Endometriosis o ka ʻōpū - he aha ia a pehea e mālama ai?

ʻO Endometriosis o ka ʻōpū: he aha ia ma kahi ʻōlelo hiki ke loaʻa?

ʻO ka pilikia o ka endometriosis o ka ʻōpū he mea kūpono loa ia no ka lāʻau lapaʻau hou. ʻO kēia ma muli o ka piʻi ʻana o ka maʻi i kēlā me kēia makahiki. Wahi a nā helu helu, mai 5 a 10% o nā wahine ʻōpio ma ka honua holoʻokoʻa e loaʻa i ka endometriosis. Ma waena o nā maʻi i ʻike ʻia me ka infertility, ʻoi aku ka maʻamau o ka endometriosis: ma 20-30% o nā hihia.

Ka hopena - he maʻi pathological kēia o nā ʻiʻo glandular o ka ʻōpū, ʻo ia ka benign. ʻO nā pūnaewele hou i hoʻokumu ʻia he ʻano like ke ʻano a me ka hana me nā ʻāpana o ka endometrium o ka ʻōpū, akā hiki ke noho ma waho o ia mea. ʻO nā ulu (heterotopias) i ʻike ʻia e hele mau ana i nā loli cyclic, e like me kēlā mau loli i kēlā me kēia mahina me ka endometrium i loko o ka ʻōpū. Loaʻa iā lākou ka hiki ke komo i loko o nā ʻiʻo olakino e pili ana a hana i nā adhesions ma laila. Hoʻopili pinepine ʻia ka endometriosis me nā maʻi ʻē aʻe o ka etiology hormonal, no ka laʻana, fibroids uterine, GPE, etc.

ʻO ka Endometriosis kahi maʻi gynecological, i hui pū ʻia me ka hoʻokumu ʻana o nā nodes maikaʻi i loaʻa ke ʻano like me ka uhi o loko o ka ʻōpū. Hiki ke loaʻa kēia mau nodes i loko o ka ʻōpū ponoʻī a ma waho o ke kino. ʻO nā ʻāpana o ka endometrium, ka mea i hōʻole ʻia i kēlā me kēia mahina e ka paia o loko o ka ʻōpū i ka wā o ke kahe ʻana o ka menstrual, ʻaʻole paha e puka loa i waho. Ma lalo o kekahi mau kūlana, noho kekahi o lākou i loko o ka fallopian tubes, a me nā mea ʻē aʻe, a hoʻomaka e ulu, e alakaʻi ana i ka endometriosis. ʻO nā wāhine i loaʻa i ke koʻikoʻi pinepine, ʻoi aku ka maʻalahi o ka maʻi.

Me kahi maʻi, ulu ka endometrium ma kahi e pono ʻole ai. Eia kekahi, hoʻomau ka hana ʻana o nā cell ma waho o ka ʻōpū e like me kona lua, ʻo ia hoʻi, hoʻonui i ka wā menstruation. ʻO ka pinepine, pili ka endometriosis i nā ovaries, fallopian tubes, ka mea hoʻoponopono ligamentous o ka ʻōpū, a me ka ʻōpū. Akā i kekahi manawa, ʻike ʻia ka endometriosis i loko o ka māmā a ma nā mucous membrane o ka ihu.

ʻO nā kumu no ka ulu ʻana o ka endometriosis

Hiki ke kapa ʻia ʻo Endometriosis he maʻi me kahi etiology i wehewehe ʻole ʻia. I kēia manawa, ʻaʻole hiki i nā kauka ke ʻimi i ke kumu kūpono o kona hiki ʻana mai. He mau manaʻo ʻepekema wale nō e pili ana i kēia kumuhana, akā ʻaʻohe o lākou i hōʻoia ʻia. Manaʻo ʻia ʻo nā mea pilikia no ka hoʻomohala ʻana o ka endometriosis he mau maʻi maʻi pinepine ʻia i ka wā kamaliʻi, ʻaʻole imbalance hormonal i ke kino, ʻeha o nā ovaries. E like me ka mea i ʻōlelo ʻia, pili pinepine ka endometriosis me nā fibroids uterine.

ʻO ke kumumanaʻo o ka retrograde menstruation a hiki i kēia lā ua loaʻa ka pane nui loa ma waena o nā loea i komo i ke aʻo ʻana i ka pilikia o ka endometriosis. Hoʻopili ka hypothesis i ka ʻoiaʻiʻo i ka wā o ka menstrual bleeding, nā ʻāpana o ka mucosa uterine me ke kahe o ke koko e komo i loko o ka peritoneal cavity a me nā fallopian tubes, noho ma laila a hoʻomaka e hana. ʻOiai ke komo ʻana o ke koko menstrual mai ka ʻōpū ma o ka ʻōpū i loko o ke kaiapuni o waho, ʻo ke koko i hūnā ʻia e nā ʻāpana endometrial i loaʻa i ke aʻa i loko o nā ʻāpana ʻē aʻe ʻaʻole e loaʻa kahi ala i waho. ʻO ka hopena, loaʻa nā microhemorrhages i kēlā me kēia mahina ma kahi o ka endometriosis foci, kahi e pili ana i nā kaʻina inflammatory.

ʻO nā manaʻo ʻē aʻe e hōʻike ana i nā kumu o ka endometriosis penei:

• kuhiakau implantation. Hoʻopili ia i ka ʻoiaʻiʻo ua hoʻokomo ʻia nā ʻāpana endometrial i loko o nā ʻiʻo o nā kino, e hele ana i laila me ke koko menstrual.

• kuhiakau metaplastic. Hoʻomaka ia i ka ʻoiaʻiʻo ʻaʻole e aʻa nā cell endometrial iā lākou iho i nā wahi maʻamau no lākou, akā hoʻoulu wale i nā ʻiʻo i nā loli pathological (i ka metaplasia).

Eia naʻe, a hiki i kēia manawa, ʻaʻohe pane i ka nīnau nui: no ke aha e ulu ai ka endometriosis i kekahi mau wahine wale nō, ʻaʻole i loko o nā wahine maikaʻi a pau. Ma hope o nā mea a pau, ʻike ʻia ka menstruation retrograde i kēlā me kēia o lākou.

Manaʻo nā kānaka ʻepekema e ulu ana ka endometriosis ma ke alo o kēia mau mea pilikia:

• ʻO nā maʻi palekana i ke kino.

• Predisposition hoʻoilina i ka ulu ʻana o ka maʻi.

• ʻO kekahi ʻano o nā appendages, e alakaʻi ana i ka nui o ke koko e komo i loko o ka lua peritoneal i ka wā menstruation.

• ʻO ke kiʻekiʻe o ka estrogen i loko o ke koko.

• Makahiki mai 30 a 45 makahiki.

• ʻO ka inu nui ʻana i ka waiʻona a me nā mea inu i loko o ka caffeine.

• Lawe i kekahi mau lāʻau.

• ʻO nā maʻi metabolic e alakaʻi ana i ka momona.

• Hoʻopōkole i ka pōʻaiapili kāne.

Ke hana pono nei ka ʻōnaehana pale, nānā a hoʻōki i nā ʻāpana cell pathological āpau i ke kino. Hoʻopau pū ʻia nā ʻāpana o nā ʻiʻo i komo i loko o ka lua peritoneal me ke koko menstrual e ka ʻōnaehana pale. Hoʻopau ʻia lākou e nā lymphocytes a me nā macrophages. Ke hāʻule ka ʻōnaehana pale, e hoʻomau nā ʻāpana liʻiliʻi loa o ka endometrium i loko o ka ʻōpū o ka ʻōpū a hoʻomaka e engraft. No laila, ulu ka endometriosis.

ʻO nā hana hoʻopanee ma ka ʻōpū e hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka maʻi. Hoʻopili pū ʻia kēia me ka curettage, ka hoʻohemo ʻana, ka cauterization o ka ʻāʻī ʻana o ka cervical, etc.

No ka predisposition hoʻoilina i ka endometriosis, ʻike ka ʻepekema i nā hihia i ka ʻohana hoʻokahi i loaʻa i nā ʻelele wahine a pau i ka maʻi, e hoʻomaka ana me ke kupuna wahine a hoʻopau i nā moʻopuna.

ʻOiai he nui nā manaʻo o ka hoʻomohala ʻana o ka endometriosis, ʻaʻole hiki i kekahi o lākou ke 100% wehewehe i ke kumu e hōʻike mau ai ka maʻi iā ia iho. Eia nō naʻe, ua hōʻoia ʻia ma ka ʻepekema ʻo ka piʻi ʻana o ka hopena o ka endometriosis i kēlā mau wahine i hoʻomake i ka ʻōpū. ʻO ka hoʻopau artificial o ka hāpai ʻana he mea koʻikoʻi ia no ke kino, e pili ana i nā ʻōnaehana āpau me ka ʻole: hopohopo, hormonal, a me ka moekolohe.

Ma keʻano laulā, ʻo kēlā mau wahine i ʻike pinepine i ka hoʻonui ʻana i ka naʻau (koʻikoʻi, puʻuwai hopohopo, puʻuwai) hiki ke loaʻa i ka endometriosis. E kū'ē i ko lākou kāʻei kua, ʻaʻole hiki i ka pale ʻana, ka mea e hiki ai i nā cell endometrial ke ulu maʻalahi i nā kino a me nā ʻiʻo ʻē aʻe. E like me ka hōʻike ʻana o ka hana gynecological, ʻoi aku ka nui o nā wahine e pili ana i nā hana ʻoihana me ka hoʻonui ʻia ʻana o ka nūnū i ka endometriosis.

ʻO kekahi kumu pilikia no ka ulu ʻana o ka maʻi ʻo ka noho ʻana i kahi kaiapuni maikaʻi ʻole. Ua ʻike nā kānaka ʻepekema ʻo ka dioxin kekahi o nā mea weliweli loa i ka lewa. Hoʻokuʻu ʻia ia i nā nui nui e nā ʻoihana ʻoihana. Ua hōʻike ʻia ʻo nā wahine e hanu mau ana i ka ea me kahi kiʻekiʻe o ka dioxin e ʻoi aku ka maʻi o ka endometriosis, ʻoiai i ka wā ʻōpio.

Hiki i nā mea endogenous a me exogenous ke hoʻonui i ka hopena o ka hoʻomohala ʻana i ka endometriosis:

• Ka hoʻokomo ʻana i kahi mea intrauterine.

• Lawe i nā mea pale hormonal.

• puhi paka.

Nā hōʻailona o ka endometriosis i nā wahine

ʻAʻole ʻike ʻia nā hōʻailona o ka endometriosis. No laila, a hala ka wahine i kahi hoʻokolokolo diagnostic kiʻekiʻe, ʻaʻole ʻo ia e ʻike e pili ana i kāna maʻi. ʻO ka manawa pinepine, ʻo ka nānā ʻana i kahi noho gynecological me ka hoʻohana ʻana i nā aniani ʻaʻole e ʻae i kahi maʻi. No laila, pono e hoʻolohe i nā hōʻailona o ka endometriosis. Eia kekahi, ʻo kēlā me kēia wahine i loaʻa i kēia maʻi i ka hui pū ʻana o kekahi mau hiʻohiʻona.

ʻO ka mea mua, ʻo ia ka hiki ʻole ke hāpai i kahi keiki. ʻO ka infertility ka wā hiki ʻole i ka wahine ke hāpai me ka hoʻopaʻa ʻole ʻia no hoʻokahi makahiki. Kāohi ka Endometriosis i ka hua mai ka hoʻomomona ʻia ʻana e ka sperm a i ʻole ka mālama ʻana i kona ola. ʻO ka hoʻonui ʻana o ka pathological o nā cell endometrial e alakaʻi i ka hoʻopau ʻana i ka hormonal, pale i ka hana ʻana o nā hormones e pono ai no ke ʻano maʻamau o ka hāpai ʻana.

Ke ulu aʻe nā adhesions endometriotic i nā mea hoʻopili, i ka ʻāpana cervical, e alakaʻi kēia i ka hui ʻana o nā ʻōpū a me ko lākou mau paia me kekahi. ʻO ka hopena, ua hoʻokumu ʻia ka ʻāʻī o ka fallopian tubes, ʻo ia ke kumu nui o ka infertility i nā wahine ma ke ʻano o ka endometriosis.

ʻO ka lua, ʻeha. ʻOkoʻa ke ʻano o ka ʻeha i nā wahine i loaʻa i ka endometriosis. Hiki ke huki a ʻeha ka ʻeha, e hele mau ana. I kekahi manawa he ʻoi a ʻokiʻoki lākou a hiki i ka ʻōpū o lalo i kēlā me kēia manawa.

Ma ke ʻano maʻamau, ʻaʻole i ʻōlelo ʻia ka ʻeha ma muli o ka endometriosis e nīnau aku ka wahine i ke kauka no ko lākou hanana. I ka hapanui o nā hihia, ua manaʻo ʻia nā hōʻailona o ka PMS, a i ʻole ka hopena o ka hoʻoikaika kino.

No laila, he mea nui e hoʻolohe i ke ʻano maʻamau o ka ʻeha e hana mau ʻia i ka wā o ka moekolohe, i ka wā o ka menstruation e hiki mai ana a i ka wā e hāpai ana i nā kaumaha.

ʻO ke kolu, he koko. ʻO ke ʻano o ka ʻike ʻana ma hope o ka moe ʻana kekahi o nā hōʻailona o ka endometriosis, me ka nānā ʻole i kahi o nā nodes. Ke hoʻokumu ʻia nā adhesions ma kahi o nā ʻāpana o ka ʻōnaehana urinary a i ʻole ka ʻōpū, a laila e loaʻa nā hāʻule o ke koko i loko o nā feces a i ka mimi.

E like me ke kānāwai, ʻike ʻia ke koko i kekahi mau lā ma mua o ka hoʻomaka ʻana o ka menstrual cycle. ʻO kona hoʻokuʻu ʻia ʻana me ka ʻeha. Ma hope o 1-3 mau lā, pau ke koko, a ma hope o 1-2 mau lā, hoʻomaka ka wahine i kahi menstruation hou.

I ka wā o ke koko, hoʻokuʻu ʻia ke koko mai ka ʻōpū. Ua like ko lakou helehelena me na apana ate maka. No laila, inā nānā ka wahine i kēia ʻano hoʻoheheʻe a loaʻa iā ia nā hōʻailona ʻē aʻe o ka endometriosis, a laila pono e haʻi i kona pilikia i ke kauka.

ʻO ka hā, nā hemahema o ka menstrual. ʻAneʻane like ʻole ia i ka endometriosis.

Pono ka wahine e makaʻala i kēia mau mea:

• Ke loli mau nei ka pōʻaiapuni.

• ʻAʻole hiki ke haʻalele ʻia no kekahi mau mahina.

• Hoʻopaneʻe ʻia ka manstruation a hele pū me ke kahe nui ʻana o ke koko.

Me ia mau hemahema, ʻaʻole ʻoe e hoʻokaʻulua e hoʻopili i ke kauka. Inā ʻaʻole, hiki i ka wahine ke loaʻa nā pilikia olakino koʻikoʻi. Inā haʻalele ʻole ʻia, hiki i ka endometriosis ke hoʻonāukiuki i ka hoʻokumu ʻana o nā maʻi maʻi benign, infertility a me ka mumū o nā ʻōpū o loko.

Nā hōʻailona o nā ʻano like ʻole o ka endometriosis

Nā hōʻailona o ka endometriosis i nā wahine kahiko

Hoʻokumu ʻia ka Endometriosis ʻaʻole i nā ʻōpio wale nō, akā i nā wahine kahiko ma mua o 50 mau makahiki. Eia kekahi, ma hope o ka menopause, piʻi ka pilikia o ka hoʻomohala ʻana i ka maʻi, ma muli o ka nele o ka progesterone i ke kino.

Hiki i kēia mau mea ke hoʻonāukiuki i ka ulu ʻana o ka endometriosis i ka wā ʻelemakule:

• Ka nui;

• Diabetes;

• ʻO nā maʻi o ka thyroid gland;

• ʻO nā maʻi lele pinepine i loaʻa i ka wahine i kona ola ʻana;

• ʻAʻole pilikia ka wahi o kā lākou localization.

ʻO nā hōʻailona o ka endometriosis i nā wahine ma mua o 50 hiki ke komo:

• Nualea;

• ʻEha poʻo poʻo;

• ʻO Dizziness;

• I kekahi manawa hiki mai ka luaʻi;

• Hoʻonui i ka huhū, ka waimaka, ka huhū.

ʻAʻole hoʻopilikia ka ʻeha ma ka ʻōpū o lalo i nā wahine kahiko.

Nā hōʻailona o ka endometriosis kūloko

Hōʻike kēia mau hōʻailona i ka endometriosis kūloko:

• ʻO ka ʻeha o ka wahi i hoʻopilikia ʻia ma ka palpation.

• ʻO nā ʻeha ʻeha i ka wā o ke kahe ʻana o ka manstrual, aia ma ka ʻōpū o lalo.

• Hoʻonui i ka ʻeha i ka wā pili, ma hope o ka hāpai ʻana i ke kaumaha.

ʻIke ʻia ka mea diagnostician ultrasound ma ka pale i nā nodes ʻano ma ka paia o ka ʻōpū.

Hōʻike ʻia ke kiʻi o kahi hoʻāʻo koko maʻi e ka anemia, i wehewehe ʻia e ke koko maʻamau.

Nā hōʻailona o ka maʻi ma hope o ka pauku caesarean

Hoʻokumu ka Endometriosis i nā wahine i loaʻa i ka ʻāpana caesarean ma 20% o nā hihia. Hoʻomaka nā pūnaewele e ulu ma kahi o ka scar a me ka suture.

E hōʻike ana kēia mau hōʻailona i ka maʻi:

• ʻO ka hiʻohiʻona o ka hoʻokuʻu koko mai ka hili;

• Ka ulu lohi o ka ʻili;

• ʻO ka ʻili ma ka humuhumu;

• ʻO ke ʻano o ka ulu ʻana o nā nodular ma lalo o ke kaʻina;

• Ke kaha ʻana i nā ʻeha ma ka ʻōpū o lalo.

Inā ʻike ka wahine i kēlā mau hōʻailona iā ia iho, pono ʻo ia e hoʻopili i kahi gynecologist a hana i kahi hoʻokolokolo. I kekahi mau hihia, koi ʻia ka mālama maʻi maʻi.

Endometriosis, endometritis a me uterine fibroids - he aha ka ʻokoʻa?

ʻO ka Endometriosis, ka endometritis a me ka fibroids uterine he mau maʻi like ʻole.

ʻO ka Endometritis kahi mumū o ka ʻāpana o loko o ka ʻōpū, e ulu ana i ke kua o ke komo ʻana o nā microorganism pathogenic i loko o kona lua. Hoʻokumu ʻia ka Endometritis e nā maʻi virus, bacteria, fungi, parasites. ʻAʻole pili ka Endometritis i nā kino ʻē aʻe, ʻo ka ʻōpū wale nō. Hoʻomaka nui ka maʻi, hele pū me ke kuni, ʻeha ma ka ʻōpū o lalo, hoʻokuʻu ʻia mai ka ʻāpana genital. ʻO ka endometritis maʻi e like me nā hōʻailona o ka endometriosis.

ʻO ka fibroids ʻōpū he maʻi maʻi maʻi o ka ʻiʻo maʻemaʻe a me ka papa hoʻohui o ka ʻōpū. Hoʻokumu ʻia ka Myoma ma ke ʻano o nā maʻi hormonal.

He mea like anei ka endometriosis a me ka adenomyosis?

ʻO Adenomyosis kahi ʻano endometriosis. I ka adenomyosis, ulu ka endometrium i loko o ka ʻiʻo ʻiʻo o ka ʻōpū. Hoʻopilikia kēia maʻi i nā wahine o ka makahiki hānau, a ma hope o ka hoʻomaka ʻana o ka menopause e hele wale ia. Hiki ke kapa ʻia ʻo Adenomyosis i ka endometriosis kūloko. Hiki ke hui pū ʻia kēia mau pathologies ʻelua me kekahi.

No ke aha e pilikia ai ka endometriosis uterine?

He pilikia ka endometriosis o ka ʻōpū no kona mau pilikia, e like me:

• ʻO ka hoʻokumu ʻana o nā ʻōpū ovarian e hoʻopiha ʻia me ke koko menstrual.

• ʻAʻole hānau keiki, hāʻule ʻole (ka hāʻule ʻole, hāʻule ʻole).

• ʻO nā maʻi neurological ma muli o ka paʻi ʻana o nā kumu aʻalolo e ka endometrium ulu nui.

• ʻO ka anemia, kahi e komo ai i ka nāwaliwali, irritability, hoʻonui i ka luhi a me nā hōʻike maikaʻi ʻole.

• Hiki i ka piko o ka endometriosis ke hoʻohaʻahaʻa i nā maʻi maʻi ʻino. ʻOiai ʻaʻole i ʻoi aku kēia ma mua o 3% o nā hihia, akā naʻe, aia kahi pilikia.

Eia kekahi, ʻo ka maʻi ʻeha mau loa e hoʻopiʻi i ka wahine e pili ana i kona maikaʻi a hoʻonui i ka maikaʻi o ke ola. No laila, ʻo ka endometriosis kahi maʻi e pili ana i ka mālama pono ʻana.

Hiki i ka ʻōpū ke ʻeha me ka endometriosis?

Hiki ke ʻeha ka ʻōpū me ka endometriosis. A i kekahi manawa ua ʻoi loa ka ʻeha. E like me ka mea i ʻōlelo ʻia ma luna, hoʻonui ka ʻeha ma hope o ka hoʻopaʻa ʻana, i ka wā pili, ma hope o ka hoʻoikaika kino, i ka wā e hāpai ana i nā mea kaumaha.

Loaʻa ka ʻeha pelvic i ka 16-24% o nā wahine a pau. Loaʻa paha ia i kahi ʻano diffuse, a i ʻole ka loaʻa ʻana o kahi ʻike kūloko. Hoʻonui pinepine ʻia ka ʻeha ma mua o ka hoʻomaka ʻana o ka menstruation e hiki mai ana, akā hiki ke hele mau ʻia.

Ma kahi kokoke i 60% o nā wāhine me ka endometriosis e ʻōlelo nei he wā ʻeha lākou. Loaʻa ka ʻeha nui loa i nā lā 2 mua mai ka hoʻomaka ʻana o ka menstruation.

Kānāwai o endometriosis

Hoʻomaka ka ʻike o ka endometriosis me ke kipa ʻana i ke kauka. Hoʻolohe ke kauka i nā hoʻopiʻi a ka mea maʻi a hōʻiliʻili i kahi anamnesis. A laila nānā ʻia ka wahine ma kahi noho gynecological. I ka wā o ka hoʻokolokolo ʻana, hiki ke ʻike i kahi ʻōpū i hoʻonui ʻia, a ʻoi aku ka nui, ʻoi aku ka kokoke o ka menstruation e hiki mai ana. He poepoe ka opu. Inā ua hoʻokumu mua ʻia nā adhesions o ka ʻōpū, a laila e kaupalena ʻia kona neʻe. Hiki ke ʻike i nā nodules hoʻokahi, ʻoiai ʻo nā paia o ke kino e loaʻa i kahi ʻili a me ka ʻole.

No ka hoʻomaʻamaʻa ʻana i ka maʻi maʻi, pono paha nā hoʻokolohua ma lalo nei:

1. ʻO ka nānā ʻana i ka ultrasound o nā ʻāpana pelvic. Hōʻike kēia mau hōʻailona i ka endometriosis:

   • ʻO nā hana Anechogenic a hiki i 6 mm ke anawaena;

   • ʻO ka heleʻana o kahi'āpana o ka echogenicity hoʻonui;

   • Ka hoʻonui ʻana o ka ʻōpū i ka nui;

   • ʻO ke alo o nā lua me ka wai;

   • ʻO ka hele ʻana o nā nodes i loaʻa nā ʻano blurry, e like me kahi oval (me ke ʻano nodular o ka maʻi), hiki i 6 mm ke anawaena;

   • ʻO ka hele ʻana o nā hoʻokumu saccular a hiki i 15 mm ke anawaena, inā he ʻano focal ka maʻi.

2. Hysteroscopy o ka ʻōpū. Hōʻike kēia mau hōʻailona i ka endometriosis:

   • ʻO ka loaʻa ʻana o nā lua i ke ʻano o nā kiko burgundy e kū kūʻē i ke kua o kahi mucosa uterine pale;

   • Hoʻonui ʻia ka lua o ka ʻōpū;

   • He ʻano hoʻomaha ko ka papa basal o ka ʻōpū e like me ka lei niho.

3. Metrosalpingography. Pono e hoʻokō koke ʻia ke aʻo ʻana ma hope o ka pau ʻana o ka menstruation e hiki mai ana. Nā hōʻailona o ka endometriosis:

   • Hoʻonui ʻia ka ʻōpū;

   • ʻO kahi o ka mea hoʻokaʻawale ma waho o ia mea.

4. MRI. He 90% ʻike kēia haʻawina. Akā ma muli o ke kumukūʻai kiʻekiʻe, ʻaʻole i hana ʻia ka tomography.

5. ʻO Colposcopy. Nānā ke kauka i ka ʻōpū me ka hoʻohana ʻana i ka binoculars a me kahi mea kukui.

6. Ka ʻike ʻana i nā hōʻailona o ka endometriosis i ke koko. ʻO nā hōʻailona maʻamau o ka maʻi he hoʻonui i CA-125 a me PP-12. Pono e noʻonoʻo ʻia ka lele ʻana o ka protein-125 ʻaʻole wale i ke kua o ka endometriosis, akā i ke alo o nā neoplasms malignant o nā ovaries, me ka fibromyoma uterine, me ka mumū, a me ka wā hāpai mua. Inā loaʻa ka endometriosis i ka wahine, a laila e hoʻokiʻekiʻe ʻia ka CA-125 i ka wā menstruation a i ka lua o ka pōʻai.

Ka mālama ʻana i ka endometriosis o ka ʻōpū

ʻO ka mālama paʻakikī wale nō o ka endometriosis e loaʻa i kahi hopena maikaʻi.

Me ka ʻike ʻana i ka maʻi i ka manawa, aia nā manawa āpau e hoʻopau iā ia me ka ʻole o ka hoʻokomo ʻana i kahi kauka lapaʻau i ka mālama ʻana. Inā hōʻole ka wahine i nā hōʻailona o ka maʻi a ʻaʻole e kipa aku i kahi gynecologist, e alakaʻi kēia i ka ʻoiaʻiʻo i kēlā me kēia mahina e ʻike ʻia ka foci hou o ka endometriosis i loko o kona kino, e hoʻomaka ana nā ʻōpū cystic, e ʻulaʻula ke kino, adhesions. e hoʻokumu. ʻO kēia mau mea a pau e alakaʻi i ka blockage o nā appendages a me ka infertility.

Noʻonoʻo ka lāʻau lapaʻau hou i nā ʻano he nui e mālama ai i ka endometriosis:

• Ka lawelawe. Ke ho'āʻo nei nā kauka e hoʻohana i ka hana ʻokiʻoki, ʻaʻole i loaʻa ka hopena maikaʻi. ʻO ka ʻoiaʻiʻo ma hope o ka hana ʻana, e haʻahaʻa ka manawa o ka hāpai ʻana i kahi keiki i ka wahine. ʻOiai ʻo ka holomua hou o ka lāʻau lapaʻau a me ka hoʻokomo ʻana o nā laparoscopes i loko o ka hoʻomaʻamaʻa ʻana i hiki ke hana i nā hana me ka liʻiliʻi o ka trauma i ke kino. No laila, ke mau nei ka manaʻo o ka hānau ʻana ma hope.

• Hooponopono lapaau. ʻO ka lawe ʻana i nā lāʻau lapaʻau i ka mālama ʻana i ka endometriosis kekahi o nā ala maikaʻi loa o ka mālama ʻana. Hāʻawi ʻia ka wahine i nā hormones e kōkua i ka hoʻomaʻamaʻa ʻana i ka hana o nā ovaries a pale i ka hoʻokumu ʻana o ka foci o endometriosis.

ʻO nā lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ka maʻi he ʻano like like me nā contraceptive hormonal waha mai ka hui Decapeptyl a me Danazol. E lōʻihi ka mālama ʻana i ka wahine, ma ke ʻano he kānāwai, ʻaʻole i kaupalena ʻia i kekahi mau mahina.

No ka ho'ēmiʻana i ka nui o kaʻeha, ua kauohaʻia ka mea maʻi i nā lāʻau hōʻeha.

A hiki i ka 80s mua, ua hoʻohana ʻia nā lāʻau contraceptive e mālama i ka endometriosis, i hana ʻia ma ke ʻano he ʻokoʻa i ka ʻoki. Ua kuhikuhi ʻia lākou no ʻeono mahina a i hoʻokahi makahiki, 1 papa i kēlā me kēia lā. A laila ua hoʻonui ʻia ka nui i 2 mau papa, i pale i ka ulu ʻana o ke koko. Ma hope o ka pau ʻana o ia hoʻoponopono olakino, ʻo ka nui o ka hāpai ʻana i kahi keiki he 40-50%.

ʻO ka lāʻau lapaʻau

• Antiprogestins - ʻo ia kekahi o nā lāʻau lapaʻau maikaʻi loa no ka mālama ʻana i ka endometriosis. Kuhi ʻia kāna hana i ke kāohi ʻana i ka hana ʻana o nā gonadotropins, ka mea e hoʻopau ai i ke kaʻina menstrual. Ma hope o ka pau ʻana o ka lāʻau lapaʻau, hoʻomaka hou ka menstruation. I ka manawa o ka mālama ʻana, ʻaʻole hana nā ovaries i ka estradiol, kahi e alakaʻi ai i ka pau ʻana o ka endometriosis foci.

  Ma waena o kēia mau hanana ʻino:

  • Kaumaha kaupaona;

  • Hoemi i ka nui o ka mammary glands;

  • pehu;

  • ʻO keʻano o ke kaumaha;

  • Ka ulu nui o ka lauoho ma ka maka a me ke kino.

• ʻO GnRH agonists - hoʻopau i ka hana o ka ʻōnaehana hypothalamic-pituitary, e alakaʻi ana i ka emi ʻana o ka hana ʻana o nā gonadotropins, a laila pili i ka huna ʻana o nā ovaries. ʻO ka hopena, make ka endometriosis foci.

  ʻO nā hopena ʻaoʻao o ka mālama ʻana me GnRH agonists:

  • ʻO ka uhaki ʻana i ka metabolism iwi me ka hiki ke hoʻihoʻi ʻia o ka iwi;

  • ʻO ka menopause lōʻihi, hiki ke hoʻomau ma hope o ka hoʻopau ʻia ʻana o nā lāʻau lapaʻau i kēia pūʻulu, e koi ana i ke koho ʻana i ka hormone replacement therapy.

• ʻO nā mea hoʻopaʻa hānau waha hui (COCs). Ua hoʻokumu ʻia nā haʻawina haukaʻi e hoʻopau lākou i nā hōʻike o ka endometriosis, akā ʻaʻohe hopena i nā kaʻina metabolic, ke kāohi nei i ka hana ʻana o ka estradiol e nā ovaries.

ʻO ka mālama ʻana i ka endometriosis

ʻO ka hoʻomaʻamaʻa ʻana i ka endometriosis e hōʻoiaʻiʻo i ka wehe ʻana o kona foci, akā ʻaʻole ia e kāpae i ka hoʻi hou ʻana o ka maʻi. ʻO ka manawa pinepine, pono nā wahine me kēia pathology e hana i kekahi mau hana. ʻO ka pilikia o ka hoʻi hou ʻana ma waena o 15-45%, ʻo ia ka mea e hilinaʻi nui ʻia ma ke ʻano o ka hoʻolaha ʻana o ka endometriosis i loko o ke kino, a me ka wahi o ke kaʻina pathological. Hoʻopilikia ia i ka hiki ke hoʻihoʻi hou a me ke ʻano o ke ʻano o ka hana mua.

ʻO Laparoscopy ke kūlana gula o ke kaʻina hana hou no ka mālama ʻana i ka endometriosis. Me ke kōkua o kahi laparoscope i hoʻokomo ʻia i loko o ka ʻōpū o ka ʻōpū, hiki ke wehe i ka foci pathological liʻiliʻi loa, wehe i nā cysts a me nā adhesions, ʻoki i nā ala nerve e hoʻonāukiuki i ke ʻano o ka ʻeha mau. Pono e hoʻomaopopo ʻia e pono e wehe ʻia nā cysts i hoʻonāukiuki ʻia e ka endometriosis. Inā ʻaʻole, e mau ana ka pilikia o ka hoʻi hou ʻana o ka maʻi.

ʻAʻole ʻae ʻia ka mālama ponoʻī ʻana i ka endometriosis. Pono ke kauka e hoʻoholo i nā ʻano hana lapaʻau.

Inā paʻakikī ka endometriosis, a laila pono e wehe i ke kino i hoʻopilikia ʻia. Hiki nō hoʻi kēia me ka hoʻohana ʻana i kahi laparoscope.

Manaʻo nā kauka i ka wahine i ho'ōla ʻia i ka endometriosis inā ʻaʻole pilikia ʻo ia i ka ʻeha a ʻaʻole i hoʻi hou i 5 mau makahiki ma hope o ka lāʻau lapaʻau.

Inā ʻike ʻia ka endometriosis i ka wahine hānau keiki, a laila e hana nā kauka i ka mea maikaʻi loa e mālama i kāna hana hānau. Pono e hoʻomaopopo ʻia he kiʻekiʻe ke kiʻekiʻe o ka ʻokiʻoki hou a hiki i nā wahine 20-36 mau makahiki ma 60% o nā hihia ke hoʻomanawanui a hānau i kahi keiki olakino.

ʻO ka hoʻohana ʻana i nā endoscopes i ka wā o ke kaʻina e hiki ai iā ʻoe ke wehe i ka foci liʻiliʻi loa o ka endometriosis. ʻO ka mālama ʻana i ka hormonal e hiki ke pale i ka hoʻi hou ʻana o ka maʻi. Inā alakaʻi ka endometriosis i ka infertility, a laila ʻo ka mālama ʻana i ka endoscopic ʻo ia wale nō ka manawa e loaʻa ai i ka wahine ke kūleʻa makuahine.

ʻO ka Endometriosis kahi maʻi me nā pilikia pilikia. No laila, he mea koʻikoʻi ke ʻike a mālama ʻia i ka manawa kūpono. ʻO ka hoʻohana paʻakikī o nā ʻenehana hou a pau o ka hana ʻokiʻoki: ʻo ka hui pū ʻana o ka cryocoagulation, ka wehe ʻana i ka laser, ka electrocoagulation e hiki ai ke hoʻokō i ka hana me ka manawa kūpono o ka hoʻokō kūleʻa.

ʻO ke ala maikaʻi loa e mālama ai i ka endometriosis, ʻo ia ka laparoscopy (ʻoiaʻiʻo, me ka hiki ʻole o ka mālama conservative) me ka hoʻomaʻamaʻa hormonal hou. ʻO ka hoʻohana ʻana i ka GTRG ma hope o ke kaʻina hana e hoʻonui i kona pono e 50%.

ʻO wai ke kauka e mālama i ka endometriosis?

Hoʻomaʻamaʻa ʻia ʻo Endometriosis e kahi obstetrician-gynecologist.