Endometriosis: kahi ʻimi no nā pane

Anter

• Ke kipaku ʻana i nā manaʻo kuhihewa
• He ala pōhaku i ka hōʻailona
• ʻO ke ola ma mua o ka hōʻailona
• Kākoʻo no ka mālama maikaʻi

I ka lā o kāna puka kula nui 17 makahiki i hala, ua noho ʻo Melissa Kovach McGaughey ma waena o kāna mau hoa e kali ana no ke kāhea ʻia ʻana o kona inoa. Akā ma kahi o ka leʻaleʻa piha i ka manawa nui, hoʻomanaʻo ʻo ia i kahi mea ʻoi aku ka liʻiliʻi o ka hoʻokipa ʻana: ʻeha.

Ma ka hopohopo e pau ka lāʻau i lawe mua ʻia e ia ma ka wā o ka hana, ua hoʻolālā ʻo ia i mua. "Ua komo wau i kahi ʻeke ma lalo o kaʻu mau puka puka - me kahi ʻōmole wai liʻiliʻi a me kahi ʻōmole pila - no laila hiki iaʻu ke lawe i kaʻu lā hope aʻe o ka lāʻau ʻeha me ka ala ʻole ʻana," hoʻomanaʻo ʻo ia.

ʻAʻole kēia ka manawa mua a hope paha e hopohopo ʻo ia e pili ana i ka herendometriosis e kū nei i ke kahua waena. ʻO ke kūlana gynecological, ka mea e ulu ai kaʻiʻo mai nā ʻili uterine e ulu ma luna o nā mea ʻē aʻe - ʻano nui ʻia, a me ka moakaka, e ka ʻeha.

ʻO McGaughey, he lālā o Wisconsin i hoʻokumu ʻia ma Wisconsin i hoʻokumu ʻia no ka Endometriosis Association, ua hala he mau makahiki he nui i ka mālama ʻana i kāna mau maʻi kūpilikiʻi. Hiki iā ia ke hāmeʻa iā ia i ka wā i hoʻomaka ai i ka wā ʻōpio.

"Ua manaʻo mua wau ua hewa kekahi mea ma kahi o 14 mau makahiki i ka wā e like me ka nui o ka nui o ka menstrual cramp ma mua o kaʻu mau hoaaloha," haʻi ʻo ia iā Healthline.

Ma hope o kekahi mau makahiki o ka loaʻa ʻole o ke kōkua ma o ka ibuprofen, eia nō naʻe, ʻo nā kauka ke ʻike nei ʻo ia i nā lāʻau lapaʻau hormonal i kauoha ʻia e hōʻoluʻolu i kona ʻeha. Akā, ʻaʻole hana nā pila i kēlā mea. "I kēlā me kēia ʻekolu mau mahina, ua kau ʻia wau i kahi ʻano ʻokoʻa," i hoʻomanaʻo ai ʻo McGaughey, 38, nāna i ʻōlelo ua hāʻawi kekahi i ka herdepression a me ke ʻano o ka naʻau.

Ma hope o nā mahina he nui o ka loaʻa ʻole o kahi hopena, ua hāʻawi aku kāna mau kauka iā ia i ka mea i manaʻo ʻia he ultimatum: Hiki iā ia ke hoʻomau i ka ʻeha mau ʻia me ka ʻike ʻole no ke kumu a hele paha ma lalo o ka pahi e ʻike i ka mea i hewa.

ʻOiai ʻo ka hana laparoscopic e hoʻōla iki, "ʻO ka manaʻo o ke ʻoki ʻana e ʻike wale ai he paʻakikī e ale i ke ʻano he 16 makahiki," hoʻomanaʻo ʻo ia.

Ua haʻalele ʻia me nā koho liʻiliʻi, ua koho ʻo McGaughey i ka neʻe ʻole i mua me ke ʻoki. ʻO kahi hoʻoholo, ua ʻōlelo ʻo ia, e mihi ʻo ia ma hope, no ka mea, ʻoi aku ka nui o nā makahiki i hala i ka ʻehaʻeha loa.

ʻAʻole ia ma hope o kona puka ʻana mai ke koleke ma 21 a ua ʻike ʻo ia i ka mākaukau mentally e hana i ke kaʻina hana a loaʻa hope kahi hōʻailona.

"Ua loaʻa i ke kaukipeka ka endometriosis a ua kipaku ʻia e like me ka hiki," i ʻōlelo ʻo ia. Akā ʻaʻole ka hana i ka lāʻau hoʻōla-āpau āna i makemake ai. "Ua heleleʻi nui koʻu mau ʻeha ma hope, akā i kēlā me kēia makahiki hoʻi ka ʻeha i ka hoʻi ʻana o ka endo."

No ka mea i koho ʻia ma 10 mau wahine o ka hānau hānau ma ʻAmelika i hoʻopili ʻia e kēia ʻano, ua kamaʻāina loa kēia pāʻani o ka pōpoki a me ka ʻiole. Akā ʻaʻole like me nā maʻi ʻē aʻe i loaʻa kahi pane ākea, ʻaʻohe lāʻau i ʻike ʻia no ka endometriosis.

He aha ka nui o kēia mau wahine e launa pū ai, eia naʻe, huikau.

I ka manawa o 20s ka mea hoʻokumu a me CEO o Flutter Health, ʻo Kristy Curry, ua ʻike ʻo ia ua hewa kekahi mea ma hope o ka hala ʻana o ka wai i loko o ka ua mai kona mau puʻupuʻu mai.

ʻOiai ʻaʻole ia he malihini i nā wā lōʻihi a ʻeha loa hoʻi, ʻokoʻa kēia manawa. "ʻAʻole hiki iaʻu ke hana i ka hana a i ke kula paha i kekahi mau lā a aia wau i kahi moe," i hoʻomanaʻo ai ka kamaʻāina ʻo Brooklyn. "Ua manaʻo wau he mea maʻamau ia ʻaʻole hiki iā ʻoe ke 'hoʻohālikelike' ʻeha manawa me kekahi [ʻē aʻe]."

Ua loli koke kēia mau mea āpau, akā, ke ʻike ʻo ia iā ia e hele i ka lumi pilikia.

"ʻO nā maʻi hānau hānau o nā wahine me he mea lā ua hoʻopili ʻia me nā pilikia ʻē aʻe i ke kaiāulu," wahi a Curry, ka mea e hele aku i mau makahiki he nui o ko ER kipa ʻana no ka ʻeha pelvic i hōʻike hewa ʻia e like me IBS a i ʻole nā ​​pilikia pili i GI.

Ma muli o ka hopena o ka endometriosis i nā mea i hoʻopaʻa ʻia e ulu a pālahalaha ʻia ma waho o ka pelvic ʻāpana, nā mea i hoʻopili ʻia e like me nā ovaries a me nā ʻōpū e ʻike i nā loli hormonal i ka wā o ka wahine, e hōʻeha ana i ka mumū ʻeha.

A inā paʻakikī kāu mau hōʻailona a noho i nā ʻāpana o kou kino ma waho o kāu ʻōnaehana hānau, e ʻōlelo ʻo Curry, e hana pū ʻoe me nā loea hou aku.

Ke kipaku ʻana i nā manaʻo kuhihewa

ʻAʻole maopopo nā kumu kūpono o ka endometriosis. Akā ʻo kekahi o nā kumumanaʻo mua e hōʻike ana e iho i lalo i ka mea i ʻike ʻia ʻo retrograde menstruation - kahi hana e pili ana i ke koko menstrual e kahe ana i loko o nā paipu fallopian i loko o ka hakahaka pelvic ma kahi o ka haʻalele ʻana i ka ʻōpala.

ʻOiai hiki ke mālama ʻia ke ʻano, ʻo kahi o nā hiʻohiʻona paʻakikī loa i ka wā mua o ka maʻi ʻaʻole loaʻa ka maʻi a me ka lāʻau. Aia kekahi kānalua a makaʻu hoʻi i ka loaʻa ʻole o ka hoʻomaha.

Wahi a kekahi onlinesurvey i alakaʻi ʻia e HealthyWomen o nā wahine ma mua o 1,000 a me 352 ʻoihana olakino (HCPs), ʻo ka ʻeha ma waena a ma waena o nā manawa nā hōʻailona koʻikoʻi i kipa aku ka hapa nui o nā mea pane i kā lākou HCP e loaʻa kahi hōʻailona. ʻO ke kumu ʻelua a me ke kolu ke komo pū me nā pilikia gastrointestinal, ʻeha i ka wā o ka moekolohe, a me nā neʻe ʻeha o ka ʻōpū.

Ua ʻike nā kānaka noiʻi ʻoiai ʻo 4 i ka 5 mau wahine i loaʻa ʻole kahi diagnostic ua lohe maoli lākou i ka endometriosis ma mua, he hapa wale nō ka ʻike palena palena o ke ʻano o kēia mau ʻōuli. Manaʻo ka hapanui i nā ʻōuli e pili ana i ka ʻeha ma waena a ma nā wā a me ka wā o ka moekolohe. Hoʻomaopopo iki ka poʻe i nā ʻōuli ʻē aʻe, e like me ka luhi, nā pilikia o ka gastrointestinal, ka mimiki ʻeha, a me nā neʻe ʻeha o ka ʻōpū.

ʻO ka hoʻomālamalama hou ʻana, eia nō naʻe, ʻo ka ʻaneʻane kokoke i ka hapalua o nā wahine me ka ʻole o ka hōʻailona ʻaʻohe ʻike.

Kuhi kēia mau hopena noiʻi i kahi pilikia nui e pili ana i ke ʻano. ʻOiai ʻoi aku ka ʻike ākea o ka endometriosis ma mua o ka manawa, kuhi hewa pinepine ʻia, ʻoiai ua loaʻa nā hōʻailona i nā wahine.

He ala pōhaku i ka hōʻailona

ʻO kahi noiʻi i mālama ʻia e kahi hui o nā mea noiʻi ma UK e hōʻike nei ʻoiai he nui nā kumu i kuleana, "ʻo kekahi kumu nui o kēia holo ʻana o kēia maʻi ka lohi paha o ka hōʻailona."

ʻOiai paʻakikī e hoʻoholo inā no ka lawa ʻole kēia o ka noiʻi olakino, ʻoiai hiki i nā ʻōuli ke hoʻohālikelike pinepine i nā kūlana ʻē aʻe e like me nā ovist cista a me nā maʻi pelvic inflammatory, hoʻokahi mea maopopo: ʻo ka loaʻa ʻana o kahi hōʻailona ʻaʻole ia he hana liʻiliʻi.

ʻO Philippa Bridge-Cook, PhD, he ʻepekema ma Toronto e lawelawe ana ma ka papa alakaʻi o The Endometriosis Network Canada, ke hoʻomanaʻo nei ʻo ia i haʻi ʻia e kona kauka kauka i kona mau makahiki he 20 e ʻaʻohe kumu e alualu ai i kahi kuhi no ka mea ʻaʻohe mea. hiki ke hana e pili ana i ka endometriosis. "ʻO ka mea ʻaʻoleʻoiaʻiʻo ʻoiaʻiʻo, akā ʻaʻole wau i ʻike i kēlā manawa," e wehewehe ana ʻo Bridge-Cook.

Hiki i kēia kuhi hewa ke hōʻike i ke kumu no ka hapalua o nā wahine i hōʻike ʻole ʻia i ka nīnau HealthyWomen i kamaʻāina ʻole me ke ʻano o ka hōʻailona.

Ma hope aku, ma hope o ka ʻike ʻana o Bridge-Cook i kekahi mau hāʻule ʻole, ua ʻōlelo ʻo ia ʻehā mau OB-GYN i haʻi iā ia ʻaʻole hiki ke loaʻa i ka maʻi, no ka mea inā hana ʻo ia, loaʻa ʻole ka hānau ʻole. Aia a hiki i kēlā manawa, ua hāpai ʻo Bridge-Cook me ka pilikia ʻole.

ʻOiai he ʻoiaʻiʻo ʻo nā pilikia hoʻohua kekahi o nā pilikia koʻikoʻi i hoʻopili ʻia me endo, ʻo ka kuhi hewa maʻamau ka mea e pale ai i nā wahine mai ka hāpai ʻana a me ka hāpai ʻana i kahi pēpē a hiki i kēia wā.

Hōʻike ka ʻike o Bridge-Cook ʻaʻole wale ka nele o ka ʻike ma ka inoa o kekahi mau HCP, akā me ka noʻonoʻo ʻole e pili ana i ke ʻano.

Ke manaʻo nei ma waho o ka 850 survey respondents, ma kahi o 37 pākēneka wale nō i hōʻike iā lākou iho me ka loaʻa ʻana o kahi diagnosis endometriosis, noho ka nīnau: No ke aha e loaʻa ai i kahi hōʻailona kahi ala paʻakikī no nā wahine?

Aia paha ka pane i loko o kā lākou kāne.

ʻOiai ʻo ka 1 o ka 4 mau wahine ma ke ana ʻana i ʻōlelo ʻia e hoʻopilikia pinepine ka endometriosis i ko lākou ola i kēlā me kēia lā - me 1 i ka 5 e ʻōlelo nei he hana mau kēlā - ʻo nā mea i hōʻike i ko lākou mau hōʻailona i nā HCP e hoʻopau pinepine ʻia. Ua ʻike pū ʻia ke ana ʻana he 15 pākēneka o nā wahine i haʻi ʻia "Aia i kou poʻo nā mea āpau," ʻo 1 i ka 3 i haʻi ʻia "He maʻamau ia." Eia kekahi, ua haʻi ʻia kekahi ma 1 i ka 3 "He ʻāpana ia o ka wahine," a ʻo 1 o 5 mau wahine i ʻike ʻehā a ʻelima mau HCP ma mua o ka loaʻa ʻana o kahi hōʻailona.

He mea kupanaha kēia ʻano hāʻawi ʻia i ka nānā pinepine ʻole ʻia o ka ʻeha o nā wahine a i ʻole nānā ʻole ʻia i ka ʻoihana olakino. Ua ʻike ʻia kekahi noiʻi ʻana "Ma ka laulā, hōʻike nā wahine i nā pae ʻoi loa o ka ʻeha, nā hanana pinepine o ka ʻeha, a me ka ʻeha o ka lōʻihi o ka lōʻihi ma mua o nā kāne, akā mālama ʻia no ka ʻeha me ka ikaika ʻole."

A ma muli o kēia luhi ʻeha ʻaʻole e ʻimi nā wahine he nui i ke kōkua a hiki i ka hōʻea ʻana o kā lākou hōʻailona. Ua kali ka hapa nui o nā mea pane noiʻi ʻelua a ʻelima mau makahiki ma mua o ka ʻike ʻana i kahi HCP no nā ʻōuli, ʻoiai 1 i ka 5 i kali no ʻehā a ʻeono makahiki.

"Lohe wau e pili ana i ka nui o nā mea maʻi endo i kuhikuhi ʻole ʻia i lāʻau lapaʻau ʻeha," wehewehe ʻo McGaughey, nāna i ʻōlelo ua maopopo iā ia ʻaʻole makemake nā kauka i kekahi e lilo i kaukaʻi a i ʻole huehue i ko lākou ake a i ʻole ʻōpū me nā anti-inflammatories. "Akā ua haʻalele kēia i nā wahine a me nā kaikamahine i ka ʻehaʻeha loa," i ʻōlelo ʻo ia. "Nui loa ʻaʻole hiki iā ʻoe ke hele, [me ka manaʻo he nui] he pono lākou e lawe i ʻelua Advil."

Kākoʻo ka noiʻi iā ia e pili ana i kēia - e like me ka mea i hōʻike ʻia he liʻiliʻi ka lawelawe ʻana o nā wahine i nā painkillers ma ka ER, ʻoiai ʻeha ka ʻeha o ka ʻōpū.

ʻO ka ʻāpana o ka pilikia e iho i nā wahine a me nā kaikamahine e manaʻoʻiʻo nei, ʻo McGaughey i hoʻohui. Hoʻomanaʻo ʻo ia i ka haʻi ʻana i kekahi kauka ke loaʻa nei iā ia ka ʻeha weliweli me nā wā, akā ʻaʻole ia i kau inoa. I ka manawa wale nō i wehewehe ai ʻo ia ke kumu o kona nalo ʻana i nā lā he nui o ka hana i kēlā me kēia mahina ke hoʻolohe a ke kauka.

"Mai ia manawa mai, ua helu au i koʻu ʻeha no ka poʻe loea i nā lā o ka hana i hala ʻole," i ʻōlelo ʻo ia. "ʻO ia ka mea i ʻoi aku ma mua o ka hilinaʻi wale i kaʻu moʻokāki o nā lā o ka ʻeha."

ʻO nā kumu no ka hoʻokuʻu ʻana i ka ʻeha o nā wahine i uhi ʻia i nā loina moʻomeheu moʻomeheu, akā, e like me ka hōʻike ʻana i kahi ana, "kahi hemahema nui ʻole o ka prioritization o endometriosis ma ke ʻano he olakino olakino wahine.

ʻO ke ola ma mua o ka hōʻailona

Lōʻihi ma hope o kāna puka kula, ua ʻōlelo ʻo McGaughey ua hoʻolōʻihi ʻo ia i ka manawa i ka ʻeha ʻana. "Hoʻokaʻawale a kaumaha hoʻi a luhi hoʻi."

Kuhi ʻo ia i ke ʻano o kona ola inā ʻaʻohe ona maʻi. "Laki nō wau i ka loaʻa ʻana o kaʻu kaikamahine, akā noʻonoʻo wau inā makemake wau e hoʻāʻo no kahi keiki ʻelua inā ʻaʻole wau i loaʻa ka endometriosis," wehewehe ʻo ia, ka mea i hoʻopaneʻe i ka hāpai ʻana ma waena o nā makahiki o ka hānau ʻole ʻana a hoʻopau ʻia i kahi ʻoki kino. . "Ke hoʻomau nei ke ʻano e hoʻopau i koʻu ikehu ma ke ʻano e like me ka hiki ʻole i ke keiki ʻelua."

Pēlā nō, ua ʻōlelo ʻo Bridge-Cook ʻo ka nalo ʻana i ka manawa me kona ʻohana ke nui kona ʻeha e hele i waho o kahi moe kahi ʻāpana paʻakikī loa o kāna ʻike.

ʻO ka poʻe ʻē aʻe e like me Curry e ʻōlelo nei ʻo ka hakakā nui ka huikau a me ka hoʻomaopopo ʻole. Eia nō naʻe, ke hōʻike nei ʻo ia i kona mahalo no ke aʻo ʻana i kona ʻano ma mua. "Ua pōmaikaʻi wau, i koʻu mau makahiki he iwakālua, ua manaʻo wau ʻo kaʻu OB-GYN mua i ka endometriosis a ua hana wau i kahi ʻoki hōʻoki laser." Akā, ua hoʻohui ʻo ia, he ʻokoʻa kēia i ke kānāwai, ʻoiai ka hapa nui o kāna mau ʻano HCP i kuhi hewa. "Maopopo iaʻu ua laki wau i waho a ʻo ka hapa nui o nā wahine me ka endo ʻaʻole laki."

ʻOiai ke kuleana o ka hōʻoia ʻana i ka noho kūpono o ka ʻike ʻana o nā wahine e pili ana i ke ʻano i koe i ka HCPs, ua koi ʻo McGaughey i nā wahine e hana i kā lākou noiʻi ponoʻī a me kā lākou kākoʻo. "Inā ʻaʻole ʻoe e manaʻoʻiʻo i kāu kauka, e kiʻi i kahi kauka hou," wahi a McGaughey.

E like me ka hapalua o nā mea pane noiʻi i ʻike ʻia e kahi OB-GYN, ʻo kā Curry's endo huakaʻi i mamao loa ma mua. ʻOiai ma hope o ka loaʻa ʻana o kahi hōʻailona a me ke kaha ʻana, hoʻomau ʻo ia i nā makahiki he ʻelua i hala e ʻimi ana i nā pane a me ke kōkua.

"ʻAʻole mālama nui nā gynecologists i ka endometriosis me ka maikaʻi loa," wahi a Bridge-Cook, nāna i kali he 10 mau makahiki mai ka manawa i manaʻo mua ʻo ia ua hewa kekahi mea i kāna 20 mau makahiki ma mua o ka loaʻa ʻana o kahi hōʻailona. "Hoʻopili ʻia ke kīʻaha ablasi me kahi helu kiʻekiʻe loa o ka hoʻi hou ʻana," wehewehe ʻo ia, "akā ʻo ke ʻoki ʻana i ka excision, ka mea a nā gynecologists e hana ʻole ai, ʻoi aku ka maikaʻi no ka hoʻomaha lōʻihi o nā hōʻailona."

Kākoʻo hou ʻia ʻo ia e pili ana i kēia, no ka mea, ua ʻike nā kānaka noiʻi i ka hoʻomaikaʻi nui ʻia o ka ʻeha pelvic maʻi mau ma muli o ka endometriosis ma muli o ka excisiona laparoscopic ke hoʻohālikelike ʻia me ka hoʻopau ʻana.

Wahi a Bridge-Cook, ke hoʻohui nei i kahi ala multidisciplinary i ka hoʻomaʻamaʻa e hāʻawi i nā hopena maikaʻi loa. Hoʻohana ʻo ia i kahi hui o ka excision surgery, ʻai, hoʻoikaika kino, a me ka pelvic physiotherapy no ka loaʻa ʻana o ke kōkua. Akā ua ʻike pū ʻo ia he mea nui ka yoga no ka mālama ʻana i ke koʻikoʻi e pili ana i ka noho ʻana me kahi maʻi maʻi.

ʻOiai ua kākau ʻo McGaughey i kāna mau ʻoki ʻana ʻelua i ka hopena nui loa i ka hoʻohaʻahaʻa ʻana i kona ʻeha a me ka hoʻihoʻi ʻana i kona ʻano o ke ola, ua kūpaʻa ʻo ia ʻaʻole ʻelua mau ʻike i like. "He ʻokoʻa ka moʻolelo o kēlā me kēia."

"ʻAʻole hiki i nā kānaka āpau ke loaʻa i nā ʻoki lāʻau kiʻekiʻe kiʻekiʻe e nā kauka lapaʻau i hoʻomaʻamaʻa ʻia e ʻike a excise i ka endometriosis," wehewehe ʻo ia, a ʻoi aku ka maʻalahi o kekahi poʻe i ka hoʻomohala ʻana i nāʻiʻo ma mua o kekahi. ʻO ka hoʻopokole ʻana i ka manawa e ʻike ʻia ai ma o kahi ʻano nonsurgical o ke kuhi, ua hoʻohui ʻo ia, hiki ke hana i nā ʻokoʻa āpau.

Kākoʻo no ka mālama maikaʻi

Pehea ka mālama ʻana o ka HCP i nā wahine e ʻeha nei ka like, inā ʻaʻole ʻoi aku, nui i ka pehea e kamaʻilio ai i ke ʻano ponoʻī. ʻO ka hoʻomaopopo ʻana i kēia mau ʻōnaehana hānau maoli ka mea mua, akā ʻo ka mea aʻe e pili ana i ka ʻike nui a me ke kamaʻilio ʻana me ke aloha.

Ua hōʻea koke kahi pōkole nui loa i ka huakaʻi endo a Curry ma hope koke iho o ka hui ʻana me ke kauka i ʻike ʻole, akā aloha pū kekahi. Ke hoʻomaka ʻo ia e nīnau iā ia i nā nīnau pili ʻole i ka endometriosis ʻaʻohe kauka ʻē aʻe i 20 mau makahiki, ua hoʻomaka ʻo ia e uē. "Ua ʻike wau i ke kōkua koke a me ka hōʻoia."

ʻOiai ke kuleana o ka hōʻoia ʻana i ka noho kūpono o ka ʻike ʻana o nā wahine e pili ana i ke ʻano i koe i ka HCPs, ua koi ʻo McGaughey i nā wahine e hana i kā lākou noiʻi ponoʻī a me kā lākou kākoʻo. Hāʻawi ʻo ia i ke kūkākūkā ʻana i nā kauka ʻeha, ke hui pū nei i nā hui endo, a me ka heluhelu ʻana i nā puke e pili ana i kēia kumuhana. "Inā ʻaʻole ʻoe e manaʻoʻiʻo i kāu kauka, e kiʻi i kahi kauka hou," wahi a McGaughey.

"Mai kali i nā makahiki i ka ʻeha e like me kaʻu i hana ai no ka makaʻu i ka diagnostical laparoscopic surgery." Kākoʻo pū ʻo ia i nā wahine e kākoʻo i ka ʻehaʻeha e kūpono iā lākou, e like me Toradol nonaddictive.

Ma kahi lōʻihi o kahi ʻumi mau makahiki e ʻimi nei i nā pane, hāʻawi like kēia mau wahine i ka makemake nui e hoʻoikaika i ka poʻe ʻē aʻe. "E kamaʻilio e pili ana i kou ʻeha a kaʻana like i nā kikoʻī nitty-gritty," i koi ai iā Curry. "Pono ʻoe e hāpai i kāu ʻōpū, hōʻeha i ka wahine, a me nā pilikia o ke kīpē."

"ʻO nā mea a nā mea makemake ʻole e kamaʻilio e pili ana i nā mea nui i kāu hōʻailona a me ke ala mālama," hoʻohui ʻo ia.

Hoʻokahi mea i maopopo leʻa ʻia mai ka loiloi HealthyWomen ʻo ia ka ʻenehana hiki ke lilo i mea kōkua nui loa o ka wahine ke pili ka ʻike. Hōʻike nā hopena i ka hapa nui o nā wahine ʻike ʻole ʻia e makemake e aʻo hou e pili ana i ka endometriosis ma o ka leka uila a me ka pūnaewele - a pili kēia no nā mea i ʻike ʻia a makemake ʻole e aʻo hou.

Akā hiki ke hoʻohana ʻia i mea e hoʻohui ai me nā poʻe ʻē aʻe i ke kaiāulu endo.

ʻOiai nā makahiki a pau o ka huhū a me ke kuhi hewa ʻole, ʻo ka pale kala hoʻokahi no Curry nā wahine āna i launa pū ai ma ka huakaʻi like. "Kākoʻo lākou a makemake kēlā me kēia e kōkua i kekahi i kekahi ma nā ʻano a pau e hiki ai iā lākou."

"Manaʻo wau i kēia manawa ua ʻike ka nui o ka poʻe i ka endometriosis ʻoi aku ka maʻalahi o ke kamaʻilio ʻana," wahi a Curry. "Ma kahi o ka ʻōlelo ʻana ʻaʻole maikaʻi kou manaʻo ma muli o ka 'ʻehaʻeha wahine' hiki iā ʻoe ke ʻōlelo 'He endometriosis wau' a ʻike ka poʻe."

ʻO Cindy Lamothe kahi mea kākau moʻolelo kūʻokoʻa i hoʻokumu ʻia ma Guatemala. Kākau pinepine ʻo ia e pili ana i nā kuʻina waena o ke olakino, olakino, a me ka ʻepekema o ka hana kanaka. Ua kākau ʻia ʻo ia no The Atlantic, Magazine ma New York, Teen Vogue, Quartz, The Washington Post, a me nā mea hou aku he nui. E ʻike iā ia ma cindylamothe.com.