Endometriosis yog dab tsi thiab yuav kho li cas

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Cia peb hais tam sim ntawd: tsis muaj kev kho rau qhov no. Tab sis nws yog qhov ua tau kom koj lub neej yooj yim dua.

Endometriosis yog dab tsi thiab nws txaus ntshai npaum li cas

Cia peb pib nrog cov ntsiab lus yooj yim. Lub endometrium yog lub hauv ob sab phlu ntawm lub tsev menyuam. Qee lub sij hawm nws tshwm sim tias nws (kom meej meej, cov ntaub so ntswg heev, zoo ib yam li nws) pib loj hlob qhov twg nws yuav tsum tsis txhob ua. Piv txwv li, nyob rau hauv lub zes qe menyuam thiab cov hlab ntsha fallopian. Los yog (uas tshwm sim tsawg dua, tab sis tseem) hauv cov hnyuv, zais zis, pelvic kab noj hniav.

Qhov mob no nyob rau hauv uas lub endometrium ncua dhau lub tsev menyuam yog hu ua endometriosis Endometriosis.

Thiab txhua yam yuav zoo, tab sis endometrium yog cov ntaub so ntswg rhiab heev. Thaum lub sij hawm ovulation, thaum tsim cov tshuaj hormones estrogen thiab progesterone nce, nws swells, ua thicker thiab friable. Nyob rau hauv lub tsev menyuam, nws yog ib qho tsim nyog rau lub qe fertilized, yog tias muaj, nrhiav ib yam dab tsi los khi rau kev txhim kho tom ntej.

Yog hais tias lub qe tsis fertilized, lub cev tau tshem ntawm nws. Nws yog rau lub hom phiaj no uas kev coj khaub ncaws ua haujlwm. Lub thickened endometrium kuj dhau los ua tsis tsim nyog, thiab lub cev nrhiav kev rhuav tshem nws thiab ntxuav nws tawm nrog qhov pib los ntshav. Tab sis los ntawm zes qe menyuam, hlab ntsha, thiab ntau dua los ntawm lub plab kab noj hniav, nws tsis yooj yim rau tshem tawm cov ntaub so ntswg uas tsis tsim nyog.

Tuag endometrium ua rau mob thiab o ntawm lub cev uas nws tau loj hlob. Tom qab ntawd, qhov no tuaj yeem ua rau tsim cov caws pliav ntawm qhov chaw ntawm qhov mob. Cov caws pliav tuaj yeem, tshwj xeeb, cuam tshuam qhov patency ntawm cov hlab ntsha fallopian thiab ua rau nws xeeb tsis tau.

Endometriosis cuam tshuam rau txhua feem kaum ntawm tus poj niam hnub nyoog 15 txog 49 xyoo. Qhov tseeb txog endometriosis.

Tab sis qhov no tsis yog tag nrho cov teeb meem uas tus kab mob manifests nws tus kheej nyob rau hauv.

Dab tsi yog cov cim qhia ntawm endometriosis

Vim yog overgrown nyob rau hauv qhov chaw tsis ncaj ncees lawm, cov ntaub so ntswg endometrial, cov poj niam feem ntau muaj cov tsos mob hauv qab no.

• Mob lub sij hawm (dysmenorrhea) … Pelvic mob thiab cramping thaum lub sij hawm cev xeeb tub tshwm sim ntxov thiab kav ntev dua li niaj zaus.
• Mob thaum cev xeeb tub, tawg mus rau sab nraub qaum.
• Mob thaum sib deev.
• Tsis xis nyob thaum mus rau chav dej … Cov tsos mob mob hnyav zuj zus thaum cev xeeb tub.
• Mob khaub thuas los ntshav.
• Teeb meem xeeb … Feem ntau, endometriosis tau kuaj pom thawj zaug hauv cov poj niam uas tsis tuaj yeem xeeb tub ib txwm muaj thiab tab tom nrhiav txoj hauv kev los kho kev xeeb tub.
• Cov kev xav tsis zoo zoo ib yam li cov teeb meem digestive … Bloating, cem quav, raws plab, xeev siab thaum cev xeeb tub.

Dab tsi yog qhov tseem ceeb: qhov hnyav ntawm qhov kev xav tsis muaj dab tsi cuam tshuam nrog qhov degree ntawm tus kab mob. Tej zaum koj yuav muaj cov tsos mob me me lossis tsis muaj tsos mob, tab sis koj yuav muaj mob endometriosis loj. Los yog vice versa: mob khaub thuas thiab lwm yam tsos mob hnyav, tab sis endometriosis yuav me me.

Txawm li cas los xij, yog tias koj saib tsawg kawg ob peb cov tsos mob ntawm cov nqaij mos endometrial overgrowth, mus ntsib kws kho mob gynecologist. Tus kws kho mob yuav kuaj gynecological, qhia tias koj yuav tsum tau kuaj xyuas ultrasound thiab kuaj xyuas.

Yuav ua li cas kho endometriosis

Tsis muaj kev kho rau tus mob no, endometriosis. Cov kws kho mob tsis paub yuav ua li cas lav kom tsis txhob muaj kev loj hlob ntawm endometrium. Tab sis muaj ntau txoj hauv kev los txo cov tsos mob ntawm tus kab mob.

1. noj tshuaj kho mob

Koj tus kws kho mob yuav pom zoo kom koj noj tshuaj txo qhov mob raws li acetaminophen lossis ibuprofen kom txo tau qhov tsis xis nyob ntawm koj lub sijhawm. Tab sis nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tshuaj no tsis pab txhua leej txhua tus.

2. Kev kho tshuaj hormones

Noj qee cov tshuaj hormones slows txoj kev loj hlob ntawm endometrium thiab tiv thaiv nws los ntawm thickening thiab tawg thaum lub sij hawm cev xeeb tub. Koj tus gynecologist tuaj yeem qhia koj:

• Hormonal contraceptives. Cov tshuaj tiv thaiv kev yug menyuam, thaj ua rau thaj, qhov chaw mos rings tuaj yeem pab tswj cov qib tshuaj hormones thiab txo qhov o thiab mob.
• Agonist thiab antagonist tshuaj ntawm gonadotropin-tso tshuaj hormone (Gn-RH). Cov tshuaj no thaiv kev tsim cov tshuaj estrogen thiab yog li tiv thaiv kev coj khaub ncaws tag nrho.
• Danazol. Kev npaj nrog cov khoom xyaw nquag no kuj tseem pab kom tsis txhob muaj kev coj khaub ncaws thiab txo cov tsos mob ntawm endometriosis.

3. Kev phais mob

Qhov no yog ib qho kev xaiv rau cov poj niam uas xav cev xeeb tub los yog mob hnyav thaum lub caij nyoog. Feem ntau, kev ua haujlwm yog ua los ntawm txoj kev laparoscopy: los ntawm kev phais me me hauv lub plab kab noj hniav, tus kws phais tau ntxig ib qho cuab yeej thiab nrog nws cov kev pab tshem tawm thaj chaw ntawm cov ntaub so ntswg ntawm lub cev. Qee zaum tib txoj kev ua tiav nrog lub laser.

Xws li kev ua haujlwm muaj qhov cuam tshuam ib ntus: endometriosis feem ntau rov tshwm sim. Tab sis lub sij hawm no, tus poj niam muaj peev xwm tswj tau cev xeeb tub. Los yog tsawg kawg ua neej nyob tsis muaj mob khaub thuas ib ntus.

Hauv cov mob hnyav tshaj plaws, yog tias cov ntshav thiab qhov mob ntawm endometriosis hnyav heev thiab tsis tuaj yeem txo los ntawm lwm txoj kev, tus kws kho mob yuav hais kom tshem tawm tag nrho lub tsev menyuam thiab zes qe menyuam. Tab sis niaj hnub no txoj kev no tsis tshua siv. Yog hais tias tus gynecologist tseem pom zoo qhov kev xaiv no, tsawg kawg nrog lwm tus kws kho mob tham.

Yuav ua li cas txo koj txoj kev pheej hmoo ntawm kev tsim endometriosis

Hmoov tsis, tsis muaj txoj kev. Kev tshawb fawb tseem tsis tau paub meej tias dab tsi ua rau endometriosis. Yog li ntawd, feem ntau lees txais txoj kev tiv thaiv tseem tsis tau tsim.

Txawm li cas los xij, koj tuaj yeem sim txhim kho lawv tus kheej. Ntawm no yog cov kev pheej hmoo rau endometriosis uas tau xav tias yuav ua rau muaj qhov tshwm sim ntawm endometriosis. Yog tias muaj peev xwm zam tau ib qho ntawm lawv, ua nws.

• Tsis muaj menyuam. Hauv cov poj niam nulliparous, endometriosis feem ntau tshwm sim.
• Menstruation pib thaum ntxov (ua ntej 10-11 xyoo).
• Kev coj khaub ncaws luv luv (tsawg dua 27 hnub).
• Lub sij hawm ntev (ntau tshaj 7 hnub).
• Tsawg lub cev huab hwm coj index.
• Keeb kwm. Yog tias koj niam, tus phauj, thiab cov muam muaj endometriosis, koj qhov kev pheej hmoo yuav nce ntxiv.