Koj puas mob hnyav thaum koj muaj hli? Mob plab? Qhov no tej zaum yog vim muaj adenomyosis!

Rau ntau tus poj niam, qhov mob thiab ntshav ntau uas los thaum muaj hli yog qhov ib txwm muaj. Tab sis qee zaum yuav muaj lwm yam laj thawj tom qab tej yam no. Qhov ntawd yog qhov mob uas peb yuav tham txog hnub no, hu ua adenomyosis. Tsis txhob txhawj, cia peb tham txog qhov no kom meej.

Adenomyosis yog dab tsi?

Hais yooj yim xwb, adenomyosis yog ib qho mob uas cov nqaij zoo li daim ntaub ntawm koj lub tsev menyuam (hu ua endometrium ) loj hlob mus rau hauv phab ntsa ntawm koj lub tsev menyuam (hu ua myometrium) . Xav txog, thaum cov nqaij no loj hlob mus rau hauv phab ntsa ntawm lub tsev menyuam, lub tsev menyuam maj mam tuab thiab loj hlob. Qee zaum nws tuaj yeem loj ob lossis peb npaug ntawm nws qhov loj ib txwm. Qhov no yog vim li cas koj thiaj mob hnyav thaum koj muaj hli, los ntshav ntau, muaj xim av, thiab mob plab/mob plab qis.

Leej twg yuav muaj feem tau qhov no ntau dua?

Muaj ntau tus poj niam tsis paub tias lawv muaj mob adenomyosis. Tsis yog txhua tus muaj cov tsos mob, yog li nws nyuaj rau hais tias nws tshwm sim ntau npaum li cas. Tab sis kev tshawb fawb pom tias nws tshwm sim ntau dua rau cov poj niam uas tau phais hysterectomy thiab rau cov poj niam hnub nyoog tshaj 40 xyoo . Nws kuj tseem tuaj yeem cuam tshuam rau cov poj niam hluas dua (kwv yees li 2% txog 5%) uas muaj mob hnyav thaum lub sijhawm coj khaub ncaws.

Cov tsos mob ntawm qhov no yog dab tsi?

Kwv yees li ib feem peb ntawm cov neeg tsis muaj tsos mob. Tab sis qee tus neeg muaj tej yam xws li:

• Mob hnyav thaum lub sijhawm muaj hli (tseem hu ua dysmenorrhea ).
• Los ntshav ntau dhau thaum lub sijhawm muaj hli (qhov no hu ua menorrhagia ).
• Kev coj khaub ncaws tsis tu ncua.
• Mob plab qis (nrog lossis tsis mob nraub qaum hnyav).
• Mob thaum sib deev (qhov no hu ua dyspareunia ).
• Muaj teeb meem muaj menyuam (Infertility).
• Kev loj ntawm lub tsev menyuam .
• Xav tias puv plab los yog hnyav hauv plab (qee tus neeg kuj hu qhov no ua 'adenomyosis belly').

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Cov kws tshawb nrhiav tseem tsis tau paub meej tias vim li cas qee tus neeg thiaj li muaj mob adenomyosis, lossis yog vim li cas tiag. Txawm li cas los xij, qee qhov kev tshawb fawb qhia tias kev hloov pauv ntawm cov tshuaj hormones, cov yam ntxwv caj ces, kev o ntawm lub cev, lossis kev raug mob rau lub tsev menyuam yuav ua lub luag haujlwm.Tej yam zoo li ntawd tuaj yeem cuam tshuam rau qhov no.

Cov yam ua rau muaj kev pheej hmoo yog dab tsi?

Feem ntau cov poj niam uas muaj mob adenomyosis feem ntau yuav muaj cov tsos mob no:

• Cov neeg hnub nyoog ntawm 40 thiab 50 xyoo.
• Cov neeg uas tau yug me nyuam tsawg kawg ib tug.
• Cov neeg uas tau phais mob rau lub tsev menyuam ua ntej xws li phais tshem cov fibroid ntawm lub tsev menyuam lossis D&C (Dilation and Curettage).
• Cov neeg mob endometriosis.

Txawm li cas los xij, adenomyosis tam sim no feem ntau kuaj pom ntawm cov poj niam hauv lawv cov 30s uas muaj kev ntshav tsis zoo lossis mob hnyav thaum lub sijhawm coj khaub ncaws.

Puas muaj lwm yam teeb meem uas ua rau mob adenomyosis?

Yog, nrog rau adenomyosis, cov tsos mob tuaj yeem zuj zus tuaj me ntsis dhau sijhawm.

Nco ntsoov tias kev poob ntshav ntau dhau tuaj yeem ua rau muaj mob ntshav tsis txaus . Yog li ntawd, yog tias koj pheej xav tias nkees thiab txias tas li, nco ntsoov txog qhov ntawd thiab.

Kab mob ntshav tsis txaus (anemia) tsuas yog ib qho mob uas koj lub cev tsis muaj cov qe ntshav liab uas muaj hlau txaus. Qhov no ua rau koj nkees thiab txias .

Qhov no puas yog mob qog noj ntshav?

Tsis yog. Adenomyosis tsis yog mob qog noj ntshav. Thiab nws tsis ua rau mob qog noj ntshav. Yog li ntawd, tsis muaj dab tsi yuav txhawj txog.

Tus kws kho mob paub qhov no li cas?

Feem ntau cov kws kho mob xav tias muaj adenomyosis los ntawm kev nug txog koj cov tsos mob thiab ua ib lossis ntau qhov kev kuaj no:

• Kev kuaj mob plab mog: Thaum lub sijhawm kuaj mob no, tus kws kho mob yuav pom tias koj lub tsev menyuam loj dua li qub, mos, lossis mob thaum kov.
• Kev kuaj ultrasound: Kev kuaj ultrasound transvaginal, tshwj xeeb tshaj yog ib qho ua los ntawm qhov chaw mos, siv cov suab nthwv dej los thaij duab ntawm koj cov kabmob hauv plab . Cov duab no qee zaum tuaj yeem qhia txog kev tuab ntawm phab ntsa tsev menyuam.
• Kev Ntsuas MRI : Kev ntsuas MRI (Magnetic Resonance Imaging) qhia meej tias lub tsev menyuam tau loj hlob li cas thiab qee qhov chaw ntawm lub tsev menyuam tau tuab li cas.

Qee zaum koj tus kws kho mob yuav muab ib qho qauv me me ntawm cov ntaub so ntswg los ntawm koj lub tsev menyuam (hu ua biopsy ) thiab xa mus rau chav kuaj mob kom kuaj xyuas lwm yam mob hnyav.

Kev kho mob yog dab tsi?

Feem ntau, cov tshuaj estrogenCov tshuaj hormones estrogen pab cov ntaub so ntswg endometrial no loj hlob. Yog li ntawd, tom qab lub sijhawm tas lawm, thaum lub sijhawm tsis muaj hli tas, cov tsos mob ntawm adenomyosis feem ntau yuav ploj mus. Tab sis txog thaum ntawd, cov kev kho mob no tuaj yeem pab txo qhov mob, tswj kev los ntshav ntau, thiab muab kev pab los ntawm lwm cov tsos mob:

• Tshuaj Tua Kab Mob : Cov tshuaj nonsteroidal anti - inflammatory drugs (NSAIDs), xws li ibuprofen (Advil®, Motrin®) thiab naproxen (Aleve®), txo qhov mob.
• Cov tshuaj hormones: Qee cov tshuaj hormones tuaj yeem pab tswj kev los ntshav thiab lub sijhawm tsis tu ncua. Piv txwv li suav nrog cov tshuaj tiv thaiv kev yug menyuam, koob tshuaj Depo-Provera® , thiab cov khoom siv hormonal intrauterine (IUDs ) xws li Mirena® .
• Cov tshuaj uas tsis yog hormonal: Cov tshuaj xws li tranexamic acid tuaj yeem txo qhov ntau ntawm cov ntshav ntawm qhov chaw mos.
• Adenomyomectomy: Qhov kev phais no tshem tawm cov nqaij adenomyosis ntawm cov leeg ntawm lub tsev menyuam. Qhov no zoo ib yam li myomectomy, uas tshem tawm cov fibroids hauv tsev menyuam.
• Kev phais tshem lub tsev menyuam: Qhov no suav nrog kev tshem tawm tag nrho lub tsev menyuam. Tom qab phais tshem lub tsev menyuam , koj yuav tsis muaj hli thiab yuav tsis muaj peev xwm muaj menyuam.

Yog tias tsis muab kev kho mob, yuav ua li cas?

Yog tias tsis kho, adenomyosis tuaj yeem ua rau tsis muaj menyuam lossis poob cev xeeb tub , vim nws txo qhov muaj feem uas cov menyuam hauv plab yuav cog rau hauv phab ntsa tsev menyuam. Nws kuj tseem tuaj yeem ua rau mob plab thiab mob plab mog tas li .

Puas muaj ib txoj kev los tiv thaiv qhov no?

Vim tias qhov ua rau muaj adenomyosis tsis paub meej, cov kws kho mob tseem tsis tau paub txog txoj hauv kev tshwj xeeb los tiv thaiv nws.

Koj tuaj yeem cia siab li cas thaum nyob nrog tus mob no?

Muaj coob tus neeg uas muaj cov tsos mob ntawm adenomyosis uas cuam tshuam rau lawv lub neej txhua hnub nrhiav kev pab los ntawm kev kho mob. Raws li tau hais ua ntej lawm, cov tsos mob yuav tsum ploj mus tom qab lub sijhawm tas lawm. Txawm li cas los xij, lub tsev menyuam loj tuaj yeem nyob ntev.

Adenomyosis thiab cev xeeb tub

Feem ntau pom muaj mob adenomyosis rau cov poj niam uas tau muaj tsawg kawg ib tug menyuam. Txawm li cas los xij, vim yog qhov mob noNws yuav nyuaj rau xeeb tub thawj zaug, lossis muaj lwm tus menyuam. Txawm tias koj cev xeeb tub los xij, muaj tej yam txaus ntshai, xws li:

• Kev rho menyuam.
• Ua haujlwm ntxov.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj ib qho ntawm cov tsos mob no, mus ntsib kws kho mob kom sai li sai tau:

• Kev los ntshav ntau dhau.
• Mob thaum muaj hli hnyav heev.
• Mob thaum sib deev.
• Xav tias lub plab puv lossis hnyav.

Cov lus nug tseem ceeb uas yuav tsum nug tus kws kho mob

Yog tias koj raug kuaj pom tias muaj adenomyosis, koj yuav xav nug koj tus kws kho mob cov lus nug xws li:

• Vim li cas kuv thiaj mob adenomyosis?
• Txoj kev kho mob twg zoo tshaj plaws rau kuv?
• "Kuv puas yuav tsum siv lwm txoj kev tswj kom tsis txhob muaj menyuam?"
• "Kuv puas yuav muaj tau menyuam?"
• Kuv puas yuav tsum txhawj xeeb txog cov tsos mob ntawm cov teeb meem?

Qhov txawv ntawm Adenomyosis thiab Endometriosis yog dab tsi?

Adenomyosis thiab endometriosis yog ob qho mob uas cov nqaij zoo li daim ntaub ntawm lub tsev menyuam (endometrium) loj hlob sab nraud ntawm lub tsev menyuam. Ob qho tib si tuaj yeem mob. Txawm li cas los xij, adenomyosis yuav ua rau muaj ntshav ntau thaum lub sijhawm coj khaub ncaws. Qhov sib txawv tseem ceeb ntawm ob qho mob yog qhov twg cov nqaij loj hlob:

• Adenomyosis: Cov ntaub so ntswg zoo li endometrium loj hlob mus rau hauv cov leeg nqaij ntawm lub tsev menyuam.
• Endometriosis: Cov ntaub so ntswg zoo li endometrium loj hlob sab nraum lub tsev menyuam, piv txwv li hauv cov zes qe menyuam lossis cov raj fallopian.

Qhov no puas yog ib qho teeb meem loj heev?

Feem ntau cov mob adenomyosis tsis ua rau muaj teeb meem loj thiab ua rau tuag taus. Txawm li cas los xij, nws tuaj yeem ua rau muaj teeb meem xeeb tub lossis poob menyuam.

Qhov tseem ceeb tshaj plaws yog nrhiav kev pab tswv yim kho mob es tsis txhob raug kev txom nyem ib leeg yog tias cov tsos mob no cuam tshuam rau koj lub neej txhua hnub.

Yog li ntawd, tsis txhob ntshai tham nrog koj tus kws kho mob txog cov hau kev kom koj xav tias zoo dua.

Cov lus uas peb xav coj los ntawm zaj dab neeg no yog

Zoo, yog li peb tau tham ntau txog adenomyosis. Yog tias koj muaj cov tsos mob zoo li no, xws li mob plab hnyuv ntau, los ntshav ntau, thiab mob plab qis, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob thiab tau txais kev qhia es tsis txhob raug kev txom nyem ib leeg. Nco ntsoov, qhov no tsis yog mob qog noj ntshav, thiab ntau tus neeg tuaj yeem tau txais kev pab los ntawm kev kho mob.Cov tsos mob no feem ntau ploj mus tom qab koj lub sijhawm tas lawm. Yog tias koj tsis npaj yuav muaj menyuam, kev phais tshem tsev menyuam yuav kho tau qhov mob no tag nrho. Yog li, tsis txhob ntshai tham txog koj qhov kev txhawj xeeb nrog koj tus kws kho mob thiab nrhiav kev daws teeb meem uas haum rau koj tshaj plaws.