Kuwedzera kwezvipembenene zvemastometrial zvinowanzotaurwa kunowanzoita gynecology se endometriosis. Chirwere ichi chine maitiro akawanda emakiriniki, nzvimbo dzakasiyana-siyana. Ndezvipi zviratidzo zvinosangana ne endometriosis yechipfuva, chii icho chinowanikwa mutauro - ngatiedze kutsanangura muchikamu chacho.
Endometriosis yechibereko ndeyei?
Endometriosis yechipupuriro inoratidzirwa nehutachiona hwehutachiona hwemagetsi ekupedzisira ekupedzisira, izvo zvinoshandura mararamiro avo. Paanoongororwa nechirwere, vanachiremba vanokwanisa kuona mafungiro ekukura mukati rectum, zvipfeko zvechibereko. Mukuwedzera, aya masero akafanana zvakakwana mukugadzirisa uye anokwanisa kuita mabasa akafanana ne endometrium emuviri.
Izvozvo zvinokonzera kukura (heterotopies) zvinokwanisa kuchinja maitiro, izvo zvinopedzisira zvichinyatsoonekwa muchibereko mwedzi woga woga. Pamusana pekuti zvivako zvemagetsi zvinokwanisa kupinda mukati memaoko, zvakagadzira mapikisi, endometriosis inowanzoenda kune dzimwe zvirwere zveHodmonal etiology:
- uterine myoma;
- hyperestrogenia.
Endometriosis yemuviri wechibereko
Urwu hutano hwehutano hunowanzotumidzwa semukati endometriosis wechibereko. Iri zita rinosanganiswa nehukuru hwekuwana nzvimbo yehutano hwehutano. Ne endometriosis yemuviri, kupindira kwemasero e-endometriya kuva muscular layer ye chibereko (adenomyosis) inoonekwa. Kazhinji, pakati pe myometrium (muscle yakasara) uye endometrium, kune hutete hwemasero anokonzera nzvimbo idzi.
Zvisinei, kana kuvhuvhuta kana utachiona zvichiitika, chando chinodzivirira chinogona kukuvadzwa. Somugumisiro, masero epametometrial anopinda mushure mutsva munguva yekufamba-shanduka kwekuchinja, kuumba chinangwa chekuputika. Paanenge achiongorora murwere ane ultrasound, chiremba anocherechedza unhu hunoshanduka, zvivako zvakasiyana nemisimba - endometriosis yechibereko, zviratidzo uye kurapa izvo zvinorondedzerwa pasi apa.
Endometriosis yemukati
Ichi chimiro chekurwara chinoratidzwa nekukura kwemakemikari endometria, izvo zvishoma nezvishoma zvinotanga kufamba uye zvinokanganisa chikamu chechikadzi chechirwere. Nokuda kwechiitiko ichi, chirwere chacho chine zita rechipiri - risina kuremara endometriosis. Chirwere chacho hachirevi, saka inowanzoongororwa nehutano hwekudzivirira.
Endometriosis yemumuviri wechibereko - chii ichocho, vanachiremba vanotsanangura mumutauro unowanikwa paanoona - inonzi hormone-inotenderera, ndiko kuti, inokura semusana wekusagadzikana kwehomoni. Izvi zvinotsigira chokwadi chokuti chirwere ichi chinowanzowanikwa kuvakadzi vezera rekubereka uye rinotarisa nekutanga kwemazuva ekupedzisira. Mune mhaka iyi, masero endometrial anowanikwa zvakananga pamusoro pehuputi hwemutsipa, asina kupinda mukati.
Endometriosis yechibereko - zvikonzero
Zvakanga zvisingaiti kugona kunyatsoziva chinokonzera endometriosis yechibereko, kunyange mushure mekudzidza kwakawanda. Pano pane zvidzidzo zvakawanda izvo vanachiremba vanomatira pavanotsanangura etiology yechirwere ichi:
- Dzidziso yekudzoka shure kwemwedzi. Maererano nehana iyi, panguva imwechete yezvinyorwa zvemwedzi mucous membrane particles neropa rinoyerera rinopinda mu fallopian tubes, peitoneal cavity. Vagara pano uye vachiumba nzvimbo, vanotanga kushanda se endometrium.
- The metaplastic hypothesis. Maererano nedzidziso iyi, hapana chimiro chekuzvimiririra chemasero endometriya kuva mune mamwe matukisi, asi kungokonzera maitiro ekugadzirisa mararamiro (metaplasia).
Mukuwedzera, zvinofanira kuonekwa kuti kukura kwechirwere kunogona kungoitika mune mamwe mamiriro ezvinhu. Sezvo zvinopisa zvinogona kuita:
- yakaderedza masimba emuviri emuviri;
- hutano;
- chimiro chisina kunaka chezvipfeko, umo chikamu chekuenda kumwedzi chinopinda mu peritoneum;
- kuwedzera kwehuwandu hweedrogen muropa;
- ane makore 30-45;
- kupfupika kumwedzi.
Ndeipi ngozi ye endometriosis yechibereko?
Kupararira endometriosis yemuviri kunomirira ngozi kune utano hwevakadzi, zvichipiwa zvinetso zvinogona kuitika. Izvo zvakasiyana munguva yekuonekwa uye kuoma. Vanachiremba pakarepo mushure mekutarisa kunotanga kurapa endometriosis yechibereko chemuviri, migumisiro yomuviri inogona kuva seizvi:
- kuumbwa kweovarian cysts ;
- kupererwa kwepamuviri pamuviri ;
- kusabereka ;
- neurological disorders mu kukanganiswa kwehutano kuguma ne endometrium yakawedzerwa;
- anemia;
- kuchinja kune maitiro akaipa (muna 3% emhosva).
Ndinogona here kutora pamuviri we endometriosis wechibereko?
Mushure mokuongorora zvikonzero uye nekufungidzira izvo zvinokuvadza endometriosis yechipfuva, chii ichi chirevo chinogamuchirwa, vanachiremba vari kukurumidzira kusimbisa mukadzi ane chirwere chinogona kuputsa basa rekurera. Nyanzvi dzinoti kubata ne endometriosis yechibereko chinogona kuitika. Kana zvipembenene zve endometrium zvisingaverengeki, masero ayo haafaniri kupfuura chikamu chebonde, uye mukadzi anogona kuva amai.
Zvisinei, mumatanho ekupedzisira ehutachiona, nekuregererwa kwemhando dzekushaya simba, endometriosis yechibereko (chii chiri mumutauro unogamuchirwa - chinotsanangurwa pamusoro) chinogona kutungamirira pakushaya simba. Inokonzerwa nehutachiona hunoenda pamwe nechirwere ichi. Maitiro anoumbwa panguva yekuderera kwechigunwe uye kunopesana nehutano hwekugadziriswa, pasina kuberekwa kusingaiti.
Endometriosis yechibereko - zviratidzo
Zviratidzo zve endometriosis yechibereko mukati mekutangira kwehutano hahupo. Ikutanga zviratidzo zvinowanikwa nekukura kukuru kwe endometrium. Muzviitiko zvakawanda, vakadzi vanoona kurwadziwa kwakakomba mune endometriosis yechibereko mukati mekuenda kumwedzi, mudumbu rezasi uye kumucheto wezasi. Ivo vanobatanidzwa nekuoma kwakaoma kwe endometrium. Kutaura pamusoro pezvinoenderana neendometriosis yechipfuva, chii icho chinowanikwa mumutauro, gynecologists vanoteerera kuwedzera kwehuwandu hwekuenda kumwedzi. Pakati peimwe zviratidzo zve endometriosis zvakakosha kusiyanisa:
- Marwadzo munharaunda yepilvic, isingabatanidzwi nekuenda kumwedzi.
- Dyspareunia - kurwadziwa panguva yepabonde.
- Menorrhagia - spotting brown mune zuva ripi neripi remhepo.
- Kupesana kwekuberekwa kwebasa.
Degrees of endometriosis ye chibereko
Endometrial masero anogona kupinda mukati me muscular layer uye nhengo dzomunharaunda dzakasiyana-siyana. Zvichienderana neizvi, mukurapa kwechirwere, vanachiremba vanosiyanisa zvidimbu zvinotevera zve endometriosis:
- 1 degree - pane pane munhu mumwechete foci.
- 2 digita - endometriosis inosvika muscular layer, nhamba ye foci inowedzera.
- 3 digita -multiple foci inocherechedzwa, magumo ekugadziriswa anogadzirwa kune rimwe kana mavari mavari, maine spikes e peritoneum.
- 4 degree - yakadzika, yakawanda foci ye endomeriosis, yakakura endometrioid cysts pane mavha mavari inoumbwa. Endometrium inomera mumadziro evakadzi, rectum.
Iwe uterine endometriosis inowanikwa sei?
Asati atarisa endometriosis yemubereki, kuti aongorore, vanachiremba vanoita zvidzidzo zvakawanda. Nzvimbo inotungamirira muhutano hwechirwere ndeye ultrasound. Mukuzvibata kwayo, vanachiremba vanocherechedza zviratidzo zvinotevera zve endometriosis:
- anechoic maitiro kusvika 6 mm muupamhi;
- kuvapo kwenzvimbo yekuwedzera echogenicity;
- chibereko chekuwedzera kukura;
- kuvapo kwemisasa yakazadzwa nemvura, mavara emarara.
Pakati peimwe nzira dzekuongorora hutachiona, zvinokosha kutumidza:
- Hysteroscopy yechibereko - kune zviduku zviduku zvakadai seburgundy points, uterine cavity yakawedzerwa, basal yechipfuva ine zororo, yakafanana nemazino emvura.
- MRI - inonyatsodzidzisa, asi inoda kuwanikwa kwezvinhu zvinodhura uye nyanzvi dzinyanzvi.
Endometriosis yechibereko - kurapwa
Asati apora endometriosis yechibereko, vanachiremba vanosarudza nzvimbo chaiyo uye chiyero chechionda. Zvichienderana nekuoma kwechirwere ichi, chirwere chetachiona chinogadzira chirongwa chemunhu pachako. Nzira yekurapa inotanga nekugadzwa kwemishonga, pakati pemishonga inokonzerwa nehomoni. Mushonga wacho unotarisirwa kuisa kumira kwebasa re gonads uye kusabatanidza kukurudzirwa kwemafuro matsva e endometriosis. Kana kusavapo kwechirwere chechirwere chakadaro, kushanda kunorayirwa.
Nzira yekurapa endometriosis yechibereko chepamuviri here?
Hormonal kugadzirira endometriosis inosarudzwa mumwe nomumwe. Zvose zvinogadzirirwa zvinongororwa chete nachiremba, kusarudza rudzi rwemishonga, uwandu, nguva dzehutungamiri uye nguva yekurapa. Mukurapa kwemazuva ano, zvinodhaka zvinotevera zvinoshandiswa kurapa endometriosis:
- progestogens - Utrozhestan , Dyufaston;
- antigonadotropins - Danazol;
- agonist of gonadotropin-releasing hormone - Zoladex.
Sechikamu chetachiona chakaoma chechirwere, mamwe mapoka ezvinodhaka anogona kushandiswa kuita kuti hutano huve hwakanaka:
- anti-inflammatory - Ibuklin, Nurofen;
- antispasmodics - Papaverin, Drotaverin;
- sedatives - tincture ye valerian, motherwort;
- immunomodulators - Immunomax, Immunal;
- Kugadzirira dare - Ferretab, Sorbifer.
Endometriosis yebereki - kurapwa nemishonga yevanhu
Kurapa kwevanhu kwe endometriosis yechibereko chinotarirwa navanachiremba seimwe nzira yekurapa. Nekubatsira kwayo, hazvizokwanisi kubvisa zvachose chirwere ichi, asi zvinokwanisika kuderedza chirwere chechirwere nekuvandudza hutano hwemukadzi. Kumugumo uyu, shandisa:
Kuvharirwa kwechirwere chebereki
Zvisungo:
- Borovoe uterus - 1 tsp;
- mvura - 200 ml.
Kugadzirira, kushanda
- Uswa hunodururwa nemvura inopisa.
- Simbisa maminitsi gumi nemashanu.
- Tora panguva yekudya kwehafu yegirasi katatu pazuva.
Beet Juice
Zvisungo:
- beet - 1 pc.
Kugadzirira, kushanda
- Beet inocheneswa, yakagadzirwa.
- Ikoko inoguma inopararira inopararira pajiji uye inomesa jisi kubva nayo.
- Juice inomiririrwa kwemaawa mana kusvika ku5, uye zvinyoro zvinyoroveswa pasina chidimbu.
- Tora mukati mamiriyoni 2-3 masikati pazuva, zvishoma nezvishoma uwedzere muzinga.
Kuvharirwa kwe nettle
Zvisungo:- mashizha e nettle - 2 tbsp. makapu;
- mvura - 200 ml.
Kugadzirira, kushanda
- Kusvetuka kunokera, kudira mvura inodzika.
- Inopisa mumvura yekushamba kwemvura kwemaminetsi gumi nemashanu.
- Wedzera muto unoguma unoita mvura yakabikwa kusvika 200 ml.
- Tora 3-5 nguva pazuva kwehafu yegirazi.
Endometriosis yechibereko - kushanda
Kana kusavapo kwechirwere chemishonga inorapwa, chirwere chokuvhiya chinoshandiswa. Uterine kuchenesa ne endometriosis inoitwa nechinangwa chekuchengetedza mazai ega, kudzivirira kupararira kwechipi chechirwere. Inoshandiswa nenzira ye laparoscopy, apo kuwanika kweuterine cavity inowanikwa kuburikidza nemakomba maduku mukati mekunze kwemuviri pamadziro. Madzimai ezera risina kubereka rine yakazara endometriosis, laparotomy inoshandiswa - kuburikidza nekucheka mukati mekunze kwemuviri mudumbu. Zviratidzo zvekushanda ndezvi:
- kunyunyuta kwe oncology;
- kuvapo kwekugadzira froids;
- endometrioid ovarian cysts;
- kuvhiringidzwa kwebasa rezvikamu zviri pedyo.