Adenomyosis kana endometriosis yemukati inowanzoitika uye isina kunaka uterine chirwere. Kana wabatwa nechirwere ichi, ziva kuti mishonga yakawanda inogona kutariswa zvichienderana nekuti unoda here kuita mimba. 

tsananguro

Uterine adenomyosis inowanzotsanangurwa se endometriosis mukati mechibereko. Inopindirana nekupinda kwemasero e endometrium (uterine lining) mumhasuru yemadziro echibereko (myometrium), izvo zvinoguma nekukora kwemyometrium. 

Adenomyosis inogona kupararira kana kutarisisa (imwe kana mashoma foci mukati memyometrium), pamusoro kana kudzika. Diffuse adenomyosis ndiyo inonyanya kuzivikanwa. 

Zvinonzi: pane chinongedzo pakati peendometriosis neadenomyosis asi mukadzi anogona kuita endometriosis pasina adenomyosis kana kuita adenomyosis pasina endometriosis. 

Iyi uterine pathology inogona kukanganisa kubereka. 

Zvinokonzera 

Zvikonzero chaizvo zvechirwere ichi hazvizivikanwi. Tinoziva kuti zvinoenderana nechiyero cheesrogen uye kuti vakadzi vakave nemimba imwe chete kana avo vakavhiyiwa uterine (cesarean section, curettage, etc.) vari pangozi yakakura yeadenomyosis. 

chirwere 

Kana paine kufungirwa kweadenomyosis, pelvic ultrasound inoitwa. Kana zvisina kukwana kuita kuongororwa, pelvic magnetic resonance imaging (MRI) inoitwa. Pamusoro pekubvumira kuongororwa, bvunzo dzekufungidzira dzinoita kuti zvikwanise kuona dhigirii rekuwedzera, kutsvaga yakabatana uterine pathology (endometriosis, uterine fibroids), kunyanya pachiitiko chekushaya mbereko). 

Vanhu vane hanya 

Adenomyosis inobata anenge mukadzi mumwe chete pavakadzi vaviri vari pakati pemakore makumi mana nemakumi mashanu. Adenomyosis inobatanidzwa mune inenge 40% yezviitiko nekuvapo kweuterine fibroids. 

Zvinhu zvinotyisa 

Adenomyosis inowanzoitika muvakadzi vane vana vakawanda (multiparity). 

Zvimwe zvinokonzerwa nengozi yeadenomyosis ndezvi: zuva rekutanga kuenda kumwedzi, kunonoka kuparara kwepamuviri kana kubvisa pamuviri, cesarean section, kurapwa neTamoxifen. 

Panogona kunge paine genetic predisposition. 

Muchikamu chetatu chezviitiko, adenomyosis haina kupa chero zviratidzo (inonzi isymptomatic).

Kana iine zviratidzo, zviratidzo zvinorema uye nguva refu, marwadzo ane chokuita nekutenderera, kurwadziwa kwepelvic.

Kurema uye kwenguva refu (menorrhagia)

Yakanyanya kurema uye yakareba nguva ndiyo inonyanya kuzivikanwa chiratidzo cheadenomyosis. Icho chiratidzo chinowanikwa muhafu yevakadzi vakabatwa. Adenomyosis ndiyo inonyanya kukonzera inorema uye yakareba nguva muvakadzi vane makore 40-50. Zvinogonawo kuita kuti ropa riyerere kunze kwenguva yako (menorrhagia). 

Marwadzo ane chekuita nemhepo (dysmenorrhea) 

Adenomyosis inogonawo kuratidzwa nekurwadziwa kwekuenda kumwedzi asiwo kurwadziwa kwepelvic kunopesana neanojairwa analgesics uye kurwadziwa panguva yekusangana pabonde. 

Kuongororwa kwekiriniki kunoratidza chibereko chakawedzera.

Kurapa kweadenomyosis kunosiyana zvichienderana nekuti mukadzi anoda kuchengetedza mukana wekubata pamuviri here kana kuti kwete.

Kana mukadzi achida kuchengetedza mukana wekuita pamuviri, kurapwa kunosanganisira kunyorerwa kwemishonga inorwisa kubuda ropa iyo inoshanda kamwe chete pa1 pakubuda ropa kana pakuiswa kweintrauterine mudziyo (IUD) ine progesterone, inoshanda 2 kubva ka2. mukuderedza zviratidzo. 

Kana mukadzi asisade kuve nepamuviri, kurapwa kunosanganisira kuparadzwa kwe endometrium (endometrium). Apo kupindira mumucheka wechibereko kwakakura zvikuru uye kunokonzera kurwadziwa kwakanyanya uye kubuda ropa, chibereko chinogona kubviswa (hysterectomy).

Interventional radiology techniques (embolization of the uterine arteries, focused ultrasound) inopa migumisiro inofadza asi nzvimbo yavo inofanira kujekeswa mukurapa adenomyosis. 

Adenomyosis, mhinduro dzechisikigo 

Kugara kunwa miriwo kubva kumhuri yecruciferous (kabichi, broccoli, nezvimwewo) zvinogona kuderedza zviratidzo zveadenomyosis kuburikidza nekuita kwavo pamazinga ehomoni dzechikadzi.

Adenomyosis haigone kudziviswa sezvo zvikonzero chaizvo zvechirwere hazvizivikanwe. 

Nezve kudzivirira kwe endometriosis, zvisinei, isu tinoziva kuti mararamiro ane hutano, kudya kwakaringana, kudzora kushushikana kwakanaka uye kugara uchisimbisa muviri kunogona kuderedza njodzi yekukura kana kudzoka kwechirwere.