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

Ko te endometriosis te āhuatanga e tipu ai te kiko rite ki te paparinga o tō kopu i waho o tō kopu. Ka taea e tēnei kiko, e kiia nei ko te kiko endometrial, te piri ki ō ovaries, ngā pūtau fallopian, me ētahi atu tūāhuatanga o te upoko, ā, ka puta mai te mamae me ētahi atu tohu.

E tata ana ki te 1 o te 10 wahine kei te pakeke whānau e ora ana me te endometriosis, ahakoa he tokomaha kaore e mohio kei a rātou. Ka rerekē te pānga o te āhuatanga ki ia tangata, ā, ahakoa ka uaua, he maimoatanga whai hua kei te wātea hei āwhina i a koe ki te whakahaere i ngā tohu me te pupuri i tō kounga ora.

He aha ngā tohu o te endometriosis?

Ko te tohu tino noa ko te mamae o te upoko, inā koa i te wā o tō wā. Heoi, ka tino kaha ake te mamae o te endometriosis i ngā mamae o te wā noa, ā, kaore pea e pai te whakautu ki ngā rongoā mamae e hokona ana i waho.

Ko ēnei ngā tohu ka pā atu ki a koe, mai i te tino noa ki ngā mea iti ake:

• Ngā mamae o te wā kaha e kino haere ana i te wā
• Te toto nui o te wā, te toto rānei i waenganui i ngā wā
• Te mamae i te wā, i muri rānei i te moe
• Te mamae i te wā e haere ana te kakau, te mimi rānei, inā koa i te wā o te wā
• Te mamae roa o te tua o raro me te upoko
• Te uaua ki te hapu, te kore rānei e hapu
• Te ngenge me te wīwī
• Te ruaki, te pupū rānei, te kōpū rānei i te wā o ngā wā

Ko ētahi wahine e pangia ana e te endometriosis e pā ana ngā tohu ngawari, kāore rānei he tohu, engari ko ētahi atu he mamae nui e āwangawanga ana i ngā mahi o ia rā. Kāore te kaha o ō tohu e rite tonu ki te nui o te āhuatanga i roto i tō tinana.

I roto i ngā take onge, ka taea e te endometriosis te pā ki ētahi atu tūāhuatanga i tua atu o te upoko. Ka pā pea te mamae o te uma ki a koe i te wā o te wā mena ka tipu te kiko ki runga i tō diaphragm, te mamae huringa rānei i ngā tohu o ngā pokanga o mua mena ka tipu te kiko endometrial ki reira.

He aha ngā momo endometriosis?

Ka whakarōpūhia e ngā tākuta te endometriosis i runga i te wāhi e tipu ai te kiko i roto i tō tinana. Ko te mārama ki ēnei momo ka āwhina i tō rōpū hauora ki te hanga i te mahere maimoatanga pai mō tō āhuatanga motuhake.

Ko ngā momo matua e toru ko:

• Endometriosis peritoneal mata: Ko te momo tino noa, kei reira te kiko e tipu ana i runga i te kiri ngawari e hipoki ana i tō upoko
• Endometriosis ovarian: Ka hanga i ngā kōpū kī kī e kīia ana ko ngā endometriomas, “kōpū tiakarete” rānei
• Endometriosis hohonu e ngāwhawha ana: Ko te momo tino kino, kei reira te kiko e tipu ana neke atu i te 5mm te hohonu ki ngā tūāhuatanga, ā, ka taea te pā ki tō pūkahukahu, tō pūpū, ētahi atu hanganga upoko rānei

Ka taea hoki e tō tākuta te whakamahi i te pūnaha whakatauranga mai i te I ki te IV hei whakaatu i te whānui o tō endometriosis. Ko te Wāhanga I te āhuatanga iti, ko te Wāhanga IV te āhuatanga nui, whānui o te endometriosis me te kiko tohu nui.

Ka onge, ka taea te puta o te endometriosis i ngā wāhi tawhiti penei i ō ngā manawa, ngā roro, ngā tohu pokanga rānei. Ko tēnei endometriosis tawhiti e pā ana ki te iti iho i te 1% o ngā wahine e pangia ana e te āhuatanga, engari ka taea te puta mai ngā tohu motuhake e pā ana ki aua wāhi motuhake.

He aha ngā take o te endometriosis?

Kāore i te mārama te take tika o te endometriosis, engari kua kitea e ngā kairangahau ētahi whakaaro mō te whānautanga. Ko te tino pea, he maha ngā take e mahi tahi ana hei hanga i te āhuatanga.

Ko te whakaaro matua e kī ana ko te toto o te wā e rere ana whakamuri i ō pūtau fallopian ki roto i tō kōpū upoko, kāore i te waiho i tō tinana katoa. Ko tēnei rere whakamuri, e kiia nei ko te retrograde menstruation, ka taea te whakatakoto i ngā pūtau endometrial kei reira kāore rātou e noho.

Heoi, ka puta te retrograde menstruation ki te nuinga o ngā wahine, engari ko ētahi anake te whānau endometriosis. Ka whakaatu mai tēnei ko tō pūnaha mate pūkohukohu me ngā ira e tino mahi ana.

Ko ētahi atu take āwhina pea ko:

• Te whakawhitinga ira e tukuna ana i roto i ngā whānau
• Ngā raruraru o te pūnaha mate pūkohukohu e kore e kite me te whakangaro i ngā pūtau endometrial kua whakatakotohia heke
• Ngā koretake o te homoni, inā koa ki te estrogen
• Te hurihanga o ētahi atu momo pūtau ki ngā pūtau rite ki te endometrial
• Ngā raruraru pokanga e neke whakahē ana i ngā pūtau endometrial i te wā o ngā mahi

Ko ētahi whakaaro onge e kī ana ka taea e ngā pūtau endometrial te haere i roto i tō toto, i tō pūnaha lymphatic rānei ki ngā wāhi tinana tawhiti. Ka taea hoki e ngā take taiao me te whakamahinga ki ētahi matū te awe i tō tūponotanga, ahakoa kei te haere tonu te rangahau i tēnei wāhi.

Nō hea te kite i te tākuta mō te endometriosis?

Me whakarite e koe he hui ki tō kaiwhakarato hauora mena ka āwangawanga te mamae o te upoko i ō mahi o ia rā, kāore rānei e pai ake ki te rongoā mamae e hokona ana i waho. He maha ngā wahine e whakaroa ana te rapu awhina, no te mea e whakaaro ana rātou he noa te mamae o te wā nui, engari kāore.

Rapua te tiaki hauora mena ka pā atu ki a koe:

• Ngā mamae o te wā e āwangawanga ana i a koe te mahi, te ako, te koa rānei ki ngā mahi
• Te mamae i te wā e moe ana e uaua ana, kāore rānei e taea te hononga
• Ngā wā nui e ngongo ana i te paparinga, i te tampon rānei i ia haora
• Te uaua ki te hapu i muri i te ngana mo te ono marama ki te tau
• Te mamae roa o te upoko i waho o tō huringa wā

Whakaarohia tēnei he āhuatanga āwangawanga e hiahia ana ki te tiaki hauora tonu mena ka pā atu ki a koe te mamae ohorere, nui o te upoko, inā koa me te kirika, te ruaki rānei.

Kia mahara he tika tō mamae, ā, e tika ana koe ki te tiaki aroha. Mena ka whakakahoretia e tētahi tākuta ō awangawanga, kaua e whakaroa te rapu whakaaro tuarua, inā koa mai i te taote wahine e whai wheako ana ki te whakahaere i te endometriosis.

He aha ngā take tūponotanga mō te endometriosis?

Ko ētahi take pea ka piki ake tō tūponotanga ki te whānau endometriosis, ahakoa ko te whai i ēnei take tūponotanga kāore e whakamana ka whiwhi koe i te āhuatanga. Ko te mārama ki a rātou ka taea te āwhina i a koe ki te noho mataara ki ngā tohu me te rapu i te maimoatanga wawe.

Ko ngā take tūponotanga tino nui ko:

• Te hītori whānau o te endometriosis i tō whaea, tuahine, tamahine rānei
• Te tīmatanga o tō wā i te wā iti (i mua i te 11 tau)
• Ngā huringa wā poto (iti iho i te 27 rā) te roa rānei o ngā wā (neke atu i te 7 rā)
• Kāore i hapu
• Ngā taumata estrogen teitei i roto i tō tinana
• Te iti o te taumaha tinana
• Ngā koretake o te ara whānau e aukati ana i te rere o te wā

He mahi anō te tau, no te mea ko te endometriosis te tino pānga ki ngā wahine kei roto i ō rātou tekau tau toru me ngā tekau tau wha. Heoi, ka taea te whānau o te āhuatanga i te wā o tō wā tuatahi.

Ko ētahi take tiaki pea ka whakaiti i tō tūponotanga, tae atu ki te whai tamariki, te whāngai u i ngā wā roa, te tīmatanga rānei o te menopause i te wā iti. Ko te whakakori tinana auau me te pupuri i te taumaha hauora pea ka homai ētahi tiaki, ahakoa he nui ake te rangahau e hiahiatia ana hei whakamana i ēnei hononga.

He aha ngā raruraru pea o te endometriosis?

Ahakoa kāore te endometriosis e mate, ka taea te puta mai i ngā raruraru maha e pā kino ana ki tō hauora me tō kounga ora. Ko te mārama ki ēnei take pea ka āwhina i a koe ki te mahi tahi me tō rōpū hauora hei aukati, hei whakahaere rānei i a rātou i te huarahi whai hua.

Ko ngā raruraru tino noa ko:

• Te kore e hapu: E pā ana ki te 30-50% o ngā wahine e pangia ana e te endometriosis na te tohu me te mumura e taea te aukati i ngā pūtau fallopian, te āwangawanga rānei i te tuku hua
• Ngā kōpū ovarian: Ngā kōpū kī kī e kīia ana ko ngā endometriomas e taea te pakaru me te puta mai te mamae nui
• Ngā hononga: Te kiko tohu e taea te hono i ngā tūāhuatanga tahi me te puta mai te mamae roa
• Ngā raruraru pūkahukahu, pūpū rānei: Ka pā te kiko endometrial ki ēnei tūāhuatanga, ka puta mai te mamae i te wā e mimi ana, e haere ana te kakau rānei

Ka taea te puta mai ngā raruraru onge engari nui ina pā te endometriosis hohonu e ngāwhawha ana ki ngā tūāhuatanga nui. Ka pā pea te aukati pūkahukahu ki a koe mena ka aukati te tohu nui i ō whekau, ngā raruraru whatukuhu rānei mena ka aukati te endometriosis i ō ureters.

I roto i ngā take onge rawa, ka taea e te kiko endometriosis te huri ki te mate pukupuku, te whānau rānei i te mate pukupuku ovarian. Ka puta tēnei i te iti iho i te 1% o ngā wahine e pangia ana e te endometriosis, inā koa ki te hunga e whai ana i ngā endometriomas ovarian.

Ko te rongo pai ko te taumata wawe me te maimoatanga tika ka taea te āwhina i te aukati i ēnei raruraru maha. Ko te tiaki whai muri auau ka taea ai e tō rōpū hauora te tirotiro i tō āhuatanga me te whakarite i te maimoatanga i te wā e hiahiatia ana.

Me pēhea te aukati i te endometriosis?

Aroha mai, kāore he huarahi tino hei aukati i te endometriosis, no te mea kāore i te tino mārama ki a tātou te take. Heoi, ka taea e koe te tango i ngā mahi ka taea te whakaiti i tō tūponotanga, te āwhina rānei ki te whakahaere i te āhuatanga mena ka whānau koe.

Ko ētahi rautaki pea ka āwhina ko:

• Te pupuri i te taumaha hauora mā te kai tōtika me te whakakori tinana auau
• Te whakaiti i te inu waipiro me te karo i te nui o te caffeine
• Te whakahaere i te ahotea mā ngā tikanga whakamahinga, yoga, whakaaroaro rānei
• Te moe pai hei tautoko i tō pūnaha mate pūkohukohu
• Te karo i te whakamahinga ki ngā matū taiao i te wā e taea ana

Mena he hītori whānau o te endometriosis, ko te noho mataara ki ngā tohu me te rapu i te tiaki hauora wawe ka taea te āwhina i a koe ki te taumata me te maimoatanga wawe. Ka taea e te maimoatanga wawe te aukati i te āhuatanga ki te haere ki ngā wāhanga nui ake.

Ka kite ētahi wahine ko ngā tikanga whakahaere whānau homoni e āwhina ana ki te whakahaere i ngā tohu me te whakaiti i te whānautanga o te endometriosis. Kōrerohia ēnei kōwhiringa ki tō kaiwhakarato hauora hei whakatau i te mea e tika ana mō tō āhuatanga.

Me pēhea te taumata o te endometriosis?

Ko te taumata o te endometriosis ka uaua no te mea ka taupokina ōna tohu ki ētahi atu āhuatanga. Ka tīmata tonu tō tākuta ki te kōrero taipitopito mō ō tohu, te hītori wā, me te papamuri hauora whānau.

Ko te tukanga taumata e whakauru ana i ngā kaupae maha:

1. Te tirotiro tinana: Ka mahi tō tākuta i te tirotiro upoko hei tirotiro i ngā koretake, ngā wāhi ngawari, ngā kōpū rānei
2. Ngā whakamātautau whakaahua: Ka taea e te ultrasound, MRI rānei te āwhina i te taumata i ngā endometriomas me ētahi atu tohu o te endometriosis
3. Laparoscopy: He mahi pokanga iti te whakaiti e taea ai te kite tika i ō tūāhuatanga upoko

Ko te laparoscopy tonu te paerewa koura mō te taumata tika o te endometriosis. I te wā o tēnei mahi, ka hanga e tō taote ngā wahi iti i roto i tō kopu, ka whakauru rānei i te kamera ngawari hei tirotiro tika i ō tūāhuatanga.

Mena ka kitea te kiko endometriosis i te wā o te laparoscopy, ka taea e tō taote te tango tonu, te tango rānei i te tauira iti mō te tātaritanga taiwhanga. Ka whakamanahia tēnei biopsy i te taumata me te āwhina i te whakatau i te huarahi maimoatanga pai.

Ka ngana ētahi tākuta ki te whakahaere i te endometriosis e whakapaetia ana mā ngā rongoā homoni i mua i te tūtohutia te pokanga. Mena ka pai ake ō tohu ki te maimoatanga, ka taea tēnei te tautoko i te taumata ahakoa kāore i te whakamanahia te pokanga.

He aha te maimoatanga mō te endometriosis?

Ko te maimoatanga mō te endometriosis e aro ana ki te whakahaere i tō mamae, te whakaiti i te tipu o te kiko endometrial, te tiaki rānei i tō kaha ki te hapu mena kei te hiahia koe ki te whai tamariki. Ka mahi tahi tō tākuta ki a koe hei hanga i te mahere maimoatanga whaiaro e hāngai ana ki ō tohu, tau, me ngā whāinga whakatōpū whānau.

Ko ngā kōwhiringa maimoatanga e haere ana mai i ngā huarahi māori ki ngā huarahi nui ake:

Te whakahaere mamae: Ka taea e ngā rongoā mamae e hokona ana i waho penei i te ibuprofen, naproxen rānei te āwhina i te whakaiti i te mumura me te mamae. Ka taea e tō tākuta te tuhi i ngā rongoā mamae kaha ake mena e hiahiatia ana.

Ngā maimoatanga homoni: Ko ngā pire whakahaere whānau, ngā paparinga, ngā IUD homoni rānei ka taea te āwhina i te whakahaere i tō huringa wā me te whakaiti i te mamae. Ko ngā GnRH agonists ka hanga wawe i te āhuatanga rite ki te menopause e whakaiti ana i te kiko endometrial.

Ngā kōwhiringa pokanga: Ka taea e te pokanga laparoscopic te tango i ngā whakato endometrial me te kiko tohu i te wā e tiaki ana i ō tūāhuatanga. I roto i ngā take nui, ka whakaarohia te hysterectomy me te tango i ngā ovaries hei whakautu whakamutunga.

Mō ngā wahine e ngana ana ki te hapu, ka tūtohuhia ngā maimoatanga whānau penei i te whakaohooho hua, IVF rānei me te maimoatanga endometriosis.

Ko ngā maimoatanga hou kei te rangahau ko te immunotherapy me ngā rongoā e taumata ana e aukati ana i ngā ara motuhake e uru ana ki te whānautanga endometriosis. Ka taea te wātea mai ēnei kōwhiringa i te wā kei te heke mai.

Me pēhea te whakahaere i te endometriosis i te kāinga?

Ahakoa he mea nui te maimoatanga hauora, he maha ngā rongoā kāinga me ngā huringa noho ora ka taea te āwhina i a koe ki te whakahaere i ngā tohu endometriosis me te whakapai ake i tō oranga katoa. Ka pai te mahi o ēnei huarahi ina whakauruhia ki te tiaki hauora ngaio.

Ko ngā rautaki whakahaere kāinga whai hua ko:

• Te maimoatanga wera: Ka taea e ngā paparinga wera, ngā kaukau wera, ngā pounamu wai wera rānei te āwhina i te whakamahinga i ngā uaua upoko me te whakaiti i te mamae
• Te whakakori tinana auau: Ko ngā mahi ngawari penei i te hikoi, te kaukau, yoga rānei ka taea te whakaiti i te mamae me te whakapai ake i te ngākau mā te tuku endorphin.
• Te whakahaere ahotea: Ko te whakaaroaro, ngā mahi manawa hohonu, te tohutohu rānei ka taea te āwhina i a koe ki te whakahaere i te mamae roa
• Ngā whakarerekētanga kai: Ka kite ētahi wahine i te whakaora mā te whakaiti i ngā kai mumura me te piki ake i ngā ngako momona-3
• Te moe pai: Ko te pupuri i te moe pai ka āwhina i tō tinana ki te whakahaere i te mamae me te mumura i te huarahi whai hua

Whakaarohia te pupuri i te puka tohu hei aroturuki i ō taumata mamae, huringa wā, me ngā mahi. Ka taea e tēnei mōhiohio te āwhina i a koe ki te taumata i ngā mea whakaohooho me ngā tauira i te wā e homai ana ngā mōhiohio whai hua mō tō rōpū hauora.

Ko te whakauru ki ngā rōpū tautoko, i te tangata rānei, i te ipurangi rānei, ka taea te homai te tautoko ngākau me ngā tohutohu mahi mai i ētahi atu wahine e whakahaere ana i te endometriosis. Kia mahara ko te mea e mahi ana mō tētahi kaore pea e mahi ana mō tētahi atu, na kia manawanui i te wā e kimi ana koe i tō huinga pai o ngā rautaki.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui e āwhina ana ki te whakarite ka whiwhi koe i te nuinga mai i tō wā ki tō kaiwhakarato hauora. Ko te whakarite pai ka ārahi ki te whakawhitiwhiti pai ake me te mahere maimoatanga whai hua ake.

I mua i tō hui, kohikohia ngā mōhiohio nui:

• Tuhia katoa ō tohu, tae atu ki te wā e puta mai ana me te kaha o rātou
• Aroturukihia tō huringa wā mo te rua marama, te tohu i ngā taumata mamae me ngā tauira toto
• Rārangihia ngā rongoā, ngā taapiri, me ngā maimoatanga katoa kua whakamātauhia e koe
• Whakaritehia ngā pātai mō te taumata, ngā kōwhiringa maimoatanga, me ngā whakarerekētanga noho ora
• Kawea mai tētahi hoa whakawhirinaki, whānau rānei hei tautoko me te āwhina ki te mahara ki ngā mōhiohio nui

Kaua e whakaiti i ō tohu, kaua e tono murua mō tō mamae. Kia pono ki te āwangawanga o te endometriosis i tō oranga o ia rā, mahi, hononga, me te hauora hinengaro.

Whakaarohia te ui i ngā pātai motuhake penei i: “He aha ō kōwhiringa maimoatanga?” “Me pēhea te pānga o tēnei ki tō kaha ki te hapu?” “He aha ka taea e au te mahi i te kāinga hei whakahaere i ngā tohu?” me “Nō hea ahau e whai muri ai ki a koe?”

Mena kei te kite koe i tētahi tākuta hou, tonohia ngā kōpe o ō rēkōta hauora mai i ngā kaiwhakarato o mua. Ka āwhina tēnei i tō rōpū hauora hou ki te mārama ki tō hītori me te karo i te whakamahinga anō i ngā whakamātautau kāore e hiahiatia.

He aha te mea nui mō te endometriosis?

He āhuatanga whakahaere te endometriosis, ahakoa ka taea te pā kino ki tō oranga. Ko te mea nui rawa hei mahara ko tō mamae he pono, he tika, ā, he maimoatanga whai hua kei te wātea hei āwhina i a koe ki te pai ake.

Ko te taumata wawe me te maimoatanga ka taea te aukati i ngā raruraru me te whakapai ake i tō kounga ora. Kaua e tukua e tetahi te whakakahore i ō tohu hei mamae wā “noa” – e mohio ana koe ki tō tinana pai rawa atu, ā, ko te mamae roa o te upoko e tika ana ki te tiaki hauora.

Me te rōpū hauora tika me te mahere maimoatanga, ka taea e te nuinga o ngā wahine e pangia ana e te endometriosis te whakahaere i ō rātou tohu i te huarahi whai hua. He tokomaha te hapu angitu me te pupuri i ngā oranga mahi, whai hua.

Kia mahara ko te whakahaere i te endometriosis he haerenga e hiahia ana ki te manawanui me te mau tonu. Kia atawhai ki a koe, tautokohia ō hiahia, kaua hoki e whakaroa te rapu tautoko mai i ngā kaiwhakarato hauora, whānau, hoa, rōpū tautoko rānei.

Ngā pātai uiui noa mō te endometriosis

Ka taea te ngaro ake te endometriosis i a ia ano?

Ka onge te mutu katoa o te endometriosis kaore he maimoatanga. Heoi, ka taea te pai ake ngā tohu i te wā o te haputanga, i muri rānei i te menopause ina he iti rawa ngā taumata estrogen. Ko te nuinga o ngā wahine e hiahia ana ki te whakahaere tonu hei whakahaere i ngā tohu me te aukati i te haere tonu o te āhuatanga.

Ka puta tonu te kore e hapu i te endometriosis?

Kāore, kāore te endometriosis e puta tonu te kore e hapu. Ahakoa ka taea te uaua ake te whānautanga, he maha ngā wahine e pangia ana e te endometriosis ka taea te hapu i te āhua noa, i ngā maimoatanga whānau rānei. E tata ana ki te 60-70% o ngā wahine e pangia ana e te endometriosis ngawari ki te waenga ka taea te whānau kaore he awhina.

He mate pukupuku te endometriosis?

Kāore te endometriosis he mate pukupuku, ahakoa ka tohatohahia ētahi āhuatanga penei i te tipu kiko i waho o ngā rohe noa. Ahakoa he iti te piki ake o te tūponotanga o ētahi mate pukupuku, inā koa te mate pukupuku ovarian, ko te nuinga o ngā wahine e pangia ana e te endometriosis kāore e whānau mate pukupuku.

Ka taea e ngā taitamariki te whiwhi endometriosis?

Ae, ka taea e te endometriosis te pā ki ngā taitamariki, ahakoa kaore i te taumatahia i roto i tēnei rōpū tau. Ko te mamae o te wā nui e āwangawanga ana i te kura, i ngā mahi rānei me tirotirohia e te kaiwhakarato hauora, no te mea ka taea e te maimoatanga wawe te aukati i te haere tonu me te whakapai ake i te kounga ora.

Ka whakaora te whai i te pepe i to endometriosis?

Kāore te haputanga e whakaora i te endometriosis, ahakoa he maha ngā wahine e pā ana te whakaora tohu i te wā o te haputanga na te huringa homoni. Ka hoki mai ngā tohu i muri i te whānau me te whāngai u, ahakoa ko ētahi wahine e pūrongo ana i te whakapai ake mo te wā roa. Ka rerekē te wheako o ia tangata.