Ciwon mara

Endometriosis na faruwa ne yayin da kwayoyin halitta daga rufin mahaifar ku (mahaifa) suka girma a wasu sassan jikin ku. Wannan na iya haifar da ciwo, zub da jini mai nauyi, zub da jini tsakanin lokuta, da matsalolin yin ciki (rashin haihuwa).

Kowane wata, kwayayen mace na samar da sinadarin homon wanda ke gaya wa kwayayen da ke rufin mahaifa su kumbura kuma su yi kauri. Mahaifarka tana zubar da waɗannan ƙwayoyin tare da jini da nama ta cikin farjinka lokacin da kake al'ada.

Endometriosis yana faruwa yayin da waɗannan ƙwayoyin suke girma a waje da mahaifar a wasu sassan jikinku. Wannan kyallen takarda na iya makala a jikinka:

• Ovaries
• Fallopian shambura
• Hanji
• Mahaifa
• Mafitsara
• Rufi na yankin ƙashin ƙugu

Zai iya girma a wasu yankuna na jiki, suma.

Wadannan ci gaban suna zama a jikinka, kuma kamar kwayoyin dake jikin rufin mahaifar ka, wadannan ci gaban suna yin tasiri game da homonon daga kwayayen ka. Wannan na iya haifar muku da ciwo a watan kafin farkon lokacinku. Yawancin lokaci, haɓakar na iya ƙara ƙarin nama da jini. Hakanan haɓakawa na iya haɓaka a ciki da ƙashin ƙugu wanda ke haifar da ciwo mai zafi na yau da kullun, hawan keke mai nauyi, da rashin haihuwa.

Babu wanda ya san abin da ke haifar da endometriosis. Ideaaya daga cikin ra'ayoyi shine lokacin da ka sami lokacinka, ƙwayoyin zasu iya yin tafiya ta baya ta cikin bututun fallopian zuwa ƙashin ƙugu. Da zaran can, ƙwayoyin suna haɗuwa kuma suna girma. Koyaya, wannan gudanawar baya yana faruwa a cikin mata da yawa. Tsarin na rigakafi na iya taka rawa wajen haifar da endometriosis ga mata masu yanayin.

Endometriosis gama gari ne. Yana faruwa kusan 10% na mata masu haihuwa. Wani lokaci, yana iya gudana cikin iyalai. Endometriosis yana farawa ne lokacin da mace ta fara al'ada. Koyaya, yawanci ba a gano shi har sai shekaru 25 zuwa 35.

Zai yuwu ku kamu da cututtukan endometriosis idan kun:

• Yi uwa ko 'yar'uwa mai fama da cutar rashin lafiya
• Fara lokacinka tun yana ƙarami
• Ba a taɓa samun yara ba
• Yi lokuta masu yawa, ko su wuce 7 ko fiye da kwanaki

Jin zafi shine babban alamar cututtukan endometriosis. Kuna iya samun:

• Lokaci mai zafi - Ciwon ciki ko ciwo a cikin ciki na iya farawa sati ɗaya ko biyu kafin lokacinka. Cramps na iya zama tsayayye kuma ya kasance daga maras ban sha'awa zuwa mai tsanani.
• Jin zafi yayin ko bayan yin jima'i.
• Jin zafi tare da fitsari.
• Jin zafi tare da motsawar hanji.
• Ciwon mara na tsawon lokaci ko ƙananan ciwon baya wanda na iya faruwa a kowane lokaci kuma ya ɗauki tsawon watanni 6 ko fiye.

Sauran cututtukan cututtukan endometriosis sun hada da:

• Zuban jinin haila mai yawa ko zubar jini tsakanin lokuta
• Rashin haihuwa (wahalar samun ko zama ciki)

Kila ba ku da alamun bayyanar. Wasu matan da ke da nama da yawa a ƙashin ƙugu ba su da wani ciwo ko kaɗan, yayin da wasu matan da ke da cutar mafi sauƙi suna da ciwo mai tsanani.

Mai ba da lafiyar ku zai yi gwajin jiki, gami da gwajin kwalliya. Kuna iya samun ɗayan waɗannan gwaje-gwajen don taimakawa wajen gano cutar:

• Transvaginal duban dan tayi
• Pelvic laparoscopy
• Hanyoyin fuska ta maganadisu (MRI)

Koyon yadda ake sarrafa alamominku na iya sauƙaƙa rayuwa tare da endometriosis.

Wani irin magani kuke da shi ya dogara da:

• Shekarunka
• Tsananin cututtukanku
• Tsananin cutar
• Ko kana son yara a nan gaba

A halin yanzu ba a sami magani na endometriosis. Akwai zaɓuɓɓukan magani daban-daban.

MAGANGANUN MUTANE

Idan kuna da alamun rashin ƙarfi, ƙila za ku iya sarrafa ƙyallen ciki da zafi tare da:

• Motsa jiki da kuma dabarun shakatawa.
• Magungunan rage zafi mai saurin wuce gona da iri - Waɗannan sun haɗa da ibuprofen (Advil), naproxen (Aleve), da acetaminophen (Tylenol).
• Maganin kashe zafin magani, idan an buƙata, don ƙarin ciwo mai tsanani.
• Nazarin yau da kullun kowane watanni 6 zuwa 12 don likitan ku iya tantance cutar.

AMFANIN HORA

Wadannan magunguna na iya dakatar da cututtukan endometriosis daga yin muni. Ana iya ba su a matsayin ƙwayoyi, fesa hanci, ko harbi. Mata kawai waɗanda ba sa ƙoƙarin yin ciki ya kamata su sami wannan maganin. Wasu nau'ikan maganin hormone zasu hana ku yin ciki yayin shan magani.

Magungunan hana haihuwa - Tare da wannan maganin, kuna shan kwayoyin hormone (ba kwayoyi marasa aiki ba ko na placebo) na tsawon watanni 6 zuwa 9 gaba. Shan wadannan kwayoyi na saukaka mafi yawan bayyanar cututtuka. Koyaya, baya magance duk wata ɓarnar da ta riga ta faru.

Magungunan Progesterone, allurai, IUD - Wannan maganin yana taimaka wajan rage girma. Hanyoyi masu illa na iya haɗawa da karɓar nauyi da baƙin ciki.

Magungunan Gonadotropin-agonist - Wadannan magunguna suna dakatar da kwayayen ku daga samar da estrogen. Wannan yana haifar da yanayi mai kama da haila. Hanyoyi masu illa sun haɗa da walƙiya mai zafi, bushewar farji, da canjin yanayi. Magunguna galibi ana iyakancewa da watanni 6 saboda yana iya raunana kashinku. Mai ba ku sabis na iya ba ku ƙananan ƙwayoyin hormone don taimakawa bayyanar cututtuka yayin wannan magani. Wannan an san shi da 'ƙara-baya' far. Hakanan yana iya taimakawa kariya daga asarar kashi, yayin da ba haifar da ci gaban endometriosis ba.

Gonadotropin- antagonist magani - Wannan maganin na baka yana taimakawa samarda isrogen wanda ke haifar da karancin al'ada kamar yadda yake a jihar kuma yana sarrafa ci gaban halittar mahaifa wanda yake haifar da raunin azaba da nauyi.

Tiyata

Mai ba ku sabis na iya bayar da shawarar yin tiyata idan kuna da ciwo mai tsanani wanda ba ya samun sauƙi tare da sauran jiyya.

• Laparoscopy yana taimakawa wajen gano cutar kuma yana iya cire ci gaban da ƙyallen fata. Saboda karamar yanka kawai ake yi a cikinka, zaka warke da sauri fiye da sauran nau'ukan tiyata.
• Laparotomy ya haɗa da yin babban ragi (yankewa) a cikin cikinka don cire ci gaban da ƙyallen fata. Wannan babban aikin tiyata ne, saboda haka warkarwa yana daukar lokaci mai tsayi.
• Laparoscopy ko laparotomy na iya zama kyakkyawan zaɓi idan kuna son yin ciki, saboda suna magance cutar kuma suna barin gabobinku a wurin.
• Hysterectomy shine aikin tiyata don cire mahaifa, bututun mahaifa, da ovaries. Samun cire dukkan kwayayen ku yana nufin shiga haila. Za a yi muku wannan aikin ne kawai idan kuna da alamun rashin lafiya waɗanda ba su da kyau tare da wasu magunguna kuma ba sa son haihuwa a nan gaba.

Babu maganin warkar da cutar rashin karfin jiki. Maganin Hormone na iya taimakawa sauƙaƙe bayyanar cututtuka, amma alamomin sukan dawo yayin da aka dakatar da magani. Yin aikin tiyata na iya taimakawa sauƙaƙe bayyanar cututtuka na shekaru. Koyaya, ba duk mata masu fama da cututtukan endometriosis ke taimakawa waɗannan magungunan ba.

Da zarar ka fara al'ada, da wuya cutar endometriosis ta haifar da matsala.

Endometriosis na iya haifar da matsalolin samun ciki. Koyaya, yawancin mata masu alamomin alamomi na iya ɗaukar ciki. Laparoscopy don cire ci gaba da kuma tabo nama na iya taimaka inganta damar ku na samun ciki. Idan ba haka ba, kuna so kuyi la'akari da maganin haihuwa.

Sauran rikitarwa na endometriosis sun hada da:

• Ciwon mara na dogon lokaci wanda ke tsoma baki tare da ayyukan zamantakewar da aiki
• Manyan cysts a cikin ovaries da ƙashin ƙugu wanda zai iya buɗewa (fashewa)

A wasu lokuta mawuyacin hali, kayan endometriosis na iya toshe hanji ko kuma hanyoyin fitsari.

Da wuya ƙanana, ciwon kansa na iya bunkasa a fannonin ci gaban nama bayan gama al'ada.

Kira mai ba da sabis idan:

• Kuna da alamun cututtukan endometriosis
• Jin jiri ko saukin kai saboda yawan zubar jinin haila
• Ciwon baya ko wasu alamun bayyanar da suka sake faruwa bayan an magance endometriosis

Kuna so a duba ku don endometriosis idan:

• Mahaifiyarka ko 'yar'uwarka na da cutar
• Ba za ku iya yin ciki ba bayan an gwada shekara 1

Magungunan hana haihuwa na iya taimakawa wajen hana ko rage saurin ci gaban endometriosis. Magungunan hana haihuwa da aka yi amfani da su azaman maganin endometriosis suna aiki mafi kyau idan aka sha gaba kuma ba a tsaya don ba da damar lokacin al'ada ba. Ana iya amfani dasu don ƙananan mata a ƙarshen ƙuruciya ko farkon 20s tare da lokuta masu raɗaɗi wanda na iya zama dalilin endometriosis.

Ciwon mara na ciki - endometriosis; Endometrioma

• Hysterectomy - ciki - fitarwa
• Hysterectomy - laparoscopic - fitarwa
• Hysterectomy - farji - fitarwa

• Pelvic laparoscopy
• Ciwon mara
• Al'ada lokacin al'ada

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Brown J, Crawford TJ, Datta S, Prentice A. maganin hana haihuwa na baka don ciwo mai alaƙa da endometriosis. Cochrane Database Syst Rev.. 2018; 5 (5): CD001019. PMID: 29786828 pubmed.ncbi.nlm.nih.gov/29786828/.

Zondervan KT, Becker CM, Missmer SA. Ciwon mara. N Engl J Med. 2020; 382 (13): 1244-1256. PMID: 32212520 pubmed.ncbi.nlm.nih.gov/32212520/.