Pafupifupi 1 mwa amayi 10 aliwonse amakhudzidwa ndi endometriosis, matenda opatsirana omwe amalimbikitsa chiwopsezo cha kusabereka komanso zovuta zina panthawi yapakati. Kodi endometriosis imatheka bwanji kuyambira pakubereka mpaka pobereka? Ndi mwayi uti wowona polojekiti ya banja lanu ikuyenda bwino? Kusintha.

THEendometriosis ndi matenda opatsirana opatsirana omwe akuganiziridwa kuti amakhudza pafupifupi 1 mwa amayi 10 ndipo ngakhale 40% ya amayi omwe ali ndi vuto lakubereka komanso kupweteka m'chiuno. Amadziwika ndi kupezeka kwa endometrial mucosa kunja kwa chiberekero. Maselo a endometrial amatha kukhala ndi malo osiyanasiyana. Ngati nthawi zambiri amapezeka m'chiberekero cha mkazi (ovary, machubu, peritoneum, nyini, ndi zina zambiri), amathanso kukhudza kagayidwe kake, mapapo, kapena chikhodzodzo. Kutengera kukula kwa zilondazo komanso matendawo, endometriosis imafotokozedwa magawo osiyanasiyana kuyambira kochepa mpaka koopsa.

Koposa zonse, kubwerera pang'ono mkombero wachikazi ndikoyenera. Mwa mayi yemwe sonyamula, maselowa mwachilengedwe omwe amapezeka mchiberekero amasintha ndi mulingo wa estrogen. Mlingowo ukachuluka pakapita msambo, maselowa amakula. Ikatsika, minofu ya endometrium imatha pang'onopang'ono.

Ndi nthawi yamalamulo: nembanemba ya mucous imachotsedwa pamlomo wachiberekero, kudzera kumaliseche. Mwa amayi omwe akhudzidwa ndi endometriosis, maselowa, omwe sali m'chiberekero, sangathe kutuluka. Kutupa kosatha kumawonekera ndipo kumatha kukulirakulira pakapita nthawi ndi zaka. Pakakhala zovuta kwambiri za endometriosis, ma cysts amatha kuwonekera m'mimba mwake makamaka, komanso kulumikizana pakati pa ziwalo zosiyanasiyana zomwe zakhudzidwa.

Ngati endometriosis nthawi zina imakhala yopanda tanthauzo (zomwe zimapangitsa kuti zikhale zovuta kuzizindikira pazochitikazi), kutupa uku kumatsagana ndi zizindikilo zomwe zimatha kusiyanasiyana kutengera komwe kuli ma endometrial cell. Zizindikiro zomwe zitha kuwonetsa endometriosis ndi:

• kupweteka kwam'mimba (monga kupweteka kwakanthawi, kupatula kuti sikumasulidwa nthawi zonse ndi analgesic);
• kugaya chakudya ndi / kapena vuto la kwamikodzo (kudzimbidwa, kutsegula m'mimba, kupweteka kapena kuvuta kukodza kapena kukhala ndi matumbo, etc.);
• kumverera kwa kutopa kwakukulu, kosalekeza;
• kupweteka panthawi yogonana (dyspareunia);
• magazi, etc.

Ngakhale kutenga pathupi mokhazikika, makamaka ngati endometriosis ndi yocheperako, vutoli limathandizanso kuti zikhale zovuta kutenga mwana, kapena kusabereka. Chifukwa chake, malinga ndi bungwe la EndoFrance, 30 mpaka 40% ya azimayi omwe ali ndi endometriosis angakumane ndi vuto lakubereka. Chiwerengero china chomwe chimanena zambiri za matendawa: 20 mpaka 50% ya amayi osabereka amadwala endometriosis.

Momwe mungafotokozere kulumikizana uku pakati pa endometriosis ndi infertility? Njira zosiyanasiyana zimaperekedwa ndi akatswiri azaumoyo:

• Kutupa kosatha kumatha kusokoneza mgwirizano pakati pa umuna ndi oocyte;
• zomatira kapena zotchinga za proboscis, zikakhalapo, zimatha kuchepetsanso kapena kupewa umuna;
• Kupanga ma endometriotic cysts m'chiberekero kumatha kulepheretsa ma follicles kukula bwino pamenepo.

Mukazindikira kuti endometriosis yachitika, dokotala wanu akhoza kukutumizirani ku chithandizo chamankhwala ngati akuwona kuti ndikofunikira. Kutengera ndi mtundu ndi mtundu wa endometriosis yomwe muli nayo komanso zofunikira za banja lanu, gulu lazachipatala lomwe likukutsatirani lingakulimbikitseni:

• kukondoweza kwa mazira, kaya kapena wopanda intrauterine insemination (IUI) ;
• IVF nthawi zina imayambitsidwa ndi chithandizo chamankhwala chotengera estrogen-progestogen (piritsi) kapena agonists a GnRH.

Chidziwitso: Akuluakulu azaumoyo samalimbikitsa anthu kuchita opaleshoni ya endometriosis kuti alimbikitse mwayi wokhala ndi pakati. Komabe, izi zingaganiziridwe ndi dokotala wanu ngati vuto la IVF likulephera ndipo ngati endometriosis yanu ndiyolimba kwambiri. Pakakhala chisamaliro choperekedwa ngati gawo la maphunziro othandizira azachipatala (AMP), mwayi wokhala ndi pakati mwa njira ya IVF ya azimayi omwe ali ndi endometriosis ndi ofanana kwambiri ndi azimayi ena omwe amapindula ndi IVF. 'chithandizo chofananacho, pafupifupi 1 pa 4.

Nthawi zina amakhulupirira kuti kutenga mimba ndi mankhwala a endometriosis. Zoona ndizovuta kwambiri. Zowonadi, kuphatikiza kwa mahomoni, makamaka estrogen, kumasintha nthawi yapakati.

Zotsatira zake, zizindikilo za endometriosis zitha kukulirakulira m'nthawi ya trimester yoyamba, kenako nkutha kapena kutha mpaka pobereka. Komabe, zizindikiro za endometriosis nthawi zambiri zimabwerera msambo ukayambiranso. Matendawa amangogona atagona.

Kuphatikiza apo, endometriosis imatha kulimbikitsa kuyambika kwa zovuta zina panthawi yapakati. Makamaka, pali ngozi zowonjezereka za:

• kupita padera msanga (+ 10%);
• msanga ndi prematurity kwambiri;
• nsengwa;
• kutumiza kwaulesi. Pofunsa: mutu kapena zotsatira za opaleshoni yam'mbuyomu zomwe zimapangitsa kubereka kukhala kovuta kwambiri.

Komabe, ndikofunikira kukumbukira kuti si onse omwe ali ndi pakati omwe ali ndimatenda mwa azimayi omwe ali ndi endometriosis komanso kuti atha kubereka kumaliseche komanso kutenga pakati kosaletseka. Ngati mukuganiza za momwe mimba yanu ikuyendera, musazengereze kupita kwa abwana anu omwe angakulimbikitseni kutsatira zomwe zikugwirizana ndi vuto lanu.