Simptomat e endometriozës janë të ndryshme:
- Lodhje kronike
- Dhimbje të forta gjatë ciklit menstrual dhe marrëdhënieve seksuale
- Dhimbje gjatë urinimit
- Çrregullime në lidhje me jashtëqitjen
- Steriliteti
- Gjakderdhje e rëndë
- Diarre
- Kapsllëk
- Të përziera gjatë menstruacioneve
Endometrioza shkakton humbje të ekuilibrit shëndet-jetë për gratë, pasi simptomat e rënda ose kronike ndikojnë në aktivitetet e tyre të përditshme, në marrëdhëniet seksuale dhe në shijimin e jetës. Megjithatë, këto simptoma mund të mos shfaqen fare duke e bërë të pamundur diagnozën e endometriozës. Si rezultat, kërkohet një ekografi ose një mjet tjetër diagnostikues për të diagnostikuar sëmundjen.
Diagnostikimi i Endometriozës
Simptomat e endometriozës janë të ngjashme me problemet e tjera gjinekologjike. Diagnoza e saktë e endometriozës kërkon njohuri dhe përvojë të specializuar si në ekzaminimin fizik dhe në imazheri. Kur endometrioza nuk mund të diagnostikohet, dhe për këtë arsye mbetet e patrajtuar ose e keqtrajtuar, mund të çojë në çrregullime të tjera të pelvisit dhe madje edhe në infertilitet. Diagnostikimi i hershëm nga një gjinekolog dhe obstetër me përvojë të specializuar në kirurgjinë e endometriozës dhe kistit endometrial kursen kohë dhe energji për pacientin, duke rritur besimin e tyre ndaj trajtimit.
Trajtimi Kirurgjikal i Endometriozës
Trajtimi kirurgjikal për endometriozën mund të planifikohet kur simptomat janë të rënda dhe/ose trajtimi mjekësor rezulton i pamjaftueshëm. Kirurgjia është metoda e preferuar e trajtimit kur ka një përkeqësim anatomik në organet e pelvisit ose obstruksion të zorrëve dhe traktit urinar. Në përgjithësi, metoda konservative në të cilën ruhen indet e mitrës dhe ovaret (heqja kirurgjikale vetëm e indit endometrial) është më e parapëlqyer. Operacioni kryhet me kirurgji laparoskopike dhe kirurgji robotike.
Për një rezultat të suksesshëm, pika më e rëndësishme në kirurgjinë e endometriozës janë njohuritë e zgjeruara dhe përvoja e kirurgut. Kryerja e këtij operacioni nga një mjek pa përvojë mund të përfundojë në një shkallë të lartë komplikimesh gjatë operacionit (gjakderdhje, dëmtim vaskular, trakt urinar, dëmtim të zorrëve dhe fistula) dhe rikthim të sëmundjes në periudhën e hershme postoperative. Kjo mund të ndodhë edhe për shkak të një operacioni jo të plotë. Me një operacion të suksesshëm, mund të arrihet një shtatzëni spontane, një jetë pa dhimbje dhe një shkallë e ulët e përsëritjes.
Infertiliteti mund të shkaktohet nga shumë faktorë. Shkaku nuk mund të identifikohet në një prej katër rasteve
Infertiliteti shkaktohet zakonisht nga problemet me ovulacionin (lirimin e përmuajshëm të vezës ga vezoret).
Disa probleme e pengojnë lirimin e vezës, kurse disa të tjerë e pengojnë lirimin e vezës në disa cikle, por jo në të tjerat.
Problemet e ovulacionit mund të jenë pasojë e:
- Sindromës së vezoreve policistike (PCOS)
- Problemeve të tiroides – gjëndra tiroide mbiaktive dhe ajo nënaktive mund ta pengojnë ovulacionin
- Dështimit të parakohshëm të vezoreve – kur vezoret ndalen së funksionari para moshës 40 vjeçare
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