Endometriosis

Zamkati

• Zizindikiro za Endometriosis
• Chithandizo cha Endometriosis
• Mankhwala opweteka
• Thandizo la mahomoni
• Njira zakulera zamadzimadzi
• Gonadotropin-release hormone (GnRH) agonists ndi otsutsa
• Zamgululi
• Opaleshoni yosamala
• Opaleshoni yomaliza (hysterectomy)
• Kodi chimayambitsa endometriosis ndi chiyani?
• Magawo a Endometriosis
• Gawo 1: Zochepa
• Gawo 2: Wofatsa
• Gawo 3: Wofatsa
• Gawo 4: Kwambiri
• Matendawa
• Mbiri yakale
• Kuyesa kwakuthupi
• Ultrasound
• Laparoscopy
• Matenda a Endometriosis
• Zowopsa
• Zaka
• Mbiri ya banja
• Mbiri ya mimba
• Mbiri yakusamba
• Matenda a Endometriosis (mawonekedwe)

Kodi endometriosis ndi chiyani?

Endometriosis ndi matenda omwe minofu yofanana ndi minofu yomwe imapanga chiberekero chanu imakula kunja kwa chiberekero chanu. Mzere wa chiberekero chanu umatchedwa endometrium.

Endometriosis imachitika pamene minofu ya endometrial imakula m'mimba mwanu, matumbo, ndi ziwalo zomwe zimakhudza m'chiuno mwanu. Si zachilendo kuti minofu ya endometrial ifalikire kupitirira dera lanu la m'chiuno, koma sizingatheke. Minofu ya endometrium yomwe imakula kunja kwa chiberekero chanu imadziwika ngati kokhazikitsidwa ndi endometrial.

Kusintha kwa mahomoni kusamba kwanu kumakhudza minofu yolakwika ya endometrial, ndikupangitsa kuti malowo atenthe komanso kuwawa. Izi zikutanthauza kuti minofu imakula, yolimba, ndikuphwanya. Popita nthawi, minofu yomwe yathyoledwa ilibe kopita ndipo imakodwa m'chiuno mwanu.

Minofu yomwe yatsekedwa m'chiuno mwanu imatha kuyambitsa:

• kuyabwa
• zipsera mapangidwe
• zomatira, momwe minofu imamangiriza ziwalo zanu m'chiuno pamodzi
• kupweteka kwambiri m'nyengo yanu
• mavuto obereka

Endometriosis ndichizoloŵezi chachikazi, chomwe chimakhudza amayi 10 pa 100 alionse. Simuli nokha ngati muli ndi vutoli.

Zizindikiro za Endometriosis

Zizindikiro za endometriosis zimasiyana. Amayi ena amakhala ndi zizindikiro zochepa, koma ena amatha kukhala ndi zizindikilo zochepa. Kukula kwa ululu wanu sikuwonetsa kukula kapena mkhalidwewo. Mutha kukhala ndi matenda ofatsa koma mukumva kuwawa. Ndikothekanso kukhala ndi mawonekedwe owopsa ndikukhala ndi zovuta pang'ono.

Kupweteka kwa m'mimba ndi chizindikiro chofala kwambiri cha endometriosis. Mwinanso mungakhale ndi zizindikiro zotsatirazi:

• nthawi zopweteka
• kupweteka pamimba asanafike komanso kusamba
• kukokana sabata limodzi kapena awiri mozungulira msambo
• Kutaya magazi kwambiri msambo kapena kutuluka magazi pakati pa msambo
• osabereka
• kupweteka kutsatira kugonana
• Kusokonezeka ndi matumbo
• kupweteka kwa msana komwe kumatha kuchitika nthawi iliyonse mukamasamba

Mwinanso simungakhale ndi zizindikiro. Ndikofunika kuti mupeze mayeso azachipatala pafupipafupi, omwe amalola azachipatala anu kuti aziwona zosintha zilizonse. Izi ndizofunikira makamaka ngati muli ndi zizindikiro ziwiri kapena zingapo.

Chithandizo cha Endometriosis

Ndizomveka kuti mukufuna kupumula msanga ku zowawa komanso zizindikilo zina za endometriosis. Vutoli limatha kusokoneza moyo wanu ngati silichiritsidwa. Endometriosis ilibe mankhwala, koma zizindikiro zake zimatha kuyendetsedwa.

Njira zamankhwala ndi zamankhwala zimapezeka kuti zithandizire kuchepetsa zizindikiritso zanu komanso kuthana ndi zovuta zilizonse zomwe zingachitike. Dokotala wanu akhoza kuyesa mankhwala osamalitsa. Atha kulangiza kuchitidwa opaleshoni ngati vuto lanu silikuyenda bwino.

Aliyense amachita mosiyana ndi izi. Dokotala wanu adzakuthandizani kupeza zomwe zikukuthandizani kwambiri.

Zingakhale zokhumudwitsa kupeza chithandizo chamankhwala koyambirira kwa matendawa. Chifukwa cha zovuta za chonde, kupweteka, komanso mantha kuti palibe mpumulo, matendawa amatha kukhala ovuta kuthana nawo. Ganizirani kupeza gulu lothandizira kapena kudziphunzitsa nokha pamalopo. Njira zochiritsira ndi izi:

Mankhwala opweteka

Mutha kuyesa mankhwala owawa owawa ngati ibuprofen, koma izi sizothandiza nthawi zonse.

Thandizo la mahomoni

Kutenga mahomoni owonjezera nthawi zina kumachepetsa ululu ndikuletsa kupitilira kwa endometriosis. Thandizo la mahomoni limathandiza thupi lanu kuwongolera kusintha kwa mahomoni pamwezi komwe kumalimbikitsa kukula kwa minofu komwe kumachitika mukakhala ndi endometriosis.

Njira zakulera zamadzimadzi

Njira zakulera zam'madzi zimachepetsa kubala poletsa kukula kwa mwezi ndi kuchuluka kwa minofu ya endometrium. Mapiritsi oletsa kubereka, zigamba, ndi mphete zamaliseche zimatha kuchepetsa kapena kuthetseratu ululu mu endometriosis yocheperako.

Jakisoni wa medroxyprogesterone (Depo-Provera) ndiwothandiza poletsa msambo. Imaletsa kukula kwa mapangidwe a endometrial. Amachotsa ululu ndi zizindikiro zina. Izi sizingakhale zoyambirira kusankha, komabe, chifukwa cha kuchepa kwa mafupa, kunenepa, komanso kuchuluka kwa kukhumudwa nthawi zina.

Gonadotropin-release hormone (GnRH) agonists ndi otsutsa

Amayi amatenga zomwe zimatchedwa kuti gonadotropin-release hormone (GnRH) agonists ndi antagonists kuti aletse kupanga estrogen yomwe imathandizira mazira ambiri. Estrogen ndiye mahomoni omwe makamaka amachititsa kuti azimayi azigonana. Kulepheretsa kupanga estrogen kumalepheretsa kusamba ndikupanga kusamba.

Chithandizo cha GnRH chimakhala ndi zovuta monga kuuma kwa nyini komanso kutentha. Kutenga mankhwala ochepa a estrogen ndi progesterone nthawi yomweyo kungathandize kuchepetsa kapena kupewa izi.

Zamgululi

Danazol ndi mankhwala ena omwe amagwiritsidwa ntchito poletsa msambo ndikuchepetsa zizindikilo. Mukamamwa danazol, matendawa amatha kupitilirabe. Danazol imatha kukhala ndi zoyipa, kuphatikiza ziphuphu ndi hirsutism. Hirsutism ndikukula kwatsitsi kosazolowereka kumaso ndi thupi lanu.

Mankhwala ena akuwerengedwa omwe amatha kusintha zizindikilo ndikuchepetsa matenda.

Opaleshoni yosamala

Kuchita opaleshoni mosamala ndi kwa amayi omwe akufuna kutenga pakati kapena kumva kuwawa kwambiri komanso omwe chithandizo cha mahomoni sichikugwira ntchito. Cholinga cha opaleshoni yodziletsa ndikuchotsa kapena kuwononga kukula kwa endometrium popanda kuwononga ziwalo zoberekera.

Laparoscopy, opaleshoni yochepa kwambiri, imagwiritsidwa ntchito poyerekeza ndi kuzindikira, endometriosis. Amagwiritsidwanso ntchito kuchotsa minofu ya endometrial. Dokotala wochita opaleshoni amaboola pang'ono pamimba kuti achotse zoperekazo kapena kuti aziwotcha kapena kuzitulutsa. Lasers amagwiritsidwa ntchito masiku ano ngati njira yowonongera "zopanda pake" izi.

Opaleshoni yomaliza (hysterectomy)

Kawirikawiri, dokotala wanu angakulimbikitseni kuchotsa kachilombo ka HIV ngati njira yomaliza ngati matenda anu sakusintha ndi mankhwala ena.

Pa nthawi yonse yochotsa mimba, dokotalayo amachotsa chiberekero ndi khomo pachibelekeropo. Amachotsanso thumba losunga mazira chifukwa ziwalozi zimapanga estrogen, ndipo estrogen imayambitsa kukula kwa minofu ya endometrial. Kuphatikiza apo, dokotalayo amachotsa zotupa zowoneka bwino.

Hysterectomy kaŵirikaŵiri samaganiziridwa kuti ndi mankhwala kapena mankhwala a endometriosis. Simungathe kutenga pakati pambuyo pochita chiberekero. Pezani lingaliro lachiwiri musanavomere kuchitidwa opaleshoni ngati mukuganiza zoyamba banja.

Kodi chimayambitsa endometriosis ndi chiyani?

Mukamayenda nthawi zonse kusamba, thupi lanu limatulutsa chiberekero chanu. Izi zimalola magazi akusamba kutuluka muchiberekero chanu kudzera pakabowo kakang'ono ka khomo lachiberekero ndikutuluka kudzera kumaliseche kwanu.

Zomwe zimayambitsa endometriosis sizidziwika, ndipo pali malingaliro angapo okhudzana ndi chifukwa, ngakhale kuti palibe lingaliro limodzi lomwe latsimikiziridwa mwasayansi.

Imodzi mwa malingaliro akale kwambiri ndikuti endometriosis imachitika chifukwa cha njira yotchedwa retrograde msambo. Izi zimachitika magazi akamasamba amabwereranso kudzera m'machubu yanu yam'mimbamo kupita m'chiuno mwanu m'malo mosiya thupi lanu kudzera kumaliseche.

Lingaliro lina ndiloti mahomoni amasintha maselo akunja kwa chiberekero kukhala maselo ofanana ndi omwe amakhala mkati mwa chiberekero, omwe amadziwika kuti ma cell a endometrial.

Ena amakhulupirira kuti vutoli limatha kuchitika ngati magawo ang'ono am'mimba mwanu asandulika kukhala minofu ya endometrium. Izi zitha kuchitika chifukwa maselo am'mimba mwanu amakula kuchokera m'maselo a mluza, omwe amatha kusintha mawonekedwe ndikuchita ngati ma cell endometrium. Sizikudziwika chifukwa chake izi zimachitika.

Maselo oterewa amatha kukhala pamakoma anu a m'chiuno ndi nkhope ya ziwalo zanu zamkati, monga chikhodzodzo, mazira, ndi rectum. Amapitilizabe kukula, kukulitsa, komanso kutuluka magazi nthawi yanu yakusamba poyankha mahomoni azomwe mumayenda.

N'zothekanso kuti magazi akusamba atulukire m'chiuno kudzera pachipsera cha opareshoni, monga atangobereka kumene (komwe kumatchedwanso kuti C-gawo).

Lingaliro linanso ndikuti maselo am'magazi amkati amatulutsidwa kunja kwa chiberekero kudzera mumayendedwe amitsempha. Komanso lingaliro lina limanena kuti mwina ndichifukwa cha chitetezo chamthupi cholakwika chomwe sichikuwononga ma cell a endometrial olakwika.

Ena amakhulupirira kuti endometriosis imayamba munthawi ya fetus ndimaselo olakwika omwe amayamba kuyankha mahomoni otha msinkhu. Izi nthawi zambiri zimatchedwa chiphunzitso cha Mullerian. Kukula kwa endometriosis amathanso kulumikizidwa ndi chibadwa kapena ngakhale poizoni wazachilengedwe.

Magawo a Endometriosis

Endometriosis ili ndi magawo anayi kapena mitundu. Zitha kukhala izi:

• zochepa
• wofatsa
• moyenera
• kwambiri

Zinthu zosiyanasiyana zimatsimikizira siteji ya matendawa. Izi zingaphatikizepo malo, kuchuluka, kukula, ndi kuya kwa zopangira za endometrium.

Gawo 1: Zochepa

Mu endometriosis yocheperako, pali zilonda zazing'ono kapena mabala ndi zopangira zosazama za endometrial pa ovary yanu. Pakhoza kukhalanso kutupa mkati kapena mozungulira m'chiuno mwanu.

Gawo 2: Wofatsa

Endometriosis yofatsa imaphatikizapo zilonda zowala ndi zopangira zosaya pa ovary ndi m'chiuno.

Gawo 3: Wofatsa

Endometriosis yaying'ono imakhudzanso zokhazokha m'matumba anu ovary ndi m'chiuno. Pakhoza kukhalanso zotupa zambiri.

Gawo 4: Kwambiri

Gawo lovuta kwambiri la endometriosis limaphatikizapo ma implants akuya m'chiuno mwanu ndi m'mimba mwake. Pakhoza kukhalanso zotupa pamachubu ndi m'matumbo mwanu.

Matendawa

Zizindikiro za endometriosis zitha kukhala zofananira ndi zizindikilo zina, monga zotupa zamchiberekero ndi matenda otupa m'chiuno. Kuchiza ululu wanu kumafuna kudziwa molondola.

Dokotala wanu adzachita mayeso amodzi kapena angapo otsatirawa:

Mbiri yakale

Dokotala wanu azindikira zidziwitso zanu komanso mbiri yaumwini kapena banja la endometriosis. Kafukufuku wowunikanso atha kuchitidwa kuti aone ngati pali zizindikilo zina za matendawa kwakanthawi.

Kuyesa kwakuthupi

Mukamayesa mchiuno, dokotala wanu amamva pamimba pamimba kapena pamabala pachiberekero.

Ultrasound

Dokotala wanu akhoza kugwiritsa ntchito transvaginal ultrasound kapena m'mimba ultrasound. Mu transvaginal ultrasound, transducer imayikidwa mu nyini yanu.

Mitundu yonse iwiri ya ultrasound imapereka zithunzi za ziwalo zanu zoberekera. Amatha kuthandiza dokotala kudziwa zotupa zomwe zimakhudzana ndi endometriosis, koma sizothandiza kuthana ndi matendawa.

Laparoscopy

Njira yokhayo yodziwira endometriosis ndiyo kuyiona mwachindunji. Izi zimachitika ndi opaleshoni yaying'ono yotchedwa laparoscopy. Akapezeka, minofu imatha kuchotsedwa mofananamo.

Matenda a Endometriosis

Kukhala ndi zovuta zokhudzana ndi chonde ndi vuto lalikulu la endometriosis. Azimayi omwe ali ndi mawonekedwe ocheperako amatha kutenga pakati ndikunyamula mwana mpaka nthawi. Malinga ndi chipatala cha Mayo, pafupifupi 30 mpaka 40% ya azimayi omwe ali ndi endometriosis amavutika kutenga pakati.

Mankhwala samasintha chonde. Amayi ena akhala otenga pakati atachotsedwa minyewa yama endometrial. Ngati izi sizikugwira ntchito kwa inu, mungafune kulingalira za chithandizo cha chonde kapena mu vitro feteleza kuti muthandize kukonza mwayi wokhala ndi mwana.

Mungafune kuganizira zokhala ndi ana posachedwa ngati mwapezeka kuti muli ndi endometriosis ndipo mukufuna ana. Zizindikiro zanu zitha kukulirakulira pakapita nthawi, zomwe zingapangitse kuti zikhale zovuta kuti mukhale ndi pakati nokha. Muyenera kuyesedwa ndi dokotala musanakhale ndi pakati. Lankhulani ndi dokotala wanu kuti mumvetse zomwe mungasankhe.

Ngakhale kubereka sichinthu chodetsa nkhaŵa, kuthetsa ululu wosatha kungakhale kovuta. Matenda okhumudwa, kuda nkhawa, komanso mavuto ena amisala sizachilendo. Lankhulani ndi dokotala wanu za njira zothetsera mavutowa. Kulowa m'gulu lothandizira kungathandizenso.

Zowopsa

Malinga ndi a Johns Hopkins Medicine, pafupifupi 2 mpaka 10% ya amayi obereka ku United States azaka zapakati pa 25 mpaka 40 ali ndi endometriosis. Nthawi zambiri zimakula patadutsa msambo. Vutoli limatha kukhala lopweteka koma kumvetsetsa zomwe zimawopsa kungakuthandizeni kudziwa ngati muli pachiwopsezo ichi komanso nthawi yomwe muyenera kuyankhula ndi dokotala wanu.

Zaka

Amayi azaka zonse ali pachiwopsezo cha endometriosis. Nthawi zambiri zimakhudza azimayi azaka zapakati pa 25 ndi 40, koma zizindikilo zimayamba msinkhu.

Mbiri ya banja

Lankhulani ndi dokotala ngati muli ndi wachibale yemwe ali ndi endometriosis. Mutha kukhala ndi chiopsezo chachikulu chotenga matendawa.

Mbiri ya mimba

Mimba imachepetsa kwakanthawi zizindikilo za endometriosis. Amayi omwe alibe ana amakhala pachiwopsezo chachikulu chotenga matendawa. Komabe, endometriosis imatha kuchitika mwa amayi omwe akhala ndi ana. Izi zimathandizira kumvetsetsa kuti mahomoni amakhudza kukula ndi kupita patsogolo kwa vutoli.

Mbiri yakusamba

Lankhulani ndi dokotala wanu ngati muli ndi mavuto okhudza nthawi yanu. Izi zitha kuphatikizira nthawi yayifupi, nthawi yolemetsa komanso yayitali, kapena msambo womwe umayamba adakali aang'ono. Izi zitha kukuikani pachiwopsezo chachikulu.

Matenda a Endometriosis (mawonekedwe)

Endometriosis ndi matenda osachiritsika. Sitikumvetsetsa chomwe chimayambitsa izi.

Koma izi sizikutanthauza kuti vutoli liyenera kukhudza moyo wanu watsiku ndi tsiku. Mankhwala othandiza amapezeka kuti athetse mavuto azovuta komanso kubereka, monga mankhwala, mankhwala a mahomoni, ndi opaleshoni. Zizindikiro za endometriosis nthawi zambiri zimasintha pambuyo pa kusamba.