Kodi nthawi yanu ya msambo imapweteka kwambiri? Kodi nthawi zina mumamva kupweteka kwambiri m'mimba mwanu ngakhale masiku omwe simunakhale ndi msambo? Ngati ndi choncho, chifukwa cha ululuwu chikhoza kukhala chotupa chomwe chapangika pa ovary yanu, "chokoleti cyst" monga momwe anthu ambiri amaitchulira. Musachite mantha mukamva dzina ili. Lero, tikambirana chilichonse m'njira yosavuta yomwe mungamvetse.
Mwachidule, kodi Endometrioma ndi chiyani?
Kuti timvetse izi, choyamba tiyenera kudziwa pang'ono za matenda otchedwa endometriosis . Mwachidule, endometriosis ndi matenda omwe minofu yofanana kwambiri ndi chiberekero chanu (endometrium) imakula kunja kwa chiberekero, m'zigawo zina za thupi. Nthawi zambiri imakula m'malo monga mazira ndi machubu a fallopian.
Choncho, pamene minofu ya endometriosis iyi ikukula pa imodzi mwa mazira anu oberekera, imapanga chotupa chifukwa cha magazi akale omwe akhala akusonkhana mkati mwake kwa nthawi yayitali. Chotupa chimenecho ndi chomwe timachitcha endometrioma . Ngakhale kuti kwenikweni ndi chotupa, kwenikweni ndi thumba lodzaza ndi madzi (cyst).
Nchifukwa chiyani izi zimatchedwa 'Chocolate Cyst'?
Ili ndi dzina lachilendo kwambiri pachifukwa chosavuta. Mkati mwa chotupa ichi muli magazi akale omwe asonkhana ndikukhuthala kwa miyezi ingapo. Mtundu wa magazi awa ndi wakuda bulauni, ngati madzi osungunuka a chokoleti. Ichi ndichifukwa chake amadziwika kuti 'chotupa cha chokoleti' pakati pa madokotala ndi anthu onse.
Chofunika kwambiri ndichakuti ngati muli ndi endometrioma, zingatanthauze kuti muli ndi vuto lalikulu la endometriosis. Choncho ndikofunikira kwambiri kudziwa izi.
Kodi mukuganiza kuti muli ndi vutoli? Onani zizindikiro izi
Chizindikiro chachikulu komanso chodziwika bwino cha endometrioma ndi kupweteka kwa m'chiuno . Ululu uwu ukhoza kuchitika nthawi iliyonse, osati nthawi ya msambo yokha. Komabe, pakhoza kukhala zizindikiro zina zingapo.
| Chizindikiro | Kufotokozera |
|---|---|
| Kupweteka kwambiri kwa msambo | Ndi ululu woposa ululu wamba. Ukhoza kukhala woopsa kwambiri moti sungathe kuchita ntchito zako za tsiku ndi tsiku. |
| Ululu panthawi yogonana | Mu zamankhwala, izi zimatchedwa dyspareunia . Ichi ndi chizindikiro chofala. |
| Ululu pokodza ndi kuchita chimbudzi | Ululu uwu ukhoza kuwonjezeka, makamaka panthawi ya msambo. |
| Zina mwazinthu | Kukodza pafupipafupi, kupweteka kwa msana, nseru ndi kusanza, komanso kudzimbidwa kumatha kuchitikanso. |
Kukula kwa ma cysts amenewa kumasiyananso. Ena ndi ang'onoang'ono kwambiri, pomwe ena amatha kukula kwambiri. Amathanso kukula mu ovary imodzi kapena zonse ziwiri.
Kodi chifukwa chenicheni cha izi n'chiyani?
Madokotala akadali osatsimikiza 100% chomwe chimayambitsa endometrioma. Komabe, pali lingaliro limodzi lalikulu lomwe limaganiziridwa kuti limagwira ntchito. Limatchedwa retrograde menstruation .
Mwachidule, zimakhala motere. Mukakhala ndi msambo, chiberekero chimatuluka ndikutuluka kudzera mu nyini pamodzi ndi magazi. Koma nthawi zina, m'malo motuluka kudzera mu nyini, magazi ochepa ndi chiberekerochi amabwerera m'machubu a fallopian kupita ku mazira. Chimbudzicho chimayikidwa pamenepo, ndipo mwezi uliwonse, mothandizidwa ndi mahomoni anu, chimakhuthala ndikuyamba kutuluka magazi, monga momwe chiberekero chimakhalira. Kuchulukana kwa magazi kumeneku ndi komwe kumayambitsa chotupa chotchedwa endometrioma.
Ndani ali pachiwopsezo chachikulu chotenga matendawa?
- Ngati wina m'banja mwanu ali ndi endometriosis: Ngati amayi anu kapena mlongo wanu anali ndi vutoli, inunso muli pachiwopsezo chotenga matendawa.
- Ngati munayamba kusamba msanga: Kawirikawiri, anthu omwe anayamba kusamba asanakwanitse zaka 11 ali pachiwopsezo chachikulu.
- Ngati nthawi ya msambo ndi yochepa: Ngati nthawi ya msambo imakhala yosakwana masiku 27.
- Ngati nthawi ya msambo imatenga masiku angapo: Ngati kutuluka magazi kumatenga masiku opitilira 7.
- Ngati pali zolakwika zilizonse m'chiberekero kapena m'machubu a fallopian.
Kodi izi zingayambitse mavuto otani?
Kuwonjezera pa kupweteka kwambiri m'mimba, endometrioma ingayambitse mavuto ena angapo. Ndikofunikira kwambiri kudziwa izi.
- Kusabereka: Ichi ndi mantha akulu omwe anthu ambiri amakumana nawo. Matenda a cysts amatha kuyambitsa kutupa ndi zipsera kuzungulira mazira ndi machubu a fallopian. Izi zitha kuletsa kutulutsidwa kwa mazira ndi njira zawo kudzera m'machubu a fallopian. Komabe, ndi chithandizo chabwino, vutoli lingapewedwe ndipo mwayi wokhala ndi ana ungawonjezeke.
- Mavuto a m'matumbo ndi chikhodzodzo: Chotupachi chimatha kukula ndikumamatira ku ziwalo zozungulira monga matumbo ndi chikhodzodzo, zomwe zimapangitsa kuti munthu azidzimbidwa komanso kuvutika kukodza.
- Kuphulika kwa endometrioma: Imeneyi ndi vuto losowa kwambiri. Komabe, ngati litachitika, madzi omwe ali mkati mwa chotupacho amatha kulowa m'mimba, zomwe zimayambitsa kupweteka kwadzidzidzi, kutentha thupi, ndi kusanza. Imeneyi ndi nkhani yachipatala.
- Kuopsa kwa khansa ya m'chiberekero: Musachite mantha ndi izi. Mwayi woti endometrioma isanduke khansa ndi wochepa kwambiri . Koma chifukwa pali chiopsezo chochepa kwambiri, dokotala wanu adzayang'anira chotupacho.
Kodi mwapeza bwanji izi, Dokotala?
Ngati muli ndi zizindikiro zomwe zatchulidwa pamwambapa, muyenera kuonana ndi dokotala. Mwina iyeyo adzachita mayeso awa.
1. Kuyezetsa Chifuwa: Ngati chotupacho ndi chachikulu, chikhoza kumveka poyezetsa chiuno.
2. Kujambula: Kujambula kwa ultrasound kwa transvaginal ndiko kofala kwambiri. Izi zingapereke lingaliro labwino la kukula ndi mtundu wa chotupacho. Nthawi zina kujambulidwa kwa MRI kungachitikenso.
3. Laparoscopy: Iyi ndiyo njira yabwino kwambiri yotsimikizira vutoli 100% nthawi zonse. Izi zimaphatikizapo kupanga mabowo ang'onoang'ono m'mimba ndikuyika chubu chopyapyala chokhala ndi kamera mkati kuti chiyang'ane mwachindunji mazira. Panthawiyo, chidutswa chaching'ono cha cyst chingatengedwe kuti chikafufuzidwe (biopsy) kapena cyst ikhoza kuchotsedwa kwathunthu.
Kodi mukuyesera china chilichonse?
Inde. Dokotala wanu angakupatseni mayeso ena kuti aone ngati pali chifukwa china cha zizindikiro zanu.
- Kuchuluka kwa magazi (CBC): Kuyang'ana ngati pali kuchepa kwa magazi kapena matenda. Endometriosis ingayambitse kuchepa kwa magazi chifukwa cha kutuluka magazi ambiri.
- Kusanthula mkodzo: Kutsimikizira ngati ululuwo ukuchitika chifukwa cha matenda a mkodzo (UTI).
- Kuyezetsa matenda opatsirana pogonana (STIs): Kuyezetsa kumeneku kumachitika kuti kupewe matenda ena opatsirana pogonana, chifukwa zizindikiro zake zimatha kufanana ndi izi.
Mukuchita chiyani ngati chithandizo?
Chithandizo cha endometrioma chimadalira zaka zanu, kuopsa kwa zizindikiro zanu, komanso ngati mukufuna kukhala ndi ana. Pali njira zitatu zazikulu zochizira.
| Njira yochizira | Kodi ndi yoyenera kwa ndani? |
|---|---|
| 1. Kuwunika | Ngati chotupacho ndi chaching'ono (chosakwana 4 cm) ndipo mulibe zizindikiro zoopsa, dokotala wanu angasankhe kuyang'anira kukula kwa chotupacho pogwiritsa ntchito scans popanda chithandizo chilichonse. |
| 2. Kuchotsa mwa opaleshoni (Opaleshoni) | Ngati chotupacho chikuyambitsa kupweteka kwambiri, ndi chachikulu (kupitirira 4 cm) kapena chikukula mofulumira, kapena chikuyambitsa mavuto pakubereka ana, opaleshoni ya laparoscopic ikulimbikitsidwa. |
| 3. Mankhwala | Endometriosis imayamba chifukwa cha mahomoni. Chifukwa chake, mankhwala omwe amawongolera momwe mahomoni amagwirira ntchito (monga mapiritsi oletsa kubereka ndi jakisoni wa mahomoni) angathandize kuchepetsa zizindikiro. Izi sizingathandize kuti chotupacho chichoke, koma zimachepetsa ululu ndikuletsa kuti zatsopano zisapangidwe. |
Ndi bwino kukambirana momasuka ndi dokotala wanu njira yochiritsira yomwe ili yoyenera kwa inu.
Kodi ndi liti pamene muyenera kupita kwa dokotala mwachangu?
Ngati zizindikiro zofala kwambiri, ndi zokwanira kuti mupite kuchipatala ndikuonana ndi dokotala. Komabe, ngati chilonda chaphulika, ndi vuto ladzidzidzi. Zikatero, muyenera kupita ku Chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo.
Samalani ndi zizindikiro izi:
- Kupweteka kwadzidzidzi, kosapiririka, komanso kwakukulu m'mimba.
- Malungo.
- Kusanza.
- Ngati mukumva kuti mulibe moyo kapena mukukomoka.
Endometrioma ndi matenda opweteka omwe angakhudze kwambiri moyo wanu. Koma chabwino kwambiri ndichakuti, pali mankhwala abwino ochizira. Musanyalanyaze zizindikiro zanu, lankhulani ndi dokotala wanu, ndipo yambani dongosolo la chithandizo lomwe lili loyenera kwa inu. Lingakuthandizeni kukhala ndi moyo wopanda ululu komanso wabwino.
Uthenga Wopita Nawo Kunyumba
- Endometrioma, kapena 'chokoleti cyst', ndi mtundu wa chotupa chakale, chodzaza magazi chomwe chimapangika m'mazira obereketsa chifukwa cha endometriosis.
- Zizindikiro zazikulu ndi ululu wosapiririka wa msambo ndi ululu wa m'mimba pansi.
- Vutoli lingayambitse mavuto pobereka ana, koma ndi chithandizo choyenera, njira zothetsera vutoli zitha kupezeka.
- Njira zochiritsira zimasiyana malinga ndi zizindikiro zanu, zaka zanu, komanso zomwe mukuyembekezera kuti mukhale ndi pakati, choncho khalani omasuka komanso oona mtima kwa dokotala wanu.
- Ngati mukumva zizindikiro monga kupweteka kwadzidzidzi kwa m'mimba, kutentha thupi, ndi kusanza, pitani kuchipatala nthawi yomweyo (ETU), chifukwa izi zitha kukhala chizindikiro cha kuphulika kwa chotupa.
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