Loaʻa iā ʻoe kekahi manawa e hoʻoluhi ai iā ʻoe i kēlā me kēia mahina? ʻAʻole paha ʻoe e hiki ke hana i kāu mau hana maʻamau ma muli o ka ʻōpū ʻeha a me ke kahe nui ʻana o ke koko. Manaʻo paha ʻoe, "He mea maʻamau kēia no mākou nā wāhine." Akā, ʻaʻole ia ka hihia mau. I kekahi manawa, ʻo ke kumu o kēia ʻeha nui a me ke kahe nui ʻana o ke koko he maʻi i kapa ʻia ʻo adenomyosis. I kēia lā, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka adenomyosis?
I mea e hoʻomaopopo ai i kēia, e aʻo mua kākou e pili ana i ko kākou ʻōpū. Hana ʻia ka paia o loko o ka ʻōpū i kahi membrane kūikawā. Kāhea mākou i kēia ʻo ka endometrium. ʻO kēia membrane ka mea i hoʻokahe ʻia i kēlā me kēia mahina i ka wā menstruation. Ma waho o kēia membrane he paia mānoanoa i hana ʻia me nā ʻiʻo ʻōpū. Ua kapa ʻia ʻo ia ʻo ka myometrium.
I kēia manawa, ma ke ʻano i kapa ʻia ʻo adenomyosis , ʻo ka mea e hana ʻia nei, ʻo nā pūnaewele e pili ana i ka uhi endometrial, aia i loko o ka uterus, ʻaʻole lākou e noho wale ma laila, akā hoʻomaka pū kekahi e ulu i loko o ka papa ʻiʻo o ka uterus (myometrium).
E noʻonoʻo e like me ka pena āu e makemake ai e kau i ka paia i loko o ka hale, akā pālahalaha ia ma waena o ka paia a komo i waena o nā piliki. Ke ulu kēia membrane i loko o ka ʻiʻo ma kēia ʻano, hoʻomaka mālie ka uterus e mānoanoa a ulu. I kekahi manawa hiki i ka uterus ke ulu i ʻelua a ʻekolu paha manawa o kona nui maʻamau . Ua kapa ʻia kēia ʻo adenomyosis.
He aha nā hōʻailona o kēia maʻi?
ʻO ka mea kupanaha, ʻaʻole i loaʻa i nā kānaka a pau me ka adenomyosis nā hōʻailona. Loaʻa paha i kekahi mau wāhine ke ʻano me ka ʻole o nā hōʻailona. Akā no ka poʻe i loaʻa, hiki ke lilo i mea hoʻopilikia iki. E nānā kākou i nā hōʻailona nui.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha nui ka wā o ka menstruation (Dysmenorrhea) | Hiki iā ʻoe ke loaʻa i kahi ʻeha ʻoi a hiki ʻole ke hoʻomanawanui ʻia e ʻoi aku ana ma mua o ka ʻeha ʻōpū maʻamau. |
| Ka kahe koko nui o ka menstrual (Menorrhagia) | Hiki ke puka mai ke koko i waho me nā ʻōpū nui. Hiki ke kaumaha loa ke kahe ʻana o ke koko a pono ʻoe e hoʻololi i kāu napkin hoʻomaʻemaʻe i kēlā me kēia hola. |
| ʻEha Pelvic | ʻAʻole wale i ka wā o ka menstruation, akā i nā lā ʻē aʻe hoʻi, hiki iā ʻoe ke manaʻo i ka ʻeha mau a i ʻole ke kaumaha ma ka ʻōpū haʻahaʻa. |
| ʻEha i ka wā o ka moekolohe (Dyspareunia) | No kekahi poʻe, hiki i ka moekolohe ke lilo i mea ʻeha. |
| ʻŌpū Adenomyosis | I ka nui ʻana o ka ʻōpū, e manaʻo paha ka ʻōpū lalo e puka mai ana, kaumaha, a pehu paha. |
| Ka paʻakikī i ka hānau keiki ʻana (Infertility) | ʻOiai he mea kakaikahi, hiki i kēia kūlana ke hoʻopilikia i ka hāpai ʻana i kahi keiki. |
No ke aha e hana ʻia ai kēia? He aha nā kumu pilikia?
ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa i nā kauka kahi pane paʻa 100% no ke kumu e loaʻa ai i kekahi mau wahine ka adenomyosis. Akā aia kekahi mau mea a lākou e manaʻo nei he kuleana ko lākou. Ua ʻike ʻia e ka noiʻi ʻo nā loli hormonal, nā mana genetic, a me nā kūlana mumū i loko o ke kino he mau kumu kōkua.
Eia nō naʻe, ua ʻike ʻia kekahi mau kumu e hoʻonui ai i ka pilikia o kēia ʻano.
- Makahiki: ʻOi aku ka maʻamau o kēia maʻi i waena o nā wahine ma waena o 40 a me 50 mau makahiki.
- Ka loaʻa ʻana o nā keiki: ʻOi aku ke kiʻekiʻe o kēia pilikia no nā wahine i hānau i hoʻokahi keiki.
- ʻO ke ʻoki ʻana o ka ʻōpū: Inā ua hana mua ʻia ʻoe i ke ʻoki ʻana e wehe i nā fibroids uterine a i ʻole kahi D&C (dilation a me ka curettage), hiki ke hoʻonui iki ʻia kou pilikia.
- Loaʻa ka endometriosis: ʻO ka poʻe me ke ʻano i kapa ʻia ʻo endometriosis e ʻoi aku ka nui o ka hoʻomohala ʻana i ka adenomyosis.
He aha ka ʻokoʻa ma waena o ka adenomyosis a me ka endometriosis?
Hoʻohuihui pinepine ʻia kēia mau inoa ʻelua. Hoʻokumu ʻia nā mea ʻelua e ka ulu ʻana o kahi ʻiʻo e like me ka uhi o ka uterus (endometrium) ma kahi kūpono ʻole. Aia ka ʻokoʻa ma kahi.
Adenomyosis: Ulu ka uhi o ka ʻōpū i loko o ka paia ʻiʻo o ka ʻōpū ponoʻī.
ʻO ka Endometriosis: ʻO ia ke ʻano e ulu ai nā ʻiʻo e like me ka uhi o ka uterus ma waho o ka uterus , no ka laʻana ma nā ovaries, nā fallopian tubes, a ma nā wahi ʻē aʻe o ka ʻōpū.
I ka ʻōlelo maʻalahi, he pilikia ka adenomyosis e kū nei i loko o ka ʻōpū. ʻO ka Endometriosis kahi pilikia e kū nei ma waho o ka ʻōpū.
He maʻi kanesa paha kēia? He aha nā pilikia?
He makaʻu kēia i loaʻa i nā kānaka he nui. Akā, hoʻokahi mea hiki iā ʻoe ke hilinaʻi , ʻaʻole ka adenomyosis he maʻi kanesa. A ʻaʻole ia e lilo i maʻi kanesa.
Akā inā ʻaʻole mālama ʻia, ʻo kekahi o nā pilikia nui e hiki ke loaʻa, ʻo ia ka anemia, ʻo ia hoʻi ka emi ʻana o ke koko i loko o ke kino . No ka mea, i ka wā e nui ai ke kahe koko o ka menstruation, ua lawe ʻia ka nui o ka hao mai ke kino. Ma muli o kēia, hiki iā ʻoe ke luhi, nāwaliwali, a me ke anu i nā manawa a pau.
Eia kekahi, hiki i ka ʻeha mau ke hoʻopilikia i kou ola o kēlā me kēia lā a me ke olakino noʻonoʻo.
Pehea e ʻike ai ke kauka i kēia?
Ke haʻi aku ʻoe i kāu kauka e pili ana i kāu mau hōʻailona, hiki iā ia ke nānā iā ʻoe a kānalua i kēia kūlana. No ka hōʻoia ʻana i kēia, e hana pinepine lākou i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua.
- Hoʻokolohua Pelvic: Ke nānā kāu kauka iā ʻoe, e nānā ʻo ia e ʻike inā ua hoʻonui iki ʻia kou ʻōpū, palupalu, a ʻeha paha ke pā.
- ʻO ke scan Ultrasound: Ma kēia, hiki i kahi scan, ʻoi aku ka ultrasound transvaginal, ke ʻike maopopo inā ua mānoanoa nā paia o ka ʻōpū a i ʻole inā he mau loli i loko.
- MRI scan: I kekahi mau hihia, hiki i kahi MRI scan ke hāʻawi i kahi kiʻi hohonu a maopopo hoʻi o ke kūlana o ka ʻōpū.
I kekahi manawa, e hoʻoholo paha kāu kauka e lawe i kahi laʻana liʻiliʻi o ka uhi o kou ʻōpū (biopsy) e hōʻoia ʻaʻohe maʻi koʻikoʻi ʻē aʻe.
He aha nā lāʻau lapaʻau i loaʻa?
ʻOiai ʻo ke kūlana i kapa ʻia ʻo adenomyosis e hilinaʻi pinepine ʻia i ka hormone estrogen, hoʻoholo pinepine ia ma hope o ka menopause., ʻo ia hoʻi, ma hope o ka pau ʻana o ka menstruation, e emi mālie kēia mau hōʻailona. Akā, ʻaʻole pono ʻoe e ʻeha a hiki i kēlā manawa. Aia nā ʻano lāʻau like ʻole e kāohi i nā hōʻailona. E koho kāu kauka i ka lāʻau lapaʻau kūpono loa iā ʻoe, me ka noʻonoʻo ʻana i kou makahiki, ke ʻano o nā hōʻailona, a inā makemake ʻoe e loaʻa nā keiki hou aku.
| ʻAno lapaʻau | Wehewehena |
|---|---|
| Nā lāʻau hoʻopau ʻeha | Hiki i nā lāʻau anti-inflammatory non-steroidal (NSAIDs) e like me ka ibuprofen a me ka naproxen ke kōkua i ka mālama ʻana i ka ʻeha o ka menstrual. |
| Hoʻōla lāʻau hormone | Hiki i nā lāʻau hoʻomalu hānau, nā IUD hormonal, a me nā ʻano hana ʻē aʻe ke kōkua i ka kaohi ʻana i ke kahe koko nui a me ka ʻeha. Aia kekahi mau inikini hormonal e like me Depo-Provera. |
| 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 o ka menstrual. |
| ʻAdenomyomectomy | ʻO ke ʻoki ʻana kēia e wehe wale i ka ʻiʻo i ulu i loko o ka ʻiʻo, me ka ʻole o ka wehe ʻana i ka ʻōpū holoʻokoʻa. |
| Hoʻopau ʻia ka hysterectomy | Inā ʻaʻohe lāʻau ʻē aʻe e hiki ke kāohi i nā hōʻailona a ʻaʻole ʻoe makemake hou e loaʻa nā keiki, ʻo ka hysterectomy ka hopena hope loa. Ma hope o kēia, ʻaʻole ʻoe e loaʻa hou i nā wā a ʻaʻole hiki iā ʻoe ke loaʻa nā keiki. |
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, mai manaʻo wale he "mea maʻamau kēia" a e ʻike pono i ke kauka no ka ʻōlelo aʻo.
- Ke kahe nui ʻana o ke kahe koko maʻamau: Inā pono ʻoe e hoʻololi i nā pads sanitary ma kahi o hoʻokahi hola.
- ʻEha nui o ka ʻōpū: Inā ʻeha loa ka ʻeha a hiki ʻole iā ʻoe ke hana i nā hana maʻamau.
- Inā ʻoe e ʻeha i ka wā o ka moekolohe .
- Inā ʻoe e manaʻo mau ana i ke kaumaha a i ʻole ka piha i loko o ka ʻōpū lalo .
ʻOiai inā ʻaʻole i hoʻokumu ʻia kēia mau hōʻailona e ka adenomyosis ponoʻī, hiki ke hoʻokumu ʻia e kekahi maʻi ʻē aʻe e pono ai ka mālama ʻana. No laila, he mea nui loa ke ʻike ʻana i ke kauka.
Leka Lawe-Home
- ʻO Adenomyosis ka ulu ʻana o ka uhi o ka ʻōpū i loko o ka ʻiʻo o ka ʻōpū. ʻAʻole kēia he maʻi kanesa .
- ʻAʻole "maʻamau" ka ʻeha nui o ka menstruation a me ke kahe koko nui. Hiki iā lākou ke lilo i hōʻailona o kahi maʻi olakino.
- Aia nā lāʻau lapaʻau a me nā hana ʻoki kino kūpono loa e kāohi ai i kēia mau hōʻailona, no laila ʻaʻohe pono e ʻeha.
- Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai makaʻu a hilahila paha e kamaʻilio me kāu kauka e pili ana iā lākou. ʻO ia ka hana mua i kahi ola olakino.
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