Zamkatimu
- Chiberekero chobwerera kapena chosasinthika: chimatanthauza chiyani?
- KUPIGUKA KWA chiberekero
- KODI MUNGAPEZE BWANJI MIMBA NDI CHIBWERERO CHOTSANUKA?
- N'CHIYANI CHIMACHITA KUPIRITSIDWA KWA UTERINE?
- ZIZINDIKIRO ZA KUPINDA KWA chiberekero
- KUDZIWA KWA KUPITA KWA chiberekero NDI MANKHWALA MU "ON CLINIC RYAZAN"
- Kodi kutenga mimba ndi retroverted chiberekero?
- Chiberekero chobwerera m'mbuyo: malo omwe mungakonde panthawi yogonana?
- Nthawi zowawa, endometriosis ...: mafunso omwe timadzifunsa tokha
- Kulera, kubereka, chikho… kukhala ndi chiberekero chobwerera mmbuyo, kodi izi zikusintha chiyani?
Chiberekero chobwerera kapena chosasinthika: chimatanthauza chiyani?
Azimayi ambiri, chiberekero ndi anteverted, ndiko kuti, anatembenukira patsogolo. Ngati nyini ndi m'malo ili chakumbuyo, kumbali ya rectum kapena msana, chiberekero nthawi zambiri chimatsamira kutsogolo, kumimba. Choncho pali "chigongono" pakati pa nyini m'malo kumbuyo ndi chiberekero m'malo kutsogolo.
Zambiri pafupifupi 25% ya akazi, chiberekero ndi retroverted. Amatchedwanso uterine retroversion. Ichi ndi mawonekedwe a anatomical chabe, osati anomaly. Chiberekero chimapita chammbuyo, chakumsana, kotero kuti mbali yapakati pa nyini ndi chiberekero sichifanana ndi pamene chiberekero chimadutsa. Malinga ndi chidziwitso chachipatala chamakono, chodabwitsa ichi si cholowa chobadwa nacho.
KUPIGUKA KWA chiberekero
Chiberekero ndi gawo lofunika kwambiri la ubereki wa amayi. Ndi m'chiberekero momwe kukula kwa mwana wosabadwayo kumachitika kuyambira nthawi yoyembekezera mpaka kubadwa. Chiwalo champhamvu chooneka ngati peyalachi chili m’chiuno chaching’ono cha mkazi; mbali imodzi ya icho ndi chikhodzodzo chake, ndipo mbali inayo, ngalande yake.
Malingana ndi kudzaza kwa ziwalo zomwe zili pafupi ndi chiberekero, zimatha kusintha malo ake. Mwachitsanzo, chikhodzodzo chokwanira chimapangitsa chiberekero kupendekera kutsogolo. Kawirikawiri, malo a chiberekero amaonedwa kuti ndi abwino, momwe mbali yake pakati pa khosi ndi khosi ndi madigiri osachepera 120.
Pamene thupi la chiberekero limapatuka kumbali iliyonse ndipo mbali yomwe gawo la khomo lachiberekero limalunjika kwa ilo limatsika mpaka madigiri 110-90, akatswiri a gynecologists amalankhula za kupindika kwa chiberekero. Nthawi zambiri - pafupifupi 7 mwa 10 - pamakhala kupindika kumbuyo kapena kutsogolo.
KODI MUNGAPEZE BWANJI MIMBA NDI CHIBWERERO CHOTSANUKA?
Dokotala wa gynecologist akazindikira kuti chiberekero chapindika mwa wodwala wake pa nthawi yokumana , mu 99% ya milandu funso loyamba lomwe angafunse dokotala lidzakhala: "Kodi mimba ndi yotheka?" Nthawi zambiri, zimakhala zovuta kupereka yankho losamveka ku funso loterolo - izi zimachitika chifukwa chakuti kukhalapo kapena kusapezeka kwa zovuta zomwe zingatheke zimatsimikiziridwa makamaka ndi kuopsa kwa kuphwanya.
Monga momwe zimasonyezera, zimatsimikiziridwa kuti ndizovuta kukhala ndi pakati pamene chiberekero chapindika. Komanso, mtundu wa matenda komanso complicates kubala mwana wosabadwayo ndipo zingachititse kuti chitukuko cha mavuto osiyanasiyana pa mimba. Komanso, chiwopsezo chowonjezereka kwa mwana wosabadwayo mu nkhaniyi chikupitilirabe panthawi yobereka.
N'CHIYANI CHIMACHITA KUPIRITSIDWA KWA UTERINE?
Pali kobadwa nako ndi anapeza njira ya pathology. Komanso, kobadwa nako kupindika kwa chiberekero kumatha kuyambitsidwa ndi chibadwa komanso zinthu zakunja zomwe zimakhudza mwana wosabadwayo panthawi yomwe intrauterine ikukulira. Koma anapeza matenda, nthawi zambiri akufotokozera akazi pambuyo pobereka.
Zomwe zimayambitsa matendawa mwa amayi ndizo:
- ofooka m`chiuno minofu pansi, komanso kuphwanya kukhulupirika kwawo;
- kutambasula ndi kuphulika kwa mitsempha;
- wodwala ali ulesi matenda aakulu a m`chiuno ziwalo limodzi ndi kutupa;
- njira zomatira;
- zosiyanasiyana zabwino ndi zoipa neoplasms pa ubereki.
ZIZINDIKIRO ZA KUPINDA KWA chiberekero
Nthawi zambiri, matendawa amakhala ndi njira ya asymptomatic ndipo amapezeka potengera zotsatira za mayeso. Komabe, kutchulidwa kwambiri kwa otsetsereka, kumapangitsa kuti wodwalayo asokonezeke panthawi ya kusamba chifukwa cha kutuluka kwa chiberekero. Izi zingayambitse chitukuko cha kutupa, zizindikiro zomwe - kutulutsa, kupweteka m'mimba - zomwe zimapangitsa kuti wodwalayo apite kwa dokotala.
Komabe, nthawi zina, amayi omwe amapezeka kuti ali ndi vuto la uterine amadandaula kuti:
- kusapeza komanso ngakhale kupweteka panthawi yogonana;
- pafupipafupi kufuna kukodza;
- kupweteka kwa chiberekero panthawi ya matumbo;
- ululu waukulu m`masiku oyambirira a msambo;
- kusowa mimba ndi kugonana yogwira popanda chitetezo kwa chaka chimodzi kapena kuposerapo;
- kupita padera .
KUDZIWA KWA KUPITA KWA chiberekero NDI MANKHWALA MU "ON CLINIC RYAZAN"
Kupindika kwa chiberekero nthawi zambiri kumadziwika panthawi ya ultrasound ya ziwalo za m'chiuno. Hysterosalpingography , yomwe imachitidwanso mu malo athu azachipatala osiyanasiyana omwe ali pansi pa ulamuliro wa ultrasound, ndi phunziro lina lothandizira lomwe nthawi zambiri limachitidwa pokhudzana ndi kukayikira kuti wodwalayo ali ndi matenda ena achikazi, komanso gawo la kukonzekera mimba.
Ponena za chithandizo chochizira kupindika kwa chiberekero, kuyenera kuphatikizapo kuchotsa zomwe zidayambitsa kukula kwake. The gynecologist angapereke wodwalayo odana ndi kutupa, zakudya, vitamini kapena physiotherapy, komanso masewera olimbitsa thupi. Muzochitika zapamwamba kwambiri, wodwalayo akhoza kuchitidwa opaleshoni, pamene chiberekero chidzakhazikika pamalo abwino. Nthawi zambiri, iyi ndi ntchito yocheperako pang'ono pogwiritsa ntchito njira zamakono za endoscopic.
Chiberekero choyima kumbuyo: zotheka zizindikiro
Kusiyana kwachilengedweku sikulepheretsa kutenga pakati komanso sikuvulaza chonde. Komabe, kukhala ndi chiberekero chobwerera kungayambitse kupweteka kwa m'chiuno (mu jargon timalankhula za ululu wa m'chiuno) wofatsa mpaka wapakati, makamaka m'malo ena panthawi yogonana, kapena ngakhale pa nthawi ya kusamba. Pamene chiberekero chimayikidwa chammbuyo, kupweteka kwa chiberekero panthawi ya kusamba kumamveka kwambiri m'dera la lumbar (kumunsi kumbuyo) kusiyana ndi kumunsi kwa mimba.
Kubwereranso kwa chiberekero: nthawi zambiri kumawoneka pa ultrasound
Kuzindikira kwa chiberekero cha uterine retroversion nthawi zambiri kumachitika panthawi ya a Pelvic ultrasound, kaya ndi chizolowezi kufufuza matenda achikazi, mimba adakali kapena kufunafuna matenda (chotupa, endometriosis, etc.). Pokhapokha zitawoneka kachiwiri (onani bokosi pansipa), kubwezeretsa chiberekero sikudzafunikanso kuyezetsa kuchipatala, makamaka ngati palibe zizindikiro zovutitsa kapena matenda okhudzana nawo.
Kubwereranso koyambirira ndi kubwereza kachiwiri
Zindikirani: kubwezeretsedwa kwa chiberekero kungakhalenso kotsatira, ndiko kuti, kusakhalapo kuyambira kubadwa. Kusiyana kumapangidwa pakati pa "primitive" retroversion ndi "secondary" retroversion uterine.. Chiberekero choterocho chikhoza kuperekedwa kuchokera kumalo osadziwika kupita kumalo obwereranso, chifukwa cha uterine fibroid, zomatira pakati pa ziwalo kapena endometriosis. Pambuyo pobereka, kubwezeretsedwa kwa chiberekero kungakhalenso kwakanthawi, chifukwa cha kumasuka kwa mitsempha yomwe ikugwira chiberekero.
Chiberekero chobwerera kumbuyo: pali chithandizo?
Palibe chithandizo chomwe nthawi zambiri chimaperekedwa kwa chiberekero chobwerera kumbuyo, chifukwa mawonekedwe amtundu uwu alibe zotsatira. Ngati zidziwikiratu kuti kubwezeretsa chiberekero ndi chifukwa chokhacho chomwe chimapweteka kwambiri kapena chopweteka kwambiri, opaleshoni ya laparoscopic ikhoza kuperekedwa, ndi zovuta zomwe izi zikuphatikizapo.
Pakati pa mimba, ngati malo obwerera kumbuyo sakuwongolera poyambira pa trimester yachiwiri, a kuwongolera kwa nyini Akhoza kuchitidwa ndi obstetrician-gynecologist, kuti akhazikitsenso chiberekero mu anteversion.
Kodi kutenga mimba ndi retroverted chiberekero?
M'malo mwake, funso lofunika kwambiri lingakhale "mukhoza kutenga mimba ndi chiberekero chobwerera?”. Mafunso awiriwa amabweretsa yankho lomwelo: Osadandaula ! Kukhala ndi chiberekero chobwereranso sikukulepheretsani kutenga pakati komanso kukhala ndi mimba yabwino, ndipo sikufuna njira zapadera kuti mukwaniritse izi.
Pa nthawi ya mimba, nthawi zambiri. chiberekero chidzakula mwachibadwa ndi kusintha, kotero kuti lingaliro la kusinthika kapena kubwereranso lisakhalenso lomveka. “Mwapadera, popeza chiberekero chili kutali kwambiri, khomo lachiberekero limakonda kupita patsogolo ndipo limatha kuletsa kukodza pang'ono, koma izi ndizapadera kwambiri ”, adafotokozera m'modzi mwa owerenga athu Prof. Philippe Deruelle, katswiri wa zachipatala ku Strasbourg University Hospital komanso mlembi wamkulu wa National College of Obstetrician Gynecologists of France (CNGOF). ” Pamene mimba ikupita, chiberekero chimayamba kudzidzidzimutsa, iye sadzakhalabe m’mbuyo mpaka mapeto. Mwanayo adzabwera kutsogolo ndi kutenga malo ochulukirapo, kotero kuti lingaliro la malo a chiberekero lidzatha. Choncho malo oyamba a chiberekero alibe mphamvu pa kubereka "adatero.
Onani kuti zomverera za kumangika ndi zotheka m`chiuno ululu woyamba trimester wa mimba, chifukwa cha kuwonjezeka kukula ndi kuwongola chiberekero, akhoza kukhala amphamvu pang`ono pamaso pa chiberekero retroverted.
Chiberekero chobwerera m'mbuyo: malo omwe mungakonde panthawi yogonana?
Pamaso pa chiberekero chobwereranso, malo ena panthawi yogonana angayambitse kupweteka kapena kupweteka kwa m'chiuno, komwe kumatchedwa. ziphuphu. Nthawi zambiri zimakhala zakuya, ndipo zimachitika pamene mbolo ya wokondedwayo ikhudzana ndi khomo lachiberekero, mkati mwa nyini. Malo omwe malowa ndi ozama (kalembedwe kagalu ndi malo ofanana makamaka) motero amathandiza kwambiri kupweteka.
Ngati zikutivutitsa, ndiye kuti tingathe konda malo omwe malowedwe ndi osaya, monga spoons Small, ndi Andromache kumene mkazi amayang'anira malowedwe ndi kubwera ndi kupita, kapena Lotus. Musazengereze kuyesa maudindo angapo ndi machitidwe ogonana kuti mupeze omwe ali oyenera kwambiri.
Chenjerani, komabe, kupweteka kwa m'chiuno panthawi yogonana kapena mukatha kugonana kumatha kulumikizidwa ndi zifukwa zina (zomatira, endometriosis ndi / kapena adenomyosis, ectopic pregnancy, ovarian cyst, gynecological malformation, polycystic ovary syndrome, matenda amkodzo, kudzimbidwa. ...).
Nthawi zowawa, endometriosis ...: mafunso omwe timadzifunsa tokha
Ngakhale kuti palibe kafukufuku yemwe wasonyeza kugwirizana momveka bwino kwa izi mosasamala kanthu za msinkhu wa odwala, ndizotheka kuti chiberekero chobwereranso chimayambitsa nthawi zowawa kwambiri, chifukwa cha kusayenda bwino kwa msambo.
Ndiko: endometriosis, chifukwa cha zomatira zomwe zingayambitse, akhoza kupendekera chiberekero kumbuyo, mu malo retroverted.
Komabe, palibe mgwirizano wodziwika bwino wa causal: si chifukwa chakuti tili ndi chiberekero chobwereranso kuti tili ndi endometriosis, ndipo mosiyana si chifukwa chakuti tili ndi endometriosis kuti chiberekero chathu chimabwereranso. Pali milandu ya endometriosis yokhala ndi chiberekero chokhazikika ngati chiberekero chobwerera.
Madokotala ena amadzuka chiopsezo chachikulu cha kutsika kwa chiwalo (prolapse) ndi chiberekero chobwerera kumbuyo, koma chiyanjano ichi sichinatsimikizidwe mokwanira kuti chitsimikizidwe motsimikizika.
Kulera, kubereka, chikho… kukhala ndi chiberekero chobwerera mmbuyo, kodi izi zikusintha chiyani?
Pafupikubereka, kukhalapo kwa chiberekero chobwerera kulibe vuto lililonse, ngati mawonekedwe a anatomical samakhudzana ndi matenda omwe amachepetsa chonde (fibroma, endometriosis, adhesions, etc.). Komanso sizimalepheretsa kugwiritsa ntchito njira zosiyanasiyana zoberekera mothandizidwa ndi mankhwala (ART) monga kulowetsa m'mimba mwachisawawa, kutulutsa dzira kapena umuna mu m'mimba.
Pankhani ya kulera, chiberekero chobwerera m'mbuyo sichiletsa kuika IUD. Kuyikako kutha kukhala kosavuta kwa akatswiri.
Momwemonso kugwiritsa ntchito chikho cha msambo kapena tampons. Kukhala ndi chiberekero chobwerera kumbuyo sikumasintha chilichonse. Njira zodzitetezera zomwezi ziyenera kuchitidwa mukamagwiritsa ntchito ndikuchotsa zidazi.
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