Ma kahi o 1 ma ka 10 mau wahine e hoʻopili ʻia e ka endometriosis, kahi maʻi gynecological holomua e hāpai i ka makaʻu o ka hānau ʻole a me kekahi mau pilikia i ka wā hāpai. Pehea e mālama ʻia ai ka endometriosis mai ka hapai ʻana a i ka hānau hānau? He aha nā manawa e ʻike ai i ke kūleʻa o kāu papahana ʻohana? Hoʻopunipuni.

THEka hopena ʻo ia kahi maʻi gynecological holomua e manaʻo ʻia e pili ana i 1 i 10 mau wahine a ʻo 40% o nā wahine me ka subfertility a me ka ʻeha pelvic. Hoʻohālikelike ʻia ia e ke alo o nā mucosa endometrial ma waho o ka kōpū. Hiki i kēia mau pūnaewele endometrial ke loaʻa nā wahi like ʻole. Inā kūloko pinepine ʻia lākou i loko o ka ʻōnaehana hānau o ka wahine (ovary, tubes, peritoneum, vagina, a me nā mea ʻē aʻe) Aia i ka hohonu o nā leona a me ke ʻano o ka maʻi, wehewehe ʻia ka endometriosis i nā pae like ʻole mai ka liʻiliʻi a i ka ʻino.

Ma luna o nā mea āpau, hoʻihoʻi iki i ka pōʻai wahine i ke kaʻina. I ka wahine ʻaʻole he halihali, hoʻololi maoli kēia mau pūnaewele i ka uterus me ka pae o ka estrogen. Ke piʻi ka helu i ka wā menstrual, ulu kēia mau hunaola. Ke hoʻemi ia, wāwahi haʻahaʻa ka iwi endometrial.

ʻO kēia ka manawa o nā lula: hoʻoneʻe ʻia ka membrane mucous mai ka cervix, ma o ka ʻōpū. I nā wahine i hoʻopilikia ʻia e endometriosis, ʻaʻole hiki i kēia mau hunaola ke komo i waho. Hōʻike ʻia ka mumū mau a hiki ke hoʻoikaika i nā pōʻaiapuni a me nā makahiki. I nā hihia ʻoi aku ka nui o ka endometriosis, hiki i nā cyst ke hōʻike i nā ovaries i kahi kikoʻī, a me nā adhesions ma waena o nā ʻāpana ʻē aʻe i hoʻopili ʻia.

Inā endometriosis kekahi manawa asymptomat (kahi mea paʻakikī e ʻike i kēia mau hihia), hele pū kēia ʻōpena me nā ʻōuli e like paha me ka hilinaʻi ʻana i ka wahi o nā hunaola endometrial. ʻO nā hōʻailona e kuhikuhi ai i ka endometriosis:

• ʻeha o ka ʻōpū nui (e like me ka ʻeha o ka wā, koe wale nō ʻaʻole ia e hoʻomaha mau ʻia e kahi analgesic);
• digestive a me / a i ʻole urinary disorders (kōpaʻa, diarrhea, ʻeha a paʻakikī paha i ka mimī a i ʻole ke neʻe ʻana o ka ʻōpū, a pēlā aku.);
• he manaʻo luhi nui, kū mau;
• ʻeha i ka wā o ka moekolohe (dispareunia);
• kahe ʻana ke koko, etc.

ʻOiai he hiki ke hāpai ʻole ʻia, ʻoiai ke liʻiliʻi ka endometriosis, hiki i kēia ʻano ke alakaʻi i ka pilikia i ka hāpai ʻana i kahi keiki, a i ʻole ka hānau ʻole. No laila, e like me ka hui EndoFrance, 30 a 40% o nā wahine me ka endometriosis e kū i kahi pilikia momona. ʻO kekahi kiʻi e ʻōlelo nui e pili ana i kēia maʻi: 20 a 50% o nā wahine infertile i loaʻa i ka endometriosis.

Pehea e wehewehe ai i kēia loulou ma waena o endometriosis a me infertility? Hāʻawi ʻia nā ala ʻokoʻa e nā ʻoihana olakino:

• hiki i ka mumū mau ke hoʻopilikia i ka pilina ma waena o ka sperm a me ka oocyte;
• adhesions a i ʻole keakea ʻana i ka proboscis, ke loaʻa, hiki ke hoʻolōʻihi a pale i ka momona;
• ʻO ke hoʻokumu ʻana o nā comet endometriotic i ka ovary hiki ke pale i nā follicle mai ka hoʻomohala pono ʻana ma laila.

I ka manawa i hana ʻia ai ka hōʻailona o endometriosis, hiki i kāu kauka ke kuhikuhi iā ʻoe i ka hānau kōkua kōkua ʻana inā manaʻo ia he pono. Kaukaʻi ʻia i ke kekelē a me ke ʻano o ka endometriosis i loaʻa iā ʻoe a me nā mea kikoʻī o kāu kāne, e ʻōlelo paha ka hui olakino e ukali nei iā ʻoe.

• hoʻonāukiuki ovarian, me a i ʻole ka hoʻokomo ʻana i loko o ka ʻōpū (IUI) ;
• ʻO ka IVF i kekahi manawa ma mua o ka mālama mua ʻana ma muli o ka estrogen-progestogen contraceptive (ka pila) a i ʻole nā ​​agonists GnRH.

Kaha: ʻaʻole ʻōlelo pinepine nā luna olakino i nā lāʻau lapaʻau no ka endometriosis e hāpai i nā manawa o ka hāpai keiki. Eia nō naʻe, hiki ke noʻonoʻo ʻia kēia e kāu mea hana i ka hanana o ka IVF a inā he kaulike kou endometriosis. I ka hanana mālama i hāʻawi ʻia ma ke ʻano he papa hana kōkua kōkua lapaʻau (AMP), ʻo nā manawa o ka hāpai ʻana e ka pōʻaiapuni IVF no nā wahine me ka endometriosis e like a like paha me nā wahine ʻē aʻe e loaʻa ana ka pōʻaiapuni i kahi pōʻaiapili IVF. 'mālama like, ma kahi o 1 i ka 4.

Manaʻo ʻia i kekahi manawa he hāpai ka hāpai ʻana no ka endometriosis. ʻOi aku ka paʻakikī o ka ʻoiaʻiʻo. ʻOiaʻiʻo, ʻo ka impregnation hormonal, ʻoi aku ka estrogen, hoʻololi i ka wā hāpai.

A ʻo kahi hopena, e ʻoi aku paha ka maikaʻi o nā ʻōuli o ka endometriosis i ka manawa o ka trimester mua, a laila e hoʻoliʻiliʻi a i ʻole nalo a hiki i ka hānau ʻana. Eia nō naʻe, hoʻi mau nā ʻōuli o ka endometriosis ke hoʻomaka hou ka menstruation. No laila e hoʻomoe wale ʻia ka maʻi i ka wā ʻōpū.

Hoʻohui ʻia, hiki i ka endometriosis ke hāpai i ka hoʻomaka ʻana o kekahi mau pilikia i ka wā hāpai. Ma kahi kikoʻī, hoʻonui ʻia nā makaʻi o:

• hāʻule mua (+10%);
• hoʻohalamua a prematurity loa;
• Praevia placenta;
• hoʻouna cesarean. I ka nīnau: he nodule a i ʻole nā ​​hopena o kahi ʻoki mua e hana i ka paʻakikī o ka hānau hānau.

Eia nō naʻe, mea nui e hoʻomanaʻo ʻaʻole nā ​​maʻi hāpai āpau i pathological i nā wahine me ka endometriosis a hiki iā lākou ke alakaʻi maikaʻi loa i ka lawe ʻana i ka ʻōpū a me kahi hana hoʻopilikia ʻole ʻia. Inā ʻoe e haʻohaʻo ana e pili ana i ka holomua o kou hāpai ʻana, mai hoʻokaʻulua e huli i kāu mea nāna e hoʻopiʻi nāna e paipai i ka ukali ʻana i kāu hihia.