Zvakajairika kuti vakadzi vazhinji vanzwe kurwadziwa panguva yekuenda kumwedzi. Asi kune vamwe, kurwadziwa uku kunova kusingatsungiririki. Kurwadziwa kwacho kwakanyanya zvekuti havakwanise kuita mabasa avo ezuva nezuva uye vanotofanira kugara pamubhedha. Kana zvakadaro kwauri, usazvitore se "marwadzo enguva dzose ekuenda kumwedzi." Nekuti panogona kunge paine chirwere chinonzi endometriosis chiri shure kwacho. Ngatitaurei nezvese zviri nyore nhasi.
Chii chinonzi Endometriosis?
Zvichitaurwa zviri nyore, endometriosis kukura kwenyama yakafanana nemukati mechibereko chako, kunze kwechibereko, mune dzimwe nzvimbo dzemuviri wako. Kazhinji, mukati mechibereko ichi munowedzera kukura panguva yekuenda kumwedzi uye wobva wabuda ropa rekuenda kumwedzi. Asi nyama iyi inokura kunze kwechibereko haina kwekuenda. Saka inonamatirana pamwe chete uye inokonzera kuzvimba, mavanga, uye kurwadziwa.
Ichi chirwere chinowanzoitika, chinobata mukadzi mumwe chete pavakadzi gumi pasi rose. Chinowanzoonekwa nevakadzi vari mumakore avo ekuma20 ne30.
Nyama iyi inogona kukura kupi?
Kunyangwe tishu dze endometriosis dzichigona kukura chero kupi mumuviri, kune dzimwe nzvimbo kwadzinonyanya kuoneka uye dzimwe kwadzisingawanzoonekwa.
| Nzvimbo dzinoonekwa zvakanyanya | Nzvimbo dzisina kujairika |
|---|---|
| Mazai | Muromo |
| Machubhu eFallopian | Dundira |
| Nzvimbo iri kuseri kwechibereko | Matumbu |
| Rutivi rwetsandanyama dzemadziro echibereko (Myometrium) | Dhayafura |
| Peritoneum (mukati medumbu) | Kuzvara kana Mapapu |
Ndezvipi zviratidzo zvechirwere ichi?
Chiratidzo chikuru uye chinowanzoonekwa che endometriosis kurwadziwa kwechiuno . Kurwadziwa uku kunogona kunge kuri kushoma kune vamwe, asi kunogona kusashivirira kune vamwe. Kurwadziwa uku kunogona kunge kwakanyanya mazuva mashoma usati waenda kumwedzi uye panguva yekuenda kumwedzi. Izvi zvinodaro nekuti nyama dziri munzvimbo idzodzo dzisina kujairika dzinosangana nekuchinja kwemahormone kunoitika panguva iyoyo uye zvinokonzera kuzvimba.
Heano mamwe ezviratidzo zvikuru:
- Kurwadziwa kwakanyanya panguva yekuenda kumwedzi: Kurwadziwa kwakanyanya zvekuti hakugone kudzorwa nemishonga inorapa marwadzo yakajairika.
- Kurwadziwa kwepazasi pedumbu kana kumusana: Kurwadziwa uku kunogona kuitika panguva yekuenda kumwedzi kana pakati pekuenda kumwedzi.
- Kubuda ropa rakawanda: Kubuda ropa rakawanda panguva yekuenda kumwedzi kana kubuda ropa zvishoma (kuonekwa kwemaziso) pakati pekuenda kumwedzi.
- Kurwadziwa panguva yebonde: Izvi zvinonzi "Dyspareunia" mukurapa.
- Kusabereka: Vamwe vakadzi vanongoona kuti vane endometriosis pavanenge vachiedza kuva nemwana.
- Kurwadziwa panguva yekufamba kwetsvina kana kuita weti.
- Kusagadzikana kwedumbu: Zvinhu zvakaita sekuzvimba, manyoka, kana kuvimbiwa.
Chinoshamisa ndechekuti dzimwe nguva endometriosis inogona kuvapo isina zviratidzo . Uye hapana hukama huripo pakati pekuoma kwezviratidzo nekuoma kwechirwere. Kureva kuti, mumwe munhu anogona kunge asina tissue ye endometriosis yakawanda uye anonzwa kurwadziwa kwakanyanya. Mumwe munhu anogona kunge aine tissue yakawanda asi asingarwadziwi zvachose.
Ko endometriosis inokonzera kuwedzera uremu here?
Kwete, endometriosis haikonzeri kuwedzera uremu zvakananga. Zvisinei, kuzvimba uye kuchengetwa kwemvura pamwe chete nechirwere ichi zvinogona kuita kuti unzwe kuzvimba.
Sei endometriosis ichikura? Ndezvipi zvinhu zvinokonzera njodzi?
Vanachiremba havasati vaziva kuti chii chinokonzera izvi. Asi pane zvinhu zvakati wandei zvavanofunga kuti zvinogona kukonzera izvi. Semuenzaniso, vaongorori vanotenda kuti ropa rekuenda kumwedzi rinoyerera nemuchikadzi uye huwandu hushoma hunodzokera mudumbu kuburikidza nemachubhu efallopian (`retrograde menstruation`), matambudziko ekudzivirira muviri, uye kusarongeka kwemahormone zvese zvinogona kukonzera izvi.
Izvi zvinobva kuzvizvarwa nezvizvarwa here?
Ehe. Kunyangwe chikonzero chaicho chisingazivikanwi, zvakaonekwa kuti chakabatana nenhoroondo yemhuri. Kana amai vako, ambuya, kana hanzvadzi yako vaine endometriosis, uri panjodzi huru yekuva nechirwere ichi. Saka kana paine munhu mumhuri yako ane chirwere ichi, zvakakosha kutaura nachiremba wako nezvazvo.
Ndezvipi zvinhu zvinokonzera njodzi?
Kune zvinhu zvakawanda zvinowedzera njodzi yekubatwa ne endometriosis.
- Kuva nenhoroondo yemhuri yechirwere che endometriosis.
- Kuenda kumwedzi kupfupi (mazuva asingasviki makumi maviri nemanomwe).
- Kuenda kumwedzi kwenguva refu uye kubuda ropa rakawanda (kunogara kwemazuva anopfuura masere).
- Kusambova nevana.
Ndezvipi zvinetso zvinogona kuitika nekuda kwe endometriosis?
Kana chirwere ichi chikasarapwa zvakanaka, matambudziko akawanda anogona kuitika. Matambudziko makuru ndeaya ekurwadziwa kusingaperi uye kushaya mbereko .
Uyezve, kana chirwere chacho chikanyanya, zviratidzo zvinotevera zvinogona kuitika:
- Matambudziko emudumbu kana dundira: Kana nyama ikakura mudumbu, mudumbu, kana mudumbu, zvinogona kukonzera ropa mutsvina kana weti, uye kurwadziwa kwakanyanya pakubuda mazviri.
- Kuoma kufema kana kurwadziwa pachipfuva: Kashoma, nyama iyi inogona kupararira kumapapu kana diaphragm, zvichikonzera kuoma kufema.
Kana uine matambudziko akadai, unogona kutaura nachiremba wako woagadzirisa.
Endometriosis inokonzera sei kuoma kwekuva nevana?
Endometriosis ndiyo honzeri huru yekusabereka. Fungidzira, kana nyama iyi ikavhara machubhu efallopian, ikakuvadza mazai, kana kugadzira mavanga mukati medumbu, zvinogona kukanganisa mbeu yemurume kusangana nezai uye kurisanganisa nembeu. Ndosaka kuva nevana kuchigona kunonoka kana kuoma.
Nzira yekuziva chirwere ichi nemazvo sei?
Kuongororwa kwechirwere kunowanzotanga nezviratidzo zvako. Paunoudza chiremba wako nezvekurwadziwa kwako kwakanyanya, iye achakubvunza nezvenhoroondo yako yehutano uye kana paine munhu mumhuri mako akambova nechirwere ichi. Zvadaro, vachakuongororwa chiuno. Kana zvichidikanwa, vanogona kukutumira kuti uongororwe senge ultrasound kana MRI scan.
Asi, ndine endometriosis.Nzira chete yekuva nechokwadi che100% ndeyekushandisa laparoscopy.
Laparoscopy inzira iyo mudziyo mutete, wakagadzirwa nekamera unopinzwa mudumbu kuburikidza nekucheka kudiki kuti uongorore mukati memuviri. Izvi zvinoita kuti chiremba aone chaipo kuti tishu ye endometriosis iri kupi. Panguva imwe chete, chidimbu chidiki chenyama inofungirwa chinogona kutorwa choendeswa kurabhoritari kuti chiongororwe ('biopsy').
Kazhinji, pakuita oparesheni iyi, chiremba anoedzawo kubvisa chero tishu ye endometriosis iripo. Saka, iyi inzira yekuongorora uye yekurapa.
Ndezvipi zviri kurapwa?
Sarudzo yakanakisisa yekurapa ichasarudzwa nekufunga nezvezvinhu zvakati wandei.
- Kuoma kwechirwere
- Kana uri kutarisira vana mune ramangwana.
- zera rako
- Kuoma kwezviratidzo (kunyanya kurwadziwa)
Kurapa kune zvinangwa zviviri zvikuru: Chimwe ndechekudzora marwadzo . Chimwe ndechekukubatsira kubata pamuviri kana uri kuedza kubata pamuviri. Izvi zvinogona kuitwa kuburikidza nemishonga, kuvhiyiwa, kana kusanganisa zvese zviri zviviri.
Kurapa nemishonga
Mishonga inouraya marwadzo yakaita seNSAIDs (yakadai seibuprofen) inogona kubatsira kudzora marwadzo. Pamusoro pezvo, kurapwa nemahormone ndiyo inonyanya kushandiswa. Izvi zvinobatsira kudzora nguva yekuenda kumwedzi uye kuderedza marwadzo.
- Nzira dzekudzivirira pamuviri: Mapiritsi ekudzora pamuviri, mapenji, majekiseni, kana maIUD zvinogona kubatsira kuderedza nguva yako yekutevera uye kuderedza marwadzo.
- Mishonga yeGnRH agonists/antagonists: Mishonga iyi inovhara mahormone anokonzera kumwedzi. Zvichitaurwa zviri nyore, inoita sekunge nhengo yako yekubereka iri "pazororo" kwenguva pfupi uye inoderedza marwadzo. Lupron® ndeimwe yeiyi jekiseni.
- Danazol: Uyu mushonga unomisa kugadzirwa kwemahormone anokonzera kuenda kumwedzi.
Chinhu chinonyanya kukosha ndechekuti zviratidzo zvinogona kudzoka kana mishonga iyi yamiswa. Zvakare, kurapwa kwemahormone uku hakuna kukodzera munhu ari kutarisira mwana.
Kurapwa nekuvhiyiwa
Mune zvimwe zviitiko, kuvhiyiwa kunogona kukurudzirwa. Chinangwa chekuvhiyiwa ndechekubvisa tishu dzakawanda dze endometriosis dzisingawanzoitiki sezvinobvira.
- Kuvhiyiwa kweLaparoscopic: Sezvambotaurwa, nyama iyi inowanzo bviswa kuburikidza nekuchekwa kudiki uchishandisa kamera.
- Kubviswa kwechibereko: Kana chirwere ichi chikakomba, kana chikasagona kudzorwa nedzimwe nzira dzekurapa, chiremba wako anogona kukurudzira kubviswa kwechibereko uye/kana maovari.
Endometriosis chirwere chisingaperi. Kunyange hazvo vanhu vazhinji vachinzwa kurerukirwa kubva pakurwadziwa mushure mekuvhiyiwa, zviratidzo zvinogona kudzoka mushure memakore mashoma.
Mimwe mibvunzo yaungave nayo
Chii chinoitika kana chikasarapwa?
Nekufamba kwenguva, nyama iyi inokura kunze kwechibereko inogona kuumba mavanga, mavanga, uye mavanga. Izvi zvinogona kukonzera kurwadziwa kwenguva refu uye kwakakomba. Zvinogonawo kuita kuti zvive zvakaoma kuva nevana.
Zvinokwanisika here kubata pamuviri nechirwere ichi?
Ehe, zvinokwanisika kubata pamuviri. Asi zvinogona kuoma kupfuura kune munhu asina endometriosis. Kana uri kuedza kuva nemwana, taura nachiremba wako kuti akugadzirire hurongwa hwekurapa hunokushandira zvakanaka. Unogona kukwanisa kubata pamuviri mushure mekuvhiyiwa kubviswa kwenyama.
Izvi zvinogona kuitika here mushure mekuguma kwemwedzi?
Endometriosis haidzokorori mushure mekupedza kuenda kumwedzi, sezvo huwandu hweestrogen mumuviri huchidzikira. Zvisinei, kana munhu akambova nechirwere ichi asati apedza kuenda kumwedzi akatora mushonga wekutsiva mahormone (HRT), zviratidzo zvinogona kudzoka.
Unofanira kuona chiremba rini?
Kana uine chimwe chezviratidzo zvataurwa pamusoro apa, kunyanya kurwadziwa kwakanyanya panguva yekuenda kumwedzi, kubuda ropa rakawanda, kana kurwadziwa panguva yebonde , unofanira kuona chiremba, kunyanya chiremba wevakadzi. Usangofungidzira kuti izvi zvakajairika wotsungirira kurwadziwa.
Paunoenda kunoona chiremba, unogona kubvunza mibvunzo yakaita seiyi:
- Ndeipi nzira yakanakisisa yekurapa inokurudzirwa kwandiri?
- Dambudziko iri rinogona kudzokazve here mushure mekurapwa?
- Izvi zvichakanganisa here kugona kwangu kuva nevana?
- Ndiri panjodzi yekubatwa nezvimwe zvirwere nekuda kwe endometriosis here?
Kana waonekwa uine endometriosis, unogona kunzwa manzwiro akasiyana-siyana. Kunyange zvazvo unganzwa wakasununguka, "Zvakanaka, ndava kuziva chikonzero chekurwadziwa kwangu," unogona zvakare kunetseka nezvekurapwa uye kugona kwako kuva nevana. Manzwiro aya ese akajairika. Chinhu chakakosha kuziva kuti hausi wega. Taura pachena nachiremba wako uye gadzira hurongwa hwakanakisa hwekurapa mamiriro ako ezvinhu.
Mharidzo Yekuenda Nayo Kumba
- Endometriosis chirwere chinowanzoitika apo nyama dzinofanira kunge dziri mukati mechibereko dzinokura kunze kwechibereko.
- Chiratidzo chikuru kurwadziwa kusingatsungiririki panguva yekuenda kumwedzi. Zvisinei, zvinogonawo kukonzera kubuda ropa rakawanda uye kuoma kubata pamuviri.
- Nguva dzose hapana hukama huripo pakati pekuoma kwezviratidzo nekuoma kwechirwere. Vamwe vanhu vanogona kuva nacho vasina zviratidzo.
- Nzira chete yekusimbisa izvi 100% ndeyekuvhiyiwa kwe laparoscopy.
- Mishonga nekuvhiyiwa zvinogona kubatsira kudzora marwadzo uye kuita kuti hupenyu huve nyore. Kana uine kurwadziwa kwakanyanya, usangofungidzira kuti, "Izvi zvakajairika," asi enda kuna chiremba.
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