Mankhwala Osokoneza Bongo Sali Chithandizo Kwa Endometriosis
Kodi Endometriosis N'chiyani?
Malingana ndi National Institutes of Health, "endometriosis ndi matenda omwe amayamba kukula mkati mwa chiberekero amakula kunja kwa chiberekero, amatha kukula pamimba, mazira, matumbo kapena chikhodzodzo. Nthawi zambiri zimakula m'madera ena thupi. " Kukula kwa minofu kumabweretsa zizindikiro zofatsa kwambiri kwa amayi ena kuti zizindikiro zikuluzikulu zomwe zingayambitse kuchepa kwa magazi, masiku osapitilira ntchito, ndi ululu waukulu.
Ngakhale kuti zizindikiro za endometriosis zimasiyanasiyana pakati pa amai, amaiwa, nkhani zotsatirazi nthawi zambiri amachititsa amayi kupeza chithandizo ndi matenda:
- Ululu, kawirikawiri m'mimba, m'munsi kumbuyo, kapena m'madera am'mimba
- Kusadziletsa
- Nthawi zovuta komanso magazi pakati pa nthawi
- Kupweteka kwa msambo kumapweteka
Zochita ndi Zoipa za Hysterectomy kwa Endometriosis
Ngakhale palibe mankhwala a endometriosis, ndi chimodzi mwa zifukwa zomwe zimawoneka kuti amayi ali ndi hysterectomy (kuchotsa opaleshoni ya chiberekero) chaka chilichonse. Musanayambe kuganizira za hysterectomy kwa endometriosis, ndikofunika kulingalira zotsatira zomwe zingatheke ndipo njira zina zothandizira opaleshoni monga hysterectomy zimatha kapena sizichotsa ululu wa endometriosis.
Nthaŵi zina, ma opaleshoni angapo amafunika, ndipo nthawi zambiri kupuma kupweteka sikungwiro.
Kafukufuku amasonyeza kuti mpumulo wa ululu wam'mimba ndi waukulu ngati opaleshoni imaphatikizapo kuchotsedwa kwa mazira. Malingana ndi kafukufuku wopangidwa ndi akatswiri a Johns Hopkins, amayi omwe anali ndi hysterectomy omwe sanaphatikizepo kuchotsa mazira awo anali otheka kwambiri kuti akhale ndi endometriosis yomwe inachititsa ululu m'zaka zotsatira za opaleshoni.
Phunziro limenelo, amayi 62% omwe ankasunga mazira awo anali ndi kupweteka kwa endometriosis ndipo 31% ankafunika opaleshoni yachiwiri.
Zotsatirazo zinali zosiyana kwambiri ndi amayi omwe anali ndi mazira awo atachotsedwa pa njira ya hysterectomy. Azimayi khumi mwa amayi asanu aliwonse adamva kupweteka kwa endometriosis pambuyo pochita opaleshoni ndipo osachepera 4% anafunikira opaleshoni yachiwiri.
Zikuwoneka kuti kukhala ndi mazira ochotsedwa ndi hysterectomy ndi yankho lodziwika, koma kwa mkazi yemwe angakhale akufuna ana, izi zikutanthauza kusasunthika kosatha. Kuonjezerapo, ngati mazira amachotsedwa, kusamba kwa mimba kumayambika masiku omwe akuchitika opaleshoni ndi ma hormone mankhwala oyenera. Zoopsa zina zimakhudzana ndi kuchotsa mazira ochuluka, njira yotchedwa oophorectomy.
Njira Zina Zopangira Hysterectomy kwa Endometriosis
Endometriosis sichiritsidwe ndi hysterectomy. Zisonyezero zowawa zimatha nthawi zambiri ndipo nthawi zambiri zimachita. Pa chifukwa chimenechi, mankhwala opangidwa ndi laparoscopic ndi osapaleshoni nthawi zambiri amalingaliridwa asanakhale ndi hysterectomy.
Mankhwala ena a endometriosis angaphatikizepo:
- mankhwala opweteka, kuphatikizapo mankhwala opatsirana monga Ibuprofen
- ma ARV (nthawi zambiri mwa mawonekedwe a mankhwala oletsa kubereka)
- laparoscopy, kumene dokotala wa opaleshoni amathyola mimba pang'ono ndiyeno amaika zida zing'onozing'ono kupyolera mudulidwe kakang'ono kuti awone ndikuchotsa kukula kwa endometrial
- laparotomy, momwe njira zamakono za opaleshoni zimagwiritsidwira ntchito kuchotsa kukula kwa endometrial ndipo, nthawi zina, mazira
- Kuchita opaleshoni kuti athetse mitsempha ya m'mimba, momwe chiberekero chimakhala cholimba pamene mitsempha imadulidwa kuti athetse ululu
Kusankha kwa chithandizo nthawi zonse kumakhala mwachindunji. Zimachokera pa zinthu zingapo kuphatikizapo msinkhu, thanzi, kuuma kwa endometriosis ndi ululu. Chithandizo cha wodwala amene akufuna kukhala ndi ana chikhoza kukhala chosiyana kwambiri ndi chithandizo cha mayi yemwe safuna kukhala ndi ana, monga momwe mankhwala ena amathandizira kubereka.
Musanayambe kupeza ndi kuchiza endometriosis, dokotala wanu akhoza kupanga zojambula zojambula monga MRI kapena ultrasound kutsimikizira kuti palibe zovuta zina. Nthaŵi zambiri, madokotala amayamba ndi mankhwala osamalitsa monga mankhwala asanayese mtundu uliwonse wa mankhwala opatsirana opaleshoni.
Mawu Ochokera
Zidzakhala zovuta kuti mukhale omveka bwino ndi wothandizira zaumoyo wanu za zolinga zanu (mwana wokulira, kupumula kupweteka, kutaya magazi) ndi zomwe mukufuna kuchita ndi chithandizo. Chithandizo chanu, kodi mukufuna kukhala ndi ana, akhoza kukhala osiyana kwambiri ndi mankhwala omwe mumalandira ngati simukufuna kutenga pakati.
Ndondomeko yomwe imakhala yabwino kwa munthu yemwe ali ndi nthenda yotaya magazi komanso kufunafuna njira yochepetsera magazi sikungakhale mankhwala abwino kwa wina amene akufuna kuti asamve ululu.
Zotsatira:
National Institutes of Health. Endometriosis. Idafika 2017.
National Institutes of Health. >> Kodi chithandizo cha endometriosis n'chiyani? Kufikira 2015.
> Rizk, B., Fischer, AS, Lotfy, HA, Turki, R., Zahed, HA, Malik, et al. Kubwereza kwa endometriosis pambuyo pa hysterectomy. Mfundo, Maonekedwe & Masomphenya mu OBGyn, 6 (4), 219-227.