He aha ka Rectovaginal Endometriosis?

Anter

• He aha nā hōʻailona?
• He aha ke kumu o ka endometriosis rectovaginal?
• Pehea kēia maʻi?
• He aha nā koho lapaʻau e loaʻa ai?
• ʻOki kino
• Laau Lapaʻau
• Hiki paha nā pilikia?
• He aha kāu e manaʻo ai?

He mea maʻamau paha?

ʻO Endometriosis kahi kūlana kahi e hoʻopili ai kaʻiʻo i kou kōpū - i kapa ʻia he kiko endometrial - ulu a hōʻiliʻili i nā wahi ʻē aʻe o kou ʻōpū a me kou pelvis.

I loko o kāu pōʻai menstrual, hiki i kēia kiko ke pane i nā homone e like me ia i kāu kōpū. Eia naʻe, no ka mea aia ma waho o kou kōpū kahi ʻaʻole iā ia, hiki ke hoʻopili i nā meaola ʻē aʻe, hoʻonāukiuki i ka mumū, a hana i ka scarring.

Aia nā pae o ke koʻikoʻi no ka endometriosis:

• Endometriosis māhope. Pili nā wahi liʻiliʻi, a ʻaʻole ulu hohonu ke kiko i loko o kāu mau kino pelvic.
• Endometriosis infiltrating hohonu. He pae koʻikoʻi kēia o ke ʻano. Hāʻule ka endometriosis Rectovaginal ma lalo o kēia pae.

ʻO Rectovaginal endometriosis kekahi o nā ʻano maʻi. Hiki i ka kiko endometrial ke hoʻolōʻihi i ʻelua ʻīniha a ʻoi paha i ka hohonu. Hiki iā ia ke komo i loko o ka lua, ke kiko, a me nā mea i moe ma waena o ka puki a me ke kiko, i kapa ʻia ʻo septto rectovaginal.

ʻOi aku ka pinepine o ka endometriosis Rectovaginal ma mua o ka endometriosis i nā ovaries a i ʻole ka uhi o ka ʻōpū. Wahi a kahi loiloi i ka International Journal of Women's Health, rectovaginal endometriosis e hoʻopili i nā wahine me ka endometriosis.

He aha nā hōʻailona?

ʻO kekahi mau hōʻailona o ka recometo endometriosis e like me nā ʻano endometriosis.

Nā hōʻailona o nā ʻano endometriosis ʻē aʻe e like me:

• ʻeha pelvic a me nā ʻūlū
• wā ʻeha
• moekolohe ʻeha
• ʻeha i ka wā o ka ʻōpū

ʻO nā ʻōuli kū hoʻokahi i kēia ʻano:

• hōʻoluʻolu i ka wā o ka ʻōpū
• kahe ʻana o ke kō mai ka ihu
• kōpaʻa a i ʻole diarrhea
• ʻeha i ka pololei e hiki ke manaʻo e like me ʻoe e "noho ʻia ma kahi kākalaioa"
• ʻenekini

E hoʻonui pinepine kēia mau ʻōuli i kāu mau menstrual.

He aha ke kumu o ka endometriosis rectovaginal?

ʻAʻole maopopo maopopo i nā kauka ke kumu o rectovaginal a i ʻole nā ​​ʻano endometriosis. Akā he mau manaʻo kā lākou.

ʻO ke kumumanaʻo maʻamau o ka endometriosis e pili ana i ke kahe hope o ke kahe o ke koko. ʻIke ʻia kēia ma ke ʻano he retrograde menstruation. I ka manawa o ka menstrual, hiki i ke koko a me ke kino ke kahe i hope ma o nā paipu fallopian a i loko o ka pelvis, a ma waho hoʻi o ke kino. Hiki i kēia kaʻina ke waiho i nā kiko endometrial i nā ʻāpana ʻē aʻe o ka pelvis a me ka ʻōpū.

Eia naʻe, ua loaʻa i kahi noiʻi hou ʻoiai hiki i nā wahine ke ʻike i ka menstruation retrograde, ʻaʻole hoʻomau ka hapanui e hoʻomōhala i ka endometriosis. Ma ka hakahaka, ua manaʻo ka poʻe noiʻi he kuleana koʻikoʻi ko ka ʻōnaehana pale i kēia hana.

ʻO nā mea kōkua ʻē aʻe i ka hoʻomohala ʻana i kēia ʻano aia pū paha:

• Hoʻololi paʻa pūnaewele. ʻO nā kinona e hoʻopili ʻia e endometriosis e pane ʻokoʻa i nā homone a me nā hōʻailona kemika ʻē aʻe.
• Hoʻāhu. ʻO kekahi mau mea i kuleana i ka hoʻāhā i loaʻa i nā pae kiʻekiʻe ma nā aʻa i hoʻopili ʻia e ka endometriosis.
• ʻOki kino. Ke loaʻa nei i kahi cesarean, hysterectomy, a i ʻole ke ʻoki pelvic ʻē aʻe he mea weliweli ia no nā hanana e hoʻomau nei o ka endometriosis. Kuhi kahi noi ma 2016 i ka Reproductive Science i kēia mau ʻoki ʻana e hoʻonāukiuki i ke kino e paipai i ka ulu ʻana o nāʻiʻo i hana ʻino.
• ʻO Genes. Hiki i ka Endometriosis ke holo i loko o nā ʻohana. Inā loaʻa kou makuahine a kaikuahine paha me ka maʻi, aia kekahi o ka hoʻomohala ʻana iā ia, ma mua o kekahi me ka ʻole o ka moʻolelo o ka ʻohana o ka maʻi.

Hoʻolālā paha nā wahine i ka endometriosis rectovaginal.

Pehea kēia maʻi?

Hiki i ka endometriosis Rectovaginal ke paʻakikī e kuhikuhi. Aia pehea e ʻike ai i kēia ʻano o ka maʻi.

E nīnau mua kāu kauka e pili ana i kāu mau hōʻailona, ​​e like me:

• I ka manawa hea kāu i loaʻa ai kou manawa? Ua ʻeha anei?
• Loaʻa iā ʻoe kahi hōʻailona e like me ka ʻeha pelvic, a i ʻole ʻeha i ka wā o ka moekolohe a i ʻole ka ʻōpū.
• He aha nā hōʻailona āu e puni ai a i kāu wā?
• Pehea ka lōʻihi o kou loaʻa ʻana i nā ʻōuli? Ua hoʻololi paha lākou? Inā pēlā, pehea lākou i loli ai?
• Ua ʻoki ʻia ʻoe i kāu wahi pelvic, e like me ka hāʻawi ʻana i ka cesarean?

A laila, e nānā ana kāu kauka i kāu ʻōpala a me kou kiko me ka manamana lima i hoʻopaʻa ʻia e nānā no nā ʻeha, nā puʻupuʻu, a i ʻole nā ​​mea kino ʻole.

E hoʻohana paha kāu kauka i hoʻokahi a ʻoi paha o nā hōʻike aʻe e nānā ai no nā kikoʻī endometrial ma waho o ka kōpū.

• Kukuna ultrasound. Hoʻohana kēia ho'āʻo i nā nalu kani pinepine e hana i nā kiʻi o loko o kou kino. Hiki ke kau ʻia kahi hāmeʻa i kapa ʻia he transducer i loko o kāu ʻōpū (ultrasound transvaginal) a i ʻole ke kikoʻī.
• MRI. Hoʻohana kēia ho'āʻo i nā mākēneka mana a me nā nalu uila e hana i nā kiʻi o loko o kou ʻōpū. Hiki iā ia ke hōʻike i nā wahi o ka endometriosis i kāu mau lālā a me ka uhi ʻōpū.
• Pākuʻi ʻāina CT (virtualoscoscoscopy). Hoʻohana kēia ho'āʻo i nā kukuna X haʻahaʻa e kiʻi i nā kiʻi o ka uhi o loko o kou kolona a me kou kiko.
• Laparoscopy. ʻO kēia ʻoki pinepine ka. ʻOiai ʻoe e hiamoe ana a ʻaʻohe ʻeha ma lalo o ka anesthesia laulā, hana kāu mea kauka i kekahi mau ʻoki liʻiliʻi i kou ʻōpū. E kau lākou i kahi paipu lahilahi me kahi kāmela ma kekahi wēlau, i kapa ʻia he laparoscope, i loko o kou ʻōpū e nānā no nā kikoʻī endometrial. Lawe pinepine ʻia kahi laʻana o nāʻaʻaʻa no ka hoʻāʻo ʻana.

Ma hope o kāu kauka e hoʻomaopopo ai i nā kiko o endometrial, e nānā lākou i kona koʻikoʻi. Māhele ʻia ka endometriosis i mau ʻanuʻu e pili ana i ka nui o nā kiko endometrial āu i waho o kou kōpū a pehea ka hohonu e hele ai:

• Kahua 1. Mea liʻiliʻi. Aia kekahi mau wahi kaʻawale o kaʻaʻa endometrial.
• Kahua 2. Mild. ʻO ka nui ma ka papa o nā mea me ka ʻole o ka scarring
• Kahua 3. Kānāwai. Pili nā ʻōnaehana ʻoi aku, me kekahi mau ʻāpana o ka scarring.
• Kahua 4. Kaha. Nui nā lālā e pili ana i nā wahi he nui o ka aʻa endometrial a me ka scarring.

Eia naʻe, ʻaʻohe pili o ke kahua o endometriosis i nā ʻōuli. Hiki i nā hōʻailona koʻikoʻi a me nā pae haʻahaʻa o ka maʻi. ʻO ka endometriosis Rectovaginal pinepine.

He aha nā koho lapaʻau e loaʻa ai?

No ka mea ke hele nei kēia maʻi a hoʻomau, ʻo ka pahuhopu o ka mālama ʻana e kaohi i kāu mau ʻōuli. Kōkua kāu kauka iā ʻoe e koho i kahi lāʻau e pili ana i ke ʻano o ke ʻano a ma hea ia. Hoʻopili kēia i kahi hui o ke ʻoki a me ka lāʻau.

ʻOki kino

Lawe ke kīʻaha i kahi nui o nā kiko keu e hiki ai ke hāʻawi i kahi hoʻomaha nui loa. Hōʻike ka noiʻi e hoʻomaikaʻi paha ia i nā ʻōuli e pili ana i ka ʻeha.

Hiki ke hana i ke ʻoki Endometriosis i ka laparoscopically a i ʻole ka lopako ma o nā ʻoki liʻiliʻi e hoʻohana ana i nā mea kani liʻiliʻi.

Hiki i nā ʻenehana hana ke komo pū:

• ʻO ka ʻumiʻumi. E hoʻohana kāu kauka lāʻau i kahi mea ʻoi e hoʻopau i nā wahi o ka endometriosis. Hiki i kēia kaʻina hana ke waiho pinepine i kekahi mau lāʻau endometrial ma hope.
• Hoʻoiho. E hoʻoneʻe kāu mea kauka i ka ʻāpana o ka ʻōpū kahi i ulu ai ka endometriosis, a laila hoʻohui hou i ka ʻōpū.
• Discoid excision. No nā wahi liʻiliʻi o ka endometriosis, ʻoki paha kāu kauka lāʻau i kahi diski o nā aʻa i hoʻopā ʻia i loko o ka ʻōpū a laila pani i ka wehe.

Laau Lapaʻau

I kēia manawa, aia ʻelua ʻano nui o nā lāʻau i hoʻohana ʻia e mālama ai i ka rectovaginal a me nā ʻano endometriosis ʻē aʻe: nā homone a me nā mea ʻeha.

Hiki ke kōkua i ka Hormone therapy ke hoʻolohi i ka ulu ʻana o nā kiko endometrial a hoʻemi i kāna hana ma waho o ka pūpū.

Nā ʻano o nā lāʻau i pono ʻia me ka hormone:

• ka hānau hānau, e like me nā pila, patch, a i ʻole ke apo
• gonadotropin-hoʻokuʻu aku i nā hormone (GnRH) agonists
• danazol, hoʻohana liʻiliʻi ʻia i kēia lā
• nā kūpuna progestin (Depo-Provera)

Hiki paha i kāu kauka ke koi aku i nā lāʻau lapaʻau anti-inflammatory (NSAID) over-the-counter a i ʻole kuhikuhi ʻia (NSAIDs), e like me ibuprofen (Advil) a i ʻole naproxen (Aleve), e kōkua ai i ka ʻeha ʻana i ka ʻeha.

Hiki paha nā pilikia?

ʻO ke kaha e mālama ai i ka endometriosis rectovaginal hiki ke hana i nā pilikia e like me:

• kahe ana o ka ʻōpū ma loko o ka ʻōpū
• kahi fistula, a i ʻole pili pili ʻole, ma waena o ka ʻōpala a me ka pololei a i ʻole nā ​​mea ʻē aʻe
• paʻa paʻa
• kahe ʻana a puni ka ʻōpū i pili hou
• pilikia e hele ana i nā noho
• piha ʻole i ka ʻōuli ʻōuli e koi ai i nā ʻoki hou aʻe

Hiki i nā wahine me kēia ʻano endometriosis ke loaʻa hou ka pilikia i ka hāpai ʻana. ʻO ka helu hāpai i nā wahine me ka endometriosis rectovaginal ʻoi aku ka haʻahaʻa ma mua o ka helu o nā wahine me nā ʻano liʻiliʻi o ka maʻi. ʻO ke ʻoki a me ka hoʻouluulu vitro hiki ke hoʻonui i kāu kuhi o ka hapai ʻana.

He aha kāu e manaʻo ai?

Pili kāu kuana i ka nui o ka hopena o kāu endometriosis a pehea e mālama ʻia ai. Hiki i ke ʻoki ʻana ke hoʻomaha i ka ʻeha a hoʻomaikaʻi i ka momona.

No ka mea he maʻi ʻeha ka endometriosis, hiki ke hopena i kou ola i kēlā me kēia lā. No ka loaʻa ʻana o ke kākoʻo ma kou wahi, e kipa aku i ka Endometriosis Foundation o ʻAmelika a i ʻole ka Endometriosis Association.