Endometriosis

Endometriosis imachitika pamene ma cell ochokera m'chiberekero cha chiberekero chanu (chiberekero) amakula mbali zina za thupi lanu. Izi zitha kupweteketsa, kutaya magazi kwambiri, kutaya magazi pakati pa nthawi, komanso mavuto kutenga pakati (kusabereka).

Mwezi uliwonse, thumba losunga mazira la mkazi limatulutsa timadzi tomwe timauza maselo akulumikiza chiberekero kuti atuluke ndikulimba. Chiberekero chanu chimatsitsa maselowa pamodzi ndi magazi ndi minofu kudzera mumaliseche anu mukamasamba.

Endometriosis imachitika pamene maselowa amakula kunja kwa chiberekero m'malo ena amthupi lanu. Minofu iyi imatha kulumikizidwa ndi yanu:

• Zosunga
• Machubu olowa
• Matumbo
• Kuchuluka
• Chikhodzodzo
• Kukhazikika kwanuko

Ikhoza kukula m'madera ena a thupi, nayenso.

Kukula kumeneku kumakhala mthupi lanu, ndipo monga maselo amkati mwa chiberekero chanu, kukula uku kumakhudzana ndi mahomoni ochokera m'mimba mwanu. Izi zitha kukupweteketsani m'mwezi musanayambike nthawi yanu. Popita nthawi, ziphuphu zimatha kuwonjezera minofu ndi magazi. Kukula kumathanso kukula m'mimba ndi m'chiuno kumabweretsa ululu wam'mimba, kupweteka kwambiri, komanso kusabereka.

Palibe amene amadziwa chomwe chimayambitsa endometriosis. Lingaliro limodzi ndilakuti mukayamba kusamba, maselowa amatha kubwerera m'mbuyo kudzera m'machubu yazolowera m'chiuno. Akakhala pamenepo, maselowo amalumikizana ndikukula. Komabe, nthawi yobwerera m'mbuyo imapezeka mwa amayi ambiri. Chitetezo cha mthupi chimatha kuthandizira kuchititsa endometriosis mwa amayi omwe ali ndi vutoli.

Endometriosis ndi wamba. Zimapezeka pafupifupi azimayi 10% azaka zoberekera. Nthawi zina, zimatha kuyenda m'mabanja. Endometriosis mwina imayamba mayi atayamba kusamba. Komabe, nthawi zambiri samapezeka mpaka zaka 25 mpaka 35.

Mutha kukhala ndi endometriosis ngati:

• Khalani ndi amayi kapena mlongo yemwe ali ndi endometriosis
• Anayamba kusamba ali wamng'ono
• Sanakhalepo ndi ana
• Khalani ndi nthawi zambiri, kapena amatha masiku 7 kapena kupitilira apo

Ululu ndicho chizindikiro chachikulu cha endometriosis. Mutha kukhala ndi:

• Nthawi zopweteka - Zilonda kapena zopweteka m'mimba mwanu zimatha kuyamba sabata kapena awiri musanakhale msambo. Zokokana zitha kukhazikika ndipo zimayamba kuzimiririka mpaka zovuta.
• Zowawa panthawi yogonana kapena mukatha.
• Ululu pokodza.
• Ululu wokhala ndi matumbo.
• Zowawa zazitali zam'mimba kapena zam'munsi zomwe zimatha kuchitika nthawi iliyonse ndikukhala miyezi 6 kapena kupitilira apo.

Zizindikiro zina za endometriosis ndi izi:

• Kuchuluka kwa msambo kapena kutaya magazi pakati pa msambo
• Kusabereka (zovuta kutenga kapena kukhala ndi pakati)

Simungakhale ndi zizindikiro zilizonse. Amayi ena okhala ndi minofu yambiri m'chiuno samamva kuwawa konse, pomwe azimayi ena omwe ali ndi matenda owopsa amakhala ndi ululu wopweteka.

Wothandizira zaumoyo wanu ayesa mayeso, kuphatikizapo kuyesa m'chiuno. Mutha kukhala ndi mayesero amodzi kuti muthandize kuzindikira matendawa:

• Kutuluka kwa ultrasound
• Ziphuphu zam'mimba
• Kujambula kwa maginito (MRI)

Kuphunzira momwe mungathetsere matenda anu kumatha kukhala kosavuta kukhala ndi endometriosis.

Ndi mtundu wanji wa chithandizo chomwe muli nacho chimadalira:

• Zaka zanu
• Kukula kwa zizindikilo zanu
• Kukula kwa matendawa
• Kaya mukufuna ana mtsogolo

Pakadali pano palibe mankhwala a endometriosis. Pali njira zosiyanasiyana zochiritsira.

OTHANDIZA ZOWAWA

Ngati muli ndi zizindikiro zochepa, mutha kuthana ndi zopweteka ndi:

• Kuchita masewera olimbitsa thupi komanso kupumula.
• Kuchepetsa kupweteka kwapadera - Izi zimaphatikizapo ibuprofen (Advil), naproxen (Aleve), ndi acetaminophen (Tylenol).
• Mankhwala othetsa ululu, ngati kuli kofunikira, kuti azimva kuwawa kwambiri.
• Kuyesa pafupipafupi miyezi isanu ndi umodzi kapena isanu ndi umodzi kuti dokotala athe kuyesa matendawa.

CHithandizo CHA HORMONE

Mankhwalawa amatha kuyimitsa endometriosis kuti isakule kwambiri. Angaperekedwe ngati mapiritsi, kutsitsi kwammphuno, kapena kuwombera. Amayi okha omwe sakufuna kutenga pakati ndi omwe ayenera kulandira mankhwalawa. Mitundu ina yamankhwala othandizira mahomoni imakutetezaninso kuti musatenge mimba mukamamwa mankhwala.

Mapiritsi oletsa kubereka - Ndi mankhwalawa, mumamwa mapiritsi a mahomoni (osati mapiritsi osagwira ntchito kapena a placebo) kwa miyezi 6 mpaka 9 mosalekeza. Kumwa mapiritsiwa kumachepetsa zizindikiro zambiri. Komabe, sizimathetsa kuwonongeka komwe kwachitika kale.

Mapiritsi a progesterone, jakisoni, IUD - Mankhwalawa amathandiza kuchepetsa zophuka. Zotsatira zoyipa zimaphatikizapo kunenepa ndi kukhumudwa.

Mankhwala a Gonadotropin-agonist - Mankhwalawa amaletsa thumba losunga mazira anu kutulutsa hormone estrogen. Izi zimayambitsa dziko longa kusamba. Zotsatira zoyipazi zimaphatikizapo kunyezimira kwamphamvu, kuuma kwa nyini, komanso kusintha kwa malingaliro. Chithandizo nthawi zambiri chimangokhala miyezi 6 chifukwa chitha kufooketsa mafupa anu. Wothandizira anu akhoza kukupatsani timadzi tating'onoting'ono ta mahomoni kuti muchepetse zizindikiritso izi. Izi zimadziwika ngati 'add-back' therapy. Zitha kuthandizanso kuteteza kutayika kwa mafupa, pomwe sizoyambitsa kukula kwa endometriosis.

Mankhwala a Gonadotropin- antagonist - Mankhwalawa amathandiza kutsika kwa estrogen komwe kumapangitsa kuti azikhala ndi vuto lofanana ndi amuna komanso kuwongolera kukula kwa minofu ya endometrium komwe kumapangitsa kuti asakhale opweteka kwambiri komanso olemera.

KUGWIDWA

Wothandizira anu akhoza kukulangizani kuchitidwa opaleshoni ngati muli ndi ululu wopweteka womwe sungakhale bwino ndi mankhwala ena.

• Laparoscopy imathandizira kuzindikira matendawa komanso imatha kuchotsa zophuka ndi minofu yofiira. Chifukwa kochepetsedwa kokha kamapangidwa m'mimba mwanu, mumachira mwachangu kuposa mitundu ina ya maopareshoni.
• Laparotomy imaphatikizapo kupanga timbewu tambiri (todulira) m'mimba mwanu kuti muchepetse zophuka ndi minofu yofiira. Uku ndi opaleshoni yayikulu, motero kuchira kumatenga nthawi yayitali.
• Laparoscopy kapena laparotomy ikhoza kukhala njira yabwino ngati mukufuna kukhala ndi pakati, chifukwa amachiza matenda ndikusiya ziwalo zanu m'malo mwake.
• Hysterectomy ndi opaleshoni yochotsa chiberekero, machubu, ndi mazira. Kuchotsa thumba losunga mazira anu kumatanthauza kulowa kusamba. Mukangochita opareshoniyi ngati muli ndi zizindikilo zoopsa zomwe sizinakhale bwino ndi mankhwala ena ndipo simukufuna kudzakhalanso ndi ana mtsogolo.

Palibe mankhwala a endometriosis. Thandizo la mahomoni lingathandize kuthetsa zizindikilo, koma zizindikilo nthawi zambiri zimabwerera mankhwala akayimitsidwa. Chithandizo cha opaleshoni chingathandize kuthetsa zizindikiro kwa zaka. Komabe, si amayi onse omwe ali ndi endometriosis omwe amathandizidwa ndi mankhwalawa.

Mukangoyamba kusamba, endometriosis sizingayambitse mavuto.

Endometriosis imatha kubweretsa zovuta kutenga mimba. Komabe, amayi ambiri omwe ali ndi zizindikiro zochepa amatha kutenga mimba. Laparoscopy yochotsa zophuka ndi minofu yofiira ikhoza kukuthandizani kuti mukhale ndi pakati. Ngati sichoncho, mungafune kulingalira za chithandizo chamankhwala.

Zovuta zina za endometriosis ndi izi:

• Kupweteka kwa m'chiuno kwakanthawi kochepa komwe kumasokoneza zochitika pagulu komanso ntchito
• Ziphuphu zazikulu m'mimba mwake ndi m'chiuno zomwe zimatha kutseguka

Nthawi zambiri, minofu ya endometriosis imatha kutseka matumbo kapena thirakiti.

Kawirikawiri, khansara imatha kupezeka m'malo amakulidwe a minofu pambuyo pa kusintha kwa thupi.

Itanani omwe akukuthandizani ngati:

• Muli ndi zizindikiro za endometriosis
• Dzimvereni wamisala kapena wopepuka chifukwa chakuchepa kwamagazi
• Ululu wammbuyo kapena zizindikilo zina zomwe zimachitika pambuyo pa endometriosis atachiritsidwa

Mungafune kuyezetsa endometriosis ngati:

• Amayi anu kapena mlongo wanu ali ndi matendawa
• Simungathe kutenga pakati mutayesa chaka chimodzi

Mapiritsi oletsa kubereka angathandize kupewa kapena kuchepetsa kukula kwa endometriosis. Mapiritsi oletsa kubala omwe amagwiritsidwa ntchito ngati chithandizo cha endometriosis amagwira bwino ntchito akamwedwa mosalekeza komanso osayimitsidwa kuti athe kusamba. Zitha kugwiritsidwa ntchito kwa azimayi achichepere kumapeto kwa unyamata kapena koyambirira kwa 20s ndi nthawi zopweteka zomwe mwina chifukwa cha endometriosis.

Kupweteka kwa m'mimba - endometriosis; Endometrioma

• Hysterectomy - m'mimba - kutulutsa
• Hysterectomy - laparoscopic - kutulutsa
• Hysterectomy - ukazi - kutulutsa

• Ziphuphu zam'mimba
• Endometriosis
• Kusamba kwachilendo

Advincula A, Truong M, Lobo RA. Endometriosis: etiology, matenda, matenda, kasamalidwe. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 19.

Brown J, Crawford TJ, Datta S, Prentice A. Njira zolerera pakamwa zowawa zomwe zimakhudzana ndi endometriosis. Dongosolo La Cochrane Syst Rev. 2018; 5 (5): CD001019. [Adasankhidwa] PMID: 29786828 pubmed.ncbi.nlm.nih.gov/29786828/.

Zondervan KT, Becker CM, Missmer SA. Endometriosis. N Engl J Med. Kukonzekera. 2020; 382 (13): 1244-1256. PMID: 32212520 adatulutsidwa.ncbi.nlm.nih.gov/32212520/.