Adenomyosis

Adenomyosis ndikulimba kwa khoma la chiberekero. Zimachitika minofu ya endometrial ikamakulira m'makoma akunja kwa chiberekero. Minofu ya Endometrial imapanga chiberekero cha chiberekero.

Choyambitsa sichikudziwika. Nthawi zina, adenomyosis imatha kupangitsa kuti chiberekero chikule kukula.

Matendawa amapezeka makamaka mwa amayi azaka 35 mpaka 50 omwe adakhala ndi pakati osachepera amodzi.

Nthawi zambiri, sipakhala zizindikiro. Zizindikiro zikachitika, zimatha kuphatikiza:

• Kutha msambo kwanthawi yayitali kapena kolemera
• Kusamba kowawa, komwe kumawonjezereka
• Kupweteka kwa m'mimba panthawi yogonana

Wopereka chithandizo chamankhwala amupangitsa kuti azindikire ngati mayi ali ndi zizindikiro za adenomyosis zomwe sizimayambitsidwa ndi zovuta zina zazamayi. Njira yokhayo yotsimikizira kuti ali ndi matendawa ndi kupenda chiberekero pambuyo pa opaleshoni kuti achotse.

Pakati pa kuyesa kwa m'chiuno, woperekayo amatha kupeza chiberekero chofewa komanso chokulirapo. Mayeserowa amathanso kuwulula kuchuluka kwa chiberekero kapena chifuwa cha chiberekero.

Ultrasound wa chiberekero akhoza kuchitidwa. Komabe, sizingapereke chidziwitso chodziwika bwino cha adenomyosis. MRI imatha kusiyanitsa vutoli ndi zotupa zina za m'chiberekero. Amagwiritsidwa ntchito nthawi zambiri mayeso a ultrasound akapanda kupereka chidziwitso chokwanira chodziwitsa.

Amayi ambiri amakhala ndi adenomyosis akafika kumapeto. Komabe, owerengeka okha ndi omwe amakhala ndi zizindikilo. Amayi ambiri safuna chithandizo.

Mapiritsi oletsa kubereka ndi IUD yomwe ili ndi progesterone ingathandize kuchepetsa kutaya magazi kwambiri. Mankhwala monga ibuprofen kapena naproxen amathanso kuthandizira kuthana ndi matenda.

Opaleshoni yochotsa chiberekero (hysterectomy) itha kuchitidwa mwa azimayi omwe ali ndi zizindikilo zoopsa.

Zizindikiro nthawi zambiri zimatha pambuyo pa kusamba. Kuchita opaleshoni kuchotsa chiberekero nthawi zambiri kumachotseratu zizindikilo.

Itanani omwe akukuthandizani ngati mukukula ndi matenda a adenomyosis.

Endometriosis interna; Adenomyoma; Kupweteka kwa m'mimba - adenomyosis

Brown D, Levine D. Chiberekero. Mu: Rumack CM, Levine D, eds. Kuzindikira ultrasound. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 15.

Bulun SE. Physiology ndi matenda amtundu woberekera wamkazi. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 17.

Dolan MS, Hill C, Valea FA. Zotupa za Benign gynecologic: maliseche, nyini, khomo pachibelekeropo, chiberekero, oviduct, ovary, imaging ya ultrasound yamapangidwe amchiuno. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 18.

Gambone JC. Endometriosis ndi adenomyosis. Mu: Wolowa mokuba NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 25.