So worehyia brayɛ mu ɛyaw a emu yɛ den nso? Yafunu mu yaw? Eyi betumi afi adenomyosis mu!

Wɔ mmea pii fam no, ɛyaw ne mogya a ɛtɔ kɛse a ɛba bere a wɔrekɔ brayɛ mu no yɛ nea ɛfata. Nanso ɛtɔ mmere bi a, ntease foforo betumi aba saa nneɛma yi akyi. Ɛno ne tebea a yɛrebɛka ho asɛm nnɛ, a wɔfrɛ no adenomyosis. Mma ɛnhaw wo, momma yɛnka eyi ho asɛm nkɔ akyiri.

Dɛn ne adenomyosis?

Sɛ yɛbɛka no tiawa a, adenomyosis yɛ tebea a ntini a ɛte sɛ w’awotwaa no mu nneɛma (a wɔfrɛ no endometrium ) nyin kɔ w’awotwaa no ntini fasu mu (a wɔfrɛ no myometrium) . Fa no sɛ, sɛ ntini a ɛte sɛɛ nyin kɔ awotwaa no fasu mu a, awotwaa no mu yɛ den nkakrankakra na ɛyɛ kɛse. Ɛtɔ mmere bi mpo a , ebetumi ayɛ ne kɛse mmɔho abien anaa abiɛsa. Eyi nti na wote ɛyaw a emu yɛ den wɔ wo brayɛ mu, mogya tu kɛse, nsensanee, ne yafunu/yafunu ase yaw.

Hena na ɛda adi sɛ obenya eyi?

Mmea pii nnim mpo sɛ wɔwɔ adenomyosis. Ɛnyɛ obiara na ɔwɔ yare no ho sɛnkyerɛnne, enti ɛyɛ den sɛ yɛbɛka sɛnea ɛtaa ba no pɛpɛɛpɛ. Nanso nhwehwɛmu ada no adi sɛ ɛtaa ba mmea a wɔatwa wɔn awotwaa ne mmea a wɔadi boro mfe 40. Ebetumi nso aka mmea nkumaa (bɛyɛ 2% kosi 5%) a wɔn brayɛ mu yaw kɛse.

Dɛn ne eyi ho sɛnkyerɛnne?

Wɔkyerɛ sɛ nnipa bɛyɛ nkyem abiɛsa mu biako nni sɛnkyerɛnne biara koraa, nanso ebinom betumi anya nneɛma te sɛ:

• Ɛyaw a emu yɛ den bere a obi rekɔ brayɛ mu (a wɔsan frɛ no dysmenorrhea ).
• Mogya a ɛtɔ dodo bere a obi rekɔ brayɛ mu (wɔfrɛ eyi menorrhagia ).
• Brayɛ a ɛnkɔ so daa.
• Yafunu ase yaw (a akyi yɛ yaw kɛse anaasɛ enni mu ).
• Ɛyaw a ɛba bere a ɔne obi reda (wɔfrɛ eyi dyspareunia ).
• Ɛyɛ den sɛ wobɛwo mma (Infertility).
• Awotwaa no a ɛtrɛw .
• Sɛ obi te nka sɛ ɔyɛ ma anaasɛ ne mu yɛ duru wɔ yafunu mu (nnipa binom nso frɛ eyi ‘adenomyosis yafunu’).

Dɛn nti na eyi ba? Dɛn ne nea enti a ɛte saa?

Nhwehwɛmufo da so ara nnim nea enti a nnipa binom nya adenomyosis, anaa nea ɛde ba ankasa. Nanso, nhwehwɛmu ahorow bi kyerɛ sɛ nkwaadɔm mu nsakrae, awosu mu nneɛma, ɔfe a ɛba nipadua no mu, anaa awotwaa mu ahodwiriw betumi adi dwuma.Nneɛma a ɛtete saa betumi aka eyi.

Dɛn ne nneɛma a ɛde asiane ba?

Adenomyosis taa hu wɔ mmea a:

• Nnipa a wɔadi fi mfe 40 kosi 50.
• Wɔn a anyɛ yiye koraa no, wɔawo abofra biako.
• Wɔn a wɔadi kan ayɛ wɔn awotwaa mu oprehyɛn te sɛ oprehyɛn a wɔde yi awotwaa mu ntini mu ntini anaa D&C (Dilation and Curettage).
• Nnipa a wɔwɔ endometriosis.

Nanso mprempren wɔtaa hu adenomyosis wɔ mmea a wɔadi mfe 30 a mogya tu wɔn awotwaa mu a ɛnyɛ ne kwan so anaasɛ wɔte brayɛ mu ɛyaw a emu yɛ den no mu.

So adenomyosis betumi de nsɛnnennen afoforo aba?

Yiw, sɛ adenomyosis wɔ hɔ a, bere kɔ so no, sɛnkyerɛnne ahorow no betumi asɛe kakra.

Titiriw kae sɛ mogya a wɔhwere dodo betumi ama mogya atɔ wo . Enti sɛ wote ɔbrɛ ne awɔw nka bere nyinaa a, hu ɛno nso.

Mogya a ɛtɔ kɔ nipadua mu no yɛ tebea bi a wo nipadua no nni mogya mu nkwammoaa kɔkɔɔ a dade pii wom a ɛdɔɔso ara kwa. Eyi betumi ama woate ɔbrɛ ne awɔw nka .

So eyi betumi ayɛ kokoram?

Dabi, adenomyosis nyɛ kokoram. Na ɛmma obi nnya kokoram. Enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Nnuruyɛfo taa susuw sɛ adenomyosis wɔ hɔ denam wo yare no ho sɛnkyerɛnne ahorow a wobisa na wɔyɛ nhwehwɛmu ahorow yi mu biako anaa nea ɛboro saa so:

• Pelvic nhwehwɛmu: Wɔ nhwehwɛmu yi mu no, oduruyɛfo no betumi ahu sɛ w’awotwaa no sõ sen sɛnea ɛte daa, ɛyɛ mmerɛw, anaasɛ ɛyɛ yaw sɛ wode wo nsa ka.
• Ultrasound scan: Ultrasound a wɔde fa ɔbea no awotwaa mu, titiriw nea wɔde fa ɔbea no awotwaa mu no de nnyigyei asorɔkye twa wo hwene akwaa ahorow no mfonini . Ɛtɔ mmere bi a mfonini ahorow yi betumi akyerɛ sɛ awotwaa no fasu no ayɛ kɛse.
• MRI scan: MRI (Magnetic Resonance Imaging) scan kyerɛ sɛnea awotwaa no ayɛ kɛse ne sɛnea awotwaa no mmeae bi ayɛ den no pefee.

Ɛtɔ mmere bi a, wo duruyɛfo betumi afa ntini ketewaa bi afi w’awotwaa mu (a wɔfrɛ no biopsy ) na ɔde akɔma afiri a wɔde yɛ nhwehwɛmu akɔhwɛ sɛ ebia tebea afoforo a emu yɛ den wɔ hɔ anaa.

Dɛn ne ayaresa no?

Mpɛn pii no, estrogenHormone estrogen boa saa awotwaa mu ntini yi ma enyin. Enti, bere a obi agyae brayɛ akyi no, sɛ brayɛ gyae koraa a, adenomyosis ho sɛnkyerɛnne no befi hɔ kɛse. Nanso enkosi saa bere no, saa ayaresa ahorow yi betumi aboa ma ɛyaw no so atew, asiw mogya a ɛtɔ kɛse ano, na ama ahotɔ afi sɛnkyerɛnne afoforo ho:

• Nnuru a wɔde kum ɛyaw : Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs), te sɛ ibuprofen (Advil®, Motrin®) ne naproxen (Aleve®) brɛ ɛyaw ase.
• Nnuru a ɛma nipadua no nya ahoɔden: Nnuru bi a ɛma nipadua no yɛ adwuma no betumi aboa ma wɔatumi asiw mogya a ɛba bere mu ne bra a ɛnkɔ so daa ano. Nhwɛso ahorow bi ne nnuru a wɔde siw awo ano , Depo-Provera® tuo, ne mfiri a wɔde fa awotwaa mu (IUDs ) te sɛ Mirena® .
• Nnuru a ɛnyɛ hormone: Nnuru te sɛ tranexamic acid betumi atew mogya a ɛba ɔbea awotwaa mu no so.
• Adenomyomectomy: Saa oprehyɛn yi yi adenomyosis ntini fi awotwaa no ntini mu. Eyi te sɛ myomectomy a eyi awotwaa mu ntini a ɛyɛ mmerɛw fi hɔ no kakra.
• Hysterectomy: Eyi hwehwɛ sɛ woyi awotwaa no fi hɔ koraa. Sɛ wotwa hysterectomy wie a , worennya nna bio na worentumi nwo mma.

Sɛ wɔamfa ayaresa amma a, dɛn na ɛba?

Sɛ wɔansa adenomyosis a, ebetumi ama obi ntumi nwo anaasɛ watu nyinsɛn , efisɛ ɛtew hokwan a ɛwɔ hɔ sɛ awotwaa no bɛhyɛ awotwaa no fasu mu no so. Ebetumi nso ama yafunu ase ne akyi berɛmo ayɛ yaw a ɛkɔ so .

So ɔkwan bi wɔ hɔ a wɔbɛfa so asiw eyi ano?

Esiane sɛ wonnim nea ɛde adenomyosis ba ankasa nti, nnuruyɛfo nnya nhuu ɔkwan pɔtee bi a wɔbɛfa so asiw ano.

Dɛn na wubetumi ahwɛ kwan bere a wo ne tebea yi te ase no?

Nnipa pii a wɔwɔ adenomyosis ho sɛnkyerɛnne a ɛhaw wɔn da biara da asetra no nya ahotɔ bere a wɔsa wɔn yare no. Sɛnea yɛadi kan aka no, ɛsɛ sɛ yare no ho sɛnkyerɛnne no fi hɔ bere a obi agyae brayɛ no. Nanso, awotwaa a ayɛ kɛse no betumi akɔ so atra hɔ.

Adenomyosis ne nyinsɛn

Wɔtaa hu adenomyosis wɔ mmea a anyɛ yiye koraa no wɔawo abofra biako mu. Nanso, esiane tebea yi ntiEbetumi ayɛ den sɛ wubenyinsɛn abofra nea edi kan, anaasɛ wobɛwo abofra foforo. Sɛ wunyinsɛn mpo a, asiane ahorow wɔ hɔ, te sɛ:

• Nyinsɛn a wotu gu.
• Awo a ɛba ntɛm.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn:

• Mogya a ɛba brayɛ mu dodo.
• Ɛyaw a emu yɛ den yiye wɔ brayɛ mu.
• Ɛyaw a ɛba bere a obi reda.
• Te a wɔte nka sɛ yafunu no ayɛ ma anaasɛ emu yɛ duru.

Nsɛmmisa a ɛho hia a ɛsɛ sɛ wobisa oduruyɛfo no

Sɛ wohu sɛ wowɔ adenomyosis a, ebia wobɛpɛ sɛ wubisa wo duruyɛfo nsɛm te sɛ:

• "Dɛn nti na minyaa adenomyosis?"
• "Ayaresa kwan bɛn na eye ma me?"
• "So ɛsɛ sɛ mede ɔkwan foforo a wɔfa so siw awo ano di dwuma?"
• "So mɛtumi awo mma?"
• "So ɛsɛ sɛ mehaw me ho wɔ nsɛnnennen ho sɛnkyerɛnne ahorow ho?"

Nsonsonoe bɛn na ɛda Adenomyosis ne Endometriosis ntam?

Adenomyosis ne endometriosis nyinaa yɛ tebea horow a ntini a ɛte sɛ awotwaa no mu nneɛma (endometrium) nyin wɔ awotwaa no akyi. N’abien nyinaa betumi ayɛ yaw. Nanso, adenomyosis taa ma mogya tu kɛse wɔ brayɛ mu. Nsonsonoe titiriw a ɛda tebea abien no ntam ne baabi a ntini no nyin:

• Adenomyosis: Ntini a ɛte sɛ endometrium no nyin kɔ awotwaa no ntini mu.
• Endometriosis: Ntini te sɛ awotwaa no nyin wɔ awotwaa no akyi , sɛ nhwɛso no, wɔ awotwaa anaa awotwaa mu .

So eyi yɛ tebea a anibere wom?

Adenomyosis ntaa mma ɔhaw ahorow a emu yɛ den a ɛde nkwa to asiane mu ba. Nanso, ebetumi ama nyinsɛn no ayɛ den anaasɛ nyinsɛn no atu.

Ade a ɛho hia sen biara ne sɛ wobɛhwehwɛ aduruyɛ mu afotu mmom sen sɛ wo nkutoo wubehu amane sɛ saa sɛnkyerɛnne ahorow yi rehaw wo da biara da asetra a.

Enti nsuro sɛ wo ne wo duruyɛfo bɛkasa afa akwan a wobɛfa so ama wo ho atɔ wo ho.

Nkrasɛm a yɛpɛ sɛ yɛde kɔ fie fi saa asɛm yi mu ne

Okay, enti yɛaka adenomyosis ho asɛm pii. Sɛ worehyia sɛnkyerɛnne ahorow te sɛ eyinom te sɛ brayɛ mu akisikuru a emu yɛ den, mogya a ɛtɔ kɛse, ne yafunu a ɛyɛ wo yaw a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu sen sɛ wo nkutoo wubehu amane. Kae sɛ eyi nyɛ kokoram, na nnipa pii betumi anya ahotɔ bere a wɔsa wɔn yare no.Mpɛn pii no, saa sɛnkyerɛnne ahorow yi brɛ ase bere a wagyae brayɛ akyi. Sɛ woannyɛ nhyehyɛe sɛ wobɛwo mma a, hysterectomy betumi asa saa tebea yi koraa. Enti, nsuro sɛ wo ne wo duruyɛfo bɛka wo haw ahorow ho asɛm na woahwehwɛ ano aduru a ɛfata wo yiye.