Kei te pāngia hoki koe e te mamae nui o te paheketanga? Mamae puku? Tērā pea nā te adenomyosis tēnei!

He mea noa te mamae me te toto nui e puta mai ana i te paheketanga mō te tini o ngā wāhine. Engari i ētahi wā, tera pea he take anō kei muri i ēnei mea. Koinei te mate ka kōrerohia e tātou i tēnei rā, e kiia nei ko te adenomyosis. Kaua e manukanuka, me kōrero taipitopito tātou mō tēnei.

He aha te adenomyosis?

I te whakarapopototanga, ko te adenomyosis he āhua e tupu ai te kiko e rite ana ki te arai o tō kōpū (e kiia nei ko te endometrium ) ki roto i te pakitara uaua o tō kōpū (e kiia nei ko te myometrium) . Whakaarohia, ina tupu tēnei momo kiko ki roto i te pakitara kōpū, ka mātotoru haere te kōpū, ka nui haere. I ētahi wā ka taea e ia te whakarua, te whakatoru rānei i tōna rahi noa. Koinei te take e pāngia ai koe e te mamae nui i te wā o tō paheketanga, te toto nui, te ira, me te mamae o te puku/puku o raro.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei?

He tokomaha ngā wāhine kāore i te mōhio kei a rātou te adenomyosis. Kāore te katoa e pāngia e ngā tohu, nō reira he uaua ki te kī tika he aha te auau o tēnei mate. Engari kua kitea e ngā rangahau he nui ake te auau o tēnei mate i roto i ngā wāhine kua tangohia te kōpū, me ngā wāhine neke atu i te 40 tau te pakeke . Ka pāngia hoki ngā wāhine taitamariki (tata ki te 2% ki te 5%) e pāngia ana e te mamae nui o te paheketanga.

He aha ngā tohu o tēnei?

E kiia ana kāore he tohu o te mate i te hautoru o te tangata. Engari ko ētahi tāngata ka pāngia e ēnei āhuatanga:

• Te mamae nui i te wā o te paheketanga (e kiia ana ko te dysmenorrhea ).
• Te toto nui rawa i te wā o te paheketanga (e kiia ana tēnei ko te menorrhagia ).
• Te paheketanga koretake.
• Te mamae o raro o te puku (me te mamae nui o te tuara , kāore rānei).
• Te mamae i te wā moe tāne (e kiia ana tēnei ko te dyspareunia ).
• Te uaua ki te whānau tamariki (Te kore tamariki).
• Te whakanui ake i te kōpū .
• Te kī tonu, te taumaha rānei o te puku (e kīia ana tēnei e ētahi ko te 'puku adenomyosis').

He aha tēnei e tupu ai? He aha ngā take?

Kāore anō kia tino mōhiotia e ngā kairangahau he aha te take e pāngia ai ētahi tāngata e te adenomyosis, me te take tuturu. Heoi, e kī ana ētahi rangahau he pānga pea ngā huringa homoni, ngā āhuatanga ira, te mumura i roto i te tinana, te whara rānei o te kōpū.Ka pāngia pea tēnei e ngā mea pēnei.

He aha ngā āhuatanga mōrearea?

Ko te adenomyosis te mea tino kitea i roto i ngā wāhine e:

• Ngā tāngata i waenga i te 40 me te 50 tau te pakeke.
• Te hunga kua whānau i te iti rawa i te kotahi te tamaiti.
• Ko te hunga kua oti kē te pokanga kōpū te mahi pērā i te pokanga tango fibroid uterine, te D&C rānei (Dilation and Curettage).
• Ngā tāngata e pāngia ana e te endometriosis.

Heoi, ko te adenomyosis ināianei he mea noa te tautuhi i waenga i ngā wāhine kei roto i ō rātou tau 30 e pāngia ana e te toto tara rerekē, e te mamae nui rānei o te paheketanga.

Ka taea e te adenomyosis te whakaputa i ētahi atu raruraru?

Ae, me te adenomyosis, ka kino haere ngā tohu i te roanga o te wā.

Kia maumahara rawa ko te nui o te toto e ngaro ana ka arahi pea ki te anemia . Nō reira, ki te mea kei te ngenge tonu koe, kei te makariri hoki, kia tūpato hoki ki tēnā.

Ko te mate toto iti he āhuatanga noa iho e kore ai e nui ngā toto toto whero whai kiko i roto i te tinana. Ka taea e tēnei te whakapouri me te makariri i a koe.

He mate pukupuku pea tēnei?

Kāore. Ehara te adenomyosis i te mate pukupuku. Ā, ehara i te mate pukupuku. Nō reira, kāore he mea hei manukanuka.

Me pēhea te mōhio o te tākuta ki tēnei?

Ko te tikanga, ka whakapae ngā tākuta he adenomyosis koe mā te pātai mō ō tohumate me te mahi i tētahi, i ētahi rānei o ēnei whakamātautau:

• Whakamātautau hope: I tēnei whakamātautau, ka kite pea te tākuta he nui ake tō kōpū i te mea noa, he ngohengohe, he mamae rānei ki te pā atu.
• Matawai Ultrasound: Ka whakamahia e te ultrasound transvaginal, inā koa ko te mea ka mahia mā roto i te tenetene, ngā ngaru oro hei tango pikitia o ō whekau pelvis . Ka taea e ēnei pikitia te whakaatu i te matotoru o te pakitara o te kōpū.
• Matawai MRI : E whakaatu mārama ana te matawai MRI (Magnetic Resonance Imaging) i te rahi o te kōpū me te matotoru o ētahi wāhi o te kōpū.

I ētahi wā ka tangohia e tō tākuta tētahi tauira iti o te kiko mai i tō kōpū (e kiia ana ko te koiora ) ka tukuna ki te taiwhanga hei tirotiro mō ētahi atu mate kino.

He aha te maimoatanga?

I te nuinga o te wā, ka nui ake te estrogenMā te homoni estrogen ka āwhina i tēnei kiko endometrial kia tupu. Nō reira, i muri i te menopause, ina mutu katoa te paheketanga, ka ngaro katoa ngā tohu o te adenomyosis. Engari kia tae rā anō ki taua wā, ka taea e ēnei maimoatanga te āwhina ki te whakaiti i te mamae, te whakahaere i te toto nui, me te whakaora i ētahi atu tohu:

• Ngā rongoā whakamamae : Ka whakaitihia te mamae e ngā rongoā anti - inflammatory kore-steroidal (NSAID), pērā i te ibuprofen (Advil®, Motrin®) me te naproxen (Aleve®).
• Ngā rongoā homoni: Ka taea e ētahi rongoā homoni te āwhina i te whakahaere i te toto o te paheketanga me te paheketanga koretake. Hei tauira, ko ngā pire ārai whānau, te werohanga Depo-Provera® , me ngā taputapu homoni i roto i te kōpū (IUD ) pērā i a Mirena® .
• Ngā rongoā kore-hormonal: Ka taea e ngā rongoā pēnei i te waikawa tranexamic te whakaiti i te nui o te toto tara.
• Adenomyomectomy: Ka tangohia e tēnei pokanga te kiko adenomyosis mai i te uaua o te kōpū. He rite tonu tēnei ki te myomectomy, e tango ana i ngā fibroids uterine.
• Te tango i te kōpū: Ko te tango katoa i te kōpū i tēnei. Whai muri i te tango i te kōpū , kāore he paheketanga, ā, kāore e taea e koe te whānau tamariki.

Ka aha mēnā kāore e tukuna he maimoatanga?

Ki te kore e rongoatia, ka arahi pea te adenomyosis ki te kore tamariki, ki te mate whānau rānei , nā te mea ka whakaitihia te tūponotanga o te whakatōnga o te kukune ki te pakitara kōpū. Ka taea hoki e ia te mamae tonu o te puku o raro me te hope .

He ara hei ārai i tēnei?

Nā te mea kāore i te mōhiotia te tino pūtake o te adenomyosis, kāore anō kia mōhio ngā tākuta ki tētahi huarahi motuhake hei ārai i a ia.

He aha tāu e tumanako ai ina noho tahi koe me tēnei mate?

He tokomaha ngā tāngata whai tohu o te adenomyosis e whakararuraru ana i ō rātou oranga o ia rā ka kitea he whakaoranga mā te maimoatanga. E ai ki te kōrero i mua ake nei, me memeha haere ngā tohu i muri i te paheketanga. Heoi anō, tera pea ka mau tonu te kōpū kua nui haere.

Adenomyosis me te haputanga

Ko te adenomyosis te mea e kitea ana i roto i ngā wāhine kua whānau he tamaiti kotahi, neke atu rānei. Heoi, nā tēnei mateHe uaua pea te hapu i tētahi tamaiti mō te wā tuatahi, te whānau rānei i tētahi atu tamaiti. Ahakoa ka hapu koe, kei reira tonu ngā mōrearea, pēnei i:

• Te whakatahe.
• Te whānautanga wawe.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ētahi o ēnei tohu, me toro atu ki te tākuta:

• Te toto nui rawa o te paheketanga.
• Te mamae nui rawa atu o te paheketanga.
• Te mamae i te wā o te taatai.
• Te ahua o te kī, te taimaha rānei i roto i te puku.

Ngā pātai nui hei pātai atu ki te tākuta

Mena kua tohua koe he adenomyosis, ka hiahia pea koe ki te pātai atu ki tō tākuta i ngā pātai penei:

• "He aha ahau i pāngia ai e te adenomyosis?"
• "Ko tēhea tikanga maimoatanga te mea pai mōku?"
• "Me whakamahi anō ahau i tētahi atu tikanga ārai whānau?"
• "Ka taea e au te whānau tamariki?"
• "Me āwangawanga rānei ahau mō ngā tohumate o ngā raruraru?"

He aha te rerekētanga i waenga i te Adenomyosis me te Endometriosis?

Ko te adenomyosis me te endometriosis he āhuatanga e tipu ai te kiko e rite ana ki te arai o te kōpū (endometrium) i waho o te kōpū. Ka mamae pea ngā mea e rua. Heoi, ko te adenomyosis te mea pea ka puta ai te toto nui o te paheketanga. Ko te rerekētanga matua i waenga i ngā āhuatanga e rua ko te wāhi e tipu ai te kiko:

• Adenomyosis: Ka tipu te kiko e rite ana ki te endometrium ki roto i te kiko uaua o te kōpū.
• Endometriosis: Ka tipu te kiko pēnei i te endometrium i waho o te kōpū, hei tauira i roto i ngā ovaries me ngā fallopian tubes .

He āhuatanga kino tēnei?

Kāore te adenomyosis e puta he raruraru nui, e morearea ana ki te ora. Heoi, ka uaua pea te haputanga, ka mate rānei te pēpi.

Ko te mea nui ko te rapu tohutohu hauora, kaua e mamae ko koe anake mēnā kei te whakararuraru ēnei tohu i tō oranga o ia rā.

Nō reira kaua e wehi ki te kōrero ki tō tākuta mō ngā huarahi hei whakapai ake i tō hauora.

Ko te karere e hiahia ana mātou ki te kawe ki te kāinga mai i tēnei pūrākau,

Āe, kua maha ā tātou kōrero mō te adenomyosis. Mena kei te pāngia koe e ēnei tohu, pērā i te mamae nui o te paheketanga, te toto nui, me te mamae o te puku o raro, he pai ake te toro atu ki te tākuta me te tiki tohutohu kaua e mamae ko koe anake. Kia maumahara, ehara tēnei i te mate pukupuku, ā, he maha ngā tāngata ka taea te whakaora mā te maimoatanga.I te nuinga o te wā ka memeha haere ēnei tohu i muri i te paheketanga. Ki te kore koe e whakaaro ki te whānau tamariki, ka taea e te tango i te kōpū te whakaora katoa i tēnei mate. Nō reira, kaua e wehi ki te kōrero i ō āwangawanga ki tō tākuta, kia kitea ai te otinga e pai ana ki a koe.