Kuchiza ululu wa amayi kumakhala kosasangalatsa. Izi ndizo chifukwa chakuti ululu wa amayi nthawi zambiri umakhala wovuta kuwunikira. Chifukwa chakuti pali zinthu zambiri zomwe zingayambitse ululu wamimba, ndipo chifukwa chakuti mankhwalawa ali osiyanasiyana, kupeza mankhwala omwe amakugwiritsani ntchito angatenge nthawi, komanso mayesero.
Ngati ndinu mkazi, ndipo mukuvutika ndi ululu wamkati, apa pali zina mwa mankhwala omwe mungayembekezere.
Thandizo la mahomoni pa ululu wa mavalasi a amayi
Kwa mazimayi a ululu wa m'mimba monga endometriosis kapena uterine fibroids , omwe amayamba chifukwa cha ziwalo zosavuta kumera komanso kuzungulira ziwalo zoberekera, mankhwala am'thupi amatha kupereka mpumulo. Zitsanzo zina ndi izi:
- Mapiritsi oletsa kubadwa , omwe angathe kulamulira (kapena kuima, malingana ndi momwe amachitira) kusamba kwake. Izi zingathandize kuchepetsa kupweteka komwe kumagwirizanitsidwa ndi endometriosis, komabe mankhwalawa amakhala othandiza pokhapokha ngati mapiritsi atengedwa.
- Progesterone ndi progestin , yomwe imagwira ntchito ngati mapiritsi oletsa kubereka kapena kuchepetsa kusamba. Amapezeranso estrogen, yomwe ingathandize kupewa uterine fibroids kuti ikule mwa amayi ena. Komabe, nthawi zonse sizothandiza kuthana ndi kukula kwa fibroid.
- GnRH agonists , kapena gonadotropin-kutulutsa horonone agonists, kutumiza thupi m'thupi la mitsempha yomwe ingathandize kuthetsa matenda a endometriosis. Zingathandizenso kuchepetsa fibroids poletsa isrojeni ndipo nthawi zambiri imagwiritsidwa ntchito mosagwiritsidwa ntchito. GnRH agonists amagwiritsidwa ntchito nthawi yayitali.
- Mahomoni ena , monga antiprogestins ndi osrogen receptor modulators, angagwiritsirenso ntchito kuthandizira kuchepetsa uterine fibroids, ngakhale kuti palibe umboni wosonyeza kuti uli wothandiza kuposa njira zina zothandizira. Danocrine imagwiritsidwanso ntchito kwa uterine fibroid ndi kuteteza endometriosis, komabe zotsatira zake (ma acne, kulemera kwapweteka, kumutu kwa mutu, kutopa ndi kusintha kwa mawu) zimapitirira kuwonjezera phindu lake.
Maantibayotiki a Mavuto a Pelvic
Kwa amayi omwe ululu wawo wamkati umayambitsidwa ndi PID, kapena matenda opweteka thupi , antibiotic akhoza kukhala yankho. Maantibayotiki a PID angaperekedwe pamlomo kapena mwa jekeseni, ndipo nthawi zambiri amaperekedwa awiriwa. Izi ndi chifukwa nthawi ndizofunikira pakuchiza PID musanayambe kupanga minofu yowopsya. Pambuyo pake, opaleshoni ikhoza kukhala njira ina yokhayo.
Pa-Counter-Counter-Counter or Prescription Painkillers kwa Mafupa a Pelvic
Painkillers amatha kuchepetsa zizindikiro za kupweteka kwamimba kwa amayi. Painkillers akhoza kuuzidwa kuti akhale ndi matenda monga vulvodynia , uterine fibroids, endometriosis komanso kukhazikika kwa pakhosi . Zina mwazidzidzidzi zomwe zimaperekedwa kapena zopatsidwa mankhwala opweteka pa ululu wa amayi ndi awa:
- NSAID ndi acetaminophen zingagwiritsidwe ntchito pofuna kuchepetsa kupweteka komwe kumayambitsa kusagwirizana kwa pakhosi, uterine fibroids, ndi endometriosis. Nthawi zambiri zimakhala zothandiza ngati ululu uli wofatsa. NSAID sayenera kutengedwa ndi amayi apakati.
- Mankhwala opatsirana pogonana ndi anticonvulsants angathandize kuchepetsa ululu womwe umapezeka ndi vulvodynia, zomwe zimawoneka zovuta kuchiza, chifukwa cha ululu wawo womwe umaletsa njira.
- Opioid ingagwiritsidwe ntchito pofuna kuchepetsa zizindikiro za ululu pamutu wa ululu waukulu wa m'mimba, monga endometriosis yomwe siinayende bwino kwa njira zina zothandizira, kapena zovuta.
Ambiri odwala painkillers samathandiza kwambiri kuvutika kwa ululu wa amayi, chifukwa amatha kulamulira zizindikiro m'malo mwa vuto lenileni. Chifukwa cha izi, nthawi zambiri mankhwala ophera ululu amaphatikizapo njira zina zothandizira.
Thandizo la thupi la ululu wa amayi
Mayi ena amamva kupweteka kwapakhosi, monga vulvodynia ndi kusasinthasintha kwa thupi, akhoza kupitsidwanso bwino ndi mankhwala. Olemba zaumoyo omwe amagwiritsa ntchito umoyo wa amayi angathe kupereka zotsatirazi:
- Pelvic pansi ndikulimbikitsa kwambiri
- Maphunziro a mawonekedwe a thupi kuti athetse kuwonjezereka kwowonjezereka
- Kuwombera kapena kudula
Opaleshoni ya Mavuto a Pelvic
Nthawi zina amayi amavutika ndi ululu wamimba, opaleshoni ikhoza kukhala yofunikira kuti athetse vutoli. Azimayi omwe ali ndi uterine fibroids ndi endometriosis omwe sanayankhepo ku mankhwala a hormone angafunike opaleshoni. Azimayi omwe ali ndi PID omwe mankhwala ophera maantibayotiki sanagwire ntchito angafunike kuchitidwa opaleshoni. Mitundu ya opaleshoni yomwe imagwiritsidwa ntchito pochizira ululu wa amayi kumaphatikizapo:
- Laparoscopy . Kaŵirikaŵiri amachitidwa ngati njira yopezeka kuchipatala kwa endometriosis, laparoscopy imaphatikizapo kupanga zochepa m'mimba ndi kugwiritsa ntchito zipangizo zing'onozing'ono kuti athetse zigawo za endometrial ndi / kapena minofu yochokera ku PID.
- Myomectomy . Myomectomy imaphatikizapo kuchotsa minofu mu chiberekero ndikusiya zotsalazo. Angagwiritsidwe ntchito pochiza uterine fibroids, komabe, nthawi zina, fibroids ikhoza kubwerera pambuyo opaleshoni.
- Hysterectomy . Kusakanikirana kumaphatikizapo kuchotsa chiwalo kapena chiberekero chonse ndipo kungaphatikizepo kuchotsa mazira ndi mazira ena ozungulira chiberekero. Mankhwala osokoneza bongo angagwiritsidwe ntchito pa matenda apamwamba a endometriosis kapena uterine fibroids.
- Mitsempha yamagazi , kupuma kapena kuchotsa . Nthawi zina ululu wopweteka umene sulimbana ndi mankhwala ena, kutseka kapena kuwonongeka kwa mitsempha ya m'mimba kumathandiza zizindikiro za ululu. Mankhwalawa angagwire ntchito yotchedwa vulvodynia kapena endometriosis.
Kodi Ndikupatsa Chithandizo Chamtundu Wotani Chomwe Ndidzakhala nacho kwa Chisoni Changa?
Chifukwa pali zovuta zambiri zomwe zimayambitsa ululu wa amayi, kupeza chithandizo chabwino kungakhale kovuta. Kawirikawiri, madokotala amayamba ndi mankhwala ochepa, monga mankhwala, ndi kupita patsogolo momwe zizindikiro zimayendera.
Mankhwala angagwiritsidwe ntchito paokha, kapena pamagulu osiyanasiyana. Malinga ndi zomwe mwapeza, dokotala wanu adzakupatsani mankhwala enaake.
Zotsatira:
Maofesi a Kuletsa ndi Kuteteza Matenda. Matenda Opaka Mafupa - Mapepala Owona a CDC. http://www.cdc.gov/std/PID/STDFact-PID.htm
Makampani Opanga Mankhwala Othandiza pa Intaneti pa Merck. Uterine Fibroids. http://www.merckmanuals.com/professional/genitourinary-disorders/acute-kidney-injury/acute-kidney-injury-aki
Mitchell DA, Esler DM. Kusungunuka kwapelvic - Wopweteka Wopanga Pelvic mu Mimba. Physician Family Australia. 2009 Jun; 38 (6): 409-10
National Institute of Child Health and Human Development. Kodi Endometriosis ndi chiyani? http://www.nichd.nih.gov/publications/pubs/endometriosis/sub2.cfm#what
National Vulvodynia Association. About Vulvodynia: Chithandizo. http://www.nva.org/about_vulvodynia/treatment.html
Miyala W, Cheong YC, Howard FM. Njira Zothandizira Mavuto Omwe Amagwira Ntchito Pachilombo Chachikazi M'mayi. Cochrane Mndandanda wa Zosintha Zowonongeka 2007, Nkhani 4. Zojambula. Ayi: CD000387. DOI: 10.1002 / 14651858.CD000387.