He aha te Adenomyosis? Tohutohu, Take, me te Maimoatanga

Ko te adenomyosis tētahi āhuatanga kei reira te kiko e taupoki ana i tō kopu e tipu ana ki te pakitara uaua o tō kopu. Whakaarohia he rite te ahua ki te whakatau a tō papanga kopu ki te tipu ki ngā wāhi kāore e tika.

He maha ngā wāhine e pā ana ki tēnei āhuatanga, inā koa rātou kei roto i ō rātou tau 30 me ō rātou tau 40. Ahakoa ka taea e ia te whakaeke i ngā tohu kore pai, he mea nui kia mōhio koe he pai te adenomyosis, ā, ko te tikanga kāore i te mate pukupuku, kāore hoki e horapa ki ētahi atu wāhanga o tō tinana.

He aha ngā tohu o te adenomyosis?

Ko te tohu tino noa o te adenomyosis ko te toto nui, te roa o te toto, he kaha ake i ō wā o te marama noa. Ka kite pea koe kei te roa ake ō wā o te marama i te whitu rā, kāore rānei e hiahia ana koe ki te whakarereke i ngā papanga toto rānei i ia haora.

He maha ngā wāhine e pā ana ki te adenomyosis e wheako ana i ēnei tohu, ka rereke te kaha mai i te ngawari ki te kino:

• Ngā mamae o te kopu e kino haere ana i te wā
• Te toto nui o te marama me ngā kōpū toto
• Te toto i waenga i ngā wā o te marama
• Ngā wā roa e roa atu ana i te whitu rā
• Te pehanga o te kopu me te pupuhi
• Te mamae i te wā e moe tahi ana
• Te kopu ngawari, te nui

Ka wheako pea etahi wāhine i ngā tohu iti ake, pēnei i te mamae i te wā e haere ana te kakā, te mamae o te kopu e mau tonu ana i waenga i ngā wā o te marama, te ngenge rānei mai i te ngaro o te toto nui. Kāore te kaha o ngā tohu e rite tonu ki te nui o te āhuatanga, na reira ahakoa te adenomyosis ngawari ka taea e ia te whakaeke i te kore pai nui.

He aha ngā take o te adenomyosis?

Kāore i tino mōhiotia te take tika o te adenomyosis, engari e whakapono ana ngā kairangahau ka tipu ina pakaru, kīhai rānei te ārai i waenga i tō papanga kopu me te pakitara uaua. Ka taea e tēnei te tuku i te kiko endometrial ki te tipu ki te wāhi kāore e tika.

He maha ngā take ka āwhina ki te tipu o tēnei āhuatanga:

• Ngā pokanga kopu o mua, pēnei i ngā waewae C, te tango rānei i ngā fibroid
• Te whānau tamariki, ka taea te whakaeke i ngā pakaru iti i te pakitara kopu
• Ngā rerekētanga o te homoni, inā koa ngā taumata o te estrogen
• Te mumura i roto i te kopu mai i ngā take maha
• Ngā huringa e pā ana ki te tau i roto i te kiko kopu

Ka taea pea e etahi wāhine te whakawhāiti i te adenomyosis, ahakoa kei te ako tonu tēnei hononga. Ko te tikanga ka tipu haere te āhuatanga i te wā, kāore i te puta ohorere.

He aha ngā take morearea mō te adenomyosis?

Ka taea e ētahi take te whakapiki ake i tō tūmanako ki te whanake i te adenomyosis, ahakoa ko te whai i ēnei take morearea kāore e whakamana ka whanake koe i te āhuatanga. Ko te tau te take tino nui, me te nuinga o ngā keehi e puta ana i ngā wāhine kei waenga i te 35 me te 50.

Ngā take morearea noa e whai ake nei:

• Kei roto i ō tau 30 ki ngā tau 50 o mua
• Te whānau tamariki
• Te pokanga kopu o mua, ngā mahi rānei
• Te hītori o te endometriosis
• Ngā huringa marama poto (iti iho i te 24 rā)
• Te tīmatanga wawe o te marama

Ngā take morearea iti ake e whai ake nei: te maha o ngā haputanga, te wheako i ngā raruraru haputanga, te whai rānei i ētahi āhuatanga autoimmune. He mea whakamīharo, ka pai ake ngā tohu adenomyosis i muri i te menopause ina he iti haere ngā taumata estrogen.

Nōhea te haere ki te taakuta mō te adenomyosis?

Me whakarite e koe he hui ki tō kaiwhakarato hauora mena kua tino nui ake, roa ake, kīhai rānei i te mamae o ō wā o te marama i te noa. Kaua e tatari mena kei te pā tēnei huringa ki tō oranga o ia rā, kei te whakaeke rānei i a koe ki te ngaro i te mahi, ngā mahi rānei.

Rapua te tiaki hauora i te wa poto mena ka wheako koe i:

• Te whakamakuku i te papanga toto, te tampon rānei i ia haora mō ngā haora maha
• Ngā wā e roa atu ana i te whitu rā
• Te mamae nui o te kopu e whakawakia ana ngā mahi o ia rā
• Te toto i waenga i ngā wā o te marama
• Ngā tohu o te anemia pēnei i te ngenge, te māuiui, te poto o te manawa rānei

Waea atu ki tō taakuta i te wa poto mena ka wheako koe i te mamae ohorere, nui o te kopu, te toto nui e kore e mutu, ngā tohu rānei o te anemia nui pēnei i te mamae o te uma, te uaua rānei ki te manawa. Ko ēnei tohu, ahakoa he iti, e hiahia ana ki te aromatawai hauora tere.

He aha ngā raruraru pea o te adenomyosis?

Ahakoa kāore te adenomyosis i te mate kino, ka taea e ia te arahi ki ngā raruraru maha e pā ana ki tō kounga o te ora me tō hauora whānui. Ko te raruraru tino noa ko te anemia ngoikore-ihe mai i te ngaro o te toto.

Ngā raruraru pea e whai ake nei:

• Te anemia ngoikore-ihe mai i te ngaro o te toto
• Te ngenge roa me te ngoikore
• Te whakawakia o te hua (ahakoa he taea tonu te haputanga)
• Te pānga ki ngā whanaungatanga tata na te moe mamae
• Ngā pānga hinengaro pēnei i te pouri, te manukanuka rānei mai i te mamae roa
• Te moe kore pai mai i te toto nui me te mamae

Ka taea e ngā raruraru iti te whakauru i te anemia nui e hiahia ana ki te whakawhānuitanga toto, te noho rānei i te whare hauora mō te toto kore e taea te whakahaere. Ka taea pea e etahi wāhine te wheako i ngā raruraru haputanga mena kei a rātou te adenomyosis, ahakoa he maha tonu ngā haputanga angitu me te tiaki hauora tika.

Me pēhea te whakatau i te adenomyosis?

Ko te whakatau i te adenomyosis e tīmata ana i tō taakuta e kōrero ana mō ō tohu me tō hītori hauora, ka whai ake te whakamātautau kopu. Ka kite tō taakuta i te kopu nui, te ngawari rānei i te wā o te whakamātautau.

He maha ngā whakamātautau ka taea te awhina i te whakau i te whakatau:

• Te ultrasound transvaginal hei tirotiro i te hanganga kopu
• MRI mō ngā whakaahua taipitopito o ngā paparanga kiko kopu
• Ngā whakamātautau toto hei tirotiro i te anemia, te whakakore rānei i ētahi atu āhuatanga
• Te biopsy endometrial hei tirotiro i te kiko papanga kopu

I etahi wā ka taea e tō taakuta te tūtohutia ētahi atu whakamātautau pēnei i te hysterosonography, kei reira te wai e ringihia ana ki te kopu i te wā o te ultrasound mō te tirohanga pai ake. I ngā keehi iti e hiahia ana ki te whakakore i ētahi atu āhuatanga, ka taea pea te tūtohutia he laparoscopy whakatau, ahakoa he mea noa tenei mō te adenomyosis anake.

He aha te maimoatanga mō te adenomyosis?

Ko te maimoatanga mō te adenomyosis e whakawhirinaki ana ki te kaha o ō tohu, tō tau, me te hiahia rānei koe ki te tiaki i tō hua. He maha ngā wāhine e kite ana i te whakaora me ngā maimoatanga whakahaere, engari ka hiahia pea ētahi ki ngā whakauru nui ake.

Ngā whiringa maimoatanga kore pokanga e whai ake nei:

• Ngā rongoā anti-mumura kore-steroidal (NSAIDs) mō te whakaora i te mamae
• Te whakahaere whānau homoni hei whakahaere i te toto
• Te IUD homoni hei whakaiti i te rere o te marama
• Ngā agonists GnRH hei mutu i ngā wā o te marama
• Te waikawa tranexamic hei whakaiti i te toto nui

Mō ngā keehi kino kaore e whakautu ki te rongoā, ka whakaaro pea ki ngā whiringa pokanga. Kei roto i ēnei te ablation endometrial hei whakangaro i te papanga kopu, te embolization o te kopu hei whakaiti i te rere o te toto, te hysterectomy rānei mō te maimoatanga tino ina kāore he āwangawanga mō te tiaki hua.

Me pēhea te whakahaere i te adenomyosis i te kāinga?

Ka taea e ngā rautaki whakahaere kāinga te awhina nui ki te whakaiti i ō tohu me te whakapai ake i tō kounga o te ora me te maimoatanga hauora. Ko te maimoatanga wera he mea tino whai hua ki te whakahaere i te mamae o te kopu me te mamae.

Ngā rongoā kāinga whai hua e whai ake nei:

• Te whakamahi i ngā papanga wera, ngā kaukau wera rānei mō te whakaora i te mamae
• Te whakakori ngawari pēnei i te hikoi, te yoga rānei hei whakaiti i te mamae
• Te kai i ngā kai nui-ihe hei ārai i te anemia
• Te whiwhi i te okioki tika, inā koa i tō wā o te marama
• Te whakahaere i te ahotea mā te whakaaroaro, ngā tikanga whakahaerenga rānei
• Te aroturuki i ō tohu hei kimi i ngā tauira

Ka kite etahi wāhine i te whakaora mā ngā huringa kai pēnei i te whakaiti i te caffeine me te waipiro, ētahi atu e whai hua ana i ngā tāpiringa pēnei i te magnesium, te waikawa ngako-3 rānei. Heoi, kōrero tonu ki tō taakuta i mua i te tīmatanga, inā koa kei te inu koe i ētahi atu rongoā.

Me pēhea te whakarite mō tō hui taakuta?

Ko te whakarite mō tō hui ka awhina i a koe ki te whiwhi i te hua nui mai i tō haerenga, me te whakarite kei a tō taakuta ngā mōhiohio katoa e hiahiatia ana hei awhina i a koe. Tīmata mā te aroturuki i ō huringa marama me ō tohu mō te rua marama iti iho i mua i tō hui.

Ka kawea mai ēnei mōhiohio e whai ake nei:

• Te hītori marama taipitopito tae atu ki te roa o te huringa me te kaha o te rere
• Rārangi o ngā rongoā me ngā tāpiringa o nāianei
• Te hītori whānau o ngā āhuatanga gynecological
• Ngā pātai mō ngā whiringa maimoatanga me ō rātou pānga taha
• Ngā rēkōti hauora o mua e pā ana ki ngā take gynecological

Tuhia ngā tauira motuhake o te āhua o ngā tohu ki tō oranga o ia rā, te mahi, ngā whanaungatanga rānei. Kaua e whakama ki te kōrero i ngā kōrero tata, na te mea he mea nui tēnei mōhiohio mō te whakatau tika me te mahere maimoatanga.

He aha te mea nui mō te adenomyosis?

He āhuatanga whakahaere te adenomyosis e pā ana ki te maha o ngā wāhine, ā, kāore koe e mamae puku ki ngā wā mamae, nui o te toto. Ahakoa ka taea e ia te pā nui ki tō kounga o te ora, he maha ngā whiringa maimoatanga whai hua kei te wātea hei awhina i a koe ki te pai ake.

Ko te mea nui rawa atu hei mahara ko te whakatau wawe me te maimoatanga ka taea te ārai i ngā raruraru me te whakapai ake i ō tohu. He rerekē te wheako o ia wahine ki te adenomyosis, na reira he mea nui te mahi tata ki tō kaiwhakarato hauora hei kimi i te huarahi maimoatanga tika mō tō āhuatanga motuhake.

Me te tiaki hauora tika me ngā rautaki whakahaere whaiaro, ka taea e te nuinga o ngā wāhine e pā ana ki te adenomyosis te pupuri i ngā oranga mahi, whai hua. Kaua e whakaroa ki te rapu awhina mena kei te wheako koe i ngā tohu, na te mea kei te wātea te whakaora whai hua.

Ngā pātai e ui pinepinetia ana mō te adenomyosis

Ka taea e te adenomyosis te pā ki te hua?

Ka taea e te adenomyosis te whakaeke i te whakaaro ki te whānau tamariki, ka taea hoki te whakapiki ake i te morearea o te ngaro o te kopu, engari he maha ngā wāhine e pā ana ki tēnei āhuatanga e whai hua tonu ana i ngā haputanga. Ka taea e te āhuatanga te pā ki te whakauru, ka taea hoki te whakaeke i ngā raruraru i te wā haputanga, engari me te tiaki hauora tika, he maha ngā wāhine e haere tonu ana ki te whānau tamariki hauora. Mena kei te ngana koe ki te whānau tamariki, kei a koe te adenomyosis, mahi tata ki tō taakuta hei whakapai ake i ō tūmanako mō te haputanga angitu.

Ka ngaro te adenomyosis i muri i te menopause?

Ae, ko te tikanga ka pai ake ngā tohu adenomyosis i muri i te menopause ina he iti haere ngā taumata estrogen. Na te mea ko te estrogen te kai e whānau ana i te kiko endometrial, ko te iti o ngā taumata homoni i muri i te menopause ka whakaiti i te kiko kīhai i te tika ki te whakaiti me te iti ake te mahi. He maha ngā wāhine e kite ana i ō rātou tohu kua oti rawa te whakakore i roto i ngā tau torutoru i muri i te menopause, ahakoa ka noho pea ngā huringa tinana ki te pakitara kopu.

He rite te adenomyosis ki te endometriosis?

Kāo, ahakoa e rua ngā āhuatanga e whai ana i te kiko endometrial e tipu ana ki te wāhi kāore e tika, he rerekē ngā āhuatanga. I roto i te adenomyosis, ko te kiko e tipu ana ki te pakitara uaua kopu, i roto i te endometriosis, e tipu ana i waho o te kopu katoa. Heoi, ko te 15-20% o ngā wāhine e rua ngā āhuatanga i te wā kotahi, ka taea e rātou te whakaū i ngā tohu rite pēnei i ngā wā mamae me te toto nui.

Ka taea e te adenomyosis te whakaeke i te taumaha?

Kāore te adenomyosis e whakaeke tika i te taumaha, engari ka taea e ia te whakauru ki te pupuhi me te pupuhi kopu ka taea te whakaaro kia taumaha ake koe, te pai rānei o ngā kakahu. Ka taea pea e etahi wāhine te whiwhi taumaha na te ngenge mai i te toto nui e whakaiti ana i ō rātou taumata mahi, te maimoatanga homoni rānei e whakamahia ana hei whakahaere i te āhuatanga. Ka taea hoki e te kopu nui te hanga i te ahua o te whānuitia, te pupuhi rānei i tō puku raro.

E hohoro ana te tipu o ngā tohu adenomyosis?

Ko te tikanga ka tipu haere ngā tohu adenomyosis i roto i ngā marama, ngā tau rānei, kāore i te puta ohorere. He maha ngā wāhine e kite ana i ō rātou wā e tino nui haere ana, e tino mamae haere ana rānei i te wā. Ko te whakawhāiti haere ka taea te whakakore i ngā tohu hei huringa marama noa i te tīmatanga, koia te take kāore i te whakatauhia te maha o ngā wāhine kia tae ra ano ki te tino kino o ngā tohu ki te pā nui ki ō rātou oranga o ia rā.