I-Endometriosis yesibeletho - yini ekulimeni okufinyeleleka, ukuthi kuyingozi kangakanani lesi sifo, nokuthi uyayiphatha kanjani?

Ukwandiswa kwezicubu ze-endometriyamu kuvame ukubhekwa ekuguleni kwegazi njengokuphela kwe-endometriosis. Lesi sifo sinamafomu amaningana emitholampilo, izindawo ezihlukahlukene. Yiziphi izimpawu ezihambisana ne-endometriosis yesibeletho, yiliphi ulimi olutholakalayo - ake sizame ukuchaza kulesi sihloko.

I-Endometriosis yesibeletho yikho?

I-endometriosis yesibeletho ibonakala ngokusakazeka kwemvelo kwamangqamuzana e-endometrial glandular, okushintsha ukujwayela kwawo okuvamile. Lapho uthola isifo, odokotela bangakwazi ukubona ukukhula kwe-rectum, ama-appendages wesibeletho. Ngaphezu kwalokho, lawa maseli afana nokuhleleka futhi akwazi ukwenza imisebenzi efanayo ne-endometrium yesibeletho.

Ukukhula okukhulayo (i-heterotopies) bayakwazi ukushintsha ushintsho, okuyi-endometrally evezwe esibelethweni nyanga zonke. Ngenxa yokuthi lezi zakhiwo zamangqamuzana ziyakwazi ukungena emathisini angomakhelwane, ukwakha ama-spikes, i-endometriosis ivame ukuhambisana nezinye izifo ze-etiology yama-hormone:

• uterine uterine;
• hyperestrogenia.

I-Endometriosis yomzimba wesibeletho

Lolu hlobo lwe-pathology luvame ukubizwa ngokuthi i-endometriosis yangaphakathi yesibeletho. Leli gama lihlotshaniswa nobuqili bokutholakala kwendawo ye-pathological. Nge-endometriosis yomzimba, ukungena kwamangqamuzana e-endometrili kube ungqimba lwemisipha yesisu (i-adenomyosis) kubonakala. Ngokuvamile, phakathi kwe-myometrium (ungqimba we-muscle) ne-endometrium, kunezingqimba zamaseli ahlukanisa lezi zindawo.

Nokho, uma ukuvuvukala noma ukutheleleka kwenzeka, ungqimba oluvikelayo lungalimala. Ngenxa yalokho, amangqamuzana e-endometrial angena ungqimba lwesisindo phakathi nezinguquko ezilandelayo ze-cyclic, okwenza ukugxila kokuvuvukala. Lapho ehlola isiguli nge-ultrasound, udokotela uyaqaphela izinguquko zesimilo, izakhiwo ezingafani nemisipha - endometriosis yesisu, izimpawu kanye nokwelapha okuchazwe ngezansi.

I-Endometriosis yomlomo wesibeletho

Leli fomu le-pathology libhekene nokukhula kwezicubu ze-endometrial, kancane kancane eziqala ukufuduka futhi zithinte ingxenye yengane yomlomo wesibeletho. Ngenxa yalesi sici, lesi sifo sinalo igama lesibili - i-endometriosis engavamile. Lesi sifo singenasifo, ngakho-ke kuvame ukutholakala ukuthi kukhona nokuhlolwa kokuvimbela.

I-endometriosis yomlomo wesibeletho - yisiphi isizathu, odokotela bachaza ngolimi olufinyelelekayo uma kutholakala - yi-dependent-dependent, okungukuthi, ivela ngenxa yokungalingani kwe-hormone. Lokhu kuqinisekisa ukuthi lesi sifo sivame ukuvela kwabesifazane abaneminyaka yobudala futhi sibukeze ngokuqala kwesikhathi esibekiwe. Kulesi simo, amangqamuzana e-endometrial ahlala ngokuqondile emgqeni wobuningi bentamo, ngaphandle kokungena ngaphakathi.

I-Endometriosis yesibindi - izimbangela

Kwakungenakwenzeka ukucacisa ukuthi yiziphi izimbangela ze-endometriosis yesisu, ngisho nangemva kokuhlola okuningi. Kunemibono eminingi odokotela abahambisana nayo lapho bechaza i-etiology yesifo:

1. Ithiyori ye-retrograde esikhathini. Ngokwe-hypothesis, ngesikhathi esisodwa semjikelezo yezinhlayiyana ze- membrane ze-membrane ezinyangeni zenyanga , ukugeleza kwegazi kufinyelela emathinini amathanga, i-peritoneal cavity. Ukuhlala lapha nokwenza indawo yokuhlala, baqala ukusebenza njenge-endometrium.
2. I-hypothesis ye-metaplastic. Ngokwalolu mbono, akukho isingeniso esizimele samangqamuzana e-endometriya angena kwezinye izicubu, kodwa kuphela ukugqugquzela izicubu ekuguqukeni kwamathambo (metaplasia).

Ngaphezu kwalokho, kufanele kuqashelwe ukuthi ukuthuthukiswa kwesifo kungenzeka kuphela ngaphansi kwezimo ezithile. Njengoba izici ezicasulayo zingenza:

• kunciphise amandla omzimba omzimba;
• ukufeza;
• isakhiwo esingalungile se- appendages , lapho ingxenye yegazi lokuya esikhathini ifika e-peritoneum;
• okuqukethwe okwandisiwe kwama-estrogen egazini;
• iminyaka engu-30-45;
• unciphise umjikelezo wokuya esikhathini.

Iyini ingozi ye-endometriosis yesibeletho?

Ukusakaza i-endometriosis yesisu kubonisa ingozi empilweni yabesifazane, kunikezwe izinkinga ezingenzeka. Ahlukile ngesikhathi sokubukeka nokuqina. Odokotela masinyane emva kokuthola ukuqala ukwelapha i-endometriosis yesibindi, imiphumela yomzimba ingaba kanje:

• ukwakheka kwama- cysts ama-ovarian ;
• ukukhulelwa kwesisu ngokukhulelwa ;
• ukungabi namuntu ;
• ukuphazamiseka kwengqondo ekucindezelweni kokuphela kwezinzwa nge-endometrium ekhulisiwe;
• i-anemia;
• ukuguqula ekufomeni okubi (ngamacala angu-3%).

Ngingakhulelwa yini nge-endometriosis yesibeletho?

Ngemuva kokuhlola izimbangela nokuqaphela ukuthi kuyingozi yini ekugcineni kwe-endometriosis yesibeletho, yiliphi ulimi olufinyeleleka, odokotela bayashesha ukuqinisekisa owesifazane obhekene nokwephulwa komsebenzi wokubeletha. Ochwepheshe bathi ukukhulelwa ne-endometriosis yesisu kungenzeka. Uma kwenzeka izilonda ze-endometrium zingenasisindo, amangqamuzana awo awahambanga ngaphezu kwegciwane lomzimba, futhi owesifazane angaba umama.

Kodwa-ke, ezinkathini zokugcina ze-pathology, ngezinhlobo zokungaziphathi kahle, i-endometriosis yesibeletho (okukuphi ulimi olutholakalayo - okuchazwe ngenhla) kungaholela ekungabhubhi. Kubangelwa inqubo yokunamathela ehambisana nalesi sifo. Ukuxhaswa kwakha ngesikhathi sokuhlaselwa kwezicubu futhi kuphazamise inqubo evamile yokufakelwa, ngaphandle kokukhulelwa okungenakwenzeka.

I-Endometriosis yesibindi - izimpawu

Izimpawu ze-endometriosis yesibeletho ezinyathelweni zokuqala ze-pathology azikho. Izimpawu zokuqala zivela ngokukhula okuphawulekayo kwe-endometrium. Ezimweni eziningi, abesifazane baqaphela ubuhlungu obukhulu e-endometriosis yesibeletho ngesikhathi sokuya esikhathini, esiswini esingaphansi nangasemuva. Zihlobene nokulahlwa okunzima kwe-endometrium. Ukukhuluma ngalokho okuhambisana ne-endometriosis yesibeletho, yiliphi ulimi olufinyeleleka, amazinyo wokubeletha anake ukwanda kwevolumu yokugeleza kokuya esikhathini. Phakathi kwezinye izimpawu ze-endometriosis kubalulekile ukuhlukanisa:

1. Ubuhlungu esifundeni se-pelvic, abuhlobene nokuya esikhathini.
2. I-Dyspareunia - ubuhlungu phakathi kocansi.
3. I-Menorrhagia - ukubona i-brown kunoma yiluphi usuku lomjikelezo.
4. Ukuphulwa komsebenzi wokuzala.

Izigigaba ze-endometriosis yesibindi

Amaseli e-Endometrial angangena ungqimba we-muscular kanye nezitho ezingomakhelwane ezijulile. Ngokuya ngalokhu, lapho kutholakala lesi sifo, odokotela bahlukanisa izigaba ezilandelayo ze-endometriosis:

1. I-degree elingu-1 - kunezithombe zomuntu ngamunye.
2. I-2 degree - i-endometriosis ifinyelela ku-layer layer ye-muscular, inani le-foci landa.
3. I-3 degree - i-foci ehlukahlukene ibonakala, ama-cysts aphethwe yi-endometrioid akhiwa kumunye owodwa noma kokubili ama-ovari, kunezinhlobo ze-peritoneum.
4. I-degree 4 - ejulile, i-foci ehlukahlukene ye-endomeriosis, ama-cysts amakhulu okugcina i-endometrioid kuma-ovari. I-Endometrium ihluma ezindongeni zesifazane, i-rectum.

I-endometriosis ye-uterine ifinyelelwe kanjani?

Ngaphambi kokuthola i-endometriosis yesibeletho, ukuze ahlolwe, odokotela baqhuba izifundo eziningi. Indima ehola ekutholeni lesi sifo yi-ultrasound. Ekuziphatheni kwayo, odokotela banakekele izibonakaliso ezilandelayo ze-endometriosis:

• ama-anechoic afika ku-6 mm ububanzi;
• ukutholakala kohlobo lwe-echogenicity;
• isisu sesayizi ekhuphukile;
• ukutholakala kwemifantu egcwala amanzi, amafindo okumala.

Phakathi kwezinye izindlela zokuxilongwa kwe-pathology, kubalulekile ukubiza igama:

1. I-hysteroscopy yesibeletho - kunezimbobo ezincane ngesimo samaphuzu we-burgundy, isikhumba se-uterine sikhulisiwe, isendlalelo esisisekelo sinezinsizi, ezifana namazinyo aso.
2. I-MRI - ikwazisa kakhulu, kodwa idinga ukutholakala kwemishini ebizayo kanye nochwepheshe abaqeqeshiwe.

I-Endometriosis yesisu - ukwelashwa

Ngaphambi kokwelapha i-endometriosis yesibeletho, odokotela banquma indawo kanye nobukhulu besilonda. Ngokuya ngobukhulu besifo, isigaba sokukhubazeka senza uhlelo lokwelapha olulodwa. Inqubo yokwelapha iqala ngokuqokwa kwemithi, phakathi kweziphi izidakamizwa ze-hormonal. Ukwelashwa kuhloswe ngokujwayelekile ukwenza umsebenzi we-gonads futhi kungabandakanyi ukuthuthukiswa kwe-foci entsha ye-endometriosis. Uma kungekho umthelela wezokwelapha okunjalo, kuhlinzekwa ukusebenza.

Indlela yokwelapha i-endometriosis yesisu ngesibeletho?

Amalungiselelo e-hormonal for endometriosis akhethwe ngabanye. Zonke izikhundla zenziwa udokotela kuphela, ukukhetha uhlobo lwemithi, isilinganiso, imvamisa yokuphatha kanye nobude besikhathi sokwelashwa. Emithi yesimanje, izidakamizwa ezilandelayo zisetshenziselwa ukwelapha i-endometriosis:

• progestogens - Utrozhestan , Dyufaston;
• i-antigonadotropins - i-Danazol;
• i-agonists ye-gonadotropin-ekhulula i-hormone - i-Zoladex.

Njengengxenye yokwelashwa okuyinkimbinkimbi yesifo, amanye amaqembu ezidakamizwa angasetshenziselwa ukusiza inhlalakahle yesiguli:

• anti-inflammatory - Ibuklin, Nurofen;
• Antispasmodics - Papaverin, Drotaverin;
• ama-sedative - i-tincture ye-valerian, i-motherwort;
• immunomodulators - Immunomax, Immunal;
• Amalungiselelo ensimbi - Ferretab, Sorbifer.

I-endometriosis yesisu - ukwelashwa ngamakhambi abantu

Ukwelashwa kwabantu kwe-endometriosis kwesibeletho kubhekwa odokotela njengendlela yokwelapha eyengeziwe. Ngosizo lwaso, ngeke kwenzeke ukuqeda lesi sifo ngokuphelele, kodwa kungenzeka ukunciphisa inkinga yesifo futhi kuthuthukiswe isimo sempilo yowesifazane. Kulokhu, sebenzisa:

Ukumnika kwamagciwane we-borage

Izithako:

• Isibeletho se-Borovoe - 1 tsp;
• amanzi - 200 ml.

Ukulungiselela, uhlelo lokusebenza

1. Utshani uthululwa ngamanzi abilayo.
2. Misa imizuzu engu-15.
3. Thatha ngesikhathi sokudla isigamu seglasi izikhathi ezingu-2-3 ngosuku.

I-Beet Juice

Izithako:

• isithombo sebhitrudi - 1 pc.

Ukulungiselela, uhlelo lokusebenza

1. Ama-beet ahlanzwa, avuliwe.
2. I-gruel ekhulayo isakazwa nge-gauze futhi ifakwe ijusi kusuka kuso.
3. Umusi ufakwa amahora angu-4-5, bese ugcwala ngobumnene ngaphandle kwesidumbu.
4. Thatha ngaphakathi 100 ml izikhathi 2-3 ngosuku, kancane kancane ukwandisa umthamo.

Ukumnika isikhumba

Izithako:

• amaqabunga enambuzane - 2 tbsp. izinkezo;
• amanzi - 200 ml.

Ukulungiselela, uhlelo lokusebenza

1. I-nettle ehlabayo, uthele amanzi abilayo.
2. Kuvutha emanzini okugezela ngamaminithi angu-15.
3. Engeza umhluzi ophekiwe ophekiwe amanzi angu-200 ml.
4. Thatha izikhathi ezingu-3-5 ngosuku ngesigamu seglasi.

I-Endometriosis yesisu - ukusebenza

Uma kungekho umphumela wokwelashwa kwezidakamizwa, ukwelashwa okuhlinzekwayo kuyasetshenziswa. Ukuhlanzwa kwe-uterine nge-endometriosis kwenziwa ngenhloso yokulondoloza ama-ovari, ukuvimbela ukusakazwa kwe-foci yesifo. Yenziwa ngendlela ye-laparoscopy, lapho ukufinyelela emgodini wesibeletho kutholakala ngezimbobo ezincane edongeni lomzimba wangaphakathi. Kulaba besifazane abaneminyaka engavuthiyo ne-endometriosis ejulile, i-laparotomy yenziwa - ngokusebenzisa ukusika emdongeni wangaphakathi lwesisu. Izinkomba zokusebenza ziyi:

• izinsolo ze-oncology;
• ukutholakala kwe-fibroids ehambisanayo;
• i-endometrioid i-ovarian cysts;
• ukuphazanyiswa komsebenzi wezitho eziseduze.