So wo nso wowɔ nna a ɛma wote nka sɛ wo ho yɛ mmɔbɔ ɔsram biara? Ebia worentumi nyɛ wo dwumadi ahorow a wotaa yɛ no esiane yafunu a ɛyɛ wo yaw a wuntumi nnyina ano ne mogya a ɛtɔ kɛse nti. Ebia wubesusuw sɛ, "Eyi yɛ ade a ɛfata ma yɛn mmea." Nanso ɛnyɛ bere nyinaa na ɛte saa. Ɛtɔ da bi a, nea ɛde ɛyaw a emu yɛ den yi ne mogya a ɛtɔ kɛse yi ba no betumi ayɛ tebea bi a wɔfrɛ no adenomyosis. Ɛnnɛ, yɛbɛka eyi ho asɛm wɔ ɔkwan tiawa bi so a wubetumi ate ase.
Sɛ yɛbɛka no tiawa a, dɛn ne adenomyosis?
Sɛ yɛbɛte eyi ase a, momma yenni kan nsua yɛn awotwaa no ho ade kakra. Wɔde ntini soronko bi na ɛyɛ awotwaa no mu ɔfasu. Yɛfrɛ eyi endometrium. Ɛyɛ saa ntini yi na ɛhwie gu ɔsram biara bere a obi rekɔ brayɛ mu. Wɔ saa ntini yi akyi no, ɔfasu bi a ɛyɛ den a wɔde awotwaa mu ntini ayɛ. Wɔfrɛ no myometrium.
Afei, wɔ tebea bi a wɔfrɛ no adenomyosis mu no, nea ɛba ne sɛ nkwammoaa a ɛka awotwaa no mu, a ɛwɔ awotwaa no mu no, ntra hɔ ara kwa, na mmom efi ase nyin kɔ awotwaa no mu ntini a ɛwɔ awotwaa no mu (myometrium) nso.
Fa no sɛ paint a wopɛ sɛ wode gu ɔfasu bi a ɛwɔ ofie bi mu, nanso ɛtrɛw fa ɔfasu no mu kɔ birikisi no ntam. Sɛ saa ntini yi nyin kɔ ntini no mu wɔ saa kwan yi so a, awotwaa no fi ase yɛ den nkakrankakra na enyin. Ɛtɔ mmere bi a awotwaa no tumi nyin bɛyɛ ne kɛse mmɔho abien anaa abiɛsa mpo . Wɔfrɛ eyi adenomyosis.
Dɛn ne tebea yi ho sɛnkyerɛnne?
Nea ɛyɛ nwonwa no, ɛnyɛ obiara a ɔwɔ adenomyosis na ɔwɔ sɛnkyerɛnne ahorow. Ebia mmea binom benya yare no a wonni sɛnkyerɛnne biara. Nanso wɔn a wɔyɛ saa no, ebetumi ahaw wɔn kakra. Momma yɛnhwɛ sɛnkyerɛnne atitiriw no.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Brayɛ a ɛyɛ yaw kɛse (Dysmenorrhea) . | Ebia wubenya ɛyaw a ano yɛ den a wuntumi nnyina ano a ɛboro yafunu mu yaw a ɛyɛ daa so. |
| Mogya a ɛtɔ kɛse wɔ brayɛ mu (Menorrhagia) . | Ebia mogya no bepue ayɛ nkuruwankuruwa akɛse. Ebia mogya no mu bɛyɛ duru araa ma ɛsɛ sɛ wosesa wo sanitary napkin dɔnhwerew biara. |
| Ɛyaw a Ɛwɔ Akyi berɛmo mu | Ɛnyɛ bere a worekɔ brayɛ mu nko, na mmom nna afoforo nso, ebia wobɛte ɛyaw a ɛkɔ so daa anaasɛ emu yɛ duru wɔ wo yafunu ase. |
| Ɛyaw a ɛba bere a obi renya nna mu kyɛfa (Dyspareunia) . | Wɔ nnipa binom fam no, ɔbarima ne ɔbea nna betumi ayɛ osuahu a ɛyɛ yaw. |
| Adenomyosis Yafunu mu yafunu | Bere a awotwaa no reyɛ kɛse no, yafunu no ase betumi ate nka sɛ apue, emu yɛ duru, anaasɛ ahuru. |
| Ɛyɛ den sɛ wobɛwo mma (Infertility) . | Ɛwom sɛ ɛntaa nsi de, nanso tebea yi betumi de ɔhaw ahorow aba wɔ nyinsɛn abofra mu. |
Dɛn nti na eyi ba? Dɛn ne nneɛma a ɛde asiane ba?
Nokwarem no, nnuruyɛfo da so ara nni mmuae a ɛyɛ pintinn 100% wɔ nea enti a mmea binom nya adenomyosis ho. Nanso nneɛma kakraa bi wɔ hɔ a wosusuw sɛ ebia edi dwuma. Nhwehwɛmu ada no adi sɛ ebia nkwaadɔm mu nsakrae, awosu mu nkɛntɛnso, ne ɔhyew tebea horow a ɛwɔ nipadua no mu no na ɛde ba.
Nanso, wɔahu nneɛma pii a ɛma asiane a ɛwɔ tebea yi mu no yɛ kɛse.
- Mfe a wɔadi: Saa tebea yi taa ba mmea a wɔadi fi mfe 40 kosi 50 mu.
- Mmofra a wɔbɛwo: Asiane yi dɔɔso ma mmea a anyɛ yiye koraa no wɔawo abofra biako.
- Awotwaa mu oprehyɛn: Sɛ wɔadi kan ayɛ wo oprehyɛn de ayi awotwaa mu ntini a ɛyɛ mmerɛw anaasɛ D&C (dilation and curettage) a, asiane a ɛwɔ hɔ no betumi ayɛ kɛse kakra.
- Endometriosis a wobenya: Nnipa a wɔwɔ tebea bi a wɔfrɛ no endometriosis no taa nya adenomyosis.
Nsonsonoe bɛn na ɛda adenomyosis ne endometriosis ntam?
Mpɛn pii no, edin abien yi yɛ basaa. Nneɛma abien no nyinaa fi ntini bi a ɛte sɛ awotwaa no mu nneɛma (endometrium) a enyin wɔ baabi a ɛnteɛ. Nsonsonoe no wɔ beae a ɛwɔ no mu.
Adenomyosis: Awotwaa no mu ntini no nyin kɔ awotwaa no ankasa ntini fasu no mu.
Endometriosis: Tebea a ntini a ɛte sɛ awotwaa no mu ntini nyin wɔ awotwaa no akyi , sɛ nhwɛso no, wɔ awotwaa, awotwaa mu ntini, anaa yafunu no mu baabi foforo.
Sɛ yɛbɛka no tiawa a, adenomyosis yɛ ɔhaw a ɛba awotwaa no mu . Endometriosis yɛ ɔhaw a ɛba wɔ awotwaa no akyi .
So eyi betumi ayɛ kokoram? Dɛn ne nsɛnnennen no?
Eyi yɛ ehu a nnipa pii wɔ. Nanso ade biako a wubetumi anya awerɛhyem wɔ ho ne sɛ adenomyosis nyɛ kokoram. Na ɛnna kokoram.
Nanso sɛ wɔansa a, ɔhaw atitiriw a ebetumi aba no mu biako ne mogya a ɛtɔ kɔ nipadua no mu, a ɛkyerɛ sɛ mogya so tew wɔ nipadua no mu . Efisɛ sɛ mogya tu wo kɛse wɔ brayɛ mu a, woyi iron pii fi nipadua no mu. Esiane eyi nti, ebia wobɛte ɔbrɛ, mmerɛwyɛ, na awɔw bere nyinaa.
Bio nso, ɛyaw a ɛkɔ so daa betumi aka wo da biara da asetra ne w’adwene mu akwahosan.
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Sɛ woka wo yare no ho sɛnkyerɛnne kyerɛ wo duruyɛfo a, ebia ɔbɛhwehwɛ wo mu na wasusuw sɛ wowɔ saa tebea yi. Nea ɛbɛyɛ na wɔasi eyi so dua no, mpɛn pii no wɔbɛyɛ sɔhwɛ ahorow yi mu biako anaa nea ɛboro saa.
- Pelvic Exam: Sɛ wo duruyɛfo hwehwɛ wo mu a, ɔbɛhwɛ sɛ w’awotwaa no ayɛ kɛse kakra, ayɛ mmerɛw, anaasɛ ɛyɛ yaw bere a woka no.
- Ultrasound Scan: Wɔ eyi mu no, scan, titiriw transvaginal ultrasound, tumi hu pefee sɛ ebia awotwaa no afasu ayɛ den anaasɛ nsakrae bi aba mu anaa.
- MRI scan: Wɔ tebea horow bi mu no, MRI scan betumi ama woanya awotwaa no tebea ho mfonini a emu dɔ na emu da hɔ.
Ɛtɔ mmere bi a, ebia wo duruyɛfo besi gyinae sɛ ɔbɛfa w’awotwaa no mu nneɛma ketewaa bi (biopsy) de ahwɛ ahu sɛ tebea foforo biara a emu yɛ den biara nni hɔ.
Dɛn ne ayaresa ahorow a ɛwɔ hɔ?
Esiane sɛ tebea a wɔfrɛ no adenomyosis no taa gyina hormone estrogen so nti, ɛtaa gyae bere a obi agyae brayɛ akyi., kyerɛ sɛ, sɛ brayɛ agyae koraa a, saa sɛnkyerɛnne ahorow yi bɛbrɛ ase nkakrankakra. Nanso ɛnsɛ sɛ wuhu amane kosi sɛ saa bere no bɛba. Ayaresa ahorow wɔ hɔ a wɔde siw sɛnkyerɛnne ahorow no so. Wo duruyɛfo bɛpaw ayaresa a ɛfata wo kɛse, na wasusuw mfe a woadi, sɛnea yare no ho sɛnkyerɛnne te, ne sɛ ebia wopɛ sɛ wowo mma pii no ho.
| Ɔkwan a wɔfa so sa yare | Nkyerɛmu |
|---|---|
| Nnuru a wɔde kum ɛyaw | Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) te sɛ ibuprofen ne naproxen betumi aboa ma wɔadi brayɛ mu ɛyaw so. |
| Hormone ayaresa | Nnuru a wɔde siw awo ano, hormone IUD, ne akwan foforo betumi aboa ma wɔatumi asiw mogya a ɛtɔ kɛse ne ɛyaw ano. Nnuru a wɔde twitwiw nipadua mu ahoɔdennuru te sɛ Depo-Provera nso wɔ hɔ. |
| Nnuru a ɛnyɛ hormone | Nnuru te sɛ tranexamic acid betumi atew mogya a ɛba brayɛ mu no so. |
| Adenomyomectomy a wɔde yɛ ade | Eyi hwehwɛ sɛ wɔyɛ oprehyɛn yi ntini a anyin abɛyɛ ntini no nkutoo, a wonnyi awotwaa no nyinaa mfi hɔ. |
| Hysterectomy a wɔde twa awotwaa no | Sɛ ayaresa foforo biara nni hɔ a ebetumi adi sɛnkyerɛnne ahorow no so na wompɛ sɛ wobɛwo mma bio a, hysterectomy ne ɔkwan a etwa to. Eyi akyi no, worennya nna bio na worentumi nwo mma. |
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ampa?
Sɛ wowɔ sɛnkyerɛnne a ɛwɔ ase ha no bi a, nsusuw sɛ "eyi yɛ ade a ɛfata" kɛkɛ na akyinnye biara nni ho sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu.
- Mogya a ɛtɔ kɛse wɔ brayɛ mu: Sɛ ɛsɛ sɛ wosesa sanitary pads bɛyɛ pɛnkoro dɔnhwerew biara a.
- Yafunu mu yaw a emu yɛ den: Sɛ ɛyaw no mu yɛ den araa ma wuntumi nyɛ nnwuma a ɛfata mpo a.
- Sɛ wote ɛyaw bere a wo ne obi reda a .
- Sɛ wote nka bere nyinaa sɛ wo yafunu no mu yɛ duru anaasɛ wo ho ayɛ wo ma a .
Sɛ ɛnyɛ adenomyosis ankasa na ɛde saa sɛnkyerɛnne ahorow yi ba mpo a, ebetumi afi tebea foforo a ehia sɛ wɔsa no mu aba. Enti, ɛho hia paa sɛ wobɛkɔ oduruyɛfo nkyɛn.
Nkrasɛm a Wɔde Kɔ Fie
- Adenomyosis yɛ awotwaa no mu ntini a enyin kɔ awotwaa no ntini mu. Eyi nyɛ kokoram .
- Ɛnyɛ bere nyinaa na brayɛ mu ɛyaw a emu yɛ den ne mogya a ɛtɔ kɛse no yɛ "nea ɛfata." Wobetumi ayɛ aduruyɛ mu tebea bi a ɛda adi ho sɛnkyerɛnne.
- Nnuru ne oprehyɛn a etu mpɔn yiye wɔ hɔ a wɔde siw saa sɛnkyerɛnne ahorow yi so, enti ɛho nhia sɛ wohu amane wɔ ɛyaw mu.
- Sɛ wowɔ saa sɛnkyerɛnne yi bi a, nsuro anaasɛ ɛnwu sɛ wo ne wo duruyɛfo bɛkasa afa ho. Ɛno ne anammɔn a edi kan a ɛbɛma woanya asetra a ahoɔden wom.
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