Cervical Endometriosis
Zamkati
- Zizindikiro
- Zoyambitsa
- Kodi amapezeka bwanji?
- Amachizidwa bwanji?
- Cervical endometriosis ali ndi pakati
- Zovuta ndi zochitika zake
- Chiwonetsero
Chidule
Cervical endometriosis (CE) ndimikhalidwe yomwe zotupa zimachitika kunja kwa chiberekero chanu. Amayi ambiri omwe ali ndi khomo lachiberekero la endometriosis samakhala ndi zisonyezo. Chifukwa cha izi, vutoli limapezeka pambuyo pofufuza m'chiuno.
Mosiyana ndi endometriosis, chiberekero cha endometriosis ndichosowa kwambiri. Mu kafukufuku wa 2011, amayi 33 mwa 13,566 adapezeka ndi vutoli. Chifukwa CE sizimayambitsa zizindikilo nthawi zonse, kudziwika kumakhala kovuta.
Zizindikiro
Kwa amayi ambiri, CE sichimayambitsa matenda. Mutha kudziwa koyamba kuti muli ndi vuto pambuyo poyesedwa m'chiuno.
Mukamayesa mayeso, dokotala wanu amatha kupeza zotupa kunja kwa khomo lanu loberekera. Zilondazi nthawi zambiri zimakhala zakuda buluu kapena zofiirira, ndipo zimatha kutuluka magazi zikakhudza.
Azimayi ena amathanso kukhala ndi izi:
- ukazi kumaliseche
- kupweteka kwa m'chiuno
- zogonana zopweteka
- kutuluka magazi mutagonana
- Kutuluka magazi pakati pa nthawi
- nthawi zolemetsa kapena zazitali kwambiri
- nthawi zopweteka
Zoyambitsa
Sizikudziwika bwino zomwe zimayambitsa CE, koma zochitika zina zimawonjezera chiopsezo chanu kuti mupangidwe.
Mwachitsanzo, kukhala ndi njira yodula kapena kuchotsa minofu pachibelekero kumawonjezera ngozi. Cryotherapy, biopsies, njira zotsogola, komanso mankhwala a laser atha kuwononga komanso kufooketsa khomo pachibelekeropo, ndipo atha kukulitsa chiopsezo chokukula kwachiwerewere.
Pakafukufuku wa 2011, azimayi 84.8% omwe ali ndi khansa ya pachibelekero adabereka kumaliseche kapena kuchiritsa, yomwe ndi njira yomwe imafunikira kutsitsa kapena kufinya chiberekero. Njira zamtunduwu ndizofala masiku ano, chifukwa chake ndizotheka kuti milandu ya CE ndiyokwera.
Kodi amapezeka bwanji?
CE sizimayambitsa matenda nthawi zonse. Pachifukwachi, amayi ambiri sangapeze kuti ali ndi zilondazo mpaka dokotala atazipeza poyesa m'chiuno. Pap smear yachilendo imatha kukuchenjezani inu ndi adotolo pankhaniyi.
Ngati dokotala akuwona zilondazo, akhoza kupanga Pap smear kuti aone ngati ali ndi vuto linalake. Ngati zotsatira za Pap ndizosazolowereka, amatha kupanga colposcopy. Njirayi imagwiritsa ntchito microscope yoyatsa kwambiri ndipo imalola adotolo kuti ayang'ane khomo pachibelekeropo, kumaliseche, ndi kumaliseche kwa zizindikiro za matenda kapena zotupa.
Nthaŵi zambiri, dokotala amathanso kutenga biopsy ya chotupacho ndikuyesedwa kuti atsimikizire kuti ali ndi vutoli. Kuyesa maselo pansi pa microscope kumatha kusiyanitsa CE ndi zina zofananira.
Kuwonongeka kwa khomo pachibelekeropo kuchokera ku njira zam'mbuyomu kumatha kupangitsa kuti zotupa zisakhale zovuta. Ngati dokotala akutsimikizira kuti zilondazo zachokera ku CE, mwina simuyenera kuchiza zilondazo ngati mulibe zisonyezo. Ngati muli ndi zizindikiro, chithandizo chingawathandize kuwaletsa.
Amachizidwa bwanji?
Amayi ambiri omwe ali ndi CE safunikira chithandizo. Kuwunika pafupipafupi ndikuwongolera zizindikilo kungakhale kokwanira. Komabe, azimayi omwe akukumana ndi zizindikilo monga kutuluka magazi mosazolowereka kapena nthawi yayitali angafunikire chithandizo.
Mankhwala awiri amagwiritsidwa ntchito kwambiri ku CE:
- Zachiphamaso electrocauterization. Njirayi imagwiritsa ntchito magetsi kutulutsa kutentha, komwe kumagwiritsidwa ntchito ku minofu kuti ichotse kukula kwachilendo.
- Kutulutsa kwakukulu. Chingwe cholumikizidwa ndi waya chomwe chimadutsamo chimatha kudutsa pamimba pachibelekeropo. Mukamayenda minyewa, amadula zilondazo ndikusindikiza chilondacho.
Malingana ngati zilondazo sizimayambitsa kapena kupweteka, dokotala akhoza kunena kuti musawachiritse. Ngati zizindikiro zikupitirirabe kapena zopweteka, komabe, mungafunike chithandizo kuti muchotse zilondazo. Nthawi zina, zilondazo zimatha kubwerera zitachotsedwa.
Cervical endometriosis ali ndi pakati
CE mwina sizingasokoneze mwayi wamayi wokhala ndi pakati. Nthawi zina, zipsera pamlomo pachibelekeropo zimatha kulepheretsa umuna kulowa muchiberekero kuti umere dzira. Komabe, izi ndizochepa.
Lankhulani ndi dokotala wanu ngati mukuda nkhawa kuti kusiya zotupa kumatha kukhudza kubereka kwanu, kapena kuti kuchita izi kungachepetse mwayi wanu woyembekezera mwachilengedwe.
Zovuta ndi zochitika zake
CE nthawi zambiri imasokonekera chifukwa cha zilonda zina zotupa kapena khansa ya pachibelekero. M'malo mwake, matenda ena atha kupezeka mosazindikira m'malo mwa CE chifukwa ndi osowa kwambiri. Kuyezetsa magazi kapena kuyesedwa koyenera kumatha kuthana ndi zovuta zina.
Izi zikuphatikiza:
- Kukula kolimba kwa minofu yosalala yomwe imayamba pa khomo pachibelekeropo
- chotupa chotupa
- polyp khomo lachiberekero
- ma fibroid omwe amalowa m'chiberekero cha chiberekero
- khansa ya pakhungu (khansa yapakhungu)
- khansa ya pachibelekero
Kuphatikiza apo, zochitika zina zimakonda kugwirizanitsidwa ndi CE. Izi zitha kuchitika nthawi yomweyo ndipo zitha kupangitsa kuti munthu azindikire matenda ake.
Izi zikuphatikiza:
- matenda a papillomavirus (HPV)
- matenda a bakiteriya
- kuuma kwa minofu ya chiberekero
Chiwonetsero
CE ndi yachilendo, ndipo mwina sangakhale matenda omwe madokotala amalingalira pafupipafupi pofufuza wodwala. Zizindikiro ndi zizindikilo zambiri za matendawa zimatha kuchitika chifukwa cha zovuta zina, koma kuwunika kudzakuthandizani kupeza chithandizo choyenera.
Ngati mukukumana ndi zizindikiro zomwe zikufanana ndi CE, pitani kukumana ndi dokotala wanu. Pakati pa mayeso, atha kuchita mayeso m'chiuno, komanso Pap smear. Zilonda zikawonedwa, amathanso kutenga zitsanzo za minofu pa biopsy.
Kwa amayi ambiri omwe amapezeka kuti ali ndi vutoli, chithandizo chimaphatikizapo kuthana ndi zovuta zilizonse, monga kuwona pakati pa msambo, kupweteka kwa m'chiuno, ndi kupweteka panthawi yogonana. Ngati zizindikirazo zikupitilirabe ngakhale atalandira chithandizo, kapena ngati chikukulirakulira, kuchotsa zotupa m'mimba mwa khomo kungafune. Njirazi ndizopambana komanso zotetezeka. Zilondazo zikatha, simuyenera kukhala ndi zizindikilo, ndipo anthu ambiri amakhala opanda zotupa kwa zaka zambiri atachitidwa opaleshoni.