ʻO Adenomyosis a i ʻole endometriosis kūloko he maʻi maʻamau a maikaʻi hoʻi. Inā pili ʻoe i kēia maʻi, e ʻike e hiki ke noʻonoʻo ʻia kekahi mau lāʻau lapaʻau ma muli o kou makemake e hāpai a ʻaʻole paha. 

Definition

Hoʻomaopopo pinepine ʻia ka adenomyosis ʻo ka endometriosis i loko o ka ʻōpū. Ua like ia me ka hoʻokomo ʻana o nā keʻena o ka endometrium (ka uhi ʻana o ka ʻōpū) i loko o ka ʻiʻo o ka paia o ka ʻōpū (myometrium), kahi i hopena i ka mānoanoa o ka myometrium. 

Hiki i ka Adenomyosis ke laha a i ʻole ke kiko (hoʻokahi a i ʻole kekahi mau kiko i loko o ka myometrium), papa a hohonu paha. ʻO ka diffuse adenomyosis ka mea maʻamau. 

ʻO ia: aia kahi loulou ma waena o ka endometriosis a me ka adenomyosis akā hiki i ka wahine ke loaʻa i ka endometriosis me ka ʻole adenomyosis a i ʻole ka adenomyosis me ka ʻole endometriosis. 

Hiki i kēia pathology uterine ke hoʻopili i ka momona. 

Nā kumu 

ʻAʻole ʻike ʻia nā kumu kūpono o kēia maʻi. Ua ʻike mākou e pili ana ia i ka pae estrogen a ʻo nā wahine i loaʻa ma ka liʻiliʻi o hoʻokahi hāpai ʻana a i ʻole ka poʻe i loaʻa i ka ʻoki ʻōpū (ʻāpana cesarean, curettage, a me nā mea ʻē aʻe) ʻoi aku ka pilikia o ka ulu ʻana o ka adenomyosis. 

PalekanaEND_LINK 

Ke kānalua ʻia ka adenomyosis, hana ʻia kahi ultrasound pelvic. Inā ʻaʻole lawa ka hana ʻana i ka maʻi maʻi, hana ʻia ka pelvic magnetic resonance imaging (MRI). Ma waho aʻe o ka ʻae ʻana i ka maʻi maʻi, hiki i nā hoʻokolohua kiʻi ke hoʻoholo i ke kiʻekiʻe o ka hoʻonui ʻana, e ʻimi i kahi pathology uterine e pili ana (endometriosis, fibroids uterine), ma ke ʻano o ka infertility. 

Nā kānaka e pili ana 

Hoʻopili ʻia ka Adenomyosis ma kahi o hoʻokahi o nā wahine ʻelua ma waena o nā makahiki 40 a me 50. Hoʻopili ʻia ka Adenomyosis a me ka endometriosis ma 6 a 20% o nā hihia. Hoʻopili ʻia ka Adenomyosis ma kahi o 30% o nā hihia me ka loaʻa ʻana o nā fibroids uterine. 

Nā mea pilikino 

ʻIke ʻia ka Adenomyosis i nā wahine me nā keiki he nui (multiparity). 

ʻO nā kumu pilikia ʻē aʻe i ʻike ʻia no ka adenomyosis ʻo ia: ka lā o ka menstruation mua, ka hāʻule ʻole a i ʻole ka haʻalele ʻana, ka ʻāpana cesarean, ka mālama ʻana me Tamoxifen. 

Hiki ke loaʻa kahi predisposition genetic. 

I ka hapakolu o nā hihia, ʻaʻole hāʻawi ka adenomyosis i nā hōʻailona (ua ʻōlelo ʻia he asymptomatic).

Ke hōʻailona ia, kaumaha a lōʻihi nā hōʻailona, ​​ʻeha pili i nā pōʻai, ʻeha pelvic.

Nā wā kaumaha a lōʻihi (menorrhagia)

ʻO nā wā kaumaha a lōʻihi ka hōʻailona maʻamau o ka adenomyosis. He hōʻailona ia i loaʻa i ka hapalua o nā wāhine i hoʻopilikiaʻia. ʻO Adenomyosis ke kumu maʻamau o nā wā kaumaha a lōʻihi i nā wahine 40-50 makahiki. Hiki ke hoʻokahe ke koko ma waho o kou wā (menorrhagia). 

ʻeha pili i ke kaʻa (dysmenorrhea) 

Hiki ke hōʻailona ʻia ka Adenomyosis e ka ʻeha menstrual akā ʻo ka ʻeha pelvic kūʻē i nā analgesics maʻamau a me ka ʻeha i ka wā o ka moekolohe. 

Hōʻike ka hoʻokolohua hoʻokolohua i ka hoʻonui ʻia o ka ʻōpū.

ʻOkoʻa ka mālama ʻana i ka adenomyosis ma muli o ka makemake o ka wahine e mālama i ka hiki ke hāpai a ʻaʻole paha.

Inā makemake ka wahine e mālama i ka hiki ʻana o ka hāpai ʻana, aia ka lāʻau lapaʻau i ke kau ʻana o nā lāʻau anti-hemorrhagic i hoʻohana ʻia i hoʻokahi manawa i ka 1 ma ke koko a i ʻole ke kau ʻana o kahi mea intrauterine (IUD) me ka progesterone, pono 2 o 2 mau manawa. i ka hoʻomaha ʻana i nā hōʻailona. 

Inā ʻaʻole makemake ka wahine e hāpai hou, ʻo ka mālama ʻana i ka luku ʻana i ka endometrium (endometrectomy). Ke nui loa nā komo ʻana o ka ʻōpū o ka ʻōpū a me ka ʻeha nui a me ke koko, hiki ke wehe ʻia ka ʻōpū (hysterectomy).

Hāʻawi nā ʻenehana radiology interventional (embolization o nā ʻaʻa o ka ʻōpū, nānā ultrasound) i nā hopena hoihoi akā pono e wehewehe ʻia ko lākou wahi i ka mālama ʻana i ka adenomyosis. 

Adenomyosis, nā hoʻonā kūlohelohe 

ʻO ka ʻai mau ʻana i nā mea kanu mai ka ʻohana cruciferous (kāpeti, broccoli, a me nā mea ʻē aʻe) hiki ke hōʻemi i nā hōʻailona o ka adenomyosis ma o kā lākou hana ʻana i nā pae o nā hormones wahine.

ʻAʻole hiki ke pale ʻia ka Adenomyosis no ka mea ʻaʻole ʻike ʻia nā kumu kūpono o ka maʻi. 

No ka pale ʻana i ka endometriosis, akā naʻe, ʻike mākou ʻo ke ola olakino, ka meaʻai kaulike, ka mālama ʻana i ke koʻikoʻi maikaʻi a me ka hoʻoikaika kino maʻamau hiki ke kaupalena i ka pilikia o ka ulu ʻana a i ʻole ka hoʻi hou ʻana o ka maʻi.