He aha ka Diaphragmatic Endometriosis?

Anter

• He aha nā hōʻailona?
• He aha ke kumu o ka endometriosis diaphragmatic?
• Pehea ka 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 o nā mea maʻamau i kau i kou uterus (i kapa ʻia he endometrial kiko) e ulu aʻe ma nā wahi ʻē aʻe o kou ʻōpū a me kou pelvis.

Hana ʻia ka endometriosis diaphragmatic ke ulu kēia aʻa endometrial i loko o kāu diaphragm.

ʻO kou diaphragm ka mākala kūlike ma lalo o kou mau māmā e kōkua ai iā ʻoe e hanu. Ke hoʻopili ka endometriosis i ka diaphragm, hoʻopili pinepine ia i ka ʻaoʻao ʻākau.

Ke kūkulu ʻia nā mea kikoʻī endometrial i loko o ka diaphragm, hana ia i nā homone o kāu pōʻai menstrual, e like me ka hana ʻana i loko o kou kōpū. ʻO nā wahine me ka endometriosis diaphragmatic kokoke i ka endometriosis i kā lākou pelvis pū kekahi.

ʻOi aku ka liʻiliʻi o ka endometriosis diaphragmatic ma mua o nā ʻano maʻi ʻē aʻe e hoʻopili pinepine i nā ovaries a me nā mea pelvic ʻē aʻe. Ua koho ʻia ma kahi o 8 a 15 paha pākēneka o nā wahine i loaʻa ka endometriosis. A hiki i nā wahine me ka endometriosis ʻike i nā pilikia e hāpai. Manaʻo ʻia ka diaphragm e hoʻopili wale ana iā 0.6 a i ka 1.5 pakeneka wale nō o nā wahine i ʻoki ʻia no ka maʻi.

He aha nā hōʻailona?

ʻAʻole hiki i ka endometriosis diaphragmatic ke hana i kekahi ʻōuli.

Akā ʻike paha ʻoe i ka ʻeha ma kēia mau wahi:

• umauma
• ʻōpū luna
• poʻohiwi ʻākau
• lima

Kū pinepine kēia ʻeha a puni ka manawa o kou manawa. Hiki ke ikaika, a e ʻoi aku paha ka maikaʻi ke hanu ʻoe a i ʻole ka huehue. I nā hihia maʻamau, hiki iā ia ke alakaʻi i a.

Inā ʻo endometriosis i nā ʻāpana o kou pelvis, hiki iā ʻoe ke loaʻa nā hōʻailona e like me:

• ʻeha a me nā ʻūlū ma mua a i kāu mau kau
• ʻeha i ka wā o ka moekolohe
• kahe nui ke kahe i loko a i ʻole ma waena o nā kau
• luhi
• nausea
• pāhoehoe
• pilikia i ka hāpai ʻana

He aha ke kumu o ka endometriosis diaphragmatic?

ʻAʻole maopopo maopopo i nā kauka ke kumu o ka diaphragmatic a i ʻole nā ​​ʻano endometriosis ʻē aʻe. ʻO ke kumumanaʻo i ʻae ʻia ka retrograde menstruation.

I ka manawa o ka menstrual, hiki i ke koko ke kahe i hope ma o nā paipu fallopian a i loko o ka pelvis, a ma waho hoʻi o ke kino. Hiki i kēlā mau keena ke hele a puni ka ʻōpū a me nā pelvis a piʻi i ka diaphragm.

Eia naʻe, ua hōʻike ʻia ka noiʻi i ka hapanui o nā wahine e ʻike i ka menstruation retrograde. Akā ʻaʻole ka hapanui o nā wahine e hoʻomohala i ka endometriosis, no laila ke kānalua ʻia nei ka pale pale.

ʻO nā mea hāʻawi ʻē aʻe i hiki i ka endometriosis ke hoʻopili pū ʻia:

• Hoʻololi paʻa pūnaewele. ʻO nā kinona e hoʻopili ʻia e endometriosis e pane ʻokoʻa i nā homone a me nā kumu kemika ʻē aʻe.
• Nā Genetics. Ua hōʻike ʻia ʻo Endometriosis e holo i loko o nā ʻohana.
• Hoʻāhu. ʻO kekahi mau mea i loaʻa kahi kuleana i ka mumū e loaʻa i nā helu kiʻekiʻe i ka endometriosis.
• Hoʻomohala fetal. E ulu paha kēia mau pūnaewele i nā wahi like ʻole mai ka wā o ka hānau ʻana.

Pehea ka ʻike?

ʻAʻole hiki i ka endometriosis diaphragmatic ke hana i nā ʻōuli. ʻOiai paha he mau hōʻailona kou, kuhihewa paha ʻoe iā lākou no kekahi mea ʻē aʻe - e like me ka ʻume i huki ʻia.

Ma muli o ka laha loa o kēia ʻano, ʻaʻole paha ʻike kāu kauka i nā ʻōuli kekahi. Hiki i kahi hōʻailona koʻikoʻi inā ʻoi aku ka maikaʻi o nā ʻōuli a puni kou wā.

I kekahi manawa ʻike nā kauka i ka endometriosis ʻoiai e hana ana i ke ʻoki ʻana e hōʻoia i kahi kūlana ʻē aʻe.

Inā ʻoe e ʻike nei i nā ʻōuli a kuhi paha ʻoe e ka hopena o ka endometriosis, e kamaʻilio me kāu kauka e pili ana i nā kaupae maikaʻi loa i ʻike ʻia.

Hiki iā lākou ke hoʻohana i ka hoʻokolohua MRI e hoʻoholo ai inā ulu aʻe nā mea endometrial i kāu diaphragm a hōʻoia i kēia ʻano. Hiki ke kōkua ʻia ka scann MRI a me nā ultrasounds no ka loaʻa ʻana o ka endometriosis i kou pelvis.

ʻO ke ala ʻoi loa e kuhikuhi i ka endometriosis diaphragmatic me ka laparoscopy. Hoʻopili kēia i kāu kaukipoki i kahi ʻoki liʻiliʻi i kou ʻōpū. Hoʻokomo ʻia kahi laulā me kahi kāmela ma kekahi wēlau e kōkua i kāu kauka e ʻike i kāu diaphragm a loaʻa i ka kiko endometrial. Hōʻiliʻili pinepine ʻia nā mea liʻiliʻi o nā ʻaʻa, i kapa ʻia he biopsies a hoʻouna ʻia i ka hale hana i mea e nānā ai i kēia mau hunaola ma lalo o kahi microscope.

I ka manawa e hoʻomaopopo ai kāu kauka i ka kiko endometrial, e hana lākou i kahi hōʻailona ma muli o ka wahi, ka nui, a me ka nui o kēia kiko.

Ma lalo ka ʻōnaehana hoʻonohonoho hoʻohana pinepine ʻia no ka endometriosis, i hoʻokumu ʻia e ka ʻAmelika Hui Pū ʻIa o Reproductive Medicine. Eia naʻe, ʻaʻole hoʻokumu ʻia kēia mau pae i nā ʻōuli. Hiki i nā ʻōuli ke koʻikoʻi a hiki i ka pae 1 a i ʻole ka maʻi 2 pae.

Pākuʻi ʻia lākou:

• Kahua 1: Minimal - nā liʻiliʻi liʻiliʻi i ka pelvis, nā wahi i kaupalena ʻia, a me nā meaola
• Kahua 2: Mild - nui nā wahi i ka pelvis ma mua o ka pae 1, akā me ka scarring liʻiliʻi
• Kahua 3: Lōpū - pili nā ʻāpana o ke pelvis a me ka ʻōpū i ka scarring
• Kahua 4: ʻOi loa - liona ākea e pili ana i nā hiʻohiʻona o ke kino me ka scarring

Ke hana nei nā ʻepekema i kēia manawa e hoʻokumu i nā ʻano hana ʻē aʻe no ka wehewehe ʻana i ka endometriosis, keu hoʻi i nā hihia e pili ana nāʻiʻo hohonu. Ke hoʻomohala ʻia nei ka ʻōnaehana hou.

He aha nā koho lapaʻau e loaʻa ai?

Inā ʻaʻohe ou ʻōuli, e koi paha kāu kauka e kali ʻoe e mālama i kāu endometriosis. E nānā pinepine kāu kauka iā ʻoe e ʻike inā ulu nā ʻōuli.

Inā loaʻa iā ʻoe nā hōʻailona, ​​e paipai paha kāu kauka i kahi hui o ke ʻoki a me nā lāʻau e kōkua i ka mālama ʻana i nā ʻōuli āu e loaʻa ai.

ʻOki kino

ʻO ke ʻoki lāʻau ka lāʻau nui no ka endometriosis diaphragmatic.

Hiki ke hana i ke kaha ma kekahi mau ʻano ʻokoʻa:

• Laparotomy. I kēia kaʻina hana, ʻokiʻoki kāu kaukipoki ma ka paia o ka ʻōpū o luna a hemo i nā ʻāpana o ka diaphragm e hoʻopili ʻia e endometriosis. I hoʻokahi o nā noi liʻiliʻi, ua hōʻemi kēia lapaʻau i nā ʻōuli i nā wahine āpau a ua hoʻomaha loa i ka ʻeha o ka umauma a me nā poʻohiwi i ʻehiku o nā wahine ʻewalu.
• Thoracoscopy. No kēia kaʻina hana, hoʻokomo kāu kauka lāʻau i kahi ākea maʻalahi a me nā mea kani liʻiliʻi ma o nā ʻoki liʻiliʻi i ka umauma e ʻike a hemo paha i nā wahi o endometriosis ma loko o ka diaphragm.
• Laparoscopy. I kēia kaʻina hana, hoʻokomo kāu kauka lāʻau i kahi ākea maʻalahi a me nā mea liʻiliʻi i loko o ka ʻōpū e hemo i nā wahi o ka endometriosis ma loko o ka ʻōpū a me nā pelvis.

Hiki i kāu kauka lāʻau ke hoʻohana i kahi laser e mālama i nāʻiʻo i hoʻopili ʻia e endometriosis. Pono paha ke ʻoki kino e mālama i ka hoʻokumu ʻana i nā ʻaʻa maka, kahi pilikia maʻamau i ka endometriosis. Ke loaʻa pinepine nei nā hana lapaʻau hou. E kamaʻilio me kāu kauka.

Inā aia ka endometriosis i kāu diaphragm a me nā pelvis ʻelua, pono ʻoe i ʻoi aku ma mua o hoʻokahi ʻoki.

Laau Lapaʻau

Hoʻohana ʻia nā ʻano lāʻau ʻelua i kēia manawa e mālama i ka endometriosis: nā homone a me nā mea hōʻemi ʻeha.

Hiki i ka Hormone therapy ke hoʻolohi i ka ulu ʻana o nā kiko endometrial a hoʻohaʻahaʻa i kāna hana ma waho o ka kōpū.

ʻO nā hōʻailona Hormonal me:

• ka hānau hānau, e like me nā pila, patch, a i ʻole ke apo
• gonadotropin-hoʻokuʻu aku i nā hormone (GnRH) agonists
• danazol (Danocrine), i kēia manawa ʻaʻole hoʻohana pinepine ʻia
• nā kūpuna progestin (Depo-Provera)

Hiki paha i kāu kauka ke koi aku ma luna o ka counter (OTC) a i ʻole nā ​​lāʻau lapaʻau anti-inflammatory nonsteroidal (NSAIDs), e like me ibuprofen (Advil) a i ʻole naproxen (Aleve), e kaohi i ka ʻeha.

Hiki paha nā pilikia?

Kākaʻikahi, hiki i ka endometriosis o ka diaphragm ke hana i nā puka i loko o ka diaphragm.

Hiki i kēia ke alakaʻi i nā pilikia hoʻoweliweli e like me:

• hāʻule ka hanu (pneumothorax) i kou wā
• endometriosis i ka paia o ka umauma a i ʻole nā ​​ake māmā
• ea a me ke koko i ka lua o ka pahu

ʻO ke ʻoki ʻana e wehe i ka endometriosis ma loko o ka diaphragm e hōʻemi paha i kou makaʻi ʻana i kēia mau pilikia.

ʻAʻole pono ka endometriosis o kāu diaphragm i kāu momona. Akā he nui nā wahine me kēia ʻano endometriosis i loko o kā lākou ovaries a me nā mea pelvic ʻē aʻe, i hiki ke hoʻopilikia i nā pilikia o ka momona. ʻO ke ʻoki a me ka hoʻouluulu vitro hiki ke hoʻonui i kāu mau manawa o ka hāpai ʻana.

He aha kāu e manaʻo ai?

Pili kāu kuana i ka nui o ka hopena o kāu endometriosis, a pehea e mālama ʻia ai.

ʻAʻole hiki i kēia ʻano endometriosis ke hana i nā ʻōuli. Inā he ʻeha a kumu paha i nā pilikia, hiki iā ʻoe ke ʻoki kino e hemo i nā aʻa endometrial.

ʻO Endometriosis kahi maʻi mau, a hiki iā ia ke hopena i kou ola i kēlā me kēia lā. 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.