Adenomyosis kapena endometriosis yamkati ndi matenda ofala komanso owopsa a uterine. Ngati mukukhudzidwa ndi matendawa, dziwani kuti mankhwala angapo amatha kuganiziridwa kutengera ngati mukufuna kukhala ndi pakati kapena ayi. 

Tanthauzo

Uterine adenomyosis nthawi zambiri imatchedwa endometriosis mkati mwa chiberekero. Zimafanana ndi kulowetsedwa kwa maselo a endometrium (chiberekero cha uterine) mu minofu ya khoma la uterine (myometrium), zomwe zimabweretsa kukula kwa myometrium. 

Adenomyosis imatha kufalikira kapena kuyang'ana (chimodzi kapena chocheperako mkati mwa myometrium), chapamwamba kapena chakuya. Kufalikira kwa adenomyosis ndikofala kwambiri. 

Ndiko kuti: pali kugwirizana pakati pa endometriosis ndi adenomyosis koma mkazi akhoza kukhala ndi endometriosis popanda adenomyosis kapena kukhala ndi adenomyosis popanda endometriosis. 

Matenda a uterine awa amatha kusokoneza chonde. 

Zimayambitsa 

Zomwe zimayambitsa matendawa sizikudziwika. Tikudziwa kuti zimadalira mlingo wa estrogen komanso kuti amayi omwe ali ndi mimba imodzi kapena omwe adachitidwa opaleshoni ya chiberekero (gawo la cesarean, curettage, etc.) ali pachiopsezo chachikulu chokhala ndi adenomyosis. 

matenda 

Ngati pali kukayikira za adenomyosis, ultrasound ya m'chiuno imachitika. Ngati sikokwanira kuti adziwe matendawa, chithunzi cha pelvic magnetic resonance imaging (MRI) chimachitidwa. Kuphatikiza pa kulola matendawa, kuyezetsa kojambula kumapangitsa kuti athe kudziwa kuchuluka kwa kufalikira, kuyang'ana matenda okhudzana ndi uterine (endometriosis, uterine fibroids), makamaka pakakhala kusabereka). 

Anthu okhudzidwa 

Adenomyosis imakhudza pafupifupi mmodzi mwa amayi awiri azaka zapakati pa 40 ndi 50. Adenomyosis ndi endometriosis zimagwirizanitsidwa ndi 6 mpaka 20 peresenti ya milandu. Adenomyosis amagwirizana pafupifupi 30% ya milandu ndi kukhalapo kwa uterine fibroids. 

Zowopsa 

Adenomyosis imapezeka makamaka mwa amayi omwe ali ndi ana angapo (multiparity). 

Zina zodziwika zomwe zimayambitsa adenomyosis ndizo: tsiku loyambira kusamba, kupita padera mochedwa kapena kuchotsa mimba, gawo la opaleshoni, chithandizo cha Tamoxifen. 

Pakhoza kukhala chibadwa. 

Mu gawo limodzi mwa magawo atatu a milandu, adenomyosis sapereka zizindikiro zilizonse (akuti ndi asymptomatic).

Zikakhala symptomatic, zizindikiro zimakhala zolemetsa komanso nthawi yayitali, zowawa zokhudzana ndi kuzungulira, kupweteka kwa m'chiuno.

Kulemera ndi nthawi yaitali (menorrhagia)

Kulemera kwambiri komanso nthawi yayitali ndi chizindikiro chofala kwambiri cha adenomyosis. Ndi chizindikiro chomwe chimapezeka mwa theka la amayi omwe akhudzidwa. Adenomyosis ndi chifukwa chofala kwambiri cholemetsa komanso nthawi yayitali kwa amayi azaka zapakati pa 40-50. Zingayambitsenso magazi kutuluka kunja kwa nthawi yanu (menorrhagia). 

Zowawa zokhudzana ndi kuzungulira (dysmenorrhea) 

Adenomyosis imathanso kuwonetsedwa ndi ululu wa msambo komanso ululu wa m'chiuno wosamva ma analgesics wamba komanso kupweteka pakugonana. 

Kuwunika kwachipatala kumawonetsa chiberekero chokulitsa.

Chithandizo cha adenomyosis chimasiyana malinga ndi momwe mkazi akufuna kusunga mwayi wokhala ndi pakati kapena ayi.

Ngati mayiyo akufuna kusunga mwayi wokhala ndi pakati, chithandizochi chimakhala ndi mankhwala oletsa magazi omwe amagwira ntchito kamodzi pa 1 pakutulutsa magazi kapena kuika chipangizo cha intrauterine (IUD) chokhala ndi progesterone, 2 mwa 2 nthawi. pochotsa zizindikiro. 

Ngati mkazi sakufunanso kukhala ndi pakati, chithandizochi chimakhala ndi kuwonongeka kwa endometrium (endometrium). Pamene kulowetsedwa mu mzera wa chiberekero kumakhala kwakukulu kwambiri ndipo kumayambitsa kupweteka kwambiri ndi kutaya magazi, chiberekero chimatha kuchotsedwa (hysterectomy).

Njira zothandizira ma radiology (embolization of the uterine artery, focused ultrasound) zimapereka zotsatira zosangalatsa koma malo awo ayenera kumveka bwino pochiza adenomyosis. 

Adenomyosis, njira zachilengedwe 

Kudya masamba okhazikika a banja la cruciferous (kabichi, broccoli, etc.) kumatha kuchepetsa zizindikiro za adenomyosis kudzera muzochita zawo pamilingo ya mahomoni achikazi.

Adenomyosis sangathe kupewedwa chifukwa zomwe zimayambitsa matendawa sizidziwika. 

Ponena za kupewa endometriosis, komabe, tikudziwa kuti kukhala ndi moyo wathanzi, kudya zakudya zopatsa thanzi, kuwongolera bwino kupsinjika komanso kuchita masewera olimbitsa thupi pafupipafupi kumatha kuchepetsa chiopsezo cha chitukuko kapena kuyambiranso kwa matendawa.