Hysterectomy Haisi Mushonga We Endometriosis
Chii Chinonzi Endometriosis?
Maererano neNational Institutes of Health, "endometriosis chirwere chiri mukati mechibereko chinowedzera mukati mechibereko chinowedzera kunze kwechibereko, chinogona kukura pamashizha, mafiropian tubes, matumbo, kana chikwama." Kazhinji, inokura mune dzimwe nzvimbo muviri. " Izvi zvinokonzera kukura kune zviratidzo zvakanyanyisa kune vamwe vakadzi kuti zviratidzo zvakaoma zvingatungamirira kukurapa kwemazuva, mazuva asina kukwana ebasa, uye kurwadziwa kwakanyanya.
Nepo zviratidzo zve endometriosis zvakasiyana zvakasiyana pakati pevakadzi, zvinotevera zvinowanzoita kuti vakadzi vatsvake kurapwa uye kuongororwa:
- Njodzi, kazhinji mumudumbu, kumucheto kumashure, kana nzvimbo dzeplavic
- Infertility
- Nguva yakaoma uye kubuda ropa pakati pezvikamu
- Kuenda kumwedzi kunopera
Pros uye Cons of Hysterectomy for Endometriosis
Kunyange zvazvo pasina mushonga we endometriosis, ndezveimwe yezvikonzero zvinowanzoita kuti vakadzi vane hysterectomy (kubviswa kushandiswa kwechibereko) gore negore. Usati watarisa hysterectomy ye endometriosis, zvakakosha kufunga nezvezviitiko zvinowanzoitika uye dzimwe nzira dzokuvhiya se hysterectomy inogona kana kuti inogona kubvisa kurwadziwa kwe endometriosis.
Mune zvimwe zviitiko, mavhivhi akawanda anogona kudiwa, uye munguva dzakawanda kurasikirwa kunorwadza hakuna kukwana.
Kutsvakurudza kunoratidza kuti kuregererwa kwemarwadzo emakemikari kune makuru kana kuvhiyiwa kunosanganisira kubviswa kwemasvosve. Maererano nekuongorora kwakaitwa naJohn Hopkins vatsvakurudzi, vakadzi vaiva ne hysterectomy vakange vasingabatanisi kubvisa mavari mavhinga vainge vaine endometriosis yakakonzera marwadzo mumakore akatevera chirwere.
Muchidzidzo ichocho, 62% yevakadzi avo vakachengetedza mazai avo vane endometriosis kurwadziwa uye 31% vaida chirwere chechipiri.
Zvigumisiro zvaive zvakasiyana zvakasiyana nevakadzi vakanga vane mazai avo vakabviswa panguva ye hysterectomy process. Tumi muzana yevakadzi ivavo vakarwadziwa kubva endometriosis mushure mekuvhiyiwa uye vashoma kusvika 4% vaida chirwere chechipiri.
Zvinogona kuonekwa kuti kuva nemaovha ako akabviswa ne hysterectomy ndiyo mhinduro yakajeka, asi kumukadzi angave achiri kuda vana, izvi zvinoreva kusagadzikana kusingaperi. Uyezve, kana mazai acho ari kubviswa, kumisa kwemwedzi kunotanga mumazuva anotevera kuvhiyiwa uye hormone replacement therapy inogona kudiwa. Zvimwe zvinetso zvinokonzerwa nekuve mavari mazai abviswa, chirongwa chinonzi oophorectomy.
Zvimwe zvinokonzera Hysterectomy kune Endometriosis
Endometriosis hairi kurapwa ne hysterectomy. Zvinorwadza zviratidzo zvingaita zvakare uye zvinowanzoita. Nokuda kwechikonzero ichi, kurapwa kweparoscopic uye kusina kupora kunowanzotaridzirwa isati yasvika hysterectomy.
Dzimwe nzira dzokurapa kwepometriosis dzinogona kusanganisira:
- mishonga inorwadza, kusanganisira pamusoro pemishonga yakadai seIbuprofen
- hormone mishonga (kazhinji nenzira yekuberekwa nekurapa mishonga)
- laparoscopy, umo chiremba anovhiya anokonzera mimba zvishoma ndokuzoisa zviduku zviduku kuburikidza nekacheka kadiki kuti aone uye kubvisa kuwedzerwa kwemakemikari
- laparotomy, umo mashandisirwo emagariro ekugadzira anoshandiswa kubvisa kukura kwemakemikari uye mune dzimwe nguva, mavhavha
- kuvhiyiwa kuvhara mitsetse yepecvic, umo chibereko chinoramba chichigadzikana apo mitsetse inotemwa kuti ibvise marwadzo
Chisarudzo chekurapa chichagara chiri chega. Inobva pane zvimwe zvinhu zvinosanganisira makore, hutano, hutsinye hwe endometriosis uye kurwadziwa. Kurapa kwemurwere anoda kuva nevana kunogona kunge kwakasiyana nekurapa kwemukadzi asingadi kuva nevana, sezvo mamwe marapirwo anogona kukwanisa kuwedzera kubereka.
Usati waona uye kurapa endometriosis, chiremba wako anogona kutora mifananidzo yekufungidzira yakadai seMRI kana ultrasound kuti asimbise kuti hapana zvimwe zvinetso zvakaoma. Muzviitiko zvizhinji, vanachiremba vanotanga nemishonga inogadziriswa yakadai semishonga vasati vamboedza chero rudzi rwekushaya kurapa kusingaiti.
Shoko Rinobva
Zvichave zvakakosha kujekesa nemupi wako wehutano wehutano pamusoro pezvinangwa zvako (kutakura mwana, kurwadziwa kunorwadza, kuderedza ropa) uye zvaunoda kuita nekurapa. Kurapa kwako, iwe unofanirwa here kuva nevana, zvinogona kunge zvakasiyana zvakanyanya pane kurapwa kwaunogamuchira kana iwe usingadi kuva nepamuviri.
Nzira iyo inoshanda zvakanakisisa kune mumwe munhu ane chirwere chekushaya ropa uye kutsvaga nzira yekudzivirira kubuda ropa ingasava kurapa kwakanaka kune mumwe munhu anoda kuve nemarwadzo mashoma.
Sources:
National Institutes of Health. Endometriosis. Yakasvika 2017.
National Institutes of Health. >> Ndeipi mishonga ye endometriosis? Yakasvika 2015.
> Rizk, B., Fischer, AS, Lotfy, HA, Turki, R., Zahed, HA, Malik, et al. Kudzokorora kwe endometriosis mushure mekushaya hysterectomy. Chokwadi, Maonero & Zviratidzo muOgGyn, 6 (4), 219-227.