Yu kin gɛt tɛm bak we kin mek yu fil bad ɛvri mɔnt? Yu nɔ go ebul fɔ du yu nɔmal tin dɛn bikɔs yu bɛlɛ de kramp we yu nɔ go ebul fɔ bia ɛn yu de blɔd bɔku. Yu kin tink se, "Dis na nɔmal tin fɔ wi uman dɛn." Bɔt nɔto so i kin bi ɔltɛm. Sɔntɛnde, di tin we kin mek pɔsin fil dis bad bad pen ɛn we i kin gɛt bɔku blɔd kin bi wan sik we dɛn kɔl adenomyosis. Tide, wi go tɔk bɔt dis simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na adenomyosis?
Fɔ ɔndastand dis, lɛ wi lan smɔl fɔs bɔt wi uterus. di insay wכl na di uterus dεn mek am wit wan spεshal mεmbran. Wi kin kɔl dis di ɛndometrium. na dis mεmbran de shed εvri mכnt we uman de mεnstra. כdasay dis mεmbran de na wan tik wכl we dεn mek wit di uterin mכsul dεm. Dɛn kɔl am di mayometrium.
naw, insay wan kכndishכn we dεn kכl adenomyosis , wetin de apin na di sεl dεm we de insay di εndometrial layn, we de insay di uterus, nכ de jכs de de, bכt dεn de bigin fכ gro insay di mכsul layεr na di uterus (myometrium).
Tink bɔt am lɛk pent we yu want fɔ put pan wɔl insay os, bɔt i de skata na di wɔl ɛn go bitwin di brik dɛn. we dis mεmbran de gro insay di mכsul dis we, di uterus de bigin fכ tik sכmtεm εn gro. Sɔntɛnde di uterus kin gro tu tɛm ɔ ivin tri tɛm pas di nɔmal saiz we i gɛt . Dɛn kɔl dis adenomyosis.
Wetin na di sayn dɛm fɔ dis sik?
I sɔprayz fɔ no se nɔto ɔlman we gɛt adenomyosis gɛt di sayn dɛn. Sɔm uman dɛn kin gɛt dis sik we nɔr kin gɛt ɛni sayn. Bɔt fɔ di wan dɛn we de du dat, i kin mɔna dɛn smɔl. Lɛ wi tek wan luk pan di men sayn dɛm.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| We yu gɛt mɔnt we yu de fil bad bad wan (Dysmenorrhea) . | Yu kin gɛt shap pen we yu nɔ go ebul fɔ bia we pas aw yu bɛlɛ kin at. |
| Ebi ebi blɔd we de kɔmɔt na di mɔnt (Menorrhagia) . | Di blɔd kin kɔmɔt insay big big klot. Di blɔd kin so ebi dat yu fɔ chenj yu sanitayz napkin ɛvri awa. |
| Pelvik Pen we de mek pɔsin fil pen | Nɔto jɔs we yu de gɛt mɔnt, bɔt ɔda de dɛn bak, yu kin fil pen ɔ ebi ebi na yu bɛlɛ we de dɔŋ. |
| Pen we pɔsin de fil we i de du mami ɛn dadi biznɛs (Dyspareunia) . | Fɔ sɔm pipul dɛn, we dɛn de du mami ɛn dadi biznɛs wit ɔda pɔsin, dat kin mek dɛn fil pen. |
| Adenomyosis Bɛlɛ we de na di bɔdi | As di uterus de big, di bכdi we de dכn kin fil fכ kכmכt, i kin ebi, כ i kin blo. |
| I nɔ izi fɔ bɔn pikin (Infertility) . | Pan ɔl we dis sik nɔ kin apin so ɔltɛm, i kin mek prɔblɛm wit pikin we gɛt bɛlɛ. |
Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
infakt, dכkta dεm stil nכ gεt 100% difinitiv ansa fכ wetin mek sכm uman dεm kin gεt adenomyosis. Bɔt sɔm tin dɛn de we dɛn tink se go ɛp dɛn. Risach dɔn sho se di chenj dɛn we di ɔmon dɛn kin chenj, di tin dɛn we kin apin to pɔsin in jɛnɛtiks, ɛn di tin dɛn we kin mek pɔsin gɛt inflammatory na di bɔdi kin bi di tin dɛn we kin mek pɔsin gɛt dis sik.
Bɔt dɛn dɔn no bɔku tin dɛn we kin mek pɔsin gɛt dis sik mɔ ɛn mɔ.
- Ej: Dis sik kin mɔs pan uman dɛn we ol bitwin 40 ɛn 50 ia.
- Fɔ bɔn pikin: Dis risk kin bɔku fɔ uman dɛn we dɔn bɔn at le wan pikin.
- uterin opareshכn: If yu bin dכn כpεrayshכn fכ pul di uterin fibroid dεm כ wan D&C (dilation εn curettage), yu risk kin bכku sכmtεm.
- fכ gεt εndometriosis: Pipul dεm we gεt wan kכndyushכn we dεn kכl εndometriosis kin gεt adenomyosis.
wetin na di difrεns bitwin adenomyosis εn εndometriosis?
Bɔku tɛm, pipul dɛn kin kɔnfyus dɛn tu nem dɛn ya. כl tu de kכz fכ wan tisu we lεk di layn na di uterus (εndometrium) we de gro na di rכng ples. Di difrɛns na di say we dɛn de.
adenomyosis: di layn na di uterus de gro insay di mכskul wכl na di uterus insεf.
εndometriosis: na di kכndyushכn we di tisu we lεk di layn na di uterus de gro ausayd di uterus , fכ egzampl na di ovaria, di fallopian tyub, כ כda say na di bכdi.
Fɔ tɔk am simpul wan, adenomyosis na prɔblɛm we kin apin insay di uterus. εndometriosis na prכblεm we de apin ausayd di uterus.
Yu tink se dis kin bi kansa? Wetin na di prɔblɛm dɛn we kin apin?
Dis na fred we bɔku pipul dɛn kin fred. Bɔt wan tin we yu kin biliv na dat adenomyosis nɔto kansa. Ɛn i nɔ kin tɔn to kansa.
Bɔt if dɛn nɔ trit am, wan pan di men prɔblɛm dɛn we kin apin na we pɔsin nɔ gɛt bɛtɛ blɔd, we min se blɔd kin go dɔŋ na di bɔdi . Bikɔs we yu gɛt ebi ebi blɔd we yu de gɛt we yu de gɛt mɔnt, bɔku bɔku ayɛn de kɔmɔt na yu bɔdi. Bikɔs ɔf dis, yu kin fil taya, wik, ɛn kol ɔltɛm.
Apat frɔm dat, we yu de fil pen ɔltɛm, dat kin afɛkt yu ɛvride layf ɛn yu maynd wɛlbɔdi.
Aw dɔktɔ kin no bɔt dis?
We yu tɛl yu dɔktɔ bɔt yu sik, i kin chɛk yu ɛn sɔprayz se yu gɛt dis sik. Fɔ kɔnfirm dis, dɛn go ɔltɛm du wan ɔ mɔ pan dɛn tɛst ya.
- Pɛlvik Ɛgzam: We yu dɔktɔ de chɛk yu, i go chɛk fɔ si if yu uterus dɔn big smɔl, sof, ɔ i de fil pen we yu tɔch yu.
- כltra saund Skan: Insay dis, skan, spεshal wan transvaginal ultrasound, kin si klia wan if di wכl dεm na di uterus dכn tik כ if εni chenj dεm de insay.
- MRI skan: Sɔntɛnde, MRI skan kin mek yu si dip ɛn klia pikchɔ bɔt aw di uterus de.
Sɔntɛnde, yu dɔktɔ kin disayd fɔ tek smɔl sampul pan di layn na yu uterus (bayopsi) fɔ mek shɔ se nɔ ɔda siriɔs sik nɔ de.
Wetin na di tritmɛnt dɛn we de?
Bikɔs di sik we dɛn kɔl adenomyosis kin dipen bɔku tɛm pan di ɔmon we dɛn kɔl ɛstrojen, i kin sɔlv afta we i dɔn pas we i dɔn pas 40 ia., dat min se afta di mɔnt dɔn stɔp kpatakpata, dɛn sayn ya go stɔp smɔl smɔl. Bɔt yu nɔ nid fɔ sɔfa te da tɛm de kam. Difrɛn tritmɛnt dɛn de fɔ kɔntrol di sik dɛn. Yu dɔktɔ go pik di tritmɛnt we go fayn fɔ yu, ɛn i go tink bɔt yu ej, di kayn sik we yu gɛt, ɛn if yu want fɔ bɔn mɔ pikin.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen | Nɔn-stɛroyd anti-inflammatory drɔgs (NSAID) lɛk ibuprofen ɛn naproxen kin ɛp fɔ kɔntrol di pen we yu de gɛt we yu de gɛt mɔnt. |
| Ɔmon tɛrapi | Pils fɔ kɔntrol bɔn pikin, ɔmon IUD, ɛn ɔda we dɛn kin ɛp fɔ kɔntrol ebi ebi blɔd ɛn pen. Ɔmon injɛkshɔn dɛn de bak lɛk Depo-Provera. |
| Drug dɛn we nɔ gɛt ɔmon | Mεdikeshכn dεm lεk tranexamic acid kin ridyus di blכd we de kכmכt na di mεnstral. |
| Adenomyomectomy we dɛn kin du | Dis min se dɛn fɔ ɔpreshɔn di tisu nɔmɔ we dɔn gro insay di mɔsul, ɛn dɛn nɔ go pul di wan ol uterus. |
| Di we aw dɛn kin pul di bɛlɛ | If no ɔda tritmɛnt nɔ go ebul fɔ kɔntrol di sik dɛn ɛn yu nɔ want fɔ bɔn pikin igen, fɔ pul di bɛlɛ na di las tin we yu go du. Afta dis, yu nɔ go gɛt prɛgnɛshɔn igen ɛn yu nɔ go ebul fɔ bɔn pikin. |
Ustɛm yu fɔ rili go to dɔktɔ?
If yu gɛt ɛni wan pan di sayn dɛm we de dɔŋ ya, nɔ jɔs tek am se "dis na nɔmal tin" ɛn fɔ tru fɔ go to dɔktɔ fɔ advays.
- Ebi blɔd we de kɔmɔt na yu mɔnt: If yu fɔ chenj di sanitayz pad lɛk wan tɛm insay di awa.
- Bɛlɛ pen bad bad wan: If di pen so bad dat yu nɔ go ebul fɔ ivin du nɔmal wok dɛn.
- If yu fil pen we yu de du mami ɛn dadi biznɛs .
- If yu fil ɔltɛm fɔ gɛt ebi ɔ ful-ɔp na yu bɛlɛ we de dɔŋ .
Ivin if dɛn sayn ya nɔr kɔmɔt frɔm adenomyosis insɛf, dɛn kin kam wit ɔda sik we nid tritmɛnt. So, i rili impɔtant fɔ go to dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- adenomyosis na di growth we di layn na di uterus de gro insay di mכsul na di uterus. Dis nɔto kansa .
- Siriɔs pen we pɔsin kin gɛt we i de gɛt mɔnt ɛn we i kin gɛt bɔku blɔd nɔ kin bi "nɔmal" ɔltɛm. Dɛn kin bi sayn fɔ wan ɔndalayn mɛdikal kɔndishɔn.
- Dɛn kin gɛt mɛrɛsin ɛn ɔspitul tritmɛnt dɛn we rili fayn fɔ kɔntrol dɛn sik ya, so nid nɔ de fɔ sɔfa pan pen.
- If yu gɛt ɛni wan pan dɛn sik ya, nɔ fred ɔ shem fɔ tɔk to yu dɔktɔ bɔt dɛn. Dat na di fɔs tin we yu fɔ du fɔ mek yu gɛt wɛlbɔdi.
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