Endometriosis - ikulongosola za matenda (zizindikiro zimayambitsa, endometriosis mankhwala)

Chiberekero endometrium anaphimba - minofu imene pa yotupa ndondomeko akhoza kukula mu ziwalo zina (mafupa a chiuno, zokhudzana, pamimba, m'mapapo minofu, chikhodzodzo, chiberekero, kumaliseche), matenda ndi mtima wabwino ndipo amatchedwa endometriosis. Ngati minofu akuyamba kukula mwachindunji mu chiberekero, matenda awa ali ndi khalidwe osiyana ndi pathogenesis - dzina adenomyosis. Malinga ndi kafukufuku, endometriosis zimakhudza akazi zaka 45, ambiri a iwo sakudziwa nkomwe kuti kale kudwala. Pakuti kupewa mkazi uyenera kuchitika pa gynecologist aliyense miyezi 6, mu nthawi kudziwa endometriosis, chithandizo pa siteji koyamba kwambiri kothandiza kusiyana ndi mawonekedwe patsogolo.

Nthawi zambiri chotupa n'kofunika pa thumba losunga mazira ndi - izi kumene chotupa zofiirira ndi Kupenda matenda kuwululidwa mwachikondi Pankhaniyi, dokotala anu angatanthauze mkazi kusanthula mwatsatanetsatane (ultrasound, hysteroscopy, X-ray, laparoscopy, kupereka magazi, mkodzo) kwa chitsimikiziro cha matenda - endometriosis chithandizo anatumizidwa payekha chifukwa peculiarities ndi magawo chitukuko matenda. Pasanathe ambiri endometrial athandize pa chikhodzodzo, matumbo, rectum, impso, m'phuno. Wodwala minofu mwezi kusinthidwa ndi aliyense msambo ndipo chochititsa chachikulu cha dysmenorrhea (chowawa msambo).

The zifukwa

Malinga ndi mankhwala mbali yaikulu chitukuko cha endometriosis akuchita chinthu cholowa. matenda amenewa nthawi zambiri amapezeka chifukwa cha matenda m'thupi ndi njira m'thupi, zikubweretsa mavuto pathological m'munda matenda. Zimachititsanso overgrowth wa endometrium mwina pafupipafupi mimba, mochedwa ndipo obstructed ntchito, diathermy, ntchito mankhwala osefukira wa khomo pachibelekeropo. Ngati njira zimenezi akutsatiridwa madzulo a kuzungulira kusamba, ndi endometrium akhoza kugunda mwachindunji mu chilonda ndi m'tsogolo mu mafupa a chiuno ndi khomo pachibelekeropo kukhala ukuwonjezeka endometrial. Nthawi yaikulu kuyamba mankhwala a endometriosis pofuna kupewa kukulitsa vuto.

symptomatology

Mkazi aliyense matenda kumaonekera m'njira zosiyanasiyana, koma zizindikiro zazikulu ndi ululu pamimba, m'munsi kumbuyo, sacrum, zoipa pa msambo kapena masiku angapo zisanachitike, chizungulire, kupweteka kwa mutu, kumverera kwa kulemera m'mimba, pafupipafupi pokodza, kusamba ndi zidutswa wodetsedwa magazi. Endometrial minofu zoti, kuti kulikonse kumene maselo ake ndi ntchito pamwezi ankalemekeza kusamba gawo - anamasuka, kuwonjezeka mu kukula, ndipo pa nthawi ya masiku athu ndi ovuta kwa magazi (ngati endometrium ali chikhodzodzo - mu mkodzo kuoneka zoonera mu rectum - kuundana magazi m'manyi).

Choncho oopsa kwambiri, makamaka ndi chopweteka akazi akudwala matenda a msambo, pamene ululu ndi kufooka iye amakhala sangathenso. Nthawi zina zilibe kuthandiza analgesics amphamvu njira imodzi - endometriosis, mankhwala singasiyanitsidwe ndi njira yokhayo kulimbana matenda.

chithandizo

Pambuyo zonse kuyendera diagnoses dokotala, zomwe GAWO mankhwalawa endometriosis ndi kumene. The njira waukulu wa mankhwala opaleshoni endometrial, cryotherapy, ultrasound, laser, bioklei. mankhwala amenewa akupita kuchotsa endometriosis onse. Kudziwa mtima 1 kapena 2 madigiri matenda opaleshoni wodzilemekeza mankhwala m'thupi kupewa muyambirenso, chithandizo cha endometriosis osakaniza otere anapitiriza pafupifupi chaka, koma pasanathe zonse, ndipo akhoza payekha.

Therapy imakhala mankhwala amakono: norethynodrel, retroprogesteron, medroxyprogesterone nthochi, norethisterone, goserelin. kupeza nthawi yake kwa kuchipatala amapereka Zoneneratu yabwino, ndi pa oyambirira mankhwala mankhwala siteji endometriosis akhoza kulepheretsanso zowononga ndi kubwezeretsa ntchito ubereki.