ENDOMETRIOSIS

-

 

ENDOMETRIOSIS -Subha . R

Endometrium tissue goes outside the uterine lining and starts growing there

Causes

·       Retrograde menstruation -menstrual blood shed out flow back through the fallopian tube and into the pelvic cavity

·       Endometrial cell transport – tissue transported through blood

·       Direct transplantation -it is after surgery

·       Transformation peritoneal cells

·       Embryonic cell transformation – oestrogen may transfer embryonic cell – cell in the earliest stage of development

Spread—pt with 20 yrs nose bleed during every menstrual cycle took the tissue bleed ..

endometrial tissues their in nose,Around on the pelvic organ,Ft, Ligament , Lining of the pelvic , Bladder ,Cervix, intestine , Rectum , Stomach , Vagina

Ovarian endometrioma ( chocolate cyst ).Ovary start to proliferate .It builds up over there and form as cyst .It is very large cyst

Sign

·       Dysmenorrhea – pelvic pain before and extend several days into a menstrual period

·       Dyspareunia – pain during or after sex

·       Pain with bowel movement or urination – during menstrual period

·       Menorrhagia -occasional heavy menstrual period or inter menstrual bleeding ..increase amount of bleeding

·       Infertility -

·       Other signs and symptoms – fatigue, diarrhoea , constipation , bloating or nausea especially during menstrual period

 Risk factor

Family history

Early menstruation ( 11 yrs)

Shorter menstrual days

Heavy menstrual period lasting more than seven days

Never giving birth

Going through menopause

Low body mass index

 

 

Pathology

In endometriosis

Under the influence of hormones endometrial tissue that is located outside the uterus thickens breaks down and bleeds each month. This blood cannot exit the body the blood becomes trapped form cysts scar tissue and adhesions infertility

Common area

1.       Ft

2.       Bladder

3.       Ovary – endometrioma

4.       Utero sacral ligament

5.       Intestine

6.       Cervix

Diagnostic method

n  surgical visual inspection

n  serum cancer antigen 125 greater than 35

n  cytokine int -6

n  serum cancer antigen 19-9

n  transvaginal usg – retroperitoneal and uterosacral ligament

n  ct

n  mri

n  laproscopy

Bimanual examination:-

n  signs may be absent or may include tender nodules in the posterior vaginal fornix

n  uterine motion tenderness is positive

n  a fixed and retroverted uterus will be felt

n  teender adenexal masses resulting from endometriomas

n  utero sacral pain

n  prognosis

n  laproscopic adhesive lysis

Treatment

n  medroxyprogesterone

n  danazol

n  presacral neurectomy

n  salpingo oophorectomy

 

n  diagnostic laproscopy—place of endometriosis , rupture the endometriosis

 

n  chances of fertility is there or it also reduced

n  by doing ablation there is reduction stored ovum

n  analgesic

n  oral contraceptives

n  androgenic agent

n  progestogens – medroxyprogesterone – if menstruation doesn’t happen endometrium doesn’t grow ..line of treatment for 6 months is stopping of menstruation – the tissue will automatically shed

Ayurvedic treatment

n  don’t have any medicine to stop

n  pitta samana

n  shobha hara

n  more bleeding- vata pitta

n  more adhesions – vata kapha

n  lekhana property medicine

n  vata shmana

n  krimi chikitsa also done

 

don’t go for all this treatment ..see the condition ,,,what is the concern

 

internal medicine

1.       sukumara  ks

2.       phala sarpi, sukumara ghritam- don’t use

3.       bowel and urinary -gandharvahstathi

4.       mahathikthakam- adhesion removed

5.       guguulu panchapola choorna

6.       rejotone – menorrhagia is reduced

7.       kurunjikuzhambu -lekhana

8.       vaishwarna guduchiyathi

9.       trayandhi ks- granthi

10.   kumari asava –  uterine booster

11.   dhanwantaraaristam – pain

Sodhana

snehapana

n  dadimadi

n  kalyanaka

n  tikthaka

n  Ashoka

n  Chiruvilvadi

n  Tila taila

Virechnaa

n  Eranda taila

n  Hingutriguna tailam

Lekhana vasti

Makshikam-125ml

Lavana -15g

Sneham-80ml Kalkam
 Vaitarana vasti

Sahacharadhii tilataila

Milk-avara

Uttaravasthi— in endometriosis Uttara vasthi contraindicated , in some case tissue loadged in ft or ovary ,, it is prescribed in ovulatory period

Kshara tailam

Dhanwantaram 101

Ksheerabala 101

Anuvasana vasti

Shaacharadhi tailam

Prevention

n  Pregnancy and breast feeding

n  Eating fruits – citus fruits

n  Not to use sanitary pad for more than 6 hrs

n  Menstrual cup also cause for endometriosis

n  Intake of spicy and salty is avoided

n  Proper exercise is advised

n  Unnecessary surgery is avoided 

 

 


·       Immune system disorder

·       Genetics – genetic changes

Comments

Post a Comment

Popular posts from this blog

prenatal dignosis

-
It is very important to identify the structural and functional abnormalities in developing fetus.  WHY PRENATAL DIAGNOSIS? It enables timely medical or surgical intervention of a condition before or after birth  In case of major birth defects, if so desired by the parents it gives them the option of abortion such a fetus  It enables the parents to prepare themselves physically, mentally and financially to care for a baby with a problem or defect or disability  INDICATION women age above 35 years  history of congenital anomalies  history of recurrent abortion  family history of neural tube defects  history of diabetics and exposure to certain drugs and the environmental agents  belongings of ethnic group at high risk  ultrasound detection of structural defect LETS WE DISCUSS WHAT ARE TECHNIQUES IN UP COMING POST..
Read more

Role of the liver in Glucose Metabolism

-
HI!! subha here .. Today lets see about liver's glucose metabolism - so we can learn base about how diabetes kind of disease are evolving .... Glucose metabolism  - liver will capable of both storing and producing glucose . because of this  liver plays key role in maintaining the normal plasma glucose levels ~ 5mmol/L - glucose pool in the body is around 60 mmol/L, with food we may ingest upto 3000 mmol/day , muscles may remove up to 250 mmol/hour when we exercise - efficient buffering system is required to prevent excessive and dangerous glucose excursions  - while the insulin sensitive tissue they are adipose tissue and muscle will  express the glucose transporter , may help to get rid of the most of the glucose arriving from gut to the liver  and to a small extent to the kidneys are the only organs that can produce glucose when needed  - when glucose is absorbed from the gut, some of it may taken up by the liver, entering the hepatocyte from the sinusoid...
Read more

HEALTHY DIET - HEALTHY SKIN

-
Hi subha here !!🟄 let's we learn some -  Ayurvedic  Diet For Healthy Skin  1. Key Ayurvedic Principles for Beauty 🌿 Rasa (Taste) & Skin Impact: 🟑Madhura (Sweet) – Nourishes skin & hair (Milk, Ghee, Dates) 🟑Amla (Sour) – Enhances complexion (Amla, Lemon, Buttermilk) 🟑Lavana (Salty) – Provides hydration but excess leads to aging 🟑Katu (Pungent) – Detoxifies (Ginger, Black Pepper) 🟑Tikta (Bitter) – Purifies blood (Neem, Manjistha, Turmeric) 🟑Kashaya (Astringent) – Reduces oiliness & acne (Pomegranate, Green Tea) 🔥 Agni (Digestive Fire) & Skin Health: 🟑Strong digestion = Proper nutrient absorption = Healthy skin & hair 🟑Weak digestion leads to Ama (toxins), causing acne, dullness, and premature aging Solution: Drink warm jeera (cumin) water & avoid cold/processed foods 💧 Ojas (Vitality) for Youthful Glow: 🟑 Foods that increase Ojas: Ghee, Almonds, Saffron, Dates, Milk, Tulsi 🟑Lifestyle practices: Meditation, Abhyanga (self-massage), Pro...
Read more