Endometriosis: sei kuziva zviri nani chirwere ichi

Endometriosis, chii ichocho?

Iyo endometrium ndiyo a runyoro rwechibereko. Pasi pekuita kwehomoni (estrogen uye progesterone), panguva yekutenderera, endometrium inowedzera panguva yekuvhara, uye kana pasina kubereka, inoputsika uye inobuda ropa. Iyi ndiyo mitemo. Endometriosis chirwere chinokonzerwa nenyama yakafanana neye endometrial tissue inotama ichikura kunze kwechibereko. zvinokonzera maronda, adhesions uye cysts mumitezo yekoloni. Mune zvimwe zviitiko, maronda anogona kupinda mukati mukati memadziro enhengo dzepelvic nekufamba kwenguva (digestive system, bladder, etc.). Izvi zvinonzi deep endometriosis inova imwe yemhando dzakakomba dzechirwere. Mukupesana, isu tinodaidza pamusoro endometriosis endometriosis inobata chete matishu akatenderedza chibereko (machubhu, mazai). Sezvo izvi zviri zvidimbu zve endometrium, maronda e endometriosis achaita mwedzi wega wega se endometrium: ivo vanozokora pasi pekuita kwehomoni uye kubuda ropa, zvichikonzera kurwadziwa panguva uye / kana kusangana pabonde, kana kuenda kuchimbuzi, zvichienderana nenzvimbo yezvironda.

Cherechedza: kusvika nhasi, pane dzidziso chete pamusoro pekwakabva chirwere ichi chinoramba chiri "chakavanzika" kune vanachiremba. Genetic (mhando dzemhuri) uye zvakatipoteredza (kusvibiswa, endocrine zvinokanganisa, mahomoni) zvinhu zvakaiswa mberi.

Ndivanaani vari “vanhu vari panjodzi”?

Avhareji yezera rekuwanikwa kwechirwere ichi ndeye makore 27 asi, vakadzi vose vanogona kubatwa nechirwere ichi, chero bedzi chichigadziriswa. Kazhinji ivava vakadzi vaduku vasina vana. Zvisinei, zvinoitikawo kuti endometriosis kuoneka pashure pamuviri. Cherechedza kuti vakadzi vane endometriosis vanowanzova nayo kurwadziwa kwakanyanya panguva yavo yekutevera, dzimwe nguva kuvadzivisa kuenda kuchikoro kana kubasa. Kuvapo kwenguva dzakaoma mukuyaruka kunogona, kutaura zvazviri, kuumba mamiriro ekutanga echirwere. Uye zvakare, zvakajairika kuwana hama dzichitambura neiyo pathology mudhigirii rekutanga.

Mumakore achangopfuura, chirwere ichi chakataurwa pachena. Kune kuwanda uye kushamwaridzana kwevakadzi vanorwara,

Nzira yekuziva sei zviratidzo zvekutanga zve endometriosis?

Kusiyanisa pakati pemarwadzo enguva "yakajairika" uye "asina kujairika" yakaoma zvikuru, kwete kuvakadzi chete, asiwo kune vanachiremba. Vakadzi vari kubatwa nechirwere ichi ndevaya vanoramba vachirwadziwa panguva yekutevera, izvo zvinoda kurapwa (eg Antadys). Madzimai mamwe chete aya dzimwe nguva haakwanise kumuka mangwanani nekuti ari kurwadziwa zvakanyanya kana kuti ari pazororo rekurwara. Iwe unofanirwa kuziva kuti kurwadziwa kunogona kuwedzera nekufamba kwenguva uye kwete kungogumira kunguva yemitemo. Kusangana kunorwadza, majini panguva yetsvina kana weti panguva imwe chete yekuenda kumwedzi, inogonawo kufungidzirwa se endometriosis. Asi zvinoitikawo kuti chirwere hachizviratidzi nezviratidzo izvi, chinogona "kunyarara". Kuongororwa kwe endometriosis ndiko kunowanzoitwa kana mukadzi abvunza nekuti haakwanise kuita mwana.

Nzira yekuziva sei endometriosis?

Chirwere ichi chinowanzoonekwa panguva yekushanda kwekushaya mbereko kune vakaroorana vane dambudziko rekuita pamuviri. Kurwadza kwepelvic kunogonawo kunyevera vanachiremba vanozoraira ultrasound, dzimwe nguva MRI. Chekupedzisira, dzimwe nguva ndiko kuwanikwa kwecyst pane yakajairwa ultrasound ndiyo inoburitsa chinhu.

Un kuongororwa kwekiriniki (kubvunzurudza, kuongororwa kwemukadzi) inoitiswa nenyanzvi muchirwere ichi kazhinji inopa pfungwa chaiyo yehukuru hwemaronda. MRI kana ultrasound, kana ikaitwa navanachiremba vane ruzivo nechirwere ichi, inogona kupawo mhinduro. Zvisinei, kuongororwa nechokwadi kwakaoma kuwana, nokuti nzira chete yekuziva zvizere kuoma kwezvironda ndezvekuita laparoscopy. Munguva yekupindira kwekuvhiya uku, chiremba anovhiya anotora sampuli yezvironda kuitira kuti azviongorore uye agadzirise kuongororwa.

Endometriosis chirwere chakanyanya kuoma icho chinonetsa kuongorora. Nguva yekuongororwa ndeye makore manomwe, izvo zvakakura. Varwere uye vanachiremba mumwe nomumwe ane mugove webasa. Kune rumwe rutivi, vakadzi vanononoka kuenda kunobvunzurudzwa nemhaka yokuti nguva dzavo dzinorwadza rutivi rwoupenyu hwavo uye vanofunga kuti “zvinongogara zvichiitwa kuti varwadziwe” sezvavakaudzwa kare naamai vavo naambuya. Kune rumwe rutivi, vanachiremba vanowanzotarisira pasi zvichemo zvevakadzi, uye vanonyora zvinoderedza marwadzo kana mapiritsi anovhara zviratidzo pasina kana kubatwa kuti ane chirwere chacho. Zvakakosha kuti chidzidzo che endometriosis chidzidzwe zvakadzama panguva yezvidzidzo zvevanachiremba vemangwana, asiwo yevananyamukuta kuitira kuderedza nguva yekuongorora iyi.

Ndezvipi zvinetso zvinogona kuitika zve endometriosis?

Ngozi huru ine chekuita neendometriosis ndeyekushaya mbereko. About 30-40% yevakadzi vane endometriosis vachasangana nekushaya mbereko. Uye mumwe muvakadzi vatatu vane dambudziko rekuita pamuviri ane endometriosis. Iyo yakawanda yakanamatira inogona kukuvadza machubhu uye maovari (kutomboavharira), uye kuita kuti chibereko chisavepo. Chiremba anogona kupa zano rekurapa kana rekuvhiya, zvichienderana nekuongororwa. Nzira yekutanga-mutsara ndeyekutora a piritsi rinoramba richivhara kuenda kumwedzi, uye nokudaro kuderedza kufambira mberi kwechirwere. Kuvhiya kune chinangwa chekubvisa maronda akawanda sezvinobvira, nechinangwa chekudzikisa marwadzo uye / kana kuwedzera mikana yekuzvitakura.

Cherechedza: zviri nani kuti usanonoka kutora pamuviri waunoda zvakanyanya, nokuti kana nguva yakawanda ichifambira mberi, mikana yekubata pamuviri inodzikirawo.

Endometriosis: chii kurapwa ikozvino?

Kutarisira kunosiyana kubva kumurwere kuenda kumurwere nekuti endometriosis inozviratidza zvakasiyana mumunhu wega wega. Kana chikuru chemukadzi chiri kurapa marwadzo ake, kazhinji tinotanga nekunyorera piritsi nguva dzose. Chinangwa ndechekuwana amenorrhea (kuderedza kuenda kumwedzi) nekuvharika kweovulation uye kuderera kwemazinga eesrogen. Kuisa mazai pakuzorora nekuita kuti kutenderera kunyangarika kunobatsira kuderedza marwadzo, kunyange izvi zvisingagadzirise zvachose endometriosis. Imwe sarudzo inogoneka: analogues eGn-RH. Mishonga iyi inoisa murwere muchimiro chekugadzirwa kwekuenda kumwedzi. Zvisinei, vanogona kuva nemigumisiro yakakomba, yakadai sokupisa kunopisa, kuderera kwe libido kana osteoporosis. Mushonga wavo haufanire kupfuura gore rimwe chete. Kana kurwadziwa kunoramba kurapwa, kuvhiyiwa ndiyo imwe nzira. Laparoscopy nekubviswa kweese endometriotic maronda ndiyo nzira yesarudzo, zvichienderana nengozi yakanaka / bhenefiti yemurwere.

Chikafu, chingatibatsira sei kuderedza zviratidzo zve endometriosis?

Kubata pamuviri kunokwanisika here pasinei neendometriosis?

Chikamu che30-40% chevakadzi vane dambudziko iri vane dambudziko rekuita pamuviri. Endometriosis ndicho chikonzero chekushaya mbereko, asi kwete chete. Kuvapo kwe endometriosis, zera remukadzi, nzvimbo yake ye ovarian, kupinza kwemachubhu zvinhu zvese zvinofanirwa kuverengerwa pakusarudza zano rakanaka. Tine sarudzo mbiri: kuvhiyiwa uye kubereka kunobatsira mukurapa (MAP). Zvidzidzo zvinoratidza kuti mhedzisiro maererano nekubereka inowedzera zvakanyanya kana kuvhiyiwa kubviswa kwemaronda kwapera. Zvakadaro, zvichiri kugona kusarudza ART usina kumbovhiyiwa. Zvichienderana nekuoma kwe endometriosis, kune nzira dzakawanda dzokurapa: kukurudzira ovarian ne intrauterine insemination uye IVF.