Endometriosis

Anter

• Nā ʻōuli o endometriosis
• Hoʻomaʻo Endometriosis
• Nā lāʻau ʻeha
• Hoʻoikaika Hormone
• Nā mea hana Hormonal
• ʻO nā agonists a me nā antagonists e hoʻokuʻu nei i kaoneoneone (GnRH)
• Danazol
• ʻOki kino Conservative
• ʻOki kino hope loa (hysterectomy)
• He aha ke kumu o ka endometriosis?
• Nā pae endometriosis
• Kahua 1: Minimal
• Kahua 2: Mild
• Kahua 3: Kaha
• Kahua 4: koʻikoʻi
• Kānāwai
• Mōʻaukala kikoʻī
• Hōʻike kino
• Kukuna ultrasound
• Laparoscopy
• Nā pilikia o Endometriosis
• Nā kumu weliweli
• Makahiki
• Mōʻaukala ʻohana
• Mōʻaukū hāpai keiki
• Mōʻaukala Menstrual
• Hopena endometriosis (nānā)

He aha ka endometriosis?

ʻO Endometriosis kahi maʻi kahi i like ke ʻano o ke kiko me ka meaola i hana i ka uhi o kāu kōpū e ulu ma waho o kou lua uterine. Kapa ʻia ka uhi o kou kōpū ʻo ka endometrium.

Hana ʻia ka endometriosis ke ulu ka meaola endometrial ma luna o kāu ovaries, ʻōpū, a me nā mea i uhi ʻia i kou pelvis. ʻAʻole ia he mea maʻamau no ka pālahalaha o nā kiko endometrial ma ʻō aku o kou māhele pelvic, akā ʻaʻole hiki ʻole. ʻO ke kiko endometrial e ulu nei ma waho o kou kōpū ua ʻike ʻia ma ke ʻano he implant endometrial.

Hoʻololi nā hoʻololi hormonal o kāu pōʻai menstrual i ka kiko endometrial misplaced, e hoʻonāukiuki a ʻeha hoʻi ka wahi. ʻO kēia ka mea e ulu, mānoanoa, a haki ka nāʻaʻa. I ka hala ʻana o ka manawa, ʻaʻohe wahi e hele ai a paʻa ka iʻa i haki i kāu pelvis.

Hiki i kēia kiko ke paʻa i kāu pelvis ke kumu:

• hoʻonāukiuki
• hoʻokumu scar
• adhesions, kahi i nā mea paʻa e hoʻopaʻa pū i kāu mau pelvic
• ʻehaʻeha i kāu mau kau
• pilikia pilikia

ʻO ke Endometriosis kahi ʻano gynecological maʻamau, e hoʻopili ana a 10 pakeneka o nā wahine. ʻAʻole ʻoe hoʻokahi inā loaʻa kēia maʻi iā ʻoe.

Nā ʻōuli o endometriosis

ʻOkoʻa nā ʻōuli o ka endometriosis. ʻIke kekahi mau wahine i nā ʻōuli mālie, akā hiki i kekahi poʻe ke loaʻa i nā ʻōuli kaulike a koʻikoʻi. ʻAʻole hōʻike ka nui o kou ʻeha i ke kekelē a i ʻole ke kahua o ke ʻano. Loaʻa paha iā ʻoe kahi ʻano akahai o ka maʻi akā ʻike i ka ʻehaʻeha. Hiki nō hoʻi ke loaʻa i kahi ʻano koʻikoʻi a loaʻa i kahi liʻiliʻi iki.

ʻO kaʻeha pelvic ka hōʻailona maʻamau o ka endometriosis. Loaʻa paha iā ʻoe kēia mau ʻōuli:

• wā ʻeha
• ʻeha ma ka ʻōpū o lalo ma mua a i ka wā o ka menstruation
• cramp hoʻokahi a ʻelua paha mau pule a puni ka menstruation
• kahe o ke kahe menstrual a i ʻole ke kahe ʻana ma waena o nā wā
• infertility
• ʻeha ma hope o ka moekolohe
• hōʻoluʻolu me nā ʻōpū o ka ʻōpū
• ʻeha ʻeha o lalo e hiki ke hana ʻia i kēlā me kēia manawa i kāu wā menstrual

ʻAʻohe paha ou ʻōuli. He mea nui e kiʻi ʻoe i nā hoʻokolohua gynecological maʻamau, e ʻae ai i kāu gynecologist e nānā i nā loli. He mea nui loa kēia inā loaʻa ʻelua a ʻoi paha mau hōʻailona.

Hoʻomaʻo Endometriosis

Hoʻomaopopo, makemake ʻoe i ke kōkua wikiwiki mai ka ʻeha a me nā ʻōuli ʻē aʻe o ka endometriosis. Hiki i kēia ʻano ke hoʻopilikia i kou ola inā haʻalele ʻole ʻia. ʻAʻohe lāʻau lapaʻau o Endometriosis, akā hiki ke mālama ʻia kāna mau ʻōuli.

Loaʻa nā koho lapaʻau a me nā ʻoki lāʻau e kōkua i ka hōʻemi ʻana i kāu mau ʻōuli a me ka mālama ʻana i nā kūpikipiki kūpono. E hoʻāʻo mua paha kāu kauka i nā mālama conservative. E paipai paha lākou iā lākou inā ʻaʻole e hoʻomaikaʻi ʻia kou ʻano.

Hana ʻokoʻa nā kānaka āpau i kēia mau koho lapaʻau. E kōkua kāu kauka iā ʻoe e ʻike i kahi e kūpono loa iā ʻoe.

He mea hoʻonāukiuki paha ke kiʻi ʻana i nā hōʻailona a me nā koho lapaʻau i ka wanaʻao o ka maʻi. Ma muli o nā pilikia momona, ʻeha, a me ka makaʻu no ka loaʻa ʻole o kahi hoʻomaha, hiki i kēia maʻi ke paʻakikī e mālama i ka noʻonoʻo. E noʻonoʻo e loaʻa i kahi hui kākoʻo a i ʻole e aʻo hou iā ʻoe iho i ke ʻano. Nā koho lapaʻau e:

Nā lāʻau ʻeha

Hiki iā ʻoe ke hoʻāʻo i nā lāʻau ʻehaʻeha loa e like me ka ibuprofen, akā ʻaʻole maikaʻi kēia mau mea i nā hihia āpau.

Hoʻoikaika Hormone

ʻO ka lawe ʻana i nā hormone supplemental hiki i kekahi manawa ke hoʻomaha i ka ʻeha a hoʻōki i ka holomua o ka endometriosis. Kōkua ka Hormone therapy i kou kino e hoʻoponopono i nā loli hormonal i kēlā me kēia mahina e hāpai i ka ulu ʻana o ke kino i loaʻa iā ʻoe inā he endometriosis.

Nā mea hana Hormonal

Hōʻemi nā mea hana Hormonal i ka momona ma ka pale ʻana i ka ulu ʻana o ka mahina a me ke kūkulu ʻana o nā meaola endometrial. Hiki i nā kaola kaohi hānau, nā pāhoʻi, a me nā apo o ke kuapapa ke hōʻemi a hōʻemi paha i ka ʻeha ma ka endometriosis ʻoi loa ke koʻikoʻi.

ʻO ka lāʻau medroxyprogesterone (Depo-Provera) maikaʻi pū kekahi i ka hoʻōki ʻana i ka menstruation. Hoʻomaha ia i ka ulu ʻana o nā implants endometrial. Hoʻomaha ia i ka ʻeha a me nā ʻōuli ʻē aʻe. ʻAʻole paha kēia kāu koho mua, akā naʻe, no ka makaʻu o ka hōʻemi ʻana i ka hana iwi, ka loaʻa ʻana o ke kaupaona, a me ka hoʻonui ʻia ʻana o ke kaumaha i kekahi mau hihia.

ʻO nā agonists a me nā antagonists e hoʻokuʻu nei i kaoneoneone (GnRH)

Lawe nā wahine i ka mea i kapa ʻia he gonadotropin-hoʻokuʻu i nā hormone (GnRH) agonists a me nā antagonists e pale i ka hana ʻana o ka estrogen e hoʻoulu ai i nā ovaries. ʻO Estrogen ka hormone ʻo ia ke kuleana nui no ka hoʻomohala ʻana i nā ʻano moekolohe wahine. ʻO ka pale ʻana i ka hana ʻana o estrogen e pale ai i ka menstruation a hana i kahi menopause hana.

Loaʻa nā hopena o ka GnRH therapy e like me ka maloʻo liʻiliʻi a me nā uila wela. Lawe i nā lāʻau liʻiliʻi o ka estrogen a me ka progesterone i ka manawa like ke kōkua i ka palena a pale ʻana paha i kēia mau ʻōuli.

Danazol

ʻO Danazol kahi lāʻau i hoʻohana ʻia e hōʻoki i ka menstruation a hoʻoliʻiliʻi i nā ʻōuli. ʻOiai e lawe nei iā danazol, hoʻomau ka holomua o ka maʻi. Hiki iā Danazol ke loaʻa nā hopena ʻaoʻao, e like me ka huehue a me ka hirsutism. He ulu ulu lauoho ʻo Hirsutism ma kou alo a me kou kino.

Ke aʻo ʻia nei nā lāʻau ʻē aʻe i hiki ke hoʻomaikaʻi i nā hōʻailona a lohi i ka holomua o ka maʻi.

ʻOki kino Conservative

ʻO ke kaha Conservative no nā wahine e makemake ana e hāpai a i ʻole ʻike i ka ʻehaʻeha a no lākou e hana ʻole ai nā hana hormonal. ʻO ka pahuhopu o ka ʻoki lāʻau conservative e hemo a hoʻopau i nā ulu endometrial me ka ʻole o ka hōʻino ʻana i nā lālā hānau.

Hoʻohana ʻia ʻo Laparoscopy, kahi ʻoki kino hoʻōla minimally, e nānā a ʻike pono ai hoʻi, endometriosis. Hoʻohana ʻia ia e hemo i ka aʻa endometrial. Hana kahi mea lapaʻau i nā ʻokiʻoki liʻiliʻi i loko o ka ʻōpū e wehe i nā mea ulu a i ʻole e puhi a i ʻole hoʻāhu iā lākou. Hoʻohana pinepine ʻia nā Lasers i kēia mau lā ma ke ʻano he luku i kēia kiko "waho o kahi".

ʻOki kino hope loa (hysterectomy)

Kākaʻikahi, hiki i kāu kauka ke koi aku i ka huina hysterectomy āpau ma ke ʻano he hopena hope loa inā ʻaʻole hoʻomaikaʻi kāu kūlana me nā ʻano lāʻau ʻē aʻe.

I ka manawa o ka hysterectomy āpau, hoʻopau kahi lāʻau lapaʻau i ka uterus a me ka cervix. Lawe pū lākou i nā ovaries no ka mea hana kēia mau mea i ka estrogen, a ʻo ka estrogen ke kumu o ka ulu ʻana o nā kiko endometrial. Hoʻohui, hoʻopau ke kaukipō i nā līlī implant i ʻike ʻia.

ʻAʻole i manaʻo pinepine ʻia kahi hysterectomy i kahi lapaʻau a lāʻau paha no ka endometriosis. ʻAʻole hiki iā ʻoe ke hāpai ma hope o ka hysterectomy. E kiʻi i ka manaʻo ʻelua ma mua o ka ʻae ʻana i ke ʻoki inā noʻonoʻo ʻoe e hoʻomaka i kahi ʻohana.

He aha ke kumu o ka endometriosis?

I ka wā maʻamau o ke menstrual cycle, hoʻolei kou kino i ka uhi o kou kōpū. Hāʻawi kēia i ke koko menstrual e kahe mai kou kōpū ma o ka puka liʻiliʻi i ka cervix a ma waho o kāu wahine.

ʻAʻole ʻike ʻia ke kumu kikoʻī o ka endometriosis, a aia kekahi mau kumumanaʻo e pili ana i ke kumu, ʻoiai ʻaʻohe mea ʻepekema i hōʻoia ʻepekema.

ʻO kekahi o nā kumumanaʻo mua loa ʻo ia ka endometriosis ma muli o kahi hana i kapa ʻia ʻo retrograde menstruation. Hana ʻia kēia i ke kahe o ke koko menstrual i loko o kāu mau kōpū fallopian i loko o kou lua pelvic ma kahi o ka waiho ʻana i kou kino ma waena o ka lua.

ʻO kekahi kumumanaʻo ʻo ia nā hormones e hoʻololi i nā hunaola ma waho o ka uterus i loko o nā hunaola e like me nā mea i uhi ʻia i loko o ka kōpū, i kapa ʻia he mau endometrial cells

Manaʻo nā poʻe ʻē aʻe e kū ke ʻano inā hoʻololi nā wahi liʻiliʻi o kou ʻōpū i nā kiko o endometrial. Hiki paha kēia no ka ulu ʻana o nā hunaola i loko o kou ʻōpū mai nā hunaola embryonic, hiki ke hoʻololi i ke kinona a hana e like me nā hunaola endometrial. ʻAʻole maopopo i ke kumu o kēia kū ʻana.

Aia paha kēia mau hunaola endometrial i hoʻoneʻe ʻia ma kāu mau pelvic paia a me nā papa o kou kino pelvic, e like me kou pūpū, ovaries, a me kou rectum. Ke hoʻomau nei lākou e ulu, mānoanoa, a kahe i ke kahe o kāu pōʻai menstrual i ka pane ʻana i nā homone o kāu pōʻaiapuni.

Hiki nō hoʻi ke kahe o ke koko menstrual i loko o ka hakahaka pelvic ma o kahi ʻoki ʻoki, e like me ma hope o ka lawe ʻana i ka cesarean (i kapa ʻia hoʻi he ʻāpana C).

ʻO kekahi kumumanaʻo e lawe ʻia nā hunaola endometrial mai ka pūpū ma o ka ʻōnaehana lymphatic. ʻO kekahi kumumanaʻo ʻē aʻe e manaʻo ʻia ma muli paha o kahi ʻōnaehana pale ʻino e luku ʻole ana i nā hunaola endometrial hewa.

Manaʻo kekahi e hoʻomaka paha ka endometriosis i ka wā fetal me nā kiko o ke kikowaena misplaced e hoʻomaka e pane i nā hormones o ka wā ʻōpio. Kāhea ʻia kēia mea he kumumanaʻo Mullerian. Pili paha ka hoʻomohala ʻana o ka endometriosis i nā genetics a i ʻole nā ​​toxins kaiapuni.

Nā pae endometriosis

ʻEhā pae a i ʻole Endometriosis. Hiki iā ia i kekahi o kēia mau mea:

• liʻiliʻi
• akahai
• akahai
• koʻikoʻi loa

Hoʻoholo nā mea ʻokoʻa i ke kahua o ka maʻi. Hiki i kēia mau mea ke hoʻopili i ka wahi, ka helu, ka nui, a me ka hohonu o nā implants endometrial.

Kahua 1: Minimal

I ka endometriosis liʻiliʻi, aia nā liona liʻiliʻi a i ʻole nā ​​ʻeha a me nā implomet endometrial papau ma kāu ovary. Aia paha he mumū i loko a puni paha o kou lua pelvic.

Kahua 2: Mild

Hoʻopili ka endometriosis māmā i nā liona māmā a me nā implant pāpaʻu ma kahi ovary a me ka pelvic lining.

Kahua 3: Kaha

Hoʻopili ka endometriosis kaulike i nā implants hohonu i kāu ovary a me ka pelvic lining. Hiki i nā ʻino hou aʻe kekahi.

Kahua 4: koʻikoʻi

ʻO ka pae ʻoi loa o ka endometriosis pili i nā implants hohonu i kāu pelvic lining a me nā ovaries. Aia kekahi mau liona ma kāu mau puʻupuʻu fallopian a me kou ʻōpū.

Kānāwai

Hiki i nā ʻōuli o ka endometriosis ke like me nā ʻōuli o nā kūlana ʻē aʻe, e like me nā ovist cista a me nā maʻi pelvic inflammatory. ʻO ka mālama ʻana i kou ʻeha e pono ai kahi hōʻoia pololei.

E hana kāu kauka i hoʻokahi a ʻoi paha o nā hōʻike aʻe:

Mōʻaukala kikoʻī

E hoʻomaopopo kāu kauka i kāu mau hōʻailona a me ka mōʻaukala pilikino a ʻohana paha o endometriosis. E hana ʻia paha kahi loiloi olakino laulā e hoʻoholo ai inā aia kekahi mau hōʻailona ʻē aʻe o kahi maʻi lōʻihi.

Hōʻike kino

I ka wā o kahi hōʻike pelvic, e ʻike lima kāu kauka i kou ʻōpū no nā cist a i ʻole nā ​​ʻili ma hope o ka kōpū.

Kukuna ultrasound

Hiki i kāu kauka ke hoʻohana i kahi ultrasound transvaginal a i ʻole he ultrasound ʻōpū. I loko o kahi ultrasound transvaginal, hoʻokomo ʻia kahi transducer i loko o kāu ʻōpū.

Hāʻawi nā ʻano ʻelua o ka ultrasound i nā kiʻi o kāu ʻohana hānau. Hiki iā lākou ke kōkua i kāu kauka e ʻike i nā cist e pili ana i ka endometriosis, akā ʻaʻole maikaʻi lākou i ka hoʻopau ʻana i ka maʻi.

Laparoscopy

ʻO kahi ala wale nō e ʻike ai i ka endometriosis ma ka nānā pono ʻana iā ia. Hana ʻia kēia e kahi kaʻina ʻoki liʻiliʻi i ʻike ʻia ʻo laparoscopy. I ka manawa e hōʻoia ʻia, hiki ke hoʻoneʻe ʻia ke kiko i ke kaʻina hana like.

Nā pilikia o Endometriosis

ʻO ka loaʻa ʻana o nā pilikia me ka momona he pilikia koʻikoʻi ia o ka endometriosis. Hiki i nā wahine me nā ʻano ʻoluʻolu ke hāpai a hāpai i kahi pēpē i kēia manawa. Wahi a ka Mayo Clinic, ma kahi o 30 - 40 pākēneka o nā wahine me ka endometriosis pilikia i ka hāpai ʻana.

ʻAʻole hoʻomaikaʻi nā lāʻau i ka momona. Ua hiki i kekahi mau wahine ke hāpai ma hope o ka hemo ʻana o ke kino endometrial. Inā ʻaʻole holo pono kēia i kāu hihia, makemake paha ʻoe e noʻonoʻo i nā mālama ʻana o ka momona a i ʻole ka vitro fertilization e kōkua ai i ka hoʻomaikaʻi ʻana i kāu loaʻa o kahi pēpē.

Makemake paha ʻoe e noʻonoʻo i ka loaʻa ʻana o nā keiki ma mua o ka wā inā ua ʻike ʻia ʻoe me ka endometriosis a makemake ʻoe i nā keiki. E hōʻeha paha kāu mau ʻōuli ma ke ʻano o ka manawa, kahi mea paʻakikī e hāpai iā ʻoe iho. Pono ʻoe e loiloi ʻia e kāu kauka ma mua a i ka wā o ka hāpai ʻana. E kamaʻilio me kāu kauka e hoʻomaopopo i kāu koho.

ʻOiai ʻaʻole hopohopo ka momona, hiki i ka mālama ʻana i ka ʻeha mau ke paʻakikī. ʻO ke kaumaha, ka hopohopo, a me nā pilikia noʻonoʻo ʻole he mea maʻamau. E kamaʻilio me kāu kauka e pili ana i nā ala e hana ai i kēia hopena. Kōkua pū paha ka hui ʻana i kahi hui kākoʻo.

Nā kumu weliweli

Wahi a Johns Hopkins Medicine, ma kahi o 2 a 10 pakeneka o nā wahine hānau keiki maʻAmelika Hui Pū ʻIa ma waena o nā makahiki 25-40 i loaʻa ka endometriosis. Hoʻolālā maʻamau ia mau makahiki ma hope o ka hoʻomaka o kāu pōʻai menstrual. Hiki ke hōʻeha kēia ʻano akā ʻo ka hoʻomaopopo ʻana i nā kumu pilikia hiki ke kōkua iā ʻoe e hoʻoholo inā hiki i kēia ʻano a ke kamaʻilio pū ʻoe me kāu kauka.

Makahiki

Kūpono nā wahine o nā makahiki āpau no ka endometriosis. Hoʻololi pinepine ia i nā wahine ma waena o nā makahiki 25 a 40, akā hiki i nā ʻōuli ke hoʻomaka i ka wā ʻōpio.

Mōʻaukala ʻohana

E kamaʻilio me kāu kauka inā he ʻohana kou i loaʻa i ka endometriosis. Hiki paha iā ʻoe ke piʻi aʻe i ka maʻi.

Mōʻaukū hāpai keiki

Hiki i ka hāpai ʻana ke hoʻoliʻiliʻi manawa i nā ʻōuli o ka endometriosis. ʻO nā wahine i loaʻa ʻole nā ​​keiki e holo i kahi makaʻu nui o ka hoʻomohala ʻana i ka maʻi. Eia nō naʻe, hiki ke loaʻa ka endometriosis i nā wahine i hānau keiki. Kākoʻo kēia i ka hoʻomaopopo ʻana e hoʻohuli ka mau homoni i ka ulu a me ka holomua o ke ʻano.

Mōʻaukala Menstrual

E kamaʻilio me kāu kauka inā he mau pilikia kāu e pili ana i kāu wā. Hiki i kēia mau pilikia ke hoʻopili i nā pōʻai pōkole, nā wā kaumaha a lōʻihi hoʻi, a i ʻole menstruation e hoʻomaka i ka wā ʻōpio. Hiki i kēia mau mea ke hoʻokau iā ʻoe i ka makaʻu kiʻekiʻe.

Hopena endometriosis (nānā)

ʻO Endometriosis kahi kūlana maʻi me ka hoʻōla ʻole. ʻAʻole maopopo iā mākou ke kumu o kēia.

Akā ʻaʻole kēia manaʻo he hopena ka hopena i kou ola i kēlā me kēia lā. Loaʻa nā lapaʻau kūpono e kāohi i nā pilikia o ka ʻeha a me ka momona, e like me nā lāʻau, ka hoʻōla hormonone, a me ke ʻoki kino. Hoʻonui pinepine nā ʻōuli o ka endometriosis ma hope o ka menopause.