izindlela zokwelapha i-endometriosis zihlanganisa i-acupuncture, engasiza ekudambiseni izimpawu zobuhlungu.

Ukusebenza

Ukuhlinzwa kungase kube ukulondoloza, lapho kuphela izimila ze-endometrial zisuswa ngenkathi kugcinwa isibeletho nama-ovari. Le nqubo yaziwa ngokuthi ukuhlinzwa kwe-laparoscopic.

I-Hysterectomy (ukususwa kokuhlinzwa kwesibeletho) kanye ne-oophorectomy (ukususwa kwama-ovari ngokuhlinzwa) i-endometriosis zazibhekwa njengezindlela zokwelapha eziphumelela kakhulu Kodwa muva nje, odokotela bagxile kuphela ekukhishweni kwe-endometrial implants.

ukwelashwa kokungabi nabantwana

Ukwelashwa kokuzala kungase kuhlanganise ukuvuselela amaqanda akho noma ukukhiqiza amaqanda engeziwe ku-vitro. Udokotela uzophakamisa izindlela zokwelapha kulokhu.

Izidakamizwa ezisetshenziswa ekwelapheni i-Endometriosis

Imithi etholakala ngaphandle kwe-counter efana ne-ibuprofen (i-Advil, i-Motrin IB) noma izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ezifana ne-naproxen sodium (Aleve) nazo zingase zibekwe ukuze kukhululwe izimpawu zobuhlungu ezivame ukuhlotshaniswa namajaqamba okuya esikhathini.

I-Endometriosis Diet

I-EndometriosisUkuze ulwe nokuvuvukala nobuhlungu obubangelwa umdlavuza, kuyadingeka ukudla ukudla okunomsoco, okulinganiselayo, okusekelwe ezitshalweni okugcwele amavithamini namaminerali.

Khulisa ukusetshenziswa kwamafutha e-omega 3

I-Omega 3 fatty acidsanempilo, amafutha alwa nokuvuvukala atholakala ezinhlanzini ezinamafutha kanye neminye imithombo yezilwane nezitshalo. 

Ezinye izinhlobo zamafutha, njengamafutha ezitshalo aqukethe amafutha e-omega-6, zingakhuthaza ubuhlungu nokuvuvukala. Kodwa-ke, amafutha e-omega 3 kucatshangwa ukuthi ayasebenza njengezakhi zokwakha ukuvuvukala nama-molecule aqeda ubuhlungu emzimbeni.

I-EndometriosisNjengoba kunikezwe ukuthi umsedari uhlotshaniswa nobuhlungu obukhulayo nokuvuvukala, isilinganiso esiphezulu se-omega-3 kuya ku-omega-6 ekudleni singase sibe nenzuzo ikakhulukazi kwabesifazane abanalesi sifo.

Isilinganiso samafutha e-omega-3 kuya ku-omega-6 siboniswe ukuthi sivimbela ukusinda kwamaseli e-endometrial ezifundweni zeshubhu lokuhlola.

Futhi, ucwaningo olulodwa lokuhlola luthole ukuthi abesifazane abadla amanani aphezulu kakhulu we-omega 3 fat uma kuqhathaniswa nabesifazane abadla amanani aphansi kakhulu. i-endometriosis ithole ukuthi amathuba ehle ngo-22%.

Ekugcineni, abacwaningi bathole ukuthi ukuthatha izithako zamafutha ezinhlanzi eziqukethe i-omega 3 amafutha kunganciphisa kakhulu izimpawu zokuya esikhathini nobuhlungu. 

EUngadla izinhlanzi ezinamafutha futhi uthathe izithasiselo ze-omega 3 ukulwa nobuhlungu nokuvuvukala okuhambisana ne-endometriosis.

Gwema amafutha e-trans

Ucwaningo luye lwathola ukuthi amafutha e-trans akhulisa amazinga e-cholesterol "embi" ye-LDL futhi ehlisa i-cholesterol "enhle" ye-HDL, ngaleyo ndlela andisa ingozi yesifo senhliziyo nokufa.

Amafutha e-Transidalwa ngokufafaza uketshezi lwamafutha angagcwele nge-hydrogen aze aqine. Abakhiqizi ngokuvamile bafaka amafutha e-trans emikhiqizweni yabo ukuze ibanike isikhathi eside seshelufu kanye nokuthungwa okusakazeka kakhudlwana.

Ngakho-ke, lawa mafutha afaneleka ukusetshenziswa ezinhlobonhlobo zokudla okuthosiwe nokucutshungulwa, njengama-crackers, ukhilimu, ama-donuts, ama-fries nama-pastries. 

Kodwa-ke, ukuqapha kufanele kusetshenziswe lapho usebenzisa imikhiqizo equkethe amafutha e-trans, kungcono ukuwagwema ngokuphelele uma kungenzeka.

ikakhulukazi i-endometriosis abesifazane kufanele bazigweme. Ucwaningo olulodwa lwathola ukuthi ama-48% abesifazane abadla inani eliphakeme kakhulu lama-trans fat ingozi ye-endometriosisNgikutholile abebekuphethe. 

Yehlisa ukusetshenziswa kwenyama ebomvu

inyama ebomvuInyama, ikakhulukazi inyama ebomvu egayiwe, inengozi enkulu yezifo ezithile. Ukushintsha inyama ebomvu ngomunye umthombo wamaprotheni, ngokuvamile i-endometriosis kunganciphisa ukuvuvukala okuhlobene 

Ngaphezu kwalokho, ucwaningo oluthile lwathola ukuthi abesifazane abadla inyama eningi babesengozini eyengeziwe uma kuqhathaniswa nalabo abadla inyama encane. ingozi ye-endometriosis bakhombisa ukuthi bathwele.

Obunye ubufakazi bubonisa ukuthi ukusetshenziswa okukhulu kwenyama ebomvu kungase kuhlotshaniswe nokwanda kwamazinga e-estrogen egazini.

I-EndometriosisNgenxa yokuthi i-Estrogen iyisifo esincike ku-estrogen, ingozi yalesi simo ingase ikhule uma amazinga e-estrogen egazini enyuka.

Yidla izithelo, imifino kanye nokusanhlamvu okuningi

Izithelo, imifino kanye nokusanhlamvu kugcwele amavithamini, amaminerali kanye ne-fiber. Ukudla inhlanganisela yalokhu kudla kusiza ukuthola imisoco ebalulekile futhi kunciphise ukudliwa kwama-kilojoule angenalutho.

Lokhu kudla kanye nezinzuzo zako kungase kubaluleke kakhulu kulabo abane-endometriosis. Imithombo engcono kakhulu ye-fiber izithelo, imifino kanye nokusanhlamvu. Lokhu kudla nakho kuhlinzeka ngama-antioxidants angasiza ukulwa nokuvuvukala.

Ucwaningo olulodwa lwalandela ukudla okune-antioxidant ephezulu izinyanga ezine. nge-endometriosis ithole ukwenyuka komthamo we-antioxidant wabesifazane kanye nokuncipha kwezimpawu zokucindezeleka kwe-oxidative.

Olunye ucwaningo lwathola ukuthi ukuthatha izithako ze-antioxidant i-endometriosis kutholakale ukunciphisa kakhulu ubuhlungu obuhlobene 

Nciphisa i-caffeine notshwala

abasebenzi bezempilo, nge-endometriosis abesifazane i-caffeine futhi incoma ukunciphisa ukusetshenziswa kotshwala. Izifundo ezehlukene, i-endometriosis Uthole ukuthi abesifazane abanomlando wokugula bajwayele ukuphuza kakhulu utshwala kunabesifazane abangenaso lesi sifo.

Nokho, lokhu kuphuza okuphezulu kotshwala ku-endometriosis Akufakazeli ukuthi kungani. kwabesifazane abane-endometriosisLokhu kungase kusho ukuthi abantu bavame ukuphuza utshwala obuningi ngenxa yokugula.

AUtshwala ne-caffeine kuhlotshaniswa nokwanda kwamazinga e-estrogen.

i-caffeine noma utshwala ingozi ye-endometriosisNakuba bungekho ubufakazi obucacile obuhlobanisa into noma ubukhulu bayo, abanye besifazane kufanele banciphise noma baqede lezi zinto ezimpilweni zabo.

Gwema ukudla okugayiwe

Ukudla okugayiwe, okuvame ukuba namafutha angenampilo noshukela, okuphansi kwezakhi ezibalulekile kanye ne-fiber, kungakhuthaza ubuhlungu nokuvuvukala.

Amafutha e-Omega 6 atholakala emafutheni ezitshalo afana nommbila, i-cottonseed kanye namafutha e-peanut angandisa ubuhlungu, ukuminya kwesibeletho nokuvuvukala.

Ngakolunye uhlangothi, amafutha e-omega-3 atholakala ezinhlanzi, ama-walnuts kanye ne-flaxseed anganciphisa ubuhlungu, ukukhwabanisa nokuvuvukala. 

ukunciphisa ukudla okufana namakhekhe, ama-chips, ama-crackers, uswidi, nokudla okuthosiwe i-endometriosis Kungasiza ukunciphisa ubuhlungu obuhlobene.

Shintsha ukudla okugayiwe ngezinhlanzi ezinamafutha, okusanhlamvu noma izithelo nemifino emisha.

Zama Ukudla Okungenayo I-Gluten noma Okuphansi kwe-FODMAP

ezinye izidlo izimpawu ze-endometriosiskungasiza ukunciphisa

ukudla okungenayo gluten

Ukudla okungenagluten akunconyelwe kubantu abangenaso isifo se-celiac noma ukuzwela okuthile kwe-gluten. Iyakhawula futhi ingaba ne-fiber ephansi kanye nezakhamzimba.

Nokho, ukudla okungenayo glutenin i-endometriosisKunobufakazi obuthile obungase buzuzise abantu ngabo Ocwaningweni lwabesifazane abangama-207 abanobuhlungu obukhulu be-endometriosis, abangama-75% bathola ukuncipha okukhulu kobuhlungu ngemva kwezinyanga eziyi-12 ekudleni okungenalo i-gluten.

Ngenxa yokuthi lolu cwaningo aluzange lufake iqembu lokulawula, umphumela we-placebo awukwazi ukuchazwa. Noma kunjalo, olunye ucwaningo kwabesifazane abangu-300 bathola imiphumela efanayo futhi babe neqembu lokulawula. Iqembu elilodwa lathatha imithi kuphela, elinye iqembu lathatha imithi futhi lalandela ukudla okungenayo i-gluten.

Ekupheleni kocwaningo, iqembu elilandela ukudla okungenalo i-gluten lathola ukuncipha okuphawulekayo ebuhlungu be-pelvic.

Ukudla okuphansi kwe-FODMAP

Ukudla okuphansi kwe-FODMAP i-endometriosis Kungaba yinzuzo kwabesifazane abane Lokhu kudla kwakuklanyelwe ukukhulula izimpawu zamathumbu ezigulini ezine-irritable bowel syndrome (IBS).

Amagciwane asemathunjini avuthela ama-FODMAP, akhiqiza igesi ebangela ubuhlungu nokungakhululeki ezigulini ezine-IBS. 

Kokubili i-IBS ne-IBS kanye nge-endometriosis Olunye ucwaningo lweziguli lwathola ukuthi ukudla okuphansi kwe-FODMAP kuthuthukisa izimpawu ku-72% yalabo abanakho kokubili i-endometriosis ne-IBS.

Ukudla okungenagluten kanye nokudla okuphansi kwe-FODMAP kungase kube imingcele futhi kube nzima ukuphatha. Nokho, i-endometriosis Inikeza ukukhululeka kwezimpawu. 

Uma unquma ukulandela okunye kwalokhu kudla, khuluma nodokotela noma isazi sokudla ukuze wenze uhlelo oluhle.

Izithasiselo Zomsoco ze-Endometriosis

Ngaphezu kokudla ukudla okunempilo, ezinye izithasiselo zokudla okunomsoco zingase zibe nenzuzo.

umsebenzi omncane nge-endometriosis Abahlanganyeli, kuhlanganise nabesifazane be-59, abangezelelwe nge-1.200 IU ye-vitamin E kanye ne-1.000 IU ye-vitamin C ibonise ukunciphisa ubuhlungu obungapheli be-pelvic kanye nokunciphisa ukuvuvukala.

Olunye ucwaningo lwaluhilela ukudla okwengeziwe kwe-zinc namavithamini A, C, no-E. ukuthatha lezi zithako kwabesifazane abane-endometriosisyehla izimpawu zokucindezeleka ze-peripheral oxidative kanye nezimpawu ezikhulayo ze-antioxidant.

I-Curcumin nayo i-endometriosis ingasiza abaphathi. Ucwaningo olulodwa lwathola ukuthi i-curcumin ivimbele amangqamuzana e-endometrial ngokunciphisa ukukhiqizwa kwe-estradiol.

Ucwaningo olukhulu lwabesifazane abanamazinga aphezulu kavithamini D kanye nokudla imikhiqizo yobisi eminingi ekudleni kwabo i-endometriosis ibonise ukwehla kwezinga. Ivithamini D ngaphezu kokudla noma izithasiselo i-calcium futhi i-magnesium ingase ibe nenzuzo.

Ezinye izindlela zokwelapha i-Endometriosis

Zivocavoce, i-endometriosisingasiza ekuphathweni kwe Lokhu kungenxa yokuthi ukuvivinya umzimba kungehlisa amazinga e-estrogen futhi kukhiphe amahomoni okuzizwa ejabule.

Ngaphezu kwezindlela zokwelapha zendabuko, ezinye izindlela zokwelapha kwabesifazane abane-endometriosis Kungaba usizo kakhulu kuwe. Isibonelo, izindlela zokuphumula... 

– ukuzindla

- Yoga

- Ukukhishwa kwesikhumba

– Ukubhucunga

Ukuphila ne-Endometriosis

I-Endometriosisyisimo esingelapheki esingelapheki. Okwamanje akwaziwa ukuthi kudalwa yini.

Nokho, lokho akusho ukuthi isimo kufanele sithinte impilo yakho yansuku zonke. Ukwelashwa okusebenzayo kuyatholakala ukuze kulawuleke izinkinga zobuhlungu nokuzala, njengemithi, ukwelapha ngamahomoni, nokuhlinzwa. Izimpawu ze-endometriosis Ngokuvamile kuba ngcono ngemva kokunqamuka kokuya esikhathini.

I-Endometriosis Labo abake baphila bangasixoxela okuhlangenwe nakho kwabo ngokuphawula.