Ke ʻeha nui nei hoʻi ʻoe i ka wā o ka menstruation? ʻEha ka ʻōpū? Hiki paha kēia ma muli o ka adenomyosis!

No nā wāhine he nui, he mea maʻamau ka ʻeha a me ke kahe koko nui e hele mai me ka menstruation. Akā i kekahi manawa aia kekahi kumu ʻē aʻe ma hope o kēia mau mea. ʻO ia ke kūlana a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo adenomyosis. Mai hopohopo, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī.

He aha ka adenomyosis?

I ka ʻōlelo maʻalahi, ʻo ka adenomyosis kahi maʻi kahi e ulu ai ka ʻiʻo e like me ka uhi o kou uterus (i kapa ʻia ʻo ka endometrium ) i loko o ka paia ʻiʻo o kou uterus (i kapa ʻia ʻo ka myometrium) . E noʻonoʻo, i ka wā e ulu ai kēia ʻano ʻiʻo i loko o ka paia uterine, e mānoanoa a hoʻonui mālie ka uterus. I kekahi manawa hiki ke pālua a ʻekolu paha kona nui maʻamau. ʻO ia ke kumu e ʻike ai ʻoe i ka ʻeha nui i kou wā, ke kahe nui ʻana o ke koko, nā kiko, a me ka ʻeha o ka ʻōpū/ʻōpū haʻahaʻa.

ʻO wai ka mea i ʻoi aku ka paʻakikī ke loaʻa i kēia?

ʻAʻole ʻike ka nui o nā wahine he adenomyosis ko lākou. ʻAʻole loaʻa i nā kānaka a pau nā hōʻailona, ​​no laila he paʻakikī ke ʻōlelo pololei i kona ʻano maʻamau. Akā ua ʻike ʻia e ka noiʻi he ʻoi aku ka maʻamau o ia mea i nā wahine i loaʻa ka hysterectomy a i nā wahine ma luna o 40 mau makahiki. Hiki iā ia ke hoʻopilikia i nā wahine ʻōpio (ma kahi o 2% a 5%) i loaʻa ka ʻeha nui o ka menstruation.

He aha nā hōʻailona o kēia?

Ma kahi o ka hapakolu o ka poʻe i ʻōlelo ʻia ʻaʻohe o lākou hōʻailona. Akā, ʻike kekahi poʻe i nā mea e like me:

• ʻEha nui i ka wā o ka menstruation (i kapa ʻia hoʻi ʻo dysmenorrhea ).
• Ke kahe nui ʻana o ke koko i ka wā o ka menstruation (ua kapa ʻia kēia he menorrhagia ).
• Ka menstruation kūpono ʻole.
• ʻEha o ka ʻōpū haʻahaʻa (me ka ʻeha hope koʻikoʻi a i ʻole me ka ʻole).
• ʻEha i ka wā o ka moekolohe (ua kapa ʻia kēia he dyspareunia ).
• Ka paʻakikī i ka hānau keiki ʻana (Infertility).
• Ka hoʻonui ʻia ʻana o ka ʻōpū .
• Manaʻo piha a kaumaha paha i loko o ka ʻōpū (kapa kekahi poʻe i kēia ʻo 'ʻōpū adenomyosis').

No ke aha e hana ʻia ai kēia? He aha nā kumu?

ʻAʻole maopopo i nā kānaka noiʻi ke kumu e loaʻa ai i kekahi poʻe ka adenomyosis, a i ʻole ke kumu pololei. Eia nō naʻe, hōʻike kekahi mau noiʻi e pili ana paha nā loli hormonal, nā kumu genetic, ka mumū i loko o ke kino, a i ʻole ka trauma i ka uterus.Hiki i nā mea like ke hoʻopilikia i kēia.

He aha nā kumu pilikia?

ʻO ka adenomyosis ka mea i ʻike pinepine ʻia i nā wahine i:

• ʻO nā kānaka ma waena o 40 a me 50 mau makahiki.
• ʻO ka poʻe i hānau i hoʻokahi keiki ma ka liʻiliʻi.
• ʻO ka poʻe i hana mua ʻia i nā ʻoki ʻōpū e like me ke ʻoki wehe ʻana i ka fibroid uterine a i ʻole D&C (Dilation and Curettage).
• ʻO nā kānaka me ka endometriosis.

Eia nō naʻe, ua ʻike pinepine ʻia ka adenomyosis i waena o nā wahine i ko lākou mau makahiki 30 e ʻike nei i ke kahe koko ʻole o ka ʻōpū a i ʻole ka ʻeha nui o ka menstrual.

Hiki i ka adenomyosis ke hoʻoulu i nā pilikia ʻē aʻe?

ʻAe, me ka adenomyosis, hiki i nā hōʻailona ke lilo i mea ʻino iki aʻe i ka hala ʻana o ka manawa.

E hoʻomanaʻo nui hoʻi hiki i ke kahe nui o ke koko ke alakaʻi i ka anemia . No laila, inā ʻoe e luhi mau ana a me ke anu, e makaʻala hoʻi i kēlā.

ʻO ka anemia kahi maʻi i loaʻa ʻole ai i kou kino nā hunaola koko ʻulaʻula waiwai i ka hao. Hiki i kēia ke hoʻoluhi a me ke anu iā ʻoe.

Hiki paha i kēia ke lilo i maʻi kanesa?

ʻAʻole. ʻAʻole ʻo Adenomyosis he maʻi kanesa. A ʻaʻole ia e alakaʻi i ka maʻi kanesa. No laila, ʻaʻohe mea e hopohopo ai.

Pehea e ʻike ai ke kauka i kēia?

Hoʻomaopopo pinepine nā kauka i ka adenomyosis ma ka nīnau ʻana e pili ana i kāu mau hōʻailona a hana i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua:

• Hoʻokolokolo Pelvic: I loko o kēia hoʻokolokolo, ʻike paha ke kauka he ʻoi aku ka nui o kou ʻōpū ma mua o ka maʻamau, palupalu, a ʻeha paha i ka pā ʻana.
• ʻO ke scan ultrasound: ʻO ka ultrasound transvaginal, ʻoi aku ka mea i hana ʻia ma o ka vagina, hoʻohana i nā nalu kani e kiʻi i nā kiʻi o kou mau kino pelvic . Hiki i kēia mau kiʻi ke hōʻike i ka mānoanoa o ka paia uterine.
• MRI scan: Hōʻike maopopo kahi MRI (Magnetic Resonance Imaging) scan i ke ʻano o ka hoʻonui ʻia ʻana o ka ʻōpū a pehea i mānoanoa ai kekahi mau wahi o ka ʻōpū.

I kekahi manawa e lawe paha kāu kauka i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kou ʻōpū (i kapa ʻia he biopsy ) a hoʻouna aku i kahi lab e nānā i nā maʻi koʻikoʻi ʻē aʻe.

He aha ka lāʻau lapaʻau?

I ka hapanui o ka manawa, loaʻa ka estrogenKōkua ka hormone estrogen i kēia ʻiʻo endometrial e ulu. No laila, ma hope o ka menopause, i ka wā e pau loa ai ka menstruation, e nalowale loa nā hōʻailona o ka adenomyosis. Akā a hiki i kēlā manawa, hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i ka ʻeha, kaohi ʻana i ke kahe koko nui, a hāʻawi i ka hōʻoluʻolu mai nā hōʻailona ʻē aʻe:

• Nā lāʻau hoʻopau ʻeha : ʻO nā lāʻau anti - inflammatory nonsteroidal (NSAID), e like me ibuprofen (Advil®, Motrin®) a me naproxen (Aleve®), e hōʻemi i ka ʻeha.
• Nā lāʻau hormonal: Hiki i kekahi mau lāʻau hormonal ke kōkua i ka kaohi ʻana i ke kahe ʻana o ke koko menstrual a me nā wā ʻole. ʻO nā laʻana e komo pū me nā pila hoʻomalu hānau, ka pana Depo-Provera® , a me nā mea hana intrauterine hormonal (IUD ) e like me Mirena® .
• Nā lāʻau lapaʻau ʻaʻole hormonal: Hiki i nā lāʻau lapaʻau e like me ka waikawa tranexamic ke hōʻemi i ka nui o ke kahe koko ʻana o ka vaginal.
• Adenomyomectomy: Wehe kēia ʻoki kino i ka ʻiʻo adenomyosis mai ka ʻiʻo o ka ʻōpū. Ua like iki kēia me ka myomectomy, kahi e wehe ai i nā fibroids uterine.
• Hysterectomy: Pili kēia i ka wehe piha ʻana o ka ʻōpū. Ma hope o ka hysterectomy , ʻaʻole ʻoe e loaʻa hou i nā wā a ʻaʻole hiki iā ʻoe ke loaʻa nā keiki.

He aha ka mea e hana ʻia inā ʻaʻole hāʻawi ʻia ka lāʻau lapaʻau?

Inā ʻaʻole mālama ʻia, hiki i ka adenomyosis ke alakaʻi i ka hānau ʻole ʻana a i ʻole ka hāʻule ʻana o ka ʻōpū , no ka mea, hōʻemi ia i nā manawa kūpono o ke kanu ʻana o ka embryo i loko o ka paia o ka ʻōpū. Hiki iā ia ke hana i ka ʻeha mau o ka ʻōpū lalo a me ka pelvic .

Aia kekahi ala e pale aku ai i kēia?

Ma muli o ka ʻike ʻole ʻia o ke kumu kikoʻī o ka adenomyosis, ʻaʻole ʻike nā kauka i kahi ala kikoʻī e pale aku ai.

He aha kāu e manaʻo ai i ka wā e noho ai me kēia maʻi?

He nui ka poʻe me nā hōʻailona o ka adenomyosis e hoʻopilikia nei i ko lākou ola o kēlā me kēia lā e loaʻa ka hōʻoluʻolu me ka mālama ʻana. E like me ka mea i ʻōlelo ʻia ma mua, pono e nalo nā hōʻailona ma hope o ka menopause. Eia nō naʻe, hiki ke hoʻomau ka uterus i hoʻonui ʻia.

ʻO Adenomyosis a me ka hāpai ʻana

ʻIke pinepine ʻia ka adenomyosis i nā wahine i loaʻa i hoʻokahi keiki. Eia naʻe, ma muli o kēia kūlanaHiki ke paʻakikī ke hāpai i kahi keiki no ka manawa mua, a i ʻole ka loaʻa ʻana o kahi keiki ʻē aʻe. ʻOiai inā hāpai ʻoe, aia kekahi mau pilikia, e like me:

• Ka hāʻule ʻana o ka hāpai keiki.
• Ka hānau mua ʻana.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike pono i ke kauka:

• Ka nui o ke kahe ʻana o ke koko i ka wā o ka menstruation.
• ʻEha nui loa ka ʻeha o ka menstruation.
• ʻEha i ka wā o ka moekolohe.
• Manaʻo o ka piha a i ʻole ke kaumaha i loko o ka ʻōpū.

Nā nīnau koʻikoʻi e nīnau aku i ke kauka

Inā ua ʻike ʻia ʻoe me ka adenomyosis, makemake paha ʻoe e nīnau i kāu kauka i nā nīnau e like me:

• "No ke aha i loaʻa ai iaʻu ka adenomyosis?"
• "He aha ke ʻano lapaʻau kūpono loa noʻu?"
• "Pono anei au e hoʻohana i kekahi ʻano hana hoʻomalu hānau ʻē aʻe?"
• "E hiki anei iaʻu ke hānau keiki?"
• "Pono anei au e hopohopo e pili ana i nā hōʻailona o nā pilikia?"

He aha ka ʻokoʻa ma waena o ka Adenomyosis a me ka Endometriosis?

ʻO Adenomyosis a me endometriosis nā kūlana ʻelua e ulu ai nā ʻiʻo e like me ka uhi o ka uterus (endometrium) ma waho o ka uterus. Hiki i nā mea ʻelua ke ʻeha. Eia nō naʻe, ʻoi aku ka nui o ka adenomyosis e hoʻoulu ai i ke kahe koko nui o ka menstruation. ʻO ka ʻokoʻa nui ma waena o nā kūlana ʻelua kahi e ulu ai nā ʻiʻo:

• Adenomyosis: ʻO ka ʻiʻo e like me ka endometrium e ulu ana i loko o ka ʻiʻo o ka ʻōpū.
• Endometriosis: ʻO nā ʻiʻo e like me ka endometrium e ulu ana ma waho o ka ʻōpū, no ka laʻana i loko o nā ovaries a i ʻole nā ​​​​tubes fallopian.

He kūlana koʻikoʻi anei kēia?

ʻAʻole pinepine ka adenomyosis i nā pilikia koʻikoʻi a hoʻoweliweli i ke ola. Eia nō naʻe, hiki iā ia ke hoʻoulu i ka paʻakikī o ka hāpai ʻana a i ʻole ka hāʻule ʻana o ka hānau keiki.

ʻO ka mea nui loa, ʻo ia ke ʻimi i ke kōkua lapaʻau ma mua o ka ʻeha hoʻokahi inā ke hoʻopilikia nei kēia mau hōʻailona i kou ola o kēlā me kēia lā.

No laila, mai makaʻu e kamaʻilio me kāu kauka e pili ana i nā ala e ʻoi aku ai ka maikaʻi.

ʻO ka leka a mākou e makemake ai e lawe i ka home mai kēia moʻolelo

ʻAe, ua kamaʻilio nui mākou e pili ana i ka adenomyosis. Inā ʻike ʻoe i nā hōʻailona e like me kēia, e like me nā ʻeha menstrual nui, ke kahe koko nui, a me ka ʻeha o ka ʻōpū ma lalo, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a loaʻa ka ʻōlelo aʻo ma mua o ka ʻeha wale ʻana. E hoʻomanaʻo, ʻaʻole kēia he maʻi kanesa, a hiki i nā poʻe he nui ke loaʻa ka hōʻoluʻolu me ka mālama ʻana.Ma hope o ka menopause, e emi pinepine ana kēia mau hōʻailona. Inā ʻaʻole ʻoe e hoʻolālā e loaʻa nā keiki, hiki i ka hysterectomy ke ho'ōla loa i kēia maʻi. No laila, mai makaʻu e kūkākūkā i kou mau hopohopo me kāu kauka a loaʻa i ka hopena e kūpono loa iā ʻoe.