Endometriosis yechibereko - chii uye nzira yekurapa nayo?

Endometriosis yechibereko: chii chiri mumutauro unowanikwa?

Dambudziko re endometriosis yechibereko rinonyanya kukosha kumishonga yemazuva ano. Izvi zvinokonzerwa nekuti kuwanda kwechirwere kunowedzera gore negore. Maererano nehuwandu, kubva pa5 kusvika ku10% yevakadzi vechidiki pasi rose vanotambura ne endometriosis. Pakati pevarwere vanoonekwa kuti vane kushaya mbereko, endometriosis inonyanya kuwanda: mu20-30% yezviitiko.

Endometriosis - iyi ndiyo pathological proliferation ye glandular tissues yechibereko, iyo ine benign. Masero achangobva kuumbwa akafanana mukugadzirisa uye kushanda kune masero e endometrium yechibereko, asi anokwanisa kuvapo kunze kwayo. Izvo zvinokura (heterotopias) zvakaonekwa zvinogara zvichichinja cyclic, zvakafanana nekuchinja ikoko kunoitika mwedzi wega wega ne endometrium muchibereko. Ivo vane kugona kupinda mukati mevavakidzani vane hutano tishu uye kugadzira adhesions ipapo. Kazhinji endometriosis inoperekedzwa nezvimwe zvirwere zvehomoni etiology, semuenzaniso, uterine fibroids, GPE, nezvimwewo.

Endometriosis chirwere chegynecological, chinoperekedzwa nekuumbwa kwemanode asina kunaka ane chimiro chakafanana nechemukati memukati mechibereko. Aya ma node anogona kuwanikwa muchibereko chaimo uye kunze kwenhengo. Zvikamu zve endometrium, iyo mwedzi woga woga inorambwa nemadziro emukati mechibereko panguva yekubuda ropa, inogona kusabuda zvachose. Mune mamwe mamiriro ezvinhu, mamwe acho anononoka mu fallopian tubes, pamwe chete nedzimwe nhengo, uye anotanga kukura, izvo zvinotungamirira ku endometriosis. Vakadzi vanogara vachinetseka vanowanzobatwa nechirwere.

Nechirwere, endometrium inokura paisingafaniri kunge iri. Uyezve, masero ari kunze kwechibereko anoramba achishanda nenzira imwecheteyo mumhango yayo, ndiko kuti, kuwedzera panguva yekuenda kumwedzi. Kazhinji, endometriosis inokanganisa mazai, fallopian tubes, kugadzirisa ligamentous apparatus yechibereko, uye dundira. Asi dzimwe nguva endometriosis inowanikwa kunyange mumapapu uye pa mucous membranes yemhino.

Zvikonzero zvekukura kwe endometriosis

Endometriosis inogona kunzi chirwere chine etiology isina kutsanangurwa. Kusvika ikozvino, vanachiremba havasati vakwanisa kuwana chikonzero chaicho chekuitika kwayo. Pane dzidziso dzesainzi chete panyaya iyi, asi hapana imwe yadzo inopupurirwa. Zvinotendwa kuti njodzi dzekukura kwe endometriosis dzinowanzobatwa nehutachiona muhuduku, kusaenzana kwehomoni mumuviri, kuzvimba kwemaovari. Sezvatotaurwa, endometriosis inowanzobatanidzwa ne uterine fibroids.

Dzidziso yekudzoka kumwedzi kusvika nhasi yakawana mhinduro huru pakati penyanzvi dzakabatanidzwa mukudzidza kwedambudziko re endometriosis. Iyo hypothesis inodzika kusvika pakuti panguva yekuenda kumwedzi kubuda ropa, zvimedu zveuterine mucosa nekuyerera kweropa zvinopinda mu peritoneal cavity uye fallopian tubes, zvinogara ipapo uye zvinotanga kushanda. Kunyange zvazvo ropa rekuenda kumwedzi kubva muchibereko kuburikidza nemukati rinopinda munharaunda yekunze, ropa rakavharwa nezvikamu zve endometrial zvakadzika midzi mune dzimwe nhengo hazviwani nzira yekubuda nayo. Nekuda kweizvozvo, microhemorrhages inoitika mwedzi wega wega munzvimbo ye endometriosis foci, iyo inosanganisira kuzvimba maitiro.

Dzimwe dzidziso dzinosimbisa zvikonzero zve endometriosis ndedzinotevera:

• implantation hypothesis. Iyo inowira pasi kune chokwadi chekuti endometrial particles inosimwa mumatumbu enhengo, kusvika ikoko neropa rekuenda kumwedzi.

• metaplastic hypothesis. Iyo inowira kune chokwadi chekuti masero eendometrial haatore midzi munzvimbo dzisina kujairika kwavari, asi anongomutsa matishu kune pathological shanduko (ku metaplasia).

Zvisinei, kusvika ikozvino hapana mhinduro kumubvunzo mukuru: nei endometriosis inokura mune vamwe vakadzi chete, uye kwete mune zvose zvepabonde zvakanaka. Mushure mezvose, kudzokera kumwedzi kunoonekwa mune imwe neimwe yadzo.

Masayendisiti anoratidza kuti endometriosis inokura chete pamberi pezvinotevera zvine njodzi:

• Kusagadzikana kwezvirwere mumuviri.

• Hereditary predisposition pakukura kwechirwere.

• Chimwe chimiro chezvipfeko, izvo zvinotungamirira kuropa rakawandisa rinopinda mu peritoneal cavity panguva yekuenda kumwedzi.

• Yakakwirira mazinga eesrogen muropa.

• Age kubva 30 kusvika 45 makore.

• Kunyanya kunwa doro uye zvinwiwa zvine caffeine.

• Kutora mimwe mishonga.

• Metabolic disorders inotungamirira kune kufutisa.

• Kupfupika kwekuenda kumwedzi.

Kana immune system ichishanda nemazvo, inotarisisa uye inomisa ese pathological cell kupatsanurwa mumuviri. Zvimedu zvezvimedu zvinopinda mu peritoneal cavity pamwe neropa rekuenda kumwedzi zvinoparadzwawo nehutachiona. Vanoparadzwa ne lymphocytes uye macrophages. Kana immune system ikakundikana, zvidimbu zvidiki zve endometrium zvinorambira mudumbu remukati uye zvinotanga kunyora. Nokudaro, endometriosis inokura.

Kuvhiya kwakamiswa pachibereko kunowedzera mukana wekuita chirwere. Izvi zvinosanganisirawo curettage, kubvisa pamuviri, cauterization yekukukurwa kwekervical, nezvimwe.

Kana iri yekugara nhaka ye endometriosis, sainzi inoziva zviitiko apo mune imwe mhuri vamiriri vese vechikadzi vakatambura nechirwere ichi, kutanga naambuya uye kuguma nevazukuru.

Pasinei nokuti kune mazano akawanda ekukura kwe endometriosis, hapana mumwe wavo anogona 100% kutsanangura kuti nei chirwere ichi chichizviratidza. Nekudaro, zvinoratidzwa nesainzi kuti njodzi yekuvandudza endometriosis inowedzera mune avo vakadzi vakabvisa pamuviri. Artificial termination of pregnancy is stress for the body, iyo inobata all systems without exception: nervous, hormone, and sex.

Kazhinji, avo vakadzi vanowanzoona kuwandisa kwemanzwiro (kushungurudzika, kutya kwekutya, kuora mwoyo) vanobatwa ne endometriosis. Kutarisana nemamiriro avo ezvinhu, kusadzivirirwa kunokundikana, izvo zvinobvumira masero e endometrial kuti amere nyore nyore mune dzimwe nhengo uye matishu. Sezvinoratidzwa nemaitiro egynecological, avo vakadzi vane mabasa ehunyanzvi ane chekuita nekuwedzera kushushikana kwekutya vanowanzoonekwa vaine endometriosis.

Imwe njodzi yekukura kwechirwere ichi kurarama munzvimbo isina kunaka yezvakatipoteredza. Masayendisiti akawana kuti chimwe chezvinhu zvine njodzi zvakanyanya chiri mumhepo dioxin. Inoburitswa muhuwandu hwakakosha nemaindasitiri emaindasitiri. Zvave zvichiratidzwa kuti vakadzi vanogara vachifema mweya ine yakakwira ye dioxin vanogona kutambura ne endometriosis, kunyangwe pazera diki.

Izvi zvinotevera endogenous uye exogenous zvinhu zvinogona kuwedzera njodzi yekuvandudza endometriosis:

• Kuiswa kwe intrauterine device.

• Kutora mahormone ekudzivirira kubata pamuviri.

• Kusvuta fodya.

Zviratidzo zve endometriosis muvakadzi

Zviratidzo zve endometriosis hazvigadziri mufananidzo wakajeka wekliniki. Nokudaro, kusvikira mukadzi apedza kuongorora kwepamusoro-soro, haazoziva nezvechirwere chake. Kazhinji, kunyange kuongororwa pachigaro chegynecological uchishandisa magirazi haabvumi kuti kuongororwa kuitwe. Saka, zvakakosha kubhadhara kune zviratidzo zve endometriosis. Uyezve, mukadzi wese anorwara nechirwere ichi anogara aine musanganiswa weakawanda maitiro ehunhu.

Kutanga, iko kusakwanisa kubata mwana. Kushaya mbereko (infertility) inguva apo mukadzi anenge atadza kubata pamuviri pasina kuzvidzivirira kwegore rose. Endometriosis inodzivirira zai kuti risasangana nembeu kana kuti risarambe richirarama. Pathological kuwanda kwemasero eendometrial kunotungamirira mukukanganiswa kwehomoni, kunodzivirira kugadzirwa kwemahomoni anodiwa kune yakajairika nzira yekuzvitakura.

Kana endometriotic adhesions ichikura mumaappendages, munharaunda yekervical, izvi zvinotungamira mukusanganiswa kwenhengo nemadziro adzo pamwe chete. Somugumisiro, kuvharwa kwe fallopian tubes kunoumbwa, iyo ndiyo inonyanya kukonzera kushaya mbereko mumadzimai pamusoro pemashure e endometriosis.

Chechipiri, kurwadziwa. Chimiro chemarwadzo muvakadzi vanotambura ne endometriosis yakasiyana. Marwadzo anogona kunge achikweva uye akanyarara, aripo nguva dzose. Dzimwe nguva dzakapinza uye dzinocheka uye dzinoitika mudumbu rezasi nguva nenguva.

Sezvo mutemo, kurwadziwa kunokonzerwa ne endometriosis hakuna kunyanya kutaurwa kuti mukadzi anofanira kubvunza chiremba nekuda kwekuitika kwavo. Kazhinji kazhinji, vanorangarirwa sezviratidzo zvePMS, kana kuti mugumisiro wokushanda nesimba kwomuviri.

Nokudaro, zvakakosha kubhadhara kune chimiro chisingaperi chekurwadziwa kunogara kuchiitika panguva yepabonde, panguva inotevera yekuenda kumwedzi uye kana uchisimudza zviremba.

Chechitatu, kubuda ropa. Kuonekwa kwemavara mushure mekuita zvepabonde ndechimwe chezviratidzo zve endometriosis, pasinei nenzvimbo ye nodes. Kana kunamatira kwakaumbwa munzvimbo yenhengo dzeurinary system kana matumbo, ipapo madonhwe eropa achange aripo mutsvina kana muweti.

Sezvo mutemo, ropa rinoonekwa mazuva mashomanana kusati kwatanga kuenda kumwedzi kunotevera. Kusunungurwa kwaro kunoperekedzwa nemarwadzo. Mushure memazuva 1-3, ropa rinomira kuonekwa, uye mushure memazuva 1-2, mukadzi anotanga imwe kuenda kumwedzi.

Panguva yekubuda ropa, magwamba eropa anoburitswa kubva kumukadzi. Chitarisiko chavo chakafanana nezvidimbu zvechiropa chitsvuku. Nokudaro, kana mukadzi akacherechedza rudzi urwu rwekubuda uye ane zvimwe zviratidzo zve endometriosis, zvino zvakakosha kuzivisa dambudziko rake kuna chiremba.

Chechina, kusaenda kumwedzi. Inenge nguva dzose isingawanzoitiki mu endometriosis.

Mukadzi anofanira kungwarira kune zvinotevera:

• Kutenderera kunogara kuchichinja.

• Kuenda kumwedzi kunogona kusavapo kwemwedzi yakati wandei.

• Kuenda kumwedzi kunorebesa uye kunoperekedzwa nekubuda ropa kwakawanda.

Nekukundikana kwakadaro, haufaniri kuzeza kuonana nachiremba. Zvikasadaro, mukadzi anomhanyisa njodzi yekuwana matambudziko akakomba ehutano. Kana ikasiyiwa isina kurapwa, endometriosis inogona kukonzera kuumbwa kwemamota asina kunaka, kushaya mbereko uye kuzvimba kwenhengo dzemukati.

Zviratidzo zvemhando dzakasiyana dze endometriosis

Zviratidzo zve endometriosis muvakadzi vakwegura

Endometriosis inokura kwete mudiki chete, asiwo muvakadzi vakura vanopfuura makore makumi mashanu. Uyezve, mushure mekuenda kumwedzi, njodzi yekukura kwechirwere inowedzera, iyo inokonzerwa nekushayikwa kweprogesterone mumuviri.

Zvinhu zvinotevera zvinogona kukonzera kukura kwe endometriosis mukukwegura:

• Kunyanyisa;

• Diabetes;

• Zvirwere zve thyroid gland;

• Zvirwere zvinotapukira zvinowanzotambudzwa nemukadzi muhupenyu hwake hwose;

• Kupindira kwakawanda kwekuvhiya, uye nzvimbo yekugara kwavo haina basa.

Zviratidzo zve endometriosis muvakadzi vanopfuura makumi mashanu zvinogona kusanganisira:

• Nausea;

• Kurwadziwa nemusoro;

• Dhimini;

• Dzimwe nguva kurutsa kunoitika;

• Kuwedzera kutsamwa, kuchema, kutsamwa.

Marwadzo ari pasi pedumbu haawanzovhiringidza vakadzi vakwegura.

Zviratidzo zvemukati endometriosis

Zviratidzo zvinotevera zvicharatidza mukati endometriosis:

• Kurwadziwa kwenzvimbo yakakanganiswa palpation.

• Marwadzo akapinza panguva yekuenda kumwedzi kubuda ropa, uko kunowanikwa mudumbu rezasi.

• Kuwedzera kurwadziwa panguva yehukama hwepedyo, mushure mekusimudza masimbi.

An ultrasound diagnostician anoona pachiratidziri maitiro ehunhu ari pamadziro echibereko.

Mufananidzo wekliniki yekuongorora ropa inoratidzwa neanemia, iyo inotsanangurwa nekubuda ropa nguva dzose.

Zviratidzo zvechirwere mushure mechikamu cheKesariya

Endometriosis inokura mumadzimai anenge aitwa caesarean muchikamu che20% chezviitiko. Masero anotanga kukura munzvimbo yevanga uye suture.

Zviratidzo zvinotevera zvinoratidza chirwere:

• Kuonekwa kwekuyerera kweropa kubva pamusono;

• Kunonoka kuwedzera kwevanga;

• Kukwenya musono;

• Kuonekwa kwenodular kukura pasi pemusono;

• Kutora marwadzo mudumbu rezasi.

Kana mukadzi akawana zviratidzo zvakadaro mukati make, anofanira kuonana negynecologist uye kuongorora. Mune zvimwe zviitiko, kurapwa kwevarwere kunodiwa.

Endometriosis, endometritis uye uterine fibroids - chii chakasiyana?

Endometriosis, endometritis uye uterine fibroids zvirwere zvakasiyana.

Endometritis ndiko kuzvimba kwemukati memukati mechibereko, iyo inokura ichitarisana nekumashure kwekupinda kwepathogenic microorganisms mumhango yayo. Endometritis inokonzerwa nemavhairasi, mabhakitiriya, fungi, zvipembenene. Endometritis haikanganisi dzimwe nhengo, chibereko chete. Chirwere chinotanga zvakasimba, chichiperekedzwa nefivha, marwadzo mudumbu rezasi, kubuda kubva munhengo yepabonde. Chronic endometritis yakafanana nezviratidzo zve endometriosis.

Uterine fibroids ibundu rakatsetseka retsandanyama yakatsetseka uye inobatana mativi echibereko. Myoma inokura inopesana nemashure ekukanganiswa kwehomoni.

Endometriosis uye adenomyosis zvakafanana here?

Adenomyosis rudzi rwe endometriosis. Mune adenomyosis, iyo endometrium inokura ikava tsandanyama yechibereko. Chirwere ichi chinokanganisa vakadzi vezera rekubereka, uye mushure mekutanga kwekuenda kumwedzi inoenda yega. Adenomyosis inogona kunzi yemukati endometriosis. Zvinogoneka kuti aya maviri pathologies achabatanidzwa pamwe chete.

Sei uterine endometriosis ine ngozi?

Endometriosis yechibereko ine ngozi kune matambudziko ayo, kusanganisira:

• Kuumbwa kwemaovarian cysts ayo achazadzwa neropa rekuenda kumwedzi.

• Kusabereka, kupfupfudzika (kutadza kubata pamuviri, kupfupfudzika).

• Neurological kusagadzikana nekuda kwekudzvanywa kwetsinga hunde neiyo yakawedzera endometrium.

• Anemia, iyo inosanganisira kushaya simba, kutsamwa, kuwedzera kuneta uye zvimwe zviratidzo zvisina kunaka.

• Foci ye endometriosis inogona kuderera kuita mamota akaipa. Kunyangwe izvi zvikaitika kwete kupfuura mu3% yezviitiko, zvisinei, njodzi yakadaro iripo.

Mukuwedzera, chirwere chisingaperi chinorwadza chinoshungurudza mukadzi chinokanganisa hutano hwake uye chinowedzera hupenyu hwehupenyu. Saka, endometriosis chirwere chinosungirwa kurapwa.

Mudumbu unogona kukuvadza ne endometriosis here?

Dumbu rinogona kukuvadza ne endometriosis. Uye dzimwe nguva kurwadziwa kwakanyanya. Sezvambotaurwa pamusoro apa, kurwadziwa kunowedzera mushure mekuita zvepabonde, panguva yehukama, mushure mekushanda kwemuviri, pakusimudza masimbi.

Kurwadza kwepelvic kunoitika mu16-24% yevakadzi vese. Inogona kunge iine mavara akasiyana, kana inogona kunge iine nharaunda yakajeka. Kazhinji kurwadziwa kunowedzera kusati kwatanga kuenda kumwedzi kunotevera, asi kunogonawo kuvapo nguva dzose.

Vanoda kusvika 60% yevakadzi vane endometriosis vanoti vane nguva inorwadza. Marwadzo ane simba guru mumazuva ekutanga e2 kubva pakutanga kwekuenda kumwedzi.

Kuongororwa kwe endometriosis

Kuongororwa kwe endometriosis kunotanga nekushanyira chiremba. Chiremba anoteerera zvichemo zvemurwere uye anounganidza anamnesis. Ipapo mukadzi anoongororwa pachigaro chegynecological. Munguva yekuongorora, zvinokwanisika kuona chibereko chakawedzerwa, uye chichava chikuru, chiri pedyo nekuenda kumwedzi kunotevera. Chibereko chine denderedzwa. Kana kusungirirwa kwechibereko kwakatogadzirwa, ipapo kufamba kwayo kuchave kwakaderera. Izvo zvinokwanisika kuona mazamu ega ega, nepo madziro enhengo achange aine bumpy uye isina kuenzana pamusoro.

Kuti ujekese chirwere, kuongororwa kunotevera kunogona kudiwa:

1. Ultrasound kuongororwa kwenhengo dzepelvic. Zviratidzo zvinotevera zvinoratidza endometriosis:

   • Anechogenic formations kusvika 6 mm muhupamhi;

   • Kuvapo kwenzvimbo yekuwedzera echogenicity;

   • Kuwedzera kwechibereko muhukuru;

   • Kuvapo kwemakomba ane mvura;

   • Kuvapo kwemanode ane mafomu asina kujeka, akafanana neovha (ine nodular fomu yechirwere), iyo inosvika 6 mm muhupamhi;

   • Kuvapo kwema saccular formations kusvika 15 mm muhupamhi, kana chirwere chacho chine chimiro chepamusoro.

2. Hysteroscopy yechibereko. Zviratidzo zvinotevera zvinoratidza endometriosis:

   • Kuvapo kwemakomba ari muchimiro burgundy dots anomira kunze kuseri kwechene uterine mucosa;

   • Yakawedzerwa uterine cavity;

   • Iyo basal layer yechibereko ine mupendero wekusununguka wakafanana nemuzinga une mazino.

3. Metrosalpingography. Chidzidzo chacho chinofanira kuitwa pakarepo mushure mekupedzwa kwekuenda kumwedzi kunotevera. Zviratidzo zve endometriosis:

   • Uterus yakakura;

   • Nzvimbo yekusiyanisa mumiririri kunze kwayo.

4. MRI. Ichi chidzidzo chine ruzivo rwe90%. Asi nekuda kwekudhura, tomography haiwanzoitwa.

5. Colposcopy. Chiremba anoongorora muromo wechibereko achishandisa mabinoculars uye chiedza.

6. Kuzivikanwa kwezviratidzo zve endometriosis muropa. Zviratidzo zvisina kunanga zvechirwere kuwedzera kweCA-125 uye PP-12. Izvo zvinofanirwa kucherechedzwa kuti kusvetuka kweprotein-125 kunoonekwa kwete chete kunopesana nemashure eendometriosis, asiwo pamberi peakaipa neoplasms yeovari, ine uterine fibromyoma, nekuzvimba, pamwe nepamuviri wekutanga. Kana mukadzi ane endometriosis, ipapo CA-125 ichakwidziridzwa panguva yekuenda kumwedzi uye muchikamu chechipiri chekutenderera.

Kurapa kwe endometriosis yechibereko

Kurapa kwakaoma chete kwe endometriosis kuchawana mhedzisiro yakanaka.

Nekuonekwa kwechirwere panguva yakakodzera, kune mikana yese yekuibvisa pasina kubatanidza chiremba anovhiya mukurapa. Muchiitiko icho mukadzi akafuratira zviratidzo zvechirwere uye asingashanyire gynecologist, izvi zvinotungamira kune chokwadi chekuti mwedzi wega wega foci itsva ye endometriosis ichaonekwa mumuviri wake, cystic cavities inotanga kuumbwa, matishu achakuvara, adhesions. achaumba. Zvese izvi zvinotungamira kuvharika kweiyo appendages uye kusabereka.

Mushonga wemazuva ano unofunga nzira dzinoverengeka dzekurapa endometriosis:

• Kushanda. Vanachiremba vanoedza kutsvaga kupindira kwekuvhiya zvakanyanya kashoma, apo kurapwa kwezvinodhaka hakuna kupa mhedzisiro yakanaka. Ichokwadi ndechokuti mushure mekushanda, mukana wekubata mwana mumukadzi uchava wakaderera. Kunyangwe kufambira mberi kwazvino mukurapa uye kuunzwa kwema laparoscopes mukuvhiya maitiro kunoita kuti zvibvire kuita mapindiro nekushungurudzika kushoma kumuviri. Naizvozvo, mukana wekubata pamuviri unotevera uripo.

• Kugadziriswa kwechiremba. Kutora mishonga mukurapa endometriosis ndeimwe yenzira dzakanakisisa dzekurapa. Mukadzi anonyorerwa mahormone anobatsira kudzoreredza kushanda kweovari uye kudzivirira kuumbwa kwefoci ye endometriosis.

Mishonga inoshandiswa kurapa chirwere ichi ine chimiro chakafanana nemuromo wehomoni yekudzivirira kubva kuDecapeptyl neDanazol boka. Kurapa kwemukadzi kuchava kwenguva refu, sekutonga, hakugumiri kumwedzi yakawanda.

Kuti kuderedze kuoma kwemarwadzo, murwere anorayirwa painkillers.

Kusvikira kutanga kwe80s, mishonga yekudzivirira yakashandiswa kurapa endometriosis, iyo yakashanda seimwe nzira yekuvhiyiwa. Vakanyorerwa kwenguva yemwedzi mitanhatu kusvika pagore, piritsi 1 pazuva. Zvadaro muyero wakawedzerwa kusvika kumapiritsi maviri, izvo zvakadzivisa kukura kwekubuda ropa. Mushure mekupedzwa kwekururamisa kwakadaro kwechiremba, mukana wekubata mwana waiva 2-40%.

Kurapwa

• Antiprogestins - ndeimwe yemishonga inoshanda kwazvo yekurapa endometriosis. Chiito chayo chine chinangwa chekudzvinyirira kugadzirwa kwegonadotropins, izvo zvinokonzera kupera kwekuenda kumwedzi. Mushure mokurega kushandiswa kwezvinodhaka, kuenda kumwedzi kunotangazve. Panguva yekurapa, mazai haabudisi estradiol, iyo inotungamirira pakuparara kwe endometriosis foci.

  Pakati pezviitiko izvi zvakashata:

  • Kurera huremu;

  • Kuderedzwa kwehukuru hwemazamu ezamu;

  • kuzvimba;

  • Tsika yekuora mwoyo;

  • Kukura zvakanyanya kwebvudzi kumeso nemuviri.

• GnRH agonist - kudzvinyirira basa re hypothalamic-pituitary system, iyo inotungamirira kuderera kwekugadzirwa kwegonadotropins, uye zvino inokanganisa kuvharwa kwevhavha. Somugumisiro, endometriosis foci inofa.

  Migumisiro yekurapwa neGnRH agonists ndeiyi:

  • Kutyorwa kwemasabolism emapfupa nekugoneka kwepfupa resorption;

  • Kuguma kumwedzi kwenguva refu, iyo inogona kuramba ichienderera kunyange mushure mekubviswa kwemishonga muboka iri, izvo zvinoda kugadzwa kwehomoni inotsiva kurapwa.

• Combined oral contraceptives (COCs). Zvidzidzo zvekiriniki zvakasimbisa kuti zvinobvisa kuratidzwa kwe endometriosis, asi hazvina kana mhedzisiro pamaitiro emagetsi, kudzvanyirira kugadzirwa kweestradiol nemaovari.

Kuvhiya kurapwa kwe endometriosis

Kuvhiya kurapwa kwe endometriosis kunovimbisa kubviswa kwefoci yayo, asi hairegi kudzoka kwechirwere. Kazhinji, vakadzi vane chirwere ichi vanofanira kupindira akati wandei. Ngozi yekudzoka zvakare inosiyana pakati pe15-45%, iyo inonyanya kuenderana nehuwandu hwekupararira kweendometriosis mumuviri wese, pamwe nenzvimbo yeiyo pathological process. Inobata mukana wekudzoka zvakare uye kuti kupindira kwekutanga kwaive kwakakura sei.

Laparoscopy ndiyo chiyero chegoridhe chekuvhiya kwemazuva ano pakurapa endometriosis. Nerubatsiro rwe laparoscope inopinzwa mudumbu remudumbu, zvinokwanisika kubvisa kunyange yakanyanya kushoma pathological foci, kubvisa cysts uye adhesions, kucheka tsinga nzira dzinotsamwisa kutaridzika kwemarwadzo anoramba aripo. Zvakakosha kucherechedza kuti ma cysts anotsamwiswa ne endometriosis anofanira kubviswa. Kana zvisina kudaro, njodzi yekudzokazve kwechirwere inoramba yakakwirira.

Kuzvirapa kwe endometriosis hakugamuchirwi. Nzira dzekurapa dzinofanira kusarudzwa nachiremba.

Kana endometriosis yakaoma, saka zvakakosha kubvisa nhengo yakakanganiswa. Izvi zvinogoneka zvakare nekushandisa laparoscope.

Vanachiremba vanofunga kuti mukadzi akaporeswa endometriosis kana asinganetseki nemarwadzo uye asina kudzoka zvakare makore mashanu mushure mekurapa.

Kana endometriosis ichionekwa mumukadzi wezera rekubereka, saka vanachiremba vanoita zvose zvavanogona kuchengetedza basa rake rekubereka. Izvo zvinofanirwa kucherechedzwa kuti nhanho yekuvhiya kwemazuva ano yakakwira zvakanyanya uye inobvumira vakadzi vane makore makumi maviri-20 emakore mu36% yezviitiko kutsungirira uye kubereka mwana ane hutano.

Kushandiswa kwe endoscopes panguva yekuvhiyiwa kunokubvumira kubvisa kunyange diki foci ye endometriosis. Kuwedzera kurapwa kwehomoni kunoita kuti zvibvirire kudzivirira kudzoka kwechirwere. Kana endometriosis inotungamirira kukushaya mbereko, saka endoscopic kurapwa ndiyo chete mukana wemukadzi wekubudirira amai.

Endometriosis chirwere chine njodzi. Saka, zvakakosha kuti uongorore uye kurapa iyo panguva yakakodzera. Iko kushandiswa kwakaomarara kweese emazuva ano matekinoroji ekupindira kwekuvhiya: kusanganiswa kwecryocoagulation, laser kubviswa, electrocoagulation inoita kuti zvikwanise kuita oparesheni nemukana wakakura wekupedzisa kubudirira.

Iyo inonyanya kushanda nzira yekurapa endometriosis inoonekwa se laparoscopy (zvechokwadi, nekukundikana kwekuchengetedza kurapa) pamwe nekuwedzera hormonal therapy. Kushandiswa kweGTRG mushure mekuvhiyiwa kunowedzera kushanda kwayo ne50%.

Ndeupi chiremba anorapa endometriosis?

Endometriosis inorapwa neobstetrician-gynecologist.