Zizindikiro za Adenomyosis ndi Chithandizo

Ngati muli ndi nthawi zowawa kwambiri kapena popanda kutaya magazi mwamsanga, n'zotheka kuti muli ndi vuto labwino lomwe limatchedwa adenomyosis.

Kodi Adenomyosis Ndi Chiyani?

Adenomyosis imapezeka mu chiberekero ndipo imayambitsa nthawi zowawa komanso kutaya magazi kwambiri.

Chiberekero chanu chimapangidwa ndi minofu yosalala yomwe ili ndi mpangidwe wapadera wotchedwa endometrium.

Endometrium ndi yomwe imamangirira ndikuyang'ana poyang'ana kusintha kwa ma hormone pamene mukupita kumwezi mwezi uliwonse. Kawirikawiri endometrium imasiyanitsidwa ndi minofu ya chiberekero kapena myometrium. Kwa amayi omwe ali ndi adenomyosis, chipinda cha endometrial chafalikira mu khoma lamimba la chiberekero. Madera awa a endometrium omwe ali m'mbali mwa chiberekero amatha kusintha komweko kwa ma hormonal monga endometrium yachibadwa. Kusintha kumeneku kumabweretsa kusokonezeka ndi kutupa mu minofu ya chiberekero chomwe chimayambitsa kupweteka ndi kusintha kwa magazi omwe amachititsa kuti magazi azikhala ochepa kwambiri.

Kodi Chimachititsa Bwanji Adenomyosis?

Chifukwa cha adenomyosis akadakali kukangana pazochipatala.

Zikuwoneka kuti, kuvulala kapena kusokonezeka kwa chigawo cha chiberekero ndi chiopsezo chachikulu cha adenomyosis. Ngati mwakhala ndi mimba yochepetseka kapena kuperewera kwa amayi, mumakhala ndi vuto lopweteka kuposa mkazi amene sanakhalepo ndi pakati.

Inu muli pangozi yaikulu kwambiri ngati mwakhala mukuchotsedwa opaleshoni ya mimba kapena mwatulutsira mwana pogwiritsa ntchito gawo loperewera.

Kawirikawiri adenomyosis imachitika patatha zaka makumi asanu ndi atatu (30) ndi zaka zapamwamba za matenda a pakati pa zaka 40 mpaka 50. Adenomyosis ikhoza kuchitika kwa atsikana achichepere komabe ndi zochepa kwambiri.

Koma matendawa ayenera kuonedwa ngati mtsikana amene ali ndi nthawi zopweteka kwambiri zomwe sangachitepo ndi mankhwala ochiritsira.

Chifukwa chakuti chiberekero cha chiberekero chafalikira mu minofu yambiri, chiberekero chokhudzidwa ndi adenomyosis chidzakula kukula. Kuwonjezeka kwakukulu uku ndikutanthauza kuti chiberekero chonse chimakula kukula, mofanana ndi momwe chiberekero chikuchulukira kumayambiriro kwa mimba. Poyezetsa magazi, dokotala wanu akhoza kuzindikira kuti kukula kwa chiberekero chanu chawonjezeka. Mawu omwe amagwiritsidwa ntchito kufotokoza kusintha uku ndi mdima. Powonjezera mu khoma la minofu adenomyosis imawopsa kwambiri.

Kodi Zizindikiro za Adenomyosis Ndi Ziti?

Ngakhale amayi ambiri omwe ali ndi adenomyosis ndi amadzimadzi, amayi omwe ali ndi zizindikilo zikhoza kukhala ndi vuto lalikulu la kuchepa kwa magazi komanso kutaya magazi kwambiri. N'chilendo kuti ngati mutapezeka kuti muli ndi adenomyosis mungapezedwe ndi uterine fibroids kapena endometriosis. Kuphatikizidwa kwa mikhalidwe yowonongeka imeneyi kungabweretse kuwonjezereka kwa zizindikiro za nthawi zowawa ndi kutaya kwa msambo waukulu.

Kodi Adenomyosis Amadziwika Bwanji?

Ngati madokotala akudandaula kuti muli ndi adenomyosis akhoza kuyambitsa ultrasound kapena transmitter ya MRI ya pelvis yanu.

Maphunzirowa akugwira ntchito yabwino kwambiri yotsimikiziranso za matendawa. Nthaŵi zina, dokotala wanu angapereke chidziwitso cha khoma la chiberekero chanu kuti atsimikizidwe kuti adenomyosis ali ndi vuto ngakhale kuti izi sizikuwonetsedwa.

Kodi Adenomyosis Imachitika Motani?

Mukapezeka kuti muli ndi adenomyosis dokotala wanu akhoza kunena njira zosiyanasiyana zochiritsira. Njira yomwe ingakhale yabwino kwa inu idzadalira msinkhu wanu, kukula kwa zizindikiro, malingaliro anu a mimba yamtsogolo, komanso ngati muli ndi uterine fibroids kapena endometriosis. Dokotala wanu angakuuzeni kuti muyese chithandizo chamankhwala musanasankhe njira yopaleshoni.

Cholinga cha chithandizo chamankhwala ndikuteteza zizindikiro za nthawi zopweteka komanso kutaya magazi kwambiri. Mankhwala omwe dokotala angakupatseni ndi awa:

• NSAIDs
• Mankhwala ovomerezeka a pakamwa
• GnRH agonists
• Mirena (chipangizo cha progestin chotchedwa intrauterine chipangizo)

Zosankha zamankhwala izi zingathe kapena sizikuthandizani zizindikiro zanu. Mwa njirazi zamankhwala, umboni umasonyeza kuti Mirena IUD ikhoza kukhala yothandiza koposa kuthetsa zizindikiro za adenomyosis.

Ngati chithandizo cha zamankhwala chikulephera kuchepetsa zizindikiro zanu ndipo mwakhala mukukhala ndi ana, dokotala wanu angakuuzeni njira yopaleshoni. Chithandizo chochipatala chodziwika bwino ndichochotsa chiberekero chanu opaleshoni yotchedwa hysterectomy. Malinga ndi kukula kwa adenomyosis dokotala angakambirane zina zomwe zingakuthandizeni kusunga chiberekero chanu. Zosankha izi ndizo:

• Kupuma kwapopopriyo
• Chiberekero cha umphaka
• Myometrial resection

Kusinthidwa ndi Andrea Chisholm, MD

_{Jambulani J, Reid S, Bedaiwy MA, Adenomyosis; Mmene Mungayang'anirane ndi Matenda Ovuta a Gynecologic, Journal ya Gynecology Minimally Invasive (2015), doi: 10.1016 / j.jmig.2015.09.018}