IiNyango eziBanzi zeNkxaso zoLawulo lwe-Endometriosis

Kubantu abaphila ne-cyclical okanye i-endometriosis engapheliyo iimpawu, ngaba ukubandakanya unyango lwenkxaso kunokunceda ukulawula izifo?

Inkxaso yoNyango

I-Endometriosis sisifo apho ithishu efana nolwelwesi lwesibeleko iqala ukukhula ngaphandle kwesibeleko apho ingekhoyo. I-Endometriosis yenkxaso yonyango ibandakanya indlela ebanzi yonyango. Ibandakanya unyango olungena-invasive ukunceda ukulawula iimpawu ezinokubandakanya:

• Umgangatho wePelvic ulungiso lwenyama
• ukuphulula umzimba womntu ngobunono
• Amachiza
• I-Transcutaneous Electrical Nerve Stimulation
• Ukwenza i-Acupuncture
• Chiropractic

UNyango loNyango loMgangatho wePelvic – PFPT

• I-Endometriosis inokubangela okanye ibe negalelo kukungasebenzi kakuhle komgangatho we-pelvic, kubangele iintlungu, ukuphazamiseka komchamo, iingxaki zamathumbu, kunye neentlobano zesini ezibuhlungu.
• Unyango lomzimba lomgangatho we-pelvic luphucula amandla kunye nomsebenzi wemisipha yomgangatho we-pelvic.
• Umzekelo wenkxaso yonyango inokubandakanya i-kegel exercises kunye ne-biofeedback. (UChristine Mansfield et al., 2022)

Unyango lokunyanga

Umgulana womzimba usebenzisa iingcinezelo ezahlukeneyo, ukolula, kunye / okanye ukukhutshwa kwenqaku. Oku kuyanceda: (USylvia Mechsner, ngo-2022)

• Khulula ukuqina kwemisipha
• I-cortisol ephantsi - ihomoni yoxinzelelo
• Ukuphucula ukuhamba kwegazi
• Khupha ii-endorphins – izithomalalisi zentlungu zendalo zomzimba

Mayeza

Izidakamizwa ezichasene ne-nonsteroidal anti-inflammatory okanye i-NSAID kunye ne-hormonal contraceptives - ukulawulwa kokuzalwa ngumgca wokuqala wonyango. I-Advil kunye ne-Motrin zi-NSAID ezingaphezu kwe-counter. Ukuba abo bangaziphathi kakuhle iintlungu, umboneleli wezempilo unokucebisa ii-NSAID zikagqirha. (USylvia Mechsner, ngo-2022I-Hormonal suppression agents okanye i-estrogen modulators ngumgca wesibini wonyango lwe-endometriosis kwaye inokubandakanya: (UChristian M. Becker et al., 2022)

• I-Gonadotropin-ikhupha i-hormone agonists (GnRH)
• Antigonadotropic amayeza
• I-Aromatase inhibitors
• Iimodyuli ezikhethiweyo ze-estrogen receptor (iiSERM)

Amanye amayeza aquka:(USylvia Mechsner, ngo-2022)

• I-Valium - i-diazepam suppositories - amayeza okukhulula izihlunu.
• Gabapentinoids – Amayeza anyanga iintlungu zemithambo-luvo.
• Ii-Antidepressants - ezi zinokunyusa umphumo wokunciphisa intlungu kwamanye amayeza.

Ingcali ye-endometriosis. (Endometriosis Foundation of America. 2015) unokucebisa ukubona ingcali yolawulo lweentlungu ezibonelela ngeebhloko zemithambo-luvo okanye iinaliti zeBotox. (UAugusto Pereira et al., 2022)

Ukulawula inzala

Izicwangcisi zeHormonal zicinezela okanye zilawule amaxesha. Ziyasebenza kulawulo, kodwa ayinguye wonke umntu onokuzithatha ngenxa yembali yonyango, iziphumo ebezingalindelekanga, okanye ukuphazamiseka kokuzala kunye neemeko. (UMert Ilhan et al., ngo-2019) Umboneleli wezempilo unokucebisa ezinye iindlela zonyango zenkxaso.

I-Transcutaneous Electrical Nerve Stimulation

• I-transcutaneous electrical nerve stimulation isebenzisa isixhobo esisebenza ngebhetri esihambisa uvuselelo lombane oluphantsi-voltage kwimithambo yemithambo-luvo ngokusebenzisa i-electrode ebekwe esikhumbeni.
• Iiseshoni zihlala ziyi-15 ukuya kwimizuzu ye-30 kwaye zisebenza ngokuphazamisa iimpawu zentlungu. (USylvia Mechsner, ngo-2022)

Ukwenza i-Acupuncture

• I-acupuncture lunyango apho ugqirha ufaka iinaliti ezincinci kwii-acupoints ezithile emzimbeni ukukhuthaza ukuhamba kwamandla kunye nokunciphisa intlungu. (Nora Giese et al., 2023)

Chiropractic

• Ukunyamekela kwe-Chiropractic kugxininise ekuhlengahlengisweni komgogodla kunye nokulungelelaniswa kokuphucula ukusebenza kwenkqubo ye-nervous, ukunceda ukunciphisa ukuphazamiseka kwe-pelvic kunye neentlungu ze-nerve-sciatica-kunye nokuphucula impilo yonke. (URobert J. Trager et al., 2021)
• I-decompression engeyiyo yotyando inokucetyiswa ukuba wolule ngobunono umnqonqo, uthomalalise uxinzelelo, kwaye ukhukulise umnqonqo ngezondlo ezongezelelweyo.

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Iyeza lokuhamba: Ukhathalelo lweChiropractic

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Ucaphulo

Mansfield, C., Lenobel, D., McCracken, K., Hewitt, G., & Appiah, LC (2022). Impembelelo yePelvic Floor Physical Therapy kwi-Function kwi-Adolescents kunye nabantu abadala abancinci abane-Biopsy-Confirmed Endometriosis kwiSibhedlele saBantwana esiPhezulu: Uthotho lweCase. Ijenali ye-gynecology yabantwana kunye ne-adolescent, i-35 (6), i-722-727. doi.org/10.1016/j.jpag.2022.07.004

Mechsner S. (2022). I-Endometriosis, uNyango oluQhelekileyo lwePain-step-by-step. Ijenali yezonyango lweklinikhi, i-11 (2), i-467. doi.org/10.3390/jcm11020467

Ilhan, M., Gürağaç Dereli, FT, & Akkol, EK (2019). Ujoliso lweNoveli yeChiza kunye namaYeza eSithombo eSiko lokoyisa i-Endometriosis. Ukuhanjiswa kweziyobisi ngoku, i-16 (5), 386-399. doi.org/10.2174/1567201816666181227112421

Becker, CM, Bokor, A., Heikinheimo, O., Horne, A., Jansen, F., Kiesel, L., King, K., Kvaskoff, M., Nap, A., Petersen, K., Saridogan , E., Tomassetti, C., van Hanegem, N., Vulliemoz, N., Vermeulen, N., & ESHRE Endometriosis Guideline Group (2022). Isikhokelo se-ESHRE: i-endometriosis. Ukuzala kwabantu kuvuliwe, ngo-2022(2), hoac009. doi.org/10.1093/hropen/hoac009

Endometriosis Foundation of America. (2015). Ukufuna ugqirha: ukufumana ingcali ye-endometriosis efanelekileyo. www.endofound.org/preparing-to-see-a-doctor

Pereira, A., Herrero-Trujillano, M., Vaquero, G., Fuentes, L., Gonzalez, S., Mendiola, A., & Perez-Medina, T. (2022). Ulawulo lweklinikhi yeeNzululwazi ezingapheliyo zePelvic kwi-Endometriosis engaphenduliyo kuNyango oluqhelekileyo. Ijenali yeyeza lomntu, 12(1), 101. doi.org/10.3390/jpm12010101

Giese, N., Kwon, KK, & Armor, M. (2023). I-acupuncture ye-endometriosis: Uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta. Uphando lweyeza oludibeneyo, i-12 (4), i-101003. doi.org/10.1016/j.imr.2023.101003

Trager, RJ, Prosak, SE, Leonard, KA et al. (2021). Ukuxilongwa kunye nokulawulwa kwe-sciatic endometriosis kwi-sciatic foramen enkulu: ingxelo yecala. I-SN Comprehensive Clinical Medicine, 3. doi.org/doi:10.1007/s42399-021-00941-0