Endometriosis: nā hōʻailona a me nā lāʻau lapaʻau

He aha nā hōʻailona o ka endometriosis?

ʻO ka hōʻailona maʻamau o ka endometriosis "dysmenorrhea". E pili ana i kahi ʻeha i ka wā o ka haʻi ʻana i hele pu ia me ākau i kekahi manawa ikaika loa ma ka ʻōpū o lalo. I kekahi manawa hele pū kēia dysmenorrhea me ka nausea a me ka luaʻi ʻana, a hoʻomoe pinepine nā wahine i kekahi mau lā. Loaʻa ka dysmenorrhea i ʻewalu o ka ʻumi wahine me ka endometriosis.

I ka hala ʻana o ka manawa, ka pinepine o ka eha e hooikaika. Hoʻomaka kēia no ka laʻana ma mua o ka haʻi ʻana a hoʻomau lākou ma hope, no kekahi mau lā a ma hope o kekahi mau pule, a hiki i ka lilo ʻana i mea maʻi.

ʻO ka manawa pinepine, inā e nīnau mākou i nā kaikamahine ʻōpio a i ʻole nā ​​​​wahine me ka endometriosis, ʻike mākou i ka haʻalele ʻana a me ka hoʻomaha ʻana i ka hana no ka ʻeha.

ʻO nā hōʻailona ʻē aʻe o ka endometriosis

Ka ʻeha i ka wā o ka moekolohe (dyspareunia), ʻoiai ʻaʻole maʻamau, he hōʻailona maʻamau o ka maʻi. ʻOi aku ka ʻeha ma kekahi mau kūlana, kahi e hiki ʻole ai ke kamaʻilio.

ʻO nā hōʻailona e hiki ke hōʻike i ka endometriosis e komo pū me dysschezia (ʻeha ʻeha o ka ʻōpū) i ka wā o ka haʻi ʻana, ʻeha i ka wā o ka ovulation, eha ma ka ovaries a ka luhi mau loa.

ka ʻokoʻa nā hōʻailona o ka endometriosis no kēlā me kēia wahine, no ka mea, hilinaʻi nui lākou i kahi o nā lesion. I ka manawa pinepine, paʻakikī ka endometriosis, no ka mea, ua like ka nui o kāna mau hōʻailona me ka maʻi ʻaʻole gynecological, e like me kekahi mau pathologies o ka ʻōnaehana gastrointestinal.

Endometriosis: i ka manawa hea e ʻike ʻia ai nā hōʻailona mua?

I kekahi mau wahine, hoʻomaka paha nā hōʻailona mai ka manawa mua a holomua no kekahi mau makahiki ma mua o ka ʻike ʻia ʻana o ka endometriosis, e like me ka ʻeha i ka wā o ka haʻi ʻana ʻike ʻia ma ke ʻano he mea maʻamau a noʻonoʻo paha. ʻO ka manawa pinepine mai ka makahiki 15-20, ʻeha nā kaikamahine ʻōpio i ka ʻeha i ka wā menstruation a me ka moekolohe. Hiki ke endometriosis hoʻomohala i kekahi mau makahiki ma mua o ka ʻike ʻia ʻana e nā hoʻokolohua hou, e like me a ultrasound endovaginal a i ʻole MRI. No kēia kumu, pono ke nānā ʻia kahi kaikamahine ʻōpio e hoʻopiʻi nei i ka ʻeha i kona mau makahiki ʻōpio. Pono ʻo ia e kukakuka i ke kauka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki.

Aia kekahi mau wahine e hoʻomaka e ʻeha ma hope, pinepine ke hooki i ka pila a / a i ʻole ka makemake no ka hāpai ʻana. ʻO ka paʻakikī o ka hāpai ʻana a / a i ʻole ka ʻeha i ka wā menstruation pono ke kipa ʻana i kahi kauka maʻi. 

No keia ma'i ma'i 30% a 50% o nā hihia infertility.

Nā lāʻau lapaʻau no ka endometriosis

He mea oiaio, aia he ka pilina ma waena o ka endometriosis a me ka male ʻole o ka wahine. ʻO ka manawa pinepine, ʻike nā kauka i kēia maʻi i ka wā a loiloi infertility. I loko o nā wāhine me ka endometriosis, aia kekahi subfertility, 'o ia ho'i, ha'aha'a ma mua o ka 'awelika fertility. Eia naʻe, ʻaʻole maʻalahi ka hoʻomaopopo ʻana i ka pilina ma waena o ka maʻi a me ka infertility no nā ʻoihana olakino. ʻO nā adhesions i loko o ka ʻōpū o ka ʻōpū, a me ka mumū o ka peritoneum ke kumu o kēia infertility. Hoʻokahi mea maopopo, i ka wā e mālama ʻia ka maʻi, hoʻi ka momona i ka "maʻamau" ! ʻO ia ke kumu i manaʻo ʻia ai kahi hana i kekahi manawa i mea e kau ai i nā manawa āpau ma kona ʻaoʻao.

ʻO ka mālama ʻole ʻana i ka endometriosis hiki ke pilikia: piʻi ka maʻi a emi mai kou manawa e hāpai ai. Eia kekahi, hiki i ka ʻeha ke pale aku iā ʻoe mai ka moe maikaʻi ʻana me kāu hoa. ʻAʻole maʻalahi i kēia mau kūlana ke hoʻomaka i kahi pēpē.

Hiki i nā kauka ke hāʻawi iā ʻoe i kahi hoʻolālā lāʻau lapaʻau a ʻokiʻoki (inā pono). Hoʻoholo ʻia kēia hoʻolālā hihia i ka hihia, a ma luna o nā mea a pau, he mea nui e hele mai kou hoa. Pono e lawe pū ʻia ka hoʻoholo hope ma waena o nā kāne a me nā loea.   

• ʻO keʻano maʻamau

Hana ʻia ka hana ʻokiʻoki e laparoscopy. Il n'y a (a priori) ʻaʻohe ablation nā kinona. Ma ka ʻaoʻao ʻē aʻe, pono e hoʻopau ʻia ke ʻoki i mea e pale ai i ka pilikia o ka hoʻi hou ʻana. Hoʻopili kēia i ka wehe ʻana i nā cysts, adhesions a me nā nodules ʻē aʻe i hana ʻia ma waho o ka lua o ka ʻōpū. ʻO kēia kākoʻo hiki i nā kāne ke hoʻonui i ko lākou kūlana o ka hāpai maʻamau he keiki ma hope o ka hana.

• ʻO ka lāʻau lapaʻau

Inā ʻaʻole hiki ke ʻoki ʻia, a ʻaʻole makemake ka mea maʻi e hana ʻia, hiki ke hāʻawi ʻia ka lāʻau lapaʻau. ʻAe kēia iā ʻoe e hoomaha i na ovaries. I kekahi manawa kōkua pū kekahi hōʻemi i nā ʻeha. Kauoha ke kauka progestins mau, nā lāʻau estrogen-progestogen mau, a i ʻole nā ​​injections o Gn-RH analog (menopause hana), no kahi o 3 a 4 mahina. Hiki i kēia kākoʻo ukali ʻia e ka in vitro fertilization (IVF). I kekahi manawa pilikia ka hana o ka ovarian, a ʻaʻole i kūleʻa ka IVF. I kēia hihia, e kuhikuhi nā kauka iā ʻoe i ka hāʻawi hua manu.

Pehea e hoʻomaha ai i nā hōʻailona o ka endometriosis?

Hiki ke hāpai me ka endometriosis (pinepine).

Nūhou, ʻO ka hapa nui o nā wahine me ka endometriosis e hāpai, no ka hāpai a me ka endometriosis ʻaʻole kūlike! He kiʻekiʻe ka holomua inā hoʻoholo ʻoe i nā hoʻolālā lapaʻau kūpono! ʻO ka hāpai ʻana, i kekahi manawa paʻakikī loa, ʻike ʻia he hana mana no nā wahine me ka endometriosis.

E hoʻomaopopo: pono pinepine ka hahai ʻana ma hope o ka hānau ʻana i mea e ʻike ai i ka hoʻopaʻa ʻana a me ka nānā ʻana ʻaʻole he hana hou.

No ka 'ike hou aku:

•  ka ʻEndofrance, kekahi o nā hui Farani no ka hakakā ʻana i ka endometriosis.
•  ʻO ke kahua o Ke Kula Nui o nā Kaukaʻi a me nā Obstetricians (CNGOF) => ʻōlelo paipai no ka endometriosis i hoʻopaʻa ʻia i ka makahiki 2006.