Chii chinonzi Bowel Endometriosis?

Zvemukati

• Ndezvipi zviratidzo?
• Chii chinokonzera bowel endometriosis?
• Inoonekwa sei?
• Ndedzipi nzira dzekurapa dziripo?
• Kuvhiya
• Mishonga
• Zvinonetsa zvinogoneka here?
• Chii chaunogona kutarisira?

Zvakajairika here?

Endometriosis chirwere chinorwadza umo nyama inowanzoisa muchibereko chako (endometrial tishu) inokura mune mamwe mativi epelvis yako, senge maovari ako kana fallopian machubhu.

Mhando dzakasiyana dze endometriosis dzinovakirwa panowanikwa tishu. Mune ura endometriosis, endometrial tishu inokura pamusoro kana mukati mematumbo ako.

Kusvikira kuvakadzi vane endometriosis vane endometrial tishu pane yavo ura. Mazhinji bowel endometriosis anoitika munzvimbo yepazasi yemukati, pamusoro peiyo rectum chete. Iyo inogona zvakare kuvaka mune yako yekuwedzera kana mudiki ura.

Bowel endometriosis dzimwe nguva chikamu cheverovaovaginal endometriosis, iyo inokanganisa vagina uye rectum.

Vazhinji vakadzi vane ura endometriosis vanewo munzvimbo dzinozivikanwa dzakapoteredza chiuno.

Izvi zvinosanganisira izvo:

• mazai
• homwe yaDouglas (iyo nzvimbo iri pakati pemuromo wechibereko uye rectum)
• dundira

Ndezvipi zviratidzo?

Vamwe vakadzi havawani chero zviratidzo. Unogona kusaziva kuti une bowel endometriosis kusvikira iwe wawana muedzo wekufungidzira weimwe mamiriro.

Kana zviratidzo zvikaitika, zvinogona kunge zvakafanana neizvo zveinotsamwisa bowel syndrome (IBS). Musiyano uripo, endometriosis zviratidzo zvinowanzotanga kutenderedza nguva yenguva yako. Iyi turu iri kupindura kune iyo hormonal kutenderera yenguva yako, kuzvimba uye kukanganisa iyo nyama yakatenderedza.

Zviratidzo zvakasarudzika kune aya mamiriro zvinosanganisira:

• kurwadziwa kana uine ura
• kurwadziwa nemudumbu
• manyoka
• kuvimbiswa
• kuzvimba
• kumanikidzika nekufamba kwematumbu
• kubuda kweropa

ane bowel endometriosis zvakare anayo mumapanga avo, ayo anogona kukonzera:

• kurwadziwa kusati uye panguva
• kurwadziwa panguva yepabonde
• kubuda ropa kwakanyanya panguva kana mukati menguva
• kuneta
• kusvotwa
• manyoka

Chii chinokonzera bowel endometriosis?

Vanachiremba havanyatso kuziva kuti chii chinokonzera ura endometriosis kana mamwe marudzi echirwere.

Dzidziso inogamuchirwa zvakanyanya ndeye. Munguva yekuenda kumwedzi, ropa rinoyerera richidzokera kumashure kuburikidza nemazamu ekuzvimba uye nekupinda muchiuno pane kubuda kunze kwemuviri. Iwo maseru anobva aisa mumatumbu.

Zvimwe zvinokonzeresa zvinosanganisira:

• Sero rekutanga shanduko. Masero akasara kubva muchibereko anokura kuita matendometrial tishu.
• Kuisazve. Endometrial maseru anofamba kuburikidza neiyo lymph system kana ropa kune dzimwe nhengo.
• Majini. Endometriosis dzimwe nguva inomhanya mumhuri.

Endometriosis inokanganisa vakadzi mukati memakore avo ekubereka.

Inoonekwa sei?

Chiremba wako anotanga nekuita bvunzo dzepanyama. Munguva yekuongorora, chiremba wako anoongorora yako vagina uye rectum kune chero kukura.

Iyi bvunzo inogona kubatsira chiremba wako kuongorora bowel endometriosis:

• Ultrasound. Muedzo uyu unoshandisa mafungu epamusoro-frequency kurira kuti ugadzire mifananidzo kubva mukati memuviri wako. Chigadzirwa chinonzi transducer chinoiswa mukati memukadzi wako (transvaginal ultrasound) kana rectum yako (transrectal endoscopic ultrasound). Iyo ultrasound inogona kuratidza chiremba wako saizi ye endometriosis uye kwainowanikwa.
• MRI. Bvunzo iyi inoshandisa magineti ane simba uye masaisai eredhiyo kutsvaga endometriosis muura hwako uye zvimwe zvikamu zvemuuno wako.
• Barium enema. Bvunzo iyi inoshandisa maX-ray kutora mifananidzo yemukati mako - yako colon uye rectum. Yako colon inotanga kuzadzwa neyekusiyana dhayi kuti ubatsire chiremba wako kuzviona zviri nyore.
• Colonoscopy. Muedzo uyu unoshandisa chiyero chinoshanduka kuti utarise mukati mematumbo ako. Colonoscopy haina kuongorora ura endometriosis. Nekudaro, inogona kutonga kunze gomarara rekoloni, iro rinogona kukonzera zvimwe zvezviratidzo zvakafanana.
• Laparoscopy. Munguva yekuvhiyiwa uku, chiremba wako anoisa huremu hutete, hwakavhenekerwa muzvikamu zvidiki mudumbu rako kuti uwane endometriosis mudumbu nemuhudyu. Ivo vanogona kubvisa chidimbu chetishu kuti vaongorore. Iwe unogadzikana panguva iyi.

Endometriosis yakakamurwa kuita nhanho zvichibva pauwandu hwetissue yauinayo uye kuti inowedzera zvakadii munhengo dzako:

• Chikamu 1. Minimal. Kune zvidimbu zvidiki zve endometriosis pane kana kutenderedza mitezo mumapanga ako.
• Chikamu 2. Nyoro. Iwo matinji akawandisa kupfuura padanho rekutanga, asi haasi mukati memitezo yako yepelvic.
• Chikamu 3. Pakati nepakati. Endometriosis yakapararira zvakanyanya, uye iri kutanga kupinda mukati memitezo mupfupa rako.
• Chikamu 4. Zvakanyanya. Endometriosis yapinda mitezo mizhinji mumapanga ako.

Bowel endometriosis inowanzo kuve nhanho yechina.

Ndedzipi nzira dzekurapa dziripo?

Endometriosis haigone kurapwa, asi mushonga nekuvhiya zvinogona kubatsira kubata zviratidzo zvako. Ndeapi marapirwo aunowana anoenderana nekuti yakanyanya sei endometriosis yako uye kwainowanikwa. Kana iwe usina zviratidzo, kurapwa kunogona kunge kusiri kudikanwa.

Kuvhiya

Kuvhiya ndiko kurapwa kukuru kwematumbu endometriosis. Kubvisa matishu endometrial kunogona kudzikamisa marwadzo uye nekuvandudza hupenyu hwako.

Mhando shoma dzekuvhiya dzinobvisa bowel endometriosis. Vanachiremba vanovhiya vanogona kuita izvi maitiro kuburikidza neakakura incision (laparotomy) kana yakawanda diki incision (laparoscopy). Ndeipi mhando yekuvhiya yauinayo inoenderana nekukura kwenzvimbo dze endometriosis, uye kwavanowanikwa.

Segmental ura resection. Izvi zvinoitirwa nzvimbo hombe dze endometriosis. Chiremba wako anobvisa chikamu chemuura umo endometriosis yakura. Zvidimbu zviviri zvasara zvinobva zvasunganidzwa zvakare nemaitiro anonzi reanastomosis.

Vanopfuura hafu yevakadzi vane maitiro aya vanokwanisa kuve nepamuviri mushure. Endometriosis haigone kudzoka mushure mekudzoreredzwa pane mamwe maitiro.

Kuveura chaiko. Chiremba wako anoshandisa chimbo chinopinza kubvisa endometriosis pamusoro pechipfuva, pasina kutora chero ura. Maitiro aya anogona kuitirwa madiki madiki endometriosis. Endometriosis iri mukana wekudzoka mushure mekuvhiyiwa uku kupfuura mushure mekuparadzaniswa kwezvikamu.

Disc resection. Kune madiki madiki endometriosis, chiremba wako anovhiya achabvisa dhisiki yezvinyama zvakakanganiswa mumatumbo uye nekuvhara gomba.

Chiremba wako anogona zvakare kubvisa endometriosis kubva kune mamwe mativi epelvis yako panguva yekushanda.

Mishonga

Hormone Therapy haimise endometriosis kubva kufambira mberi. Zvisinei, inogona kubvisa marwadzo uye zvimwe zviratidzo.

Hormonal mishonga yehutachiona endometriosis inosanganisira:

• kuzvarwa, kusanganisira mapiritsi, chigamba, kana mhete
• jekiseni reprogestin (Depo-Provera)
• gonadotropin-kusunungura mahormone (GnRH) agonists, senge triptorelin (Trelstar)

Chiremba wako anogona kukurudzira pamusoro peiyo-the-counter kana mushonga unonsteroidal anti-anogumbura (NSAIDs), senge ibuprofen (Advil) kana naproxen (Aleve), kubatsira kubvisa marwadzo.

Zvinonetsa zvinogoneka here?

Endometriosis muura inogona kukanganisa kubereka kwako - kunyanya kana iwe uinewo mumazai ako uye dzimwe nhengo dzechiuno. yevakadzi vane chirwere ichi havakwanise kubata pamuviri. Kuvhiya kubvisa maronda endometriosis kunogona kunatsiridza mikana yako yekubata pamuviri. Kunyangwe kana kubereka isiri nyaya, vamwe vakadzi vane kurwadziwa kwepachiuno kusingaperi kwakabatana nemamiriro aya, izvo zvine chekuita nehupenyu hwavo.

Chii chaunogona kutarisira?

Endometriosis chirwere chisingaperi. Iwe uchafanirwa kubata zviratidzo zvaro muhupenyu hwako hwese.

Maonero ako anoenderana nekuti yakanyanya sei endometriosis yako uye kuti inorapwa sei. Hormonal kurapwa uye kuvhiyiwa kunogona kubatsira kubata kurwadziwa kwako. Zviratidzo zvinofanirwa kuvandudza kana iwe uchinge wapfuura panguva yekuguma.

Endometriosis inogona kukanganisa hupenyu hwako. Kuti uwane rutsigiro munharaunda yako, shanyira Endometriosis Foundation yeAmerica kana iyo Endometriosis Association.