He ʻeha loa anei kou wā menstrual? Ke ʻeha nui nei ʻoe i kekahi manawa ma kou ʻōpū haʻahaʻa i nā lā ʻaʻole ʻoe i loaʻa i kou wā? Inā pēlā, ʻo ke kumu o kēia ʻeha he puʻupuʻu paha i hana ʻia ma kāu ovary, he "chocolate cyst" e like me ka poʻe he nui e kapa nei. Mai makaʻu i kou lohe ʻana i kēia inoa. I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Endometrioma?
I mea e hoʻomaopopo ai i kēia, pono mua mākou e ʻike iki e pili ana i kahi maʻi i kapa ʻia ʻo endometriosis . I ka ʻōlelo maʻalahi, ʻo ka endometriosis kahi maʻi kahi e ulu ai ka ʻiʻo like loa me ka uhi o kou uterus (endometrium) ma waho o ka uterus, ma nā wahi ʻē aʻe o ke kino. Hoʻomohala pinepine ia ma nā wahi e like me nā ovaries a me nā fallopian tubes.
No laila, ke ulu kēia ʻiʻo endometriosis ma kekahi o kāu mau ovaries, hana ia i puʻupuʻu ma muli o ke koko kahiko i hōʻiliʻili i loko no ka manawa lōʻihi. ʻO kēlā puʻupuʻu ka mea a mākou e kapa nei he endometrioma . ʻOiai he puʻupuʻu maoli ia, he ʻeke piha wai (cyst) ia.
No ke aha i kapa ʻia ai kēia he 'Chocolate Cyst'?
He inoa ʻē kona no ke kumu maʻalahi loa. Aia i loko o kēia cyst ke koko kahiko i hōʻiliʻili a mānoanoa i nā mahina. He ʻeleʻele ʻeleʻele ke kala o kēia koko, e like me ka syrup kokoleka i hoʻoheheʻe ʻia. ʻO ia ke kumu i ʻike ʻia ai ʻo ia he 'chocolate cyst' i waena o nā kauka a me ka lehulehu.
ʻO ka mea nui, inā he endometrioma kou, hiki ke ʻike ʻia he ʻoi aku ka koʻikoʻi o ka endometriosis. No laila he mea nui loa ka makaʻala i kēia.
Ke kānalua nei ʻoe he maʻi kou? E nānā i kēia mau hōʻailona
ʻO ka hōʻailona nui a maʻamau o ka endometrioma ka ʻeha pelvic . Hiki ke loaʻa kēia ʻeha i kēlā me kēia manawa, ʻaʻole wale i ka wā menstruation. Eia nō naʻe, aia kekahi mau hōʻailona ʻē aʻe.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha nui o ka menstruation | He ʻoi aku ia ma mua o ka ʻeha maʻamau. Hiki iā ia ke koʻikoʻi loa a hiki ʻole iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā. |
| ʻEha i ka wā o ka moekolohe | Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia he dyspareunia . He hōʻailona maʻamau nō hoʻi kēia. |
| ʻEha i ka wā o ka mimi ʻana a me ka defecation | Hiki ke hoʻonui ʻia kēia ʻeha, ʻoiai i ka wā o ka menstruation. |
| Nā hiʻohiʻona ʻē aʻe | Hiki nō hoʻi ke ʻike ʻia ka mimi pinepine ʻana, ka ʻeha o ke kua, ka nausea a me ka luaʻi ʻana, a me ka pehu ʻana. |
ʻOkoʻa nō hoʻi ka nui o kēia mau cysts. He liʻiliʻi loa kekahi, aʻo kekahi e ulu nui loa. Hiki iā lākou ke ulu i loko o hoʻokahi a i ʻole nā ovaries ʻelua.
He aha ke kumu maoli o kēia?
ʻAʻole maopopo loa i nā kauka ke kumu o ka endometrioma. Eia nō naʻe, aia kekahi manaʻo nui i manaʻo ʻia he kuleana ko ia. Ua kapa ʻia ʻo ia he retrograde menstruation .
I nā huaʻōlelo maʻalahi, penei. Ke loaʻa iā ʻoe kou wā, hemo ka uhi o ka ʻōpū a puka i waho ma o ka vagina me ke koko. Akā i kekahi manawa, ma kahi o ka hoʻokahe ʻia ʻana ma o ka vagina, neʻe kahi liʻiliʻi o kēia koko a me ka uhi i luna o nā ʻōpū fallopian a piʻi i luna i nā ovaries. Hoʻopaʻa ʻia ka uhi ma laila, a i kēlā me kēia mahina, ma lalo o ka mana o kāu mau hormones, mānoanoa ia a hoʻomaka ke kahe ʻana o ke koko, e like me ka uhi o ka uterus. ʻO kēia hōʻiliʻili ʻana o ke koko ke kumu o kahi puʻupuʻu i kapa ʻia ʻo endometrioma.
ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?
- Inā loaʻa i kekahi o kou ʻohana ka endometriosis: Inā loaʻa i kou makuahine a kaikuahine paha kēia maʻi, aia nō hoʻi ʻoe i ka pilikia o ka hoʻomohala ʻana.
- Inā ua hoʻomaka mua ʻoe i ka menstruation: ʻO ka maʻamau, ʻo ka poʻe i hoʻomaka i ka menstruation ma mua o 11 mau makahiki he kiʻekiʻe iki aʻe ko lākou pilikia.
- Inā pōkole ke kaʻina hana menstrual: Inā ʻaʻole i emi iho ka lōʻihi o ke kaʻina hana menstrual ma mua o 27 mau lā.
- Inā mau ka wā menstrual no kekahi mau lā: Inā ʻoi aku ka mau o ke kahe ʻana o ke koko ma mua o 7 mau lā.
- Inā he mau mea ʻino i loko o ka ʻōpū a i ʻole nā tubes fallopian.
He aha nā pilikia e hiki ai i kēia ke hana?
Ma waho aʻe o ka ʻeha nui ma ka ʻōpū lalo, hiki i ka endometrioma ke hana i kekahi mau pilikia ʻē aʻe. He mea nui loa ia e makaʻala i kēia.
- ʻAʻole hānau keiki: ʻO kēia ka makaʻu nui o nā kānaka he nui. Hiki i nā cysts ke hoʻoulu i ka mumū a me nā ʻiʻo ʻeha a puni nā ovaries a me nā fallopian tubes. Hiki i kēia ke pale i ka hoʻokuʻu ʻia ʻana o nā hua a me ko lākou hele ʻana ma o nā fallopian tubes. Eia nō naʻe, me ka mālama maikaʻi ʻana, hiki ke pale ʻia kēia kūlana a hiki ke hoʻonui ʻia ka manawa e loaʻa ai nā keiki.
- Nā pilikia o ka ʻōpū a me ka ʻōpū mimi: Hiki i ka cyst ke ulu a pipili i nā ʻōpū a puni e like me ka ʻōpū a me ka ʻōpū mimi, e hoʻoulu ai i ka paʻa ʻana o ka ʻōpū a me ka paʻakikī o ka mimi ʻana.
- ʻO ka haki ʻana o ka Endometrioma: He kūlana kakaikahi kēia. Eia nō naʻe, inā hana ia, hiki i ke wai i loko o ka cyst ke kahe i loko o ka lua ʻōpū, e hōʻeha koke ana i ka ʻōpū, ke kuni, a me ka luaʻi. He pilikia olakino kēia.
- Ka pilikia o ke kanesa ovarian: Mai hopohopo i kēia. He liʻiliʻi loa ka manawa e lilo ai ka endometrioma i kanesa. Akā no ka mea he liʻiliʻi loa ka pilikia, e nānā kāu kauka i ka cyst.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, pono ʻoe e ʻike i ke kauka. E hana paha ʻo ia i kēia mau hoʻokolohua.
1. Hoʻokolohua Pelvic: Inā nui ka cyst, hiki ke ʻike ʻia ma o ka hoʻokolohua pelvic.
2. Nā scan: ʻO ka scan ultrasound transvaginal ka mea maʻamau. Hiki i kēia ke hāʻawi i kahi manaʻo maikaʻi o ka nui a me ke ʻano o ka cyst. I kekahi manawa hiki ke hana ʻia kahi scan MRI.
3. Laparoscopy: ʻO kēia ke ala maikaʻi loa e hōʻoia i kēia kūlana 100% o ka manawa. Pili kēia i ka hana ʻana i kekahi mau lua liʻiliʻi loa i loko o ka ʻōpū a me ka hoʻokomo ʻana i kahi ʻōmole lahilahi me kahi kāmela i loko e nānā pololei i nā ovaries. I kēlā manawa, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka cyst no ka hoʻokolokolo ʻana (biopsy) a i ʻole hiki ke wehe loa ʻia ka cyst.
Ke hoʻāʻo nei ʻoe i kekahi mea ʻē aʻe?
ʻAe. Hiki i kāu kauka ke kauoha i kekahi mau hoʻokolohua hou aʻe e ʻike inā he kumu ʻē aʻe no kāu mau hōʻailona.
- Helu koko piha (CBC): E nānā no ka anemia a i ʻole ka maʻi. Hiki i ka Endometriosis ke hana i ka anemia ma muli o ke kahe koko nui.
- Urinalysis: E hōʻoia inā ma muli o ka maʻi urinary tract (UTI) ka ʻeha.
- Nā hoʻāʻo no nā maʻi i laha ma ke moekolohe (STI): Hana ʻia kēia mau hoʻāʻo e kāpae i kekahi mau STI, no ka mea, hiki ke like ko lākou mau hōʻailona me kēia.
He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?
ʻO ka mālama ʻana no ka endometrioma e pili ana i kou mau makahiki, ke koʻikoʻi o kāu mau hōʻailona, a inā makemake ʻoe e loaʻa nā keiki. ʻEkolu mau koho lapaʻau nui.
| ʻAno lapaʻau | No wai ia mea kūpono? |
|---|---|
| 1. Nānā ʻana | Inā he liʻiliʻi ka nui o ka cyst (ʻaʻole iʻoi aku ma mua o 4 cm) a ʻaʻohe ou hōʻailona koʻikoʻi, hiki i kāu kauka ke hoʻoholo e nānā i ka ulu ʻana o ka cyst me nā scan me ka ʻole o ka lāʻau lapaʻau. |
| 2. Ka wehe ʻana ma ke ʻoki kino (ʻoki kino) | Inā ke kumu o ka ʻeha nui ka cyst, he nui (ʻoi aku ma mua o 4 cm) a ulu wikiwiki paha, a i ʻole ke kumu o ka pilikia i ka loaʻa ʻana o nā keiki, ua ʻōlelo ʻia ke ʻoki laparoscopic. |
| 3. Nā lāʻau lapaʻau | Hoʻokumu ʻia ka endometriosis e nā hormones. No laila, hiki i nā lāʻau lapaʻau e kāohi ana i ka hana hormone (e like me nā pila hoʻomalu hānau a me nā inikini hormone) ke kōkua i ka kāohi ʻana i nā hōʻailona. ʻAʻole kēia e hoʻopau i ka cyst, akā hiki iā ia ke hōʻemi i ka ʻeha a pale i ka hoʻokumu ʻana o nā mea hou. |
He mea maikaʻi ke kūkākūkā ākea me kāu kauka i ke ʻano lapaʻau kūpono loa iā ʻoe.
I ka manawa hea e pono ai ʻoe e ʻike koke i ke kauka?
No nā hōʻailona maʻamau, ua lawa ia no ʻoe e hele i ke keʻena lapaʻau a ʻike i ke kauka. Eia nō naʻe, inā pahū kahi cyst, he pilikia ia. I kēlā hihia, pono ʻoe e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
E makaʻala no kēia mau hōʻailona:
- ʻEha koke, ʻeha nui, ʻeha ʻōpū hiki ʻole ke hoʻomanawanui.
- Kuni.
- Ka luaʻi ʻana.
- Inā manaʻo ʻoe ua make a ua maule paha.
He ʻeha ka Endometrioma i hiki ke loaʻa ka hopena nui i kou ola. Akā ʻo ka mea maikaʻi loa, aia nā lāʻau lapaʻau maikaʻi no ia. Mai hoʻowahāwahā i kāu mau hōʻailona, e kamaʻilio me kāu kauka, a hoʻomaka i kahi hoʻolālā lapaʻau kūpono iā ʻoe. Hiki iā ia ke kōkua iā ʻoe e ola i kahi ola maikaʻi a ʻoluʻolu hoʻi me ka ʻole o ka ʻeha.
Leka Lawe-Home
- ʻO ka Endometrioma, a i ʻole 'chocolate cyst', he ʻano cyst kahiko i piha i ke koko e hana ʻia ana ma nā ovaries ma muli o ka endometriosis.
- ʻO nā hōʻailona nui ka ʻeha hiki ʻole ke hoʻomanawanui i ka menstruation a me ka ʻeha o ka ʻōpū lalo.
- Hiki i kēia kūlana ke hoʻopilikia i ka loaʻa ʻana o nā keiki, akā me ka mālama kūpono, hiki ke loaʻa nā hopena i kēlā pilikia.
- ʻOkoʻa nā koho lapaʻau ma muli o kāu mau hōʻailona, ka makahiki, a me nā manaʻolana hānau, no laila e wehe a ʻoiaʻiʻo me kāu kauka.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui o ka ʻōpū, ke kuni, a me ka luaʻi ʻana, e hele koke i ka keʻena pilikia o ka haukapila (ETU), no ka mea, he hōʻailona paha ia o ka pahū ʻana o kahi cyst.











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