Nā Hōʻailona a me nā ʻōuli o Uterine Fibroids

Anter

• He aha nā Fibroid Uterine?
• Nā Uila Fibroid Uterine
• Hiki iā ʻoe ke kāpae iā Uterine Fibroids?
• ʻO kāu hoʻolālā pāʻani Uterine Fibroid
• Nānā no

ʻO Toya Wright (ka mea āu e ʻike ai ma ke ʻano he wahine mua a Lil Wayne, kahi ʻano kīwī, a i ʻole mea kākau o I kaʻu mau ʻōlelo ponoʻī) hele wāwae i kēlā me kēia lā me he mea lā he ʻelima mau mahina e hāpai ana. ʻOiai pili i ka papaʻai olakino a pīpī i kāna puʻu i ka hale hoʻoikaika kino, ʻaʻole e hele aku kēlā ʻōpū-no ka mea na ka uterine fibroids i hoʻokumu. Hāʻawi wale lākou iā ia i ka ʻano o ka hāpai ʻana, akā lawelawe lākou i ke kahe nui a me ka cramping i kēlā me kēia mahina ke loaʻa iā ia kona manawa.

A mamao loa ʻo ia ma kahi hoʻokahi. ʻO 50 pakeneka o nā wahine e loaʻa i nā fibroids uterine, wahi a Yvonne Bohn, MD, ob-gyn ma Los Angeles Obstetricians a me Gynecologists a me Cystex waha ʻōlelo. Ua kuhi ka Office on Health Women ma waena o 20 a 80 pākēneka o nā wahine e hoʻomohala i nā fibroids i ka makahiki 50. ʻOiai ʻo ka hopena o kēia pilikia i kahi ʻāpana nui o ka heluna wahine, ʻaʻole maopopo ka nui o nā wahine i ka mea mua e pili ana i nā fibroids. (A, ʻaʻole, ʻaʻole like ia me endometriosis, nā hōkū e like me Lena Dunham lāua ʻo Julianne Hough i ʻōlelo e pili ana.)

"ʻAʻole wau i ʻike i kekahi mea e pili ana i nā fibroids i kēlā manawa," wahi a Wright. "He haole ia iaʻu. Akā i ka manawa i ʻike ʻia me lākou, hoʻomaka wau e kamaʻilio e pili ana i ia mea i nā hoa like ʻole a me nā lālā o ka ʻohana a me ka heluhelu ʻana e pili ana, a ua maopopo iaʻu he mea maʻamau loa ia." (Loaʻa iā lākou i nā supermodels.)

He aha nā Fibroid Uterine?

Uterine fibroids he ulu e hoʻomōhala mai nā mākala nāʻiʻo o ka kōpū, e like me ka ʻAmelika Hui Pū ʻIa o Obstetricians a me Gynecologists (ACOG). Hiki iā lākou ke ulu i loko o ka lua o ka uterine (kahi e ulu ai kahi ʻōpū), ma loko o ka paia uterine, ma ka lihi waho o ka paia uterine, a i ʻole ma waho o ka kōpū a hoʻopili ʻia e kahi ʻano like me ka lāʻau. ʻOiai lākou e kapa ʻia nā tumors, he mea nui e ʻike kokoke i nā mea a pau (ʻaʻohe maʻi ʻaʻai), wahi a Kauka Bohn.

"Ma nā hanana kakaikahi loa hiki iā lākou ke lilo i maʻi ʻaʻai, a kapa ʻia kēlā mea he leiomyosarcoma," i ʻōlelo ʻo ia. I kēlā hihia, maʻamau ka ulu wikiwiki ʻana, a ʻo ke ala wale nō e ʻike ai inā he maʻi ʻaʻai ia a ʻaʻole paha e wehe ʻia. Akā, ʻoiaʻiʻo, kākaʻikahi loa ia; hoʻokahi wale nō i koho ʻia ma 1,000 fibroids he maʻi ʻaʻai, e like me ka Office on Health Women. A ʻo ka loaʻa ʻana o nā fibroids ʻaʻole ia e hoʻonui i ka makaʻu o ka hoʻomōhala ʻana i kahi fibroid maʻi ʻaʻai a i ʻole ke kiʻi ʻana i nā ʻano ʻano ʻē aʻe i ke kōpū.

I kēia manawa, ʻaʻole maopopo iā mākou ke kumu o nā fibroids-ʻoiai e ulu ana ka estrogen iā lākou, wahi a Dr. Bohn. No kēlā kumu, hiki i nā fibroids ke ulu nui i ka wā hāpai a kū pinepine i ka ulu ʻana a emi i ka wā menopause. Ma muli o ka maʻa mau o lākou, ʻano ʻē ke noʻonoʻo he mea hoʻoilina lākou, wahi a Kauka Bohn. Akā ʻo ka loaʻa ʻana o nā lālā ʻohana me nā fibroids e hoʻonui i kou makaʻu, e like me ka Office on Health Women. I ka ʻoiaʻiʻo, inā he fibroids kou makuahine, ʻo kou maka o ka loaʻa ʻana iā lākou ma kahi o ʻekolu mau manawa ke kiʻekiʻe ma mua o ka awelika. Hoʻolālā paha nā wahine ʻApelika-ʻAmelika i nā fibroids, a me nā wahine momona.

Nā Uila Fibroid Uterine

Hiki i nā wahine ke loaʻa i nā fibroids nunui a loaʻa ʻole nā ​​ʻōuli zero, a i ʻole hiki iā lākou ke loaʻa i hoʻokahi fibroid liʻiliʻi a loaʻa nā ʻōuli weliweli - pili ia i kahi o ka fibroid, wahi a Dr. Bohn.

ʻO ka hōʻailona helu ʻekahi a kū ʻole ke kahe ʻana o ke kahe, ʻōlelo ʻo ia, ʻo ka mea maʻamau me ka cramping koʻikoʻi a me ka hala ʻana o ke koko. Wahi a Wright ʻo kēia ka hōʻailona mua no ka hewa o kekahi mea; ʻAʻole ʻo ia i loaʻa i nā cramp ma mua o kona ola, akā ua ʻike koke ʻo ia i nā ʻeha ʻoi loa a me nā pōʻai nui loa: "Ke holo nei wau ma waena o nā pads a tampons-maikaʻi ʻole ia," i ʻōlelo ʻo ia.

Inā he fibroid kou i ka lua o ka uterine, hiki i ke kahe ʻana ke lilo i ikaika loa, no ka mea, ma laila e kūkulu a hoʻoheheʻe ʻia ai ka uhi ʻana o ka uterine i kou wā i kēlā me kēia mahina, wahi a Kauka Bohn. "ʻOiai ʻo ka fibroid liʻiliʻi, inā aia ia ma kēlā wahi hewa, hiki iā ʻoe ke hemorrhage a hiki i ka loaʻa ʻana o ka anemia a me ke koi ʻana i ke koko," i ʻōlelo ʻo ia.

Hiki i nā fibroids nui ke hana i ka ʻeha i ka wā o ka moekolohe a me ka ʻeha hoʻi. Hiki iā lākou ke kau i ke kaomi ma luna o ka maʻi ʻaʻai a pololei paha, e hopena ai i ka paʻa ʻana, a i ʻole ka urination pinepine a paʻakikī paha, wahi a Dr. Bohn. Huhū nā wahine he nui ʻaʻole hiki iā lākou ke lilo i ka kaumaha i loko o kā lākou ʻōpū-akā ʻo fibroids maoli ia. ʻAʻole ia he mea maʻamau no nā fibroid nui e hana i kahi manaʻo super-bloated, e like me kā Wright ʻike.

"Ua hiki iaʻu ke haha ​​aku iā lākou ma o koʻu ʻili, a ʻano ʻike iā lākou a hoʻoneʻe iā lākou," i ʻōlelo ʻo ia. "Ua haʻi mai kaʻu kauka iaʻu ʻo kuʻu kōpū ka nui o ka wahine hāpai he ʻelima mau mahina." A ʻaʻole kēia he hoʻonui; ʻoiai he kakaikahi, ua ʻōlelo ʻo Kauka Bohn hiki i nā fibroids ke ulu i ka nui o kahi melemona. (Mai piliwi? E heluhelu wale i ka moʻolelo pilikino o kahi wahine i lawe ʻia i kahi fibroid nui melon mai kāna pūpū.)

Hiki iā ʻoe ke kāpae iā Uterine Fibroids?

ʻO ka mea mua: Inā he ʻuʻuku kāu fibroids, mai hana i nā ʻōuli hoʻololi i ke ola, a i ʻole ma nā kūlana pilikia, ʻaʻole pono ʻoe e lapaʻau, e like me ka ACOG. Akā, eia naʻe, ʻaʻole hele aku nā fibroids iā lākou iho, a ʻaʻole e nalo ʻoiai pehea ka nui o nā kaona kaona āu e hoʻāʻo ai a i ehia mau paona kale āu e ʻai ai, wahi a Kauka Bohn.

He mau makahiki i hala aku nei, ʻo ka go-to fibroid lapaʻau kahi hysterectomy-ka hemo ʻana o kou kōpū, wahi a Kauka Bohn. Laki, ʻaʻole kēlā ka hihia hou. Noho nā wahine he nui me ka ʻole o nā ʻōuli koʻikoʻi loa me kā lākou fibroids, a hāpai kūleʻa a loaʻa nā keiki me ka ʻole o nā pilikia, i ʻōlelo ʻo ia. Akā pili kēia i ka wahi o kāu fibroids a me ka nui o ia mau mea. I kekahi mau hihia, hiki i nā fibroids ke ālai i kahi Tube fallopian, pale i ka implantation, a i ʻole keakea i ke ala o kahi hānau kūlohelohe, wahi a Kauka Bohn. Aia ia i nā kūlana o kēlā me kēia. (Eia nā mea āpau āu e ʻike ai e pili ana i ka momona.)

I kēia lā, ʻo ka hapa nui o nā wahine me nā fibroids e hele i nā lāʻau hoʻomalu hānau haʻahaʻa a i ʻole loaʻa i kahi IUD hormonal-ʻo nā mea ʻelua e lahilahi i ka uhi ʻana o ka uterine, e kaohi ana i ke kahe ʻana o ka menstrual a me nā ʻōuli, wahi a Kauka Bohn. (Hoʻemi pū ka BC i kou makaʻi o ka maʻi ʻaʻai ovarian-yay!) Aia kekahi mau lāʻau i hiki ke hoʻoliʻiliʻi iki i nā fibroids, akā no ka mea e hoʻemi ana lākou i ka momona o ka iwi (e hoʻonāwaliwali ana i kou mau iwi), hoʻohana wale ʻia lākou no kahi manawa pōkole. a maʻamau i ka hoʻomākaukau no ke ʻoki.

ʻEkolu mau ʻoki lāʻau ʻokoʻa e pili ana i ka lawelawe ʻana me fibroids, wahi a Dr. Bohn. ʻO ka mua he hysterectomy, a i ʻole hemo ʻana o ka kōpū holoʻokoʻa (i nā wahine hānau keiki ʻole). ʻO ka lua he myomectomy, a i ʻole hemo ʻana o nā tumroid fibroid mai ka kōpū, ma ka wehe ʻana i ka ʻōpū a i ʻole laparoscopically (kahi e hele ai lākou i kahi ʻoki liʻiliʻi a haki i ka fibroid i mau ʻāpana liʻiliʻi e lawe iā ia mai ke kino). ʻO ke koho ʻekolu o ke koho he myomectomy hysteroscopic, kahi e hiki ai iā lākou ke hemo i nā fibroids liʻiliʻi i ka lua o ka uterine ma o ka hele ʻana i loko o ka uterus vaginally. ʻO kahi koho lapaʻau ʻē aʻe kahi hana i kapa ʻia ʻo embolization, kahi e hele ai nā kauka i loko o kahi ipu i ke aʻa a nānā i ka hāʻawi o ke koko i ka fibroid. Pepehi lākou i ke kahe o ke koko i ka tumo, e hoʻoliʻiliʻi ana ma kahi o ka hapakolu, wahi a Kauka Bohn.

ʻO ka ʻoiaʻiʻo e hiki i nā wahine ke wehe i kā lākou fibroids ʻoiai e mālama nei i kā lākou kōpū (a me ka mālama ʻana i kā lākou hiki ke hānau keiki) he hana nui loa ia-no laila he mea nui i nā wahine e ʻike i kā lākou koho koho.

"ʻO ka nui o nā wahine aʻu i kamaʻilio ai ua hana hewa i ka lawe ʻana i nā fibroids me kahi hysterectomy," wahi a Wright. "Ua hōʻino ke ʻano o ko lākou ola, no ka mea, ʻaʻole hiki ke loaʻa nā keiki hou. ʻO ia wale nō ke ala a lākou i manaʻo ai hiki iā lākou ke wehe iā lākou."

Aia kekahi hema nui e lawe i nā fibroids akā waiho ka uterus ma kahi, ʻoiai: e puka hou nā fibroids. "Inā hana mākou i kahi myomectomy, akā minamina, a hiki i ka manawa e komo ai ka wahine i ka menopause, aia kahi manawa e hoʻi ai nā fibroids," wahi a Kauka Bohn.

ʻO kāu hoʻolālā pāʻani Uterine Fibroid

"Inā loaʻa iā ʻoe kēia mau hōʻailona ʻano ʻē, ʻo ka mea mua e hōʻike i kāu gynecologist," wahi a Kauka Bohn. "ʻO nā hoʻololi i kāu pōʻai menstrual, nā huʻa i kou wā, cramping koʻikoʻi, he hōʻailona ia no ka maikaʻi ʻole o kekahi mea." Mai laila mai, e hoʻoholo ana kāu doc ​​inā he hanganga nā kumu (e like me ka fibroid) a i ʻole he hormonal. ʻOiai ʻike nā docs i kekahi fibroids i ka wā o ka hoʻokolohua pelvic maʻamau, e loaʻa paha iā ʻoe kahi ultrasound pelvic-ʻo ia ke kiʻi kiʻi ʻoi aku ka maikaʻi no ka nānā ʻana i ka kōpū a me nā ovaries, wahi a Kauka Bohn.

ʻOiai ʻaʻole hiki iā ʻoe ke kaohi piha i ka ulu ʻana o fibroids, hiki i ke ola ʻana i kahi nohona olakino ke kōkua i ka hōʻemi ʻana i kou makaʻi; Pili paha ka ʻiʻo ʻulaʻula i kahi makaʻu fibroid kiʻekiʻe aʻe, ʻoiai e hoʻopili ʻia nā lau lau lau i ka makaʻu haʻahaʻa, e like me kahi noiʻi i paʻi ʻia i loko o ka puke pai. ʻO Obsetrics a me Gynecology. ʻOiai ka palena o ka noiʻi ʻana e pili ana i nā pilikia pilikia o ka nohona a me nā fibroids uterine, e ʻai ana i nā hua a me nā mea kanu, hoʻoikaika kino pinepine, hoʻoliʻiliʻi koʻikoʻi, a i ke kaupaona olakino ua hoʻopili ʻia i nā hanana fibroids, e like me ka loiloi i paʻi ʻia i loko o ka Ka Nūpepa International o ka Fertility a me ka Sterility.

A inā ʻike ʻia ʻoe me nā fibroids, mai hele i waho.

"ʻO ka laina lalo, he mea maʻamau lākou," wahi a Kauka Bohn. "Ma muli wale nō o kāu mea ʻaʻole ia he manaʻo weliweli a i ʻole pono ʻoe e wikiwiki i ke ʻoki kino. E makaʻala wale i nā hōʻailona a me nā hōʻailona i hiki iā ʻoe ke ʻimi inā loaʻa iā ʻoe kekahi o kēia mau manaʻo maikaʻi ʻole."

Nānā no