Nkag siab Koj Txoj Kev Kho Mob Kom Yooj Yim Nrog Endometriosis

Zoo Siab

• Tshuaj kho mob nkees
• Kev kho tshuaj hormones
• Hormonal tshuaj txwv
• Gonadotropin-tso cov tshuaj hormones (Gn-RH) agonists thiab antagonists
• Tshuaj kho tus mob Progestin
• Kev phais mob
• Lwm txoj kev kho mob thiab kev siv tshuaj ntxiv
• Cov nqa mus

Txheej txheem cej luam

Cov tsos mob tseem ceeb ntawm endometriosis yog mob mob mus ntev. Qhov mob nyhav ua tshwj xeeb tshaj yog thaum lub sij hawm ovulation thiab poj niam coj khaub ncaws.

Cov tsos mob tuaj yeem suav nrog kev mob nyhav, mob lub sijhawm sib deev, mob lub plab mob hauv tsev thiab nruj thiab mob plab hnyuv thiab tso zis, thiab lwm yam. Cov tsos mob no tuaj yeem cuam tshuam lub neej txhua hnub, ib yam nkaus.

Tsis muaj kev kho tus mob endometriosis, tab sis kev kho tuaj yeem pab. Qhov ua tau zoo ntawm kev kho mob txawv ntawm ib tus neeg mus rau lwm tus. Lub hom phiaj yog txhawm rau nres lossis txhim kho qhov mob ntawm tus mob. Nyeem rau kom paub ntau ntxiv txog cov kev xaiv khomob uas yuav pab tau.

Tshuaj kho mob nkees

Cov tshuaj noj thiab cov tshuaj yuav tom khw yuav yog ib txoj kev xaiv rau endometriosis. Txog rau cov mob endometriosis uas mob nyhav mus rau ntau yam, ntau tus pojniam pom tias qhov tshuaj yuav tom khw yuav tsis muaj zog txaus los daws qhov mob. Koj tuaj yeem tham nrog koj tus kws kho mob txog qhov kev xaiv zoo tshaj plaws rau koj, raws li koj cov tsos mob.

Cov tshuaj rau qhov mob feem ntau rau cov mob endometriosis yog cov tshuaj nonsteroidal anti-inflammatory (NSAIDs). Cov tshuaj NSAIDS yauv muaj xws li ibuprofen, tshuaj aspirin, thiab naproxen. Muaj cov tshuaj NSAIDs, ib yam nkaus.

NSAIDs ua haujlwm ntawm endometriosis mob los ntawm kev thaiv txoj kev loj hlob ntawm prostaglandins, ib hom kev lom neeg tsim nyob hauv koj lub cev. Prostaglandins ua rau qhov mob, o thiab o ua rau ntau tus poj niam mob endometriosis dhau los nyob rau lawv lub sijhawm.

Tus txhom? Txhawm rau kom NSAIDs ua hauj lwm zoo, lawv yuav tsum tau coj ua ntej lub cev pib tsim cov tshuaj sib txuas ua kom mob siab.

Yog tias koj noj NSAIDs rau endometriosis, sim pib noj lawv yam tsawg 24 mus rau 48 teev ua ntej koj pib ov ov thiab ua ntej thawj hnub koj coj khaub ncaws. Qhov no yuav muab cov tshuaj lub sijhawm los txhawm rau txhim kho prostaglandins hauv koj lub cev. Yog tias koj lub sijhawm tsis xwm yeem lossis me ntsis tsis tuaj yeem xav tau, koj tus kws kho mob yuav hais kom noj tshuaj mob rau tag nrho lub limtiam ua ntej koj lub sijhawm.

Tib cov tshuaj tsis ua hauj lwm rau txhua tus. Koj tus kws kho mob yuav qhia koj sim siv NSAIDs sib txawv - lossis kev sib xyaw ntawm NSAIDs thiab lwm yam kev kho mob - kom tau txais txiaj ntsig. Qee cov NSAIDs yuav tsum tsis txhob xyaw nrog lwm cov tshuaj. Nco ntsoov nrog koj tus kws kho mob tham ua ntej pib noj tshuaj tshiab.

Kev kho tshuaj hormones

Kev kho qog pab kho qhov mob ntawm endometriosis los ntawm kev tswj hwm cov tshuaj hormones thaum koj cev ntas. Nws tuaj yeem txo lossis tso tseg kev coj khaub ncaws ib yam nkaus. Feem ntau nws tsis yog qhov kev xaiv yog tias koj sim ua kom cev xeeb tub.

Cov tshuaj hormones uas koj lub cev tso tawm ib ncig ntawm ovulation thiab koj lub sijhawm feem ntau ua rau cov tsos mob ntawm endometriosis zuj zus. Qhov no tuaj yeem ua tus caws pliav hauv lub plab mog los yog ua kom qhov caws pliav tuab. Lub hom phiaj ntawm txoj kev kho tshuaj hormones yog txhawm rau tiv thaiv qhov tshiab lossis ntxiv caws pliav los ntawm kev ua kom koj cov qib hormones.

Hom kev kho qog rau endometriosis suav nrog:

Hormonal tshuaj txwv

Cov tshuaj tiv thaiv txwv tsis pub siv tau siv los kho endometriosis txij li xyoo 1950 los. Lawv suav hais tias yog lub luag haujlwm tseem ceeb ntawm kev kho mob. Lwm hom kev tswj tsis pub muaj menyuam, xws li IUD hormonal I rings, lub paum ntawm lub paum, lossis thaj ua rau thaj, yog cov feem ntau hais kom ua ib yam nkaus.

Yog tias koj xaiv qhov kev tiv thaiv qhov ncauj, koj tus kws kho mob yuav qhia koj kom noj cov tshuaj tsis tu ncua. Qhov no txhais tau tias koj yuav tsum zam qee lub sijhawm, nrog rau kev mob mob nrog. Nws muaj kev nyab xeeb hla koj lub sijhawm rau ntau lub hlis (lossis txawm xyoo).

Gonadotropin-tso cov tshuaj hormones (Gn-RH) agonists thiab antagonists

Gn-RH yeej tseem ceeb tso lub cev rau hauv lawm lawm. Nws txo cov tshuaj estrogen ntau ntau thiab nres ovulation thiab kev coj khaub ncaws. Qhov no, nyeg, tuaj yeem pab nyias endometrial scarring.

Txawm hais tias lawv tau ua haujlwm zoo, Gn-RH agonists thiab antagonists tuaj yeem muaj kev phom sij heev ntawm lub cev, zoo li poob pob txha tuag, qhov chaw mos ntawm lub ntsej muag, thiab kub muag, thiab lwm yam. Cov tshuaj no muaj los ntawm txhaj tshuaj, tshuaj txau qhov ntswg, thiab tshuaj ntsiav txhua hnub.

Tshuaj kho tus mob Progestin

Nws ntseeg tau hais tias progestins txo cov tsos mob ntawm endometriosis los ntawm kev ua kom qeeb ntawm endometrial scarring. Koj tus kws kho mob poj niam puas yuav qhia tau ib qho progestin IUD, txhaj tshuaj, lossis tshuaj ntsiav kom tswj tau koj cov tsos mob zoo dua.

Kev kho qog yuav ua tau zoo tshaj plaws hauv kev txo tus mob endometriosis thiab mob. Tab sis nws yog ib qho tseem ceeb kom nco ntsoov tias koj cov tsos mob tuaj yeem rov qab yog tias koj nres koj txoj kev kho tshuaj hormones txhua lub sijhawm.

Kev phais mob

Kev phais mob rau endometriosis kho tus mob los ntawm kev tshem qhov txhab endometrial uas yog qhov chaw mob. Muaj ntau hom kev phais uas yuav siv. Endometriosis Foundation ntawm Asmeskas siv qhov kev xav tias laparoscopic kev phais phais yog tus qauv kub rau kev kho mob phais endometriosis.

Kev phais phais laparoscopic feem ntau piav hais tias yog "kev txuag kho." Qhov no txhais tau tias lub hom phiaj yog txhawm rau khaws cov nqaij zoo, thaum tshem cov qhov txhab txhab.

Kev tshuaj xyuas 2016 nyob rau ntawm phau ntawv Journal Cov Poj Niam Kev Noj Qab Haus Huv sau tseg tias kev phais mob muaj peev xwm ua tau zoo txo ​​qis qhov mob ntawm endometriosis. Kev tshawb nrhiav xyoo 2018 hauv BMJ tau tshaj tawm tias laparoscopic kev phais phais tau zoo kho mob plab thiab mob plab nyhuv. Qhov phais kuj tseem tuaj yeem txhim kho lub neej tag nrho rau cov poj niam nyob nrog endometriosis. Kev kawm BMJ suav ntau tshaj 4,000 tus neeg koom nrog ntau qhov chaw kho mob.

Ntau txoj kev phais uas niaj hnub no muaj ntau dua yav tas los. Hysterectomy thiab oophorectomy, uas tshem tawm lub tsev me thiab zes qe menyuam, siv los txiav txim siab qhov kev kho mob zoo tshaj plaws rau endometriosis. Feem ntau, cov no tsis pom zoo rau cov neeg feem coob. Txawm hais tias lub tsev menyuam thiab lub zes qe menyuam raug tshem tawm los, nws tseem muaj peev xwm ua rau qhov txhab txhab nyob ntawm lwm cov kabmob.

Nco ntsoov tias kev phais mob tsis yog tuaj yeem lav tias yuav tau so ntev. Qhov mob txhab endometrial, thiab qhov mob uas lawv ua, tuaj yeem rov tshwm sim tom qab cov txheej txheem.

Lwm txoj kev kho mob thiab kev siv tshuaj ntxiv

Pom txoj kev kho kom zoo rau tus mob endometriosis tuaj yeem yog kev sim siab thiab qhov yuam kev. Koj tuaj yeem sim lwm txoj hauv kev thiab tshuaj kho mob hauv tsev hauv kev sib xyaw nrog koj li kev kho mob. Nco ntsoov tham nrog koj tus kws kho mob ua ntej sim kho txoj kev kho mob tshiab txhua yam.

Qee lwm txoj kev kho rau tshuaj endometriosis suav nrog:

• Kev Siv Tshuaj Tua Tsiaj. Kev tshawb nrhiav ntawm kev siv acupuncture kho endometriosis tsuas yog muaj tsawg. Xyoo 2017 ntawm cov kev tshawb fawb uas twb muaj lawm qhia tau hais tias acupuncture tuaj yeem pab nrog endometriosis mob mob.
• Cov tshuab hloov khoom siv hluav taws xob tsis sib luag (TENS). TENS cov khoom siv tso tawm qhov hluav taws xob uas tsis tshua muaj hluav taws xob uas txo qis mob thiab so cov leeg nqaij. Ib txoj kev tshawb nrhiav me me pom tias TENS cov tshuab muaj txiaj ntsig zoo hauv kev txo qis mob, txawm tias nws ua haujlwm rau tus kheej.
• Tshav kub. Cov ntaub cua sov thiab da dej sov yuav ua rau cov leeg nruj thiab txo qhov mob uas cuam tshuam nrog endometriosis.
• Kev ntxhov siab nyem. Kev ntxhov siab yog txuas rau cov mob sib xyaw ua ke thiab kuj tseem tuaj yeem cuam tshuam koj qib lawm. Cov tswv yim tswj kev ntxhov siab, xws li kev xav, yoga, xim, thiab kev tawm dag zog, tuaj yeem tswj koj cov kev ntxhov siab.

Cov nqa mus

Endometriosis tuaj yeem yog mob mob. Sim kev kho mob sib txawv, thiab nrhiav qhov twg ua haujlwm zoo tshaj rau koj, yog qhov tseem ceeb ntawm kev tswj hwm koj tus mob. Tham nrog koj tus kws kho mob txog koj cov kev xaiv, nrog rau lwm txoj kev kho lawv pom zoo.