Endometriosis ya chiberekero - nchiyani chomwe chimapezeka m'chinenero chofikira, nthendayi ndi yowopsa motani, komanso njira yothetsera vutoli?

Kufalikira kwa minofu ya endometrial kumatchulidwa kawirikawiri m'mabanja monga endometriosis. Matendawa ali ndi mawonekedwe angapo am'chipatala, malo osiyanasiyana. Kodi ndi zizindikiro ziti zomwe zimaphatikizana ndi endometriosis ya chiberekero, ndi chiyani chomwe chimalankhulidwa - tiyeni tiyesere kufotokozera m'nkhaniyi.

Endometriosis ya chiberekero ndi chiyani?

Endometriosis ya chiberekero amadziwika ndi kuchulukitsidwa kwa ziwalo za maselo otchedwa endometrial, omwe amasintha mwambo wawo wokhalamo. Mukapeza kuti matendawa, madokotala amatha kuzindikira kukula kwa chiberekero, zomwe zimatulutsa chiberekero. Kuwonjezera apo, maselowa ali ofanana mofanana ndi momwe amatha kukhalira ndi ntchito yomweyo monga endometrium ya chiberekero.

Zotsatira zake (heterotopies) zimatha kusintha kusintha, zomwe zimapangitsa kuti chiberekero chizipezeka mwezi uliwonse. Chifukwa chakuti makompyutawa amatha kulowa m'kati mwa makoswe oyandikana nawo, kupanga mapiritsi, endometriosis nthawi zambiri imayenda ndi matenda ena a zam'madzi otchedwa hormonal etiology:

• uterine myoma;
• hyperestrogenia.

Endometriosis ya thupi la chiberekero

Mtundu umenewu umatchulidwa kuti endometriosis mkati mwa chiberekero. Dzina limeneli limagwirizanitsidwa ndi chidziwikiritso cha momwe malo akuyendera. Ndi endometriosis ya thupi, kulowa mkati mwa maselo a m'magazi kumakhala minofu ya chiberekero (adenomyosis). Kawirikawiri, pakati pa myometrium (minofu yosanjikiza) ndi endometrium, pali maselo osungira omwe amawononga malowa.

Komabe, ngati kutupa kapena kachilombo kamatuluka, zotetezera zingapweteke. Chotsatira chake, maselo a m'magazi amalowa mkati mwa mitsempha yotsatizana pa kusintha kwotsatira, kupanga mawonekedwe a kutupa. Poganizira wodwalayo pa ultrasound, dokotala amadziwa kuti khalidweli limasintha, zomangamanga zosiyana ndi minofu - endometriosis ya chiberekero, zizindikiro ndi chithandizo chomwe chili pansipa.

Endometriosis ya chiberekero

Mtundu uwu wa matenda umakhala ndi kukula kwa ziwalo za endometrial, zomwe zimayamba kusuntha ndipo zimakhudza kachilombo ka HIV. Chifukwa cha izi, matendawa ali ndi dzina lachiwiri - mopanda malire endometriosis. Matendawa ndi operewera, choncho nthawi zambiri amapezeka ndi kafukufuku wowopsa.

Endometriosis ya chiberekero cha chibelekero - ndi chiyani, madokotala akufotokozera mu chiyankhulo chopezekapo pamene akupeza - ndimadalira-azimayi, ndiko kuti, amayamba chifukwa cha kusamvana kwa mahomoni. Izi zimatsimikizira kuti nthawi zambiri matendawa amabwera kwa amayi a msinkhu wobereka ndipo amatsitsimutsa poyambira pa nthawi yochepa. Pachifukwa ichi, maselo a endometrial ali pamtunda pamwamba penipeni pa khosi, popanda kulowa mkati.

Endometriosis ya chiberekero - zimayambitsa

Sizinali zotheka kudziwa chomwe chimayambitsa endometriosis ya chiberekero, ngakhale pambuyo pa maphunziro ambiri. Pali zikhulupiriro zambiri zomwe madokotala amatsatira pamene akufotokozera za matendawa:

1. Chiphunzitso cha kubwezeretsa msambo. Malingaliro awa, panthawi imodzi ya miyezi yambiri ya mwezi mucous membrane particles ndi kuthamanga kwa magazi kudutsa mu mitsempha yamatenda, pirinoneal cavity. Pokhala pano ndikupanga khomo, amayamba kugwira ntchito ngati endometrium.
2. The metaplastic hypothesis. Malingana ndi chiphunzitso ichi, palibe kulongosola kwodziimira kwa maselo a endometrial kukhala minofu yina, koma ndi minofu yokha yomwe imakhudza kusintha kwa thupi (metaplasia).

Kuwonjezera apo, tiyenera kukumbukira kuti chitukuko cha matendawa n'chotheka pokhapokha pazifukwa zina. Zinthu zowopsya zingathe kuchita:

• kuchepa mphamvu za chitetezo cha thupi;
• umoyo;
• Mapangidwe olakwika a mapuloteni , omwe mbali imodzi ya magazi amalowa mkati mwa peritoneum;
• kuchuluka kwa ma estrogens mu magazi;
• zaka 30-45 zaka;
• kuchepetsa kusamba.

Kodi choopsa cha endometriosis cha chiberekero n'chiyani?

Kusiyana kwa endometriosis ya chiberekero kumawopsa kwa thanzi la amayi, kupatsidwa mavuto otheka. Iwo ali osiyana mu nthawi yooneka ndi kuuma. Madokotala atangomva atayamba kudwala endometriosis ya chiberekero, zotsatira za thupi zingakhale monga izi:

• mapangidwe a ovarian cysts ;
• kupititsa pakati ;
• kusowa ;
• Matenda a ubongo pakutha kwa mitsempha ndi endometrium yowonjezereka;
• magazi;
• kusintha kwa machitidwe osokoneza (mu mavoti 3%).

Ndingathe kutenga mimba ndi endometriosis ya chiberekero?

Pambuyo pofufuza zowonongeka ndi kulingalira zomwe ziri zoopsa kwa endometriosis ya chiberekero, kodi izi ndi chiyankhulo chofikira, madokotala akufulumira kuti atsimikizire mkazi yemwe akutheka kuswa kugwira ntchito. Akatswiri amanena kuti mimba ndi endometriosis ya chiberekero n'zotheka. Ngati zotupa za endometrium sizing'ono, maselo ake samapita kupitirira chiwalo chogonana, ndipo mkazi akhoza kukhala mayi.

Komabe, pakapita nthawi, matenda osasamalidwa, endometriosis ya chiberekero (chomwe chiri mu chilankhulo chopezekeratu - chomwe chafotokozedwa pamwambapa) chingayambitse kusabereka. Zimayambitsa ndondomeko yothandizira yomwe imayendera matendawa. Mankhwalawa amapangidwa pakadutsa minofu ndipo amachititsa kuti thupi lisamangidwe, popanda kutenga mimba.

Endometriosis ya chiberekero - zizindikiro

Zizindikiro za endometriosis za chiberekero kumayambiriro koyambitsa matenda sizingatheke. Zizindikiro zoyamba zimawoneka ndi kukula kwakukulu kwa endometrium. Kawirikawiri, amai amawona ululu waukulu mu endometriosis ya chiberekero pa nthawi ya kusamba, m'mimba pansi ndi m'munsi. Amayanjananso ndi kukana kotchedwa endometrium. Kuyankhula za zomwe zikuperekedwa ndi endometriosis ya chiberekero, kodi izi ndi zotani zomwe zimawoneka bwino, azimayi amamvetsera kuwonjezeka kwa kutuluka kwa msambo. Zina mwa zizindikiro za endometriosis ndikofunikira kusiyanitsa:

1. Ululu m'magazi, osagwirizana ndi kusamba.
2. Dyspareunia - ululu panthawi ya kugonana.
3. Manorrhagia - kuwona bulauni tsiku lililonse la chizunguliro.
4. Chiwawa cha ntchito yobereka.

Maphunziro a endometriosis a chiberekero

Maselo a Endometrial angaloŵe m'mimba yosanjikiza ndi ziwalo zozungulira pambali yozama. Malingana ndi izi, pozindikira kuti matendawa, madokotala amasiyanitsa mapiri a endometriosis:

1. 1 digiri - pali pamwamba munthu foci.
2. 2 digita - endometriosis ifika pamtundu wosanjikiza, chiwerengero cha foci chikuwonjezeka.
3. 3 digiri - mapulogalamu ambiri amawonedwa, mapuloteni amatha kupangidwa pamodzi kapena m'mimba mwake, pali spikes ya peritoneum.
4. 4 digiri - zakuya, multiple foci ya endomeriosis, lalikulu endometrioid cysts pa mazira ochuluka amapangidwa. Endometrium imamera m'makoma a chikazi, rectum.

Kodi uterine endometriosis imapezeka bwanji?

Asanayambe kudziwa za endometriosis ya chiberekero, kuti adziwe, madokotala amachita maphunziro ambiri. Chinthu choyambitsa matendawa ndi ultrasound. Makhalidwe ake, madokotala amamvetsera zizindikiro zotsatirazi za endometriosis:

• anechoic kupanga 6 mm m'mimba mwake;
• kukhalapo kwa chigawo chowonjezereka cha echogenicity;
• chiberekero cha kukula kwakukulu;
• kukhalapo kwa mitsempha yodzaza ndi madzi, mawonekedwe a chiwonongeko.

Njira zina zodziwiritsira ntchito matendawa, ndizofunika kutchula:

1. Matenda a chiberekero - pali mabowo ang'onoang'ono monga mawonekedwe a burgundy, chiberekero cha uterine chikufutukuka, chingwe chokhazikika chimakhala ndi mpumulo, wofanana ndi mano a chiwindi.
2. MRI - ndi yophunzitsa kwambiri, koma imafuna kupezeka kwa zipangizo zamtengo wapatali ndi akatswiri oyenerera.

Endometriosis ya chiberekero

Asanayambe kupatsa endometriosis ya chiberekero, madokotala amadziŵa malo enieni ndi kukula kwake kwa chilondacho. Malingana ndi kuopsa kwa matendawa, malo odwala matendawa amachititsa munthu kupanga mankhwala. Njira yothandizira imayamba ndi kuikidwa kwa mankhwala, pakati pa mankhwala omwe amapezeka m'madzi. Mankhwalawa amayenera kuonetsetsa kuti ntchito ya gonads ndi yosasinthika komanso kusamalidwa kwa foci yatsopano ya endometriosis. Ngati palibe chithandizo cha mankhwala oterewa, opaleshoni imaperekedwa.

Kodi mungatani kuti mupewe matenda a endometriosis a chiberekero?

Kukonzekera kwa hormonal kwa endometriosis kumasankhidwa payekha. Maimidwe onse amapangidwa ndi dokotala, kudziwitsa mtundu wa mankhwala, mlingo, mafupipafupi a mautumiki ndi nthawi ya mankhwala. M'maganizo amakono, mankhwalawa akugwiritsidwa ntchito pochiza endometriosis:

• progestogens - Utrozhestan , Dyufaston;
• antitigonadotropins - Danazol;
• agonists wa gonadotropin-kutulutsa hormone - Zoladex.

Monga mbali ya mankhwala ovuta a matendawa, magulu ena a mankhwala angathe kugwiritsidwa ntchito kuti athetse moyo wa wodwalayo:

• anti-inflammatory - Ibuklin, Nurofen;
• Antispasmodics - Papaverin, Drotaverin;
• zosangalatsa - tincture wa valerian, motherwort;
• immunomodulators - Immunomax, Immunal;
• Kukonzekera kwachitsulo - Ferretab, Sorbifer.

Endometriosis ya chiberekero - mankhwala ndi mankhwala ochiritsira

Chithandizo cha mtundu wa endometriosis cha chiberekero chimawerengedwa ndi madokotala monga njira yowonjezereka ya mankhwala. Ndi chithandizo chake, sichidzatheka kuthetseratu matendawa, koma n'zotheka kuchepetsa njira ya matenda ndikuthandizira kukhala ndi thanzi la mkazi. Kuti muthe kumapeto, gwiritsani ntchito:

Kulowetsedwa kwa borage chiberekero

Zosakaniza:

• Chiberekero cha Borovoe - 1 tsp;
• madzi - 200 ml.

Kukonzekera, ntchito

1. Udzu umathiridwa ndi madzi otentha.
2. Imani Mphindi 15.
3. Tengani panthawi ya chakudya cha theka la galasi 2-3 pa tsiku.

Msuzi wa Beet

Zosakaniza:

• beet - 1 pc.

Kukonzekera, ntchito

1. Beets amayeretsedwa, grated.
2. Gruel imayambira pa gauze ndipo imatulutsa madzi kuchokera.
3. Madzi amaphatikizidwa kwa maola 4-5, kenako amatsanulira bwinobwino popanda chingwe.
4. Tengani mkati 100 ml 2-3 pa tsiku, pang'onopang'ono muwonjezere mlingo.

Kulowetsedwa kwa nettle

Zosakaniza:

• masamba a nettle - 2 tbsp. makuni;
• madzi - 200 ml.

Kukonzekera, ntchito

1. Kuthamanga nettle, kutsanulira madzi otentha.
2. Zimatenthedwa m'madzi osambira kwa mphindi 15.
3. Yikani chifukwa cha msuzi madzi otentha 200 ml.
4. Tengani katatu pa tsiku kwa theka la galasi.

Endometriosis ya chiberekero - ntchito

Ngati palibe mankhwala, mankhwala opaleshoni amagwiritsidwa ntchito. Kuyeretsa kwa chiberekero ndi endometriosis kumachitika ndi cholinga chosunga mazira, kuteteza kufala kwa matendawa. Zimagwiritsidwa ntchito mwa njira ya laparoscopy, pamene kupeza kwa chiberekero kumapezeka kudzera m'mabowo ang'onoang'ono m'kati mwa khomo la m'mimba. Azimayi omwe ali ndi zaka zopanda phindu ndi endometriosis, laparotomy imachitidwa - kudutsa pakati pa khomo la m'mimba. Zisonyezo za ntchitoyi ndi izi:

• zokayikitsa za oncology;
• kukhalapo kwa concomitant fibroids;
• endometrioid ovarian cysts;
• kusokonezeka kwa ntchito za ziwalo zoyandikana.