ʻAʻole hiki ke hoʻomanawanui i ka ʻeha o ka menstruation? Loaʻa paha iā ʻoe ka endometriosis?

He mea maʻamau no ka hapa nui o nā wāhine ke ʻike i kekahi ʻano ʻeha i ko lākou wā. Akā no kekahi poʻe, lilo kēia ʻeha i mea hiki ʻole ke hoʻomanawanui. ʻOi loa ka ʻeha a hiki ʻole iā lākou ke hana i kā lākou hana o kēlā me kēia lā a pono lākou e noho ma kahi moe. Inā ʻo kēia ke ʻano no ʻoe, mai hoʻokuke wale iā ia he "ʻeha menstrual maʻamau." No ka mea, aia paha kahi maʻi i kapa ʻia ʻo endometriosis ma hope o ia mea. E kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi i kēia lā.

He aha maoli ka Endometriosis?

I ka ʻōlelo maʻalahi, ʻo ka endometriosis ka ulu ʻana o nā ʻiʻo e like loa me ka uhi o kou uterus, ma waho o ka uterus, ma nā wahi ʻē aʻe o kou kino. ʻO ka maʻamau, mānoanoa kēia uhi i ka wā o kāu pōʻaiapuni menstrual a laila hoʻokahe ʻia ma ke ʻano he koko menstrual. Akā, ʻo kēia ʻiʻo keu e ulu ana ma waho o ka uterus, ʻaʻohe wahi e hele ai. No laila, pili pū ia a hoʻoulu i ka mumū, ka ʻiʻo ʻeha, a me ka ʻeha.

He maʻi maʻamau loa kēia, e pili ana i hoʻokahi o 10 mau wahine ma ka honua holoʻokoʻa. ʻIke pinepine ʻia ia i waena o nā wahine i ko lākou mau makahiki 20 a me 30.

Ma hea e hiki ai i kēia ʻiʻo ke ulu?

ʻOiai hiki i nā ʻiʻo endometriosis ke ulu ma nā wahi āpau o ke kino, aia kekahi mau wahi i maʻamau nui ʻia a aia kekahi mau wahi i liʻiliʻi loa ka maʻamau.

He aha nā hōʻailona o kēia maʻi?

ʻO ka hōʻailona nui a maʻamau o ka endometriosis, ʻo ia ka ʻeha pelvic . Hiki ke ʻoluʻolu kēia ʻeha no kekahi poʻe, akā hiki ke hoʻomanawanui ʻole no kekahi. Hiki ke koʻikoʻi loa kēia ʻeha i kekahi mau lā ma mua a i ka wā o ka menstruation. ʻO kēia no ka mea e pane ana ka ʻiʻo ma kēlā mau wahi ʻē i nā loli hormonal e hana ʻia i loko o ia manawa a hoʻoulu i ka mumū.

Eia kekahi o nā hōʻailona nui:

• ʻEha nui o ka menstruation: ʻEha nui loa i hiki ʻole ke kāohi ʻia me nā lāʻau ʻeha maʻamau.
• ʻEha o ka ʻōpū haʻahaʻa a i ʻole ke kua: Hiki ke loaʻa kēia ʻeha i ka wā o ka menstruation a i ʻole ma waena o nā wā menstrual.
• Ke kahe koko nui: Ke kahe koko nui i ka wā o ka menstruation a i ʻole ke kahe koko māmā (spotting) ma waena o nā menstruations.
• ʻEha i ka wā o ka moekolohe: Ua kapa ʻia kēia ma ke ʻano lapaʻau he "Dyspareunia".
• ʻAʻole hānau keiki: ʻIke wale kekahi mau wahine he endometriosis ko lākou ke hoʻāʻo nei lākou e loaʻa kahi pēpē.
• ʻEha i ka wā e neʻe ai ka ʻōpū a i ʻole ka mimi ʻana.
• ʻO ka ʻeha ʻōpū: Nā mea e like me ka bloating, ka maʻi diarrhea, a i ʻole ka constipation.

Ke hoʻonui nei ke kaumaha i ka endometriosis?

ʻAʻole, ʻaʻole ke kumu pololei o ka endometriosis i ka piʻi ʻana o ke kaumaha. Eia nō naʻe, ʻo ka pehu ʻana a me ka paʻa ʻana o ka wai e hele pū me ke kūlana hiki ke hoʻopū iā ʻoe.

No ke aha e ulu ai ka endometriosis? He aha nā kumu pilikia?

ʻAʻole maopopo loa i nā kauka ke kumu o ia mea. Akā, aia kekahi mau mea a lākou e manaʻo nei e kōkua paha i ia mea. No ka laʻana, manaʻoʻiʻo nā kānaka noiʻi e kahe ana ke koko o ka menstrual ma o ka vagina a kahe iki kekahi i loko o ka lua o ka ʻōpū ma o nā fallopian tubes ('retrograde menstruation'), nā pilikia o ka ʻōnaehana pale, a me nā hormonal imbalances e kōkua paha i ia mea.

He mea kēia i loaʻa mai nā hanauna mai?

ʻAe. ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī, ua ʻike ʻia ua pili ia i ka mōʻaukala ʻohana. Inā loaʻa i kou makuahine, kupuna wahine, a kaikuahine paha ka endometriosis, ʻoi aku kou pilikia o ka loaʻa ʻana o ke kūlana. No laila, inā loaʻa i kekahi o kou ʻohana ke kūlana, he mea nui loa ia e kamaʻilio me kāu kauka e pili ana i ia mea.

He aha nā kumu pilikia?

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka endometriosis.

• Loaʻa kahi moʻolelo ʻohana o ka endometriosis.
• Ka pōkole o ke kaʻina hana menstrual (ʻoi aku ma mua o 27 mau lā).
• Ka lōʻihi o ka menstruation a me ke kahe koko nui (ʻoi aku ma mua o 8 mau lā).
• ʻAʻole loa e loaʻa keiki.

He aha nā pilikia e hiki ke kū mai ma muli o ka endometriosis?

Inā ʻaʻole mālama pono ʻia kēia maʻi, hiki ke loaʻa kekahi mau pilikia. ʻO nā mea nui ka ʻeha mau a me ka hānau ʻole ʻana .

Eia kekahi, inā lilo ka maʻi i mea koʻikoʻi, hiki ke hana ʻia kēia mau mea:

• Nā pilikia o ka ʻōpū a i ʻole ka ʻōpū mimi: Inā ulu ka ʻiʻo i loko o nā ʻōpū, ka rectum, a i ʻole ka ʻōpū mimi, hiki iā ia ke hoʻoulu i ke koko i loko o ka ʻōpala a i ʻole ka mimi, a me ka ʻeha nui i ka wā e hele ai.
• Paʻakikī ka hanu ʻana a i ʻole ka ʻeha o ka umauma: He mea kākaʻikahi loa, hiki i kēia ʻiʻo ke pālahalaha i nā māmā a i ʻole ka diaphragm, e pilikia ai ka hanu ʻana.

Inā loaʻa iā ʻoe kēia ʻano pilikia, hiki iā ʻoe ke kamaʻilio me kāu kauka a mālama iā lākou.

Pehea ka pilikia o ka hānau keiki ʻana ma muli o ka endometriosis?

ʻO ka Endometriosis kekahi kumu nui o ka hānau ʻole ʻana. E noʻonoʻo, inā e ālai kēia ʻiʻo i nā ʻōmole fallopian, hōʻino i nā ovaries, a hana paha i nā ʻiʻo ʻeha i loko o ka lua ʻōpū, hiki iā ia ke hoʻopilikia i ka hui ʻana o ka sperm me kahi hua manu a me ka hoʻoulu ʻana iā ia. ʻO ia ke kumu e lohi ai a paʻakikī paha ka loaʻa ʻana o nā keiki.

Pehea e ʻike pono ai i kēia maʻi?

Hoʻomaka pinepine ka ʻike ʻana me kāu mau hōʻailona. Ke haʻi aku ʻoe i kāu kauka e pili ana i kou ʻeha nui, e nīnau ʻo ia e pili ana i kou mōʻaukala olakino a inā paha ua loaʻa i kekahi o kou ʻohana ke ʻano. A laila, e hana lākou i kahi hoʻokolokolo pelvic. Inā pono, hiki iā lākou ke kuhikuhi iā ʻoe no nā hoʻokolohua e like me ka ultrasound a i ʻole MRI scan.

Akā, loaʻa iaʻu ka endometriosis.ʻO ke ala wale nō e maopopo ai he 100% ma o ka laparoscopy.

I ka manawa pinepine, i ka wā e hana ai i kēia ʻoki kino, hoʻāʻo pū ke kauka e wehe i kekahi ʻiʻo endometriosis e kū nei. No laila, he ʻano hōʻoia a he ʻano lapaʻau kēia.

He aha nā lāʻau lapaʻau?

E hoʻoholo ʻia ke koho lapaʻau maikaʻi loa nāu ma ka noʻonoʻo ʻana i kekahi mau kumu.

• Ka nui o ka maʻi
• Inā paha ʻoe e kali ana i nā keiki i ka wā e hiki mai ana.
• kou mau makahiki
• Ka nui o nā hōʻailona (ʻoi aku ka ʻeha)

ʻElua mau pahuhopu nui o ka lāʻau lapaʻau. ʻO kekahi, ʻo ia ke kāohi i ka ʻeha . ʻO kekahi, ʻo ia ke kōkua iā ʻoe e hāpai inā ʻoe e hoʻāʻo nei e hāpai. Hiki ke hana ʻia kēia ma o ka lāʻau lapaʻau, ke ʻoki kino, a i ʻole ka hui pū ʻana o nā mea ʻelua.

Lapaʻau me ka lāʻau lapaʻau

Hiki i nā lāʻau hoʻopau ʻeha e like me NSAID (e like me ibuprofen) ke kōkua i ka hoʻomalu ʻana i ka ʻeha. Eia kekahi, ʻo ka lāʻau lapaʻau hormone ka lāʻau lapaʻau i hoʻohana pinepine ʻia. Kōkua kēia i ka hoʻoponopono ʻana i ke kaʻina hana menstrual a hōʻemi i ka ʻeha.

• Nā ʻano kaohi hānau: ʻO nā pila kaohi hānau, nā ʻāpana, nā inikini, a i ʻole nā ​​IUD e kōkua i ka hoʻomāmā ʻana i kou wā a hoʻemi i ka ʻeha.
• Nā agonists/antagonists GnRH: Ke ālai nei kēia mau lāʻau i nā hormones e hoʻoulu ai i ka pōʻaiapuni menstrual. I ka ʻōlelo maʻalahi, hana lākou me he mea lā "hoʻomaha" kāu ʻōnaehana hānau no kekahi manawa a hōʻoluʻolu i ka ʻeha. ʻO Lupron® kekahi o ia mau inikini.
• Danazol: He lāʻau lapaʻau kēia e hoʻōki ai i ka hana ʻana o nā hormones e hoʻoulu ai i ka menstruation.

ʻO ka mea nui loa, hiki ke hoʻi hou mai nā hōʻailona ke hoʻōki ʻia kēia mau lāʻau lapaʻau. Eia kekahi, ʻaʻole kūpono kēia mau lāʻau lapaʻau hormone no ka mea e hāpai ana i kahi keiki.

Lapaʻau ma ke ʻoki kino

I kekahi mau hihia, hiki ke ʻōlelo ʻia ke ʻoki kino. ʻO ka pahuhopu o ke ʻoki kino, ʻo ia ka wehe ʻana i ka nui o nā ʻiʻo endometriosis ʻē aʻe e like me ka hiki.

• ʻO ke ʻoki Laparoscopic: E like me ka mea i ʻōlelo ʻia ma mua, lawe pinepine ʻia kēia ʻiʻo ma o nā ʻoki liʻiliʻi me ka hoʻohana ʻana i kahi kāmela.
• Hysterectomy: I nā hihia koʻikoʻi loa, inā ʻaʻole hiki ke kaohi ʻia ka maʻi me nā lāʻau ʻē aʻe, hiki i kāu kauka ke ʻōlelo aku e wehe i ka ʻōpū a me/a i ʻole nā ​​ovaries.

He maʻi mau ka Endometriosis. ʻOiai he nui ka poʻe e ʻike i ka hōʻoluʻolu mai ka ʻeha ma hope o ke ʻoki ʻana, hiki ke hoʻi mai nā hōʻailona ma hope o kekahi mau makahiki.

Nā nīnau ʻē aʻe paha āu e loaʻa ai

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?

I ka hala ʻana o ka manawa, hiki i kēia ʻiʻo e ulu ana ma waho o ka ʻōpū ke hana i nā cysts, nā pipili, a me nā ʻiʻo ʻeha. Hiki i kēia ke hana i ka ʻeha nui a lōʻihi. Hiki iā ia ke hoʻolilo i mea paʻakikī ke loaʻa nā keiki.

Hiki ke hāpai me kēia maʻi?

ʻAe, hiki ke hāpai. Akā, ʻoi aku paha ka paʻakikī ma mua o kekahi me ka ʻole o ka endometriosis. Inā ʻoe e hoʻāʻo nei e loaʻa kahi pēpē, e kamaʻilio me kāu kauka e hoʻomohala i kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe. Hiki paha iā ʻoe ke hāpai ma hope o ka wehe ʻana i ke kino.

Hiki ke hana ʻia kēia ma hope o ka menopause?

ʻAʻole hoʻi hou ka Endometriosis ma hope o ka menopause, ʻoiai e emi ana ka nui o ka estrogen i loko o ke kino. Eia nō naʻe, inā lawe kahi kanaka i loaʻa i ke ʻano ma mua o ka menopause i ka lāʻau hoʻololi hormone (HRT), hiki ke hoʻi hou nā hōʻailona.

Āhea ʻoe e pono ai e ʻike i ke kauka?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma luna nei, ʻoiai hoʻi nā ʻeha nui o ka menstruation, ke kahe koko nui, a i ʻole ka ʻeha i ka wā o ka moekolohe , pono ʻoe e ʻike i ke kauka, ʻoiai hoʻi ke kauka wahine. Mai manaʻo wale he mea maʻamau kēia a hoʻomanawanui i ka ʻeha.

Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• He aha ka lāʻau lapaʻau maikaʻi loa i ʻōlelo ʻia noʻu?
• Hiki ke hoʻi hou mai kēia maʻi ma hope o ka mālama ʻana?
• E hoʻopilikia anei kēia i koʻu hiki ke hānau keiki?
• Aia anei iaʻu ka pilikia o ka loaʻa ʻana o nā maʻi ʻē aʻe ma muli o ka endometriosis?

Ke ʻike ʻia ʻoe me ka endometriosis, hiki iā ʻoe ke manaʻo i nā ʻano manaʻo like ʻole. ʻOiai paha ʻoe e manaʻo i ka hōʻoluʻolu, "Auē, maikaʻi, ua ʻike hope wau i ke kumu o koʻu ʻeha," hiki paha iā ʻoe ke hopohopo e pili ana i ka mālama ʻana a me kou hiki ke loaʻa nā keiki. He mea maʻamau kēia mau manaʻo a pau. ʻO ka mea nui, ʻo ia ka ʻike ʻaʻole ʻoe hoʻokahi. E kamaʻilio ākea me kāu kauka a hoʻomohala i ka hoʻolālā lapaʻau maikaʻi loa no kou kūlana.