Adenomyosis

Adenomyosis bu aja nke mgbidi nke akpanwa. Ọ na - eme mgbe anụ ahụ endometrial na - etolite n’ime mgbidi muscular nke akpanwa. Endometrial tissue na-etolite ihe n’ime akpanwa.

Amaghị ihe kpatara ya. Mgbe ụfọdụ, adenomyosis nwere ike ime ka akpanwa too na nha.

Ọrịa a na-apụtakarị na ụmụ nwanyị dị afọ 35 ruo 50 bụ ndị nwere ọ dịkarịa ala otu afọ ime.

N'ọtụtụ ọnọdụ, enweghi mgbaàmà ọ bụla. Mgbe ihe mgbaàmà pụtara, ha nwere ike ịgụnye:

• Ogologo oge ma ọ bụ ibu ọbara ọbara
• Oge ịhụ nsọ na-egbu mgbu, nke na-akawanye njọ
• Pelvic mgbu n’oge mmekọahụ

Onye nlekọta ahụike ga-eme nchoputa ma ọ bụrụ na nwanyị nwere mgbaàmà nke adenomyosis nke na-anaghị ebute nsogbu gynecology ndị ọzọ. Nanị ụzọ iji gosi nchoputa bụ site na inyocha anụ ahụ nke akpanwa mgbe a wachara ya iji wepụ ya.

N'oge ule pelvic, onye na-eweta ya nwere ike ịhụ akpanwa dị nro na nke sara mbara. Ule a nwekwara ike ikpughe oke ma ọ bụ eriri akpa nwa.

Enwere ike ime ultrasound nke akpanwa. Agbanyeghị, ọ nwere ike ọ gaghị enye nchoputa doro anya nke adenomyosis. MRI nwere ike inye aka ịmata ọdịiche dị na ọnọdụ a site na etuto ndị ọzọ dị na akpanwa. A na-ejikarị ya eme ihe mgbe nyocha nke ultrasound adịghị enye ozi zuru ezu iji mee nchoputa.

Imirikiti ụmụ nwanyị nwere ụfọdụ adenomyosis ka ha na-eru nsọ nsọ. Agbanyeghị, ọ bụ naanị ole na ole ga-enwe ihe mgbaàmà. Imirikiti ụmụ nwanyị achọghị ọgwụgwọ.

Ọgwụ mgbochi ime na IUD nwere progesterone nwere ike inye aka belata oke ọbara ọgbụgba. Ọgwụ dịka ibuprofen ma ọ bụ naproxen nwekwara ike inye aka jikwaa mgbaàmà.

Wa ahụ iji wepu akpanwa (hysterectomy) nwere ike ịme ụmụ nwanyị nwere mgbaàmà siri ike.

Mgbaàmà na-apụkarị mgbe ị kwụsịchara. Gerywa ahụ iji wepu akpanwa na-ewepụkarị ihe mgbaàmà kpamkpam.

Kpọọ onye na-eweta gị ma ọ bụrụ na ị mepụtara mgbaàmà nke adenomyosis.

Endometriosis etiti; Adenomyoma; Pelvic mgbu - adenomyosis

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Bulun SE. Ahụike na usoro ọgwụgwọ nke usoro ọmụmụ ụmụ nwanyị. Na: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Akwụkwọ ọgụgụ Williams nke Endocrinology. Nke iri na anọ. Philadelphia, PA: Elsevier; 2020: isi 17.

Dolan MS, Ugwu C, Valea FA. Benign gynecologic ọnya: vulva, ikpu, cervix, akpanwa, oviduct, ovary, ultrasound imaging nke pelvic owuwu. Na: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology zuru ezu. Nke 7. Philadelphia, PA: Elsevier; 2017: isi 18.

Gambone JC. Endometriosis na adenomyosis. Na: Hacker NF, Gambone JC, Hobel CJ, eds. Ihe dị mkpa nke Hacker & Moore nke Obstetrics and Gynecology. Nke isii. Philadelphia, PA: Elsevier; 2016: isi 25.