Chii chinonzi Rectovaginal Endometriosis?

Zvemukati

• Ndezvipi zviratidzo?
• Chii chinokonzera rectovaginal endometriosis?
• Izvi zvinoonekwa sei?
• Ndedzipi nzira dzekurapa dziripo?
• Kuvhiya
• Mishonga
• Zvinonetsa zvinogoneka here?
• Chii chaunogona kutarisira?

Zvakajairika here?

Endometriosis mamiriro mune iyo turu iyo inowanzo isa chibereko chako - inonzi endometrial tishu - inokura uye inoungana mune dzimwe nzvimbo dzemudumbu nemuhudyu.

Munguva yekuenda kwako kumwedzi, munyama uyu unogona kupindura mahormone sezvazvinoita muchibereko chako. Nekudaro, nekuti iri kunze kwechibereko chako uko isiri yayo, inogona kukanganisa dzimwe nhengo, kukonzera kuzvimba, uye kukonzera vanga.

Kune iwo matanho ekuomarara kwe endometriosis:

• Yakakwirira endometriosis. Nzvimbo diki dzinobatanidzwa, uye zvinyama hazvikure zvakadzika kwazvo mukati memitezo yako yepelvic.
• Yakadzika inopinda endometriosis. Iyi ndiyo nhanho yakaoma yemamiriro acho. Rectovaginal endometriosis inowira pasi peichi chikamu.

Rectovaginal endometriosis ndeimwe yemhando dzechirwere. Iyo tendometrial tishu inogona kuwedzera kune maviri masendimita kana kupfuura pakadzika. Inogona kupinza yakadzika mukati memukadzi, rectum, uye munyama wakarara pakati pechikadzi uye rectum, inonzi rectovaginal septum.

Rectovaginal endometriosis haina kujairika kupfuura endometriosis mumazai kana mudumbu. Zvinoenderana neongororo muInternational Journal yeWomen's Health, rectovaginal endometriosis inokanganisa kusvika kune vakadzi vane endometriosis.

Ndezvipi zviratidzo?

Zvimwe zviratidzo zve rectovaginal endometriosis zvakafanana nemamwe marudzi endometriosis.

Zviratidzo zveimwe endometriosis mhando dzinosanganisira:

• kurwadziwa kwepamuviri uye kurwadza
• nguva dzinorwadza
• bonde rinorwadza
• kurwadziwa panguva yekufamba kwematumbu

Zviratidzo zvakasarudzika kune aya mamiriro zvinosanganisira:

• kusagadzikana panguva yekufamba kwematumbu
• kubuda ropa kubva muguru
• kuvharirwa kana kuita manyoka
• kurwadziwa mu rectum iyo inogona kunzwa kunge iwe "wakagara pamunzwa"
• gasi

Zviratidzo izvi zvinowanzo wedzera panguva yekuenda kwako kumwedzi.

Chii chinokonzera rectovaginal endometriosis?

Vanachiremba havazivi chaizvo izvo zvinokonzeresa rectovaginal kana mamwe mafomu endometriosis. Asi vane zvishoma zvirevo.

Dzidziso yakajairika ye endometriosis ine chekuita nekudzokera kumwedzi kuyerera kweropa. Izvi zvinozivikanwa sekutevera kuenda kumwedzi. Munguva yekuenda kumwedzi, ropa uye zvinyama zvinogona kuyerera zvichidzoka kuburikidza nemazamu ekuzvimba uye muchiuno, pamwe nekunze kwemuviri. Maitiro aya anogona kuisa matishu endometriamu mune zvimwe zvikamu zvemuhudyu uye mudumbu.

Nekudaro, ongororo ichangoburwa yakawana kuti nepo kusvika kuvakadzi vanogona kuwana kudzokerazve kumwedzi, ruzhinji harufambire mberi kukudziridza endometriosis. Asi, vaongorori vanotenda kuti immune system ine basa rakakosha mukuita uku.

Zvimwe zvinokwanisika zvinopa mukuvandudza mamiriro aya zvinogona kusanganisira:

• Shanduko yesero. Masero anokanganiswa ne endometriosis anopindura zvakasiyana nemahomoni uye nezvimwe zviratidzo zvemakemikari.
• Kuzvimba. Zvimwe zvinhu zvine basa mukuzvimba zvinowanikwa munzvimbo dzakakwirira mumatumbu akanganiswa ne endometriosis.
• Kuvhiya. Kuva nekutora kwekusiyiwa, hysterectomy, kana kumwe kuvhiyiwa kwepamuviri kunogona kuva njodzi yekukonzera zvikamu zve endometriosis. Chidzidzo che2016 muRuzivo rweKubereka chinoratidza kuti kuvhiya uku kunogona kukonzera muviri kukurudzira kukura kwezvinyama zvatovepo.
• Majini. Endometriosis inogona kumhanya mumhuri. Kana iwe uine amai kana hanzvadzi ine mamiriro acho, pane yekukudziridza, pane munhu asina nhoroondo yemhuri yechirwere.

Vakadzi vanowanzo kukura rectovaginal endometriosis.

Izvi zvinoonekwa sei?

Rectovaginal endometriosis inogona kunetsa kuongorora. Iko kune maitiro ekuziva iyi fomu yechirwere.

Chiremba wako anotanga kubvunza mibvunzo nezve ako zviratidzo, kusanganisira:

• Wakatanga rini kuenda kumwedzi? Zvairwadza here?
• Iwe une zviratidzo sekurwadziwa kwepamuviri here, kana kurwadziwa panguva yebonde kana ura kufamba?
• Ndezvipi zviratidzo zvaunazvo kwakatenderedza uye panguva yako?
• Une nguva yakareba sei uine zviratidzo? Vachinja here? Kana zvirizvo, zvachinja sei?
• Wakambove nekuvhiyiwa kunzvimbo yako yepelvic, sekuregedzwa kwekuregedza?

Ipapo, chiremba wako anozotarisa yako nyadzi uye rectum nechigunwe chakashongedzwa kuti atarise chero marwadzo, mapundu, kana zvinyama zvisina kujairika.

Chiremba wako anogona zvakare kushandisa imwe kana yakawanda yeanotevera mabvunzo kutsvaga endometrial tishu kunze kwechibereko:

• Ultrasound. Uyu muedzo unoshandisa mafungu epamusoro-frequency kurira kugadzira mifananidzo yemukati memuviri wako. Chigadzirwa chinonzi transducer chinogona kuiswa mukati memukadzi wako (transvaginal ultrasound) kana rectum.
• MRI. Muedzo uyu unoshandisa magetsi ane simba uye masaisai redhiyo kugadzira mifananidzo yemukati medumbu rako. Inogona kuratidza nzvimbo dze endometriosis munhengo dzako uye mudumbu maburi.
• CT colonography (chaiyo colonoscopy). Bvunzo iyi inoshandisa yakaderera-dose X-rays kutora mifananidzo yemukati lining yekoloni yako uye rectum.
• Laparoscopy. Uku kuvhiya kunowanzo kuve. Paunenge wakarara uye usingarwadziwe pasi peanesthesia, chiremba wako anovhiya zvishoma mudumbu rako. Vachaisa chubhu nhete nekamera kune rimwe divi, inonzi laparoscope, mudumbu mako kutsvaga matishu endometrium. Muenzaniso wetissue unowanzo bviswa kuti uongororwe.

Mushure mekunge chiremba wako aona matendometrial tishu, ivo vanozoongorora kuomarara kwayo. Endometriosis yakakamurwa kuita nhanho zvichibva pauwandu hwematinji endometrium aunayo kunze kwechibereko chako uye nekudzika kwayinoita:

• Chikamu 1. Minimal. Kune dzimwe nzvimbo dzakasarudzika dzemaviri endometrial.
• Chikamu 2. Nyoro. Iyo turu inowanzo kuve pamusoro pechikamu chemuviri pasina vanga
• Chikamu 3. Pakati nepakati. Dzimwe nhengo dzinobatanidzwa, pamwe nedzimwe nzvimbo dzezvipenga.
• Chikamu 4. Zvakanyanya. Kune mitezo mizhinji yakabatanidzwa nenzvimbo dzakakura dzehutachiona hwemendometri uye vanga.

Nekudaro, iyo danho re endometriosis haina hukama nezviratidzo. Panogona kuve nezvakakosha zviratidzo kunyangwe nezvikamu zvakaderera zvechirwere. Rectovaginal endometriosis kazhinji.

Ndedzipi nzira dzekurapa dziripo?

Nekuti ichi chiitiko chiri kuenderera uye chisingaperi, chinangwa chekurapa kudzora zviratidzo zvako. Chiremba wako achakubatsira iwe kusarudza kurapwa kunoenderana nekuti yakanyanya sei mamiriro uye kwayakawanikwa. Izvi zvinowanzo sanganisira musanganiswa wekuvhiya nemushonga.

Kuvhiya

Kuvhiya kubvisa yakawanda yemamwe maturusi sezvinobvira kunopa runyararo rukuru. Kutsvakurudza kunoratidza kuti zvinogona kuvandudza kusvika kune zviratidzo zvine chekuita nemarwadzo.

Endometriosis kuvhiyiwa kunogona kuitwa laparoscopically kana robhoti kuburikidza zvidiki zvidiki uchishandisa zvidiki zviridzwa.

Maitiro ekuvhiya anogona kusanganisira:

• Kuveura ndebvu. Chiremba wako anoshandisa chimbo chinopinza kubvisa nzvimbo dze endometriosis. Maitiro aya anogona kazhinji kusiya mamwe endometrial tishu kumashure.
• Kubata zvakare. Chiremba wako anobvisa chikamu chemuura uko endometriosis yakura, uyezve wobatanidzazve ura.
• Discoid excision. Kune madiki madiki endometriosis, chiremba wako anovhiya anogona kucheka dhisiki yezvinyama zvakakanganiswa mumatumbo uye obva avhara kuvhura.

Mishonga

Parizvino, pane maviri akakosha marudzi emishonga inoshandiswa kurapa rectovaginal uye mamwe marudzi endometriosis: mahormone uye marwadzo ekudzora.

Hormone kurapa kunogona kubatsira kudzora kukura kwetendometrial tishu uye kudzikisira chiitiko chayo kunze kwechibereko.

Mhando dzehomoni madhiragi dzinosanganisira:

• kuzvarwa, kusanganisira mapiritsi, chigamba, kana mhete
• gonadotropin-kusunungura mahormone (GnRH) agonists
• danazol, isinganyanyo shandiswa nhasi
• jekiseni reprogestin (Depo-Provera)

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

Zvinonetsa zvinogoneka here?

Kuvhiya kwekurapa rectovaginal endometriosis kunogona kukonzera matambudziko akadai se:

• kubuda ropa mukati medumbu
• fistula, kana kubatana zvisina kujairika, pakati pemukadzi uye rectum kana dzimwe nhengo
• kusingaperi kuzvimbirwa
• kuyerera kwakatenderedza ura hwakabatana zvakare
• kunetseka kupfuura zvituru
• isina kukwana chiratidzo chekudzora chinoda kuvhiyiwa kwakawanda

Vakadzi vane rudzi urwu rwe endometriosis vanogona kuva nedambudziko rakawanda kubata pamuviri. Iyo nhumbu yekuzvitakura mune vakadzi vane rectovaginal endometriosis yakaderera pane iyo mwero mune vakadzi vane mashoma zvakanyanya mafomu echirwere. Kuvhiya uye in vitro fetiraiza kunogona kuwedzera ako kusagadzikana kwekubata.

Chii chaunogona kutarisira?

Maonero ako anoenderana nekuti yakanyanya sei endometriosis yako uye mabatirwo ayo. Kuitwa oparesheni kunogona kudzikamisa marwadzo uye nekuvandudza kubereka.

Nekuti endometriosis mamiriro anorwadza, inogona kukanganisa hupenyu hwako hwezuva nezuva. Kuti uwane rutsigiro munharaunda yako, shanyira Endometriosis Foundation yeAmerica kana iyo Endometriosis Association.