Kodi Chikhodzodzo Endometriosis N'chiyani?

Zamkati

• Zizindikiro zake ndi ziti?
• Nchiyani chimayambitsa chikhodzodzo endometriosis?
• Kodi izi zimapezeka bwanji?
• Kodi ndi njira ziti zamankhwala zomwe zingapezeke?
• Opaleshoni
• Mankhwala
• Kodi zovuta ndizotheka?
• Kodi mungayembekezere chiyani?

Kodi ndizofala?

Endometriosis imachitika pamene minofu ya endometrial yomwe nthawi zambiri imayendetsa chiberekero chanu imakula m'malo ena am'mimba mwanu, monga mazira anu kapena machubu. Pali mitundu yosiyanasiyana ya endometriosis kutengera komwe minofu ili.

Chikhodzodzo endometriosis ndi mtundu wosowa wa matendawa. Zimachitika pamene minofu ya endometrium imakula mkati kapena pankhope panu.

Mwezi uliwonse mukamapita kumwezi, minofu ya endometrial imakula. Minofu m'chiberekero chanu imakhetsedwa mthupi lanu. Koma ikakhala pakhoma lakunja la chikhodzodzo chanu, minofu imasowa kopita.

Malinga ndi lipoti lamilandu ya 2014 yokhudza vutoli, mpaka 5% ya azimayi omwe ali ndi endometriosis ali nawo mumakina awo. Chikhodzodzo ndi chiwalo cha mkodzo chomwe chimakhudzidwa kwambiri. Ureters - machubu mkodzo amayenda kuchokera ku impso kupita ku chikhodzodzo - amathanso kutenga nawo mbali.

Pali mitundu iwiri ya chikhodzodzo endometriosis. Ngati zimachitika pachikhodzodzo zokha, zimadziwika kuti zachiphamaso za endometriosis. Ngati minofu yafika pachikhodzodzo kapena pakhoma, amadziwika kuti endometriosis yakuya.

Zizindikiro zake ndi ziti?

Malinga ndi kafukufuku wa 2012 wa chikhodzodzo endometriosis, pafupifupi 30 peresenti ya amayi omwe ali nawo samakumana ndi zisonyezo zilizonse. Dokotala wawo amatha kupeza vutoli poyesa kuyesa mtundu wina wa endometriosis, kapena kusabereka.

Ngati zizindikiro zikuwonekera, nthawi zambiri zimakhala pafupi ndi nthawi yanu. Zizindikiro zimaphatikizapo:

• kufunika mwachangu kapena pafupipafupi kukodza
• ululu pamene chikhodzodzo chadzaza
• kutentha kapena kupweteka mukakodza
• magazi mkodzo wanu
• kupweteka m'chiuno mwanu
• kupweteka mbali imodzi yakumunsi kwanu

Ngati endometriosis ili m'malo ena am'mimba mwanu, mutha kukumana ndi izi:

• kupweteka ndi kukokana musanakhale komanso mkati mwa nthawi yanu
• zowawa panthawi yogonana
• Kutaya magazi kwambiri nthawi kapena pakati
• kutopa
• nseru
• kutsegula m'mimba

Nchiyani chimayambitsa chikhodzodzo endometriosis?

Madokotala sadziwa kwenikweni chomwe chimayambitsa chikhodzodzo endometriosis. Zina mwazotheka ndi izi:

• Kubwezeretsanso kusamba. Pa nthawi ya kusamba, magazi amayenda chammbuyo kudzera m'machubu ya mazira ndikulowa m'chiuno m'malo motuluka mthupi. Maselo amenewo amalowetsa mu khoma la chikhodzodzo.
• Kusintha kwamasamba koyambirira. Maselo otsala kuchokera mluza amakula kukhala minofu ya endometrium.
• Opaleshoni. Maselo a Endometrial amafalikira chikhodzodzo panthawi yochita opaleshoni ya m'mimba, monga nthawi yobereka kapena matenda opatsirana pogonana. Mtundu uwu wa matenda amatchedwa chikhodzodzo chachiwiri endometriosis.
• Kuika. Maselo a Endometrial amayenda kudzera mumitsempha kapena magazi kupita ku chikhodzodzo.
• Chibadwa. Endometriosis nthawi zina imayenda m'mabanja.

Endometriosis imakhudza amayi pazaka zawo zobereka. Zaka zapakati pomwe amayi amalandila matenda a chikhodzodzo endometriosis ndi zaka 35.

Kodi izi zimapezeka bwanji?

Dokotala wanu ayamba poyezetsa thupi. Adzafufuza nyini ndi chikhodzodzo chanu paziphuphu zilizonse. Mutha kuyezetsa mkodzo kuti muyang'ane magazi mumkodzo wanu.

Mayeserowa atha kuthandiza dokotala kuti adziwe chikhodzodzo endometriosis:

• Ultrasound. Kuyesaku kumagwiritsa ntchito mafunde amtundu wautali kuti apange zithunzi kuchokera mkati mwathupi lanu. Chida chotchedwa transducer chimayikidwa pamimba mwanu (transabdominal ultrasound) kapena mkati mwanu mwa nyini (transvaginal ultrasound). Ultrasound imatha kuwonetsa kukula ndi malo a endometriosis.
• Kujambula kwa MRI. Kuyesaku kumagwiritsa ntchito maginito amphamvu ndi mafunde a wailesi kuti ayang'ane endometriosis m'chikhodzodzo chanu. Ikhozanso kupeza matendawa m'malo ena am'mimba mwanu.
• Zojambulajambula. Pachiyeso ichi, dokotala wanu amakulowetsani m'mitsempha kuti muwone chikhodzodzo chanu ndikuyang'ana endometriosis.

Endometriosis imagawidwa m'magawo kutengera kuchuluka kwa minofu yomwe muli nayo komanso momwe imafikira m'ziwalo zanu.

Magawo ake ndi awa:

• Gawo 1. Zochepa. Pali timagulu ting'onoting'ono ta endometriosis mkati kapena kuzungulira ziwalo m'chiuno.
• Gawo 2. Wofatsa. Zigawozi ndizokulirapo kuposa gawo la 1, koma sizinafike mkati mwa ziwalo zam'mimba.
• Gawo 3. Wamkati. Endometriosis yafala kwambiri. Ikuyamba kulowa mkati mwa ziwalo m'chiuno.
• Gawo 4. Kwambiri. Endometriosis yalowa ziwalo zambiri m'chiuno.

Kodi ndi njira ziti zamankhwala zomwe zingapezeke?

Endometriosis siyingachiritsidwe, koma mankhwala ndi opareshoni zitha kuthandiza kusamalira zizindikiritso zanu. Ndi chithandizo chiti chomwe mumalandira chimadalira momwe endometriosis yanu ilili yovuta komanso komwe imapezeka.

Opaleshoni

Opaleshoni ndiyo njira yayikulu yothandizira chikhodzodzo endometriosis. Kuchotsa minofu yonse yam'mapapo kumatha kuchepetsa ululu komanso kusintha moyo wanu.

Kuchita opaleshoniyo kumatha kuchitidwa m'njira zingapo zosiyanasiyana. Izi ndizachidziwikire pochiza chikhodzodzo endometriosis. Madera ena angafunikenso kuwongoleredwa.

• Opaleshoni ya opareshoni. Dokotalayo amayika gawo lochepa mu mtsempha wanu ndi chikhodzodzo. Chida chodulira kumapeto kwa gawo chimagwiritsidwa ntchito kuchotsa minofu ya endometrium.
• Tsankho la cystectomy. Dokotalayo amachotsa gawo la chikhodzodzo chanu lomwe limakhala ndi minyewa yachilendo. Njirayi imatha kuchitika kudzera pachimodzi chachikulu, chotchedwa laparotomy, kapena tinthu ting'onoting'ono tating'onoting'ono, tomwe timatchedwa laparoscopy, m'mimba.

Mutha kukhala ndi catheter yoyikidwa mu chikhodzodzo mutatha opaleshoni. Catheter imachotsa mkodzo m'thupi lanu pamene chikhodzodzo chikuchira.

Mankhwala

Thandizo la mahomoni limachepetsa kukula kwa minofu ya endometrium. Itha kuthetsanso ululu ndikuthandizira kusunga chonde.

Mankhwala a mahomoni ndi awa:

• gonadotropin-release hormone (GnRH) agonists, monga leuprolide (Lupron)
• mapiritsi olera
• danazol

Kodi zovuta ndizotheka?

Popanda chithandizo, chikhodzodzo endometriosis chitha kuwononga impso. Kuchita opaleshoni kumatha kupewa izi.

Kawirikawiri, khansara imatha kukula kuchokera ku minofu ya endometriamu m'chikhodzodzo.

Chikhodzodzo endometriosis sichimakhudza mwachindunji kubereka kwanu. Komabe, ngati muli ndi endometriosis m'mimba mwanu kapena ziwalo zina zoberekera, mungakhale ndi nthawi yovuta kutenga pakati. Kuchita opaleshoni kumatha kukulitsa mwayi wokhala ndi pakati.

Kodi mungayembekezere chiyani?

Maganizo anu amatengera kukula kwa endometriosis yanu komanso momwe amathandizidwira. Kuchita opaleshoni nthawi zambiri kumachepetsa zizindikilo. Komabe, kafukufuku wina akuwonetsa kuti mwa azimayi, endometriosis imabweranso pambuyo pochitidwa opaleshoni. Pamafunika opaleshoni ina.

Endometriosis ndi matenda osachiritsika. Zitha kukhala ndi gawo lalikulu pamoyo wanu watsiku ndi tsiku. Kuti mupeze chithandizo m'dera lanu, pitani ku Endometriosis Foundation of America kapena Endometriosis Association.