Endometriosis: momwe mungadziwire bwino matendawa

Endometriosis, ndichiyani?

Endometrium ndi chiberekero cha uterine. Pansi pa mphamvu ya mahomoni (estrogen ndi progesterone), panthawi yozungulira, endometrium imakula panthawi ya ovulation, ndipo ngati palibe umuna, imasweka ndikutuluka magazi. Awa ndi malamulo. Endometriosis ndi matenda omwe amayamba chifukwa cha minofu yofanana ndi minofu ya endometrial yomwe imasuntha ndikukula kunja kwa chiberekero, zimayambitsa zotupa, zomatira ndi zotupa m'ziwalo zotsatizana. Nthawi zina, zotupa zimatha kulowa mkati mwa makoma a ziwalo za m'chiuno pakapita nthawi (m'mimba, chikhodzodzo, ndi zina). Izi zimatchedwa deep endometriosis yomwe ndi imodzi mwa mitundu yovuta kwambiri ya matendawa. Mosiyana ndi izi, timatcha kuti endometriosis yapamwamba ndi endometriosis yomwe imakhudza minofu yokha yozungulira chiberekero (machubu, mazira). Popeza izi ndi zidutswa za endometrium, zotupa za endometriosis zimakhala ngati endometrium mwezi uliwonse: iwo adzakhuthala pansi pa mphamvu ya mahomoni ndi magazi, kuchititsa kupweteka panthawi ndi / kapena kugonana, kapena popita kuchimbudzi, malingana ndi malo a zotupa.

Zindikirani: mpaka pano, pali malingaliro okha okhudza chiyambi cha matendawa omwe amakhalabe "chinsinsi" kwa madokotala. Ma genetic (mabanja) ndi chilengedwe (kuipitsa, zosokoneza za endocrine, mahomoni) zayikidwa patsogolo.

Kodi anthu amene ali “pangozi” ndani?

Avereji ya zaka zopezeka matendawa ndi zaka 27 koma, akazi onse akhoza kukhudzidwa ndi matendawa, bola ngati malamulo. Nthawi zambiri awa amakhala atsikana opanda ana. Komabe, zimachitikanso kuti endometriosis imawonekera pambuyo pa mimba. Dziwani kuti amayi omwe ali ndi endometriosis nthawi zambiri amadwala kupweteka kwambiri panthawi yawo yosamba, nthawi zina kuwaletsa kupita kusukulu kapena kuntchito. Kukhalapo kwa nthawi zovuta muunyamata kungathe, kwenikweni, kukhala kalambulabwalo wa matendawa. Kuphatikiza apo, ndizofala kupeza achibale omwe akudwala matendawa mu digiri yoyamba.

M'zaka zaposachedwapa, matendawa atchulidwa poyera. Pali mayanjano ochulukirapo a amayi odwala,

Momwe mungadziwire zizindikiro zoyamba za endometriosis?

Kusiyanitsa pakati pa ululu wa nthawi "yachibadwa" ndi ululu "wosazolowereka" ndizovuta kwambiri, osati kwa amayi okha, komanso kwa madokotala. Amayi omwe akukhudzidwa ndi omwe amamva kuwawa kwakanthawi panthawi yomwe akusamba, zomwe zimafunikira chithandizo chamankhwala (mwachitsanzo, Antadys). Amayi omwewa nthawi zina sangathe kudzuka m'mawa chifukwa akumva kuwawa kwambiri kapena kukhala patchuthi chodwala. Muyenera kudziwa kuti ululu ukhoza kuwonjezeka pakapita nthawi ndipo usakhale ndi nthawi ya malamulo okha. Kugonana kowawa, majini pa nthawi ya chimbudzi kapena pokodza pa nthawi yofanana ndi msambo, amathanso kuganiziridwa ngati endometriosis. Koma zimachitikanso kuti matendawa samadziwonetsera okha ndi zizindikiro izi, akhoza kukhala "chete". Kuzindikira kwa endometriosis kumachitika nthawi zambiri mkazi akafunsira chifukwa sangathe kukhala ndi mwana.

Momwe mungadziwire endometriosis?

Matendawa nthawi zambiri amapezeka panthawi ya kusabereka komwe amaperekedwa kwa maanja omwe akuvutika kuti atenge mimba. Ululu wa m'chiuno ungathenso kuchenjeza madokotala omwe amayitanitsa ultrasound, nthawi zina MRI. Potsirizira pake, nthawi zina ndi kupezeka kwa chotupa pa ultrasound chizolowezi chomwe chimawulula.

Un mayeso azachipatala (kufunsa, kuyezetsa ukazi) wochitidwa ndi katswiri wa matendawa nthawi zambiri amapereka lingaliro lolondola la kukula kwa zotupazo. MRI kapena ultrasound, ikachitidwa ndi madokotala omwe ali ndi chidziwitso cha matendawa, angaperekenso mayankho. Komabe, matendawo motsimikizika ndi ovuta kuwapeza, chifukwa njira yokhayo yodziwira kuopsa kwa zotupazo ndikuchita kafukufuku. laparoscopy. Panthawi yochita opaleshoniyi, dokotala wa opaleshoni amatenga chitsanzo cha zilondazo kuti azisanthula ndikukhazikitsa matenda.

Endometriosis ndi matenda ovuta kwambiri omwe ndi ovuta kuwazindikira. Nthawi yozindikira matenda ndi pafupifupi zaka zisanu ndi ziwiri, zomwe ndi zochuluka. Odwala ndi madokotala aliyense ali ndi gawo la udindo. Kumbali ina, akazi amazengereza kupita kukawonana chifukwa chakuti nthaŵi zoŵaŵa zimakhala mbali ya moyo wawo ndipo amaganiza kuti “n’kwachibadwa kumva zowawa” monga momwe amayi awo ndi agogo awo anawauza kale. Kumbali ina, madokotala nthawi zambiri amapeputsa madandaulo akazi, ndi kupereka mankhwala ochepetsa ululu kapena mapiritsi amene amabisa zizindikiro popanda ngakhale kuwapeza kuti ali ndi matendawa. Ndikofunikira kuti mutu wa endometriosis uphunziridwe mozama panthawi ya maphunziro a madokotala amtsogolo, komanso azamba kuti achepetse nthawi imeneyi.

Ndi zovuta zotani za endometriosis?

Choopsa chachikulu chokhudzana ndi endometriosis ndi kusabereka. Za 30-40% ya amayi omwe ali ndi endometriosis adzakhala osabereka. Ndipo mmodzi mwa amayi atatu aliwonse omwe ali ndi vuto lotenga mimba ali ndi endometriosis. Zomatira zambiri zimatha kuwononga machubu ndi thumba losunga mazira (ngakhale kutsekereza), ndikupangitsa chiberekero kukhala chosowa. Dokotala angapereke njira yachipatala kapena opaleshoni, malingana ndi matenda. Njira yoyamba ndikutenga a piritsi losalekeza loletsa kusamba, ndipo motero amachepetsa kukula kwa matendawa. Opaleshoni ikufuna kuchotsa zilonda zambiri momwe zingathere, ndi cholinga chochepetsera ululu komanso / kapena kuonjezera mwayi wa mimba.

Zindikirani: ndibwino kuti musachedwetse mimba yomwe mukufuna kwambiri, chifukwa nthawi ikachuluka, m'pamenenso mwayi wokhala ndi pakati uchepa mwachibadwa.

Endometriosis: chithandizo chamakono ndi chiyani?

Kuwongolera kumasiyanasiyana kuchokera kwa wodwala kupita kwa wodwala chifukwa endometriosis imadziwonetsera mosiyana mwa munthu aliyense. Ngati chofunika kwambiri cha mkazi ndicho kuchiza ululu wake, nthawi zambiri timayamba ndi kupereka mapiritsi mosalekeza. Cholinga ndi kukwaniritsa amenorrhea (kuletsa kusamba) ndi kutsekeka kwa ovulation ndi kuchepa kwa estrogen. Kuyika thumba losunga mazira popumula popangitsa kuti kuzungulirako kusakhalepo kumathandiza kuchepetsa ululu, ngakhale kuti izi sizithetsa endometriosis kwamuyaya. Njira ina ndi yotheka: ma analogi a Gn-RH. Awa ndi mankhwala omwe amaika wodwalayo m'malo opangira kusintha kwa thupi. Komabe, amatha kukhala ndi zotsatira zoyipa, monga kutentha, kuchepa kwa libido kapena osteoporosis. Mankhwala awo sayenera kupitirira chaka chimodzi. Pamene ululu umatsutsa chithandizo chamankhwala, opaleshoni ndiyo njira ina. Laparoscopy ndi kuchotsa zotupa zonse endometriotic ndi njira kusankha, malinga ndi yabwino chiopsezo / phindu bwino kwa wodwalayo.

Zakudya, zingatithandize bwanji kuchepetsa zizindikiro za endometriosis?

Kodi mimba ndi yotheka ngakhale endometriosis?

Pafupifupi 30-40% ya amayi omwe ali ndi vutoli amavutika kuti atenge mimba. Endometriosis ndi chifukwa cha kusabereka, koma osati kokha. Kukhalapo kwa endometriosis, zaka za mkazi, malo ake osungira mazira, kutsekemera kwa machubu ndi zinthu zonse zomwe ziyenera kuganiziridwa posankha njira yabwino. Tili ndi njira ziwiri: opaleshoni ndi kubereka mothandizidwa ndi mankhwala (MAP). Kafukufuku akuwonetsa kuti zotsatira za kubereka zimawonjezeka kwambiri pamene kuchotsa opaleshoni kwa zilondazo kutha. Komabe, ndizothekabe kusankha ART popanda kuchitidwa opaleshoni m'mbuyomu. Kutengera kuopsa kwa endometriosis, pali njira zingapo zothandizira: kukondoweza kwa ovarian ndi intrauterine insemination ndi IVF.