Endometriosis ya chiberekero - ndichiyani komanso momwe mungachitire?

Endometriosis ya chiberekero: ndichiyani m'chinenero chofikirika?

Vuto la endometriosis la chiberekero ndilofunika kwambiri kwa mankhwala amakono. Izi ndichifukwa choti kuchuluka kwa matendawa kumawonjezeka chaka ndi chaka. Malinga ndi ziwerengero, kuyambira 5 mpaka 10% ya atsikana padziko lonse lapansi amadwala endometriosis. Mwa odwala omwe ali ndi vuto losabereka, endometriosis ndiyofala kwambiri: mu 20-30% ya milandu.

Endometriosis - uku ndiko kufalikira kwa tiziwalo ta glandular m'chiberekero, chomwe ndi chosaopsa. Maselo omwe angopangidwa kumene ndi ofanana mu kapangidwe ndi ntchito kwa maselo a endometrium ya chiberekero, koma amatha kukhalapo kunja kwake. Zomera (heterotopias) zomwe zawonekera zimasintha nthawi zonse, zofanana ndi kusintha komwe kumachitika mwezi uliwonse ndi endometrium muchiberekero. Amatha kulowa m'magulu oyandikana nawo athanzi ndikupanga zomatira pamenepo. Nthawi zambiri endometriosis limodzi ndi matenda ena a mahomoni etiology, mwachitsanzo, uterine fibroids, GPE, etc.

Endometriosis ndi matenda achikazi, limodzi ndi mapangidwe chosaopsa mfundo kuti ndi ofanana dongosolo la mkati akalowa chiberekero. Node izi zitha kupezeka mu chiberekero chokha komanso kunja kwa chiwalo. Zigawo za endometrium, zomwe mwezi uliwonse zimakanidwa ndi khoma lamkati la chiberekero pa nthawi ya kusamba, sizingatuluke kwathunthu. Pazifukwa zina, ena a iwo amakhala mu machubu a fallopian, komanso ziwalo zina, ndikuyamba kukula, zomwe zimatsogolera ku endometriosis. Azimayi omwe amavutika maganizo kawirikawiri amakhala ndi matendawa.

Ndi matenda, endometrium imakula kumene sikuyenera kukhala. Komanso, maselo akunja kwa chiberekero akupitiriza kugwira ntchito mofanana ndi m'mimba mwake, ndiko kuti, kuwonjezeka pa nthawi ya kusamba. Nthawi zambiri, endometriosis amakhudza thumba losunga mazira, mazira, ndi kukonza ligamentous zida za chiberekero, ndi chikhodzodzo. Koma nthawi zina endometriosis wapezeka ngakhale m`mapapo ndi mucous nembanemba wa m`mphuno patsekeke.

Zifukwa za chitukuko cha endometriosis

Endometriosis ikhoza kutchedwa matenda omwe ali ndi etiology yosadziwika. Mpaka pano, madokotala sanathe kupeza chomwe chimayambitsa matendawa. Pali malingaliro asayansi okha pankhaniyi, koma palibe imodzi mwa izo yomwe imatsimikiziridwa. Amakhulupirira kuti chiopsezo zinthu chitukuko cha endometriosis ndi pafupipafupi matenda anavutika mu ubwana, m`thupi kusamvana mu thupi, kutupa thumba losunga mazira. Monga tanenera, endometriosis nthawi zambiri imagwirizanitsidwa ndi uterine fibroids.

Chiphunzitso cha retrograde msambo mpaka lero chapeza kuyankha kwakukulu pakati pa akatswiri omwe amaphunzira za vuto la endometriosis. Lingaliro limakhala loti panthawi ya kusamba, tinthu tating'onoting'ono ta uterine mucosa ndi magazi timalowa m'matumbo a peritoneal ndi machubu a fallopian, kukhazikika pamenepo ndikuyamba kugwira ntchito. Ngakhale kuti msambo magazi kuchokera chiberekero kudzera nyini amalowa kunja chilengedwe, magazi otulutsidwa ndi endometrial particles kuti mizu mu ziwalo zina sapeza njira. Zotsatira zake, ma microhemorrhages amapezeka mwezi uliwonse m'dera la endometriosis foci, lomwe limaphatikizapo kutupa.

Mfundo zina zomwe zimasonyeza zomwe zimayambitsa endometriosis ndi izi:

• implantation hypothesis. Zimayambira kuti tinthu tating'onoting'ono ta endometrial timayikidwa mu minofu ya ziwalo, kufika kumeneko ndi magazi a msambo.

• metaplastic hypothesis. Izi zimachokera ku mfundo yakuti maselo a endometrial samakhazikika m'madera osazolowereka kwa iwo, koma amangolimbikitsa minyewa ku kusintha kwa ma pathological (metaplasia).

Komabe, mpaka pano palibe yankho la funso lalikulu: chifukwa chiyani endometriosis imayamba mwa akazi ena okha, osati mu kugonana kokongola. Ndipotu, retrograde msambo anaona aliyense wa iwo.

Asayansi amati endometriosis imayamba pokhapokha pazifukwa zotsatirazi:

• Kusokonezeka kwa chitetezo chathupi m'thupi.

• Cholowa chotengera chitukuko cha matenda.

• Kapangidwe kake ka zowonjezera, zomwe zimapangitsa kuti magazi ambiri alowe m'mimba ya peritoneal pa nthawi ya kusamba.

• Kuchuluka kwa estrogen m'magazi.

• Zaka kuyambira 30 mpaka 45 zaka.

• Kumwa mowa mopitirira muyeso ndi zakumwa zokhala ndi caffeine.

• Kumwa mankhwala enaake.

• Matenda a metabolic omwe amatsogolera ku kunenepa kwambiri.

• Kufupikitsa msambo.

Chitetezo cha mthupi chikagwira ntchito bwino, chimayang'anira ndikuyimitsa ma cell onse a pathological cell m'thupi. Zidutswa za minyewa yomwe imalowa mu peritoneal cavity pamodzi ndi magazi a msambo imawonongedwanso ndi chitetezo cha mthupi. Iwo amawonongedwa ndi lymphocytes ndi macrophages. Chitetezo cha mthupi chikalephera, tinthu ting'onoting'ono ta endometrium timakhala m'mimba ndikuyamba kulowa mkati. Chifukwa chake, endometriosis imayamba.

Kuyimitsa ntchito pa chiberekero kumawonjezera chiopsezo chokhala ndi matendawa. Izi zikuphatikizapo curettage, kuchotsa mimba, cauterization wa kukokoloka khomo lachiberekero, etc.

Ponena za cholowa cha endometriosis, sayansi imadziwa milandu pamene m'banja limodzi oimira akazi onse anadwala matendawa, kuyambira ndi agogo aakazi ndi kutha ndi zidzukulu.

Ngakhale kuti pali ziphunzitso zambiri za chitukuko cha endometriosis, palibe mmodzi wa iwo 100% kufotokoza chifukwa chake matendawa akadali kudziwonetsera. Komabe, zatsimikiziridwa mwasayansi kuti chiopsezo chokhala ndi endometriosis chikuwonjezeka mwa amayi omwe achotsa mimba. Kuchotsa mimba mwachisawawa ndi kupsinjika kwa thupi, komwe kumakhudza machitidwe onse popanda kupatula: mantha, mahomoni, ndi kugonana.

Kawirikawiri, amayi omwe nthawi zambiri amakhala ndi nkhawa (kupsinjika maganizo, mantha, kukhumudwa) amatha kudwala endometriosis. Potsutsana ndi maziko awo, chitetezo cha mthupi chimalephera, chomwe chimalola maselo a endometrial kumera mosavuta mu ziwalo zina ndi minofu. Monga momwe machitidwe achikazi amasonyezera, amayi omwe ntchito zawo zamaluso zimagwirizanitsidwa ndi kuwonjezereka kwa mitsempha ya mitsempha amatha kupezeka ndi endometriosis.

Chinthu chinanso choopsa cha chitukuko cha matendawa ndikukhala m'malo olakwika a chilengedwe. Asayansi apeza kuti chimodzi mwazinthu zoopsa kwambiri zomwe zimapezeka mumlengalenga ndi dioxin. Imatulutsidwa mochuluka kwambiri ndi mabizinesi amakampani. Zatsimikiziridwa kuti amayi omwe nthawi zonse amapuma mpweya wokhala ndi dioxin wambiri amatha kudwala endometriosis, ngakhale ali aang'ono.

Zinthu zotsatirazi zamkati komanso zakunja zitha kukulitsa chiwopsezo chokhala ndi endometriosis:

• Kukhazikitsa chipangizo cha intrauterine.

• Kutenga njira zakulera za m`thupi.

• Kusuta fodya.

Zizindikiro za endometriosis mwa akazi

Zizindikiro za endometriosis sizipanga chithunzi chowoneka bwino chachipatala. Choncho, mpaka mkazi atadutsa mayeso apamwamba a matenda, sangadziwe za matenda ake. Nthawi zambiri, ngakhale kuwunika pampando wama gynecology pogwiritsa ntchito magalasi sikulola kuti matenda adziwike. Choncho, ndi bwino kulabadira zizindikiro za endometriosis. Komanso, mkazi aliyense amene akudwala matendawa nthawi zonse ali ndi osakaniza angapo khalidwe mbali.

Choyamba, ndiko kulephera kukhala ndi pakati. Kusabereka ndi pamene mkazi sangathe kutenga pakati pogonana mosadziteteza kwa chaka chimodzi. Endometriosis imalepheretsa dzira kuti lisagwirizane ndi umuna kapena kuti lisapitirize kugwira ntchito. Kuchulukirachulukira kwa maselo a endometrial kumabweretsa kusokonezeka kwa mahomoni, kumalepheretsa kupanga mahomoni omwe ali ofunikira panjira yabwinobwino yapakati.

Pamene endometriotic adhesions kukula mu appendages, m`dera khomo lachiberekero, izi zingachititse maphatikizidwe ziwalo ndi makoma awo wina ndi mzake. Zotsatira zake, kutsekeka kwa machubu a fallopian kumapangidwa, chomwe ndi chifukwa chachikulu cha kusabereka kwa amayi motsutsana ndi maziko a endometriosis.

Chachiwiri, ululu. Chikhalidwe cha ululu akazi akudwala endometriosis ndi osiyana. Ululu ukhoza kukoka ndi kuzimiririka, kupezeka mosalekeza. Nthawi zina amakhala akuthwa ndi kudula ndipo amapezeka m'munsi pamimba nthawi ndi nthawi.

Monga lamulo, ululu chifukwa cha endometriosis si kutchulidwa kuti mkazi ayenera kukaonana ndi dokotala chifukwa cha zochitika zawo. Nthaŵi zambiri, amaonedwa ngati zizindikiro za PMS, kapena zotsatira za kulimbitsa thupi.

Choncho, ndikofunika kumvetsera za ululu wosatha umene umapezeka nthawi zonse pogonana, panthawi ya msambo wotsatira komanso pamene mukukweza zolemera.

Chachitatu, kutuluka magazi. Maonekedwe a mawanga pambuyo pogonana ndi chimodzi mwa zizindikiro za endometriosis, mosasamala kanthu za malo a mfundo. Pamene zomatira zapangidwa m'dera la ziwalo za mkodzo kapena matumbo, ndiye kuti madontho a magazi adzakhalapo mu ndowe kapena mkodzo.

Monga lamulo, magazi amawoneka masiku angapo asanayambe kusamba. Kutulutsidwa kwake kumayendera limodzi ndi ululu. Pambuyo pa masiku 1-3, magazi amasiya kuonekera, ndipo patapita masiku 1-2, mkazi amayamba kusamba kwina.

Pa nthawi ya kusamba, magazi amatuluka kuchokera kumaliseche. Maonekedwe awo amafanana ndi zidutswa za chiwindi chaiwisi. Choncho, ngati mkazi awona kumaliseche kwamtunduwu ndipo ali ndi zizindikiro zina za endometriosis, ndiye kuti m'pofunika kukafotokozera vuto lake kwa dokotala.

Chachinayi, kusakhazikika kwa msambo. Nthawi zambiri zimakhala zosasinthika mu endometriosis.

Mkazi ayenera kukhala tcheru pa mfundo zotsatirazi:

• Kuzungulira kumasinthasintha nthawi zonse.

• Msambo ukhoza kusakhalapo kwa miyezi ingapo.

• Msambo ndi wautali ndipo limodzi ndi magazi kwambiri.

Ndi zolephera zotere, musazengereze kukaonana ndi dokotala. Apo ayi, mkazi amakhala ndi chiopsezo chotenga matenda aakulu. Ngati simunalandire chithandizo, endometriosis imatha kuyambitsa mapangidwe a zotupa zabwino, kusabereka komanso kutupa kwa ziwalo zamkati.

Zizindikiro za mitundu yosiyanasiyana ya endometriosis

Zizindikiro za endometriosis mwa amayi achikulire

Endometriosis imayamba osati mwa achinyamata okha, komanso mwa amayi achikulire azaka zopitilira 50. Komanso, pambuyo pa kusintha kwa thupi, chiopsezo chokhala ndi matendawa chikuwonjezeka, chifukwa cha kusowa kwa progesterone m'thupi.

Zinthu zotsatirazi zingayambitse kukula kwa endometriosis mu ukalamba:

• Kunenepa kwambiri;

• shuga;

• Matenda a chithokomiro;

• Matenda opatsirana pafupipafupi omwe amavutika ndi mkazi moyo wake wonse;

• Njira zingapo zochitira opaleshoni, komanso malo omwe amakhalapo zilibe kanthu.

Zizindikiro za endometriosis mwa amayi opitilira 50 zingaphatikizepo:

• Nseru;

• Mutu;

• Chizungulire;

• Nthawi zina kusanza kumachitika;

• Kuchulukitsa kukwiya, misozi, mwamakani.

Ululu m'munsi pamimba kawirikawiri kusokoneza akazi achikulire.

Zizindikiro za endometriosis mkati

Zizindikiro zotsatirazi zikuwonetsa endometriosis yamkati:

• Kupweteka kwa dera lomwe lakhudzidwa pa palpation.

• Kupweteka kwakuthwa pa msambo magazi, amene localized mu m`munsi pamimba.

• Kuwonjezeka kwa ululu panthawi ya chiyanjano, mutakweza zolemera.

Katswiri wa ultrasound amawona pa zenera mfundo zomwe zili pakhoma la chiberekero.

Chithunzi cha chipatala choyezetsa magazi chimadziwika ndi kuchepa kwa magazi m'thupi, komwe kumafotokozedwa ndi magazi okhazikika.

Zizindikiro za matenda pambuyo pa opaleshoni

Endometriosis imayamba mwa amayi omwe adachitidwa opaleshoni mu 20% ya milandu. Maselo amayamba kukula m'dera la chilonda ndi suture.

Zizindikiro zotsatirazi zidzawonetsa matendawa:

• Mawonekedwe a magazi otuluka kuchokera msoko;

• Kuchuluka kwamphamvu kwa kapamba;

• Kuyabwa mu msoko;

• Maonekedwe a zophuka nodular pansi pa msoko;

• Kujambula zowawa m'munsi pamimba.

Ngati mkazi apeza zizindikiro zotere mwa iye yekha, ayenera kuonana ndi gynecologist ndikuyesa. Nthawi zina, chithandizo chamankhwala chimafunika.

Endometriosis, endometritis ndi uterine fibroids - pali kusiyana kotani?

Endometriosis, endometritis ndi uterine fibroids ndi matenda osiyanasiyana.

Endometritis ndi kutupa kwa mkati wosanjikiza wa chiberekero, amene akufotokozera motsutsana maziko a malowedwe tizilombo toyambitsa matenda mu patsekeke. Endometritis imayamba chifukwa cha ma virus, mabakiteriya, bowa, majeremusi. Endometritis sichikhudza ziwalo zina, chiberekero chokha. Matendawa akuyamba pachimake, limodzi ndi malungo, ululu m`munsi pamimba, kumaliseche kwa maliseche thirakiti. Matenda a endometritis amafanana ndi zizindikiro za endometriosis.

Uterine fibroids ndi chotupa chosaopsa cha minofu yosalala komanso yolumikizana ndi chiberekero. Myoma akufotokozera motsutsana maziko a m`thupi matenda.

Kodi endometriosis ndi adenomyosis ndizofanana?

Adenomyosis ndi mtundu wa endometriosis. Mu adenomyosis, endometrium imakula kukhala minofu ya chiberekero. Matendawa amakhudza amayi a msinkhu wobereka, ndipo pambuyo pa kutha kwa msambo amapita okha. Adenomyosis angatchedwe mkati endometriosis. N'zotheka kuti ma pathologies awiriwa adzaphatikizidwa wina ndi mzake.

Chifukwa chiyani uterine endometriosis ndi yowopsa?

Endometriosis ya chiberekero ndi yoopsa chifukwa cha zovuta zake, kuphatikizapo:

• Mapangidwe a ovarian chotupa kuti adzadzazidwa ndi msambo magazi.

• Kutsekula m'mimba, kutsekula m'mimba (kusemphana, padera).

• Mitsempha matenda chifukwa psinjika minyewa ikuluikulu ndi overgrown endometrium.

• Kuperewera kwa magazi m'thupi, komwe kumaphatikizapo kufooka, kukwiya, kuwonjezeka kutopa ndi zizindikiro zina zoipa.

• Foci ya endometriosis imatha kusanduka zotupa zowopsa. Ngakhale izi sizichitika mopitilira 3% yamilandu, komabe, chiopsezo chotere chilipo.

Kuphatikiza apo, matenda opweteka kwambiri omwe amavutitsa mkazi amakhudza moyo wake ndikupangitsa kuti moyo ukhale woipa. Choncho, endometriosis ndi matenda amene ali pansi kuvomerezedwa mankhwala.

Kodi m'mimba ululu ndi endometriosis?

Mmimba imatha kupweteka ndi endometriosis. Ndipo nthawi zina ululu umakhala waukulu kwambiri. Monga tafotokozera pamwambapa, kupweteka kumakula pambuyo pogonana, panthawi ya chiyanjano, pambuyo pochita zolimbitsa thupi, pokweza zolemera.

Kupweteka kwa m'chiuno kumachitika 16-24% mwa amayi onse. Itha kukhala ndi mawonekedwe osiyanasiyana, kapena ikhoza kukhala ndi mawonekedwe omveka bwino. Nthawi zambiri ululu umakula musanayambe kusamba, koma ukhoza kukhalapo nthawi zonse.

Pafupifupi 60 peresenti ya amayi omwe ali ndi endometriosis amanena kuti amamva ululu. Ululu umakhala wochuluka kwambiri m'masiku oyambirira a 2 kuyambira kumayambiriro kwa msambo.

Kuzindikira kwa endometriosis

Kuzindikira kwa endometriosis kumayamba ndi kupita kwa dokotala. Dokotala amamvetsera madandaulo a wodwalayo ndikusonkhanitsa anamnesis. Ndiye mkazi amawunikiridwa pa mpando gynecological. Pakufufuza, n'zotheka kuzindikira chiberekero chokulirapo, ndipo chidzakhala chachikulu, pafupi ndi msambo wotsatira. Chiberekero ndi chozungulira. Ngati zomatira za chiberekero zapangidwa kale, ndiye kuti kuyenda kwake kudzakhala kochepa. Ndizotheka kuzindikira tinthu tating'onoting'ono tating'onoting'ono, pomwe makoma a chiwalocho amakhala ndi malo opumira komanso osagwirizana.

Kuti mumvetsetse matendawo, mayeso otsatirawa angafunike:

1. Kufufuza kwa Ultrasound kwa ziwalo za m'chiuno. Zizindikiro zotsatirazi zikuwonetsa endometriosis:

   • Anechogenic mapangidwe mpaka 6 mm m'mimba mwake;

   • Kukhalapo kwa zone ya kuchuluka kwa echogenicity;

   • Kukula kwa chiberekero mu kukula;

   • Kukhalapo kwa cavities ndi madzi;

   • Kukhalapo kwa mfundo zomwe zimakhala ndi mawonekedwe osamveka, ofanana ndi oval (omwe ali ndi mawonekedwe a matendawa), omwe amafika 6 mm m'mimba mwake;

   • Kukhalapo kwa mapangidwe a saccular mpaka 15 mm m'mimba mwake, ngati matendawa ali ndi mawonekedwe.

2. Hysteroscopy ya chiberekero. Zizindikiro zotsatirazi zikuwonetsa endometriosis:

   • Kukhalapo kwa mabowo mu mawonekedwe a madontho a burgundy omwe amawonekera kumbuyo kwa uterine mucosa wotumbululuka;

   • Kuwonjezeka kwa chiberekero cha uterine;

   • Pansi pa chiberekero cha chiberekero chimakhala ndi mpumulo wofanana ndi chisa cha mano.

3. Metrosalpingography. Phunzirolo liyenera kuchitidwa mwamsanga mukangomaliza kusamba kotsatira. Zizindikiro za endometriosis:

   • Kukulitsa chiberekero;

   • Malo a chowonetsera kunja kwake.

4. MRI. Kafukufukuyu ndi wophunzitsa 90%. Koma chifukwa cha kukwera mtengo, tomography sichichitika kawirikawiri.

5. Colposcopy. Dokotala amayesa khomo lachiberekero pogwiritsa ntchito ma binoculars ndi kuwala.

6. Kuzindikiritsa zizindikiro za endometriosis m'magazi. Zizindikiro zosalunjika za matendawa ndikuwonjezeka kwa CA-125 ndi PP-12. Ziyenera kuganiziridwa kuti kulumpha kwa mapuloteni-125 kumawonedwa osati motsutsana ndi maziko a endometriosis, komanso pamaso pa zilonda zam'mimba zam'mimba, ndi uterine fibromyoma, ndi kutupa, komanso kumayambiriro kwa mimba. Ngati mkazi ali ndi endometriosis, ndiye kuti CA-125 idzakwezedwa pa nthawi ya kusamba komanso mu gawo lachiwiri la mkombero.

Chithandizo cha endometriosis ya chiberekero

Mankhwala ovuta okha a endometriosis adzapeza zotsatira zabwino.

Pozindikira matendawa panthawi yake, pali mwayi uliwonse woti muchotse popanda kuphatikizira dokotala wa opaleshoni. Ngati mkazi amanyalanyaza zizindikiro za matendawa ndipo sapita kwa gynecologist, izi zidzachititsa kuti mwezi uliwonse foci yatsopano ya endometriosis idzawonekera m'thupi lake, cystic cavities idzayamba kupanga, minofu idzaphulika, zomatira. adzapanga. Zonsezi zidzapangitsa kutsekeka kwa appendages ndi kusabereka.

Mankhwala amakono amaganizira njira zingapo zochizira endometriosis:

• Opaleshoni. Madokotala amayesa kuchitapo opaleshoni nthawi zambiri, pomwe chithandizo chamankhwala sichinapereke zotsatira zabwino. Chowonadi ndi chakuti pambuyo pa opaleshoniyo, mwayi wokhala ndi pakati mwa mkazi udzakhala wochepa. Ngakhale kupita patsogolo kwaposachedwa pazamankhwala komanso kukhazikitsidwa kwa ma laparoscope mukuchita opaleshoni kumapangitsa kuti zitheke kuchitapo kanthu popanda kuvulaza thupi. Choncho, mwayi wotsatira kutenga pakati udakalipo.

• Kuwongolera kwachipatala. Kumwa mankhwala pochiza endometriosis ndi imodzi mwa njira zothandiza kwambiri za mankhwala. Mayi amapatsidwa mahomoni omwe amathandiza kuti dzira la ovary likhale lokhazikika komanso kuti lisapangidwe kwa foci ya endometriosis.

Mankhwala omwe amagwiritsidwa ntchito pochiza matendawa ali ndi mawonekedwe ofanana ndi njira zolerera za m'kamwa zochokera ku gulu la Decapeptyl ndi Danazol. Chithandizo cha mkazi chidzakhala chotalika, monga lamulo, sichimangokhala miyezi ingapo.

Kuti achepetse ululu, wodwalayo amapatsidwa mankhwala opha ululu.

Mpaka kumayambiriro kwa zaka za m'ma 80, mankhwala olerera ankagwiritsidwa ntchito pochiza endometriosis, yomwe inkagwira ntchito m'malo mwa opaleshoni. Analembedwa kwa miyezi isanu ndi umodzi mpaka chaka, piritsi limodzi patsiku. Ndiye mlingo chinawonjezeka 1 mapiritsi, amene kupewa chitukuko cha magazi. Pambuyo pa kukonzanso kwachipatala koteroko, mwayi wokhala ndi pakati unali 2-40%.

Chithandizo cha mankhwala

• Antiprogestins - ndi imodzi mwa mankhwala othandiza kwambiri pochiza endometriosis. Cholinga chake ndi kuletsa kupanga gonadotropins, zomwe zimayambitsa kutha kwa msambo. Pambuyo posiya mankhwala, msambo umayambiranso. Pa nthawi ya chithandizo, thumba losunga mazira silimatulutsa estradiol, zomwe zimabweretsa kutha kwa endometriosis foci.

  Zina mwa zochitika zoyipa izi:

  • Kunenepa;

  • Kuchepetsa kukula kwa mammary glands;

  • kutupa;

  • Chizoloŵezi cha kuvutika maganizo;

  • Kukula kwambiri kwa tsitsi kumaso ndi thupi.

• GnRH agonists - kupondereza ntchito ya hypothalamic-pituitary system, yomwe imayambitsa kuchepa kwa kupanga gonadotropins, ndiyeno imakhudza katulutsidwe ka thumba losunga mazira. Zotsatira zake, endometriosis foci imafa.

  Zotsatira za chithandizo ndi GnRH agonists ndi:

  • Kuphwanya mafupa kagayidwe ndi zotheka fupa resorption;

  • Kutalika kwa kusintha kwa thupi, komwe kungathe kupitilirabe ngakhale kuthetsedwa kwa mankhwala mu gulu ili, zomwe zimafuna poika mahomoni m'malo mankhwala.

• Njira zolerera zapakamwa (COCs). Maphunziro a zachipatala akhazikitsa kuti amachotsa mawonetseredwe a endometriosis, koma alibe mphamvu pa kagayidwe kachakudya, kupondereza kupanga estradiol ndi thumba losunga mazira.

Opaleshoni chithandizo cha endometriosis

Opaleshoni mankhwala a endometriosis zimatsimikizira kuchotsedwa kwa foci yake, koma sikuletsa zisadzachitikenso kwa matenda. Nthawi zambiri, amayi omwe ali ndi matendawa amafunikira njira zingapo. Chiwopsezo cha kubwereza chimasiyanasiyana pakati pa 15-45%, zomwe zimatengera kuchuluka kwa kufalikira kwa endometriosis m'thupi lonse, komanso komwe kuli njira ya pathological. Zimakhudza kuthekera kwa kuyambiranso komanso momwe kulowererapo koyamba kunali kokulirapo.

Laparoscopy ndi muyezo golide wa opaleshoni yamakono zochizira endometriosis. Mothandizidwa ndi laparoscope anaikapo m`mimba patsekeke, n`zotheka kuchotsa ngakhale ochepa kwambiri pathological foci, kuchotsa cysts ndi adhesions, kudula mitsempha njira kuti tifulumizane kuoneka kupweteka kosalekeza. Ndikoyenera kudziwa kuti cysts zomwe zimakwiyitsidwa ndi endometriosis ziyenera kuchotsedwa. Apo ayi, chiopsezo chobwereranso kwa matendawa chimakhalabe chokwera.

Kudziletsa kwa endometriosis sikuloledwa. Njira zochiritsira ziyenera kutsimikiziridwa ndi dokotala.

Ngati endometriosis ndi yoopsa, ndiye kuti m'pofunika kuchotsa chiwalo chomwe chakhudzidwa. Izi zimathekanso pogwiritsa ntchito laparoscope.

Madokotala amaona kuti mkazi wachiritsidwa endometriosis ngati sakuvutitsidwa ndi ululu ndipo sanabwererenso patatha zaka 5 atalandira chithandizo.

Ngati endometriosis imapezeka mwa mayi wa msinkhu wobereka, ndiye kuti madokotala amachita zonse zomwe angathe kuti asunge ntchito yake yobereka. Kuyenera kudziŵika kuti mlingo wa opaleshoni masiku ndithu mkulu ndipo amalola akazi a zaka 20-36 zaka 60% ya milandu kupirira ndi kubereka mwana wathanzi.

Kugwiritsa ntchito ma endoscopes panthawi ya opaleshoni kumakupatsani mwayi wochotsa ngakhale gawo laling'ono kwambiri la endometriosis. Mankhwala owonjezera a m'thupi amathandizira kupewa kuyambiranso kwa matendawa. Ngati endometriosis imayambitsa kusabereka, ndiye kuti chithandizo cha endoscopic ndi mwayi wokhawo wokhala ndi mayi wopambana.

Endometriosis ndi matenda omwe ali ndi zovuta zowopsa. Chifukwa chake, ndikofunikira kwambiri kuti muzindikire ndikuchiza munthawi yake. Kugwiritsiridwa ntchito kovuta kwa matekinoloje onse amakono opangira opaleshoni: kuphatikiza kwa cryocoagulation, kuchotsa laser, electrocoagulation kumapangitsa kuti ntchitoyo ikhale yotheka ndi mwayi waukulu womaliza bwino.

The kwambiri njira kuchitira endometriosis amaonedwa kuti laparoscopy (kumene, ndi kulephera ndiwofatsa mankhwala) ndi zina m`thupi mankhwala. Kugwiritsa ntchito GTRG pambuyo pa opaleshoni kumawonjezera mphamvu yake ndi 50%.

Ndi dokotala uti yemwe amachiza endometriosis?

Endometriosis imathandizidwa ndi obereketsa-gynecologist.