Ukunyuka kweethambo ze-endometriya kubhekiswa ngokubhekiselele kumzimba wobunjenge-endometriosis. Esi sifo sinamaqela athile eklinikhi, ezahlukahlukeneyo zendawo. Ziziphi iimpawu ezihamba kunye ne-endometriosis yesibeleko, yintoni le ilwimi efikelelekayo - makhe sizame ukucacisa kwinqaku.
I-Endometriosis yesibeleko yintoni?
I-Endometriosis yesibeleko ibonakaliswa ngokusasazeka kweentsholongwane zeeseli ze-endometrial, ezitshintsha indawo yazo yokuhlala. Xa ufumanisa isifo, oogqirha banokukwazi ukubona ukukhula kwirectum, izixhobo zesisu. Ukongeza, ezi iiseli zifana naso kwisakhiwo kwaye zikwazi ukwenza imisebenzi efanayo ne-endometrium yesibeleko.
Ukukhula okubangelwayo (i-heterotopies) bayakwazi ukuguquka kwimijikelezo, ekugqibeleni i-endometrally ityhila kwi-uterus nyanga zonke. Ngenxa yokuba ezi zakhiwo zamaselula ziyakwazi ukungenelela kumathishini ahambelana nawo, ukwenza ama-spikes, i-endometriosis ihlala ihamba nezinye izifo ze-etiology ye-hormone:
- i-myoma uterine;
- hyperestrogenia.
I-Endometriosis yomzimba wesisu
Olu hlobo lwesifo luhlala lubizwa ngokuba yi-endometriosis yangaphakathi yesisu. Eli gama linxulumene nobungqina bendawo yokuhlaselwa kwezilwanyana. Nge-endometriosis yomzimba, ukungena kweeseli ze-endometriya kumqolo wesistim we-uterus (adenomyosis) uyabonwa. Ngokuqhelekileyo, phakathi kwe-myometrium (umgca we-muscle) kunye ne-endometrium, kukho ulwahlulo lweeseli ezidibanisa le mimandla.
Nangona kunjalo, ukuba ukutshaya okanye ukusuleleka kwenzeka, ukhuselo olukhuselekileyo lungalimala. Ngenxa yoko, iiseli ze-endometrial zifaka uhla lwama-muscle ngexesha lokutshintsha kwee-cyclic ezilandelayo, ukwakha ugxininiso lokuvuvukala. Xa uhlolisisa isigulane kwi-ultrasound, ugqirha uyazibona utshintsho lwezinto, izakhiwo ezihlukileyo kwi-muscular - endometriosis yesisu, iimpawu kunye nokunyangwa kwazo ezichazwe ngezantsi.
I-Endometriosis yomlomo wesibeleko
Le ndlela ye-pathology ibonakaliswa ngokukhula kweetomicare, ezinokuqala ukufuduka kunye nokuchaphazela inxalenye yesisu somlomo wesibeleko. Ngenxa yalolu hlobo, lesi sifo sinalo igama lesibili - i-endometriosis engaphelelanga. Esi sifo sisisigxina, ngoko kudla ukuba kuhlolwe ukuba luvavanyo lokukhusela.
I-Endometriosis yomlomo wesibeleko - yintoni na, oogqirha bachaza ngolwimi olufumanekayo xa kuxilongwa - luxhomekeke kwi-hormone, oko kukuthi, lukhula ngenxa yokungalingani kwe-hormonal. Oku kuqinisekisa ukuba isi sifo sivame ukuvela kubasetyhini beminyaka yobudala kwaye sijonge ukuqala kwexesha lokugqibela. Kule meko, iiseli ze-endometri zifumaneka ngqo kumphezulu wengqimba yamanzi entanyeni, ngaphandle kokungena ngaphakathi.
I-Endometriosis yesibindi-izizathu
Kwakungenakwenzeka ukuchonga ngokuchanekileyo oko kubangela i-endometriosis yesisu, nangemva kweengxelo ezininzi. Kukho iingcamango eziliqela ukuba amagqirha anamathela xa echaza i-etiology yesi sifo:
- Iingcamango zokuhlaziya isisu. Ngokwale ngcamango, ngexesha lemijikelezo yenyanga ye- membrane i-particle ye-membrane kunye nokuphuma kwegazi kuya kungena kwiibhulo zomhlaba, i-peritoneal cavity. Ukubeka apha kunye nokwenza indawo, baqala ukusebenza njenge-endometrium.
- I-metaplastic hypothesis. Ngokwale ngqungquthela, akukho sisalathiso esizimeleyo seeseli ze-endometriya singena kwezinye iisculi, kodwa kuphela ukuvuselela izicubu ekutshintsheni kwintsholongwane (metaplasia).
Ukongezelela, kufuneka kuqatshelwe ukuba ukuphuhliswa kwesi sifo kunokwenzeka kuphela phantsi kweemeko ezithile. Njengoko izinto ezinokubangela ziyakwenza:
- kuncipha amandla omzimba omzimba;
- ukuzalwa;
- isakhiwo esingalunganga se- appendages , apho inxalenye yegazi lokuya esikhathini ifika kwi-peritoneum;
- umxholo okwandisiweyo we-estrogens egazini;
- iminyaka engama-30 ukuya ku-45;
- unciphise umjikelezo wesini.
Iyintoni ingozi ye-endometriosis yesisu?
Ukusabalalisa i-endometriosis yesisu kubonisa ingozi kwimpilo yabasetyhini, enikwe iingxaki ezinokwenzeka. Bahluke ngexesha lokubonakala kunye nobunzima. Oogqirha ngokukhawuleza emva kokufumana ukuqala ukuphatha i-endometriosis yesisu, imiphumo yomzimba ingaba ngolu hlobo:
- ukwakheka kwama -cysts ovari ;
- ukukhulelwa kwesisu sokukhulelwa ;
- ukungabikho ;
- ukuphazamiseka kweengqondo kwiinkqubo zokuphelisa iimbilini kunye ne-endometrium ephakamileyo;
- ukukhulelwa kwegazi;
- utshintsho olwenziwe kakubi (ngo-3% lwamatyala).
Ngaba ndingakhulelwa nge-endometriosis yesisu?
Emva kokuvavanya izizathu kunye nokucinga ukuba yintoni eyingozi kwi-endometriosis yesibeleko, yintoni le ilwimi efikelelekayo, oogqirha bayaphuthuma ukuqinisekisa umfazi onokuphulwa komsebenzi wokubeletha. Iingcali zithi ukukhulelwa ne-endometriosis yesisu kunokwenzeka. Xa kwenzeka ukuba izilonda ze-endometrium zingabanzi, iiseli zayo azihambi ngaphaya kwelo lungu lomzimba, kwaye umfazi unokuba ngumama.
Nangona kunjalo, kwizigaba zokugqibela zentsholongwane, kunye neentlobo zokungahambi kakuhle, i-endometriosis yesibeleko (yintoni efumaneka kulwimi-echazwe ngasentla) kunokukhokelela ekungabikho komntwana. Kubangelwa inkqubo yokubambisana ehamba nesi sifo. Iimpawu zenziwa ngexesha lokuguqulwa kwezicubu kunye nokuphazamiseka kwinkqubo yokuqulunqa ngokuqhelekileyo, ngaphandle kokukhulelwa.
I-Endometriosis yempawu zesisu
Iimpawu ze-endometriosis yesibindi kwiindlela zokuqala zokukhubazeka azikho. Iimpawu zokuqala zivela ngokukhula okukhulu kwe-endometrium. Kwiimeko ezininzi, abafazi babona ubuhlungu obukhulu kwi-endometriosis yesisu ngexesha lokuya esikhathini, kwisisu esingaphantsi nangasemva. Zidibaniswa nobunzima bokulahlwa kwe-endometrium. Ukuthetha ngento ehambelana ne-endometriosis yesibeleko, yintoni le nto ifumaneka kulwimi, izazi zezilwanyana zithobele ingqalelo kwenyuka kwindleko yokuhamba kwimihla. Phakathi kwezinye iimpawu ze-endometriosis kubalulekile ukuhlula:
- Iintlungu zommandla we-pelvic, ezingahambelani nokuya esikhathini.
- I-Dyspareunia - intlungu ngexesha lesini.
- I-Menorrhagia - ukubeka umbala obomvu kunanoma yimaphi umjikelezo.
- Ukuphulwa komsebenzi wokuzala.
Izigaba ze-endometriosis yesisu
Iiseli ze-Endometrial zingangena kumgca we-muscular kunye nezitho ezingomakhelwane kwiindawo eziphantsi. Kuxhomekeke kule nto, ekuxilongweni kwesi sifo, oogqirha bahlukanisa ezi zilandelayo zi-degometriosis:
- I-degree ye-1 - kukho ubuso bomntu ngamnye.
- I-2 degree - endometriosis ifinyelela kumgca we-muscular, inani le-foci landa.
- Iidanga ezi-3 - i-foci ezininzi zibonwa, i-endometrioid cysts zenziwe kwinye okanye zombini ama-ovari, kukho iipirikhi ze-peritoneum.
- Iidanga ezi-4 - ezinzulu, ezininzi ze-endomeriosis, ii-cysts ezinkulu ze-endometrioid kuma-ovari. I-Endometrium ihluma kwiindonga zesini, i-rectum.
I-endometriosis i-uterine ifumaneka njani?
Ngaphambi kokugqiba i-endometriosis yesibindi, ukuba uhlolisise, oogqirha baqhuba izifundo ezininzi. Inxaxheba ephambili ekuxilongweni kwesi sifo i-ultrasound. Ngendlela yokuziphatha, oogqirha baqwalasela le miqondiso ye-endometriosis elandelayo:
- i-anechoic i-6 mm ububanzi;
- ubukho bendawo yokunyuka kwe-echogenicity;
- isibeletho sokwanda okongeziweyo;
- ubukho beemivumba ezizaliswe ngamanzi, amaqhina okumala.
Phakathi kwezinye iindlela zokufumanisa i-pathology, kuyimfuneko ukubiza igama:
- I-Hysteroscopy yesibeleko - zikho imingxuma encinci ngendlela yemigqomo ye-burgundy, umgca we-uterine wanda, umgca we-basal unemiphumo, ifana namazinyo e-crest.
- I-MRI - ikwazisa kakhulu, kodwa ifuna ukufumaneka kwezixhobo ezibiza kakhulu kunye neengcali ezifanelekileyo.
I-Endometriosis yonyango-unyango
Ngaphambi kokuba uphathe i-endometriosis yesibindi, oogqirha bachonga indawo kunye nobukhulu besilonda. Ngokuxhomekeke kubukhulu besifo, isigaba sokukhubazeka sivelisa isicwangciso socwangciso loluntu. Inkqubo yokonyango iqala ngokuqeshwa kwamachiza, apho kukho izidakamizwa ze-hormone. Unyango lujoliswe ekumiseleni umsebenzi wegonads kwaye ungabandakanyi uphuhliso lwe-foci entsha ye-endometriosis. Ukungabikho kwempembelelo yonyango olunjalo, kusebenza umyalelo.
Indlela yokunyanga i-endometriosis yesibindi semithi?
Amalungiselelo eHormonal endometriosis akhethwe ngabanye. Zonke izikhundla zenziwe ngugqirha kuphela, ukuchonga uhlobo lwamayeza, umyinge, ixesha lokulawula kunye nobude bonyango. Kwimichiza yanamhlanje, izibisi ezilandelayo zisetyenziselwa ukuphatha i-endometriosis:
- progestogens - Utrozhestan , Dyufaston;
- i-antigonadotropins - iDanazol;
- i-agonists ye-gonadotropin-ukukhulula i-hormone - i-Zoladex.
Njengengxenye yonyango oluyinkimbinkimbi yesi sifo, amanye amaqela eziyobisi angasetyenziselwa ukuququzelela intlalontle:
- ukulwa nokuvuvukala - Ibuklin, Nurofen;
- i-antispasmodics - i-Papaverin, i-Drotaverin;
- izidalwa - i-tincture ye-valerian, i-motherwort;
- immunomodulators - Immunomax, Immunal;
- ukulungiselela isinyithi - Ferretab, Sorbifer.
I-Endometriosis yentsholongwane - unyango kunye nezilwanyana zomntu
Ukunyangwa kwezilwanyana ze-endometriosis yesisu kubonwa ngabagqirha njengendlela eyongezelelweyo yokwelapha. Ngoncedo lwaso, akunakukwazi ukuphelisa ngokupheleleyo eso sifo, kodwa kunokwenzeka ukunciphisa isikolo sesifo nokuphucula imeko yempilo yowesifazane. Kule nto, sebenzisa:
Ukuxutywa kwebhola le-borage
Izithako:
- I-borovoe uterus - 1 tsp;
- amanzi - 200 ml.
Ukulungiselela, isicelo
- Ingca iyachithwa ngamanzi abilayo.
- Ukugxininisa imizuzu eyi-15.
- Thatha ngexesha lokutya isigamu seglasi 2-3 amaxesha ngosuku.
IJet Beet
Izithako:
- beet - 1 pc.
Ukulungiselela, isicelo
- Iibhontshi zicocwe, zihlulwe.
- I-gruel esiphumelayo isasazeka kwi-gauze kwaye ifakwe ijusi kuyo.
- Ijusi ingeniswe kwiiyure ezingama-4-5, kwaye iyancipha ngobumnene ngaphandle kweendwangu.
- Thatha ngaphakathi 100 ml amaxesha amathathu ngosuku, ngokunyuka ukwandisa umthamo.
Ukuxutywa kwe-nettle
Izithako:- amacembe e-nettle-2 tbsp. iipuni;
- amanzi - 200 ml.
Ukulungiselela, isicelo
- I-nettle ye-stinging, uthele amanzi abilayo.
- Kucatshulwa kwindawo yokuhlambela ngamanzi imizuzu eyi-15.
- Yongeza umhluzi obangelwayo ubilisiwe ngamanzi angama-200 ml.
- Thatha ama-3-5 amaxesha ngosuku malunga nesiqingatha seglasi.
I-Endometriosis yesibindi sokusebenza
Ukungabikho kwefuthe leyeza unyango, unyango olusetyenziswayo. Ukuhlanjululwa kwamanzi kunye ne-endometriosis kwenziwa ngenjongo yokulondoloza ama-ovari, ukuthintela ukusasazeka kwe-foci yesifo. Yenziwa ngendlela ye-laparoscopy, xa ukufikelela kwisigxina se-uterine kufunyenwe ngemingxuma emancinci kwindonga yangasese yangaphakathi. Kubasetyhini abaneminyaka engabonakaliyo kunye ne-endometriosis epheleleyo, i-laparotomy yenziwa - ngokunqunyulwa kwindonga yangasese yangaphakathi. Iimpawu zokusebenza zi:
- ukukrokrelwa kwe-oncology;
- ubukho be-fibroids edibeneyo;
- i-endometrioid ovarian cysts;
- ukuphazamiseka komsebenzi wezitho eziseduze.