Mukati
- Chibereko chakadzoserwa kana kuti chakavharwa: zvinorevei?
- KUKWERERA KWECHIBEREKO
- ZVINHU ZVINOITA SEI MIMBA UINE chibereko chakarerekera?
- CHII CHINOGONA KUTI UTERINE INVERSION?
- ZVIRATIDZO ZVEKUBENDA KWE chibereko
- DIAGNOSTICS DZEKUBENDA KWECHIBEREKO NEKURAPA MU "ON CLINIC RYAZAN"
- Nzira yekuita sei pamuviri neine retroverted chibereko?
- Retroverted uterus: ndezvipi zvinzvimbo zvekufarira panguva yekusangana?
- Nguva dzinorwadza, endometriosis …: mibvunzo yatinozvibvunza
- Kudzivirira pamuviri, mbereko, kapu… kuva nechibereko chakadzokera shure, chii chinochinja?
Chibereko chakadzoserwa kana kuti chakavharwa: zvinorevei?
Muhuwandu hwevakadzi, chibereko chinotaridzirwa, ndiko kuti, kutendeukira mberi. Kana mboro iri nani iri kuseri, munzira yerectum kana musana, chibereko chinowanzorerekera mberi, chakananga kudumbu. Saka pane “gokora” pakati pesikarudzi yemukadzi zviri kumashure uye chibereko kumberi.
More mune inenge 25% yevakadzi, chibereko chinodzorerwa. Inonzi zvakare uterine retroversion. Iyi ingori yeanatomical peculiarity, uye kwete inomaly. Chibereko chinodzokera kumashure, chakananga kumusana, saka kona iri pakati pemukadzi nechibereko haina kufanana kana chibereko chakavharwa. Zvinoenderana neazvino data yezvekurapa, iyi yakasarudzika haisi yenhaka hunhu.
KUKWERERA KWECHIBEREKO
Chibereko ndicho chinonyanya kukosha chikamu chemukadzi wekubereka. Imo muchibereko umo kukura kwe "fetus" kunoitika kubva panguva yekubata pamuviri kusvika pakusununguka. Iri nhengo ine tsandanyama yakaita peya iri muchiuno chidiki chemukadzi; kune rimwe divi pane dundira, uye kune rimwe divi, rectum yake.
Zvichienderana nekuzara kwenhengo dziri pedyo nechibereko, inogona kuchinja nzvimbo yayo. Semuenzaniso, dundira rakazara rinoita kuti chibereko chirereke mberi. Kazhinji, nzvimbo yechibereko inoonekwa seyakajairika, iyo iyo kona pakati payo nemutsipa wayo inenge 120 degrees.
Kana mutumbi wechibereko uchitsauka mune chero nzira uye kona iyo iyo chikamu chekervical inotungamirirwa nayo inoderera kusvika 110-90 madhigirii, gynecologists vanotaura pamusoro pekukotama kwechibereko. Kazhinji kazhinji - muzviitiko zvinomwe kubva pagumi - pane bend inonangidzirwa kumashure kana kumberi.
ZVINHU ZVINOITA SEI MIMBA UINE chibereko chakarerekera?
Apo gynecologist anoongorora uterine bend mumurwere wake panguva yakatarwa , mu 99% yezviitiko mubvunzo wekutanga waachabvunza chiremba uchava: "Kubata pamuviri kunobvira here?" Muzviitiko zvakawanda, zvakaoma kupa mhinduro isinganzwisisiki kumubvunzo wakadaro - izvi zvinokonzerwa nekuti kuvapo kana kusavapo kwezvinetso zvinogoneka kunotarirwa kunyanya nekuoma kwekuputsa.
Sezvinoratidzwa nemaitiro, zvinonyatso vimbiswa kuve mimba yakaoma kana chibereko chakakotama. Pamusoro pezvo, rudzi urwu rwekukanganisika runovhiringawo kuzvara mwana uye kunogona kukonzera kukura kwematambudziko akasiyana panguva yekuzvitakura. Uyezve, kuwedzera kwengozi kune fetus munyaya iyi inopfuurira panguva yekusununguka.
CHII CHINOGONA KUTI UTERINE INVERSION?
Kune congenital uye yakawanikwa kosi yeiyi pathology. Uyezve, kuberekwa kukotama kwechibereko kunogona kukonzereswa nezvose zviri zviviri genetic uye zvekunze izvo zvakapesvedzera "fetus" panguva yekukura kwayo intrauterine. Kana iri chirwere chakawanikwa, chinowanzokura muvakadzi mushure mekusununguka.
Zvikonzero zvinowanzoitika zveiyi pathology muvakadzi zvinosanganisira:
- isina simba pelvic pasi tsandanyama, pamwe nekutyora kuvimbika kwavo;
- kutambanudza uye kuputika kwemarunda;
- murwere ane usimbe zvirwere zvisingaperi zvenhengo dzepelvic, zvichiperekedzwa nekuzvimba;
- maitiro ekunamatira;
- dzakasiyana-siyana dzakaipa uye dzakaipa neoplasms panhengo dzekubereka.
ZVIRATIDZO ZVEKUBENDA KWE chibereko
Muzviitiko zvakawanda, chirwere chacho chine asymptomatic course uye chinowanikwa zvichienderana nemigumisiro yekuongorora. Zvisinei, iyo inonyanya kutaura kutsetseka, kunowedzera mukana wekuti murwere achavhiringidzika panguva yekuenda kumwedzi nekubuda kwemukati weuterine. Izvi zvinogona kukonzera kukura kwekuputika, zviratidzo izvo - kubuda, kurwadziwa mudumbu rezasi - zvinogona kuita kuti murwere aone chiremba.
Zvisinei, mune dzimwe nguva, vakadzi vanoonekwa kuti vane uterine bending vanonyunyuta nezve:
- kusagadzikana uye kunyange kurwadziwa panguva yepabonde;
- kugara uchikurudzira kuita weti;
- kurwadziwa muchibereko panguva yekufamba;
- kurwadziwa kwakanyanya mumazuva ekutanga ekuenda kumwedzi;
- kushayikwa kwepamuviri nekuita zvepabonde kunoshingaira pasina kudzivirirwa kwegore kana kupfuura;
- miscarriage .
DIAGNOSTICS DZEKUBENDA KWECHIBEREKO NEKURAPA MU "ON CLINIC RYAZAN"
Iko kubhenda kwechibereko kunowanzoonekwa panguva ye ultrasound yenhengo dzepelvic. Hysterosalpingography , iyo inoitwawo munharaunda yedu yezvokurapa yakawanda pasi pekutonga kwe ultrasound, chimwe chidzidzo chekushandisa chinowanzoitwa maererano nekufungira kuti murwere ane chimwe chirwere chegynecological, pamwe chete nechikamu chekuronga pamuviri.
Kana iri yekurapa yakanangana nekurapa uterine kukotama, inofanirwa kusanganisira kubviswa kwechinhu chakakonzera kukura kwayo. Gynecologist inogona kupa murwere anti-inflammatory, kudya, vitamini kana physiotherapy, pamwe chete nekurovedza muviri. Muzviitiko zvakanyanyisa, murwere anogona kuvhiyiwa, panguva iyo chibereko chichagadziriswa panzvimbo yakarurama. Kazhinji kazhinji, uku ndiko kuvhiya kushoma kushandisa nzira dzemazuva ano endoscopic.
Uterus yakamira kumashure: zviratidzo zvinogoneka
Uyu musiyano weanatomical haudzivisi kubata pamuviri uye haukuvadze kubereka. Zvisinei, kuva nechibereko chekudzoka kunogona kutungamirira kune kurwadziwa kwepamuviri (mujagoni tinotaura nezvekurwadziwa kwepelvic) zvinyoro kusvika pakati, kunyanya mune dzimwe nzvimbo panguva yepabonde, kana kuti kunyange panguva yokuenda kumwedzi. Sezvo chibereko chakamira kumashure, uterine cramps panguva yekuenda kumwedzi inogona kunzwika zvakanyanya munzvimbo yelumbar (yakaderera kumashure) pane pasi peguvhu.
Uterine retroversion: inowanzoonekwa panguva ye ultrasound
Kuongororwa kweuterine retroversion kunowanzoitwa panguva ye Pelvic ultrasound, ingave iri yenguva dzose yekuongorora gynecological, nhumbu yekutanga kana kutsvaga pathology (cyst, endometriosis, nezvimwewo). Kunze kwekunge yaonekwa kechipiri (ona bhokisi riri pazasi), kudzoreredzwa kwechibereko hakuzoda kumwe kuongororwa kwekiriniki, kunyanya kana pasina zviratidzo zvinoshungurudza kana chirwere chakabatana.
Primary retroversion uye yechipiri retroversion
Cherechedza: uterine retroversion inogonawo kutevera, kureva, kusavapo kubva pakuberekwa. Musiyano unoitwa pakati pe "primitive" retroversion uye "secondary" uterine retroversion.. Iyo chibereko inokwanisa kupfuudzwa kubva panzvimbo yakasarudzika kuenda kune yakadzoserwa chinzvimbo, nekuda kweiyo uterine fibroid, kunamatira pakati penhengo kana endometriosis. Mushure mekusununguka, kudzorerwa kwechibereko kunogonawo kuva kwenguva pfupi, nekuda kwekuzorora kwemarunda akabata chibereko panzvimbo.
Retroverted chibereko: pane kurapwa here?
Hapana marapirwo anowanzo kupihwa chibereko chakadzoserwa, sezvo iyi yeanatomical peculiarity haina mhedzisiro. Kana zvichinyatsozivikanwa kuti uterine retroversion ndiyo chete inokonzera marwadzo anonyanya kushungurudza kana kusagadzikana, kuvhiyiwa kwelaparoscopic kunogona kurongeka, pamwe nezvinetso izvo kupindira kunosanganisira.
Panguva yekuzvitakura, kana nzvimbo yakadzoserwa isingagadzirise pachayo nekutanga kwechipiri trimester, a kufambiswa kwechikadzi inogona kuitwa neobstetrician-gynecologist, kuisazve chibereko mune anteversion.
Nzira yekuita sei pamuviri neine retroverted chibereko?
Muchokwadi, mubvunzo wakakosha ungave uri "unokwanisa kuita mimba ine chibereko chadzoka here?”. Mibvunzo miviri iyi inotungamirira kumhinduro yakafanana: hapana kunetseka ! Kuve nechibereko chakadzoserwa hakutadzisi kubata pamuviri uye kuita mimba inobudirira, uye hazvidi nzira dzakakosha kuti uite izvi.
Panguva yekuzvitakura, kazhinji. chibereko chinozongokura nekushanduka, kuitira kuti pfungwa yekuchinja kana kudzoreredza haichazove ine musoro. “Zvakanyanya, sezvo chibereko chiri kure kumashure, muromo wechibereko unowanzo fambira mberi uye unokwanisa kuvharira weti zvishoma, asi izvi zvakasarudzika ”, yakatsanangurira mumwe wevaverengi vedu Prof. Philippe Deruelle, obstetrician-gynecologist paStrasbourg University Hospital uye aimbova munyori mukuru weNational College of Obstetrician Gynecologists yeFrance (CNGOF). ” Sezvo mimba inokura, chibereko chinongoerekana chapera, haazorambi achidzokororwa kusvikira kumagumo. Mwana achauya mberi uye anotora nzvimbo yakawanda, zvokuti pfungwa yenzvimbo yechibereko ichanyangarika. Nzvimbo yekutanga yechibereko saka haina chekuita pakuzvara ”akawedzera.
Cherechedza kuti manzwiro ekumanikidzika uye zvinokwanisika kurwadziwa kwepelvic mumutambo wekutanga wepamuviri, nekuda kwekuwedzera kwekukura uye kutwasanudza kwechibereko, kunogona kunge kwakasimba zvishoma muhupo hwehutachiwana hunodzoka.
Retroverted uterus: ndezvipi zvinzvimbo zvekufarira panguva yekusangana?
Muhupo hwechibereko chakadzoserwa, zvimwe zvinzvimbo panguva yekupinda pabonde zvinogona kukonzera kusagadzikana kana kunyange kurwadziwa kwepelvic, kunonzi. dyspareunies. Anowanzo kudzika, uye anoitika kana sikarudzi yemumwe wako yasangana nemuromo wechibereko, mukati mebeche. Nzvimbo dzekupinda kwakadzika (doggy style uye nzvimbo dzakafanana kunyanya) saka zvinonyanya kukonzera marwadzo.
Kana zvichitinetsa, tinogona farira nzvimbo apo kupinda kusina kudzika, seSmall spoons, iyo Andromache apo mukadzi anotarisira kupinda uye kuuya uye kuenda, kana Lotus. Usazeza kuyedza zvinzvimbo zvakati wandei uye maitiro ezvepabonde kuti uwane iwo anokodzera zvakanyanya.
Chenjerera, zvisinei, kurwadziwa kwakanyanya kwepelvic panguva kana mushure mekusangana kunogona kuve kwakabatana nezvimwe zvikonzero (vanga adhesion, endometriosis uye / kana adenomyosis, ectopic nhumbu, ovarian cyst, gynecological malformation, polycystic ovary syndrome, weti kusagadzikana, kuvimbiswa ...).
Nguva dzinorwadza, endometriosis …: mibvunzo yatinozvibvunza
Kunyange zvazvo pasina chidzidzo chakaratidza hukama hwakajeka kune izvi pasinei nezera revarwere, zvinokwanisika kuti chibereko chekudzoka chinokonzera dzimwe nguva dzinorwadza, nekuda kwekuderera kwekuenda kumwedzi.
Kureva: endometriosis, nekuda kwekunamatira kwainogona kukonzera, inogona kurereka chibereko kumashure, ichidzokera kumashure.
Zvisinei, hapana hukama hwakajeka hwechikonzero chechikonzero: haisi nokuti tine chibereko chekare kuti tine endometriosis, uye zvakasiyana hazvisi nokuti tine endometriosis kuti chibereko chedu chidzoke zvakare. Pane zviitiko zve endometriosis ine chibereko chisina kuvharwa sekunge chibereko chakadzoserwa kumashure.
Vamwe vanachiremba vanomuka njodzi huru yekudzika kwenhengo (prolapse) ine chibereko chakadzoserwa, asi chinongedzo ichi hachina kusimbiswa zvakakwana kuti chisimbiswe nechokwadi.
Kudzivirira pamuviri, mbereko, kapu… kuva nechibereko chakadzokera shure, chii chinochinja?
About thekubereka, kuvapo kwechibereko chakadzoserwa kune preori hakuna kukanganisa, kana ichi chimiro cheanatomical chisina kubatanidzwa nechirwere chinoderedza kubereka (fibroma, endometriosis, adhesions, nezvimwewo). Izvo zvakare hazvidziviriri kushandiswa kweakasiyana-siyana ekurapa anobatsira kubereka nzira (ART) seyakagadzirwa insemination, ovarian puncture kana in vitro fertilization.
Panyaya yekudzivirira kubata pamuviri, chibereko chakadzokera kumashure hachidziviriri kuiswa kweIUD. Kuiswa kwacho kungangove kushoma zvishoma kune mushandi.
Zvimwe chetezvo nekushandisa kapu yekuenda kumwedzi kana matamponi. Kuve nechibereko chakadzoserwa hakuchinji chero chinhu chakakosha. Kungwarira kwakafanana kunofanirwa kutorwa paunenge uchiisa nekubvisa zvishandiso izvi.
Rectiverted buly utereus