Endometriosis: pehea e ʻike maikaʻi ai i kēia maʻi

Endometriosis, he aha ia?

ʻO ka endometrium he a ka uhi o ka ʻōpū. Ma lalo o ka hopena o nā hormones (estrogen a me progesterone), i ka wā o ka pōʻaiapuni, mānoanoa ka endometrium i ka manawa o ka ovulation, a inā ʻaʻohe fertilization, haki a kahe ke koko. ʻO kēia nā lula. ʻO ka Endometriosis kahi maʻi i hoʻokumu ʻia e ka ʻiʻo e like me ka ʻiʻo endometrial e neʻe a ulu ma waho o ka ʻōpū, a laila ke kumu o ka lesions, adhesions and cysts in colonized organs. I kekahi mau hihia, hiki i nā ʻeha ke komo hohonu i loko o nā paia o nā ʻāpana pelvic i ka manawa (digestive system, bladder, etc.). Kapa ʻia kēia ʻano endometriosis hohonu, ʻo ia kekahi o nā maʻi koʻikoʻi o ka maʻi. ʻO ka ʻokoʻa, kapa mākou i ka endometriosis superficial he endometriosis e pili wale ana i nā ʻiʻo e puni ana i ka ʻōpū (tubes, ovaries). No ka mea he mau ʻāpana kēia o ka endometrium, e hana nā ʻeha endometriosis i kēlā me kēia mahina e like me ka endometrium: e mānoanoa lākou ma lalo o ka hopena o nā hormones a me ke koko, e hōʻeha ai i ka ʻeha i ka wā a me / a i ʻole ka moekolohe, a i ka wā e hele ai i ka lumi ʻauʻau, e pili ana i ka wahi o nā maʻi.

Nānā: a hiki i kēia lā, aia wale nā ​​manaʻo e pili ana i ke kumu o kēia maʻi i waiho ʻia he "pohihihi" no nā kauka. Hoʻopuka ʻia nā kumu genetic (ʻohana) a me ke kaiapuni (pollution, endocrine disruptors, hormones).

ʻO wai ka poʻe "pilikia"?

ʻO ka awelika makahiki o ka loaʻa ʻana o ka maʻi ma kahi o 27 mau makahiki akā, hiki i na wahine a pau ke pili i keia ma'i, oiai ua hooponopono ia. ʻO ka manawa pinepine kēia mau wahine ʻōpio ʻaʻohe keiki. Eia nō naʻe, ʻike ʻia ka endometriosis ma hope o ka hāpai ʻana. E hoʻomanaʻo ua loaʻa nā wahine me ka endometriosis ʻeha nui loa i ko lākou wā, i kekahi manawa e pale ana iā lākou mai ka hele ʻana i ke kula a i ʻole ka hana. ʻO ka loaʻa ʻana o nā wā paʻakikī i ka ʻōpio, ʻoiaʻiʻo, hiki ke lilo i kahi kūlana mua o ka maʻi. Eia kekahi, he mea maʻamau ka loaʻa ʻana o nā ʻohana e loaʻa ana i kēia pathology i ka pae mua.

I nā makahiki i hala iho nei, ua ʻōlelo ākea ʻia kēia maʻi. Ua nui aʻe nā hui o nā wahine maʻi,

Pehea e ʻike ai i nā hōʻailona mua o ka endometriosis?

ʻO ka hoʻokaʻawale ʻana ma waena o ka ʻeha "maʻamau" a me ka ʻeha "abnormal" he paʻakikī loa, ʻaʻole wale no nā wahine, akā no nā kauka pū kekahi. ʻO nā wahine e pili ana, ʻo ia ka poʻe i loaʻa i ka ʻeha mau i ka wā o ka menstruation, e koi ana i ka lāʻau lapaʻau (e laʻa me Antadys). ʻAʻole hiki i kēia mau wahine ke ala aʻe i ke kakahiaka no ka nui o ka ʻeha a i ʻole ka hoʻomaha maʻi. Ponoʻoe eʻike e hiki ke hoʻonui i kaʻeha i ka manawa aʻaʻole e kaupalena waleʻia i ka manawa o nā rula. ʻO ka moe ʻeha, nā genes i ka wā defecation a me ka mimi ʻana i ka manawa like me ka menstruation, hiki ke manaʻo ʻia he endometriosis. Akā ʻaʻole hiki ke hōʻike ʻia ka maʻi iā ia iho me kēia mau hōʻailona, ​​​​hiki ke "hamu". Hoʻomaʻamaʻa pinepine ʻia ka ʻike o ka endometriosis i ka wā e kūkākūkā ai ka wahine no ka hiki ʻole iā ia ke hānau keiki.

Pehea e ʻike ai i ka endometriosis?

ʻIke pinepine ʻia ka maʻi i ka wā o ka hana ʻole ʻana i kuhikuhi ʻia i nā kāne pilikia i ka hāpai ʻana. Hiki i ka ʻeha pelvic ke hoʻomaopopo i nā kauka nāna e kauoha i kahi ultrasound, i kekahi manawa he MRI. ʻO ka mea hope loa, ʻo ia ka ʻike ʻana i kahi cyst ma kahi ultrasound maʻamau ʻo ia ka mea hōʻike.

Un hōʻike hoʻokolohua (nānā, hoʻokolohua vaginal) alakaʻi ʻia e kahi loea i kēia maʻi e hāʻawi pinepine i ka manaʻo pololei o ka nui o nā lesion. ʻO MRI a i ʻole ultrasound, ke hana ʻia e nā kauka i ʻike i kēia ʻano, hiki ke hāʻawi i nā pane. Eia nō naʻe, paʻakikī ka loaʻa ʻana o ka hōʻailona me ka maopopo, no ka mea, ʻo ke ala wale nō e ʻike pono ai i ka paʻakikī o nā ʻeha, ʻo ia ke hana i kahi laparoscopy. I loko o kēia kaʻina hana, lawe ke kauka lapaʻau i kahi laʻana o nā maʻi i mea e nānā ai a hoʻokumu i ka maʻi.

ʻO ka Endometriosis kahi maʻi paʻakikī a paʻakikī ke ʻike. ʻO ka manawa e hōʻoia ai ma kahi o ʻehiku mau makahiki, he mea nui. He kuleana ko kēlā me kēia maʻi a me nā kauka. Ma kekahiʻaoʻao, ua lohi nā wāhine i ka heleʻana no ke kūkākūkāʻana no ka mea,ʻo ko lākou mau wāʻeha kekahi hapa o ko lākou ola a manaʻo lākou he "maʻamau kaʻeha" e like me kā ko lākou makuahine a me ko lākou kupunawahine i haʻi mua iā lākou. Ma kela aoao, Hoʻohaʻahaʻa pinepine nā kauka i nā hoʻopiʻi wahine, a kuhikuhi i nā mea hōʻeha ʻeha a i ʻole nā ​​​​palapala e uhi i nā hōʻailona me ka ʻole i ʻike ʻia me ka maʻi. He mea nui e aʻo hohonu ʻia ke kumuhana o ka endometriosis i ka wā o ke aʻo ʻana o nā kauka e hiki mai ana, akā no nā palekeiki i mea e hōʻemi ai i kēia manawa diagnostic.

He aha nā pilikia o ka endometriosis?

ʻO ka pilikia nui e pili ana i ka endometriosis ʻo ka infertility. E pili ana ʻO 30-40% o nā wahine me ka endometriosis e ʻike i ka infertility. A hoʻokahi o 3 wahine i pilikia i ka hāpai ʻana he endometriosis. Hiki ke hoʻopōʻino i nā paipu a me nā ovaries i ka nui o nā adhesions (e ālai iā lākou), a hoʻokipa i ka ʻōpū. Hiki i ke kauka ke ʻōlelo i kahi hoʻolālā lapaʻau a i ʻole ka hoʻopaʻa ʻana, ma muli o ka ʻike. ʻO ke ala mua o ka laina e lawe a pill mau e ālai i ka haʻi ʻana, a pēlā e hoʻolohi ai i ka holomua o ka maʻi. ʻO ka ʻoki ʻana ka manaʻo e wehe i nā maʻi he nui e like me ka hiki, me ka manaʻo e hōʻemi i ka ʻeha a / a i ʻole e hoʻonui i ka manawa o ka hāpai ʻana.

'Ōlelo Aʻo: ʻoi aku ka maikaʻi ʻaʻole e hoʻopaneʻe nui i ka hāpai ʻana i makemake ʻia, no ka mea, ʻoi aku ka lōʻihi o ka manawa, ʻoi aku ka emi o ka manawa o ka hāpai ʻana.

Endometriosis: he aha ka lāʻau i kēia manawa?

He ʻokoʻa ka mālama ʻana mai kēlā me kēia maʻi no ka mea ʻokoʻa ke ʻano o ka endometriosis i kēlā me kēia kanaka. Inā ʻo ka mea nui o ka wahine ke mālama i kona ʻeha, Hoʻomaka pinepine mākou ma ke kau ʻana i kahi pilala mau. ʻO ka pahuhopu ka loaʻa ʻana o ka amenorrhea (menstruation suppression) me ka hoʻopaʻa ʻana o ka ovulation a me ka emi ʻana o nā pae estrogen. ʻO ka hoʻomaha ʻana i nā ovaries ma ka hoʻopau ʻana i nā pōʻai e kōkua i ka hōʻemi ʻana i ka ʻeha, ʻoiai ʻaʻole kēia e hoʻonā mau loa i ka endometriosis. Hiki ke koho ʻia: nā analogues o Gn-RH. ʻO kēia nā lāʻau lapaʻau e hoʻokomo i ka mea maʻi i ke ʻano o ka menopause artificial. Eia nō naʻe, hiki iā lākou ke loaʻa nā hopena koʻikoʻi, e like me ka wela wela, hoʻemi libido a i ʻole osteoporosis. ʻAʻole pono kā lākou ʻōlelo ʻōlelo ma mua o hoʻokahi makahiki. Ke kū'ē ka ʻeha i ka lāʻau lapaʻau, ʻo ke ʻoki ka mea ʻē aʻe. ʻO ka Laparoscopy me ka wehe ʻana i nā ʻeha endometriotic a pau ke ʻano o ke koho ʻana, e pili ana i kahi kaulike kūpono / pōmaikaʻi no ka mea maʻi.

ʻO ka meaʻai, pehea e kōkua ai iā mākou e hōʻemi i nā hōʻailona o ka endometriosis?

Hiki paha ke hāpai ʻana me ka endometriosis?

Ma kahi o 30-40% o nā wahine i hoʻopilikia ʻia e paʻakikī i ka hāpai ʻana. ʻO ka Endometriosis kahi kumu o ka infertility, akā ʻaʻole ʻo ia wale nō. ʻO ka loaʻa ʻana o ka endometriosis, ka makahiki o ka wahine, kāna mālama ovarian, ka permeability o nā paipu nā mea āpau e noʻonoʻo ʻia i ka hoʻoholo ʻana i ka hoʻolālā maikaʻi loa. Loaʻa iā mākou nā koho ʻelua: ʻokiʻoki a me ka hānau ʻana i kōkua ʻia e ke kauka (MAP). Hōʻike nā haʻawina e hoʻonui nui ʻia nā hopena e pili ana i ka ulu ʻana i ka wā e pau ai ka wehe ʻana o nā ʻōpala. Eia nō naʻe, hiki nō ke koho iā ART me ka ʻole o ka hana ʻana ma mua. Ma muli o ka paʻakikī o ka endometriosis, aia kekahi mau koho lapaʻau: hoʻoulu ʻia o ka ovarian me ka insemination intrauterine a me IVF.