Anenge 1 pavakadzi gumi vava kubatwa neendometriosis, chirwere chemadzimai chinofambira mberi chinosimudzira njodzi yekushaya mbereko uye mamwe matambudziko panguva yekuzvitakura. Endometriosis inobatwa sei kubva pakunambwa kusvika pakuzvara? Ndeipi mikana yokuona basa renyu remhuri richibudirira? Decryption.

THEendometriosis chirwere cheGynecological chinopfuurira chinofungidzirwa kuti chinokanganisa anenge 1 muvakadzi gumi uye kunyange 10% yevakadzi vane subfertility uye kurwadziwa kwepelvic. Inoratidzwa nekuvapo kwe endometrial mucosa kunze kwechibereko. Aya masero eendometrial anogona kuva nenzvimbo dzakasiyana. Kana ivo vachiwanzogara munzvimbo yekuberekesa yemukadzi (ovary, machubhu, peritoneum, vagina, nezvimwewo), vanogonawo kukanganisa hurongwa hwekudya, mapapu, kana kunyange dundira. Zvichienderana nekudzika kwezvipembenene uye nzira yechirwere, endometriosis inotsanangurwa mumatanho akasiyana-siyana kubva padiki kusvika kune yakaoma.

Pamusoro pazvose, kudzoka kudiki kuchikamu chevakadzi kwakarongeka. Mumukadzi asiri mutakuri, masero aya anogara aripo muchibereko anoshanduka pamwero weesrogen. Kana chiyero chikawedzera panguva yekuenda kumwedzi, masero aya anokura. Kana ichiderera, iyo endometrial tissue zvishoma nezvishoma inoputsika.

Inguva yemitemo: iyo mucous membrane inobudiswa kunze kwechivharo, kuburikidza nemukadzi. Muvakadzi vanobatwa ne endometriosis, masero aya, ayo naizvozvo asiri muchibereko, haagoni kubuda. Kuzvimba kusingaperi kunobva kwaonekwa uye kunogona kuwedzera pamusoro pekutenderera uye makore. Muzviitiko zvakanyanya kuoma zve endometriosis, cysts inogona kuoneka mumaovari kunyanya, pamwe nekunamatira pakati penhengo dzakasiyana dzakakanganisika.

Kana endometriosis dzimwe nguva isina asymptomatic (izvo zvinoita kuti zviome kuongorora mumamiriro ezvinhu aya), kuzvimba uku kunoperekedzwa nezviratidzo zvinogona kusiyana zvichienderana nenzvimbo yemasero eendometrial. Zviratidzo zvinogona kuratidza endometriosis ndezvi:

• kurwadziwa kwakanyanya mudumbu (sekurwadziwa kwepanguva, kunze kwekuti haisi nguva dzose kusunungurwa neanalgesic);
• kugaya uye / kana weti kusagadzikana (kuvimbiswa, manyoka, kurwadziwa kana kunetseka kuita weti kana kuita bowel movement, etc.);
• kunzwa kuneta kukuru, nguva dzose;
• kurwadziwa panguva yekusangana (dyspareunia);
• kubuda ropa, nezvimwewo.

Kunyange zvazvo pamuviri pega pachiri kuitika, kunyanya kana endometriosis iri shoma, chirwere ichi chinogona kutungamirira kune dambudziko rekuve nemwana, kana kushaya mbereko. Saka, maererano nesangano reEndoFrance, 30 kusvika 40% yevakadzi vane endometriosis vaizosangana nedambudziko rekuzvara. Imwe nhamba inotaura zvakawanda nezvechirwere ichi: 20 kusvika ku50% yevakadzi vasina mbereko vanotambura ne endometriosis.

Nzira yekutsanangura sei kubatana uku pakati peendometriosis nekushaya mbereko? Nzira dzakasiyana dzinoiswa mberi nevashandi vehutano:

• Kuzvimba kusingaperi kunogona kukanganisa kusangana kwembeu neoocyte;
• kunamatira kana kuvharika kweproboscis, kana iripo, inogona zvakare kunonoka kana kudzivirira kubereka;
• Kuumbwa kwe endometriotic cysts muovary kunogona kudzivirira follicles kubva mukukura zvakanaka ipapo.

Kana chirwere che endometriosis chaitwa, chiremba wako anogona kukuendesa kukuberekwa kunobatsirwa nemishonga kana achiona zvakakodzera. Zvichienderana nedhigirii uye rudzi rwe endometriosis yaunayo uye nehunhu hwevaviri vako, timu yekurapa inokutevera iwe inogona kukurudzira:

• kukurudzira ovarian, ine kana isina intrauterine insemination (IUI) ;
• IVF dzimwe nguva inotangirwa nekutanga kurapwa kunoenderana neestrogen-progestogen yekudzivirira kubata pamuviri (piritsi) kana GnRH agonist.

Cherechedza: zviremera zvehutano hazviwanzokurudzira kurapwa kwekuvhiya kwe endometriosis kukurudzira mikana yekuve nepamuviri. Nekudaro, izvi zvinogona kutariswa nemurapi wako kana IVF yakundikana uye kana endometriosis yako iri pakati nepakati kusvika yakaoma. Muchiitiko chekuchengetwa kwakapihwa sechikamu chekosi yekurapa inobatsirwa kubereka (AMP), mikana yekuve nepamuviri neIVF kutenderera kwevakadzi vane endometriosis yakada kufanana neiyo yevamwe vakadzi vari kubatsirwa kubva kuIVF kutenderera. 'mabatirwo akafanana, angangoita 1 mu4.

Dzimwe nguva zvinotendwa kuti pamuviri mushonga we endometriosis. Chokwadi chakanyanya kuoma. Zvechokwadi, hormonal impregnation, kunyanya estrogen, inoshanduka panguva yekuzvitakura.

Somugumisiro, zviratidzo zve endometriosis zvinogona kuwedzera munguva yekutanga ye trimester, zvino inoderera kana kutonyangarika kusvika pakusununguka. Zvisinei, zviratidzo zve endometriosis zvinowanzodzoka kana kuenda kumwedzi kunotangazve. Chirwere chacho chaizongoiswa kurara panguva yekuzvitakura.

Mukuwedzera, endometriosis inogona kukurudzira kutanga kwemamwe matambudziko panguva yekuzvitakura. Kunyanya, kune njodzi dzakawedzerwa dze:

• kutanga kubva pamuviri (+ 10%);
• prematurity uye prematurity kwazvo;
• yapfuura placenta;
• kusununguka kwecesarean. Mumubvunzo: gunduru kana mhedzisiro yekuvhiyiwa kwekare kunoita kuti kuzvara kuve kwakaoma.

Nekudaro, zvakakosha kuyeuka kuti havasi vese nhumbu vane pathological muvakadzi vane endometriosis uye kuti vanogona kutungamira mukusununguka kwemukadzi uye kubata kusingadzivirirwe. Kana iwe uchinetseka nezve kufambira mberi kwepamuviri pako, usazeza kutendeukira kumudzidzisi wako wepatrician uyo achakurudzira kutevedzera kwakagadziridzwa kune yako nyaya.