Kodi Diaphragmatic Endometriosis Ndi Chiyani?

Zamkati

• Zizindikiro zake ndi ziti?
• Nchiyani chimayambitsa diaphragmatic endometriosis?
• Zimapezeka 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 (yotchedwa matenda a endometrium) imakula m'malo ena amimba ndi m'chiuno.

Diaphragmatic endometriosis imachitika pamene minofu iyi ya endometrium ikukula ndikukula kwanu.

Diaphragm yanu ndi minofu yoboola pakati pamapapu anu yomwe imakuthandizani kupuma. Pamene endometriosis imakhudza chotsekera, nthawi zambiri imakhudza mbali yakumanja.

Matenda a endometrial akamakula mkati mwa chifundamtima, amachitanso ndi mahomoni am'masiku anu, monga momwe amachitira m'chiberekero chanu. Azimayi omwe ali ndi diaphragmatic endometriosis nthawi zambiri amakhala ndi endometriosis m'mimba mwawo.

Diaphragmatic endometriosis ndiyofala kwambiri kuposa mitundu ina yamatenda yomwe imakhudza thumba losunga mazira ndi ziwalo zina zam'mimba. Akuti pafupifupi 8 mpaka 15% ya azimayi ali ndi endometriosis. Ndipo kwa azimayi omwe ali ndi endometriosis amakumana ndi zovuta kutenga pakati. Chizindikiro chimakhulupirira kuti chimakhudza azimayi 0,6 mpaka 1.5 okha mwa amayi omwe achita opaleshoni yamatendawa.

Zizindikiro zake ndi ziti?

Diaphragmatic endometriosis mwina siyingayambitse zizindikiro zilizonse.

Koma mutha kumva ululu m'malo awa:

• chifuwa
• pamimba chapamwamba
• phewa lamanja
• mkono

Kupweteka kumeneku kumachitika nthawi yayitali. Zitha kukhala zamphamvu, ndipo zitha kukulirakulira mukamapuma kapena kutsokomola. Nthawi zambiri, zimatha kubweretsa.

Ngati endometriosis ili m'mbali mwa mafupa anu, mukhozanso kukhala ndi zizindikiro monga:

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

Nchiyani chimayambitsa diaphragmatic endometriosis?

Madokotala samadziwa kwenikweni zomwe zimayambitsa diaphragmatic kapena mitundu ina ya endometriosis. Lingaliro lovomerezeka kwambiri ndikubwezeretsanso kusamba.

Pakati pa kusamba, magazi amatha kubwerera m'mbuyo kudzera m'machubu yam'mimba kupita m'chiuno, komanso kutuluka mthupi. Maselowa amatha kuyenda m'mimba ndi m'chiuno mpaka kumtunda.

Komabe, kafukufuku wasonyeza kuti azimayi ambiri amasintha msambo. Komabe amayi ambiri samakhala ndi endometriosis, chifukwa chake chitetezo chamthupi chimakayikiridwa kuti chimagwira.

Zowonjezera zina zomwe zingachitike ku endometriosis mwina ndi monga:

• Kusintha kwa selo. Maselo okhudzidwa ndi endometriosis amayankha mosiyanasiyana mahomoni ndi zinthu zina zamankhwala.
• Chibadwa. Endometriosis yasonyezedwa kuti ikuyenda m'mabanja.
• Kutupa. Zinthu zina zomwe zimagwira ntchito yotupa zimapezeka m'miyeso yambiri mu endometriosis.
• Kukula kwa mwana. Maselowa amatha kukula m'malo osiyanasiyana kuyambira asanabadwe.

Zimapezeka bwanji?

Diaphragmatic endometriosis mwina siyimayambitsa zizindikiro. Ngakhale mutakhala ndi zizindikilo, mutha kuwalakwitsa chifukwa cha chinthu china - monga minofu yokoka.

Chifukwa vutoli ndilosowa, dokotala wanu sangazindikire zizindikilozo. Chidziwitso chimodzi chofunikira chingakhale ngati zizindikilozo zikuwonjezeka nthawi yanu.

Nthawi zina madokotala amapeza endometriosis pochita opaleshoni kuti apeze vuto lina.

Ngati mukukumana ndi zizindikiro kapena mukukayikira kuti mutha kukhudzidwa ndi endometriosis, lankhulani ndi dokotala wanu za njira zabwino zodziwira.

Amatha kugwiritsa ntchito mayeso a MRI kuti adziwe ngati minofu ya endometrial yakula mchikoka chanu ndikuzindikira vutoli. Kufufuza kwa MRI ndi ma ultrasound kungakhale kothandiza kupeza endometriosis m'chiuno mwanu.

Nthawi zambiri njira yabwino yodziwira zakufa kwa endometriosis ili ndi laparoscopy. Izi zimakhudza dotolo wanu yemwe amadula pang'ono pamimba panu. Chigawo chokhala ndi kamera kumapeto kwake chimayikidwa kuti muthandizire dokotala kuwona zakulera zanu ndikupeza minofu ya endometrium. Zitsanzo zazing'ono zazing'ono, zotchedwa biopsies, nthawi zambiri zimasonkhanitsidwa ndi kutumizidwa ku labu kuti zikawone maselowa pansi pa microscope.

Dokotala wanu atazindikira minofu ya endometrial, adzakupatsani matenda kutengera komwe kuli, kukula kwake, ndi kuchuluka kwa minofu imeneyi.

Pansipa pali njira yomwe imagwiritsidwa ntchito kwambiri ya endometriosis, yokhazikitsidwa ndi American Society of Reproductive Medicine. Komabe, magawo awa sanazikidwe pazizindikiro. Zizindikiro zimatha kukhala zofunikira ngakhale ndimagawo 1 kapena matenda achiwiri.

Zikuphatikizapo:

• Gawo 1: Zochepa - zigamba zazing'ono m'chiuno, malo ochepa, ndi ziwalo
• Gawo 2: Wofatsa - madera ambiri m'chiuno kuposa gawo loyamba, koma opanda mabala ochepa
• Gawo 3: Zomangamanga - ziwalo za m'chiuno ndi m'mimba zimakhudzidwa ndi zipsera
• Gawo 4: Zovuta - zotupa zotchuka zomwe zimakhudza mawonekedwe amthupi ndi zipsera

Asayansi pakali pano akuyesetsa kuti apeze njira zina zofotokozera endometriosis, makamaka pakagwiridwe ziwalo zakuya. Makina atsopanowa akadakonzedwa.

Kodi ndi njira ziti zamankhwala zomwe zingapezeke?

Ngati mulibe zizindikilo, dokotala angakulimbikitseni kuti mudikire kuti muzitha kulandira endometriosis. Dokotala wanu amakufufuzani pafupipafupi kuti muwone ngati matenda akukula.

Ngati muli ndi zizindikiro, dokotala wanu angakulimbikitseni kuchitidwa opaleshoni ndi mankhwala kuti muthane ndi zizindikilo zomwe mungakhale nazo.

Opaleshoni

Opaleshoni ndiyo njira yayikulu yochizira matenda opatsirana endometriosis.

Opaleshoni imatha kuchitidwa m'njira zingapo:

• Laparotomy. Pochita izi, dokotalayo amadula kwambiri khoma la pamimba kenako ndikuchotsa mbali zina za chifundikiro chomwe chakhudzidwa ndi endometriosis. Pakafukufuku kamodzi kakang'ono, mankhwalawa adachepetsa zizindikiritso mwa amayi onse ndikuchepetsa kwathunthu kupweteka pachifuwa ndi m'mapewa mwa azimayi asanu ndi awiri mwa asanu ndi atatu.
• Thoracoscopy. Pochita izi, dotolo wanu amalowetsa zida zing'onozing'ono pogwiritsa ntchito tinthu tating'onoting'ono m'chifuwa kuti muwone mwina ndikuchotsa madera a endometriosis mkatikati.
• Laparoscopy. Pochita izi, dotolo wanu amalowetsa m'malo osinthasintha ndi zida zazing'ono m'mimba kuti muchotse madera a endometriosis m'mimba ndi m'chiuno.

Dokotala wanu amathanso kugwiritsa ntchito laser kuchiza minofu yomwe yakhudzidwa ndi endometriosis. Kuchita opaleshoni kungakhale kofunikanso kuthana ndi kupangika kwa minofu, zomwe zimafala mu endometriosis. Njira zatsopano zamankhwala zimapezeka nthawi zambiri. Lankhulani ndi dokotala wanu.

Ngati endometriosis ili mu diaphragm ndi m'chiuno mwanu, mungafunike opaleshoni yopitilira imodzi.

Mankhwala

Mitundu iwiri ya mankhwala pano imagwiritsidwa ntchito pochizira endometriosis: mahomoni ndi ochepetsa ululu.

Thandizo la mahormone limatha kuchepetsa kukula kwa minofu ya endometrial ndikuchepetsa ntchito zake kunja kwa chiberekero.

Mankhwala a mahomoni ndi awa:

• kulera, kuphatikizapo mapiritsi, chigamba, kapena mphete
• gonadotropin-yotulutsa timagonist (GnRH) agonists
• danazol (Danocrine), yomwe tsopano sagwiritsidwa ntchito kwenikweni
• jakisoni wa progestin (Depo-Provera)

Dokotala wanu angakulimbikitseni pa-the-counter (OTC) kapena mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), monga ibuprofen (Advil) kapena naproxen (Aleve), kuti muchepetse ululu.

Kodi zovuta ndizotheka?

Kawirikawiri, endometriosis ya chifundacho imatha kupangitsa kuti mabowo apangike.

Izi zitha kubweretsa zovuta zowopsa monga:

• mapapu omwe adagwa (pneumothorax) mkati mwanu
• endometriosis mu chifuwa khoma kapena mapapo
• mpweya ndi magazi mu chifuwa

Kuchita opaleshoni kuti muchotse endometriosis mkati mwa diaphragm kumachepetsa chiopsezo chanu.

Endometriosis ya diaphragm yanu sayenera kukhudza kubereka kwanu. Koma azimayi ambiri omwe ali ndi mtundu wa endometriosis amakhalanso nawo m'mimba mwake ndi ziwalo zina zam'mimba, zomwe zimatha kubweretsa zovuta kubereka. Kuchita maopareshoni ndi mu vitro feteleza kumatha kukulitsa mwayi wanu wokhala ndi pakati.

Kodi mungayembekezere chiyani?

Maganizo anu amatengera kukula kwa endometriosis yanu, komanso momwe amathandizidwira.

Mtundu wa endometriosis mwina sungayambitse zizindikiro. Ngati ndizopweteka kapena zimayambitsa zovuta, mutha kuchitidwa opaleshoni kuti muchotse minofu ya endometrial.

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