I nɔmal fɔ mek bɔku uman dɛn gɛt sɔm kayn pen we dɛn de gɛt prɛgnɛshɔn. Bɔt fɔ sɔm pipul dɛn, dis pen kin bi tin we dɛn nɔ kin ebul fɔ bia. Di pen kin so bad dat dɛn nɔ kin ivin ebul fɔ du di tin dɛn we dɛn kin du ɛvride ɛn dɛn kin ivin gɛt fɔ de na bed. If dis na di kayn tin fɔ yu, nɔ jɔs dismis am as "nɔmal menstrual pen." Bikɔs wan sik kin de we dɛn kɔl ɛndometriɔsis biɛn am. Lɛ wi tɔk bɔt ɔltin insay simpul wɔd tide.
Wetin rili na Ɛndomɛtriɔsis?
Fɔ tɔk am simpul wan, ɛndometriɔsis na di growth we di tisu dɛn de gro we rili fiba di layn na yu uterus, we de na do na di uterus, na ɔda pat dɛn na yu bɔdi. Nɔmal wan, dis layn kin tik we yu de gɛt mɔnt ɛn afta dat i kin shed as blɔd we yu de gɛt we yu de gɛt mɔnt. Bɔt dis ɛkstra tisu we de gro ausayd di uterus nɔ gɛt say fɔ go. So i kin stik togɛda ɛn mek pɔsin inflamɛns, ska tisu, ɛn pen.
Dis na wan sik wae kin pasmak, wae kin afɛkt lɛk wan pan ɛvri 10 uman dɛm ɔlsay na di wɔl. Dɛn kin no am pan uman dɛn we dɔn pas 20 ɛn 30 ia.
Usay dis tisu kin divɛlɔp?
pan ɔl we di εndometriosis tisu kin divεlכp εnisay na di bכdi, sכm say dεm de we i kin kכmכn pasmak εn sכm say dεm we i nכ kin kכmכn.
| Ples dɛn we pipul dɛn kin si mɔ | Nɔto so kɔmɔn ples dɛn |
|---|---|
| Ovari dɛn | Rɛktum na di rɛktɔm |
| Falopian tiub dɛn | Blada we de na di bɔdi |
| di spεs we de biεn di uterus | Intestinal dɛn |
| di mכskul layεr na di uterin wכl (Myometrium) . | Dayafragm we dɛn kin yuz |
| Pɛritoniɔm (di layn we de insay di bɛlɛ) . | Vagina ɔ Lɔng |
Wetin na di sayn dɛm fɔ dis sik?
di men εn mכst kכmכn simptom fכ εndometriosis na di pεlvik pen . Dis pen kin nɔr kin so fɔ sɔm pipul dɛm, bɔt ɔda pipul dɛm nɔr kin ebul fɔ bia. Dis pen kin rili bad fɔ sɔm dez bifo ɛn we yu de gɛt mɔnt. dis na biכs di tisu dεm we de na dεn abnכmal ples dεm de riak to di כmon chenj dεm we de apin insay da tεm de εn i de mek di inflameshn.
Na sɔm pan di men sayn dɛm wae de sho se yu gɛt dis sik:
- Sivεr mεnstral pen: Pen wae de so bad dat yu nɔr kin ebul fɔ kɔntrol am wit ɔdinari pen kil.
- Lכw bכdi כ bak pen: Dis pen kin apin we uman de mεnstral כ bitwin mεnstral tεm.
- Ebi blɔd we de kɔmɔt: Bɔku blɔd we de kɔmɔt we yu de gɛt mɔnt ɔ we yu de blɔd smɔl (spɔt) bitwin di tɛm we yu de gɛt mɔnt.
- Pen we yu de du mami ɛn dadi biznɛs: Dɛn kin kɔl dis pan mɛrɛsin ``Dyspareunia''.
- Infεtiliti: Sɔm uman dεn kin כnli no se dεn gεt εndometriosis we dεn de tray fכ bכn pikin.
- Pen we yu de muv yu bɔdi ɔ yu de pis.
- Bɛlɛ nɔ de fil fayn: Tin dɛn lɛk fɔ blo, dayarɛa, ɔ kɔnstipɛshɔn.
wetin de amazing na dat sכmtεm dεn kin de wit εndometriosis we yu nכ gεt εni simptom . Ɛn nɔr kɔrɛleshɔn nɔr de bitwin aw de sik kin tranga ɛn aw de sik kin tranga. Dat min se sɔmbɔdi kin gɛt smɔl ɛndometriosis tisu ɛn i kin gɛt siriɔs pen. Ɔda pɔsin kin gɛt bɔku tisu ɛn nɔr kin fil pen atɔl.
Yu tink se ɛndometriɔsis kin mek yu gɛt mɔ wet?
Nɔ, ɛndometriɔsis nɔ de mek pɔsin gɛt mɔ wet dairekt wan. Bɔt di blo ɛn wata we de kɔntinyu fɔ de wit di sik kin mek yu fil lɛk se yu blo.
Wetin mek ɛndometriɔsis kin kam? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek i apin. Bɔt sɔm tin dɛn de we dɛn tink se go mek i apin. fכ egzampl, di wan dεm we de du risach biliv se di bכdi we di mεnstrual bכdi de fכlכ tru di vagina εn sכm sכm wan de fכlכ bak insay di bכdi tru di fallopian tכb dεm (`retrograde menstruation`), di imyun sistεm prכblεm, εn di כmon imbalans כl kin kכntribyut to am.
Dis na sɔntin we kɔmɔt frɔm jɛnɛreshɔn?
Yɛs. Pan ɔl we dɛn nɔ no di rayt tin we mek i apin, dɛn dɔn si se i gɛt sɔntin fɔ du wit famili istri. If yu mama, grani, ɔr sista gɛt endometriosis, yu kin gɛt dis sik. So if ɛnibɔdi na yu famili gɛt dis sik, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt am.
Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
difrεn tin dεm de we de mek di risk fכ gεt εndometriosis.
- Fɔ gɛt famili histri bɔt endometriosis.
- sכt mεnstral saykl (lεs dan 27 dez).
- Di mɔnt we i kin gɛt fɔ lɔng tɛm ɛn we i kin blɔd bɔku (we kin las pas 8 dez).
- Nɔ ɛva bɔn pikin.
Us kɔmplikɛshɔn dɛn kin apin bikɔs ɔf di ɛndometriɔsis?
If dɛn nɔ trit dis sik fayn, sɔm prɔblɛm dɛn kin apin. Di men wan dɛn na pen we nɔ de dɔn ɛn we pɔsin nɔ ebul fɔ bɔn pikin .
Apat frɔm dat, if di sik kam tranga, dɛn tin ya kin apin:
- Prɔblɛm na di bɔdi ɔ blad: If di tisu gro na di intestinal, rɛktum, ɔ blad, i kin mek blɔd na di stɔl ɔ urine, ɛn i kin mek i fil pen bad bad wan we i pas dɛn.
- I nɔ izi fɔ blo ɔ di chɛst kin pen: Na smɔl tɛm nɔmɔ dis tisu kin skata to di lɔng ɔ di dayafragm, we kin mek i nɔ izi fɔ blo.
If yu gɛt dɛn kayn prɔblɛm ya, yu kin tɔk to yu dɔktɔ ɛn mɛn dɛn.
Aw endometriosis kin mek i nɔ izi fɔ bɔn pikin?
Endometriosis na wan big tin we kin mek pɔsin nɔ ebul fɔ bɔn pikin. Imajin, if dis tisu blok di fallopian tubes, damej di ovaries, ɔ mek ska tisu insay di bɛlɛ, i kin ambɔg di spam we mit wan eg ɛn fεtilayz am. Na dat mek fɔ bɔn pikin kin delay ɔ i kin at.
Aw fɔ no dis sik kɔrɛkt wan?
Bɔrku tɛm, fɔ no bɔt yu sik kin bigin wit yu sayn dɛm. We yu tɛl yu dɔktɔ bɔt yu bad bad pen, i go aks yu bɔt yu mɛdikal histri ɛn if ɛnibɔdi na yu famili dɔn gɛt dis sik. Dɔn, dɛn go du wan ɛgzam fɔ di bɛlɛ. If nid de, dɛn kin rifer yu fɔ tɛst lɛk ɔltra saund ɔ MRI skan.
Bɔt, a gɛt ɛndometriɔsis.di onli we fכ bi 100% sכri na tru laparoskopi.
Laparoscopy na we dɛn kin put wan tin we gɛt kamɛra insay di bɛlɛ tru wan smɔl say we dɛn kɔt fɔ chɛk di insay pat na di bɔdi. dis kin mek di dכkta si εksakכt usay di εndometriosis tisu de. di sem tεm, dεn kin tek sכm sכm tisu we dεn sכspεkt εn sεnd am na di lab fכ tεst (a `bayopsi`).
Bɔku tɛm, we di dɔktɔ de du dis ɔpreshɔn, i kin tray bak fɔ pul ɛni ɛndometriɔsis tisu we de de. So, dis na ɔl tu diagnostik ɛn tritmɛnt we.
Wetin na di tritmɛnt dɛn?
Dɛn go no di bɛst tritmɛnt fɔ yu bay we yu tink bɔt sɔm tin dɛn.
- Di kayn we aw di sik kin tranga
- If yu de op fɔ pikin dɛn tumara bambay.
- yu ej
- Di kayn sik wae de kam pan pɔrsin (especially pen) .
Di tritmɛnt gɛt tu men gol dɛn. Wan pan dɛn na fɔ kɔntrol di pen . Di ɔda wan na fɔ ɛp yu fɔ gɛt bɛlɛ if yu de tray fɔ gɛt bɛlɛ. Dɛn kin du dis bay we dɛn de tek mɛrɛsin, ɔpreshɔn, ɔ we dɛn jɔyn dɛn ɔl tu.
Tritmɛnt wit mɛrɛsin
Di mɛrɛsin dɛn we de mek pɔsin fil pen lɛk NSAID (lɛk ibuprofen) kin ɛp fɔ kɔntrol di pen. Apat frɔm dat, ɔmon tɛrapi na di tritmɛnt we dɛn kin yuz mɔ. Dɛn tin ya kin ɛp fɔ mek di uman gɛt di mɔnt ɛn fɔ mek di pen nɔ bɔku.
- Di we dɛn fɔ kɔntrol di pikin: Pils, pat, injɛkshɔn, ɔ IUD kin ɛp fɔ mek yu prɛgnɛshɔn nɔ at ɛn mek yu nɔ gɛt pen.
- GnRH agonists/antagonists: Dɛn drɔgs ya de blɔk di ɔmon dɛn we de mek di mɔnt saykl. Fɔ tɔk am simpul wan, dɛn kin akt lɛk se yu riprodaktiv sistɛm de "na vaykeshun" fɔ sɔm tɛm ɛn i kin mek yu nɔ fil pen. Lupron® na wan pan dɛn kayn injɛkshɔn dɛn de.
- Danazol: Dis na drɔg bak we de stɔp di ɔmon dɛn we de mek pɔsin gɛt mɔnt.
De tin wae impɔtant pas ɔl na dat, de sik kin kam bak wans dɛn dɔn stɔp dɛn mɛrɛsin ya. Dɔn bak, dɛn ɔmon tritmɛnt ya nɔ fayn fɔ pɔsin we de op fɔ gɛt pikin.
Tritmɛnt bay ɔpreshɔn
Sɔntɛnde, dɛn kin se dɛn fɔ du ɔpreshɔn pan am. di gol fכ כpεrayshכn na fכ pul כl di abnכmal εndometriosis tisu as i pכsibul.
- Laparoscopic surgery: As wi bin dɔn tɔk, dɛn kin pul dis tisu mɔ tru smɔl smɔl say dɛn we dɛn kin kɔt we dɛn de yuz kamɛra.
- Hysterectomy: If i rili siriɔs, if dɛn nɔ ebul fɔ kɔntrol di sik wit ɔda tritmɛnt dɛn, yu dɔktɔ kin se yu fɔ pul di uterus ɛn/ɔ ovaries.
Endometriosis na wan sik we nɔ de mɛn. Pan ɔl we bɔku pipul dɛn kin gɛt fridɔm we dɛn kin fil pen afta dɛn dɔn du dɛn ɔpreshɔn, di sayn dɛn kin kam bak afta sɔm ia.
Ɔda kwɛstyɔn dɛn we yu go gɛt
Wetin kin apin if dɛn nɔ trit am?
as tεm de go, dis tisu we de gro ausayd di uterus kin mek sist, adheshon, εn ska tisu. Dis kin mek yu fil pen fɔ lɔng tɛm ɛn bad bad wan. I kin mek bak i nɔ izi fɔ bɔn pikin.
I pɔsibul fɔ gɛt bɛlɛ wit dis sik?
Yɛs, i pɔsibul fɔ mek yu gɛt bɛlɛ. Bɔt i kin tranga pas fɔ pɔsin we nɔ gɛt endometriosis. If yu de tray fɔ bɔn pikin, tɔk to yu dɔktɔ fɔ mek i mek wan tritmɛnt plan we go wok fɔ yu. Yu kin ebul fɔ gɛt bɛlɛ afta dɛn dɔn ɔpreshɔn yu fɔ pul di tisu.
Dis kin stil apin afta yu dɔn lɛf fɔ gɛt bɛlɛ?
di εndometriosis nכ kin kam bak afta di mεnopos, as di εstrojen lεvεl na di bכdi de dכn. Bɔt if pɔsin we bin dɔn gɛt dis sik bifo i menɔpauz tek ɔmon riplesmɛnt tɛrapi (HRT), di sayn dɛn kin kam bak.
Ustɛm yu nid fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt, mɔ we yu gɛt siriɔs kramp we yu de gɛt mɔnt, we yu de blɔd bad bad wan, ɔ we yu de fil pen we yu de du mami ɛn dadi biznɛs , yu fɔ rili go to dɔktɔ, mɔ to dɔktɔ we de mɛn uman dɛn. Nɔ jɔs tink se dis na nɔmal tin ɛn bia wit di pen.
We yu go si dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:
- Wetin na di bɛst tritmɛnt we dɛn kin gi mi?
- Dis sik kin kam bak afta dɛn dɔn trit am?
- Yu tink se dis go afɛkt di we aw a go ebul fɔ bɔn pikin?
- A de pan denja fɔ gɛt ɔda sik dɛn bikɔs ɔf ɛndometriɔsis?
We dɛn no se yu gɛt endometriosis, yu kin fil difrɛn kayn filin. Pan ɔl we yu kin fil fri, "O, big, a dɔn no di kɔz fɔ mi pen," yu kin fil bak fɔ wɔri bɔt tritmɛnt ɛn yu ebul fɔ bɔn pikin. Ɔl dɛn filin ya na nɔmal tin. Di impɔtant tin na fɔ no se nɔto yu wangren de. Tɔk wit yu dɔktɔ opin wan ɛn mek di bɛst tritmɛnt plan fɔ yu sityueshɔn.
Mɛsej we dɛn kin kɛr go na os
- εndometriosis na wan kכmכn kכndyushכn we di tisu we fכ de insay di uterus de gro ausayd di uterus.
- Di men sayn na di pen we yu nɔ go ebul fɔ bia we yu de gɛt mɔnt. Bɔt i kin mek bak blɔd bɔku ɛn i nɔ kin izi fɔ gɛt bɛlɛ.
- Nɔr kin ɔltɛm gɛt kɔrɛleshɔn bitwin aw de sik kin tranga ɛn aw de sik kin tranga. Sɔm pipul kin gɛt am wae nɔr gɛt ɛni sayn.
- di onli we fכ kכnfכm dis 100% na tru laparoskopi כpεrayshכn.
- Mɛrɛsin ɛn ɔpreshɔn kin ɛp fɔ kɔntrol di pen ɛn mek layf izi. If yu gɛt siriɔs pen, nɔ jɔs tink se, "Dis na nɔmal tin," bɔt go to dɔktɔ.
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