Pehea ka hopena o ka Menopause i nā Fibroid Symptoms a me ke kūkulu ʻana?

Anter

• ʻO Fibroids a me kāu mau hormoni
• Nā kumu pilikia no nā fibroids
• Nā ʻōuli
• Mālama i nā fibroids ma hope o ka menopause
• Nā hoʻoponopono Hormonal
• ʻO Myomectomy
• Hysterectomy
• Nā lapaʻau ʻē aʻe
• Outlook

Hōʻike Overview

ʻO nā fibroids Uterine, i ʻike ʻia he fibroids a i ʻole leiomyomas, he mau ʻōpū liʻiliʻi e ulu ana i ka paia o ka wahine kō. ʻO kēia mau tumors he benign, ʻo ia hoʻi ʻaʻole lākou i maʻi ʻaʻai. Eia nō naʻe, hiki iā lākou ke hōʻeha i ka ʻeha a me nā hōʻailona hōʻoluʻolu ʻole ʻē aʻe.

ʻO nā fibroids nā ʻano maʻamau o nā tumign benign i nā wahine. Hoʻoulu pinepine lākou i nā wahine i ka wā hānau keiki. Hiki iā ʻoe ke hoʻomau i ka ʻike iā lākou i ka wā a ma hope o ka menopause - a i ʻole hoʻomohala iā lākou no ka manawa mua i kēia wā o ke ola.

E aʻo hou aʻe e pili ana i nā fibroids a me kā lākou loulou i ka menopause.

ʻO Fibroids a me kāu mau hormoni

Hiki i nā hormones estrogen a me progesterone ke hoʻonui i ka makaʻu no nā fibroids. I ka wā menopause, hana i kou kino i ka estrogen a me ka progesterone. A ʻo kahi hopena, e emi ana kou makaʻi no nā fibroid hou.

Hiki i ke kulu i nā pae hormone ke kōkua pū i ka preexisting fibroids e hōʻemi i ka nui.

Nā kumu pilikia no nā fibroids

Hiki i kekahi mau kumu pilikia ke hoʻonui i kou manawa o ka hoʻomohala ʻana i nā fibroids. Pākuʻi ʻia lākou:

• ke koko kiʻekiʻe (hypertension)
• haʻahaʻa pae vitamin D
• kahi moʻolelo ʻohana o fibroids
• momona
• ʻaʻohe moʻolelo o ka hāpai keiki
• wā lōʻihi, kaumaha loa

ʻO nā wahine i ʻoi aku i ka makahiki 40 a me nā wahine ʻAmelika ʻApelika hoʻi i ka nui o ka makaʻu no nā fibroids.

Nā ʻōuli

Hiki i nā Fibroids ke hoʻopili i ka wahine premenopausal a me nā wahine postmenopausal i nā ʻano like ʻole. Ma ka laulā, ʻoi aku ka nui o nā ʻōuli o ka wahine ma mua o ka wahine.

I kekahi manawa ʻaʻohe hōʻailona o nā fibroid. ʻIke paha kāu mea olakino i nā fibroids i ka wā o ka hōʻike pelvic makahiki.

ʻO nā wahine, inā premenopausal a i ʻole postmenopausal, hiki ke ʻike i nā ʻōuli fibroid aʻe:

• kahe nui ke koko
• ʻike pinepine ʻana
• anemia mai ka nui o ke kahe o ke koko
• pēpē ʻaʻano like menstrual
• piha i loko o ka ʻōpū o lalo
• ʻōpū ʻōpū
• ʻeha ʻeha o lalo
• urination pinepine
• incontinence a mimi leakage paha
• moekolohe ʻeha
• fiva
• nausea
• ʻeha poʻo

Hiki i kahi fibroid a i ʻole kahi hui o fibroids e kūʻē ana i ka paia uterine ke kumu pololei i kēia mau ʻōuli. ʻO kahi laʻana, hiki i ke kaomi mai fibroids ma luna o kāu bladder ke kumu i ka urination pinepine pinepine.

Mālama i nā fibroids ma hope o ka menopause

Hiki i nā Fibroid ke paʻakikī e haʻi.

ʻO nā lāʻau kaohi hānau ka mea i makemake ʻia i ka lāʻau lapaʻau. Hiki i kāu kauka olakino ke koi aku i ka wehe ʻana o kāu fibroids, kahi hana i ʻike ʻia he myomectomy. A hysterectomy, a i ʻole ka wehe ʻana i kāu uterus, e noʻonoʻo ʻia kekahi.

Nā hoʻoponopono Hormonal

ʻO nā lāʻau kaohi hānau kahi ala hiki ke mālama i nā ʻōuli e like me ka ʻeha a me ke kahe ʻana o ke kahe. Eia naʻe, ʻaʻole lākou e hōʻemi i nā fibroids a i ʻole e hoʻoneʻe iā lākou.

Aia nā hōʻike e kākoʻo i ka hoʻohana ʻana o nā hui like a me nā progestin-only birth control pills for fibroids. Hiki i nā Progestins ke hoʻopau i nā ʻōuli ʻē aʻe o ka menopause a hana i nā lāʻau therapies replacement.

ʻO nā mālama hormonal ʻē aʻe e hōʻoluʻolu i ka ʻeha a me ke kahe ʻana o ka maʻi me nā inikua progestin a me nā hāmeʻa intrauterine (IUDs) i loaʻa nā progestins.

ʻO Myomectomy

I kekahi manawa hana ʻia kahi myomectomy ma mua o ka noʻonoʻo ʻia ʻana o kahi hysterectomy. Kūleʻa ʻo Myomectomy i ka hemo ʻana o fibroid a ʻaʻole koi i ka hemo ʻana o kāu kōpū.Hiki ke hana ʻia nā myomectomies ma nā ʻano like ʻole, kaukaʻi ʻia i kahi o nā fibroids.

Inā ka nui o ka fibroid i loko o ka lua o ka uterine, hiki ke hana i ke kahakaha hysteroscopically (me ke kōkua o kahi ʻōmole lahilahi, kukui).

I kekahi mau hanana, e hana kāu mea mālama ola i kahi ʻoki i kou ʻōpū haʻahaʻa. ʻO ka nui a me kahi o ka ʻokiʻoki ua like ia me kahi incision i hoʻohana ʻia no ka hoʻouna cesarean. ʻO ka hoʻōla piha piha i 4 a 6 mau pule. ʻAʻole maʻamau kēia ʻano e like me nā poʻe ʻē aʻe.

Hiki paha i kāu kauka olakino ke hana i ke kahakaha laparoscopically. I ka wā o ke kāpili laparoscopic, hana ʻia kahi ʻoki liʻiliʻi. ʻOi aku ka pōkole o ka manawa hoʻōla no ke ʻoki laparoscopic, akā ʻo kēia ʻano ʻoki ke ʻōlelo ʻia no nā fibroids liʻiliʻi.

Inā hoʻi mai nā fibroids ma hope o kahi myomectomy, hiki i kāu kauka ke koi aku i kahi hysterectomy.

Hysterectomy

No nā hōʻailona koʻikoʻi e pili ana i ka nui, fibroids hou, kahi hysterectomy paha ke koho ʻoi loa. I kēia ʻano ʻoki, lawe kāu mea mālama ola i nā mea āpau a i ʻole kekahi ʻāpana o kou kōpū.

Koi ʻia ʻo Hysterectomies no nā wahine i:

• kokoke i ka menopause
• ua postmenopausal i kēia manawa
• he mau fibroids he nui
• he fibroids nui loa
• ua hoʻāʻo i nā ʻano lāʻau lapaʻau he nui, makemake i ka lapaʻau kūpono loa, a ʻaʻohe hoʻolālā no ka hānau keiki i ka wā e hiki mai ana

ʻEkolu ʻano o ka hysterectomy:

• Huina. I kēia ʻoki ʻana, lawe aku kāu mea mālama ola i kāu kōpū holoʻokoʻa a me kāu cervix. I kekahi mau hihia, koi paha lākou e hemo i kāu mau paipu fallopian. ʻOi aku paha ka maikaʻi o kēia koho inā loaʻa iā ʻoe nā hui fibroid ākea a ākea.
• Māhele / subtotal. Me kēia ʻoki ʻana, wehe wale ʻia kou ʻōpū o luna. Hiki i kāu kauka olakino ke koi i kēia koho inā he pilikia hou ka fibroids i kēia wahi o kou kōpū. E hōʻoia paha kēia ma o nā hoʻokolohua kiʻi.
• Radical. ʻO kēia ke ʻano nui o ka hysterectomy, a ʻaʻole hoʻohana iki ʻia i ka mālama ʻana i nā fibroids. Paipai ʻia i kekahi manawa no kekahi mau maʻi ʻōpala gynecological. Me kēia ʻoki ʻana, lawe ke kauka i kou kōpū, luna o luna, cervix, a me parametria (e pili ana i nā aʻa o ka uterus a me ka ʻōpū).

ʻO kahi hysterectomy ke ala hoʻokahi e hōʻola loa ai i nā fibroids. I kēlā me kēia makahiki, e hana i kēia ʻoki no ke kōkua o fibroid.

Hiki pū, ʻo ʻoe a me kāu kahu mālama ola ke hoʻoholo inā ʻo kēia ke kahakaha ʻoi aku ka maikaʻi o ka hoʻomaʻamaʻa fibroid iā ʻoe.

Nā lapaʻau ʻē aʻe

ʻO nā hana kūpono ʻē aʻe no nā wahine menopausal a postmenopausal paha me kēia mau kaʻina hana noninvasive a i ʻole minimally invasive:

• myolysis, kahi e luku ʻia ai nā fibroids a me kā lākou kīʻaha koko me ka wela a i ʻole ka uila; ʻo kahi laʻana, ʻo ia ke kaʻina hana i ʻike ʻia ʻo Acessa
• ʻoki kino ultrasound ikaika (FUS), e hoʻohana nei i nā nalu kani kiʻekiʻe-kiʻekiʻe, pinepine e hoʻopau i nā fibroids
• hoʻopau hoʻopau endometrial, e hoʻohana ana i nā kiʻina hana e like me ka wela, kahi uila, wai wela, a i ʻole ke anuanu nui e luku ai i ka uhi ʻana o ka uterine
• uterine artery embolization, kahi e ʻoki ai i ka hāʻawi koko i nā fibroids

Outlook

ʻOi aku ka maʻamau o nā fibroids i nā wahine premenopausal, akā hiki iā ʻoe ke hoʻomohala i nā fibroids i ka wā menopause.

E kamaʻilio me kāu kauka lawelawe e pili ana i nā ala e hiki ai iā ʻoe ke mālama i nā hōʻailona fibroid a inā ʻo ke ʻoki ke koho kūpono nāu. ʻAʻole pono nā fibroids i kekahi mau ʻōuli i kahi lapaʻau.