Endometriosis

Aia kekahi mau wehewehe hiki i ka mea e hoʻoulu ai i ka ulu ʻana o ka pūnaewele e like me ka endometrium ma waho o kona wahi. Akā, ʻaʻole maopopo loa ke kumu. Eia naʻe, aia kekahi mau mea e hoʻonui ai i ka pilikia o ka endometriosis, e like me ka hānau ʻole ʻana, ka nui o nā pōʻai menstrual ma mua o 28 mau lā, nā manawa menstrual kaumaha a lōʻihi hoʻi e lōʻihi ana ma mua o ʻehiku mau lā, ka nui o ka estrogen i loko o ke kino, ka haʻahaʻa o ka body mass index, ka pilikia o ke ʻano o ka vagina, cervix, a i ʻole ka uterus e pale ai i ka hele ʻana o ke koko menstrual mai ke kino, ka mōʻaukala ʻohana o ka endometriosis, ka hoʻomaka ʻana o ka manawa i ka wā ʻōpiopio, a i ʻole ka hoʻomaka ʻana o ka menopause i ka wā ʻelemakule.

ʻO ka hōʻailona maʻamau loa o ka endometriosis ka ʻeha pelvic, i ka wā a i ʻole ma waho o ka manawa menstrual maʻamau e ʻoi aku ka nui ma mua o ka ʻeha maʻamau. Pono e hoʻomanawanui ʻia ka ʻeha menstrual maʻamau a ʻaʻole pono e koi i kekahi e haʻalele i ke kula, ka hana a i ʻole nā hana maʻamau. ʻO nā hōʻailona ʻē aʻe e komo pū ana me nā ʻeha e hoʻomaka ma mua a hoʻolōʻihi ma hope o ka manawa menstrual, ka ʻeha hope a i ʻole ka ʻōpū, ka ʻeha me ka moekolohe, ka ʻeha me ka hele ʻana i ka ʻōpū a i ʻole ka urination, a me ka infertility. Hiki i nā kānaka me ka endometriosis ke ʻike i ka luhi, ka constipation, ka bloating, a i ʻole ka nausea, ʻoi aku hoʻi i nā manawa. Inā ʻoe e ʻike ana i kēia mau hōʻailona, he manaʻo maikaʻi ke kamaʻilio me kāu mea lawelawe ola.

ʻO ka mea mua, e noi aku kāu mea lawelawe iā ʻoe e wehewehe i kāu mau hōʻailona, me ka wahi o ka ʻeha pelvic. A laila, hiki iā lākou ke hana i kahi pelvic exam, ultrasound, a i ʻole MRI e kiʻi i kahi hiʻohiʻona maopopo o nā ʻāpana reproductive, me ka uterus, ovaries, a me nā fallopian tubes. No ka hōʻoia ʻana i ka endometriosis, pono ka ʻoki kino. Hana pinepine ʻia kēia ma o ka laparoscopy. Aia ke kanaka ma lalo o ka anesthesia maʻamau ʻoiai ke hoʻokomo nei ke kauka i kahi kāmela i loko o ka ʻōpū ma o kahi ʻoki liʻiliʻi e loiloi ai i ka pūnaewele e like me ka endometrium. Hoʻoneʻe ʻia kekahi pūnaewele e like me ka endometriosis a nānā ʻia ma lalo o ka microscope e hōʻoia i ke alo a i ʻole ka nele o ka endometriosis.

I ka wā e mālama ai i ka endometriosis, ʻo nā hana mua e hoʻāʻo e hoʻokele i nā hōʻailona ma o nā lāʻau ʻeha a i ʻole ka hormone therapy. Hoʻokele nā hormones, e like me nā pīni birth control, i ka piʻi a me ka hāʻule o ka estrogen a me ka progesterone i ka pōʻai menstrual. Inā hāʻule kēlā mau mālama mua a ke hoʻopilikia nei nā hōʻailona i ke ola o ke kanaka, hiki ke noʻonoʻo ʻia ka ʻoki kino e wehe i ka pūnaewele endometriosis.

Me ka endometriosis, ʻo nā ʻāpana o ka lining uterine (endometrium) — a i ʻole ka pūnaewele e like me ka endometrium — e ulu ana ma waho o ka uterus ma nā ʻāpana pelvic ʻē aʻe. Ma waho o ka uterus, e mānoanoa a kahe ke pūnaewele, e like me ka pūnaewele endometrial maʻamau i nā pōʻai menstrual.

ʻO ka Endometriosis (en-doe-me-tree-O-sis) kahi kūlana ʻeha pinepine kahi e ulu ai ka pūnaewele e like me ka lining o loko o ka uterus ma waho o ka uterus. Hoʻopili pinepine ia i nā ovaries, fallopian tubes a me ka pūnaewele e uhi ana i ka pelvis. ʻAʻole pinepine, hiki ke loaʻa nā ulu endometriosis ma mua o ka wahi kahi e waiho ai nā ʻāpana pelvic.

Hana ka pūnaewele Endometriosis e like me ka lining i loko o ka uterus — e mānoanoa, haki a kahe me kēlā me kēia pōʻai menstrual. Akā, ulu ia i nā wahi kahi ʻaʻole ia e noho ai, a ʻaʻole ia e haʻalele i ke kino. Ke komo ka endometriosis i nā ovaries, hiki ke hana i nā cysts i kapa ʻia ʻo endometriomas. Hiki ke huhū ka pūnaewele a puni a hana i ka pūnaewele ʻeha. Hiki nō hoʻi ke hana i nā kāʻei o ka pūnaewele fibrous i kapa ʻia ʻo adhesions. Hiki i kēia ke hoʻopili i nā pūnaewele pelvic a me nā ʻāpana i kekahi i kekahi.

Hiki i ka Endometriosis ke hoʻokumu i ka ʻeha, ʻoi aku hoʻi i nā manawa menstrual. Hiki nō hoʻi ke ulu nā pilikia fertility. Akā, hiki i nā mālama ke kōkua iā ʻoe e hoʻokele i ke kūlana a me kāna mau pilikia.

ʻO ka ʻeha pelvis ke hōʻailona nui o ka endometriosis. Hoʻopili pinepine ʻia me nā manawa o ka menstruation. ʻOiai he nui ka poʻe e loaʻa i ka ʻeha ʻōpū i ko lākou mau manawa, ua wehewehe pinepine nā poʻe me ka endometriosis i ka ʻeha menstruation ʻoi aku ka nui ma mua o ka maʻamau. Hiki nō hoʻi ke ʻoi aku ka ʻeha ma mua o ka manawa. ʻO nā hōʻailona maʻamau o ka endometriosis e komo pū me: Nā manawa ʻeha. Hiki ke hoʻomaka ka ʻeha pelvis a me ka ʻeha ʻōpū ma mua o ka manawa menstruation a mau lā i loko. Hiki nō hoʻi iā ʻoe ke loaʻa ka ʻeha hope a me ka ʻōpū. ʻO kekahi inoa no nā manawa ʻeha ʻo ka dysmenorrhea. ʻEha me ka moekolohe. He mea maʻamau ka ʻeha i ka wā a ma hope paha o ka moekolohe me ka endometriosis. ʻEha me ka neʻe ʻana o ka ʻōpū a i ʻole ka mimi. ʻOi aku ka nui o kēia mau hōʻailona ma mua a i ka wā paha o ka manawa menstruation. Ke koko nui. I kekahi manawa, hiki iā ʻoe ke loaʻa nā manawa menstruation kaumaha a i ʻole ke koko ma waena o nā manawa. Ka nele o ka hāpai keiki. No kekahi poʻe, ua loaʻa mua ka endometriosis i ka wā o nā hoʻokolohua no ka mālama ʻana i ka nele o ka hāpai keiki. Nā hōʻailona ʻē aʻe. Hiki iā ʻoe ke loaʻa ka luhi, ka diarrhea, ka constipation, ka bloating a i ʻole ka nausea. ʻOi aku ka nui o kēia mau hōʻailona ma mua a i ka wā paha o nā manawa menstruation. ʻAʻole paha he hōʻailona o ka nui a i ʻole ka nui o nā ulu endometriosis i loko o kou kino ka nui o kou ʻeha. Hiki iā ʻoe ke loaʻa kahi liʻiliʻi o ka pūnaewele me ka ʻeha nui. A i ʻole hiki iā ʻoe ke loaʻa ka nui o ka pūnaewele endometriosis me ka liʻiliʻi a ʻaʻohe ʻeha. Eia nō naʻe, ʻaʻohe hōʻailona o kekahi poʻe me ka endometriosis. Pinepine, ʻike lākou ua loaʻa iā lākou ke kūlana i ka wā ʻaʻole hiki iā lākou ke hāpai keiki a ma hope paha o ka loaʻa ʻana o ka ʻoki no ke kumu ʻē aʻe. No ka poʻe me nā hōʻailona, hiki i ka endometriosis ke like me nā kūlana ʻē aʻe e hiki ke hoʻokumu i ka ʻeha pelvis. ʻO kēia mau mea e komo pū me ka maʻi inflammatory pelvis a i ʻole nā cysts ovarian. A i ʻole paha e huikau ʻia me ka irritable bowel syndrome (IBS), kahi e hoʻokumu ai i nā manawa o ka diarrhea, ka constipation a me ka ʻeha ʻōpū. Hiki nō hoʻi ke hana pū ka IBS me ka endometriosis. ʻO kēia ka mea e paʻakikī ai i kāu hui olakino ke ʻike i ke kumu pololei o kāu mau hōʻailona. E ʻike i kahi lālā o kāu hui olakino inā manaʻo ʻoe ua loaʻa paha iā ʻoe nā hōʻailona o ka endometriosis. Hiki i ka endometriosis ke lilo i mea paʻakikī ke hoʻokele. Hiki iā ʻoe ke ʻoi aku ka maikaʻi o ka mālama ʻana i nā hōʻailona inā: ʻIke koke kāu hui mālama i ka maʻi ma mua o ka hope. E aʻo ʻoe i ka nui e hiki ai e pili ana i ka endometriosis. Loaʻa iā ʻoe ka mālama mai kahi hui o nā limahana olakino mai nā ʻāpana lapaʻau like ʻole, inā pono.

E ʻike i kahi lālā o kāu hui mālama ola inā manaʻo ʻoe ua loaʻa paha iā ʻoe nā hōʻailona o ka endometriosis. He pilikia paha ka endometriosis e mālama. Hiki paha iā ʻoe ke mālama pono i nā hōʻailona inā:

• Loaʻa i kāu hui mālama ke maʻi ma mua o ka hope.
• E aʻo ʻoe i nā mea āpau e hiki ai e pili ana i ka endometriosis.
• Loaʻa iā ʻoe ka mālama mai kahi hui o nā poʻe loea mālama ola mai nā ʻāpana lapaʻau like ʻole, inā pono.

ʻAʻole maopopo ka kumu kūpono o ka endometriosis. Akā, ʻo kekahi mau kumu hiki ke loaʻa:

• Ka menstruation retrograde. ʻO kēia ka wā e kahe ai ke koko menstruation ma hope o nā tubes fallopian a i loko o ka lua pelvic ma mua o waho o ke kino. Loaʻa i ke koko nā cell endometrial mai ka papa o loko o ka uterus. Hiki i kēia mau cell ke hoʻopili i nā paia pelvic a me nā ʻili o nā ʻōnaehana pelvic. Ma laila, hiki iā lākou ke ulu a hoʻomau i ka mānoanoa a me ke kahe ʻana i ka manawa o kēlā me kēia pōʻai menstruation.
• Nā cell peritoneal i hoʻololi ʻia. Manaʻo nā poʻe akamai e hiki i nā hormones a i ʻole nā mea immune ke kōkua i ka hoʻololi ʻana i nā cell e uhi ana i ka ʻaoʻao o loko o ka ʻōpū, i kapa ʻia ʻo nā cell peritoneal, i nā cell e like me nā mea e uhi ana i loko o ka uterus.
• Nā loli o ka cell embryonic. Hiki i nā hormones e like me ka estrogen ke hoʻololi i nā cell embryonic — nā cell i nā pae mua loa o ka hoʻomohala ʻana — i nā ulu cell endometrial-like i ka wā o ka puberty.
• Ka pilikia o ka ʻeha ʻoki kino. Hiki i nā cell endometrial ke hoʻopili i ka ʻili ʻeha mai kahi ʻoki i hana ʻia i ka wā o ka ʻoki kino i ka wahi o ka ʻōpū, e like me kahi C-section.
• Ka lawe ʻana o nā cell endometrial. Hiki i nā kīʻaha koko a i ʻole ka ʻōnaehana wai o nā pūnaewele ke hoʻoneʻe i nā cell endometrial i nā ʻāpana ʻē aʻe o ke kino.
• Ke kūlana o ka ʻōnaehana pale kino. Hiki i kahi pilikia me ka ʻōnaehana pale kino ke hana i ke kino i hiki ʻole ke ʻike a hoʻopau i ka ʻiʻo endometriosis.

Nā kumu e hoʻonui ai i ka pilikia o ka endometriosis:

• ʻAʻohe hānau keiki.
• Hoʻomaka koke ka manawa mahina.
• Hiki koke mai ka menopause.
• Pōkole nā manawa mahina—eia hoʻi, ma lalo o 27 mau lā.
• Kaumaha a lōʻihi nā manawa mahina—ʻoi aku ma mua o ʻehiku mau lā.
• Kiʻekiʻe ke kiʻekiʻe o ka estrogen i loko o ke kino a i ʻole ka nui o ka estrogen i loaʻa i ke kino i ka wā lōʻihi.
• Haʻahaʻa ka helu o ke kino.
• Hoʻokahi a ʻoi aku paha nā hoahānau me ka endometriosis, e like me ka makuahine, tete, a i ʻole ka kaikuaʻana.

Hiki i kekahi kūlana olakino e pale ai i ke kahe ʻana o ke koko mai ke kino i ka wā o ka manawa mahina ke lilo i kumu pilikia o ka endometriosis. Pēlā nō hoʻi nā kūlana o ka ʻōnaehana hoʻohua.

Hoʻomaka pinepine nā hōʻailona o ka endometriosis i nā makahiki ma hope o ka hoʻomaka ʻana o ka manawa mahina. Hiki i nā hōʻailona ke maikaʻi no kekahi manawa me ka hāpai ʻana. Hiki ke emi iki ka ʻeha ma hope o ka menopause, ke ʻole ʻoe e lawe i ka lāʻau estrogen.

I ka wā o ka hoʻopiliʻana, hui pū ka sperm a me ka hua manu i loko o kekahi o nā fallopian tubes e hoʻokumu i kahi zygote. A laila hele ka zygote i lalo o ka fallopian tube, kahi e lilo ai i morula. Ke hiki i ka uterus, lilo ka morula i blastocyst. A laila komo ka blastocyst i loko o ka paia o ka uterus - kahi kaʻina hana i kapaʻia ʻo ka implantation.

ʻO ka pilikia nui o ka endometriosis ka pilikia o ka hāpai ʻana, i kapa ʻia hoʻi he infertility. A hiki i ka hapalua o nā kānaka me ka endometriosis i ka pilikia o ka hāpai ʻana.

No ka hāpai ʻana, pono e hoʻokuʻu ʻia kahi hua manu mai kahi ovary. A laila pono e hele ka hua manu ma o ka fallopian tube a hoʻopili ʻia e kahi sperm cell. A laila pono e hoʻopili ka hua manu i hoʻopili ʻia i ka paia o ka uterus e hoʻomaka ai ka ulu ʻana. Hiki i ka endometriosis ke pani i ka tube a pale i ka hui ʻana o ka hua manu a me ka sperm. Akā ʻike ʻia hoʻi ka maʻi i ka hopena i ka fertility ma nā ʻano ʻaʻole pololei. No ka laʻana, hiki iā ia ke hōʻino i ka sperm a i ʻole ka hua manu.

ʻOiai pēlā, nui nā mea me ka endometriosis māmā a waena paha e hiki ke hāpai a hāpai i kahi hāpai ʻana a hiki i ka hopena. Manaʻo pinepine nā limahana mālama ola i nā mea me ka endometriosis ʻaʻole e hoʻokaʻulua i ka loaʻa ʻana o nā keiki. ʻO ia no ka mea hiki i ke kūlana ke lilo i ʻoi aku ka maikaʻi me ka manawa.

Hōʻike kekahi mau haʻawina e hoʻonui ka endometriosis i ka pilikia o ka maʻi kanesa ovarian. Akā ʻo ka pilikia o ke ola holoʻokoʻa o ka maʻi kanesa ovarian he haʻahaʻa loa ia. A noho mau ia i ka haʻahaʻa ma nā kānaka me ka endometriosis. ʻOiai he mea maʻamau ʻole, hiki i kekahi ʻano ʻē aʻe o ka maʻi kanesa i kapa ʻia ʻo ka endometriosis-associated adenocarcinoma ke hana ma hope i ke ola i nā poʻe i loaʻa ka endometriosis.

Makemake au e hiki iaʻu ke haʻi aku iā ʻoe i ka pane i kēlā, akā, ʻaʻole maikaʻi, ʻaʻole mākou i ʻike. I kēia manawa, manaʻo mākou ʻo ke kumu paha o ka endometriosis e hana ana i ka wā e ulu ana ma ke ʻano he fetus. No laila, i ka wā e ulu ana ke pēpē i loko o ka ʻōpū o kona makuahine, ʻo ia ka manawa a mākou i manaʻo ai e hoʻomaka ai ka endometriosis. He nīnau maikaʻi loa kēlā. No laila, ʻo ka endometriosis kahi mea hiki ke lilo i mea hūnā iki, akā hiki iā mākou ke kānalua ma muli o nā hōʻailona āu e ʻike ai. Inā loaʻa iā ʻoe ka ʻeha me kāu mau manawa, ʻeha i kou pelvis ma ka ʻeha maʻamau me ka moekolohe, ka mimi, nā neʻe ʻana o ka ʻōpū, ʻo kēlā mau mea a pau e kuhikuhi mai iā mākou i ka kānalua o ka endometriosis. Akā, ʻaʻole maikaʻi, ʻo ke ala wale nō e ʻōlelo ai i ka 100% Inā loaʻa iā ʻoe a ʻaʻole paha iā ʻoe ka endometriosis, ʻo ia ke hana ʻana i ka ʻoki. No ka mea, i ka wā o ka ʻoki, hiki iā mākou ke wehe i ka ʻiʻo, e nānā iā ia ma lalo o ka microscope, a hiki ke ʻōlelo maopopo inā loaʻa iā ʻoe a ʻaʻole paha iā ʻoe ka endometriosis. ʻAʻole maikaʻi, ʻo ka hapa nui o ka manawa, ʻaʻole. ʻO ka hapa nui o ka endometriosis ka endometriosis superficial, ʻo ia hoʻi, ua like ia me ka pena spackling ma ka paia, ʻaʻole hiki iā mākou ke ʻike inā ʻaʻole mākou e hele i loko a nānā surgically. ʻO ka ʻokoʻa i kēlā, inā loaʻa ka endometriosis e ulu ana i nā kino i loko o ka pelvis a i ʻole ka ʻōpū e like me ka ʻōpū a i ʻole ka bladder. Ua kapa ʻia kēlā he endometriosis hohonu-infiltrating. I kēlā mau kūlana, hiki pinepine iā mākou ke ʻike i kēlā maʻi ma ka ultrasound a i ʻole ma ka MRI. ʻAʻole pono. No laila, ʻo ka endometriosis, he mau sela ia e like me ka laina o ka ʻōpū e ulu ana ma waho o ka ʻōpū. No laila, ʻaʻole ia he pilikia me ka ʻōpū maoli, ʻo ia ka mea a mākou e mālama ai me ka hysterectomy. I kēlā ʻōlelo, aia kahi kūlana kaikaina i ka endometriosis i kapa ʻia ʻo adenomyosis a hana pū ia i ka 80 a 90% o nā mea maʻi, a no laila me ka adenomyosis, hiki i ka ʻōpū ponoʻī ke kumu o nā pilikia, me ka ʻeha. I kēlā mau kūlana, i kekahi manawa mākou e noʻonoʻo ai i ka hysterectomy i ka manawa a mākou e mālama ai i ka endometriosis. ʻO ka mea nui e hoʻomanaʻo ai ma aneʻi, ʻo ia ka endometriosis he kūlana holomua, a e hoʻomau ia i ka ulu ʻana a hiki ke hoʻokumu i nā hōʻailona holomua. No laila, no kekahi mau mea maʻi, ʻo ia hoʻi, i ka hoʻomaka ʻana, ʻo ka ʻeha wale nō me ka pōʻai menstrual. Akā, ma hope o ka manawa me kēlā holomua o ka maʻi, hiki i ka ʻeha ke hoʻomaka e hana ma waho o ka pōʻai, no laila i nā manawa like ʻole o ka mahina, me ka mimi, me nā neʻe ʻana o ka ʻōpū, me ka moekolohe. No laila, hiki i kēlā ke hoʻoikaika iā mākou e pono e komo a hana i ka mālama inā ʻaʻole mākou i hana i kekahi mea ma mua. Akā, i kēlā ʻōlelo, ʻoiai mākou i ʻike ai he holomua ka endometriosis, no kekahi mau mea maʻi, ʻaʻole ia e holomua i kahi e pono ai mākou e hana i kekahi mālama no ka mea ʻoi aku ka nui o ka pilikia o ke ola. A inā ʻaʻole ia e hoʻopilikia i ka maikaʻi o ke ola, ʻaʻole pono mākou e hana i kekahi mea. 100%. Hiki loa iā ʻoe ke loaʻa nā keiki inā loaʻa iā ʻoe ka endometriosis. I ka wā a mākou e kamaʻilio ai e pili ana i ka infertility, ʻo ia nā mea maʻi e hakakā nei me ka hāpai keiki. Akā inā mākou e nānā i nā mea maʻi a pau me ka endometriosis, nā mea a pau me kēlā ʻike, ʻo ka hapa nui e hiki ke hoʻokō i ka hāpai keiki me ka pilikia ʻole. Hiki iā lākou ke hāpai, hiki iā lākou ke hāpai i ka hāpai keiki. E hele lākou i ka home mai ka haukapila me kahi pēpē nani i ko lākou mau lima. No laila, ʻae, ʻaʻole maikaʻi, hiki ke pili ka infertility me ka endometriosis. Akā, ʻo ka hapa nui o ka manawa, ʻaʻole ia he pilikia maoli. ʻO ka lilo ʻana i hoa no ka hui lapaʻau ka mea nui maoli. Ua nui nā kānaka me ka endometriosis i loaʻa ka ʻeha no ka manawa lōʻihi, ʻo ia hoʻi, ua loli ke kino ma muli o ia mea. A ua lilo ka ʻeha i mea like me ka ʻaniani me ka endometriosis ma ke kumu o kēlā ʻaniani. No laila, pono mākou e hana ʻaʻole wale e mālama i ka endometriosis, akā e mālama i nā kumu ʻē aʻe o ka ʻeha i kū mai. A no laila, ke paipai aku nei au iā ʻoe e hoʻonaʻauao iā ʻoe iho, ʻaʻole wale no ka hiki iā ʻoe ke hele mai i kāu mea mālama ola a kamaʻilio a kamaʻilio e pili ana i kāu mea e pono ai a me kāu mea e ʻike ai. Akā, no ka hiki iā ʻoe ke lilo i loio a hōʻoia iā ʻoe e loaʻa ana iā ʻoe ka mālama ola e pono ai a me kāu mea e pono ai. E kamaʻilio pū e pili ana i kēlā. ʻIke nā wāhine, no nā makahiki a me nā makahiki he nui, ua haʻi ʻia ua pono ka ʻeha o ka manawa a pono mākou e ʻaihue wale a mālama iā ia. ʻAʻole ia ka ʻoiaʻiʻo. ʻO ka ʻoiaʻiʻo, ʻaʻole pono mākou e moe ma ka papapaku o ka lumipaku i ka wā o kā mākou manawa. ʻAʻole pono mākou e uē i ka wā o ka moekolohe. ʻAʻole ia he mea maʻamau. Inā ʻike ʻoe iā ia, e ʻōlelo. E kamaʻilio me kou ʻohana, E kamaʻilio me kou mau hoaaloha. E kamaʻilio me kāu mea mālama ola. E haʻi iā lākou i ka mea e hana nei. No ka mea, maoli, aia mākou e kōkua a pū ʻia mākou e hoʻomaka e hana i ka hopena ʻaʻole wale ma ka endometriosis no ʻoe, akā endometriosis i loko o ke kaiāulu holoʻokoʻa. Mai kānalua e nīnau i kāu hui lapaʻau i nā nīnau a i ʻole nā ​​hopohopo āu e loaʻa ai. ʻO ka ʻike maoli e hana i ka ʻokoʻa āpau. Mahalo no kou manawa a ke makemake nei mākou iā ʻoe i ka maikaʻi. I ka wā o kahi ultrasound transvaginal, hoʻohana kahi mea mālama ola a i ʻole ka loea i kahi mea hana wandlike i kapa ʻia ʻo transducer. Hoʻokomo ʻia ka transducer i loko o kou vagina ʻoiai ʻoe e moe ana ma kou kua ma kahi papa hoʻokolohua. Hoʻopuka ka transducer i nā nalu kani e hoʻokumu i nā kiʻi o kāu mau kino pelvic. No ka ʻike inā loaʻa iā ʻoe ka endometriosis, e hoʻomaka paha kāu kauka ma ka hāʻawi ʻana iā ʻoe i kahi hoʻokolohua kino. E noi ʻia ʻoe e wehewehe i kāu mau hōʻailona, ​​me kahi a me ka wā āu e ʻike ai i ka ʻeha. ʻO nā hoʻokolohua e nānā ai no nā hōʻailona o ka endometriosis e komo pū me: - Pelvic exam. ʻO kāu mea mālama ola e ʻike i nā wahi i loko o kou pelvis me hoʻokahi a ʻelua paha mau manamana lima i loko o ka lima e nānā ai i nā loli maʻamau ʻole. Hiki i kēia mau loli ke komo pū me nā cysts ma nā kino hana hou, nā wahi ʻeha, nā ulu ʻole i kapa ʻia ʻo nā nodules a me nā ʻōpala ma hope o ka ʻōpū. I ka manawa pinepine, ʻaʻole hiki ke ʻike ʻia nā wahi liʻiliʻi o ka endometriosis ke hana ʻia kahi cyst. - Magnetic resonance imaging (MRI). Hoʻohana kēia hoʻokolohua i kahi kahua magnetic a me nā nalu radio e hana i nā kiʻi o nā kino a me nā ʻiʻo i loko o ke kino. No kekahi, kōkua ka MRI i ka hoʻolālā ʻoki. Hāʻawi ia i kāu kauka i ka ʻike kikoʻī e pili ana i kahi a me ka nui o nā ulu endometriosis. - Laparoscopy. I kekahi mau hihia, hiki ke hoʻouna ʻia ʻoe i kahi kauka no kēia kaʻina hana. Hāʻawi ka Laparoscopy i ka kauka e nānā i loko o kou ʻōpū no nā hōʻailona o ka ʻiʻo endometriosis. Ma mua o ka ʻoki, loaʻa iā ʻoe ka lāʻau e hoʻokomo iā ʻoe i kahi kūlana hiamoe a pale i ka ʻeha. A laila hana kāu kauka i kahi ʻoki liʻiliʻi kokoke i kou navel a hoʻokomo i kahi mea nānā lahilahi i kapa ʻia ʻo laparoscope. Hiki i kahi laparoscopy ke hāʻawi i ka ʻike e pili ana i kahi, ka nui a me ka nui o nā ulu endometriosis. Hiki i kāu kauka ke lawe i kahi laʻana ʻiʻo i kapa ʻia ʻo biopsy no ka hoʻokolohua hou aku. Me ka hoʻolālā kūpono, hiki pinepine i kahi kauka ke mālama i ka endometriosis i ka wā o ka laparoscopy i mea e pono ai hoʻokahi ʻoki wale nō. Laparoscopy. I kekahi mau hihia, hiki ke hoʻouna ʻia ʻoe i kahi kauka no kēia kaʻina hana. Hāʻawi ka Laparoscopy i ka kauka e nānā i loko o kou ʻōpū no nā hōʻailona o ka ʻiʻo endometriosis. Ma mua o ka ʻoki, loaʻa iā ʻoe ka lāʻau e hoʻokomo iā ʻoe i kahi kūlana hiamoe a pale i ka ʻeha. A laila hana kāu kauka i kahi ʻoki liʻiliʻi kokoke i kou navel a hoʻokomo i kahi mea nānā lahilahi i kapa ʻia ʻo laparoscope. Hiki i kahi laparoscopy ke hāʻawi i ka ʻike e pili ana i kahi, ka nui a me ka nui o nā ulu endometriosis. Hiki i kāu kauka ke lawe i kahi laʻana ʻiʻo i kapa ʻia ʻo biopsy no ka hoʻokolohua hou aku. Me ka hoʻolālā kūpono, hiki pinepine i kahi kauka ke mālama i ka endometriosis i ka wā o ka laparoscopy i mea e pono ai hoʻokahi ʻoki wale nō.