Adenomyosis

Zamkati

• Zowopsa za adenomyosis
• Zizindikiro za adenomyosis
• Kuzindikira adenomyosis
• Njira zochiritsira adenomyosis
• Mankhwala oletsa kutupa
• Mankhwala a mahomoni
• Kuchotsa kwa Endometrial
• Kuphatikiza kwamitsempha ya m'mimba
• Kuchita opaleshoni ya ultrasound (MRgFUS)
• Kutsekemera
• Zovuta za adenomyosis
• Kuwona kwakanthawi

Kodi adenomyosis ndi chiyani?

Adenomyosis ndi chikhalidwe chomwe chimakhudza kusunthika, kapena kusuntha, kwa minofu ya endometrial yomwe imayika chiberekero m'misempha ya chiberekero. Izi zimapangitsa makoma a chiberekero kukula. Zitha kupangitsa kuti magazi azisamba kwambiri kapena kupitilira nthawi kusamba, komanso kumva kuwawa mukamayamba kusamba kapena mukamagonana.

Zomwe zimayambitsa vutoli sizikudziwika. Komabe, zimagwirizanitsidwa ndi kuchuluka kwa estrogen. Adenomyosis nthawi zambiri imasowa atatha kusamba (miyezi 12 kuchokera pamene mayi amasamba komaliza). Apa ndipamene milingo ya estrogen imatsika.

Pali malingaliro angapo pazomwe zimayambitsa adenomyosis. Izi zikuphatikiza:

• ziwalo zowonjezera mu khoma la chiberekero, zomwe zimakhalapo asanabadwe, zomwe zimakula munthu atakula
• Kukula kwamatenda osazolowereka (otchedwa adenomyoma) ochokera m'maselo am'magazi amadziponyera okha mumisempha ya chiberekero - izi zitha kukhala chifukwa chobowolera pachiberekero pakuchita opaleshoni (monga nthawi yobereka) kapena nthawi yachiberekero
• maselo oterera mu khoma la chiberekero cha minyewa
• Kutupa kwa chiberekero komwe kumachitika pambuyo pobereka - izi zitha kuswa malire am'maselo omwe amayandikira chiberekero

Zowopsa za adenomyosis

Zomwe zimayambitsa adenomyosis sizikudziwika. Komabe, pali zifukwa zomwe zimaika amayi pachiwopsezo chachikulu cha vutoli. Izi zikuphatikiza:

• kukhala mu 40s kapena 50s (musanathe kusamba)
• kukhala ndi ana
• atachitidwa opaleshoni ya chiberekero, monga kuperekera kwa opaleshoni kapena opaleshoni kuti achotse ma fibroids

Zizindikiro za adenomyosis

Zizindikiro za vutoli zitha kukhala zochepa kufikira zovuta. Amayi ena sangakhale ndi vuto lililonse. Zizindikiro zofala kwambiri ndi izi:

• kupweteka kwa msambo kwa nthawi yayitali
• kuwona pakati pa nthawi
• kutuluka magazi msambo kolemera
• Kutha msambo kuposa nthawi zonse
• kuundana kwamagazi mukamasamba magazi
• zowawa panthawi yogonana
• Kukoma mtima m'mimba

Kuzindikira adenomyosis

Kuwunika kwathunthu kwazachipatala kungathandize kudziwa njira yabwino yothandizira. Dokotala wanu ayamba kufuna kuchita mayeso kuti muwone ngati chiberekero chanu chatupa. Amayi ambiri omwe ali ndi adenomyosis adzakhala ndi chiberekero chomwe chimakhala chowirikiza kawiri kapena katatu kukula kwake.

Mayesero ena atha kugwiritsidwanso ntchito. Ultrasound ingathandize dokotala kuti azindikire vutoli, komanso kuti asatengere zotupa pachiberekero. Ultrasound imagwiritsa ntchito mafunde akumveka kuti apange zithunzi zosunthika zamkati mwanu - pankhaniyi, chiberekero. Pogwiritsa ntchito njirayi, katswiri wa ultrasound (sonographer) adzaika madzi pamimba panu. Kenako, adzaika kafukufuku wam'manja m'derali. Kafukufukuyu apanga zithunzi zosunthika pazenera kuti zithandizire wolemba mapangidwe mkati mwa chiberekero.

Dokotala wanu atha kuyitanitsa sikani ya MRI kuti mupeze zithunzi zapamwamba za chiberekero ngati sangakwanitse kupanga matenda pogwiritsa ntchito ultrasound. MRI imagwiritsa ntchito maginito ndi mawailesi kupanga zithunzi zamkati mwanu. Njirayi imakhudza kugona patebulo lazitsulo lomwe limatsetsereka pamakina osakira. Ngati mukuyenera kukhala ndi MRI, onetsetsani kuti mwauza dokotala ngati pali mwayi uliwonse kuti muli ndi pakati. Komanso, onetsetsani kuti muwauze adotolo anu komanso ukadaulo wa MRI ngati muli ndi chitsulo chilichonse kapena zida zamagetsi mkati mwanu, monga pacemaker, kuboola, kapena chitsulo chopangidwa ndi chovulala cha mfuti.

Njira zochiritsira adenomyosis

Amayi omwe ali ndi vuto lochepa mwina sangafunikire chithandizo chamankhwala. Dokotala wanu angakulimbikitseni zosankha zamankhwala ngati matenda anu akusokoneza zochitika zanu za tsiku ndi tsiku.

Mankhwala othandizira kuchepetsa zizindikiro za adenomyosis ndi awa:

Mankhwala oletsa kutupa

Chitsanzo ndi ibuprofen. Mankhwalawa amatha kuthandizira kuchepetsa magazi nthawi yanu komanso kupumula kukokana. A Mayo Clinic amalimbikitsa kuti muyambe kumwa mankhwala odana ndi zotupa masiku awiri kapena atatu nthawi yanu isanakwane ndikupitiliza kumamwa nthawi yanu. Simuyenera kugwiritsa ntchito mankhwalawa ngati muli ndi pakati.

Mankhwala a mahomoni

Izi zikuphatikizapo njira zakulera zakumwa (mapiritsi oletsa kubereka), njira zolerera za progestin zokhazokha (m'kamwa, jakisoni, kapena chida cha intrauterine), ndi ma analog a GnRH monga Lupron (leuprolide). Mankhwala a mahomoni amatha kuthandizira kuwongolera kuchuluka kwa estrogen komwe kumatha kukuthandizani kuzizindikiro. Zipangizo zamkati, monga Mirena, zitha kukhala zaka zisanu.

Kuchotsa kwa Endometrial

Izi zimaphatikizapo njira zochotsera kapena kuwononga endometrium (akalowa m'mimba mwa chiberekero). Ndi njira yopita kuchipatala yomwe imakhala ndi nthawi yochepa yochira. Komabe, njirayi singagwire ntchito kwa aliyense, chifukwa adenomyosis nthawi zambiri imalowerera minofuyo kwambiri.

Kuphatikiza kwamitsempha ya m'mimba

Iyi ndi njira yomwe imaletsa mitsempha ina kuti isapereke magazi kudera lomwe lakhudzidwa. Pomwe magazi atha, adenomyosis imachepa. Kuphatikizika kwa mitsempha ya chiberekero imagwiritsidwa ntchito pochiza vuto lina, lotchedwa uterine fibroids. Njirayi imachitika mchipatala. Nthawi zambiri zimaphatikizapo kugona usiku pambuyo pake. Popeza imakhala yolanda pang'ono, imapewa kupanga mabala m'mimba.

Kuchita opaleshoni ya ultrasound (MRgFUS)

MRgFUS imagwiritsa ntchito mafunde olimba kwambiri kuti apange kutentha ndikuwononga minofu yolunjika. Kutentha kumayang'aniridwa pogwiritsa ntchito zithunzi za MRI munthawi yeniyeni. Kafukufuku akuwonetsa kuti njirayi ndiyabwino popereka mpumulo wazizindikiro. Komabe, maphunziro ena amafunikira.

Kutsekemera

Njira yokhayo yothetsera vutoli ndikukhala ndi hysterectomy. Izi zimaphatikizapo kuchotsedwa kwathunthu kwa chiberekero. Amawerengedwa kuti ndi njira yayikulu yopangira opareshoni ndipo imagwiritsidwa ntchito pamavuto akulu komanso mwa azimayi omwe sakonzekera kukhala ndi ana ena. Mazira anu ovuta samakhudza adenomyosis ndipo akhoza kutsalira m'thupi lanu.

Zovuta za adenomyosis

Adenomyosis siyowopsa kwenikweni. Komabe, zizindikirazo zimatha kusokoneza moyo wanu. Anthu ena amatuluka magazi kwambiri komanso kupweteka m'chiuno komwe kumalepheretsa kuti azisangalala ndi zochitika wamba monga kugonana.

Amayi omwe ali ndi adenomyosis ali pachiwopsezo chowonjezeka cha kuchepa kwa magazi m'thupi. Kusowa magazi m'thupi ndi vuto lomwe nthawi zambiri limayambitsidwa ndi kusowa kwachitsulo. Popanda chitsulo chokwanira, thupi silimatha kupanga maselo ofiira okwanira oti anganyamule oksijeni kumatumba amthupi. Izi zitha kuyambitsa kutopa, chizungulire, komanso kusasangalala. Kutaya magazi komwe kumakhudzana ndi adenomyosis kumatha kuchepetsa kuchuluka kwa chitsulo m'thupi ndikupangitsa kuchepa kwa magazi.

Vutoli lidalumikizidwanso ndi nkhawa, kukhumudwa, komanso kukwiya.

Kuwona kwakanthawi

Adenomyosis sichiwopseza moyo. Mankhwala ambiri amapezeka kuti athe kuchepetsa zizindikilo zanu. Hysterectomy ndiye chithandizo chokhacho chomwe chitha kuwathetsa onse. Komabe, vutoli nthawi zambiri limatha lokha atatha kusamba.

Adenomyosis siyofanana ndi endometriosis. Vutoli limachitika pamene ma endometrial tishu amalowetsedwa kunja kwa chiberekero. Amayi omwe ali ndi adenomyosis amathanso kukhala ndi endometriosis.