Mea Kākau: Bobbie Johnson
Lā O Ka Hana: 5 Apelila 2021
HōʻAno Hou I Ka Lā: 18 Nowemapa 2024
Anonim
Endometriosis
Wikiō: Endometriosis

Anter

He aha ia

ʻO ka Endometriosis kahi pilikia olakino maʻamau i nā wahine. Loaʻa kona inoa mai ka huaʻōlelo endometrium, ka ʻiʻo e laina ana i ka ʻōpū (opu). I nā wahine me kēia pilikia, ʻo ke kino e like a hana e like me ka uhi ʻana o ka uterus e ulu ma waho o ka uterus ma nā wahi ʻē aʻe. Hiki ke kapa ʻia kēia mau wahi i nā ulu, nā tumors, nā implants, nā lehelehe, a me nā nodule.

Loaʻa ka nui o ka endometriosis:

* ma lalo o nā ovaries

* ma hope o ka kōpū

* ma nāʻaʻaʻa e paʻa pono ai ka kōpū

* ma ka opu a me ka ohe

Hiki i kēia ʻiʻo "komo" ke hōʻeha i ka ʻeha, ka infertility, a me nā wā kaumaha loa.

ʻO ka ulu ʻana o ka endometriosis ʻaneʻane maikaʻi a maikaʻi ʻole ʻole i ka maʻi ʻaʻai, akā hiki ke kumu i nā pilikia he nui. I ʻike ai i ke kumu, kōkua ia e hoʻomaopopo i ka pōʻaiapuni mahina o ka wahine. I kēlā me kēia mahina, hoʻokumu nā hormones i ka ʻōpū o ka ʻōpū o ka wahine e kūkulu me nā ʻiʻo a me nā kīʻaha koko. Inā ʻaʻole hāpai ka wahine, hoʻokahe ka ʻōpū i kēia ʻiʻo a me ke koko, a waiho ʻia kona kino ma ka ʻōpū e like me kona wā menstrual.


Pēlā nō hoʻi nā pā o endometriosis i ka pōʻaiapuni mahina o ka wahine. I kēlā me kēia mahina hoʻohui nā mea ulu i nā kiko keu a me ke koko, akā ʻaʻohe wahi no ka pūnaewele i kūkulu ʻia a me ke koko e puka aku ai i waho o ke kino. No kēia kumu, ʻoi aku ka nui o ka ulu ʻana a ʻoi aku ka nui o nā hōʻailona o ka endometriosis i ka wā.

Hiki i ka ʻili a me ke koko i hoʻokahe ʻia i loko o ke kino ke hoʻoulu i ka mumū, ka ʻili ʻili, a me ka ʻeha. Ke ulu nei kaʻiʻo hewa kuhihewa, hiki iā ia ke uhi a i ʻole ulu i loko o nā ovaries a ālai i nā paipu fallopian. Hiki i kēia ke paʻakikī i nā wahine me ka endometriosis e hāpai. Hiki i nā ulu ke hoʻopilikia i ka ʻōpū a me ka ʻōpū.

Nā kumu

ʻAʻohe mea i ʻike maopopo i ke kumu o kēia maʻi, akā he nui nā manaʻo o ka poʻe ʻepekema.

ʻIke lākou e holo nei ka endometriosis i loko o nā ʻohana. Inā loaʻa ka endometriosis i kou makuahine a i ʻole kaikaina, ʻeono mau manawa i loaʻa ai ʻoe i ka maʻi ma mua o nā wahine ʻē aʻe. No laila, manaʻo kekahi manaʻo e hoʻokumu ʻia ka endometriosis e nā genes.

ʻO kekahi manaʻo ʻē aʻe, i loko o nā mahina o ka wahine, ua hoʻi kekahi ʻiʻo endometrial i loko o ka ʻōpū ma o nā ʻōpū fallopian. Ke ulu nei kēia mea kanu i waho o ka kōpū. Manaʻo ka poʻe noiʻi he nui nā ʻōnaehana pale ʻino i hapa i ka endometriosis. I nā wahine me ka maʻi, ʻaʻole i loaʻa a luku ʻia ka ʻiʻo endometrial i waho o ka ʻōpū. Eia kekahi, ua hōʻike ʻia kahi noiʻi hou ʻana i nā maʻi ʻōnaehana pale (nā pilikia olakino kahi e hoʻouka ai ke kino iā ia iho) maʻamau i nā wahine me ka endometriosis. ʻO ka noiʻi hou aʻe i kēia wahi e kōkua i nā kauka e hoʻomaopopo pono a mālama i ka endometriosis.


Nā ʻōuli

ʻO kaʻeha kekahi o nā hōʻailona maʻamau o ka endometriosis. ʻO ka maʻamau ka ʻeha ma ka ʻōpū, ke kua lalo, a me ke pelvis. ʻAʻole pili ka nui o ka ʻeha a ka wahine i ka nui o ka endometriosis. ʻAʻohe ʻeha o kekahi mau wahine, ʻoiai ka hopena o ko lākou maʻi i nā wahi nui. ʻO nā wahine ʻē aʻe me ka endometriosis i loaʻa i ka ʻehaʻeha ʻoiai aia he mau ulu liʻiliʻi wale nō. ʻO nā hōʻailona o ka endometriosis penei:

* Ka eha nui o ka ma'i wahine

* ʻEha me nā wā e ʻoi aku ai ka hewa ma mua o ka manawa

* ʻEha mau ma ka ʻaoʻao i lalo a me nā pelvis

* ʻEha i ka wā a ma hope paha o ka moekolohe

* Eha opu

* ʻO ka neʻe ʻana o ka ʻōpū ʻeha a i ʻole ka urination ʻeha ma nā manawa menstrual

* ʻO ke kaumaha a me / a i ʻole ka lōʻihi o ka menstrual

* Kaʻana a i ʻole ke koko ma waena o nā manawa

* ʻAʻole hiki ke hāpai ʻia.

* Luhi

Hiki paha i nā wahine me ka endometriosis ke loaʻa i nā pilikia gastrointestinal e like me ka maʻi diarrhea, constipation, a bloating paha, keu hoʻi i kā lākou wā.


ʻO wai ka pilikia?

Ma kahi o ʻelima miliona mau wahine ma ʻAmelika i loaʻa i ka endometriosis. ʻO ia kekahi o nā pilikia olakino maʻamau no nā wahine.

ʻO ka maʻamau, nā wahine me ka endometriosis:

* loaʻa kā lākou manawa mahina

* he 27 makahiki ma ka awelika

* loaʻa nā hōʻailona no ʻelua a ʻelima mau makahiki ma mua o ka ʻike ʻana ua loaʻa iā lākou ka maʻi

ʻO nā wahine i hele i loko o ka menopause (ke kū ka wahine i ka loaʻa ʻana o kona manawa) ʻaʻole loaʻa iki nā ʻōuli.

E hoʻomohala paha ʻoe i ka endometriosis inā ʻoe:

Ua hoʻomaka ʻo * i ka loaʻa ʻana o kou manawa i ka wā liʻiliʻi

* he mau manawa kaumaha

* loaʻa nā wā i ʻoi aku ma mua o ʻehiku lā

* loaʻa i kahi pōʻaiapuni mahina pōkole (27 mau lā a i ʻole ka liʻiliʻi)

* he pili pili (makuahine, makuahine, kaikuahine) me ka endometriosis

Ke hōʻike nei kekahi mau haʻawina e hoʻohaʻahaʻa paha ʻoe i kou kūlana o ka hoʻomohala ʻana i ka endometriosis inā ʻoe:

* hoʻoikaika mau

* pale i ka ʻalekohola a me ka caffeine

ʻIkepili

Inā manaʻo ʻoe ua loaʻa iā ʻoe kēia maʻi, e kamaʻilio me kāu obstetrician/gynecologist (OB/GYN). E kamaʻilio kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila e hana ʻo ia i kahi hōʻike pelvic. I kekahi manawa i ka wā o ka hoʻokolohua, hiki i ke kauka ke loaʻa nā hōʻailona o endometriosis.

Pono nā kauka e ho'āʻo e ʻike inā he endometriosis ka wahine. I kekahi manawa hoʻohana nā kauka i nā hoʻokolohua kiʻi e "ʻike" i nā ulu nui o ka endometriosis i loko o ke kino. ʻO nā hoʻāʻo kiʻi kiʻi maʻamau ʻelua ʻo:

* ultrasound, kahi e hoʻohana ai i nā nalu kani e ʻike ai i loko o ke kino

* magnetic resonance imaging (MRI), e hoʻohana ana i nā magnet a me nā hawewe lekiō e hana i "kiʻi" o loko o ke kino.

ʻO ke ala wale nō e ʻike maopopo ai inā loaʻa iā ʻoe ka endometriosis ʻo ka hana ʻana i kapa ʻia ʻo laparoscopy. I kēia kaʻina hana, hana ʻia kahi ʻoki liʻiliʻi i loko o kou ʻōpū. Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kukui i loko e ʻike i nā ulu ʻana mai ka endometriosis. I kekahi manawa hiki i nā kauka ke hōʻoia i ka endometriosis ma ka ʻike ʻana i nā ulu. I nā manawa ʻē aʻe, pono lākou e lawe i kahi mea liʻiliʻi o ka ʻiʻo, a i ʻole kahi biopsy, a aʻo iā ia ma lalo o kahi microscope.

Lapaʻau

ʻAʻohe lāʻau lapaʻau no ka endometriosis, akā nui nā mālama ʻana no ka ʻeha a me ka hānau ʻole e hoʻokumu ʻia ai. E kamaʻilio me kāu kauka e pili ana i ke koho kūpono no ʻoe. ʻO ka lāʻau lapaʻau āu e koho ai e hilinaʻi ia i kāu mau hōʻailona, ​​makahiki, a me nā hoʻolālā no ka hāpai ʻana.

Laau eha. No kekahi mau wahine me nā ʻōuli ʻoluʻolu, e ʻōlelo paha nā kauka e lawe i nā lāʻau lapaʻau no ka ʻeha. ʻO kēia mau mea: ibuprofen (Advil a me Motrin) a i ʻole naproxen (Aleve). Ke kōkua ʻole kēia mau lāʻau lapaʻau, hiki i nā kauka ke ʻōlelo aku e hoʻohana i nā mea hōʻeha ʻeha ʻoi aku ka ikaika i loaʻa ma ke kau ʻana.

Lapaau Hormone. Ke lawa ʻole ka lāʻau ʻeha, koi pinepine nā kauka i nā lāʻau hormone e mālama i ka endometriosis. ʻO nā wahine wale nō e makemake ʻole e hāpai e hiki ke hoʻohana i kēia mau lāʻau. ʻOi aku ka maikaʻi o ka mālama ʻana i ka hormone no nā wahine me nā ulu liʻiliʻi ʻaʻohe ʻeha nui.

Hiki mai nā hormones ma nā ʻano he nui e like me nā lāʻau, nā pana, a me nā ʻūhā ihu. Hoʻohana ʻia nā hormones he nui no ka endometriosis me:

  • Pale ka lāʻau hoʻomalu hānau i nā hopena o nā hormones kūlohelohe i nā ulu endometrial. No laila, pale lākou i ka hoʻokumu ʻana o ka mahina a me ka haki ʻana o nā ulu. Hiki i kēia ke hoʻemi i ka ʻeha endometriosis. Hiki i nā kaola kaohi hānau ke hoʻomālamalama i nā wā o ka wahine a emi ʻole ka hōʻoluʻolu. Loaʻa i ka hapanui o nā pila kaohi hānau i ʻelua mau hormones, estrogen a me progestin. Ua kapa ʻia kēia ʻano o ka pilina mana hānau he "pill pill." Ke ho'ōki ka wahine i ka lawe ʻana iā lākou, e hoʻi hou ka hiki ke hāpai, akā pēlā nō nā hōʻailona o ka endometriosis.
  • Hana nā progestins a i ʻole nā ​​lāʻau lapaʻau progesterone e like me nā lāʻau kaohi hānau a hiki ke lawe ʻia e nā wahine i hiki ʻole ke lawe i ka estrogen. Ke pau ka wahine i ka lawe progestins, hiki iā ia ke hāpai hou. Akā, hoʻi hou nā hōʻailona o ka endometriosis.
  • ʻO Gonadotropin hoʻokuʻu i ka hormone agonists a i ʻole GnRH agonists e hoʻolōʻihi i ka ulu ʻana o ka endometriosis a hoʻomaha i nā hōʻailona. Hana lākou ma ka hoʻoliʻiliʻi nui ʻana i ka nui o ka estrogen i loko o ke kino o ka wahine, ka mea e paʻa ai ka pōʻaiapule o ka mahina. ʻO Leuprolide (Lupron®) kahi agnist GnRH i hoʻohana pinepine ʻia e mālama i ka endometriosis. ʻAʻole pono e hoʻohana wale ʻia nā agonists GnRH no ʻeono mahina. ʻO kēia no ka mea hiki iā lākou ke alakaʻi i ka osteoporosis. Akā inā lawe ka wahine i ka estrogen me nā agonists GnRH, hiki iā ia ke hoʻohana iā lākou no ka manawa lōʻihi. Ke pau ka wahine i ka lawe ʻana i kēia lāʻau, i kēlā me kēia mahina a me ka hiki ke hāpai hāpai. Akā, hoʻi mai nā pilikia o ka endometriosis.
  • ʻO Danazol kahi hormone kāne nāwaliwali. I kēia mau lā, ʻaʻole paipai nā kauka i kēia hormone no ka endometriosis. Hoʻohaʻahaʻa ʻo Danazol i nā pae o ka estrogen a me ka progesterone i ke kino o ka wahine. Hoʻopau kēia i ka manawa o ka wahine a i ʻole e hōʻemi pinepine ʻia. Hāʻawi pū ʻo Danazol i ka hōʻoluʻolu ʻeha, akā hoʻoulu pinepine i nā hopena ʻaoʻao e like me ka ʻili o ka ʻaila, ka waiwai kaumaha, ka luhi, nā umauma liʻiliʻi, a me nā uila wela. ʻAʻole pale ʻo Danazol i ka hāpai ʻana a hiki ke hōʻeha i kahi pēpē e ulu ana i ka kōpū. Ma muli o ka hiki ʻole ke hoʻohana ʻia me nā hormoni ʻē aʻe, e like me nā lāʻau hoʻomalu hānau, paipai nā kauka i ka hoʻohana ʻana i nā condom, diaphragms, a i ʻole nā ​​ʻano hana "pale" ʻē aʻe e pale ai i ka hāpai keiki.
  • ʻOki kino. ʻO ka ʻokiʻoki ke koho maikaʻi loa no nā wahine me ka endometriosis i loaʻa ka nui o ka ulu ʻana, ka ʻeha nui, a i ʻole nā ​​​​pilikia hānau. Aia nā ʻoki liʻiliʻi a ʻoi aku ka paʻakikī e hiki ke kōkua. E ʻōlelo paha kāu kauka i kekahi o kēia:

    • Hiki ke hoʻohana ʻia ka laparoscopy e hōʻoia a mālama i ka endometriosis. I loko o kēia kaʻina hana, wehe nā kauka i nā ulu a me nā ʻiʻo ʻili a luku paha iā lākou me ka wela nui. ʻO ka pahuhopu ka mālama ʻana i ka endometriosis me ka hoʻopōʻino ʻole i ke kino olakino a puni. ʻOi aku ka wikiwiki o nā wahine mai ka laparoscopy ma mua o ke kīʻaha ʻōpū nui.
    • ʻO Laparotomy a i ʻole ke ʻoki ʻana o ka ʻōpū nui kahi hopena hope loa no ka endometriosis koʻikoʻi. Ma kēia ʻoki ʻana, ʻoi aku ka nui o ke ʻoki ʻana o ke kauka ma ka ʻōpū ma mua o ka laparoscopy. ʻO kēia ka mea e hiki ai i ke kauka ke hōʻea a wehe i ka ulu ʻana o ka endometriosis ma ke pelvis a i ʻole ka ʻōpū. Hiki ke mālama ʻia mai kēia ʻoki ʻana i ʻelua mau mahina.
    • E noʻonoʻo wale ʻia ka Hysterectomy e nā wahine makemake ʻole e hāpai i ka wā e hiki mai ana. I loko o kēia ʻoki ʻana, wehe ke kauka i ka ʻōpū. Hiki iā ia ke lawe i waho i nā ovaries a me nā ʻōpū fallopian i ka manawa like. Hana ʻia kēia ke hōʻinoʻino loa ka endometriosis iā lākou.

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