Endometriosis: cov tsos mob thiab kev kho mob

Cov tsos mob ntawm endometriosis yog dab tsi?

Cov tsos mob tshaj plaws ntawm endometriosis yog "dysmenorrhea". Nws yog hais txog ib mob thaum cev xeeb tub uas yog nrog thoob qee zaum khaus heev hauv plab plab. Qee zaum qhov dysmenorrhea no qee zaum nrog xeev siab thiab ntuav, thiab feem ntau ua rau cov poj niam pw hauv ob peb hnub. Dysmenorrhea muaj nyob rau yim ntawm kaum tus poj niam uas muaj endometriosis.

Sij hawm dhau mus, tus zaus ntawm qhov mob yuav hnyav. Cov no pib piv txwv ua ntej kev coj khaub ncaws thiab lawv txuas ntxiv tom qab, rau ob peb hnub thiab tom qab ntawd ob peb lub lis piam, kom txog thaum lawv ua mob ntev.

Feem ntau, yog tias peb xam phaj cov ntxhais hluas lossis cov poj niam uas muaj tus mob endometriosis, peb pom kev tawm mus thiab rov ua haujlwm dua vim qhov mob.

Lwm cov tsos mob ntawm endometriosis

Qhov mob thaum sib deev (dyspareunia), txawm tias tsawg dua, yog ib qho cim ntawm tus kab mob. Tshwj xeeb yog mob hauv qee txoj haujlwm, uas ua rau kev sib deev ua tsis tau.

Cov tsos mob uas tuaj yeem qhia tias endometriosis muaj xws li dyschezia (mob plab hnyuv) thaum cev xeeb tub, mob thaum lub sij hawm ovulation, mob hauv zes qe menyuam thiab mob nkeeg.

cov Cov tsos mob ntawm endometriosis txawv rau txhua tus poj niam, vim lawv nyob ntawm qhov tshwj xeeb ntawm qhov chaw ntawm qhov txhab. Feem ntau, endometriosis yog ib qho nyuaj rau kev kuaj mob, vim hais tias ntau ntawm nws cov tsos mob zoo ib yam li cov kab mob uas tsis yog gynecological, xws li tej yam pathologies ntawm lub plab hnyuv system.

Endometriosis: thaum twg thawj cov tsos mob tshwm sim?

Hauv qee tus poj niam, cov tsos mob yuav pib los ntawm thawj lub sijhawm thiab kev vam meej rau ntau xyoo ua ntej kev kuaj mob endometriosis, raws li tus mob thaum cev xeeb tub yog classical suav hais tias yog ib yam dab tsi ib txwm los yog puas siab puas ntsws. Feem ntau thaum muaj hnub nyoog 15-20 xyoo, cov ntxhais hluas raug kev txom nyem los ntawm kev mob thaum cev xeeb tub thiab kev sib deev. Endometriosis tuaj yeem txhim kho ntau xyoo ua ntej raug kuaj los ntawm kev kuaj mob ntxiv, xws li a endovaginal ultrasound los yog MRI. Vim li no, tus ntxhais hluas uas yws txog qhov mob thaum nws tseem hluas yuav tsum tau saib xyuas. Nws yuav tsum nrog ib tug gynecologist tsawg kawg ib xyoos ib zaug.

Tseem muaj cov poj niam uas pib raug kev txom nyem tom qab, feem ntau thaum nres cov tshuaj thiab/los yog muaj siab xav cev xeeb tub. Nyuaj conceiving thiab / los yog mob thaum lub sij hawm cev xeeb tub yuav tsum tau mus ntsib ib tug gynecologist. 

Tus kab mob no yog lub luag haujlwm rau 30% mus rau 50% ntawm cov mob infertility.

Kev kho mob endometriosis

Nws yog qhov tseeb, muaj ib kev sib raug zoo ntawm endometriosis thiab poj niam infertility. Feem ntau, cov kws kho mob kuaj tus kab mob no thaum lub sij hawm a kev ntsuam xyuas ntxiv lawm tshob. Hauv cov poj niam uas muaj endometriosis, muaj ib tug subfertility, uas yog, qis dua qhov nruab nrab fertility. Txawm li cas los xij, kev sib txuas ntawm kab mob thiab kev xeeb tub tsis yog yooj yim to taub rau cov kws kho mob. Adhesions tam sim no nyob rau hauv lub uterine kab noj hniav, raws li zoo raws li o ntawm lub peritoneum tuaj yeem ua rau tsis muaj menyuam. Ib yam yog tseeb, thaum lub kab mob tau kho, fertility rov qab mus rau "ib txwm" ! Nws yog vim li no tias qee zaum kev ua haujlwm tau txiav txim siab txhawm rau muab txhua txoj hauv kev rau nws sab.

Tsis kho endometriosis tuaj yeem ua teeb meem: kab mob nce zuj zus thiab koj lub caij nyoog ntawm conception txo. Tsis tas li ntawd, qee zaum mob tuaj yeem tiv thaiv koj los ntawm kev sib deev zoo nrog koj tus khub. Nws tsis yog ib qho yooj yim hauv cov xwm txheej no los pib tus menyuam.

Cov kws kho mob tuaj yeem muab rau koj kev kho mob thiab phais zoo (yog tias tsim nyog). Lub tswv yim no txiav txim siab los ntawm cas, thiab tseem ceeb tshaj plaws, nws yog ib qho tseem ceeb uas koj tus khub tam sim no. Qhov kev txiav txim zaum kawg yuav tsum tau coj los ua ke ntawm ob niam txiv thiab cov kws tshaj lij.   

• Kev phais mob

Kev phais mob yog ua los ntawm laparoscopy. Nws yog ib qho tseem ceeb (ua ntej) tsis muaj ablation lub cev. Ntawm qhov tod tes, kev phais yuav tsum ua kom tiav txhawm rau kom tsis txhob muaj kev pheej hmoo rov tshwm sim. Qhov no suav nrog tshem tawm tag nrho cov hlwv, adhesions thiab lwm cov nodules uas tau tsim sab nraum lub tsev menyuam. Qhov no txhawb tso cai rau cov niam txiv kom lawv muaj feem yuav xeeb tub tus me nyuam tom qab ua haujlwm.

• Kho mob

Yog tias tsis tuaj yeem phais, lossis tus neeg mob tsis xav ua haujlwm, yuav muaj kev kho mob. Qhov no tso cai rau koj mus so lub zes qe menyuam. Qee zaum kuj pab tau ntsws lesions. Tus kws kho mob sau ntawv tsis tu ncua progestin, nruam tshuaj estrogen-progestogen tshuaj, lossis txawm tias txhaj tshuaj ntawm Gn-RH analog (artificial menopause), rau li 3 mus rau 4 lub hlis. Qhov kev txhawb nqa no tuaj yeem ua tau tom qab ntawd hauv vitro fertilization (IVF). Qee lub sij hawm zes qe menyuam ua haujlwm tsis zoo, thiab IVF ua tsis tiav. Hauv qhov no, cov kws kho mob yuav coj koj mus rau qe pub dawb.

Yuav ua li cas txo cov tsos mob ntawm endometriosis?

Kev xeeb tub nrog endometriosis yog (feem ntau) ua tau

Xov zoo, Feem ntau cov poj niam uas muaj endometriosis cev xeeb tub, vim cev xeeb tub thiab endometriosis tsis sib haum! Qhov kev vam meej yog siab yog tias koj txiav txim siab txog cov tswv yim kho kom raug! Kev xeeb tub, qee zaum nyuaj ua tiav, yog qhov txuj ci tseem ceeb rau cov poj niam uas muaj endometriosis.

Lus Cim: Kev soj ntsuam tom qab yug me nyuam feem ntau yog tsim nyog txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau tiv thaiv kev xeeb tub thiab xyuas kom tsis muaj qhov rov tshwm sim dua.

Yog xav paub ntxiv:

•  cov Endofrance, yog ib lub koom haum Fab Kis rau kev tawm tsam endometriosis.
•  Qhov chaw ntawm National College ntawm Fabkis Gynecologists thiab Obstetricians (CNGOF) => cov lus pom zoo ntawm endometriosis hnub tim 2006.