Loaʻa iā ʻoe kekahi ʻeha mau ma kou ʻōpū lalo? He Pelvic Congestion Syndrome (PCS) paha kēia!

Ua loaʻa anei iā ʻoe kahi ʻeha ʻoi a huki i kou ʻōpū haʻahaʻa no nā mahina? Manaʻo paha ʻoe he mea maʻamau ia, a i ʻole he pōʻaiapuni menstrual wale nō. Akā i kekahi manawa he mea ia e pono ai ʻoe e hopohopo hou aku. ʻO ia ke ʻano o ke kūlana a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo Pelvic Congestion Syndrome (PCS).

He aha ka Pelvic Congestion Syndrome (PCS)?

I ka ʻōlelo maʻalahi, ʻo ka Pelvic Congestion Syndrome (PCS) kahi maʻi ʻeha mau loa i hoʻokumu ʻia e ka pilikia me ke kahe koko i loko o nā aa koko ma kou ʻōpū haʻahaʻa, a i ʻole pelvis. ʻO "Chronic" ke ʻano o ka ʻeha e mau ana ma mua o 6 mau mahina a ʻaʻole pili pono i kou wā maʻi a i ʻole ka hāpai ʻana.

E noʻonoʻo, i kēia kūlana, ʻaʻole hana pono nā aʻa koko i loko o kāu mau ovaries a me ka pelvis. E ulu nui ana kēia mau aʻa koko (dilate), i kekahi manawa e wili ʻia, a laila piha lākou i ke koko a paʻa. E like me ke kaʻa kaʻa. Ke paʻa ke koko ma kahi hoʻokahi, ʻo ia hoʻi, ke 'hōʻiliʻili' ia, hoʻomaka ʻoe e ʻeha.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

ʻIke pinepine ʻia kēia ʻano `PCS` i nā wahine ma waena o 20 a me 45 mau makahiki i hānau i nā keiki he nui . Eia kekahi, aia kekahi mau mea pilikia ʻē aʻe e hiki ke hoʻopilikia iā ia:

• Inā he mau aʻa varicose kou.
• Inā loaʻa kekahi o kou ʻohana i nā aʻa varicose.
• Inā loaʻa iā ʻoe ka Polycystic Ovarian Syndrome (PCOS).

Eia nō naʻe, ʻaʻole paha e loaʻa i nā wahine i hala i ka menopause ka Pelvic Congestion Syndrome.

Pehea ka maʻamau o kēia ʻano?

Ma kahi o 40% o nā wahine e kipa aku ana i nā kauka gynecologists e hoʻopiʻi pinepine nei i ka ʻeha mau o ka ʻōpū haʻahaʻa. Ua manaʻo ʻia aia ma kahi o 30% o kēia mau wahine i loaʻa i ka pelvic congestion syndrome . ʻO ke ʻano kēia, ʻoiai ʻaʻole ia he mea maʻamau, hiki ke lilo i kumu o ka ʻeha o ka ʻōpū haʻahaʻa i wehewehe ʻole ʻia no kekahi poʻe.

He aha nā hōʻailona o ka Pelvic Congestion Syndrome?

Hiki ke ʻokoʻa ka ʻeha ma ka ʻōpū haʻahaʻa i hoʻokumu ʻia e ka PCS. No kekahi poʻe, hiki ke lilo i ʻeha palupalu, ʻeha, a kaumaha paha . He mea kākaʻikahi loa ka ʻeha e ʻoi a ikaika.

ʻO ka hapa nui o ka manawa, ʻike ʻia kēia ʻeha ma ka ʻaoʻao hema wale nō. Akā hiki ke ʻike ʻia ma ka ʻaoʻao ʻākau a i ʻole ma nā ʻaoʻao ʻelua. No nā poʻe he nui, hoʻomaka kēia ʻeha i ka wā hāpai a ma hope paha o ka hānau ʻana. Hiki ke ʻoi aku ka ʻeha me nā hāpai ʻana ma hope.

Hiki ke ʻoi aku ka ʻino o ka ʻeha e pili ana me ka PCS i nā manawa e like me kēia:

• A pau ka lā.
• Ma mua iki o ka hoʻomaka ʻana o kou wā, i loko o kēlā mau lā.
• I ka wā a ma hope o ka moekolohe (ua kapa ʻia kēia ʻano he 'dyspareunia').
• Hana ʻia ia ke kū ʻoe a noho paha no ka manawa lōʻihi (akā emi iki ia ke moe ʻoe).

ʻEkolu mau hōʻailona hou aʻe:

• ʻIke ʻia nā aʻa varicose ma kou pelvis, puʻupuʻu, ʻūhā, vulva, a me ka vagina.
• Nā hanana pinepine o ka maʻi pākī a me ka paʻa ʻana o ka ʻōpū (ʻike ʻia hoʻi he irritable bowel syndrome).
• ʻO ka nalowale ʻana o ka mimi i ka wā e ʻakaʻaka ai, e ʻū ana, a i ʻole e hana ana i nā mea e kau ai i ke kaomi ma ka ʻōpū mimi (ua kapa ʻia kēia ʻo 'stress incontinence').
• ʻEha ka mimi ʻana (ua kapa ʻia kēia ʻo 'dysuria').

He aha ke kumu o ka Pelvic Congestion Syndrome?

ʻO kaʻoiaʻiʻo, ʻaʻole i ʻike nā kānaka noiʻi i ke kumu pololei o ka Pelvic Congestion Syndrome. Eia nō naʻe, ua maopopo he pilikia me ke kahe koko i loko o kou mau aʻa ovarian a me nā aʻa i loko o kou pelvis.

ʻO kēia ka mea maʻamau e hana ʻia: Ke kahe nei ke koko i luna mai nā aʻa koko i loko o kou lua pelvic, i kou puʻuwai, ma o nā aʻa koko ovarian. Aia i loko o kēia mau aʻa koko nā mea liʻiliʻi e like me ka puka i kapa ʻia he mau valves . Hoʻōki kēia i ke koko mai ke kahe ʻana i hope. Ua kapa ʻia kēia kahe koko i hope ʻo 'reflux'.

Akā i loko o ke kanaka me ka `PCS`, ua hoʻonui ʻia kēia mau aa koko a ʻaʻole hana pono nā valves. A laila hoʻomaka ke koko e kahe i hope. Piha nā aa koko i ke koko a wili. ʻO ia ka manawa e hōʻiliʻili ai ke koko i loko o nā aa koko pelvic a hōʻeha. Hiki ke loaʻa kēia ʻeha ma muli o ka hohola ʻia ʻana o nā aa koko e hoʻokipa i ke koko keu, a i ʻole no ka mea ke kaomi nei nā aa koko i nā aʻalolo kokoke.

Aia kekahi mau kumu e loli ai ke ʻano o nā aʻa koko i ka `PCS`:

• Hāpai keiki: ʻO kekahi manaʻo, pili kēia i nā loli i loko o nā kīʻaha koko i ka wā hāpai. I ka ulu ʻana o kahi pēpē i loko o ka ʻōpū, hoʻonui ʻia nā kīʻaha koko ma kahi o 50% o ko lākou nui maʻamau e lawelawe i ka lako koko keu e pono ai no ka pēpē. Hiki i kēia mau loli ke hōʻino i nā paia o nā kīʻaha koko no ka manawa lōʻihi. A laila hiki i nā aʻa ke noho ākea ma hope o ka hānau ʻana o ka pēpē.
• Estrogen: ʻOiai ʻaʻole i nui ka poʻe wahine postmenopausal i ka loaʻa ʻana o ka pelvic congestion syndrome, ua manaʻo ʻia he kuleana ko ka estrogen. E emi ana nā pae estrogen ma hope o ka menopause. Hoʻopilikia ka Estrogen i nā paia o nā kīʻaha koko, e hoʻolilo ana i kou mau aa koko i mea maʻalahi i ka nāwaliwali e alakaʻi ai i ka PCS.

I kahi nui, ʻo ka `PCS` ka hopena o kekahi mau kumu pili like ʻole.

Pehea e ʻike ʻia ai ka Pelvic Congestion Syndrome (PCS)?

Ke ʻike ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino a me nā hōʻailona. A laila e hana lākou i kahi hoʻokolokolo kino, kahi e komo pū ai me kahi hoʻokolokolo pelvic. E nānā ke kauka i kāu ovaries, cervix, a me ka uterus e ʻike pono i kahi e hele mai ai ka ʻeha.

Hiki i nā hoʻokolohua kiʻi ke kōkua i ka hoʻopau ʻana i nā kūlana ʻē aʻe e hiki ai ke hoʻoulu i ka ʻeha mau o ka ʻōpū haʻahaʻa a nānā i nā mea ʻino i loko o nā aʻalolo e pili ana i ka PCS. ʻO kēia mau hoʻokolohua:

• Ultrasound: ʻO ka mea mua a kāu kauka e kauoha ai he ultrasound. Hiki i kēia ke nānā i ka hoʻonui ʻana o ke aʻa. Hiki iā ia ke kōkua i ka hoʻoholo ʻana inā he mau mea ʻē aʻe e hiki ke hoʻoulu i kou ʻeha. Hiki i ka hiʻohiʻona Doppler o ka ultrasound ke nānā i ke kahe o ke koko i loko o kou mau aʻa.
• MRI a i ʻole CT scan: Hiki i kahi MRI (Magnetic Resonance Imaging) a i ʻole CT (Computed Tomography) scan ke hōʻike i nā kikoʻī o nā aʻa koko i hala ʻole paha i kahi ultrasound. Hiki iā lākou ke hōʻike i nā aʻa koko i wili ʻia a me ka hoʻonui ʻana o ke aʻa koko i loko o nā ovaries a me ka lua pelvic me ka ʻoi aku ka maopopo ma mua o ka ultrasound. Hiki iā lākou ke hōʻike inā he mau ulu ʻē aʻe i loko o ka lua pelvic e hiki ai ke hoʻoulu i nā ʻeha lōʻihi ʻē aʻe, e like me ka endometriosis.
• ʻO ka venography Pelvic: Ua manaʻo ʻia kēia ke kūlana gula no ka ʻike ʻana i ka PCS. Eia nō naʻe, he hoʻāʻo paʻakikī ia, no laila hana pinepine ʻia ia ke ʻole e hōʻoia ʻia nā hoʻokolohua kiʻi ʻē aʻe. I kekahi manawa e hoʻohana paha kāu kauka i kēia hoʻāʻo ma mua o ke ʻoki ʻana ma kou mau aa. I ka venography pelvic, hoʻokomo kāu kauka i kahi paipu liʻiliʻi i kapa ʻia he catheter i loko o kahi aa ma kou ʻāʻī a i ʻole ka ʻūhā. A laila hoʻohana ʻo ia i kahi X-ray e alakaʻi i ka paipu i kāu mau ʻōpū fallopian ʻākau a hema. A laila hoʻokomo ʻia kahi dye palekana i loko o ke aa. Hōʻike maopopo ka X-ray i nā aa. Hiki i kēia venography ke hōʻike i kahi o nā aa, kahi ākea, wili ʻia, pehea e kahe ana ke koko, a me kahi i hōʻiliʻili ai ke koko.
• Laparoscopy: Hiki i ka laparoscopy ke nānā i nā aa koko i hoʻonui ʻia. Eia nō naʻe, ʻaʻole paha e like me ke kōkua o nā hoʻokolohua ʻē aʻe i ka ʻike ʻana i nā pilikia kahe koko e pili ana i ka PCS. Hiki i kāu kauka ke hana i kahi laparoscopy e kāpae i nā kūlana ʻē aʻe e hiki ke hoʻoulu i kou ʻeha ʻōpū haʻahaʻa, me ka PCS. Pili kēia i ka hana ʻana i kekahi mau ʻoki liʻiliʻi i loko o kou ʻōpū a me ke komo ʻana i kahi kāmela ma o lākou e nānā i nā ʻōpū o kāu ʻōnaehana hānau.

Mea nui:Hiki ke paʻakikī i kekahi manawa ka ʻike ʻana i ka pelvic congestion syndrome, no ka mea, he nui ka poʻe i loaʻa ʻole ka ʻeha pelvic i loaʻa nā loli vascular like me ka poʻe i loaʻa. Ua hōʻike ʻia nā haʻawina kiʻi e hiki i ka poʻe me ka ʻeha pelvic mau a me ka poʻe ʻole o ka ʻeha pelvic mau ke loaʻa nā loli vascular a me ka reflux.

ʻOiai inā hōʻike kāu mau hoʻokolohua kiʻi ua hoʻonui ʻia kou mau aa koko, ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau ke ʻole ʻoe e loaʻa ka ʻeha lōʻihi.

Hoʻomaopopo pinepine ʻia ka Pelvic Congestion Syndrome ma hope o ka hoʻoholo ʻana i nā kumu ʻē aʻe o ka ʻeha o ka ʻōpū haʻahaʻa.

Hiki ke ho'ōla ʻia ka Pelvic Congestion Syndrome (PCS)? Hiki ke pale ʻia?

ʻAʻohe lāʻau lapaʻau no ka Pelvic Congestion Syndrome, akā aia nā lāʻau lapaʻau a me nā ʻano lapaʻau e hiki ke kōkua i ka mālama ʻana i kāu mau hōʻailona a hōʻemi i ka ʻeha.

Eia kekahi, ʻaʻohe ala e pale aku ai i kēia `Pelvic Congestion Syndrome`.

He aha nā lāʻau lapaʻau no ka Pelvic Congestion Syndrome?

Hiki iā ʻoe ke ʻike i nā kauka like ʻole no ka mālama ʻana. No ka laʻana, he gynecologist, he loea gastroenterology (GI), he loea ʻeha, a me kahi mea hoʻōla kino. Hiki i kāu kauka a i ʻole ka hui lapaʻau ke ʻōlelo i nā lāʻau lapaʻau e kāohi i kāu mau hōʻailona ma mua o ka ʻōlelo ʻana i ke ʻoki kino.

Nā lāʻau lapaʻau

Hiki i nā lāʻau lapaʻau e hōʻemi i ka hana ʻana o ka hormone estrogen ke kōkua i ka hōʻemi ʻana i ka ʻeha e pili ana me ka Pelvic Congestion Syndrome. ʻO kēia mau mea:

• ʻO ka lāʻau lapaʻau ʻo Medroxyprogesterone acetate (Depo-Provera®)
• ʻO ka mea hoʻokomo ʻo Etonogestrel (Implanon®)
• Nā `agonists GnRH` (e.g. Goserelin)

Nā Kaʻina Hana Lapaʻau

Inā ʻaʻole hōʻoluʻolu ka lāʻau lapaʻau i kāu mau hōʻailona, ​​​​hiki i kāu kauka ke kuhikuhi i kekahi o kēia mau lāʻau lapaʻau:

• ʻO ka embolization vein ovarian a i ʻole sclerotherapy: ʻO kēia kaʻina hana e pili ana i ka pale ʻana i nā veins e hoʻihoʻi ana i ke koko a hoʻoulu i ke koko e hōʻiliʻili. ʻO ka mea mua, hoʻokomo ke kauka i kahi catheter i loko o ka vein ovarian pilikia a me nā veins pelvic. A laila, hoʻokomo ʻia nā kemika ma o ka catheter e hoʻonāukiuki a hoʻomāhu paha i nā veins a hoʻemi iā lākou. Hoʻokomo pū ʻia nā wili metala liʻiliʻi, nā glues kūikawā, a i ʻole nā ​​​​hua i loko o kēia mau veins e pale i ke koko mai ke kahe ʻana i hope (reflux).
• Laparoscopy: Hiki i ke kauka ke hana i kahi kaʻina hana laparoscopic e nakinaki i nā veins e pale i ke koko mai ke kahe ʻana i hope.
• ʻO ka salpingo-oophorectomy ʻelua ʻaoʻao:Inā ua pau kāu hānau keiki ʻana, a inā ʻaʻole ʻoe makemake e hānau keiki, hiki i kāu kauka ke hoʻoholo e wehe i kāu mau ʻōpū pelvic (uterus, fallopian tubes, a me ovaries). Eia nō naʻe, ʻaʻole hana pinepine ʻia kēia ʻoki no PCS.

He mea hoʻoweliweli anei ke ola o ka Pelvic Congestion Syndrome (PCS)? He aha kāu e manaʻo ai?

ʻAʻole he maʻi hoʻoweliweli ola ka Pelvic Congestion Syndrome. Eia nō naʻe, ma muli o ke koʻikoʻi o kou ʻeha, hiki ke koʻikoʻi loa a hiki ke hoʻopilikia i kou ola o kēlā me kēia lā a pale iā ʻoe mai ka hana ʻana i nā mea āu e hauʻoli ai. No laila, inā e hoʻopilikia ana kou ʻeha ʻōpū haʻahaʻa i kou ʻano ola, he mea nui e ʻike i ke kauka.

ʻOiai ʻaʻohe lāʻau lapaʻau maʻamau no ka pelvic congestion syndrome, maikaʻi loa nā hopena o nā hana e hōʻemi i ka ʻeha. No ka laʻana, 75% o ka poʻe e hana ana i ka ovarian vein embolization e ʻike i ka hōʻoluʻolu o ka ʻeha. I ia mau hihia, hoʻi hou ka maʻi i kahi pakeneka liʻiliʻi o nā hihia, ma kahi o 5%.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau ʻana i kēia mau nīnau:

• ʻEhia mau loea e pono iaʻu e ʻike no ka loaʻa ʻana o kahi hōʻailona a i ʻole ka lāʻau lapaʻau?
• He aha nā lāʻau lapaʻau āu e ʻōlelo ai e hōʻemi i nā hōʻailona?
• Āhea e ʻōlelo ʻia ai kahi hana lapaʻau e kōkua i ka hoʻomaikaʻi ʻana i kaʻu mau hōʻailona?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
• He aha nā pilikia e pili ana i kēlā kaʻina hana lapaʻau?

Hiki ke lōʻihi ka manawa e ʻike ai i ke kumu pololei o kou ʻeha ʻōpū haʻahaʻa. ʻO ka ʻoiaʻiʻo, he nui nā kūlana e hiki ai ke hōʻeha i ka ʻeha pelvic. ʻO ka ʻike ʻana i kou kūlana `PCS` e pono ai kekahi mau hoʻokolohua, a pono paha ʻoe e hana pū me kekahi mau loea. ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, hiki ke hoʻomalu ʻia nā hōʻailona me ka lāʻau lapaʻau. ʻOiai inā ʻaʻole holo pono ka lāʻau lapaʻau, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe. No laila, mai hoʻokaʻulua i ka ʻimi ʻana i ka lāʻau a me ka loaʻa ʻana o ka hōʻoluʻolu.

Leka Hoʻihoʻi Hope Loa

No laila, ʻaʻole koʻikoʻi a hoʻoweliweli paha ke ʻano o ka `Pelvic Congestion Syndrome` e like me kou manaʻo. Eia nō naʻe, ʻo ka ʻeha lōʻihi e hana ai hiki ke lilo i mea keakea nui i kou ola o kēlā me kēia lā a me kou hauʻoli.

• Inā ua loaʻa iā ʻoe ka ʻeha ʻē, ke kaumaha, a i ʻole ke huki ʻana i kou ʻōpū lalo no nā mahina, ʻo ka mea nui loa, ʻo ia ke ʻimi i ke kōkua lapaʻau me ka hoʻowahāwahā wale ʻole ʻana.
• He lōʻihi paha ka manawa e ʻike ai i ke kumu, a pono paha kekahi mau hoʻokolohua. Akā inā loaʻa iā ʻoe ka hōʻailona kūpono, hiki iā ʻoe ke loaʻa ka hōʻoluʻolu me ka mālama ʻana.
• E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. He nui nā wāhine e hakakā nei me kēia mau kūlana. Me ke alakaʻi lapaʻau kūpono a me ke kākoʻo, hiki iā ʻoe ke mālama i kēia kūlana a ola maikaʻi.

No laila, e hoʻolohe i kou kino. Inā manaʻo ʻoe i kekahi mea ʻokoʻa a ʻano ʻē paha, e hoʻolohe pono iā ia. A laila wale nō e hiki ai iā kākou ke olakino a hauʻoli.

ʻO ka Pelvic Congestion Syndrome, ʻeha o ka ʻōpū ma lalo, nā aʻa varicose, ʻeha pelvic, olakino wahine, gynecology, kahe koko, PCS