Ke hāpai nei me ka Endometriosis: Hiki paha?

Anter

• Overview o endometriosis
• Nā ʻōuli o ka endometriosis
• Pehea e hopena ai ka endometriosis i ka hāpai?
• I ka manawa e ʻike ai i kāu kauka
• Pono ʻoe e ʻike i kahi loea no ka endometriosis?
• Kōkua no ka infertility e pili ana i ka endometriosis
• Pehea e hoʻomaikaʻi ai i kou hiki ke hāpai me ka endometriosis
• ʻO Outlook no ka endometriosis a me ka momona

Hoʻokomo

ʻO Endometriosis kahi maʻi ʻeha. Hiki iā ia ke hoʻopili i ka momona o ka wahine. ʻO ka mea pōmaikaʻi, loaʻa nā lapaʻau.

ʻIke ʻia ka uhi o kou kōpū ʻo ka endometrium. ʻO kēia kuleana kikoʻī ke kuleana no ka menstruation, me ia e lohi ai a kumu i ke kahe ʻana. Hana kēia ke loaʻa kāu manawa.

Ke loaʻa ka endometriosis i kahi wahine, ulu kēia mea i nā wahi pono ʻole. Hoʻopili nā laʻana me kāu mau ovaries, ʻōpū, a i ʻole nā ​​mea i kū i kāu pelvis.

Eia kahi hiʻohiʻona o ka endometriosis, he aha kāu e ʻike ai inā e hoʻāʻo ana ʻoe e hāpai, a me nā koho lapaʻau.

Overview o endometriosis

ʻO ka pilikia me ka loaʻa ʻana o nā kiko endometrial i nā wahi ʻē aʻe o kou kino e haki ka aʻa a kahe ke koko e like me i kou kōpū. Akā ʻaʻohe wahi e hele ai ke koko.

I ka hala ʻana o ka manawa, ulu kēia koko a me nā ʻano i nā cist, nāʻiʻo scar, a me nā adhesions. ʻO kēia ka maka makaʻu e hoʻopili ai i nā meaola.

ʻO ka hapa nui o nā mālama ʻana no ka endometriosis e pale i ka hoʻoipoipo. Hoʻokahi o nā laʻana e lawe i nā lāʻau hoʻomalu hānau. Ke hoʻāʻo nei ʻoe e hāpai, e hōʻoki ʻoe i ka lawe ʻana i kēia mau ʻano hana.

Nā ʻōuli o ka endometriosis

ʻO ka hōʻailona maʻamau o ka endometriosis ka ʻeha, me ka ʻeha pelvic a me ka cramping ikaika. Akā hiki i ka infertility ke lilo i hōʻailona a me ka hopena o ka endometriosis.

Kuhi ʻia he hapakolu a hoʻokahi hapalua o nā wahine me ka endometriosis hōʻike i ka paʻakikī e hāpai.

Pehea e hopena ai ka endometriosis i ka hāpai?

Hiki ke pili i ka infertility ma muli o endometriosis i kekahi mau kumu. ʻO ka mua inā hopena ka endometriosis i nā ovaries a me / a i ʻole nā ​​paipu fallopian.

Pono e hele i kahi hua manu mai ka ovary, hala i ka Tube fallopian, a i ka uterus no ka fertilization ma mua o ka hoʻokomo ʻana i loko o ka uhi uterine. Inā loaʻa ka wahine i ka endometriosis i loko o kāna ʻoki līlū fallopian, mālama paha ka mea i ka hua manu mai ka hele ʻana i ka kōpū.

Hiki paha i ka endometriosis ke hoʻopōʻino i ka hua manu a ka wahine a i ʻole ka sperm a ke kāne. ʻOiai ʻaʻole maopopo i nā kauka ke kumu o kēia kū ʻana, ʻo kahi kumumanaʻo ka endometriosis ke kumu o ka nui o nā mumū i loko o ke kino.

Hoʻokuʻu ke kino i nā hui e hiki ke hōʻino a hōʻino paha i nā hua manu a ka wahine a i ʻole ka sperm a ke kāne. Hiki i kēia ke pale iā ʻoe mai ka hāpai ʻana.

I ka manawa e ʻike ai i kāu kauka

Paipai paha kekahi mau kauka e ʻike i kahi loea infertility ma mua o kou noʻonoʻo e pili ana i ka hoʻāʻo ʻana e hāpai.

Hiki i kahi loea infertility ke alakaʻi i nā hoʻokolohua koko, e like me kahi hōʻike anti-mullerian hormone (AMH). Hōʻike kēia hōʻike i kāu koina hua i koe. ʻO kekahi huaʻōlelo no ka hoʻolako ʻana i ka hua manu ʻo “ovarian reserve.” Hiki i nā hana ʻoki lāʻau endometriosis ke hōʻemi i kāu mālama ovarian, no laila makemake ʻoe e noʻonoʻo i kēia hōʻike ke noʻonoʻo e pili ana i nā lāʻau endometriosis.

ʻO ke ala wale nō e hōʻoiaʻiʻo ai i ka endometriosis ka ʻoki e ʻike ai i nā wahi kahi o ka endometrium. Akā hiki i kēia mau ʻoki ʻana ke hopena i ka scarring e hoʻopili i ka momona.

Pono ʻoe e ʻike i kahi loea no ka endometriosis?

Inā ʻoe e noʻonoʻo i mua i kahi manawa āu e makemake ai e hāpai, makemake paha ʻoe e ʻike i kāu gynecologist a i ʻole kahi loea hānau ke noʻonoʻo mua ʻoe e pili ana i nā mālama endometriosis. I kekahi mau hihia, hiki i kahi loea hānau ke koi aku i ke ʻoki e wehe i nā mea ulu e mālama nei i ka wahine mai ka hāpai ʻana.

Akā inā ua moe kolohe ʻoe me kāu hoa no ʻeono mau mahina a ʻaʻole i hāpai mua, e kāhea i kāu kauka. Inā ʻaʻole ʻoe i kuhi ʻia me ka endometriosis, akā ke ʻike nei ʻoe i kekahi o nā ʻōuli o ke ʻano, he mea nui e kaʻana like i kēia me kāu kauka.

Hiki i kāu kauka ke hana i nā hoʻokolohua, e like me nā hoʻokolohua koko a me kahi hoʻokolohua kino, e hoʻoholo ai inā aia kekahi hana mua i hiki iā lākou ke ʻōlelo. E kuhikuhi paha kāu kauka iā ʻoe i kahi loea infertility.

Kōkua no ka infertility e pili ana i ka endometriosis

Inā ua paʻakikī ʻoe i ka hāpai ʻana ma muli o ka endometriosis, makemake paha ʻoe e ʻike i kahi loea infertility. Hiki i kēia loea ke hana pū me kāu kauka e hoʻoholo i ka paʻakikī o kāu endometriosis a me nā mea e hāʻawi ai i kāu infertility.

Nā laʻana o nā lapaʻau ʻana no ka infertility e pili ana i ka endometriosis me:

• Ke anuanu i kāu mau hua: Hiki i ka endometriosis ke hoʻopili i kāu mālama ovarian, no laila hiki i kekahi mau kauka ke koi e mālama i kāu mau hua i kēia manawa inā makemake ʻoe e hāpai i hope. Hiki ke uku ʻia kēia koho, a ʻaʻole uhi pinepine ʻia e ka ʻinikua.
• Superovulation a me ka intrauterine insemination (SO-IUI): He koho kēia na nā wahine i loaʻa nā paipu fallopian maʻamau, endometriosis akahai, a nona ka hoa i ka sperm maikaʻi maikaʻi.
• E kauoha ke kauka i nā lāʻau lapaʻau momona e like me Clomiphene. Kōkua kēia mau lāʻau i ka hana ʻana i ʻelua a ʻekolu mau hua makua. E kauoha paha ke kauka i nā inikua progestin.
• Lawe pinepine ka wahine i nā ultrasounds e hōʻoia i ka nui o nā hua i ko lākou oʻo loa. Ke mākaukau nā hua, e hoʻokomo ke kauka i ka sperm i hōʻiliʻili ʻia o kahi hoa.
• In vitro fertilization (IVF): pili kēia i ka unuhi ʻana i hua manu mai ou a me ka sperm mai kāu hoa. Hoʻomoʻa ʻia ka hua manu ma waho o ke kino a hoʻokomo ʻia i loko o ka kōpū.

ʻO nā helu kūleʻa o IVF he 50 pākēneka no nā wahine i loaʻa ʻole ka endometriosis. Akā he nui nā wahine me ka endometriosis i hāpai kūleʻa i ka hoʻomaikaʻi IVF. Paipai pinepine ʻia ʻo IVF no nā wahine me ka endometriosis kaulike a koʻikoʻi, a i ʻole no nā wahine nona ka kino i pane ʻole i nā ʻano lāʻau ʻē aʻe.

Pehea e hoʻomaikaʻi ai i kou hiki ke hāpai me ka endometriosis

I kēia manawa, ʻaʻohe hōʻike e hiki i ka lawe ʻana i nā lāʻau ke hoʻomaikaʻi i ka manawa o ka wahine e hāpai. Akā hiki i nā kauka ke kuhikuhi i nā lāʻau lapaʻau, e like me nā progestins, ma ke ʻano he mea e hoʻonui ai i ka nui o nā kōpū hāpai keiki i ke kino o ka wahine.

He mea nui nō hoʻi ke ola olakino i kahi nohona hiki ke loaʻa iā ʻoe ke endometriosis a ke hoʻāʻo nei e hāpai. Hiki i kēia ke hōʻemi i ka lī i kou kino a hoʻomākaukau iā ia e kōkua i kāu pēpē e ulu a ulu i loko o ka hāpai maikaʻi ʻana.

Nā laʻana o nā ʻanuʻu hiki iā ʻoe ke lawe me:

• ka mālama ʻana i kahi kaupaona olakino
• e ʻai ana i ka papaʻai olakino momona i nā huaʻai, nā lau, nā kīʻaha holoʻokoʻa, a me nā protein protein
• ke komo nei i ka hoʻoikaika kino i kēlā me kēia lā (ʻo nā laʻana me ka hele wāwae, hāpai ʻana i nā kaupaona, a me ke komo ʻana i kahi papa aerobics)

E hoʻomanaʻo i kēlā makahiki i hiki ke lilo i kumu no nā wahine āpau e makemake ana e hāpai. Pili nā helu momona kiʻekiʻe me nā makahiki ʻōpio. ʻOi aku ka makaʻu o nā wahine 35 a ʻoi ka makahiki no ka infertility a me ka hāpai keiki ʻole ma mua o nā wahine ʻōpio.

ʻO Outlook no ka endometriosis a me ka momona

ʻO nā wahine me ka endometriosis he kiʻekiʻe ka nui o:

• lawe mua ʻana
• preeclampsia
• nā pilikia plasenta
• hāʻawi hāʻawi cesarean

ʻO ka nūhou maikaʻi he nui nā wahine i kēlā me kēia lā me ka endometriosis e hāpai a hānau hope i kahi pēpē olakino. ʻO ka mea nui e hoʻomaka e kūkā i kāu mau koho hapai, i kekahi manawa ma mua o kou noʻonoʻo e pili ana i ka hāpai ʻana. Ke hoʻāʻo nei ʻoe e hāpai, ʻike i kāu kauka inā ʻaʻole ʻoe i hāpai ma hope o ʻeono mau mahina.