Menene Ciwon elarshe?

Wadatacce

• Menene alamun?
• Me ke kawo cututtukan hanji?
• Yaya ake gane shi?
• Waɗanne zaɓuɓɓukan magani suke samuwa?
• Tiyata
• Magani
• Shin rikitarwa yana yiwuwa?
• Me kuke tsammani?

Shin na kowa ne?

Endometriosis yanayi ne mai raɗaɗi wanda nama wanda yake daidaita layin mahaifar ku (ƙirar endometrial) ke tsirowa a wasu ɓangarorin ƙashin ƙugu, kamar su ƙwai ko ƙwanƙwan ciki.

Daban-daban na cututtukan endometriosis suna dogara ne akan inda nama yake. A cikin endometriosis na hanji, kayan halittar ciki na girma a saman ko cikin hanjin ka.

Har zuwa na mata masu fama da cututtukan endometriosis suna da ƙwayar endometrial a kan hanjinsu. Mafi yawan cututtukan hanji suna faruwa ne a ƙasan hanji, sama da dubura. Hakanan yana iya ginawa a cikin appendix ko karamar hanji.

Ciwon ciki na hanji wani lokaci wani bangare ne na cututtukan fuka, wanda ke shafar farji da dubura.

Yawancin mata masu fama da cututtukan hanji suma suna da shi a wuraren da aka fi sani a ƙashin ƙugu.

Wannan ya hada da:

• ovaries
• jaka ta Douglas (yankin tsakanin bakin mahaifa da dubura)
• mafitsara

Menene alamun?

Wasu mata ba sa fuskantar wata alama. Ba zaku iya gane kuna da cututtukan hanji ba har sai kun sami gwajin hoto don wani yanayin.

Lokacin da alamun cutar suka faru, suna iya zama kama da na cututtukan hanji (IBS). Bambancin shine, alamun cututtukan endometriosis yakan fara ne kusan lokacin da kake al'ada. Wannan kyallen takarda yana amsawa ne ga sake zagayowar yanayin lokacinku, kumburi da kuma shafar nama a kusa da shi.

Kwayar cututtuka ta musamman ga wannan yanayin sun haɗa da:

• zafi lokacin da kake cikin hanji
• Ciwon ciki
• gudawa
• maƙarƙashiya
• kumburin ciki
• damuwa tare da motsawar hanji
• zubar jini ta dubura

Ciwon hanji kuma yana da shi a ƙashin ƙugu, wanda zai iya haifar da:

• zafi kafin da lokacin lokuta
• zafi yayin jima'i
• zubar jini mai yawa a lokacin ko tsakanin tsakanin lokaci
• gajiya
• tashin zuciya
• gudawa

Me ke kawo cututtukan hanji?

Doctors ba su san ainihin abin da ke haifar da endometriosis na hanji ko wasu nau'i na cutar ba.

Mafi akidar da aka yarda da ita ita ce. A lokacin al'ada, jini na gudana ta baya ta bututun mahaifa zuwa cikin ƙashin ƙugu maimakon fita daga jiki. Waɗannan ƙwayoyin sai su dasa a hanjin.

Sauran dalilai masu yiwuwa sun hada da:

• Canjin canji na farko. Kwayoyin da suka rage daga amfrayo suna girma cikin nama.
• Dasawa. Kwayoyin endometrial suna tafiya ta cikin tsarin lymph ko jini zuwa wasu gabobin.
• Kwayoyin halitta Endometriosis wani lokacin yakan gudana cikin dangi.

Endometriosis yana shafar mata yayin shekarun haihuwa.

Yaya ake gane shi?

Likitanku zai fara ne ta hanyar yin gwajin jiki. Yayin gwajin, likitanka zai duba farjinka da dubura don duk wani ci gaban.

Waɗannan gwaje-gwajen na iya taimaka wa likitanka don gano cututtukan cikin hanji:

• Duban dan tayi. Wannan gwajin yana amfani da raƙuman sauti masu saurin-mita don ƙirƙirar hotuna daga cikin jikinku. Ana sanya na'urar da ake kira transducer a cikin al'aurarku (transvaginal duban dan tayi) ko kuma duburarku (transrectal endoscopic duban dan tayi). Wani duban dan tayi zai iya nunawa likitanka girman endometriosis da kuma inda yake.
• MRI. Wannan gwajin yana amfani da maganadisu mai karfi da kuma igiyar rediyo don neman endometriosis a cikin hanjin ka da sauran sassan gabban ka.
• Barium enema. Wannan gwajin yana amfani da hasken rana wajen daukar hoton babban hanjin ka - ciwon hanji da dubura. Farkonku an fara cika shi da fenti mai banbanci don taimakawa likitan ku duba shi da sauƙi.
• Ciwon ciki. Wannan gwajin yana amfani da wata hanya mai sassauci don duba cikin hanjinku. Colonoscopy ba ya bincikar cututtukan ciki. Koyaya, yana iya kawar da cutar kansa ta hanji, wanda ke haifar da wasu alamun alamun.
• Laparoscopy. Yayin wannan tiyatar, likitanka zai sanya siraran sihiri, haske a cikin ƙananan mahaifa a cikin cikinka don samun endometriosis a cikin ciki da ƙashin ƙugu. Za su iya cire wani ƙyallen nama don bincika. An kwantar da ku yayin wannan aikin.

Endometriosis ya kasu kashi-kashi dangane da yawan kayan jikin da kuke dasu da kuma yadda ya zurfafa cikin gabobin ku:

• Mataki na 1. Mafi qarancin. Akwai kananan faci na cututtukan endometriosis a jikin ko kusa da gabobin ku.
• Mataki na 2. Mai sauki Facin sun fi yawa fiye da mataki na 1, amma ba sa cikin gabobin gabanka.
• Mataki na 3. Matsakaici. Endometriosis ya fi yaduwa, kuma yana farawa zuwa gabobin cikin ƙashin ƙugu.
• Mataki na 4. Mai tsananin. Endometriosis ya ratsa gabobi da yawa a cikin ƙashin ƙugu.

Ciwon hanji galibi mataki ne na 4.

Waɗanne zaɓuɓɓukan magani suke samuwa?

Endometriosis ba za a iya warkewa ba, amma magani da tiyata na iya taimakawa wajen sarrafa alamunku. Wanne magani zaku samu ya danganta da yadda cutar endometriosis take da kuma inda take. Idan ba ku da alamun bayyanar, magani na iya zama ba dole ba.

Tiyata

Yin aikin tiyata shine babban maganin ciwon hanji. Cire kayan jikin endometrial na iya rage zafi da inganta rayuwar ku.

'Yan nau'ikan tiyata suna cire endometriosis na hanji. Likitocin tiyata na iya aiwatar da waɗannan hanyoyin ta hanyar babban yanki (laparotomy) ko ƙananan ƙananan fuka (laparoscopy). Wanne irin aikin tiyatar da kake yi ya dogara da girman yankunan endometriosis, da kuma inda suke.

Yankewar hanji Ana yin wannan don manyan yankunan endometriosis. Kwararren likitan ku zai cire bangaren hanjin inda cutar ta endometriosis ta girma. Abubuwan guda biyu da suka rage ana sake haɗa su tare da hanyar da ake kira reanastomosis.

Fiye da rabin matan da ke wannan aikin suna iya ɗaukar ciki daga baya. Endometriosis ba zai iya dawowa ba bayan sakewa kamar sauran hanyoyin.

Yin aski. Likitanka zai yi amfani da kaifi don cire endometriosis a saman hanji, ba tare da cire ko hanji ko ɗaya ba. Ana iya yin wannan aikin don ƙananan yankuna na endometriosis. Endometriosis zai iya dawowa bayan wannan tiyatar fiye da bayan rabewar kashi.

Rushewar diski Don ƙananan yankuna na endometriosis, likitan ku zai yanke faifan da abin ya shafa a cikin hanjin sannan ya rufe ramin.

Hakanan likitanka zai iya cire cututtukan zuciya daga sauran sassan ƙashin ƙugu yayin aikin.

Magani

Maganin Hormone ba zai hana endometriosis ci gaba ba. Koyaya, yana iya taimakawa ciwo da sauran alamun.

Magungunan Hormonal na endometriosis na hanji sun hada da:

• kulawar haihuwa, gami da kwayoyi, faci, ko zobe
• injections na progestin (Depo-Provera)
• agonists masu sakewa na gonadotropin (GnRH), kamar su triptorelin (Trelstar)

Kwararka na iya bayar da shawarar a kan-kan-kan-kan ko magungunan da ba kwayar cutar anti-inflammatory (NSAIDs), irin su ibuprofen (Advil) ko naproxen (Aleve), don taimakawa sauƙaƙa ciwo.

Shin rikitarwa yana yiwuwa?

Endometriosis a cikin hanji na iya shafar haihuwarka - musamman idan kai ma kana da shi a ƙwai da sauran gabobin gabbai. na mata masu wannan yanayin ba sa iya ɗaukar ciki. Yin aikin tiyata don cire cututtukan endometriosis na iya inganta ƙimar samun ciki. Ko da kuwa yawan haihuwa ba batun bane, wasu mata suna da ciwon mara na yau da kullun wanda ke da alaƙa da wannan yanayin, wanda ke da tasiri a kan ingancin rayuwarsu.

Me kuke tsammani?

Endometriosis yanayi ne na yau da kullun. Wataƙila za ku iya sarrafa alamunta a duk rayuwarku.

Hangenku zai dogara ne akan yadda cutar endometriosis take da kuma yadda ake magance ta. Hormonal jiyya da tiyata na iya taimakawa wajen sarrafa ciwo. Kwayar cutar ya kamata ta inganta da zarar ka gama al'ada.

Endometriosis na iya yin babban tasiri ga ingancin rayuwar ku. Don samun tallafi a yankinku, ziyarci Endometriosis Foundation of America ko Endometriosis Association.