He aha ka bowel endometriosis?

Anter

• He aha nā hōʻailona?
• He aha ke kumu o ka endometriosis ʻōpū?
• Pehea ia ʻike?
• He aha nā koho lapaʻau e loaʻa ai?
• ʻOki kino
• Laau Lapaʻau
• Hiki paha nā pilikia?
• He aha kāu e manaʻo ai?

He mea maʻamau paha?

ʻO ka Endometriosis kahi maʻi ʻehaʻeha kahi e hoʻopili ai nā mea maʻamau i kāu kōpū (endometrial tissue) i nā wahi ʻē aʻe o kāu pelvis, e like me kāu ovaries a i ʻole nā ​​paipu fallopian.

Hoʻokumu ʻia nā ʻano ʻokoʻa o ka endometriosis ma kahi o ka iʻa. I ka endometriosis bowel, ulu ka lāʻau endometrial ma luna o ka ʻili a i ʻole i loko o kāu ʻōpū.

Hiki i nā wahine me ka endometriosis i nā kiko endometrial ma ko lākou ʻōpū. Loaʻa ka hapa nui o ka endometriosis bowel i ka ʻaoʻao haʻahaʻa o ka ʻōpū, ma luna pono o ka kiko. Hiki iā ia ke kūkulu i kāu pākuʻi a i ʻole ʻōpū liʻiliʻi.

ʻO ka endometriosis bowel kahi ʻāpana o ka endometriosis rectovaginal, kahi e hoʻopili ai i ka ʻōpū a me ka pololei.

ʻO ka hapa nui o nā wahine me ka endometriosis ʻōpū e loaʻa iā ia ma nā pūnaewele maʻamau a puni kā lākou pelvis.

Hoʻopili kēia i ka:

• ovaries
• ʻeke o Douglas (ka wahi ma waena o kou cervix a me kou kiko)
• ʻōpū

He aha nā hōʻailona?

ʻAʻoleʻike kekahi mau wahine i kekahi hōʻailona. ʻAʻole paha ʻoe e ʻike he endometriosis kōpū a hiki i kou loaʻa ʻana o kahi hoʻokolohua kiʻi no kahi ʻano ʻē aʻe.

Ke kū mai nā ʻōuli, like paha lākou me nā maʻi huhū huhū (IBS). ʻO ka ʻokoʻa, hoʻomaka pinepine nā ʻōuli endometriosis a puni ka manawa o kou wā. Ke pane nei kēia kiko i ka pōʻaiapona hormonal o kou wā, pehu a hoʻopilikia i nā aʻa a puni ia.

ʻO nā ʻōuli kū hoʻokahi i kēia ʻano:

• ʻeha ke loaʻa ʻoe i kahi ʻōpū
• ʻōpū o ka ʻōpū
• pāhoehoe
• kōpaʻa
• ʻōhūhū
• ke kānana nei me nā ʻōpū o ke ʻōpū
• hoʻokahe kahe

me ka pūpū endometriosis i loko o kā lākou pelvis, i hiki ke kumu:

• ʻeha ma mua a ma loko o nā wā
• ʻeha i ka wā o ka moekolohe
• kahe nui ke kahe i loko a i ʻole ma waena o nā kau
• luhi
• nausea
• pāhoehoe

He aha ke kumu o ka endometriosis ʻōpū?

ʻAʻole maopopo i nā kauka ke kumu o ka endometriosis bowel a i ʻole nā ​​ʻano maʻi ʻē aʻe.

ʻO ke kumumanaʻo i ʻae nui ʻia. I ka manawa o ka menstrual, e kahe ke kua i hope ma waena o nā paipu fallopian a i loko o ka pelvis ma kahi o ke kino. Hoʻopili kēlā mau pūnaewele i ka ʻōpū.

Nā kumu kumu ʻē aʻe e pili pū me:

• Ka hoʻololi mua ʻana o ka pūnaewele. ʻO nā keena i haʻalele ʻia mai ka embryo e hoʻomohala i nāʻiʻo endometrial.
• ʻO ke kanu ʻana. Hele nā ​​hunaola endometrial ma o ka ʻōnaehana lymph a i ʻole ke koko i nā mea ʻē aʻe.
• ʻO Genes. Holo kekahi endometriosis i kekahi mau ʻohana.

Hoʻopili ka endometriosis i nā wahine i ko lākou mau makahiki hānau.

Pehea ia ʻike?

E hoʻomaka kāu kauka ma ka hana ʻana i kahi hoʻokolohua kino. I ka wā o ka hoʻokolohua, e nānā kāu kauka i kāu ʻōpala a me kou kiko no nā mea ulu.

Hiki i kēia mau hoʻāʻo ke kōkua i kāu kauka e hōʻoia i ka endometriosis bowel.

• Kukuna ultrasound. Hoʻohana kēia ho'āʻo i nā nalu kani pinepine e hana i nā kiʻi mai loko o kou kino. Hoʻokomo ʻia kahi mea i kapa ʻia he transducer i loko o kāu puki (ultrasound transvaginal) a i ʻole kou kiko (transrectal endoscopic ultrasound). Hiki i kahi ultrasound ke hōʻike i kāu kauka i ka nui o ka endometriosis a ma hea kahi e waiho ai.
• MRI. Hoʻohana kēia ho'āʻo i nā mākēneka mana a me nā nalu lekiō e nānā no ka endometriosis i kou ʻōpū a me nā ʻāpana ʻē aʻe o kou pelvis.
• Enema Barium. Hoʻohana kēia ho'āʻo i nā kukuna X e kiʻi i nā kiʻi o kou ʻōpū nui - kou kolona a me kou kiko. Hoʻopiha mua ʻia kāu kolona i ka pena kala e kōkua i kāu kauka e ʻike maʻalahi aku.
• Kolonekia. Hoʻohana kēia ho'āʻo i kahi laulā maʻalahi e nānā i ka loko o kou ʻōpū. ʻAʻole hōʻike ka colonoscopy i ka endometriosis ʻōpū. Eia nō naʻe, hiki iā ia ke kāpae i ka maʻi ʻaʻai kolona, ​​a hiki ke kumu i kekahi o nā hōʻailona like.
• Laparoscopy. I kēia wā ʻoki kino, e hoʻokomo kāu kauka i kahi ākea lahilahi i loko o kou mau ʻōpū e loaʻa ai ka endometriosis i loko o kou ʻōpū a me kou pelvis. Lawe paha lākou i kahi ʻāpana o ke kiko e nānā. Hoʻowalewale ʻia ʻoe i kēia kaʻina hana.

Māhele ʻia ka endometriosis i mau ʻanuʻu e pili ana i ka nui o nā kiko āu i loaʻa ai a pehea ka hohonu e hele ai i kāu mau lālā.

• Kahua 1. Mea liʻiliʻi. Aia nā liʻiliʻi liʻiliʻi o ka endometriosis ma a i ʻole nā ​​mea o loko o kou pelvis.
• Kahua 2. Mild. ʻOi aku ka nui o nā pāhāhā ma mua o ka pae 1, akā ʻaʻole ia i loko o kāu kino pelvic.
• Kahua 3. Kānāwai. Hoʻonui ākea ʻo Endometriosis, a ke hoʻomaka nei ia e komo i loko o nā meaola i kou pelvis.
• Kahua 4. Kaha. Ua komo ka endometriosis i nā ʻāpana he nui i kou pelvis.

ʻO ka endometriosis bowel ka pae 4 mau.

He aha nā koho lapaʻau e loaʻa ai?

ʻAʻole hiki ke hoʻōla ʻia ʻo Endometriosis, akā hiki i ka lāʻau lapaʻau a me ke kahakaha ke kōkua i ka mālama ʻana i kāu mau ʻōuli. ʻO ka lāʻau āu e loaʻa ai ma muli o ke koʻikoʻi o kāu endometriosis a me kahi e waiho ai. Inā ʻaʻohe ou ʻōuli, pono ʻole ka lāʻau.

ʻOki kino

ʻO ke ʻoki lāʻau ka lāʻau nui no ka endometriosis ʻōpū. Hiki i ka wehe ʻana i nā kiko endometrial ke hōʻoluʻolu i ka ʻeha a hoʻomaikaʻi i kou maikaʻi o ke ola.

Wehe i kekahi ʻano o ke kaha ʻana i ka endometriosis ʻōpū. Hiki i nā kauka hana ke hana i kēia mau kaʻina hana ma o kahi incision nui (laparotomy) a i ʻole nā ​​liʻiliʻi liʻiliʻi (laparoscopy). ʻO kēlā ʻano ʻoki āu e pili ana i ka nui o nā wahi o ka endometriosis, a ma hea lākou e noho ai.

Hoʻonohonoho hou ʻana o ka ʻōpū. Hana ʻia kēia no nā wahi nui o endometriosis. E hoʻoneʻe aku kāu mea lapaʻau i ka ʻāpana o ka ʻōpū kahi i ulu ai ka endometriosis. Hoʻohui hou ʻia nā ʻāpana ʻelua i ke kaʻina hana i kapa ʻia ʻo reanastomosis.

Ma mua o ka hapalua o nā wahine i loaʻa i kēia kaʻina hana hiki ke hāpai ma hope. ʻAʻole e hoʻi mai ka Endometriosis ma hope o ka resection ma mua o nā kaʻina hana ʻē aʻe.

Ka ʻumi ʻumi ʻana. E hoʻohana kāu kauka lāʻau i kahi mea ʻoi e hoʻopau i ka endometriosis ma luna o ka ʻōpū, me ka lawe ʻole ʻana i waho o nā ʻōpū. Hiki ke hana i kēia kaʻina hana no nā wahi liʻiliʻi o endometriosis. E hoʻi paha ka Endometriosis ma hope o kēia ʻoki ma mua o ka mahele o ka segmental.

Hoʻokiʻi disk. No nā wahi liʻiliʻi o ka endometriosis, e ʻoki ana kāu kauka lāʻau i ka diski o nā mea i hoʻopili ʻia i loko o ka ʻōpū a laila pani i ka lua.

Hiki i kāu kaukipoki ke hemo i ka endometriosis mai nā wahi ʻē aʻe o kāu pelvis i ka wā o ka hana.

Laau Lapaʻau

ʻAʻole e hoʻōki ka Hormone therapy i ka endometriosis mai ka holomua. Eia nō naʻe, hiki ke hoʻomaha i ka ʻeha a me nā ʻōuli ʻē aʻe.

ʻO nā hōʻailona Hormonal no ka endometriosis bowel pū kekahi:

• ka hānau hānau, e like me nā pila, patch, a i ʻole ke apo
• nā kūpuna progestin (Depo-Provera)
• gonadotropin-hoʻokuʻu i nā hormone (GnRH) agonists, e like me triptorelin (Trelstar)

Koi paha kāu kauka i nā lāʻau lapaʻau anti-inflammatory (NSAID) over-the-counter a i ʻole kuhikuhi ʻia (NSAIDs), e like me ibuprofen (Advil) a i ʻole naproxen (Aleve), e kōkua ai i ka ʻeha.

Hiki paha nā pilikia?

Hiki i ka endometriosis i ka ʻōpū ke hoʻopili i kou momona - keu hoʻi inā loaʻa iā ia i loko o kāu ovaries a me nā mea pelvic ʻē aʻe. o nā wahine me kēia ʻano hiki ʻole ke hāpai. Hiki i ke kīʻaha ke hoʻopau i nā liona endometriosis ke hoʻomaikaʻi i kou hiki ke hāpai. ʻOiai inā ʻaʻole pilikia ka momona, loaʻa i kekahi mau wahine ka ʻeha pelvic mau e pili ana i kēia ʻano, kahi hopena i ko lākou ʻano noho.

He aha kāu e manaʻo ai?

ʻO Endometriosis kahi ʻano mau. E mālama paha ʻoe i kāna mau ʻōuli ma kou ola.

E hilinaʻi kāu kuana i ka nui o kāu endometriosis a pehea e mālama ʻia ai. Hiki i nā mālama ʻana o Hormonal a me ke ʻoki ke kōkua i ka mālama ʻana i kou ʻeha. Pono e hoʻomaikaʻi i nā ʻōuli ke hele ʻoe ma waena o ka menopause.

Hiki i ka Endometriosis ke hopena i kou ola. No ka loaʻa ʻana o ke kākoʻo ma kou wahi, e kipa aku i ka Endometriosis Foundation o ʻAmelika a i ʻole ka Endometriosis Association.