Kuzindikira Zosankha Zanu Zothandizira Kupweteka ndi Endometriosis

Zamkati

• Mankhwala othandizira kupweteka
• Thandizo la mahomoni
• Kulera kwa mahomoni
• Gonadotropin-release hormone (Gn-RH) agonists ndi otsutsa
• Thandizo la progestin
• Opaleshoni
• Njira zochiritsira zina komanso zowonjezera
• Kutenga

Chidule

Chizindikiro chachikulu cha endometriosis ndikumva kuwawa. Ululu umakhala wamphamvu kwambiri nthawi yopuma ndi msambo.

Zizindikiro zimatha kuphatikizira kupsinjika kwakukulu, kupweteka panthawi yogonana, minofu yolimba ya m'chiuno, komanso kusokonezeka ndimatumbo ndi kukodza, pakati pa ena. Zizindikirozi zimatha kusokoneza moyo watsiku ndi tsiku, nawonso.

Palibe mankhwala a endometriosis, koma chithandizo chitha kuthandiza. Mphamvu zamankhwala osiyanasiyana zimasiyanasiyana malinga ndi munthu. Cholinga ndikuletsa kapena kukonza zowawa za vutoli. Werengani kuti mudziwe zambiri zamankhwala omwe angakuthandizeni.

Mankhwala othandizira kupweteka

Mankhwala onse opatsirana ndi kupatsa ululu amatha kukhala njira yothetsera endometriosis. Kwa endometriosis wowerengeka mpaka woopsa, azimayi ambiri amapeza kuti mankhwala ochepetsa ululu samakhala ndi mphamvu zokwanira kuthana ndi ululu. Mutha kuyankhula ndi adotolo za chisankho chabwino kwambiri, kutengera zomwe muli nazo.

Mankhwala opweteka kwambiri a endometriosis ndi mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs). NSAIDS yapa counter imaphatikizapo ibuprofen, aspirin, ndi naproxen. NSAID za mankhwala zilipo, komanso.

Ma NSAID amagwiritsa ntchito ululu wa endometriosis poletsa kukula kwa ma prostaglandins, mtundu wa mankhwala opangidwa mthupi lanu. Ma Prostaglandins amachititsa ululu, kutupa, ndi kutupa amayi ambiri omwe amakhala ndi endometriosis munthawi yawo.

Nsomba? Kuti ma NSAID akhale othandiza kwambiri, amayenera kutengedwa thupi lisanayambe kutulutsa mankhwalawa.

Ngati mukumwa ma NSAID a endometriosis, yesetsani kuyamba kuwatenga osachepera 24 mpaka 48 maola musanayambe ovulating komanso tsiku loyamba lanu lisanakwane. Izi zimapatsa mankhwala nthawi yoletsa kukula kwa ma prostaglandin mthupi lanu. Ngati nthawi yanu imakhala yosasinthasintha kapena yosayembekezereka, dokotala wanu angakuuzeni kumwa mankhwala opweteka kwa sabata yonse yomwe mwatengera nthawi yanu.

Mankhwala omwewo sagwira ntchito kwa aliyense. Dokotala wanu angakulimbikitseni kuti muyesere ma NSAID osiyanasiyana - kapena kuphatikiza ma NSAID ndi mankhwala ena - kuti mupeze mpumulo. Ma NSAID ena sayenera kuphatikizidwa ndi mankhwala ena. Onetsetsani kuti mwalankhula ndi dokotala musanayambe mankhwala atsopano.

Thandizo la mahomoni

Thandizo la mahomoni limathandizira kupweteka kwa endometriosis pochepetsa ma spikes am'madzi mukamatha kusamba. Itha kuchepetsa kapena kusiya kusamba kwathunthu. Nthawi zambiri sizotheka ngati mukufuna kukhala ndi pakati.

Mahomoni omwe thupi lanu limatulutsa mozungulira ovulation komanso nthawi yanu nthawi zambiri amachititsa kuti zizindikiro za endometriosis ziwonjezeke. Izi zitha kupangitsa kuti zibowo zitheke m'chiuno kapena kupangitsa kuti zibowo zizikhala zonenepa. Cholinga cha chithandizo cha mahomoni ndikuteteza mabala atsopano kapena owonjezera posunga mahomoni anu.

Mitundu ya mankhwala a mahomoni a endometriosis ndi awa:

Kulera kwa mahomoni

Kuphatikiza mapiritsi oletsa kubereka akhala akugwiritsidwa ntchito pochizira endometriosis kuyambira zaka za m'ma 1950. Iwo amaonedwa kuti ndizopangira chithandizo chamankhwala. Mitundu ina yoletsa kubereka, monga mahomoni a IUD, mphete za amayi, kapena zigamba, nthawi zambiri amaperekedwanso.

Ngati mungasankhe kulera pakamwa, dokotala angakulimbikitseni kumwa mapiritsi mosalekeza. Izi zikutanthauza kuti mudzapewa kukhala ndi nthawi kwathunthu, limodzi ndi zowawa zomwe zimachitika. Ndikwabwino kudumpha nyengo yanu kwa miyezi ingapo (kapena ngakhale zaka).

Gonadotropin-release hormone (Gn-RH) agonists ndi otsutsa

Gn-RH kwenikweni imayika thupi kuti lithe kusamba. Amachepetsa milingo ya estrogen ndikuletsa kutulutsa mazira ndi kusamba. Izi, zimathandizanso kuchepa kwa endometrium.

Ngakhale ndiwothandiza, agonists a Gn-RH ndi omwe amatsutsana nawo amatha kukhala ndi zovuta zoyipa za kutha msinkhu, monga kuchepa kwa mafupa, kuuma kwa ukazi, komanso kuwotcha, pakati pa ena. Mankhwalawa amapezeka ndi jakisoni, kupopera m'mphuno, ndi mapiritsi a tsiku ndi tsiku.

Thandizo la progestin

Amakhulupirira kuti ma progestin amachepetsa zizindikilo za endometriosis pochepetsa mabala a endometriosis. Gynecologist wanu angakulimbikitseni progestin IUD, jakisoni, kapena mapiritsi kuti muthane ndi matenda anu.

Mankhwala ochiritsira mahomoni amatha kukhala othandiza kwambiri pochepetsa matenda a endometriosis komanso kupweteka. Koma ndikofunika kukumbukira kuti zizindikiro zanu zimatha kubwereranso ngati mutasiya kugwiritsa ntchito mahomoni nthawi iliyonse.

Opaleshoni

Kuchita opaleshoni ya endometriosis kumathandizira vutoli pochotsa zotupa za endometrium zomwe zimapweteka. Pali mitundu ingapo ya maopareshoni omwe angagwiritsidwe ntchito. Endometriosis Foundation of America imawona kuti opaleshoni ya laparoscopic excision ndiyo njira yagolide yothandizira opaleshoni ya endometriosis.

Opaleshoni yochitidwa ndi laparoscopic nthawi zambiri imanenedwa kuti ndi "yosasamala." Izi zikutanthauza kuti cholinga ndikuteteza minofu yathanzi, ndikuchotsa zotupa za endometrium.

Ndemanga ya 2016 mu nyuzipepala ya Women's Health inanena kuti opaleshoni ingakhale yothandiza kuchepetsa ululu wa endometriosis. Kafukufuku wa 2018 ku BMJ adati opareshoni ya laparoscopic excision imathandizira kupweteka kwam'chiuno ndi matumbo okhudzana ndi matumbo. Kuchita opaleshoniyo kunathandizanso kuti azimayi omwe ali ndi endometriosis akhale ndi moyo wabwino. Kafukufuku wa BMJ adaphatikizapo opitilira 4,000 m'malo osiyanasiyana azachipatala.

Maopaleshoni owopsa ambiri anali ofala m'mbuyomu. Hysterectomy ndi oophorectomy, zomwe zimachotsa chiberekero ndi thumba losunga mazira, zimawerengedwa ngati mankhwala abwino kwambiri a endometriosis. Mwambiri, izi sizikulimbikitsidwanso kwa anthu ambiri. Ngakhale chiberekero ndi thumba losunga mazira atachotsedwa, ndizotheka kuti zotupa za endometrium zitha kupezeka m'ziwalo zina.

Kumbukirani kuti kuchitidwa opaleshoni si chitsimikizo cha kupumula kwakanthawi. Zilonda za Endometrial, ndi zowawa zomwe zimayambitsa, zimatha kubwereranso pambuyo potsatira.

Njira zochiritsira zina komanso zowonjezera

Kupeza chithandizo choyenera cha kupweteka kwa endometriosis kumatha kukhala kuyesa komanso kolakwika. Muthanso kuyesa njira zochiritsira zochiritsira pamodzi ndi mankhwala. Nthawi zonse lankhulani ndi dokotala musanayese mankhwala amtundu uliwonse.

Njira zina zochiritsira za endometriosis ndi izi:

• Kutema mphini. Kafukufuku wogwiritsa ntchito kutema mphini pochiza endometriosis ndi ochepa. Kafukufuku wa 2017 omwe alipo kale akuwonetsa kuti kutema mphini kumatha kuthandizira kupumula kwa kupweteka kwa endometriosis.
• Makina opanga ma transcutaneous magetsi a kukondoweza (TENS). Zida za TENS zimatulutsa mphamvu yamagetsi yotsika yomwe imachepetsa kupweteka ndikumasula minofu. Kafukufuku wina wocheperako adapeza kuti makina a TENS anali othandiza kwambiri pakuchepetsa kupweteka, ngakhale atadzipangira okha.
• Kutentha. Mapepala otentha komanso malo osambira ofunda amatha kupumula minofu yolimba ndikuchepetsa ululu wokhudzana ndi endometriosis.
• Kupanikizika. Kupsinjika kumalumikizidwa ndi kutupa kosatha ndipo kumakhudzanso kuchuluka kwamahomoni. Njira zothanirana ndi nkhawa, monga kusinkhasinkha, yoga, mitundu, ndi masewera olimbitsa thupi, zitha kuchepetsa nkhawa.

Kutenga

Endometriosis ikhoza kukhala chowawa. Kuyesera njira zosiyanasiyana zothandizira kupweteka, ndikupeza zomwe zikukuyenderani bwino, ndichofunikira kuti muchepetse matenda anu. Lankhulani ndi dokotala wanu za zomwe mungachite, komanso njira zina zilizonse zomwe angakupatseni.