Adenomyosis

Adenomyosis (ad-uh-no-my-O-sis) inoitika kana tishu inowanzovhara chibereko (endometrial tissue) ikakura mukati memadziro echibero. Tishu yakafambiswa inoramba ichishanda zvakajairika - kuita kurefu, kuputsika uye kubuda ropa - panguva yega yega yemwedzi. Chibereko chikuru uye marwadzo, nguva dzakawanda dzekuenda kumwedzi zvinogona kuitika.\n\nVanachiremba havazivi chikonzero cheadenomyosis, asi chirwere ichi chinowanzoporesa mushure memenopause. Kune vakadzi vane kusagadzikana kwakanyanya kubva kuadenomyosis, kurapwa kwehomoni kunogona kubatsira. Kubviswa kwechibereko (hysterectomy) kunorapisa adenomyosis.

Dzimwe nguva, adenomyosis haina zviratidzo kana zvimwe zvirwere kana kusagadzikana kushoma chete. Zvisinei, adenomyosis inogona kukonzera:

• Kubuda ropa kwakanyanya kana kwenguva refu panguva yemwedzi
• Kurwadziwa kwakasimba kana kurwadziwa kwakapinza, kwakaita senhanga mudumbu panguva yemwedzi (dysmenorrhea)
• Kurwadziwa kwenguva refu mudumbu
• Bonde rinorwadza (dyspareunia)

Uterasi yako inogona kukura. Kunyange zvazvo ungasaziva kana uterasi yako yakakura, unogona kuona kusagadzikana kana kumanikidzwa mudumbu rako riri pasi.

Kana uine kuyerera kwenguva refu, kwakakura ropa kana kurwadziwa kwakasimba mudumbu panguva yemwedzi wako kunokanganisa mabasa ako emazuva ose, gara uchiona chiremba wako.

Chikonzero che adenomyosis hachizivikanwi. Kwave nemiedzo yakawanda, kusanganisira:

• Kukura kwe tishu inopinda mukati. Vamwe nyanzvi vanotenda kuti masero e endometrial kubva pakuputira kwe chisu anopinda mumasumbu anoita madziro echisu. Kucheka kwechisu kunoitika pakuvhiya senge cesarean section (C-section) kunogona kukurudzira kupinda zvakananga kwemasero e endometrial mudziro yechisu.
• Kwakabva kukura. Vamwe nyanzvi vanofungidzira kuti tishu ye endometrial inoiswa mumasumbu echisu apo chisu chinoumbwa kekutanga mumuviri wemwana asati aberekwa.
• Kutemwa kwechisu kunobatanidzwa nekuzvara. Imwe pfungwa inoratidza hukama pakati pe adenomyosis nekuzvara. Kutemwa kwechisu panguva yekuzvara kunogona kukonzera kuputsika kwemuganhu wakajairwa wemasero anoputira chisu.
• Kwakabva masero e stem. Imwe pfungwa ichangobva kuuya inoratidza kuti masero e stem e bone marrow anogona kupinda mumasumbu echisu, zvichikonzera adenomyosis.

Pasinei nokuti adenomyosis inokura sei, kukura kwayo kunoenderana ne estrogen iri mumuviri.

Zvinokonzera adenomyosis zvinosanganisira:

• Kuongororwa pamuviri kare, sekutsemura, kubvisa fibroids, kana dilatation ne curettage (D&C)
• Kubereka mwana
• Makore epakati

Kazhinji kazhinji adenomyosis — iyo inotsamira pa estrogen — inowanikwa muvakadzi vane makore makumi mana nemakumi mashanu. Adenomyosis muvakadzi ava inogona kusanganiswa nekushandiswa kwenguva refu kwe estrogen kana ichienzaniswa nevakadzi vaduku. Zvisinei, tsvakurudzo iripo inoratidza kuti mamiriro acho anogona kuwanikwawo muvakadzi vaduku.

Kana uine ropa rakawanda kwenguva refu panguva yemwedzi wako, unogona kuve neanemia yemazuva ese, iyo inokonzera kuneta nematambudziko mamwe ehutano. Kunyange hazvo zvisingakuvadzi, kurwadziwa neropa rakawanda zvinobatanidzwa neadenomyosis zvinogona kukanganisa mararamiro ako. Ungadzivisa mabasa awakafarira kare nekuti uri kurwadziwa kana kuti unonetseka kuti ungatanga kubuda ropa.

Zvimwe zvirwere zvechibereko zvinogona kukonzera zviratidzo nezvikonzero zvakafanana nezve adenomyosis, zvichiita kuti adenomyosis ive yakaoma kuona. Aya mamiriro anosanganisira fibroid tumors (leiomyomas), masero echibereko akakura kunze kwechibereko (endometriosis) uye kukura mukati memukati mechibereko (endometrial polyps).

Chiremba wenyu angangopedzisa kuti mune adenomyosis mushure mekubvisa zvimwe zvinokonzera zviratidzo zvenyu nezvikonzero.

Chiremba wenyu angave achizviona adenomyosis zvichienderana ne:

Panguva dzimwe, chiremba wenyu angangotora sampuli yekukura kwechibereko kuti aongorore (endometrial biopsy) kuve nechokwadi chekuti hauna chirwere chakakomba. Asi endometrial biopsy haizobatsiri chiremba wenyu kusimbisa chirwere che adenomyosis.

Kuongororwa kwe pelvic senge ultrasound uye Magnetic resonance imaging (MRI) zvinogona kuona zviratidzo zve adenomyosis, asi nzira chete yekusimbisa ndeyekutarisa chibereko mushure mehysterectomy.

• Zviratidzo nezvikonzero
• Kuongororwa kwe pelvic kunoratidza chibereko chakakura, chine marwadzo
• Ultrasound imaging yechibereko
• Magnetic resonance imaging (MRI) yechibereko

Adenomyosis kazowanzonyangarika mushure mekuenda kumwedzi, saka kurapwa kunogona kuenderana nekuti uri pedyo sei nechikamu ichocho chehupenyu. Nzira dzekurapa adenomyosis dzinosanganisira:

• Mishonga inorwisa kuzvimba. Chiremba wenyu angakurudzira mishonga inorwisa kuzvimba, yakadai se ibuprofen (Advil, Motrin IB, nezvimwewo), kudzora kurwadziwa. Nekutanga mushonga unorwisa kuzvimba zuva rimwe kana maviri usati watanga kuenda kumwedzi uye uchitora panguva yekuenda kwako kumwedzi, unogona kuderedza ropa remunhu uye kubatsira kuderedza kurwadziwa.
• Mishonga yehomoni. Mapiritsi ekubereka ane estrogen-progestin kana mapepa ane homoni kana zvidzitiro zvevagina zvinogona kuderedza ropa rakawanda nekukuvadza kunobatanidzwa ne adenomyosis. Contraception yeProgestin-chete, yakadai sedhijitari ye intrauterine, kana mapiritsi ekubereka anoshandiswa nguva dzose kazhinji anokonzera amenorrhea - kusavapo kwemwedzi wako - izvo zvinogona kupa zororo.
• Hysterectomy. Kana kurwadziwa kwako kuri kukuru uye hapana kurapwa kwakashanda, chiremba wenyu angakurudzira kuvhiya kubvisa nhumbu yako. Kubvisa maovari ako hakuna kudikanwa kudzora adenomyosis.