Kana iwe uine nguva dzinorwadza kana uine kusavhaka kwekuenda kumwedzi kunogona kuitika kuti iwe unobata chirwere chegynecologic chinonzi adenomyosis.
Chii Chinonzi Adenomyosis?
Adenomyosis inowanikwa mudumbu uye inowanzokonzera nguva dzinorwadza uye kubuda kwemwedzi kunorema.
Chibereko chako chinoumbwa nemisero yakasvibiswa iyo yakakonzerwa nehutano hwakatumidzwa hunoti endometrium.
Iyo endometrium ndiyo inovaka uye inogadzirisa mukupindura kwekuchinja mumazinga ako ehomoni panguva yokuenda kumwedzi mwedzi mumwe nomumwe. Kazhinji endometrium inoparadzaniswa kubva kumusana wechipfuva kana kuti myometrium. Madzimai ane adenomyosis, iyo yakagadzirwa ne endometrial yakapararira mumusasa musimba wechibereko. Iyi nharaunda ye endometrium yakabatanidzwa mumadziro emuviri inotanga kuchinja kwakafanana kwehomoni semagumo endometrium. Iko kushanduka kunokonzera kutsamwa uye kuputika mumutsipa wechibereko chinokonzera marwadzo uye kuchinjwa kubuda kweropa kunokonzera kubuda kwemwedzi kunorema.
Chii Chinokonzera Adenomyosis?
Chinokonzerwa neadenomyosis ichiri kukwira mukukakavadzana munharaunda yezvokurapa.
Zvinoratidzika, zvisinei, kuti kukuvadza kana kuvhiringidzwa kwekamuri yechibereko chinonyanya kukonzerwa neadenomyosis. Kana iwe wakanga uine pamuviri kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge wava nemimba.
Iwe uri pangozi yakakura kana iwe wakave nekubviswa kwekuvhima kwekudzivirira kana kuti wakapa mwana nechikamu chekusiya.
Kazhinji adenomyosis inoitika mushure mezera remakore makumi matatu nemakore ekuberekwa kwemazera emakore makumi mana kusvika makumi mashanu. Adenomyosis inogona kuitika mumikana yevechiri kuyaruka asi hazvisi zvishoma.
Asi chirwere chacho chinofanira kunyatsoonekwa mumusikana achiri kuyaruka ane nguva dzinorwadza zvikuru dzisingabvumi kurapwa.
Nemhaka yokuti chigadziko chechibereko chinopararira mu muscular layer, chibereko chinokanganisa nehutachiona chichawedzera muhukuru. Kuwedzera kwekukura uku kunopararira kureva kuti chibereko chose chinowedzera muhukuru, zvakafanana nekuita kunoita chibereko mukati mekutanga kwepamuviri. Pamuongorori wepelvic, chiremba wako anogona kuona kuti ukuru hwechibereko chako chawedzera. Izwi rinoshandiswa kurondedzera shanduko iyi inofadza. Iyo yakadzika mukati memasvingo emasvingo adenomyosis inowedzera zvakanyanya zviratidzo.
Ndezvipi Zviratidzo zveAdenomyosis?
Kunyange zvazvo vakadzi vakawanda vane adenomyosis vasina kumira , vakadzi vane ruzivo rwezviratidzo vanogona kunge vane dysmenorrhea yakaoma uye kubuda kwemwedzi kunorema. Hazvisi zvisingazivikanwi kuti kana iwe ukaonekwa kuti une adenomyosis iwe unogonawo kuonekwa uine uterine fibroids kana endometriosis. Kubatanidzwa kwezviitiko izvi zvinokonzera gynecologic zvinogona kukonzera kukura kwakanyanya kwezviratidzo zve nguva dzinorwadza uye kubuda kwemwedzi kunorema.
Adenomyosis Inozivikanwa Sei?
Kana vanachiremba vako vachifungidzira kuti une adenomyosis angangodaro akaronga ultrasound transvaginal kana MRI yemapapiro ako.
Izvi zvidzidzo zvekufungidzira zvine basa rakanaka rakanaka rekusimbisa kuongororwa. Mune mamwe mamiriro ezvinhu, chiremba wako angaratidzira bhizimusi rwemadziro echibereko chako kuti uone kugadziriswa kweadenomyosis kunyange izvi zvisingaratidzi kuratidzwa.
Adenomyosis Inoitwa Sei?
Kana uchinge waonekwa kuti une adenomyosis chiremba wako angangoratidza zvirongwa zvakasiyana-siyana zvekurapa. Nzira iyo yakakunakira iwe ichaenderana nezera rako, kusimba kwezviratidzo zvako, zvirongwa zvako zvekuita pamuviri, uye kana iwe haunawo uterine fibroids kana endometriosis. Chiremba wako angaratidza kuti iwe uedze kurapwa kwechiremba usati waongorora nzira yekuvhiya.
Chinangwa chekurapa ndechekudzivirira zviratidzo zvemazuva anorwadza uye kubuda kwemwedzi kunorema. Mishonga iyo chiremba wako angaratidza inosanganisira:
- NSAIDs
- Mishonga yemakemikari mapiritsi
- GnRH agonist
- Mirena (progestin-containing intrauterine device)
Izvi zvisarudzo zvezvechiremba zvinogona kana zvisingabatsiri zviratidzo zvako. Panyaya idzi dzokurapa, humwe uchapupu hunoratidza kuti Mirena IUD inogona kuva yakanyatsoshanda mukudzivirira zviratidzo zveadenomyosis.
Kana kukanganisa kurapwa kukundikana kudzora zviratidzo zvako uye iwe wapedza kuva nevana, chiremba wako angaratidza kusarudzwa kwarudzo. Kunyanya kushandiswa kurapa kurapa kubvisa chiberekero chako chirwere chinonzi inozivikanwa se hysterectomy. Zvichienderana nehuwandu hweadenomyosis chiremba wako angakurukura dzimwe nzira dzingakubvumira kuchengeta chibereko chako. Izvi zvinosanganisira:
- Endometrial ablation
- Uterine arteri embolization
- Myometrial resection
Yakavandudzwa naArea Chisholm, MD
Struble J, Reid S, Bedaiwy MA, Adenomyosis; A Clinical Review of A Gynecologic Challenge Condition, The Journal of Minimally Invasive Gynecology (2015), doi: 10.1016 / j.jmig.2015.09.018