Kodi Rectovaginal Endometriosis ndi chiyani?

Zamkati

• Zizindikiro zake ndi ziti?
• Zomwe zimayambitsa rectovaginal endometriosis?
• Kodi izi zimapezeka bwanji?
• Kodi ndi njira ziti zamankhwala zomwe zingapezeke?
• Opaleshoni
• Mankhwala
• Kodi zovuta ndizotheka?
• Kodi mungayembekezere chiyani?

Kodi ndizofala?

Endometriosis ndimkhalidwe womwe minofu yomwe imayendetsa chiberekero chanu - yotchedwa minofu ya endometrium - imakula ndikumunjikana m'malo ena amimba ndi m'chiuno.

Mukamatha kusamba, minofu iyi imatha kuyankha mahomoni monga momwe amachitira m'chiberekero chanu. Komabe, chifukwa ili kunja kwa chiberekero chanu komwe siili, imatha kukhudza ziwalo zina, kuyambitsa kutupa, ndikupangitsa zipsera.

Pali magawo owopsa a endometriosis:

• Pamwamba endometriosis. Madera ang'onoang'ono amatenga nawo mbali, ndipo minofu sikukula kwambiri m'ziwalo zanu zam'mimba.
• Kulowetsa mkati endometriosis. Uwu ndiye mkhalidwe wovuta kwambiri wa vutoli. Rectovaginal endometriosis imagwera pamlingo uwu.

Rectovaginal endometriosis ndi imodzi mwanjira zamatendawa. Minofu ya endometrial imatha kufikira mainchesi awiri kapena kupitilira apo. Imatha kulowa mkati mwa nyini, m'mphuno, ndi minofu yomwe ili pakati pa nyini ndi rectum, yotchedwa rectovaginal septum.

Rectovaginal endometriosis siocheperako poyerekeza ndi endometriosis m'mimba m'mimba kapena pamimba. Malinga ndi ndemanga mu International Journal of Women's Health, rectovaginal endometriosis imakhudza azimayi omwe ali ndi endometriosis.

Zizindikiro zake ndi ziti?

Zizindikiro zina za rectovaginal endometriosis ndizofanana ndi mitundu ina ya endometriosis.

Zizindikiro zamtundu wina wa endometriosis ndi monga:

• kupweteka kwa m'chiuno ndi kukokana
• nthawi zopweteka
• kugonana kowawa
• kupweteka kwamatumbo

Zizindikiro zapaderazi ndi izi:

• Kusokonezeka panthawi yamatumbo
• Kutuluka magazi m'matumbo
• kudzimbidwa kapena kutsegula m'mimba
• kupweteka kwa rectum komwe kumatha kumva ngati "mwakhala pamunga"
• mpweya

Zizindikirozi nthawi zambiri zimawonjezeka mukamasamba.

Zomwe zimayambitsa rectovaginal endometriosis?

Madokotala sakudziwa chomwe chimayambitsa rectovaginal kapena mitundu ina ya endometriosis. Koma ali ndi malingaliro ochepa.

Lingaliro lodziwika bwino la endometriosis limakhudzana ndikubwerera m'mbuyo msambo wamagazi. Izi zimadziwika kuti kusamba mobwerezabwereza. Pakati pa kusamba, magazi ndi minofu zimatha kuyenda chammbuyo kudzera mumachubu komanso kulowa m'chiuno, komanso kutuluka mthupi. Izi zimatha kuyika minofu ya endometrium m'malo ena amchiuno ndi pamimba.

Komabe, kafukufuku waposachedwa adapeza kuti ngakhale azimayi atha kusinthanso kusamba, ambiri samapitilira endometriosis. M'malo mwake, ofufuza amakhulupirira kuti chitetezo cha mthupi chili ndi gawo lofunikira pantchito imeneyi.

Zina zomwe zingathandize kuti athetse vutoli ndi monga:

• Kusintha kwa selo. Maselo okhudzidwa ndi endometriosis amayankha mosiyanasiyana mahomoni ndi zizindikiritso zina zamankhwala.
• Kutupa. Zinthu zina zomwe zimayambitsa kutupa zimapezeka m'matumba omwe amakhudzidwa ndi endometriosis.
• Opaleshoni. Kukhala ndi nthawi yobereka, hysterectomy, kapena opaleshoni ina yam'mimba kumatha kukhala pachiwopsezo cha magawo endometriosis. Kafukufuku wa 2016 mu Sayansi Yobereka akuwonetsa kuti maopaleshoniwa atha kuyambitsa thupi kulimbikitsa kukula kwa minofu yomwe yakhala ikugwira ntchito kale.
• Chibadwa. Endometriosis imatha kuyenda m'mabanja. Ngati muli ndi amayi kapena mlongo yemwe ali ndi vutoli, pali zomwe zimayambitsa, m'malo mongokhala wopanda mbiri yamabanja ya matendawa.

Amayi amatha kukhala ndi ma rectovaginal endometriosis.

Kodi izi zimapezeka bwanji?

Rectovaginal endometriosis imatha kukhala yovuta kuzindikira. Pali momwe mungadziwire mtundu wa matendawa.

Dokotala wanu ayamba kufunsa mafunso okhudza matenda anu, kuphatikizapo:

• Munayamba liti kusamba? Zinali zopweteka?
• Kodi muli ndi zizindikiro monga kupweteka kwa m'chiuno, kapena kupweteka panthawi yogonana kapena matumbo?
• Kodi muli ndi zisonyezo ziti pofika nthawi yanu?
• Kodi mwakhala ndi zizindikilo mpaka liti? Kodi zasintha? Ngati ndi choncho, asintha motani?
• Kodi mwachitidwapo opaleshoni m'chiuno mwanu, monga kubisala?

Kenako, dokotala wanu amayang'ana kumaliseche kwanu ndi thumbo lanu ndi chala chovala kuti muwone ngati muli ndi zowawa, zotupa, kapena minofu yachilendo.

Dokotala wanu angagwiritsenso ntchito mayesero amodzi kapena angapo kuti ayang'ane minofu ya endometrial kunja kwa chiberekero:

• Ultrasound. Kuyesaku kumagwiritsa ntchito mafunde akumveka kwambiri kuti apange zithunzi zamkati mwa thupi lanu. Chida chotchedwa transducer chitha kuikidwa mkati mwa nyini yanu (transvaginal ultrasound) kapena rectum.
• MRI. Kuyesaku kumagwiritsa ntchito maginito amphamvu ndi mafunde a wailesi kuti apange zithunzi zamkati mwamimba mwanu. Itha kuwonetsa madera a endometriosis m'ziwalo zanu komanso m'mimba.
• CT colonography (pafupifupi colonoscopy). Mayesowa amagwiritsa ntchito ma X-ray omwe ali ndi mlingo wochepa kuti ajambule mkati mwanu ndi m'matumbo.
• Laparoscopy. Kuchita opaleshoniyi nthawi zambiri kumakhala. Mukamagona komanso osamva ululu pansi pa anesthesia, dokotala wanu amakuchepetsani m'mimba. Adzaika chubu chochepa kwambiri chokhala ndi kamera kumapeto kwake, kotchedwa laparoscope, m'mimba mwanu kuti mufufuze minofu ya endometrial. Zitsanzo za minofu nthawi zambiri zimachotsedwa kukayezetsa.

Dokotala wanu atazindikira minofu ya endometrial, adzawona kuuma kwake. Endometriosis imagawidwa m'magawo kutengera kuchuluka kwa minofu yomwe muli nayo kunja kwa chiberekero chanu komanso momwe imakulira:

• Gawo 1. Zochepa. Pali madera ena akutali a minofu ya endometrium.
• Gawo 2. Wofatsa. Minofuyo imakhala pamwamba pa ziwalo popanda mabala
• Gawo 3. Wamkati. Ziwalo zambiri zimakhudzidwa, ndi mbali zina za zipsera.
• Gawo 4. Kwambiri. Pali ziwalo zingapo zomwe zimakhudzidwa ndimadera ambiri am'matumbo ndi m'mabala.

Komabe, gawo la endometriosis siligwirizana ndi zizindikilo. Pakhoza kukhala zizindikilo zazikulu ngakhale ndi matenda ochepa. Rectovaginal endometriosis nthawi zambiri.

Kodi ndi njira ziti zamankhwala zomwe zingapezeke?

Chifukwa vutoli limapitilira ndipo limakhala lachilendo, cholinga cha chithandizo ndikuwongolera zizindikiritso zanu. Dokotala wanu adzakuthandizani kusankha chithandizo potengera momwe matendawa aliri komanso komwe amapezeka. Izi nthawi zambiri zimaphatikizapo opaleshoni komanso mankhwala.

Opaleshoni

Kuchita maopaleshoni kuti muchotse minofu yambiri momwe zingathere kumapereka mpumulo waukulu. Kafukufuku akuwonetsa kuti zitha kusintha mpaka zizindikilo zowawa.

Opaleshoni ya Endometriosis itha kuchitidwa laparoscopically kapena robotic kudzera pamagwiridwe ang'onoang'ono pogwiritsa ntchito zida zing'onozing'ono.

Njira zopangira opangira zingaphatikizepo:

• Kumeta. Dokotala wanu amagwiritsa ntchito chida chakuthwa kuti achotse madera a endometriosis. Njirayi imatha kusiya minyewa yam'mbuyo.
• Kuyambiranso. Dokotala wanu adzachotsa gawo la m'matumbo momwe endometriosis yakula, kenako nkugwirizananso matumbo.
• Pezani kutulutsa. M'madera ang'onoang'ono a endometriosis, dotolo wanu amatha kudula tinthu tina tomwe timakhudzidwa m'matumbo ndikutseka.

Mankhwala

Pakadali pano pali mitundu iwiri ikuluikulu ya mankhwala omwe amagwiritsidwa ntchito pochizira ma rectovaginal ndi mitundu ina ya endometriosis: mahomoni ndi ochepetsa ululu.

Thandizo la mahomoni lingathandize kuchepetsa kukula kwa minofu ya endometrial ndikuchepetsa ntchito zake kunja kwa chiberekero.

Mitundu ya mankhwala osokoneza bongo ndi awa:

• kulera, kuphatikizapo mapiritsi, chigamba, kapena mphete
• gonadotropin-yotulutsa timagonist (GnRH) agonists
• danazol, yosagwiritsidwa ntchito masiku ano
• jakisoni wa progestin (Depo-Provera)

Dokotala wanu angalimbikitsenso mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), monga ibuprofen (Advil) kapena naproxen (Aleve), kuti athetse ululu.

Kodi zovuta ndizotheka?

Kuchita opaleshoni yothandizira ma rectovaginal endometriosis kumatha kuyambitsa zovuta monga:

• kutuluka magazi mkati mwa mimba
• fistula, kapena kulumikizana kwachilendo, pakati pa nyini ndi rectum kapena ziwalo zina
• kudzimbidwa kosalekeza
• ikudontha mozungulira matumbo olumikizananso
• zovuta kudutsa mipando
• kusakwanira kuwongolera zizindikilo zomwe zimafunikira opaleshoni yambiri

Azimayi omwe ali ndi endometriosis yamtunduwu amatha kukhala ndi vuto lalikulu kutenga pakati. Mimba yomwe imakhala ndi amayi omwe ali ndi rectovaginal endometriosis ndiyotsika poyerekeza ndi azimayi omwe alibe matendawa. Kuchita maopareshoni ndi mu vitro feteleza kumatha kukulitsa zovuta zakukhala ndi pakati.

Kodi mungayembekezere chiyani?

Maganizo anu amatengera kukula kwa endometriosis yanu komanso momwe amathandizidwira. Kuchita opaleshoni kumatha kuchepetsa ululu ndikupititsa patsogolo chonde.

Chifukwa endometriosis ndichinthu chowawa, imatha kukhala ndi gawo lalikulu pamoyo wanu watsiku ndi tsiku. Kuti mupeze chithandizo m'dera lanu, pitani ku Endometriosis Foundation of America kapena Endometriosis Association.