Endometriosis

Zvemukati

• Endometriosis zviratidzo
• Endometriosis kurapwa
• Mishonga yemarwadzo
• Hormone kurapa
• Mahormone ekudzivirira kubata pamuviri
• Gonadotropin-inosunungura mahormone (GnRH) agonists uye vanopikisa
• Danazol
• Kuvhiya kwekuchengetedza
• Yokupedzisira-yekuvhiya kuvhiya (hysterectomy)
• Chii chinokonzera endometriosis?
• Endometriosis matanho
• Chikamu 1: Chidiki
• Stage 2: Nyoro
• Stage 3: Pakati nepakati
• Stage 4: Yakanyanya
• Kuongorora
• Yakadzama nhoroondo
• Kuongorora kwepanyama
• Ultrasound
• Laparoscopy
• Endometriosis matambudziko
• Njodzi zvinhu
• Zera
• Nhoroondo yemhuri
• Nhoroondo yenhumbu
• Nhoroondo yekuenda kumwedzi
• Endometriosis kufungidzira (maonero)

Chii chinonzi endometriosis?

Endometriosis chirwere umo nyama inofanana netishu inoumba mutsetse wechibereko chako inokura kunze kwedumbu rako. Iyo yekumberi kwechibereko chako inonzi endometrium.

Endometriosis inoitika kana matema endometriamu achikura pamazai ako, ura, uye zvinyama zvinonamira chiuno chako. Izvo zvisingawanzoitika kune endometrial tishu yekupararira kupfuura yako pelvic dunhu, asi hazvigoneke. Endometrial tishu inokura kunze kwechibereko chako inozivikanwa seyendometri implant.

Iko kushanduka kwehormonal yekuenda kwako kumwedzi kunokanganisa iyo yakasarudzika endometrial tishu, zvichikonzera iyo nzvimbo kuti ive inopisa uye inorwadza. Izvi zvinoreva kuti tishu rinokura, rakakora uye nekuputsa. Nekufamba kwenguva, munyama wakaputsika hauna kwekuenda uye unosungwa mumapanga ako.

Turu iyi yakavharirwa mumapanga ako inogona kukonzera:

• kutsamwa
• vanga kuumbwa
• kunamatira, mune iyo turu inosunga nhengo dzako dzechiuno pamwechete
• kurwadziwa kwakanyanya panguva yako
• Matambudziko ekubereka

Endometriosis yakajairika mamiriro echikadzi, inokanganisa kusvika gumi muzana yevakadzi. Hausi wega kana uine dambudziko iri.

Endometriosis zviratidzo

Zviratidzo zve endometriosis zvinosiyana. Vamwe vakadzi vanoona zviratidzo zvakapfava, asi vamwe vanogona kuva nezviratidzo zvine mwero kana zvakanyanya. Kuomarara kwekutambudzika kwako hakuratidze degree kana danho remamiriro acho. Iwe unogona kunge uine fomu yakapfava yechirwere asi uchirwadziwa kurwadziwa. Izvo zvakare zvinokwanisika kuve nechimiro chakakomba uye kuva nekusagadzikana kushoma kwazvo.

Kutambudzika kwepelvic ndicho chiratidzo chinowanzoonekwa che endometriosis. Iwe unogona zvakare kuve nezviratidzo zvinotevera:

• nguva dzinorwadza
• kurwadziwa mudumbu rezasi pamberi uye panguva yekutevera
• cramp vhiki imwe kana mbiri dzakatenderedza kuenda kumwedzi
• kuenda kumwedzi kubuda ropa kana kubuda ropa pakati penguva
• kushaya mbereko
• kurwadziwa kunotevera kusangana pabonde
• kusagadzikana nekufamba kwemukati
• kurwadziwa kwepashure kwekumusoro kunogona kuitika chero nguva panguva yekuenda kwako kumwedzi

Iwe unogona zvakare kunge usina zviratidzo. Izvo zvakakosha kuti iwe ugare uchiwana gynecological bvunzo, izvo zvinobvumidza wako gynecologist kuongorora chero shanduko. Izvi zvinonyanya kukosha kana uine zviratidzo zviviri kana kupfuura.

Endometriosis kurapwa

Zvinonzwisisika, iwe unoda kusununguka nekukurumidza kubva pakurwadziwa uye zvimwe zviratidzo zve endometriosis. Iyi mamiriro anogona kukanganisa hupenyu hwako kana ikasiiwa isina kurapwa. Endometriosis haina mushonga, asi zviratidzo zvayo zvinogona kutarisirwa.

Zvekurapa uye zvekuvhiya sarudzo zviripo kubatsira kubatsira kudzikisa zviratidzo zvako uye kugadzirisa chero zvingangoitika zvinetso. Chiremba wako anogona kutanga aedza kurapwa kwakachengetedza. Ivo vanogona ipapo kukurudzira kuvhiyiwa kana mamiriro ako akasavandudzika.

Wese munhu anoita zvakasiyana nenzira idzi dzekurapa. Chiremba wako achakubatsira iwe kuti uwane iyo inoshanda zvakanyanya kwauri.

Zvinogona kushungurudza kuwana chirwere uye nzira dzekurapa kutanga kwechirwere. Nekuda kwezvinhu zvekubereka, kurwadziwa, uye kutya kuti hakuna zororo, chirwere ichi chinogona kunetsa kubata nepfungwa. Funga kutsvaga boka rekutsigira kana kuzvidzidzisa zvakanyanya pane izvo mamiriro. Sarudzo dzekurapa dzinosanganisira:

Mishonga yemarwadzo

Iwe unogona kuyedza kupfuura-the-counter mishonga yekurwadziwa senge ibuprofen, asi izvi hazvishande mune zvese zviitiko.

Hormone kurapa

Kutora mahormone ekuwedzera anogona dzimwe nguva kubvisa marwadzo uye kumisa kufambira mberi kweendometriosis. Hormone therapy inobatsira muviri wako kudzora pamwedzi mahormone shanduko ayo anokurudzira kukura kwetishu kunoitika kana uine endometriosis.

Mahormone ekudzivirira kubata pamuviri

Mahormone ekudzivirira kubata pamuviri anoderedza kubereka nekudzivirira kukura kwemwedzi uye kuwanda kwetishu endometrium. Mapiritsi ekudzivirira kubereka, zvigamba, uye mhete dzemadzimai dzinogona kudzikisa kana kutopedza marwadzo mune endometriosis isinganyanye.

Iyo medroxyprogesterone (Depo-Provera) jekiseni inoshanda zvakare mukumisa kuenda kumwedzi. Inomisa kukura kwema endometrial implants. Inobvisa marwadzo uye zvimwe zviratidzo. Izvi zvinogona kunge zvisiri sarudzo yako yekutanga, zvisinei, nekuda kwenjodzi yekudzikira kwekugadzirwa kwemapfupa, kuwedzera huremu, uye kuwanda kwezviitiko zvekushungurudzika mune dzimwe nguva.

Gonadotropin-inosunungura mahormone (GnRH) agonists uye vanopikisa

Vakadzi vanotora zvinonzi gonadotropin-releasing hormone (GnRH) agonists nevapikisi vadzivise kugadzirwa kweestrogen iyo inomutsa mazamu. Estrogen ndiyo hormone iyo inonyanya kukonzera kukura kwehunhu hwevakadzi pabonde. Kuvhara kugadzirwa kweestrogen kunodzivirira kuenda kumwedzi uye kunogadzira yekuguma kuenda kumwedzi.

GnRH kurapwa kune mhedzisiro senge kusangana nekutsi kwemukadzi kuoma uye kupisa kupenya. Kutora madosi mashoma eestrogen uye progesterone panguva imwe chete kunogona kubatsira kudzikamisa kana kudzivirira izvi zviratidzo.

Danazol

Danazol mumwe mushonga unoshandiswa kumisa kuenda kumwedzi uye kuderedza zviratidzo. Paunenge uchitora danazol, chirwere ichi chinogona kuramba chichienderera mberi. Danazol inogona kuve nemhedzisiro, kusanganisira acne uye hirsutism. Hirsutism ndeyekushamisa bvudzi kukura pachiso chako nemuviri.

Mimwe mishonga iri kuongororwa iyo inogona kugadzirisa zviratidzo uye kunonoka chirwere kufambira mberi.

Kuvhiya kwekuchengetedza

Kuchengetedza kwakachengetedza ndekwevakadzi vanoda kubata pamuviri kana kusangana nemarwadzo akakomba uye avo vasiri kushanda kurapwa kwehomoni. Chinangwa chekuvhiya kwakachengetedza kubvisa kana kuparadza endometrium kukura pasina kukuvadza nhengo dzekubereka.

Laparoscopy, kuvhiya kushoma kunokanganisa, kunoshandiswa kuona pamwe nekuongorora, endometriosis. Iyo inoshandiswa zvakare kubvisa iyo endometrial tishu. Chiremba anovhiya zvishoma mudumbu kuti abvise maburi kana kuapisa kana kuita vapise. Lasers inowanzo shandiswa mazuva ano senzira yekuparadza iyi "isiri panzvimbo" nyama.

Yokupedzisira-yekuvhiya kuvhiya (hysterectomy)

Kazhinji, chiremba wako anogona kukurudzira hysterectomy yakazara senzira yekupedzisira kana mamiriro ako asinganatsirike nemamwe marapirwo.

Munguva ye hysterectomy yakazara, chiremba anovhiya anobvisa chibereko nemuromo wechibereko. Ivo vanobvisawo maovari nekuti nhengo idzi dzinoita estrogen, uye estrogen inokonzera kukura kwetendometrial tishu. Uyezve, chiremba anovhiya anobvisa maronda anooneka anoiswa.

Hysterectomy haiwanzo kutarisirwa semushonga kana mushonga we endometriosis. Iwe unozotadza kutora nhumbu mushure mekuvhiyiwa. Tora pfungwa yechipiri usati wabvuma kuvhiyiwa kana iwe uchifunga nezvekutanga mhuri.

Chii chinokonzera endometriosis?

Munguva yekuenda kumwedzi wenguva dzose, muviri wako unodurura mucheka wechibereko chako. Izvi zvinobvumira kuenda kumwedzi kweropa kuyerera kubva muchibereko chako kuburikidza nekavhura kadiki mumuromo wechibereko uye nekubuda kuburikidza nemukadzi wako.

Icho chaicho chinokonzera endometriosis hachizivikanwe, uye kune akati wandei mazano maererano nechakakonzera, kunyangwe pasina dzidziso imwe yakatsigirwa nesainzi.

Imwe yedzidziso dzekare ndeyekuti endometriosis inoitika nekuda kwenzira inonzi kutangazve kuenda kumwedzi. Izvi zvinoitika kana ropa rekuenda kumwedzi richiyerera richidzoka nemumachubhu ako emukati muchikamu chako chepelvic pachinzvimbo chekusiya muviri wako kuburikidza nemukadzi.

Imwe dzidziso ndeyekuti mahormone anoshandura maseru ari kunze kwechibereko kuita maseru akafanana neaya anonamira mukati mechibereko, anozivikanwa semasero endometrium.

Vamwe vanotenda kuti mamiriro acho anogona kuitika kana madiki madumbu emimba yako achinjika kuita endometrial tishu. Izvi zvinogona kuitika nekuti maseru ari mudumbu mako anokura kubva mumasero eumbryonic, ayo anogona kuchinja chimiro uye kuita semasero endometrium. Hazvizivikanwe kuti sei izvi zvichiitika.

Aya maseru ekumagumo ekumagumo anogona kunge ari pamadziro ako epamuviri uye panowanikwa nhengo dzemitezo yako, seyako dundira, ovari, uye rectum. Ivo vanoramba vachikura, kukura, uye kubuda ropa pamusoro penzira yekuenda kwako kumwedzi mukupindura mahormone eako kutenderera.

Izvo zvakare zvinokwanisika kuti ropa rekuenda kumwedzi ribudirire mukati mehuturu hwepamuviri kuburikidza nechironda chekuvhiya, senge mushure mekusvirwa kwekuvhiya (kunowanzozivikanwawo kunzi C-chikamu).

Imwe dzidziso ndeyekuti maseru endometriamu anotakurwa kunze kwechibereko kuburikidza neiyo lymphatic system. Zvakare imwe dzidziso inofunga kuti inogona kunge iri nekuda kwekukanganisa immune system isiri kuparadza inokanganisa masero endometrium.

Vamwe vanodavira kuti endometriosis inogona kutanga munguva ye fetus ine zvisirizvo zvisikwa zvinyama zvinotanga kupindura kumahormone ekuyaruka. Izvi zvinowanzodaidzwa kuti Mullerian dzidziso. Iko kuvandudzwa kweendometriosis kunogona zvakare kuve kwakabatanidzwa kune genetics kana kunyange zvakatipoteredza chepfu.

Endometriosis matanho

Endometriosis ine zvikamu zvina kana mhando. Inogona kuve chero yeanotevera:

• zvishoma
• nyoro
• zvine mwero
• zvakanyanya

Zvinhu zvakasiyana zvinosarudza nhanho yechirwere. Izvi zvinhu zvinogona kusanganisira iyo nzvimbo, nhamba, saizi, uye kudzika kwema endometriamu anodyara.

Chikamu 1: Chidiki

Mune mashoma endometriosis, kune maronda madiki kana maronda uye asina kudzika endometrial implants pane ovary yako. Panogona zvakare kuve nekuzvimba mukati kana kutenderedza yako pelvic cavity.

Stage 2: Nyoro

Yakapfava endometriosis inosanganisira mwenje maronda uye isina kudzika maisheni pane ovary uye pelvic lining.

Stage 3: Pakati nepakati

Moderate endometriosis inosanganisira yakadzika implants pane yako ovary uye pelvic lining. Panogona zvakare kuve nemaronda akawanda.

Stage 4: Yakanyanya

Chikamu chakanyanya kuomarara cheendometriosis chinosanganisira kudyara kwakadzika pane yako pelvic lining uye maovari. Panogona zvakare kuve nemaronda pane ako fallopian machubhu uye ura.

Kuongorora

Zviratidzo zve endometriosis zvinogona kunge zvakafanana nezviratidzo zveimwe mamiriro, senge ovarian cysts uye pelvic anogumbura chirwere. Kurapa kurwadziwa kwako kunoda kuongororwa chaiko.

Chiremba wako achaita imwe kana yakawanda yemiedzo inotevera:

Yakadzama nhoroondo

Chiremba wako anozo cherekedza zviratidzo zvako uye nhoroondo yako wega kana yemhuri ye endometriosis. Ongororo yehutano yakajairika inogona kuitwawo kuti uone kana paine zvimwe zviratidzo zvekusagadzikana kwenguva refu.

Kuongorora kwepanyama

Munguva yekuongororwa kwepilvic, chiremba wako anozonzwa dumbu rako kune cysts kana mavanga kuseri kwechibereko.

Ultrasound

Chiremba wako anogona kushandisa transvaginal ultrasound kana yemudumbu ultrasound. Mune transvaginal ultrasound, transducer inoiswa mukati memukadzi wako.

Ese maviri marudzi e ultrasound anopa mifananidzo yenhengo dzako dzekubereka. Vanogona kubatsira chiremba wako kuti aone ma cysts ane hukama ne endometriosis, asi iwo haanyatsoita kutonga kunze kwechirwere.

Laparoscopy

Iyo chete imwe nzira yekuziva endometriosis ndeyekutarisa iyo zvakananga. Izvi zvinoitwa nediki nzira yekuvhiya inozivikanwa se laparoscopy. Kana uchinge waongororwa, munyama unogona kubviswa nenzira imwecheteyo.

Endometriosis matambudziko

Kuva nenyaya nekubereka idambudziko rakakura re endometriosis. Vakadzi vane mafomu akaomarara vanogona kugona kubata uye kutakura mwana kusvika panguva. Sekureva kweMayo Clinic, vangangoita makumi matatu kusvika makumi mana muzana evakadzi vane endometriosis vane dambudziko rekubata pamuviri.

Mishonga haivandudze mbereko. Vamwe vakadzi vakwanisa kubata pamuviri mushure mekubviswa matomu endometrium. Kana izvi zvikasashanda mune yako, iwe ungangoda kufunga nezvekurapa kwekubereka kana in vitro fetiraiza kubatsira kuvandudza mikana yako yekuve nemwana.

Iwe ungangoda kufunga nezvekuve nevana nekukurumidza kwete pane gare gare kana iwe waonekwa uine endometriosis uye iwe uchida vana. Zviratidzo zvako zvinogona kuwedzera nekufamba kwenguva, izvo zvinogona kuita kuti zviome kubata wega wega. Iwe unozofanirwa kuongororwa nachiremba wako usati uye panguva yekuzvitakura. Taura nachiremba wako kuti unzwisise zvaunogona kusarudza.

Kunyangwe kana kubereka kusiri kunetsekana, kugadzirisa kurwadziwa kusingaperi kunogona kuve kwakaoma. Kushungurudzika, kushushikana, uye zvimwe zvinhu zvepfungwa zvakajairika. Taura nachiremba wako nezvenzira dzekugadzirisa nemhedzisiro iyi. Kujoinha boka rekutsigira kunogona kubatsirawo.

Njodzi zvinhu

Sekureva kwaJohns Hopkins Medicine, vangangoita 2 kusvika kugumi muzana muzana yevakadzi vanobereka vana muUnited States vari pakati pemakore makumi maviri neshanu kusvika makumi mana vane endometriosis. Inowanzo kukura makore mushure mekutanga kwekuenda kwako kumwedzi. Aya mamiriro anogona kuva anorwadza asi kunzwisisa zvinhu zvine njodzi zvinogona kukubatsira kuti uone kana iwe uchigona kubatwa nemamiriro aya uye kana uchifanira kutaura nachiremba wako.

Zera

Vakadzi veese mazera vari panjodzi ye endometriosis. Inowanzo bata vakadzi vane makore ari pakati pe25 ne40, asi zviratidzo zvinogona kutanga pakuyaruka.

Nhoroondo yemhuri

Taura nachiremba wako kana uine nhengo yemhuri ine endometriosis. Iwe unogona kuve nenjodzi yakakwira yekuvandudza chirwere ichi.

Nhoroondo yenhumbu

Kubata pamuviri kunogona kuderera kwenguva pfupi zviratidzo zve endometriosis. Vakadzi vasina kumboita vana vanomhanyisa njodzi yekuvandudza chirwere ichi. Zvisinei, endometriosis inogona kuitika kune vakadzi vakave nevana. Izvi zvinotsigira kunzwisisa kwekuti mahormone anokanganisa kukura uye kufambira mberi kwechiitiko.

Nhoroondo yekuenda kumwedzi

Taura nachiremba wako kana uine matambudziko maererano nenguva yako. Idzi nyaya dzinogona kusanganisira mapfupi macircule, anorema uye akareba nguva, kana kuenda kumwedzi kunotanga achiri mudiki zera. Izvi zvinhu zvinogona kukuisa padanho repamusoro.

Endometriosis kufungidzira (maonero)

Endometriosis chirwere chisingaperi chisina mushonga. Hatinzwisise kuti chii chinokonzeresa zvakadaro.

Asi izvi hazvireve kuti mamiriro acho anofanira kukanganisa hupenyu hwako hwezuva nezuva. Anoshanda ekurapa anowanikwa ekugadzirisa marwadzo uye kubereka nyaya, senge mishonga, hormone kurapwa, uye kuvhiyiwa. Zviratidzo zve endometriosis zvinowanzovandudza mushure mekuguma kuenda kumwedzi.