Created at:1/16/2025
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ʻO ka endometriosis kahi kūlana kahi e ulu ai ka ʻiʻo e like me kou papa uterine ma waho o kou uterus. Hiki i kēia ʻiʻo, i kapa ʻia ʻo ka ʻiʻo endometrial, ke hoʻopili i kou mau ovaries, nā fallopian tubes, a me nā ʻōnaehana pelvic ʻē aʻe, e hoʻoulu ai i ka ʻeha a me nā hōʻailona ʻē aʻe.
Ma kahi o 1 i 10 wahine o ka makahiki hānau ke ola nei me ka endometriosis, ʻoiai ʻaʻole nui ka poʻe i ʻike iā lākou i loaʻa iā lākou. Hoʻopili like ʻole ka kūlana i kēlā me kēia kanaka, a ʻoiai hiki ke paʻakikī, loaʻa nā lapaʻau maikaʻi e kōkua iā ʻoe e hoʻokele i nā hōʻailona a mālama i kou ola maikaʻi.
ʻO ka hōʻailona maʻamau loa ka ʻeha pelvic, ʻoi aku hoʻi i ka wā o kou manawa. Eia naʻe, ʻoi aku ka nui o ka ʻeha endometriosis ma mua o nā cramps menstrual maʻamau a ʻaʻole paha e pane maikaʻi i nā mea hoʻoemi ʻeha ma luna o ka counter.
Eia nā hōʻailona āu e ʻike ai, mai nā mea maʻamau loa a hiki i nā mea liʻiliʻi:
Loaʻa i kekahi mau wahine me ka endometriosis nā hōʻailona māmā a ʻaʻohe mea, ʻoiai kekahi poʻe he ʻeha nui e hoʻopilikia i nā hana o kēlā me kēia lā. ʻAʻole mau ka nui o kou mau hōʻailona e kūlike me ka nui o ke kūlana i loko o kou kino.
I nā hihia kakaikahi, hiki i ka endometriosis ke hoʻopili i nā ʻōnaehana ʻē aʻe ma mua o ka pelvis. Hiki iā ʻoe ke ʻike i ka ʻeha umauma i ka wā o ka menstruation inā ulu ka ʻiʻo ma luna o kou diaphragm, a i ʻole ka ʻeha cyclic i nā ʻōpala mai nā hana ʻoki mua inā ulu ka ʻiʻo endometrial ma laila.
Hoʻokano nā kauka i ka endometriosis ma muli o kahi e ulu ai ka pūnaewele ma kou kino. Ke hoʻomaopopo ʻia kēia mau ʻano, kōkua ia i kāu hui olakino e hana i ka papa hana mālama maikaʻi loa no kou kūlana kūikawā.
ʻO nā ʻano nui ʻekolu e komo pū ana:
Hiki i kāu kauka ke hoʻohana pū i kahi ʻōnaehana kahua mai I a IV e wehewehe i ka nui o kāu endometriosis. Hōʻike ka Kahua I i ka maʻi liʻiliʻi, ʻoiai ke hōʻike nei ka Kahua IV i ka endometriosis nui, ākea me ka ʻili ʻili nui.
ʻAʻole pinepine, hiki i ka endometriosis ke loaʻa ma nā wahi mamao e like me kou māmā, lolo, a i ʻole nā ʻeha ʻoki. Hoʻopili kēia endometriosis mamao i ka liʻiliʻi ma mua o 1% o nā wāhine me ke kūlana akā hiki ke hana i nā hōʻailona kūikawā e pili ana i kēlā mau wahi kūikawā.
ʻAʻole maopopo ka kumu pololei o ka endometriosis, akā ua ʻike nā mea noiʻi i kekahi mau manaʻo e pili ana i ke ʻano o kona ulu ʻana. ʻO ka mea nui loa, hana pū nā mea he nui e hana i ke kūlana.
Ke manaʻo nei ka manaʻo alakaʻi e kahe hope mai ke koko menstrual ma o kāu mau fallopian tubes i loko o kāu pelvic cavity ma mua o ka haʻalele ʻana i kou kino loa. Hiki i kēia kahe hope, i kapa ʻia ʻo retrograde menstruation, ke waiho i nā sela endometrial ma kahi ʻaʻole pono.
Eia naʻe, hana ka retrograde menstruation i ka hapanui o nā wāhine, akā ʻo kekahi wale nō ka mea e loaʻa ai ka endometriosis. Hōʻike kēia i kāu ʻōnaehana pale a me nā genetics he mau kuleana nui nō hoʻi.
ʻO nā kumu hiki ke hoʻopili ʻē aʻe e komo pū ana:
Ke kuhikuhi nei kekahi mau manaʻo maʻamau i hiki i nā pūnaewele endometrial ke hele ma o kou kahe koko a i ʻole ka ʻōnaehana lymphatic i nā ʻāpana o ke kino mamao. Hiki i nā kumu kūlohelohe a me ka hōʻike ʻana i kekahi mau kemika ke hoʻopilikia i kou pilikia, ʻoiai ke hoʻomau nei ka noiʻi ma kēia wahi.
Pono ʻoe e hoʻonohonoho i kahi kūkā me kāu mea lawelawe ola inā pilikia ka ʻeha pelvic i kāu mau hana i kēlā me kēia lā a ʻaʻole i hoʻomaikaʻi me ka lāʻau ʻeha ma luna o ka counter. He nui nā wāhine e hoʻokaʻulua i ka ʻimi ʻana i ke kōkua no ka mea ke manaʻo nei lākou he mea maʻamau ka ʻeha nui o ka manawa, akā ʻaʻole ia.
E ʻimi i ka mālama lapaʻau inā loaʻa iā ʻoe:
E noʻonoʻo i kēia he kūlana wikiwiki e pono ai ka mālama lapaʻau koke inā loaʻa iā ʻoe ka ʻeha pelvic koke, nui, ʻoi aku hoʻi me ka maʻi wela, ka nausea, a i ʻole ka luaʻi. ʻOiai he mea maʻamau ʻole, hiki i kēia ke hōʻike i kahi cyst ovarian i pahū a i ʻole kahi pilikia koʻikoʻi ʻē aʻe.
E hoʻomanaʻo he kūpono kāu ʻeha, a kūpono ʻoe i ka mālama aloha. Inā hōʻole kekahi kauka i kāu mau hopohopo, mai kānalua e ʻimi i ka manaʻo lua, ʻoi aku hoʻi mai kahi gynecologist i ʻike i ka mālama ʻana i ka endometriosis.
Hiki i kekahi mau kumu ke hoʻonui i kou manawa e loaʻa ai ka endometriosis, ʻoiai ʻaʻole hōʻoia ka loaʻa ʻana o kēia mau kumu pilikia e loaʻa iā ʻoe ka maʻi. Hiki i ka hoʻomaopopo ʻana iā lākou ke kōkua iā ʻoe e makaʻala i nā hōʻailona a ʻimi i ka mālama mua.
ʻO nā kumu pilikia nui loa:
He kuleana ko ka makahiki, ʻoiai ʻo ka endometriosis ka mea maʻamau e pili ana i nā wāhine i ko lākou mau makahiki 30 a me 40. Eia naʻe, hiki ke ulu ka maʻi i ka wā o kou manawa menstrual mua.
Hiki i kekahi mau kumu palekana ke hoʻemi i kou pilikia, me ka loaʻa ʻana o nā keiki, ka hānai ʻana i ka umauma no nā manawa lōʻihi, a me ka hoʻomaka ʻana o ka menopause i kahi makahiki ʻōpio. Hiki i ka hoʻoikaika kino maʻamau a me ka mālama ʻana i ke kaumaha olakino ke hāʻawi i kekahi palekana, ʻoiai pono ke noiʻi hou aku e hōʻoia i kēia mau pilina.
ʻOiai ʻaʻole he mea weliweli i ke ola ka endometriosis, hiki iā ia ke alakaʻi i kekahi mau pilikia e hoʻopilikia nui ana i kou olakino a me kou ola. Ke hoʻomaopopo ʻana i kēia mau pilikia hiki ke kōkua iā ʻoe e hana pū me kāu hui mālama ola e pale a mālama pono paha iā lākou.
ʻO nā pilikia maʻamau loa:
Hiki i nā pilikia liʻiliʻi akā koʻikoʻi ke loaʻa i ka wā e hoʻopilikia ai ka endometriosis hohonu i nā kino koʻikoʻi. Hiki iā ʻoe ke ʻike i ka pani ʻana o ka ʻōpū inā pani ka ʻōpala nui i kou mau ʻōpū, a i ʻole nā pilikia o ka puʻupaʻa inā pani ka endometriosis i kou mau ureters.
I nā hihia kakaikahi loa, hiki i ka pūnaewele endometriosis ke hoʻololi i ka maʻi ʻino, e ulu ana i ka maʻi kanesa ovarian. Hana ʻia kēia ma lalo o ka 1% o nā wāhine me ka endometriosis, maʻamau i nā mea me nā ovarian endometriomas.
ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka ʻike mua ʻana a me ka mālama kūpono e kōkua i ka pale ʻana i ka nui o kēia mau pilikia. ʻO ka mālama hoʻomau mau e ʻae i kāu hui olakino e nānā i kou kūlana a hoʻoponopono i ka mālama e like me ka pono.
ʻAʻole maikaʻi, ʻaʻohe ala i hōʻoia ʻia e pale aku i ka endometriosis ʻoiai ʻaʻole mākou i maopopo loa i ka mea e hoʻokumu ai. Eia naʻe, hiki iā ʻoe ke lawe i nā ʻanuʻu e hiki ke hoʻemi i kou pilikia a i ʻole ke kōkua i ka hoʻokele ʻana i ke kūlana inā loaʻa iā ʻoe.
ʻO kekahi mau hana e kōkua paha:
Inā loaʻa i kou ʻohana ka mōʻaukala o ka endometriosis, ʻo ka makaʻala i nā hōʻailona a me ka ʻimi ʻana i ka mālama ola kino koke e kōkua iā ʻoe e ʻike koke ʻia a mālama ʻia. Hiki i ka mālama koke ke pale aku i ka holomua ʻana o ke kūlana i nā pae ʻoi aku ka nui.
Loaʻa i kekahi mau wāhine ka manaʻo e kōkua nā ʻano mālama hānau hormonal i ka hoʻokele ʻana i nā hōʻailona a hiki ke hoʻolohi i ka holomua ʻana o ka endometriosis. E kūkākūkā i kēia mau koho me kāu mea lawelawe ola kino e hoʻoholo i ka mea kūpono no kou kūlana.
Hiki ke paʻakikī ka ʻike ʻana i ka endometriosis no ka mea ua like kona mau hōʻailona me nā kūlana ʻē aʻe he nui. E hoʻomaka kāu kauka me ka kūkākūkā kikoʻī e pili ana i kāu mau hōʻailona, mōʻaukala menstrual, a me ke kuaʻaina lapaʻau ʻohana.
ʻO ka hana ʻike maʻamau e komo pū ana i kekahi mau ʻanuʻu:
Ke noho nei ka laparoscopy ma ke ʻano he kūlana gula no ka ʻike maopopo ʻana i ka endometriosis. I loko o kēia hana, e hana kāu kauka i nā ʻoki liʻiliʻi i kou ʻōpū a hoʻokomo i kahi kāmela lahilahi e nānā pololei i kāu mau kino.
Inā loaʻa ka pūnaewele endometriosis i ka wā o ka laparoscopy, hiki i kāu kauka ke wehe koke aku a lawe paha i kahi laʻana liʻiliʻi no ka loiloi hale hana. Hoʻomaopopo kēia biopsy i ka ʻike a kōkua i ka hoʻoholo ʻana i ke ala mālama maikaʻi loa.
Hiki i kekahi mau kauka ke ho'āʻo e mālama i ka endometriosis i manaʻo ʻia me nā lāʻau hormonal ma mua o ka ʻōlelo ʻana i ka ʻoki. Inā hoʻomaikaʻi nui kāu mau hōʻailona me ka mālama, hiki i kēia ke kākoʻo i ka ʻike ʻana ʻoiai ʻaʻohe hōʻoia ʻoki.
ʻO ka mālama ʻana i ka endometriosis ka mea nui, ʻo ia ka hoʻomalu ʻana i kou ʻeha, ka hoʻolohi ʻana i ka ulu ʻana o ka pūnaewele endometrial, a me ka mālama ʻana i kou hiki ke hānau keiki inā makemake ʻoe. E hana pū kāu kauka me ʻoe e hana i kahi papahana mālama pilikino e pili ana i kou mau hōʻailona, kou mau makahiki, a me kou mau pahuhopu hoʻolālā ʻohana.
ʻO nā koho mālama maʻamau e holomua mai ka mālama mālie a i nā ala ʻoi aku ka ikaika:
Ka hoʻomalu ʻeha: Hiki i nā mea hoʻoemi ʻeha maʻamau e like me ka ibuprofen a i ʻole ka naproxen ke kōkua i ka hōʻemi ʻana i ka mumū a me ka ʻeha. Hiki i kāu kauka ke kuhikuhi i nā lāʻau ʻeha ikaika inā pono.
Nā mālama hormonal: Hiki i nā pīni hānau, nā pā, a i ʻole nā IUD hormonal ke kōkua i ka hoʻoponopono ʻana i kou manawa menstrual a me ka hōʻemi ʻana i ka ʻeha. Hoʻokumu nā GnRH agonists i kahi kūlana like me ka menopause e hōʻemi ana i ka pūnaewele endometrial.
Nā koho ʻoki: Hiki i ka ʻoki laparoscopic ke wehe i nā mea kanu endometrial a me ka ʻili ʻeha ʻoiai e mālama ana i kou mau kino. I nā hihia koʻikoʻi, hiki ke noʻonoʻo ʻia ka hysterectomy me ka wehe ʻana i nā ovaries ma ke ʻano he mea hope loa.
No nā wāhine e ho'āʻo ana e hāpai, hiki ke kuhikuhi ʻia nā mālama hānau keiki e like me ka hoʻoulu ʻana i ka ovulation a i ʻole ka in vitro fertilization (IVF) me ka mālama ʻana i ka endometriosis.
ʻO nā mālama hou aʻe i ke noiʻi ʻana, ʻo ia ka immunotherapy a me nā lāʻau i hoʻonohonoho ʻia e kāohi i nā ala kūikawā i komo i ka hoʻomohala ʻana o ka endometriosis. Hiki paha kēia mau koho i ka wā e hiki mai ana.
ʻOiai he mea nui ka mālama lapaʻau, hiki i kekahi mau lāʻau home a me nā loli nohona ke kōkua iā ʻoe e hoʻomalu i nā hōʻailona endometriosis a hoʻomaikaʻi i kou olakino maʻamau. Hana maikaʻi kēia mau ala ke hui pū ʻia me ka mālama lapaʻau ʻoihana.
ʻO nā hana hoʻomalu home maikaʻi, ʻo ia:
E noʻonoʻo e mālama i kahi moʻolelo hōʻailona e hahai i kou mau pae ʻeha, ka pōʻai menstrual, a me nā hana. Hiki i kēia ʻike ke kōkua iā ʻoe e ʻike i nā mea hoʻonāukiuki a me nā ʻano, ʻoiai e hāʻawi ana i ka ʻike waiwai no kāu hui mālama ola.
ʻO ka hui ʻana i nā hui kākoʻo, ma ke kino a ma ka pūnaewele paha, hiki ke hāʻawi i ke kākoʻo manaʻo a me nā ʻōlelo aʻo kūpono mai nā wahine ʻē aʻe e hoʻokele ana i ka endometriosis. E hoʻomanaʻo ʻaʻole like ka mea e hana ana no kekahi kanaka me ka mea e hana ana no kekahi, no laila e hoʻomanawanui ʻoe i kou ʻimi ʻana i kāu hui kūpono o nā hoʻolālā.
Ke hoʻomākaukau nei no kāu kūkā e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea nui loa mai kāu manawa me kāu mea hoʻolako mālama ola. Hiki i ka hoʻomākaukau maikaʻi ke alakaʻi i ka kamaʻilio maikaʻi a me ka hoʻolālā mālama maikaʻi.
Ma mua o kāu kūkā, e hōʻiliʻili i ka ʻike koʻikoʻi:
Mai hoʻoemi i kou mau hōʻailona a ʻoluʻolu ʻole no kou ʻeha. E kūpaʻa e pili ana i ke ʻano o ka endometriosis i kou ola i kēlā me kēia lā, hana, pilina, a me ke olakino noʻonoʻo.
E noʻonoʻo e nīnau i nā nīnau kikoʻī e like me: “He aha nā koho mālama iaʻu?” “Pehea ka hopena o kēia i kaʻu hiki ke hāpai?” “He aha kaʻu e hiki ai ke hana ma ka home e hoʻokele ai i nā hōʻailona?” a me “Ahea wau e hahai hou aku ai iā ʻoe?”
Inā ʻoe e ʻike ana i kahi kauka hou, noi i nā kope o kāu mau moʻolelo lapaʻau mai nā mea lawelawe ma mua. Kūleʻa kēia i kāu hui mālama ola hou e hoʻomaopopo i kou mōʻaukala a pale aku i ka hana hou ʻana i nā hoʻokolohua pono ʻole.
He kūlana hiki ke hoʻokele ʻia ka endometriosis, ʻoiai hiki iā ia ke hoʻopili nui i kou ola. ʻO ka mea nui loa e hoʻomanaʻo ai, ʻoiaʻiʻo a kūpono kou ʻeha, a loaʻa nā lāʻau lapaʻau maikaʻi e kōkua iā ʻoe e ʻoluʻolu.
Hiki i ka ʻike mua a me ka mālama ʻana ke pale aku i nā pilikia a hoʻomaikaʻi i kou maikaʻi o ke ola. Mai ʻae i kekahi e hoʻolei i kou mau hōʻailona ma ke ʻano he ʻeha manawa maʻamau - ʻoe wale nō ka mea ʻike maikaʻi loa i kou kino, a pono ka ʻeha pelvic mau loa i ka nānā ʻana o ke kauka.
Me ka hui mālama ola kūpono a me ka hoʻolālā mālama, hiki i ka hapa nui o nā wāhine me ka endometriosis ke hoʻokele pono i kā lākou mau hōʻailona. He nui ka poʻe e hele aku i ka hāpai ʻana i nā keiki kūleʻa a mālama i nā ola hana, piha.
E hoʻomanaʻo e ʻo ka mālama ʻana i ka endometriosis he huakaʻi pinepine ia e pono ai ke ahonui a me ke kūpaʻa. E aloha iā ʻoe iho, e kākoʻo i kou mau pono, a mai kānalua e ʻimi i ke kākoʻo mai nā mea lawelawe olakino, ʻohana, mau hoaaloha, a i ʻole nā hui kākoʻo.
ʻAʻole pinepine ka endometriosis e hoʻonā loa me ka ʻole o ka lāʻau lapaʻau. Eia naʻe, hiki ke hoʻomaikaʻi mau nā hōʻailona i ka wā hāpai a i ʻole ma hope o ka menopause ke emi nui nā pae estrogen. Pono ka hapa nui o nā wāhine i ka mālama mau ʻana e kaohi i nā hōʻailona a pale i ka holomua o ke kūlana.
ʻAʻole, ʻaʻole kumu mau ka endometriosis i ka infertility. ʻOiai hiki ke hoʻopilikia i ka hāpai ʻana, hiki i nā wāhine he nui me ka endometriosis ke hāpai maoli a i ʻole me nā lāʻau lapaʻau hāpai. Ma kahi o 60-70% o nā wāhine me ka endometriosis māmā a waena paha ke hiki ke hāpai me ka ʻole o ke kōkua.
ʻAʻole he kanesa ka endometriosis, ʻoiai ke kaʻana like nei ia i kekahi mau ʻano like me ka ulu ʻana o nā pūnaewele ma waho o nā palena maʻamau. ʻOiai aia kahi pilikia iki o kekahi mau kanesa, ʻoi aku hoʻi ka kanesa ovarian, ʻo ka hapa nui o nā wāhine me ka endometriosis ʻaʻole loa e loaʻa i ka kanesa.
ʻAe, hiki i ka endometriosis ke hoʻopili i nā ʻōpio, ʻoiai ua ʻike ʻole ʻia i kēia hui makahiki. Pono e loiloi ʻia ka ʻeha nui o ka manawa e hoʻopilikia ai i ke kula a i ʻole nā hana e ka mea lawelawe olakino, ʻoiai hiki i ka lāʻau lapaʻau mua ke pale i ka holomua a hoʻomaikaʻi i ka maikaʻi o ke ola.
ʻAʻole hoʻōla ka hāpai ʻana i ka endometriosis, ʻoiai he nui nā wāhine e ʻike i ka hōʻoluʻolu o nā hōʻailona i ka wā hāpai ma muli o nā loli hormonal. Hoʻi pinepine nā hōʻailona ma hope o ka hānau ʻana a me ka hānai waiū, ʻoiai ke hōʻike nei kekahi mau wāhine i ka hoʻomaikaʻi lōʻihi. ʻOkoʻa ka ʻike o kēlā me kēia kanaka.