Adenomyosis

ʻO Adenomyosis kahi mānoanoa o nā paia o ka kōpū. Kū aʻe ia i ka wā e ulu ai kaʻiʻo endometrial i nā paia muscular o waho o ka kōpū. Hoʻokumu nā kiko o endometrial i ka uhi o ka kōpū.

ʻAʻole ʻike ʻia ke kumu. I kekahi manawa, hiki i ka adenomyosis ke ulu i ka nui i ka nui o ka uterus.

Kū pinepine ka maʻi i nā wahine mai 35 a 50 mau makahiki i loaʻa ma kahi o hoʻokahi hāpai.

I nā manawa he nui, ʻaʻohe ʻōuli. Ke kū nā hōʻailona, ​​hiki iā lākou ke hoʻopili:

• Kahe wā lōʻihi a kaumaha paha
• ʻO nā wā menstrual ʻeha, kahi e ʻoi aku ai ka hewa
• ʻEha pelvic i ka manawa o ka moekolohe

E hana ka mea mālama ola i ke kuhi inā loaʻa nā ʻōuli o ka adenomyosis i ka wahine i kumu ʻole ʻia e nā pilikia ākea gynecology. ʻO ke ala wale nō e hōʻoia ai i ke kuhi ma o ka nānā ʻana i nā kiko o ka kōpū ma hope o kahi ʻoki e wehe iā ia.

I ka wā o kahi hōʻike pelvic, ʻike ka mea hāʻawi i kahi kōpū palupalu a hoʻonui ʻia hoʻi. Hōʻike paha ka hōʻike i kahi nui o ka uterine a i ʻole ka palehua uterine.

Hiki ke hana ʻia kahi ultrasound o ka kōpū. Eia naʻe, ʻaʻole paha e hāʻawi i kahi ʻike akāka o ka adenomyosis. Hiki i kahi MRI ke kōkua i ka hoʻokaʻawale ʻana i kēia ʻano mai nā tumors uterine ʻē aʻe. Hoʻohana pinepine ia inā ʻaʻole hāʻawi kahi hōʻike ultrasound i ka lawa o ka ʻike e hana ai i kahi kuhi.

Loaʻa ka hapa nui o nā wahine i kahi adenomyosis ke kokoke lākou i ka menopause. Eia naʻe, koe wale nō kekahi e loaʻa nā ʻōuli. ʻAʻole pono ka hapa nui o nā wahine i ka lāʻau.

Hiki i nā lāʻau kaohi hānau a me kahi IUD i loaʻa ka progesterone ke kōkua i ka hoʻēmi ʻana i ke kahe kaumaha. ʻO nā lāʻau e like me ibuprofen a naproxen hiki ke kōkua i ka mālama ʻana i nā ʻōuli.

ʻO ke kaha e wehe i ka uterus (hysterectomy) hiki ke hana ʻia i nā wahine me nā ʻōuli koʻikoʻi.

Hele pinepine nā ʻōuli ma hope o ka menopause. Hoʻopau ke ʻōpala e wehe i ka ʻōpū iā ʻoe e hoʻopau loa i nā ʻōuli.

Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i nā ʻōuli o adenomyosis.

Endometriosis interna; Adenomyoma; ʻEha pelvic - adenomyosis

Brown D, Levine D. Ka ʻōpū. I: Rumack CM, Levine D, eds. ʻO ke ultrasound diagnostics. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 15.

Bulun SE Physiology a me nā pathology o ka wahine hānau axis. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 17.

ʻO Dolan MS, Hill C, Valea FA. Nā lehele wahine gynecologic Benign: ʻāpau, ʻōpua, ʻehaʻeha, uterus, oviduct, ovary, kiʻi ultrasound o nā pelvic. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 18.

ʻO Gambone JC. Endometriosis a me adenomyosis. I: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 25.