Chii chinonzi Adenomyosis? Zviratidzo, Zvinokonzera, & Kurapa

Adenomyosis chirwere umo tishu inowanzovhara nhengo yako yekubereka inokura mukati memadziro enhengo yako yekubereka. Funga nezvazvo sekuti lining yenhengo yako yekubereka yakasarudza kukura munzvimbo dzisingafanirwe kuvapo.

Chirwere ichi chinotapura vakadzi vazhinji, kunyanya avo vari mumakore avo makumi matatu nemakumi mana. Kunyange zvazvo chinogona kukonzera zviratidzo zvisingafadzi, zvakakosha kuziva kuti adenomyosis haina njodzi, zvinoreva kuti haisi kenza uye haizopararira kune dzimwe nhengo dzemuviri wako.

Ndeapi zviratidzo zve adenomyosis?

Chiratidzo chinonyanya kuzivikanwa che adenomyosis ndiro ropa rakawanda, rinogara kwenguva refu panguva yemwedzi, rakasimba kupfuura nguva dzako dzenguva dzose. Ungacherechedza kuti nguva dzako dzinogara kwenguva yakareba kupfuura mazuva manomwe kana uchida kuchinja mapads kana tampons awa imwe neimwe.

Vakadzi vazhinji vane adenomyosis vanosangana nezviratidzo zvinotevera, izvo zvinogona kubva pakaderera kusvika pakakomba:

• Marwadzo makuru emwedzi anowedzera nekufamba kwenguva
• Kuyerera kwakawanda kweropa panguva yemwedzi ine clots
• Kuyerera kweropa pakati penguva dzemwedzi
• Nguva dzemwedzi dzakareba kupfuura mazuva manomwe
• Kumanikidzwa mudumbu nekuzvimba
• Marwadzo panguva yekubata
• Nhengo yekubereka inorwadza, yakakura

Vakadzi vamwe vanosanganawo nezviratidzo zvisingawanzoitika senge marwadzo panguva yekubuda matumbo, marwadzo asingaperi mudumbu anogara pakati penguva dzemwedzi, kana kuneta nekuda kweropa rakawanda. Kuomarara kwezviratidzo hakusi nguva dzose kunowirirana nehuwandu hwechirwere, saka kunyange adenomyosis yakaderera inogona dzimwe nguva kukonzera kusagadzikana kukuru.

Chii chinokonzera adenomyosis?

Chikonzero chaicho che adenomyosis hachizivisike zvizere, asi vatsvakurudzi vanotenda kuti chinoitika kana chidziviriro pakati pe lining yenhengo yako yekubereka nemadziro emhasuru chikaoma kana kushaya simba. Izvi zvinoita kuti tishu ye endometrial ikure kwaisingafanirwe.

Zvinhu zvakati wandei zvinogona kuita kuti chirwere ichi chibude:

• Kuoperezwa kwe nhengo yekubereka kare senge C-sections kana kubviswa kwe fibroids
• Kubereka mwana, izvo zvinogona kukonzera kucheka duku mudziro yenhengo yekubereka
• Kuchinja kwemahomoni, kunyanya mazinga e estrogen
• Kutemwa mudumbu nekuda kwezvikonzero zvakasiyana-siyana
• Kuchinja kwezvinhu zvenhengo yekubereka zvine chekuita nezera

Vakadzi vamwe vangave vane chirwere chekuzvarwa chekuita adenomyosis, kunyange zvazvo hukama uhu huchiri kudzidzwa. Chirwere ichi chinowanzoitika zvishoma nezvishoma nekufamba kwenguva panzvimbo pekubuda kamwe kamwe.

Ndeapi njodzi dze adenomyosis?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuita adenomyosis, kunyange zvazvo kuva nezvinhu izvi zvenjodzi hazvirevi kuti uchave nechirwere ichi. Zera ndiro chinhu chinonyanya kukosha, nemazhinji acho achiitika muvakadzi vari pakati pemakore makumi matatu nemashanu kusvika makumi mashanu.

Zvinhu zvinowanzoitika zvenjodzi zvinosanganisira:

• Kuva mumakore ako makumi matatu nemasere kusvika makumi mashanu ekutanga
• Kuva wakambobereka vana
• Kuoperezwa kwe nhengo yekubereka kare kana maitiro
• Nhoroondo ye endometriosis
• Nguva dzemwedzi pfupi (dzisina mazuva makumi maviri nemana)
• Kutanga kwenguva yemwedzi pakutanga

Zvinhu zvisingawanzoitika zvenjodzi zvinosanganisira kuva ne mimba yakawanda, kusangana nematambudziko emimba, kana kuva nemamwe marudzi ezvirwere. Zvinonakidza, zviratidzo zve adenomyosis zvinowanzovandudzika mushure memenopause kana mazinga e estrogen adonha zvakanyanya.

Rini unofanira kuona chiremba nekuda kwe adenomyosis?

Unofanira kuronga kusangana nachiremba wako kana nguva dzako dzemwedzi dzava dzakawanda, dzakareba, kana dzine marwadzo kupfuura zvakajairwa. Usamirire kana kuchinja uku kuchikanganisa hupenyu hwako hwezuva nezuva kana kukonzera kuti usapinde pabasa kana mabasa.

Tsvaga rubatsiro rwekurapa nekukurumidza kana ukasangana ne:

• Kuinyorova pad kana tampon awa imwe neimwe kwemaawa akawanda
• Nguva dzemwedzi dzakareba kupfuura mazuva manomwe
• Marwadzo makuru mudumbu anokanganisa mabasa ezuva nezuva
• Kuyerera kweropa pakati penguva dzemwedzi
• Zviratidzo zveanemia senge kuneta, dizziness, kana kufema kushoma

Fonera chiremba wako nekukurumidza kana ukasangana nemarwadzo akasimba, akasimba mudumbu, kuyerera kweropa kukuru kuchasazomira, kana zviratidzo zveanemia yakakomba senge kurwadziwa pachipfuva kana kuoma kufema. Zviratidzo izvi, kunyange zvisingawanzoitika, zvinoda kuongororwa nekukurumidza kwakanyanya.

Ndeapi matambudziko anogona kuitika e adenomyosis?

Kunyangwe adenomyosis pachayo isiri njodzi yehupenyu, inogona kukonzera matambudziko akawanda anokanganisa hupenyu hwako uye hutano hwese. Chinetso chinonyanya kuitika ndicho iron-deficiency anemia kubva pakurasika kweropa kwenguva refu.

Matambudziko anogona kuitika anosanganisira:

• Iron-deficiency anemia kubva pakurasika kweropa
• Kuneta kwenguva refu nekushaya simba
• Kukanganisa kubereka (kunyange zvazvo mimba ichiri kuitika)
• Kukanganisa hukama hwepabonde nekuda kwekubata kunorwadza
• Migumisiro yemanzwiro senge kuora mwoyo kana kunetseka kubva kune marwadzo asingaperi
• Kurara kusina kunaka nekuda kweropa rakawanda nemarwadzo

Matambudziko asingawanzoitika anogona kusanganisira anemia yakakomba inoda kuiswa ropa kana kupinda muchipatara nekuda kweropa risingadzoreki. Vakadzi vamwe vangasangana nematambudziko emimba kana vakaita adenomyosis, kunyange vazhinji vachiri kuva nemimba dzakabudirira nekurapa kwakakodzera.

Adenomyosis inozwiwa sei?

Kuziva adenomyosis kunowanzo tanga nachiremba wako achikurukura nezviratidzo zvako nenhoroondo yako yekurapa, zvichiteverwa nekuongororwa kwenhengo yekubereka. Chiremba wako achaona nhengo yekubereka yakakura, inorwadza panguva yekuongororwa.

Kuongorora kwakati wandei kunogona kubatsira kusimbisa kuongororwa:

• Transvaginal ultrasound kuongorora chimiro chenhengo yekubereka
• MRI ye mifananidzo yakadzama yetishu dzenhengo yekubereka
• Kuongorora ropa kuongorora anemia kana kubvisa mamwe marudzi ezvirwere
• Endometrial biopsy kuongorora tishu ye lining yenhengo yekubereka

Dzimwe nguva chiremba wako angakurudzira kuongorora kwakawedzerwa senge hysterosonography, umo mvura inoiswa munhengo yekubereka panguva ye ultrasound kuti kuoneke zvakanaka. Muzviitiko zvisingawanzoitika apo mamwe marudzi ezvirwere anoda kubviswa, diagnostic laparoscopy inogona kukurudzirwa, kunyange zvazvo izvi zvisingawanzoitiki kune adenomyosis chete.

Kurapa kwe adenomyosis ndekupi?

Kurapa kwe adenomyosis kunoenderana nekuomarara kwezviratidzo zvako, zera rako, uye kana uchida kuchengetedza kubereka kwako. Vakadzi vazhinji vanowana zororo nekurapa kwakapfava, nepo vamwe vachida kurapwa kwakanyanya.

Sarudzo dzekurapa dzisingaiti operezheni dzinosanganisira:

• Nonsteroidal anti-inflammatory drugs (NSAIDs) yekudzikisa marwadzo
• Hormonal birth control kudzora kuyerera kweropa
• Hormonal IUD kuderedza kuyerera kweropa kwemwedzi
• GnRH agonists kumisa nguva dzemwedzi kwenguva pfupi
• Tranexamic acid kuderedza kuyerera kweropa kwakawanda

Kune zviitiko zvakakomba zvisingapindure kumishonga, sarudzo dzekuoperezwa dzinogona kufungwa. Izvi zvinosanganisira endometrial ablation kuparadza lining yenhengo yekubereka, uterine artery embolization kuderedza kuyerera kweropa, kana hysterectomy yekurapa kwakakwana kana kuchengetedza kubereka kwasingakosha.

Nzira yekutarisira adenomyosis pamba?

Nzira dzekutarisira pamba dzinogona kubatsira zvikuru kuderedza zviratidzo zvako uye kuvandudza hupenyu hwako pamwe chete nekurapa kwakakodzera. Kurapa nekushisa kunowanzobudirira zvikuru pakutarisira marwadzo mudumbu nekutambudzika.

Mishonga yepamba inobatsira inosanganisira:

• Kushandisa heating pads kana kugeza nemvura inodziya kuderedza marwadzo
• Kuita maekisesaizi akapfava senge kufamba kana yoga kuderedza kutambudzika
• Kudya zvokudya zvine iron kudzivirira anemia
• Kuzorora zvakakwana, kunyanya panguva yemwedzi
• Kutarisira kushushikana kuburikidza nekuzvivaraidza kana nzira dzekuzorora
• Kutevera zviratidzo zvako kuziva maitiro

Vakadzi vamwe vanowana zororo kuburikidza nekuchinja zvekudya senge kuderedza caffeine ne doro, nepo vamwe vachibatsirwa nezvinowedzerwa senge magnesium kana omega-3 fatty acids. Zvisinei, gara uchikurukura nezvinowedzerwa nachiremba wako usati watanga kuzvitora, kunyanya kana uri kutora mishonga yakawanda.

Unofanira kugadzirira sei kusangana kwako nachiremba?

Kugadzirira kusangana kwako kuchakubatsira kuti uwane zvakanyanya kubva pakushanya kwako uye kuve nechokwadi chekuti chiremba wako ane ruzivo rwose rwaunoda kuti akubatsire. Tanga nekutevera nguva dzako dzemwedzi nezviratidzo kwemwedzi miviri usati wasangana nachiremba.

Uye uunze ruzivo urwu:

• Nhoroondo yakadzama yenguva dzemwedzi kusanganisira kureba kwenhoroondo nekuyerera kwakasimba
• Ruzivo rwemishonga iri kushandiswa nezvinowedzerwa
• Nhoroondo yemhuri yezvirwere zvevakadzi
• Mibvunzo nezve sarudzo dzekurapa nemigumisiro yadzo
• Zvinyorwa zvepurapa zvekare zvine chekuita nezvirwere zvevakadzi

Nyora mienzaniso chaiyo yekuti zviratidzo zvinokanganisa sei hupenyu hwako hwezuva nezuva, basa, kana hukama. Usanyara kukurukura zvakadzama, sezvo ruzivo urwu ruchikosha pakuzwiwa kwakakodzera nekugadzirisa.

Chii chinonyanya kukosha nezve adenomyosis?

Adenomyosis chirwere chinogona kutarisirwa chinotapura vakadzi vazhinji, uye haufanirwe kutambura zvakavanzika nemarwadzo, nguva dzemwedzi dzine ropa rakawanda. Kunyange zvazvo zvingakanganisa hupenyu hwako zvikuru, nzira dzakawanda dzinoshanda dzekurapa dziripo kuti dzikubatsire kunzwa zviri nani.

Chinhu chakakosha chokurangarira ndechekuti kuziva nekurapa pakutanga kunogona kudzivirira matambudziko uye kuvandudza zviratidzo zvako zvikuru. Chiitiko cheumwe neumwe mukadzi ne adenomyosis chakasiyana, saka kushanda pedyo nachiremba wako kuti uwane nzira yakakodzera yekurapa mamiriro ako chaiwo zvakakosha.

Nekurapa kwakakodzera uye nzira dzekutarisira pachako, vakadzi vazhinji vane adenomyosis vanogona kuchengetedza hupenyu hunoshanda, hunofadza. Usanetseka kutsvaga rubatsiro kana uri kusangana nezviratidzo, sezvo zororo rinoshanda riripo.

Mibvunzo inowanzo bvunzwa nezve adenomyosis

Adenomyosis inogona kukanganisa kubereka here?

Adenomyosis inogona kuita kuti zvive zvakaoma kubata pamuviri uye inogona kuwedzera njodzi yekurasikirwa nemimba, asi vakadzi vazhinji vane chirwere ichi vachiri kuva nemimba dzakabudirira. Chirwere ichi chinogona kukanganisa kuiswa kwembeu uye chinogona kukonzera matambudziko panguva yemimba, asi nekurapa kwakakodzera, vakadzi vazhinji vanobereka vana vane hutano. Kana uri kuedza kubata pamuviri uye une adenomyosis, shanda pedyo nachiremba wako kuti uwedzere mukana wako wekubata pamuviri kwakabudirira.

Adenomyosis inopera here mushure memenopause?

Hongu, zviratidzo zve adenomyosis zvinowanzovandudzika zvikuru mushure memenopause kana mazinga e estrogen adonha. Sezvo estrogen ichikurudzira kukura kwetishu ye endometrial, mazinga ehomoni akaderera mushure memenopause anoita kuti tishu yakanganisika ishore uye isashande zvakanyanya. Vakadzi vazhinji vanowana zviratidzo zvavo zvichipera zvachose mukati memakore mashoma mushure memenopause, kunyange kuchinja kwemuviri kunhengo yekubereka kungaramba kuripo.

Adenomyosis yakafanana ne endometriosis here?

Kwete, kunyange zvese zviri zviviri zvirwere zvinosanganisira tishu ye endometrial kukura kwaisingafanirwe, zviri zvirwere zvakasiyana. Mu adenomyosis, tishu inokura mukati memadziro emhasuru yenhengo yekubereka, nepo mu endometriosis, inokura kunze kwenhengo yekubereka zvachose. Zvisinei, anenge 15-20% evakadzi vane zvirwere zviviri panguva imwe chete, uye zvinogona kugovana zviratidzo zvakafanana senge nguva dzemwedzi dzine marwadzo nekuyerera kweropa kwakawanda.

Adenomyosis inogona kukonzera kuwedzera uremu here?

Adenomyosis pachayo haikonzere kuwedzera uremu zvakananga, asi inogona kuita kuti uve nekuzvimba nekuzvimba mudumbu izvo zvingaita kuti unzwe wakarema kana kuita kuti nguo dzisafanirwe. Vakadzi vamwe vangawedzera uremu nekuda kwekuneta kubva pakurasika kweropa kwakawanda kuchideredza mazinga avo ekushanda, kana kubva pakurapa kwemahomoni kunoshandiswa kutarisira chirwere ichi. Nhengo yekubereka yakakura inogona zvakare kuita kuti unzwe wakazara kana kuzvimba mudumbu rako.

Zviratidzo zve adenomyosis zvinobude nekukurumidza sei?

Zviratidzo zve adenomyosis zvinowanzoitika zvishoma nezvishoma mukati memwedzi kana makore panzvimbo pekubuda kamwe kamwe. Vakadzi vazhinji vanonzwa nguva dzavo dzemwedzi dzichiwedzera uye dzine marwadzo nekufamba kwenguva. Kuenderera mberi kwakapfava kunoreva kuti zviratidzo zvinogona kuregererwa sekuchinja kwenguva dzose kwenguva dzemwedzi pakutanga, ndosaka vakadzi vazhinji vasingazwisisiki kusvika zviratidzo zvave zvakakomba zvakakwana kuti zvikanganise hupenyu hwavo hwezuva nezuva.