Endometriosis

Zamkati

• Onaninso za

Ndi chiyani

Endometriosis ndi vuto lomwe limafala kwambiri mwa amayi. Dzinali limachokera ku liwu lakuti endometrium, minofu yomwe imayendetsa chiberekero (chiberekero). Mwa amayi omwe ali ndi vutoli, minofu yomwe imawoneka komanso imagwira ngati chiberekero cha chiberekero imakula kunja kwa chiberekero m'malo ena. Maderawa amatha kutchedwa zophuka, zotupa, zopangira, zotupa, kapena mitsempha.

Nthawi zambiri endometriosis imapezeka:

kapena pansi pa thumba losunga mazira

* kuseri kwa chiberekero

pamatumba omwe amasunga chiberekero

* m'matumbo kapena m'chikhodzodzo

Minofu "yosokonekera" imeneyi ingayambitse kupweteka, kusabereka, ndi nthawi yolemetsa kwambiri.

Kukula kwa endometriosis nthawi zambiri kumakhala koopsa kapena kopanda khansa, komabe kumatha kubweretsa mavuto ambiri. Kuti muwone chifukwa chake, zimathandiza kumvetsetsa mayendedwe azimayi pamwezi. Mwezi uliwonse, mahomoni amachititsa kuti chiberekero cha chiberekero cha mayi chikhale ndi minofu ndi mitsempha yamagazi. Ngati mayi satenga pakati, chiberekero chimakhetsa minofu ndi magazi, kusiya thupi lake kudzera mu nyini monga msambo.

Zigawo za endometriosis zimagwiranso ntchito kwa amayi mwezi uliwonse. Mwezi uliwonse zophukirazo zimawonjezera minofu ndi magazi, koma palibe malo oti minyewa ndi magazi zimatuluka mthupi. Pachifukwa ichi, kukula kumakulirakulira ndipo zizindikilo za endometriosis nthawi zambiri zimaipiraipira pakapita nthawi.

Minofu ndi magazi omwe amathiridwa mthupi amatha kuyambitsa kutupa, zilonda zam'mimba, komanso kupweteka. Minofu yolakwika ikakula, imatha kuphimba kapena kukula mpaka kulowa m'chiberekero ndikutchinga machubu a fallopian. Izi zingapangitse kuti zikhale zovuta kuti amayi omwe ali ndi endometriosis atenge mimba. Kukula kungayambitsenso mavuto m'matumbo ndi chikhodzodzo.

Zoyambitsa

Palibe amene akudziwa motsimikiza chomwe chimayambitsa matendawa, koma asayansi ali ndi malingaliro angapo.

Amadziwa kuti endometriosis imachitika m'mabanja. Ngati amayi kapena mlongo wanu ali ndi endometriosis, mumakhala ndi mwayi wowirikiza kasanu ndi kamodzi kuposa akazi ena. Choncho, chiphunzitso china chimasonyeza kuti endometriosis imayamba chifukwa cha majini.

Chiphunzitso china n’chakuti m’kati mwa mwezi wa kusamba kwa mkazi, minyewa ina ya endometrium imabwerera m’mimba kudzera m’miyoyo. Minofu yokaikidwayo imakula kunja kwa chiberekero. Ofufuza ambiri amaganiza kuti chitetezo chamthupi cholakwika chimagwira nawo endometriosis. Mwa amayi omwe ali ndi matendawa, chitetezo chamthupi chimalephera kupeza ndikuwononga minofu yam'magazi yomwe imakula kunja kwa chiberekero. Kuphatikiza apo, kafukufuku waposachedwa akuwonetsa kuti kusokonezeka kwa chitetezo chamthupi (mavuto azaumoyo omwe thupi limadziukira lokha) ndizofala kwambiri mwa amayi omwe ali ndi endometriosis. Kafukufuku wowonjezereka mderali atha kuthandiza madotolo kumvetsetsa ndikuchiza endometriosis.

Zizindikiro

Ululu ndi chimodzi mwazizindikiro zodziwika bwino za endometriosis. Nthawi zambiri ululu umakhala m'mimba, kumbuyo, ndi m'chiuno. Kuchuluka kwa ululu womwe mkazi amamva sikudalira kuchuluka kwa endometriosis yomwe ali nayo. Amayi ena samva kuwawa, ngakhale matenda awo amakhudza madera akuluakulu. Azimayi ena omwe ali ndi endometriosis amamva kupweteka kwambiri ngakhale kuti amakula pang'ono. Zizindikiro za endometriosis ndi izi:

Cham'mimba chopweteka kwambiri

* Ululu wokhala ndi msambo womwe umakulirakulira pakapita nthawi

* Kupweteka kosalekeza m'munsi kumbuyo ndi m'chiuno

* Zowawa panthawi yogonana kapena pambuyo pake

* Kupweteka m'mimba

* Kupweteka kwamatumbo kapena kukodza kowawa panthawi ya kusamba

* Msambo wolemera komanso/kapena wautali

* Kutuluka magazi kapena kutuluka magazi pakati pa kusamba

* Kusabereka (osatha kutenga pakati)

*Kutopa

Azimayi omwe ali ndi endometriosis amathanso kukhala ndi vuto la m'mimba monga kutsegula m'mimba, kudzimbidwa, kapena kutupa, makamaka panthawi yawo.

Ndani ali pachiwopsezo?

Pafupifupi azimayi mamiliyoni asanu ku United States ali ndi endometriosis. Izi zimapangitsa kukhala limodzi mwazovuta zathanzi kwa azimayi.

Kawirikawiri, amayi omwe ali ndi endometriosis:

* amatenga nthawi yawo yamwezi

ali ndi zaka 27 pafupifupi

* ali ndi zizindikilo zaka ziwiri kapena zisanu asanadziwe kuti ali ndi matendawa

Azimayi omwe adutsa msambo (mayi akaleka kusamba) samakhalabe ndi zisonyezo.

Mutha kukhala ndi endometriosis ngati:

* munayamba kusamba mudakali aang'ono

* ali ndi nyengo zolemetsa

* ali ndi nyengo zomwe zimatha masiku opitilira asanu ndi awiri

Kukhala ndi nthawi yayitali pamwezi (masiku 27 kapena ochepera)

ali ndi wachibale wapamtima (amayi, azakhali, mlongo) yemwe ali ndi endometriosis

Kafukufuku wina akuwonetsa kuti mutha kuchepetsa mwayi wanu wokhala ndi endometriosis ngati:

* zolimbitsa thupi pafupipafupi

* pewani mowa ndi caffeine

Matendawa

Ngati mukuganiza kuti muli ndi matendawa, lankhulani ndi azamba / azimayi (OB / GYN). Dokotala wanu azikulankhulani za zidziwitso zanu komanso mbiri yazaumoyo wanu. Kenako adzayesa mayeso a m'chiuno. Nthawi zina poyesedwa, adokotala amatha kupeza zizindikiro za endometriosis.

Nthawi zambiri madokotala amafunika kuyesa mayeso kuti adziwe ngati mayi ali ndi endometriosis. Nthawi zina madokotala amagwiritsa ntchito kuyesa kujambula kuti "awone" kukula kwakukulu kwa endometriosis mkati mwa thupi. Mayesero awiri odziwika kwambiri ndi awa:

* ultrasound, yomwe imagwiritsa ntchito mafunde amawu kuwona mkati mwa thupi

* Magnetic resonance imaging (MRI), yomwe imagwiritsa ntchito maginito ndi mafunde a wailesi kupanga "chithunzi" chamkati mwa thupi.

Njira yokhayo yodziwira ngati muli ndi endometriosis ndikuchita opaleshoni yotchedwa laparoscopy. Pochita izi, kakhalidwe kakang'ono kamapangidwa m'mimba mwanu. Kachubu kakang'ono kokhala ndi kuwala kamayikidwa mkati kuti muwone zophuka kuchokera ku endometriosis. Nthawi zina madokotala amatha kudziwa endometriosis pongowona kukula. Nthawi zina, amafunika kutenga kachidutswa kakang'ono ka minofu, kapena biopsy, ndikuiphunzira pa microscope.

Chithandizo

Palibe mankhwala a endometriosis, koma pali mankhwala ambiri opweteka komanso osabereka omwe amayambitsa. Lankhulani ndi dokotala wanu za njira yomwe ili yabwino kwa inu. Chithandizo chomwe mwasankha chidzadalira pa zizindikiro zanu, zaka, ndi mapulani oyembekezera kutenga pakati.

Mankhwala Opweteka. Kwa amayi ena omwe ali ndi zizindikilo zochepa, madotolo angaganize zongomwa mankhwala owonjezera pa zowawa. Izi zikuphatikizapo: ibuprofen (Advil ndi Motrin) kapena naproxen (Aleve). Mankhwalawa akapanda kuthandizira, madokotala akhoza kulangiza kugwiritsa ntchito mankhwala ochepetsa ululu omwe amapezeka mwadongosolo.

Chithandizo cha Hormone. Ngati mankhwala opweteka sakukwanira, madokotala nthawi zambiri amalimbikitsa mankhwala a mahomoni kuti azichiza endometriosis. Ndi azimayi okha omwe sakufuna kutenga pakati omwe amatha kugwiritsa ntchito mankhwalawa. Chithandizo cha mahomoni ndichabwino kwa azimayi omwe ali ndi zotupa zochepa zomwe sizimva kuwawa kwambiri.

Mahomoni amabwera m'njira zosiyanasiyana kuphatikiza mapiritsi, kuwombera, ndi kupopera m'mphuno. Mahomoni ambiri amagwiritsidwa ntchito pa endometriosis kuphatikiza:

• Mapiritsi oletsa kubereka amaletsa zovuta za mahomoni achilengedwe pakukula kwam'magazi. Chifukwa chake, amalepheretsa kukula kwa mwezi ndi kuwonongeka kwa zophuka. Izi zitha kupangitsa kuti endometriosis isavute. Mapiritsi oletsa kubereka amathanso kupangitsa kuti nthawi ya azimayi ikhale yopepuka komanso yovuta. Mapiritsi ambiri olerera amakhala ndi mahomoni awiri, estrogen ndi progestin. Mapiritsi olera oterewa amatchedwa "mapiritsi osakaniza." Mayi akasiya kuwatenga, kuthekera kotenga mimba kumabwereranso, komanso zizindikiro za endometriosis.
  
• Mankhwala a progestin kapena progestin amagwira ntchito ngati mapiritsi olerera ndipo amatha kumwa ndi amayi omwe satha kumwa estrogen. Mayi akaleka kumwa ma progestin, amatha kutenga pakati. Koma, zizindikiro za endometriosis zimabwereranso.

Opaleshoni. Kuchita opaleshoni nthawi zambiri ndi njira yabwino kwambiri kwa azimayi omwe ali ndi endometriosis omwe ali ndi zotupa zochulukirapo, zopweteka zambiri, kapena mavuto obereka. Pali maopaleshoni ang'onoang'ono komanso ovuta omwe angathandize. Dokotala wanu anganene chimodzi mwa izi:

• Laparoscopy itha kugwiritsidwa ntchito pozindikira ndikuchiza endometriosis. Pa opaleshoniyi, madokotala amachotsa zophuka ndi zipsera kapena kuziwononga ndi kutentha kwakukulu. Cholinga ndikuthandizira endometriosis osawononga minofu yabwinobwino yozungulira. Amayi amachira pa laparoscopy mwachangu kwambiri kuposa opaleshoni yam'mimba.
  
• Laparotomy kapena opaleshoni yayikulu yam'mimba ndichithandizo chomaliza cha endometriosis yoopsa. Pa opaleshoniyi, dokotala amadula kwambiri pamimba kusiyana ndi laparoscopy. Izi zimapangitsa dokotala kuti afike ndikuchotsa kukula kwa endometriosis m'chiuno kapena pamimba. Kuchira pambuyo pochita opaleshoniyi kumatha kutenga miyezi iwiri.
  
• Hysterectomy iyenera kuganiziridwa ndi amayi omwe sakufuna kutenga pakati mtsogolomu. Pochita izi, adotolo amachotsa chiberekero. Angathenso kutulutsa mazira ndi mazira nthawi imodzi. Izi zimachitika pamene endometriosis yawawononga kwambiri.

Onaninso za