I-Endometriosis yeSciatic

Ngaba ukudibanisa unyango lwe-chiropractic kunye nonyango oluqhelekileyo lwamayeza, umthambo, kunye / okanye unyango lomzimba lunokunceda ukukhulula iimpawu zentlungu ye-sciatic endometriosis?

I-Endometriosis yeSciatic

I-endometriosis ye-Sciatic yimeko apho iiseli ze-endometrial (izicubu ezifana ne-lining ye-uterus) zikhula ngaphandle kwe-uterine lining kwaye zicinezele i-nerve ye-sciatic. Oku kubeka uxinzelelo kunye noxinzelelo kwi-nerve ebangela umva, i-pelvic, i-hip, kunye nentlungu yomlenze, ngakumbi ngaphambi nangexesha lokuya esikhathini. Isenokubangela iintlungu, amaxesha angaqhelekanga, kunye nokungafumani bantwana. (IKholeji yaseMelika yeeObstetricians kunye neGynecologists. 2021)

• Ezi ndawo zokukhula kwezicubu ze-endometrial zikwabizwa ngokuba yizilonda okanye ukufakelwa.
• Abasetyhini abane-endometriosis ye-sciatic bahlala beva iintlungu zomlenze kunye nobuthathaka malunga nexesha lokuya kwabo exesheni. (ULena Marie Seegers, et al., 2023)
• I-Sciatic endometriosis inokubangela iintlungu xa uchama, ngexesha lokuhamba kwamathumbu, ngexesha lokwabelana ngesondo, kunye nokudinwa, kunye nokopha okungaqhelekanga kwilungu lobufazi.

Inzululwazi yeNzululwazi

• Ngokuqhelekileyo, izilonda ze-endometrial ziyakhula kwaye zincamathele kwii-ovari, iityhubhu ze-fallopian, isinyi, amathumbu, amathumbu, i-rectum, okanye i-peritoneum / i-abdominal cavity. (IKholeji yaseMelika yeeObstetricians kunye neGynecologists. 2021)
• Ukukhula okungaqhelekanga kunokubangelwa ngamanqanaba aphezulu e-estrogen kunesiqhelo.
• Abaphandi bakholelwa ukuba i-endometriosis inxulumene nokubuyela emva kokuya esikhathini, okubangela ukuba igazi lokuya exesheni libuyele kwi-pelvis endaweni yokuphuma kwilungu lobufazi. (I-World Health Organization. 2023)
• Ngamanye amaxesha, iiseli zikhula kwindawo ye-pelvis kanye ngaphezu kwe-nerve ye-sciatic. (UAdaya Yahaya, et al., 2021)
• I-nerve ye-sciatic yeyona nerve inde kakhulu emzimbeni kwaye ihamba ihla ngasemva komlenze ngamnye. (Johns Hopkins Medicine. 2023)
• Xa izilonda ze-endometrial zibeka uxinzelelo kwi-nerve ye-sciatic, zinokubangela ukucaphuka kunye nokuvuvukala okukhokelela kwiintlungu ezibuhlungu ze-pelvic, okwenza kube nzima ukukhulelwa. (U-Liang Yanchun, et al., 2019)

iimpawu

Abanye abafazi abane-endometriosis abafumani zimpawu okanye batolike ngendlela engeyiyo iimpawu njengeempawu ze-premenstrual / PMS. Iimpawu eziqhelekileyo kunye neempawu ze-sciatic endometriosis ziquka:

• Ubunzima bokuhamba okanye ukuma.
• Ukulahlekelwa yimvakalelo, ubuthathaka bemisipha, kunye nokuguqulwa kwe-reflex.
• Ukuqhwalela.
• Iingxaki zokulinganisela.
• Ukuqunjelwa kunye nesicaphucaphu.
• Ukuqunjelwa okanye urhudo ngaphambi okanye emva kwexesha.
• Iintlungu, ubunzima, kunye / okanye amaxesha angaqhelekanga.
• Ukopha phakathi kwexesha.
• Iintlungu ngexesha lokwabelana ngesondo, ukuchama, kunye nokuhamba kwamathumbu.
• Iintlungu esiswini, i-pelvis, i-back back, i-hips, kunye neempundu. (MedlinePlus. 2022)
• Ubuthathaka, ukuba ndindisholo, ukuntyiloza, ukutshisa, okanye ukuva okubuhlungu okubuhlungu kumqolo womlenze omnye okanye yomibini.
• Ukuwa kweenyawo okanye ingxaki yokuphakamisa umphambili wonyawo. (Iziko le-Endometriosis Care. 2023)
• Ubudlolo.
• Ukukhathala.
• Uxinzelelo kunye nexhala.

Ukuqondwa

I-Endometriosis, kubandakanya i-sciatic endometriosis, ayinakufunyanwa ukuba inovavanyo lwe-pelvic okanye i-ultrasound ngokwayo. Umboneleli wezempilo unokufuna ukwenza i-biopsy esebenzisa i-laparoscopy kwaye axoxe ngemijikelo yokuya exesheni, iimpawu, kunye nembali yonyango.

• Inkqubo ye-laparoscopy ibandakanya ukwenza amanxeba amancinane kunye nokuthatha isampulu yethishu ngezixhobo ezincanyathiselwe kumbhobho obhityileyo ngekhamera. (MedlinePlus. 2022)
• Iimvavanyo zokucinga, ezifana ne-magnetic resonance imaging / MRI, kunye ne-computed tomography / i-CT scans, inokunceda ukunika ulwazi olubalulekileyo malunga nendawo kunye nobukhulu baso nasiphi na izilonda ze-endometrial. (IKholeji yaseMelika yeeObstetricians kunye neGynecologists. 2021)

impatho

Iimpawu ngamanye amaxesha zinokukhululeka okwexeshana nge-over-the-counter/OTC yokuthomalalisa iintlungu. Ngokuxhomekeke kwimeko kunye nobukhulu umboneleli wezempilo unokumisela unyango lwehomoni ukuthintela ukufakelwa kwe-endometrial entsha ekukhuleni. Oku kunokubandakanya:

• Ukulawulwa kokuzalwa kweHormonal.
• Iprogestin - ifom yokwenziwa kweprogesterone.
• I-Gonadotropin-ikhulula ihomoni - iGnRH agonists.
• Ukuba iintlungu ziyaqhubeka okanye ziba mandundu, abantu banokufuna utyando ukuze kususwe izicubu.
• Kwiimeko ezinzima, i-hysterectomy okanye ukususwa ngotyando lwesibeleko kunokucetyiswa. (IKholeji yaseMelika yeeObstetricians kunye neGynecologists. 2021)
• Ulungiso lwenyama, imithambo ejoliswe kakuhle, kunye nokusebenzisa ubushushu okanye ingqele kwindawo echaphazelekayo nako kusenokunceda. (Johns Hopkins Medicine. 2023)

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Sciatica Ubunzulu

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Ucaphulo

IKholeji yaseMelika yeeObstetricians kunye neGynecologists. Endometriosis.

Ababoni, LM, DeFaria Yeh, D., Yonetsu, T., Sugiyama, T., Minami, Y., Soeda, T., Araki, M., Nakajima, A., Yuki, H., Kinoshita, D., Suzuki, K., Niida, T., Lee, H., McNulty, I., Nakamura, S., Kakuta, T., Fuster, V., & Jang, IK (2023). Umahluko ngesondo kwi-Coronary Atherosclerotic Phenotype kunye nePattern yokuPhilisa kwi-Optical Coherence Tomography Imaging. Ukujikeleza. Umfanekiso we-cardiovascular, 16 (8), e015227. doi.org/10.1161/CIRCIMAGING.123.015227

I-World Health Organization. Endometriosis.

Yahaya, A., Chauhan, G., Idowu, A., Sumathi, V., Botchu, R., & Evans, S. (2021). ICarcinoma evela ngaphakathi kwe-sciatic nerve endometriosis: ingxelo yetyala. Ijenali yeengxelo zetyala lotyando, 2021(12), rjab512. doi.org/10.1093/jscr/rjab512

Johns Hopkins Medicine. Sciatica.

Yanchun, L., Yunhe, Z., Meng, X., Shuqin, C., Qingtang, Z., & Shuzhong, Y. (2019). Ukususwa kwe-endometrioma edlula ngasekhohlo enkulu ye-sciatic foramen usebenzisa i-laparoscopic kunye ne-transgluteal approach: ingxelo yecala. BMC impilo yabasetyhini, 19(1), 95. doi.org/10.1186/s12905-019-0796-0

MedlinePlus. Endometriosis.

Iziko le-Endometriosis Care. I-endometriosis ye-sciatic.

Chen, S., Xie, W., Strong, JA, Jiang, J., & Zhang, JM (2016). I-endometriosis ye-Sciatic ibangela uvakalelo lwe-mechanical hypersensitivity, umonakalo we-nerve ye-segmental, kunye nokudumba okuqinileyo kwendawo kwiimpuku. Ijenali yaseYurophu yeentlungu (eLondon, eNgilani), i-20 (7), i-1044-1057. doi.org/10.1002/ejp.827

Siquara de Sousa, AC, Capek, S., Howe, BM, Jentoft, ME, Amrami, KK, & Spinner, RJ (2015). Ubungqina bomfanekiso wemagnethi wokusasazeka kwe-perineural ye-endometriosis ukuya kwi-lumbosacral plexus: ingxelo yeemeko ezi-2. Ugxininiso lwe-Neurosurgical, i-39 (3), i-E15. doi.org/10.3171/2015.6.FOCUS15208