Kodi mukumva ululu wosapiririka wa msambo? Mwina muli ndi adenomyosis?

Kodi mulinso ndi nthawi yomwe imakupangitsani kumva chisoni mwezi uliwonse? Mwina simungathe kuchita zinthu zanu zachizolowezi chifukwa cha kupweteka m'mimba kosalekeza komanso kutuluka magazi ambiri. Mungaganize kuti, "Izi ndi zachilendo kwa ife akazi." Koma sizili choncho nthawi zonse. Nthawi zina, chifukwa cha ululu waukulu komanso kutuluka magazi ambiri chingakhale vuto lotchedwa adenomyosis. Lero, tikambirana za izi m'njira yosavuta yomwe mungamvetse.

Mwachidule, kodi adenomyosis ndi chiyani?

Kuti timvetse izi, choyamba tiyeni tiphunzire pang'ono za chiberekero chathu. Khoma lamkati la chiberekero limapangidwa ndi nembanemba yapadera. Timatcha ichi kuti endometrium. Ndi nembanemba iyi yomwe imatuluka mwezi uliwonse panthawi ya msambo. Kunja kwa nembanemba iyi kuli khoma lolimba lopangidwa ndi minofu ya chiberekero. Limatchedwa myometrium.

Tsopano, mu vuto lotchedwa adenomyosis , chomwe chimachitika ndichakuti maselo omwe ali mu endometrial lining, yomwe ili mkati mwa chiberekero, samangokhala pamenepo, komanso amayamba kukula kukhala minofu ya chiberekero (myometrium).

Taganizirani ngati utoto womwe mukufuna kupaka pakhoma mkati mwa nyumba, koma umafalikira pakhoma ndikulowa pakati pa njerwa. Pamene nembanemba iyi ikukula kulowa mu minofu mwanjira iyi, chiberekero chimayamba kukula pang'onopang'ono ndikukula. Nthawi zina chiberekero chimatha kukula kawiri kapena katatu kuposa kukula kwake kwachibadwa . Izi zimatchedwa adenomyosis.

Kodi zizindikiro za vutoli ndi ziti?

Chodabwitsa n'chakuti si onse omwe ali ndi adenomyosis omwe ali ndi zizindikiro. Azimayi ena akhoza kukhala ndi vutoli popanda zizindikiro zilizonse. Koma kwa iwo omwe ali ndi zizindikiro, zingakhale zovuta pang'ono. Tiyeni tiwone zizindikiro zazikulu.

N’chifukwa chiyani izi zimachitika? Kodi zinthu zomwe zimayambitsa vutoli ndi ziti?

Ndipotu, madokotala alibe yankho lomveka bwino la chifukwa chake akazi ena amadwala adenomyosis. Koma pali zinthu zingapo zomwe amaganiza kuti zingathandize. Kafukufuku wapeza kuti kusintha kwa mahomoni, mphamvu za majini, ndi matenda otupa m'thupi zingakhale zinthu zomwe zimayambitsa vutoli.

Komabe, zinthu zingapo zapezeka zomwe zimawonjezera chiopsezo cha vutoli.

• Zaka: Matendawa amapezeka kwambiri pakati pa akazi azaka zapakati pa 40 ndi 50.
• Kukhala ndi ana: Chiwopsezochi chimakhala chachikulu kwa amayi omwe abereka mwana mmodzi kapena kuposerapo.
• Opaleshoni ya chiberekero: Ngati mudachitidwapo opaleshoni yochotsa uterine fibroids kapena D&C (kukulitsa ndi kupumula), chiopsezo chanu chikhoza kuwonjezeka pang'ono.
• Kukhala ndi endometriosis: Anthu omwe ali ndi vuto lotchedwa endometriosis ali ndi mwayi waukulu wopeza adenomyosis.

Kodi pali kusiyana kotani pakati pa adenomyosis ndi endometriosis?

Mayina awiriwa nthawi zambiri amasokonezeka. Onsewa amayamba chifukwa cha kukula kwa minofu yofanana ndi chiberekero (endometrium) pamalo olakwika. Kusiyana kwake kuli pamalopo.

Mwachidule, adenomyosis ndi vuto lomwe limapezeka mkati mwa chiberekero. Endometriosis ndi vuto lomwe limapezeka kunja kwa chiberekero.

Kodi izi zingakhale khansa? Kodi mavuto ake ndi otani?

Iyi ndi mantha omwe anthu ambiri ali nawo. Koma chinthu chimodzi chomwe mungatsimikize ndichakuti adenomyosis si khansa. Ndipo siisintha kukhala khansa.

Koma ngati simulandira chithandizo, chimodzi mwa mavuto akuluakulu omwe angabwere ndi kuchepa kwa magazi m'thupi, zomwe zikutanthauza kuchepa kwa magazi m'thupi . Chifukwa mukatuluka magazi ambiri m'mimba, chitsulo chambiri chimachotsedwa m'thupi. Chifukwa cha izi, mungamve kutopa, kufooka, komanso kuzizira nthawi zonse.

Kuphatikiza apo, kupweteka kosalekeza kungakhudze moyo wanu watsiku ndi tsiku komanso thanzi lanu la maganizo.

Kodi dokotala amazindikira bwanji izi?

Mukauza dokotala wanu za zizindikiro zanu, angakuyeseni ndikukayikira vutoli. Kuti atsimikizire izi, nthawi zambiri amachita mayeso amodzi kapena angapo.

• Kuyezetsa Chifuwa: Dokotala wanu akamakuyezani, adzayang'ana ngati chiberekero chanu chakulirakulira pang'ono, chofewa, kapena chopweteka mukachikhudza.
• Kujambula kwa Ultrasound: Pa izi, kujambula, makamaka ultrasound ya transvaginal, kumatha kuwona bwino ngati makoma a chiberekero akhuthala kapena ngati pali kusintha kulikonse.
• Kujambula kwa MRI: Nthawi zina, kujambula kwa MRI kungapereke chithunzi chozama komanso chomveka bwino cha momwe chiberekero chilili.

Nthawi zina, dokotala wanu angasankhe kutenga chitsanzo chaching'ono cha chiberekero chanu (biopsy) kuti atsimikizire kuti palibe vuto lina lalikulu.

Kodi mankhwala omwe alipo ndi ati?

Popeza vuto lotchedwa adenomyosis nthawi zambiri limadalira mahomoni otchedwa estrogen, nthawi zambiri limatha pambuyo pa kusamba., ndiko kuti, msambo ukatha kwathunthu, zizindikirozi zimachepa pang'onopang'ono. Koma simuyenera kuvutika mpaka nthawiyo itafika. Pali njira zosiyanasiyana zochizira zizindikiro. Dokotala wanu adzasankha chithandizo chomwe chili choyenera kwa inu, poganizira zaka zanu, mtundu wa zizindikirozo, komanso ngati mukufuna kukhala ndi ana ambiri.

Kodi muyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro zilizonse zomwe zili pansipa, musaganize kuti "izi ndi zachilendo" ndipo pitani kwa dokotala kuti akupatseni upangiri.

• Kutuluka magazi ambiri m'mimba: Ngati mukuyenera kusintha ma sanitary pads kamodzi pa ola limodzi.
• Kupweteka kwambiri m'mimba: Ngati ululuwo ndi waukulu kwambiri moti simungathe kuchita ntchito zachizolowezi.
• Ngati mukumva kupweteka panthawi yogonana .
• Ngati mukumva kulemera kapena kudzaza nthawi zonse m'mimba mwanu .

Ngakhale zizindikirozi sizimayambitsidwa ndi adenomyosis yokha, zitha kuchitika chifukwa cha vuto lina lomwe likufunika chithandizo. Chifukwa chake, ndikofunikira kwambiri kuwonana ndi dokotala.