Kei te pāngia koe e te mamae o te pākia i ia marama? Tērā pea kāore e taea e koe te mahi i ō mahi o ia rā nā te mamae o te puku me te toto nui. Tērā pea ka whakaaro koe, "He mea noa tēnei mā tātou ngā wāhine." Engari ehara i te mea koinei tonu te āhua. I ētahi wā, ko te take o tēnei mamae nui me te toto nui he mate e kiia nei ko te adenomyosis. I tēnei rā, ka kōrerohia tēnei i roto i tētahi huarahi māmā ka taea e koe te mārama.
He aha te adenomyosis, he aha te kīanga māmā?
Hei mārama ki tēnei, me ako tātou i ētahi kōrero mō tō tātou kōpū. He kiriuhi motuhake te pakitara o roto o te kōpū. Ka kiia tēnei ko te endometrium. Koinei te kiriuhi ka tukuna i ia marama i te wā paheketanga. Kei waho o tēnei kiriuhi he pakitara matotoru i hangaia ki ngā uaua kōpū. Ka kiia ko te myometrium.
I roto i tētahi āhuatanga e kiia nei ko te adenomyosis , ko te mea ka tupu ko ngā pūtau o te arai endometrial, kei roto i te kōpū, kāore e noho noa ki reira, engari ka tīmata hoki te tipu ki roto i te paparanga uaua o te kōpū (myometrium).
Whakaarohia he rite ki te peita e hiahia ana koe ki te pani ki te pakitara i roto i te whare, engari ka horapa mā roto i te pakitara ka uru ki waenga i ngā pereki. Ina tupu tēnei kiriuhi ki roto i te uaua pēnei, ka tīmata te matotoru haere o te kōpū me te tipu. I ētahi wā ka taea e te kōpū te tipu kia rua, kia toru rānei ngā wā o tōna rahi noa . Ka kiia tēnei ko te adenomyosis.
He aha ngā tohu o tēnei mate?
He mea whakamiharo, kāore e kitea ngā tohu o te katoa e pāngia ana e te adenomyosis. Tērā pea ētahi wāhine kāore he tohu o tēnei mate. Engari mō te hunga e pāngia ana, ka paku hoha pea. Me titiro tātou ki ngā tohu matua.
| Tohu | He whakamārama māmā |
|---|---|
| Te mamae nui o te paheketanga (Dysmenorrhea) | Tērā pea ka pāngia koe e te mamae koi, e kore e taea te whakamanawanui, e nui atu ana i te mamae puku noa. |
| Te toto nui o te paheketanga (Menorrhagia) | Tērā pea ka puta mai te toto i roto i ngā putunga nunui. Tērā pea ka tino nui te toto, ā, me whakawhiti e koe tō tauera horoi i ia hāora. |
| Mamae o te Pelvic | Ehara i te mea i te wā paheketanga anake, engari i ētahi atu rā anō hoki, ka pāngia pea koe e te mamae tonu, e te taumaha rānei i te puku o raro. |
| Te mamae i te wā o te moe tāne (Dyspareunia) | Ki ētahi tāngata, he wheako mamae te moe tāne me te wahine. |
| Te Puku Adenomyosis | I te rahi haere o te kōpū, ka puta te puku o raro, ka taumaha, ka pupuhi rānei. |
| Te uaua ki te whānau tamariki (Te kore tamariki) | Ahakoa he onge, ka taea e tēnei āhuatanga te whakararu i te haputanga o te tamaiti. |
He aha tēnei e tupu ai? He aha ngā āhuatanga mōrearea?
Ina hoki, kāore anō kia tino mārama te whakautu a ngā tākuta mō te take e pāngia ai ētahi wāhine e te adenomyosis. Engari he iti noa ngā mea e whakaarohia ana e rātou he pānga pea tēnei. Kua kitea e ngā rangahau ko ngā huringa homoni, ngā awe ira, me ngā mate mumura i roto i te tinana ētahi atu āhuatanga pea e whai wāhi ana.
Heoi anō, kua tautuhia he maha ngā āhuatanga e whakanui ake ai i te mōrearea o tēnei mate.
- Tau: Ko tēnei mate te mea tino noa i waenga i ngā wāhine i waenga i te 40 me te 50 tau.
- Te whānau tamariki: He nui ake tēnei mōrearea mō ngā wāhine kua whānau i te iti rawa i te kotahi te tamaiti.
- Pokanga kōpū: Mena kua pokangahia koe i mua hei tango i ngā fibroids uterine, hei D&C rānei (whakawhanui me te curettage), tera pea ka paku piki ake tō mōrearea.
- Te whai endometriosis: Ko te hunga whai mate e kiia nei ko te endometriosis ka nui ake te tūponotanga ka pāngia e te adenomyosis.
He aha te rerekētanga i waenga i te adenomyosis me te endometriosis?
He maha ngā wā ka pōhēhētia ēnei ingoa e rua. Nā te tipu o tētahi kiko e rite ana ki te arai o te kōpū (endometrium) i te wāhi hē te take o ēnei ingoa e rua. Ko te rerekētanga kei te wāhi.
Adenomyosis: Ka tipu te arai o te kōpū ki roto i te pakitara uaua o te kōpū.
Endometriosis: He āhuatanga e tupu ai te kiko e rite ana ki te arai o te kōpū i waho o te kōpū , hei tauira i runga i ngā ovaries, i ngā ngongo fallopian, i tētahi atu wāhi rānei o te puku.
He māmā noa iho, he raruraru te adenomyosis e puta ana i roto i te kōpū. Ko te Endometriosis he raruraru e puta ana i waho o te kōpū.
He mate pukupuku pea tēnei? He aha ngā raruraru?
He wehi tēnei kei te nuinga o te tangata. Engari kotahi te mea ka taea e koe te okioki mārire , ko te adenomyosis ehara i te mate pukupuku. Ā, kāore e huri hei mate pukupuku.
Engari ki te kore e rongoatia, ko tētahi o ngā raruraru matua ka puta ko te anemia, arā, ko te hekenga o te toto i roto i te tinana . Nā te mea ina nui te toto o te paheketanga, ka tangohia he nui te rino mai i te tinana. Nā tēnei, ka ngenge pea koe, ka ngoikore, ka makariri hoki i ngā wā katoa.
Hei tāpiri, ka pā te mamae tonu ki tō oranga o ia rā me tō hauora hinengaro.
Me pēhea te tātaritanga a te tākuta i tēnei?
Ina kōrero koe ki tō tākuta mō ō tohumate, tera pea ka tirotirohia koe e ia, ā, ka whakapae ia kei a koe tēnei mate. Hei whakaū i tēnei, ka mahia e ia tētahi, ētahi rānei o ēnei whakamātautau.
- Whakamātautau Pelvic: Ina tirohia koe e tō tākuta, ka tirohia e ia mēnā kei te paku nui tō kōpū, kei te ngohengohe, kei te mamae rānei ina pā atu.
- Matawai Ultrasound: I tēnei, ka taea e te matawai, inā koa he ultrasound transvaginal, te kite mārama mēnā kua matotoru ngā pakitara o te kōpū, mēnā rānei he huringa kei roto.
- Matawai MRI: I ētahi wā, ka taea e te matawai MRI te whakarato i tētahi pikitia hōhonu ake, mārama ake hoki o te āhua o te kōpū.
I ētahi wā, ka whakatau pea tō tākuta ki te tango i tētahi tauira iti o te arai o tō kōpū (biopsy) hei tirotiro kāore he mate kino kē atu.
He aha ngā maimoatanga e wātea ana?
I te mea he maha ngā wā e whakawhirinaki ana te mate e kīia nei ko te adenomyosis ki te homoni estrogen, ka memeha haere i muri i te paheketanga., arā, i muri i te mutunga o te paheketanga, ka memeha haere ēnei tohu. Engari kāore koe e mamae kia tae rā anō ki taua wā. He maha ngā maimoatanga hei whakahaere i ngā tohu. Ka whiriwhiria e tō tākuta te maimoatanga e tino tika ana māu, me te whakaaro ki tō tau, ki te āhua o ngā tohu, me te hiahia rānei koe kia whānau mai ētahi atu tamariki.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā rongoā whakamamae | Ka taea e ngā rongoā anti-inflammatory kore-steroidal (NSAID) pērā i te ibuprofen me te naproxen te āwhina ki te whakahaere i te mamae o te paheketanga. |
| Te rongoā homoni | Ka taea e ngā pire ārai whānau, ngā IUD homoni, me ētahi atu tikanga te āwhina i te whakahaere i te toto nui me te mamae. Kei reira anō hoki ngā werohanga homoni pērā i te Depo-Provera. |
| Ngā rongoā kore-hormone | Ka taea e ngā rongoā pēnei i te waikawa tranexamic te whakaiti i te nui o te toto o te paheketanga. |
| Te tango i te adenomyoma | Ko te tikanga o tēnei ko te tango i te kiko anake kua tupu ki roto i te uaua mā te pokanga, engari me te kore e tango i te kōpū katoa. |
| Te tango i te histerekore | Ki te kore he maimoatanga kē atu e taea te whakahaere i ngā tohu, ā, kāore koe e hiahia ana ki te whānau tamariki, ko te tango i te kōpū te huarahi whakamutunga. Whai muri i tēnei, kāore ō paheketanga e pāngia ana, ā, kāore e taea e koe te whānau tamariki. |
Āhea koe me tino kite i te tākuta?
Mena kei a koe ētahi o ngā tohu i raro nei, kaua e whakaaro noa "he mea noa tēnei" engari me toro atu ki te tākuta mō ētahi tohutohu.
- Te toto nui o te paheketanga: Mēnā me whakawhiti ō tauera horoi kia kotahi i te haora.
- Te mamae nui o te puku: Mena he nui rawa te mamae kāore e taea e koe te mahi i ngā mahi o ia rā.
- Mena ka pāngia koe e te mamae i te wā e moe ai .
- Mena ka rongo koe i te taumaha tonu, i te kī tonu rānei i te puku o raro .
Ahakoa ehara i te adenomyosis tonu ēnei tohu, tera pea nā tētahi atu mate e hiahia ana kia rongoatia. Nō reira, he mea tino nui kia kite i te tākuta.
Karere Tangohia ki te Kāinga
- Ko te adenomyosis te tipu o te arai o te kōpū ki roto i te uaua o te kōpū. Ehara tēnei i te mate pukupuku .
- Ehara i te mea "noa" tonu te mamae nui o te paheketanga me te toto nui. He tohu pea ēnei nō tētahi mate hauora kei raro.
- He tino whai hua ngā rongoā me ngā maimoatanga pokanga hei whakahaere i ēnei tohu, nō reira kāore he take e mamae ai koe.
- Ki te pā mai ēnei tohu ki a koe, kaua e wehi, kaua hoki e whakama ki te kōrero ki tō tākuta mō ēnei tohu. Koinei te taahiraa tuatahi ki te oranga hauora.
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