Kodi Bowel Endometriosis Ndi Chiyani?

Zamkati

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

Kodi ndizofala?

Endometriosis ndichinthu chowawa momwe minofu yomwe imayendetsa chiberekero chanu (minofu ya endometrium) imakula m'magawo ena am'mimba mwanu, monga mazira anu kapena machubu.

Mitundu yosiyanasiyana ya endometriosis imachokera komwe minofu imapezeka. Mu matumbo a endometriosis, minofu ya endometrium imakula pamtunda kapena mkati mwa matumbo anu.

Kufikira azimayi omwe ali ndi endometriosis amakhala ndi minyewa yam'mimba pamatumbo. Matenda ambiri a endometriosis amapezeka m'munsi mwa matumbo, pamwambapa. Itha kukhazikitsanso mu zakumapeto zanu kapena m'matumbo ang'onoang'ono.

Matumbo endometriosis nthawi zina amakhala gawo la rectovaginal endometriosis, lomwe limakhudza nyini ndi thumbo.

Amayi ambiri omwe ali ndi matumbo a endometriosis amakhalanso nawo m'malo ofala kwambiri m'chiuno mwawo.

Izi zikuphatikiza:

• thumba losunga mazira
• thumba la Douglas (dera lomwe lili pakati pa khomo pachibelekeropo ndi rectum)
• chikhodzodzo

Zizindikiro zake ndi ziti?

Amayi ena samakumana ndi zizindikiro zilizonse. Mwina simungadziwe kuti muli ndi matumbo a endometriosis mpaka mutayesedwa ndi vuto lina.

Zizindikiro zikachitika, zimatha kukhala zofananira ndi matenda am'mimba (IBS). Kusiyanitsa ndikuti, zizindikiro za endometriosis zimayamba nthawi yayitali. Minofu imeneyi imayankha kusintha kwa mahomoni am'nyengo yanu, kutupa ndi kukhudza minofu yozungulira.

Zizindikiro zapaderazi ndi izi:

• kupweteka pamene muli ndi matumbo
• kukokana m'mimba
• kutsegula m'mimba
• kudzimbidwa
• kuphulika
• kupanikizika ndi matumbo
• magazi akutuluka

matumbo a endometriosis ali nawo m'chiuno mwawo, omwe amatha kuyambitsa:

• kupweteka asanafike komanso munthawi
• zowawa panthawi yogonana
• Kutaya magazi kwambiri nthawi kapena pakati
• kutopa
• nseru
• kutsegula m'mimba

Nchiyani chimayambitsa matumbo endometriosis?

Madokotala sakudziwa chomwe chimayambitsa matumbo endometriosis kapena mitundu ina ya matendawa.

Chiphunzitso chovomerezeka kwambiri ndi. Pa nthawi ya kusamba, magazi amayenda chammbuyo kudzera m'machubu ya mazira ndikulowa m'chiuno m'malo motuluka mthupi. Maselo amenewo amalowerera m'matumbo.

Zina mwazomwe zingayambitse ndi izi:

• Kusintha kwamasamba koyambirira. Maselo otsala kuchokera mluza amakula kukhala minofu ya endometrium.
• Kuika. Maselo a Endometrial amayenda m'mitsempha kapena magazi kupita ku ziwalo zina.
• Chibadwa. Endometriosis nthawi zina imayenda m'mabanja.

Endometriosis imakhudza amayi pazaka zawo zobereka.

Kodi amapezeka bwanji?

Dokotala wanu ayamba poyezetsa thupi. Mukamayesa mayeso, adotolo amayang'ana kumaliseche kwanu ndi m'matumbo momwe zilili.

Mayeserowa atha kuthandiza dokotala kuti azindikire matumbo a endometriosis:

• Ultrasound. Kuyesaku kumagwiritsa ntchito mafunde amtundu wautali kuti apange zithunzi kuchokera mkati mwathupi lanu. Chida chotchedwa transducer chimayikidwa mkatikati mwa nyini (transvaginal ultrasound) kapena rectum (transrectal endoscopic ultrasound) yanu. Ultrasound imatha kuwonetsa dokotala kukula kwa endometriosis ndi komwe imapezeka.
• MRI. Kuyesaku kumagwiritsa ntchito maginito amphamvu ndi mafunde a wailesi kuti ayang'ane endometriosis m'matumbo mwanu ndi mbali zina za m'chiuno mwanu.
• Enema wa Barium. Kuyesaku kumagwiritsa ntchito ma X-ray kuti ajambule matumbo anu akulu - colon yanu ndi rectum. Coloni yanu imadzaza koyamba ndi utoto wosiyanitsa kuti muthandize dokotala kuwona mosavuta.
• Zojambulajambula. Kuyesaku kumagwiritsa ntchito mawonekedwe osinthika kuti muwone mkati mwa matumbo anu. Colonoscopy sazindikira matumbo a endometriosis. Komabe, imatha kuchotsa khansa yam'matumbo, yomwe imatha kuyambitsa zizindikilo zomwezo.
• Laparoscopy. Pochita opaleshoniyi, dokotala wanu adzaika zoonda zochepa mumimba mwanu kuti mupeze endometriosis m'mimba mwanu ndi m'chiuno. Amatha kuchotsa chidutswa kuti awone. Mumakhala pansi panthawiyi.

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

• Gawo 1. Zochepa. Pali timagulu ting'onoting'ono ta endometriosis m'ziwalo kapena m'chiuno mwanu.
• Gawo 2. Wofatsa. Zigawozi ndizokulirapo kuposa gawo 1, koma sizili mkati mwa ziwalo zanu zam'mimba.
• Gawo 3. Wamkati. Endometriosis ndi yofala kwambiri, ndipo ikuyamba kulowa mkati mwa ziwalo zanu.
• Gawo 4. Kwambiri. Endometriosis yalowa ziwalo zambiri m'chiuno mwanu.

Matumbo endometriosis nthawi zambiri amakhala gawo 4.

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. Ngati mulibe zizindikiro, chithandizo sichingakhale chofunikira.

Opaleshoni

Opaleshoni ndiyo njira yayikulu yothandizira matumbo a endometriosis. Kuchotsa minofu ya endometrium kumatha kuchepetsa ululu ndikusintha moyo wanu.

Mitundu yochepa ya opaleshoni imachotsa matumbo a endometriosis. Madokotala ochita opaleshoni amatha kuchita njirazi kudzera pachimodzi chachikulu (laparotomy) kapena zocheperako zazing'ono (laparoscopy). Ndi mtundu wanji wa opareshoni yomwe muli nayo zimatengera kukula kwa madera a endometriosis, ndi komwe amapezeka.

Kutulutsa kwamatumbo pang'ono. Izi zimachitika m'malo akulu a endometriosis. Dokotala wanu adzachotsa gawo la m'matumbo momwe endometriosis yakula. Zidutswa ziwiri zomwe zatsala zimalumikizidwanso ndi njira yotchedwa reanastomosis.

Oposa theka la azimayi omwe ali ndi njirayi amatha kutenga pakati pambuyo pake. Endometriosis sichingabwerere pambuyo poti resection kuposa njira zina.

Kumeta kokhazikika. Dokotala wanu amagwiritsa ntchito chida chakuthwa kuchotsa endometriosis pamwamba pamatumbo, osatulutsa matumbo alionse. Njirayi itha kuchitidwa kumadera ang'onoang'ono a endometriosis. Endometriosis imatha kubwereranso pambuyo pa opaleshoniyi kuposa pambuyo poti chigawo chobwezeretsanso.

Kutulutsa chimbale. M'madera ang'onoang'ono a endometriosis, dotolo wanu amadula chimbale chomwe chakhudzidwa m'matumbo ndikutseka bowo.

Dokotala wanu amathanso kuchotsa endometriosis m'malo ena am'mimba mwanu mukamagwira ntchito.

Mankhwala

Thandizo la mahomoni sililetsa endometriosis kupita patsogolo. Komabe, imatha kuthetsa ululu komanso zizindikilo zina.

Mankhwala a mahomoni am'mimba endometriosis ndi awa:

• kulera, kuphatikizapo mapiritsi, chigamba, kapena mphete
• jakisoni wa progestin (Depo-Provera)
• gonadotropin-release hormone (GnRH) agonists, monga triptorelin (Trelstar)

Dokotala wanu angakulimbikitseni mankhwala osagwiritsidwa ntchito ndi anti-inflammatory (NSAIDs), monga ibuprofen (Advil) kapena naproxen (Aleve), kuti athetse ululu.

Kodi zovuta ndizotheka?

Endometriosis m'matumbo imatha kusokoneza kubereka kwanu - makamaka ngati mulinso m'mazira anu ndi ziwalo zina zam'mimba. azimayi omwe ali ndi vutoli sangathe kutenga pakati. Kuchita opareshoni kuti muchotse zotupa za endometriosis kumathandizira kuti mukhale ndi pakati. Ngakhale kubereka si vuto, azimayi ena amakhala ndi ululu wam'mimba wam'mimba womwe umakhudzana ndi vutoli, zomwe zimakhudza moyo wawo.

Kodi mungayembekezere chiyani?

Endometriosis ndi matenda osachiritsika. Muyenera kuti muzisamalira zizindikiro zake m'moyo wanu wonse.

Maganizo anu amatengera kukula kwa endometriosis yanu komanso momwe amathandizidwira. Mankhwala ndi opaleshoni ya mahormone ingathandize kuthana ndi ululu wanu. Zizindikiro zimayenera kusintha mukadutsa msambo.

Endometriosis itha kukhala ndi gawo lalikulu pamoyo wanu. Kuti mupeze chithandizo m'dera lanu, pitani ku Endometriosis Foundation of America kapena Endometriosis Association.