Adenomyosis

Anter

• Nā kumu pilikia no ka adenomyosis
• Nā ʻōuli o adenomyosis
• ʻImiʻike adenomyosis
• Nā koho lapaʻau no adenomyosis
• Nā lāʻau anti-inflammatory
• Nā hōʻailona Hormonal
• Hoʻopau hoʻopau endometrial
• Hoʻokomo ʻia ke aʻa Uterine
• Alakaʻi ʻia e MRI me ke alakaʻi ʻana o ultrasound (MRgFUS)
• Hysterectomy
• Nā pilikia kūpono o adenomyosis
• Nānā wā lōʻihi

He aha ka adenomyosis?

ʻO Adenomyosis kahi kūlana e pili ana i ke komo ʻana, a i ʻole ka neʻe ʻana, o nā kiko endometrial e hoʻopili ana i ka uterus i loko o nā mākala o ka pū. Hoʻonui kēia i nā paia uterine i ka mānoanoa. Hiki iā ia ke alakaʻi i ke kaumaha a lōʻihi paha ma mua o ka maʻamau o ke kahe o ka menstrual, a me ka ʻeha i kou wā o ka menstrual a i ʻole ka pili.

ʻAʻole ʻike ʻia ke kumu kūpono o kēia ʻano. Eia nō naʻe, pili ia me ka hoʻonui ʻia o nā pae o ka estrogen. Nalo pinepine ka Adenomyosis ma hope o ka menopause (12 mau mahina ma hope o ka manawa hope o ka wahine). ʻO kēia ka wā e emi ai nā pae estrogen.

Nui a hewahewa nā manaʻo e pili ana i ke kumu o ka adenomyosis. Pākuʻi ʻia kēia mau mea:

• keu nāʻaʻaʻa i loko o ka paia uterine, i mua o ka hānau ʻana, ulu i ka wā oʻo
• ulu ulu o nā kino ʻino (i kapa ʻia adenomyoma) mai nā hunaola endometrial e hoʻokuʻi iā lākou iho i loko o ka mākala uterine - ma muli o kahi ʻoki i hana ʻia i loko o ka kōpū i ka wā o ke ʻoki (e like me ka wā o ka hānau cesarean) a i ka wā o ka uterine maʻamau
• nā hunaula i ka paia o ka mākala uterine
• Hoʻopili ka uterine ma hope o ka hānau ʻana - haki paha kēia i nā palena maʻamau o nā hunaola e hoʻopili i ka kōpū

Nā kumu pilikia no ka adenomyosis

ʻAʻole maopopo ke kumu kūpono o adenomyosis. Eia nō naʻe, aia kekahi mau kumu e hoʻokau i nā wahine i ka nui o ka makaʻu no ka maʻi. Pākuʻi ʻia kēia mau mea:

• i kāu 40 a 50 paha (ma mua o ka menopause)
• hanau keiki
• i ka loaʻa ʻana o kahi ʻoki uterine, e like me ka hāʻawi ʻana i ka cesarean a i ʻole ke ʻoki ʻana e wehe i nā fibroids

Nā ʻōuli o adenomyosis

Hiki i nā ʻōuli o kēia ʻano ke akahai a koʻikoʻi. ʻAʻole paha ʻike kekahi mau wahine i kekahi. ʻO nā hōʻailona maʻamau e pili ana:

• hoʻolōʻihi menstrual cramp
• ke kiko ʻana ma waena o nā wā
• kahe nui ke haehae
• pōʻaiapuni lōʻihi ma mua o ka maʻamau
• kōkō ke koko i ka wā o ke kahe koko
• ʻeha i ka wā o ka moekolohe
• palupalu ma kahi o ka ʻōpū

ʻImiʻike adenomyosis

Hiki i kahi loiloi olakino piha ke kōkua i ka hoʻoholo ʻana i ke ala maikaʻi loa o ka mālama ʻana. E makemake mua kāu kauka e hana i kahi hoʻokolohua kino e hoʻoholo inā pehu kou kōpū. Nui nā wahine me ka adenomyosis e loaʻa i kahi kōpū i pāpālua a pākolu paha ka nui maʻamau.

Hoʻohana ʻia kekahi mau hōʻike ʻē aʻe. Hiki i kahi ultrasound ke kōkua i kāu kauka e hōʻoia i ke ʻano, ʻoiai e hōʻoki ana i ka hiki o nā tumors ma ka pūpū. Hoʻohana kahi ultrasound i nā nalu kani e hana i nā kiʻi neʻe o kāu ʻōpū o loko - i kēia hihia, ka pūpū. No kēia kaʻina hana, e hoʻonoho ka mea ʻenehana ultrasound (sonographer) i kahi wai e alakaʻi ana i ka gel ma kou ʻōpū. A laila, e hoʻokau lākou i kahi ʻimi lima liʻiliʻi ma luna o ka wahi. E hoʻopuka ka probe i nā kiʻi neʻe ma ka pakuhi e kōkua i ka sonographer e ʻike i loko o ka kōpū.

Kauoha paha kāu kauka i kahi scan MRI e kiʻi i nā kiʻi hoʻonā kiʻekiʻe o ka uterus inā ʻaʻole hiki iā lākou ke hana i kahi hōʻailona me ka hoʻohana ʻana i kahi ultrasound. Hoʻohana kahi MRI i ka magnet a me nā nalu lekiō e hana i nā kiʻi o kāu ʻola o loko. Pili kēia hana i ka moe ʻana ma kahi pāka hao e heʻe i loko o ka mīkini ʻimi. Inā hoʻonohonoho ʻia ʻoe e loaʻa kahi MRI, e ʻike pono e haʻi aku i kāu kauka inā loaʻa kahi manawa o kou hāpai ʻana. Eia kekahi, e pono e haʻi aku i kāu kauka a me ka ʻenehana ʻo MRI inā loaʻa iā ʻoe nā ʻāpana metala a i ʻole nā ​​mīkini uila i loko o kou kino, e like me ka pacemaker, ʻoki ʻana, a i ʻole nā ​​shrapnel metala mai kahi ʻeha pū.

Nā koho lapaʻau no adenomyosis

ʻAʻole koi nā wahine me nā ʻano akahai o kēia ʻano i ka lāʻau lapaʻau. Hiki i kāu kauka ke koi aku i nā koho lapaʻau inā hoʻopili kāu mau ʻōuli i kāu hana i kēlā me kēia lā.

Nā hana i kuhi ʻia i ka hoʻēmi ʻana i nā ʻōuli o adenomyosis me nā mea penei:

Nā lāʻau anti-inflammatory

ʻO kahi laʻana ʻo ibuprofen. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i ke kahe o ke koko i kou wā ʻoiai e hoʻomaha pū ana i ka ʻūpī koʻikoʻi. Paipai ka Mayo Clinic i ka hoʻomaka ʻana o ka lāʻau anti-inflammatory ʻelua a ʻekolu paha mau lā ma mua o ka hoʻomaka ʻana o kou wā a hoʻomau i ka lawe ʻana i kāu wā. ʻAʻole pono ʻoe e hoʻohana i kēia mau lāʻau inā hāpai ʻoe.

Nā hōʻailona Hormonal

Pākuʻi ʻia kēia mau mea me nā oral contraceptives (nā pilina hoʻomalu hānau), nā mea pale progestin-only (oral, injection, a i ʻole kahi intrauterine device), a me nā GnRH-analog e like me Lupron (leuprolide). Hiki i nā mālama Hormonal ke kōkua i ka mālama ʻana i nā pae estrogen i hoʻonui ʻia e hāʻawi nei i kāu mau hōʻailona. Hiki i nā hāmeʻa Intrauterine, e like me Mirena, ke hala i ʻelima mau makahiki.

Hoʻopau hoʻopau endometrial

Hoʻopili kēia i nā ʻenehana e wehe a luku paha i ka endometrium (ka uhi ʻana o ka lua uterine). ʻO kahi kaʻina hana waho me kahi manawa hoʻōla pōkole. Eia nō naʻe, ʻaʻole holo pono paha kēia kaʻina hana no kēlā me kēia, no ka mea, ʻoi aku ka hohonu o ka adenomyosis i kaʻiʻo.

Hoʻokomo ʻia ke aʻa Uterine

He hana kēia e pale aku ai i kekahi mau aʻa mai ka hāʻawi ʻana i ke koko i kahi i hoʻopili ʻia. Me ka hoʻokaʻawale ʻia o ke koko, hāʻule ka adenomyosis. Hoʻohana maʻamau ʻia ka embolization o ke aʻa Uterine e mālama ai i kahi kūlana ʻē aʻe, i kapa ʻia he fibroids uterine. Hana ʻia ke kaʻina hana i kahi haukapila. Pili pinepine ia i ka noho pō ʻana ma hope. No ka mea he minimally invasive ia, ʻalo ia i ka hoʻokumu ʻia o ka ʻili ma ka ʻōpū.

Alakaʻi ʻia e MRI me ke alakaʻi ʻana o ultrasound (MRgFUS)

Hoʻohana pololei ʻo MRgFUS i nā nalu kiʻekiʻe-ikaika e hana i ka wela a luku hoʻi i nā mea i māka ʻia. Nānā ʻia ka wela me ka hoʻohana ʻana i nā kiʻi MRI i ka manawa maoli. Ua hōʻike nā noiʻi i kēia kaʻina hana e kūleʻa i ka hāʻawi ʻana i ke kōkua o nā ʻōuli. Eia naʻe, pono i nā noi hou aku.

Hysterectomy

ʻO ke ala wale nō e hōʻola loa ai i kēia ʻano ke loaʻa ka hysterectomy. Hoʻopili kēia i ka hoʻopau ʻoki piha ʻana o ka uterus. Hoʻohālikelike ʻia ia he hana ʻoki kino nui a hoʻohana wale ʻia i nā hihia koʻikoʻi a i nā wahine i manaʻo ʻole e loaʻa hou kahi keiki. ʻAʻole pili kāu ovaries i ka adenomyosis a waiho ʻia i kou kino.

Nā pilikia kūpono o adenomyosis

ʻAʻole pono ka Adenomyosis i mea hōʻino. Eia nō naʻe, hiki i nā ʻōuli ke hopena maikaʻi ʻole i kou nohona. Loaʻa i kekahi poʻe ke kahe nui a me ka ʻeha pelvic i hiki ke pale iā lākou mai ka leʻaleʻa i nā hana maʻamau e like me ka moekolohe.

Loaʻa nā wahine me ka adenomyosis i ka nui o ka makaʻu o ka anemia. ʻO ke Anemia kahi kumu i hoʻokumu pinepine ʻia e kahi hemahema hao. Me ka lawa ʻole o ka hao, ʻaʻole hiki i ke kino ke hana pono i nā hunaola ʻulaʻula e lawe i ka oxygen i nā aʻa o ke kino. Hiki i kēia ke kumu i ka luhi, dizziness, a me ka moodiness. ʻO ke kahe o ke koko e pili ana i ka adenomyosis hiki ke hōʻemi i nā pae hao i ke kino a alakaʻi i ka anemia.

Ua hoʻohui pū ʻia kēia ʻano me ka hopohopo, kaumaha, a me ka huhū.

Nānā wā lōʻihi

ʻAʻole hoʻoweliweli ʻo Adenomyosis. Loaʻa nā lapaʻau he nui e kōkua e hōʻemi i kāu mau ʻōuli. ʻO kahi hysterectomy wale nō ka lapaʻau e hiki ke hoʻopau iā lākou āpau. Eia naʻe, hele pinepine ke kūlana ma kāna iho ma hope o ka menopause.

ʻAʻole like ka Adenomyosis me ka endometriosis. Hana ʻia kēia ʻano i ka wā i hoʻokomo ʻia ai nā mea hope endometrial ma waho o ka kōpū. Hiki i nā wahine me ka adenomyosis a i ʻole ke hoʻomōhala i ka endometriosis.